Sample records for united states poses

  1. Strategic Impact of Cyber Warfare Rules for the United States

    DTIC Science & Technology

    2010-03-01

    Despite the growing complexities of cyberspace and the significant strategic challenge cyber warfare poses on the United States’ vital interests few...specific rules for cyber warfare exist. The United States should seek to develop and maintain cyber warfare rules in order to establish...exemplify the need for multilaterally prepared cyber warfare rules that will reduce the negative influence cyber warfare presently has on the United States’ national interests.

  2. Official portrait of astronaut Charles J. Precourt

    NASA Technical Reports Server (NTRS)

    1991-01-01

    Official portrait of astronaut Charles J. Precourt. Precourt, a member of Astronaut Class 13 and United States Air Force (USAF), wears blue flight suit and poses with space shuttle orbiter model with a United States flag creating the backdrop.

  3. To deny admission to the United States to any representative to the United Nations who has engaged in espionage activities against the United States, poses a threat to United States national security interests, or has engaged in a terrorist activity against the United States.

    THOMAS, 113th Congress

    Rep. Lamborn, Doug [R-CO-5

    2014-04-01

    House - 04/16/2014 Referred to the Subcommittee on Immigration and Border Security. (All Actions) Notes: For further action, see S.2195, which became Public Law 113-100 on 4/18/2014. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  4. An examination of practices for retrofitting existing roads with sidewalks in the United States.

    DOT National Transportation Integrated Search

    2010-06-01

    In Virginia, as in the United States, many roads were built without sidewalks. With steadily increasing efforts to : develop a more balanced, multimodal transportation system, missing sidewalks pose a unique connectivity issue. Although the : Virgini...

  5. Can and Should the United States Preserve A Military Capability for Revolutionary Conflict

    DTIC Science & Technology

    1972-01-01

    unexpected interventions (Korea, Cambodia) and the inherent uncertainties of international relations render dubious any firm prediction that no president in...superpowers or pose a direct military threat. The United States has a strong interest in forestalling any transformation of internal revolts into... internal security assistance (training and advice) draw the United States relentlessly into direct and costly military intervention (deployment of

  6. Integrated modeling of pesticide risks to breeding birds in North American agroecosystems

    EPA Science Inventory

    Pesticide usage in the United States is ubiquitous in urban, suburban, and rural environments. Scientists at the United States Environmental Protection Agency (USEPA) assess the fate of pesticides and the risk those pesticides pose to the environment and non-target wildlife. We p...

  7. MITIGATION OF HARMFUL ALGAL BLOOMS IN THE UNITED STATES USING CLAY: RESEARCH PROGRESS AND FUTURE PERSPECTIVES

    EPA Science Inventory

    Throughout the United States, red tides and harmful algal blooms (HABs) pose a serious and recurrent threat to marine ecosystems, fisheries, human health, and coastal aesthetics. Here we report results from a research program investigating the use of clay dispersal for bloom cont...

  8. A preliminary assessment of the Montréal process indicators of air pollution for the United States

    Treesearch

    John W. Coulston; Kurt H. Riitters; Grethchen C. Smith

    2004-01-01

    Air pollutants pose a risk to forest health and vitality in the United States. Here we present the major findings from a national scale air pollution assessment that is part of the United States’ 2003 Report on Sustainable Forests. We examine trends and the percent forest subjected to specific levels of ozone and wet deposition of sulfate, nitrate, and ammonium....

  9. The spatial relationship between exurban development and designated wilderness lands in the contiguous United States

    Treesearch

    Allison L. Ginn; Gary T. Green; Nathan P. Nibbelink; H. Ken Cordell

    2008-01-01

    Public lands provide recreational opportunities and preserve historic and ecological values. Increases in low-density residential development in the contiguous United States pose a threat not only along the boundaries of national parks and forests, but also around uniquely valuable Wilderness areas. Development within and around protected lands can affect land...

  10. The Challenges of Political Instruction in a Post-9/11 United States

    ERIC Educational Resources Information Center

    Journell, Wayne

    2011-01-01

    In the decade since the attacks of September 11th, the political climate in the United States has become increasingly intolerant of opposing viewpoints. This climate, made nearly ubiquitous by 24-hour news cycles and increased exposure to political media, poses quite a challenge to teachers wishing to broach political topics as part of their…

  11. Importance of Carolina Bays to the Avifauna of Pinelands in the Southeastern United States

    Treesearch

    Stephen Czapka; John Kilgo

    2011-01-01

    Past anthropogenic activity has led to the destruction or alteration of Carolina bay wetlands throughout the southeastern United States. Presently, urban development, combined with a 2001 ruling by the US Supreme Court relaxing protection of isolated wetlands, poses an increasing threat to these and other isolated wetland systems; however, little information exists on...

  12. The spatial relationship between exurban development and designated wilderness lands in the contiguous United States

    Treesearch

    Allison L. Ginn; Gary T. Green; Nathan P. Nibbelink; H. Ken Cordell

    2009-01-01

    Public lands provide recreational opportunities and preserve historic and ecological values. Increases in low-density residential development in the contiguous United States pose a threat not only along the boundaries of national parks and forests, but also around uniquely valuable Wilderness areas. Development within and around protected lands can affect land...

  13. Evaluation of Academic Library Residency Programs in the United States for Librarians of Color

    ERIC Educational Resources Information Center

    Boyd, Angela; Blue, Yolanda; Im, Suzanne

    2017-01-01

    The purpose of this research was to evaluate academic library residency programs that successfully recruit and retain academic librarians of color. This study examines library residencies in the United States and discusses findings of two nationwide surveys. One survey posed questions to residents about the structure of their residencies, aspects…

  14. Hypervirulent emm59 Clone in Invasive Group A Streptococcus Outbreak, Southwestern United States.

    PubMed

    Engelthaler, David M; Valentine, Michael; Bowers, Jolene; Pistole, Jennifer; Driebe, Elizabeth M; Terriquez, Joel; Nienstadt, Linus; Carroll, Mark; Schumacher, Mare; Ormsby, Mary Ellen; Brady, Shane; Livar, Eugene; Yazzie, Del; Waddell, Victor; Peoples, Marie; Komatsu, Kenneth; Keim, Paul

    2016-04-01

    The hyper-virulent emm59 genotype of invasive group A Streptococcus was identified in northern Arizona in 2015. Eighteen isolates belonging to a genomic cluster grouped most closely with recently identified isolates in New Mexico. The continued transmission of emm59 in the southwestern United States poses a public health concern.

  15. Bigheaded carps : a biological synopsis and environmental risk assessment

    USGS Publications Warehouse

    Kolar, Cindy S.; Chapman, Duane C.; Courtenay, Walter R.; Housel, Christine M.; Williams, James D.; Jennings, Dawn P.

    2007-01-01

    Includes information on taxonomy and distinguishing characteristics, hybrids, native and introduced ranges, temperature and salinity tolerances, fecundity, sexual maturity and mating behavior, spawning, early development, feeding habits, growth rate and longevity, response to physical stimuli, associated diseases and parasites, human uses, environmental effects, potential range, population control measures. Summarizes United States federal and state regulations, and assesses the risk posed by these species in the United States.

  16. The International Baccalaureate in the United States: From Relative Inactivity to Imbalance

    ERIC Educational Resources Information Center

    Bunnell, Tristan

    2011-01-01

    The International Baccalaureate[R] (IB) examination system has grown exponentially in the United States from 268 schools involved in 1999 to 1,090 schools in 2009. The fact that 49,100 students of a total of 87,800 students in 122 countries were from U.S. schools in 2009 has posed problems in strategic planning, assessment and training, the…

  17. Neoliberalism and Illusion: The Importance of Preparing Students to Live in the 21st Century

    ERIC Educational Resources Information Center

    Fitzner, Jennifer

    2017-01-01

    While this paper discusses the history of neoliberalism with emphasis on the role of the United States, it also addresses the challenges neoliberalism poses for individuals. Additionally, the paper discusses the failure of school curriculum to prepare youth in the United States for growing economic uncertainty, as well as media's role in hindering…

  18. Black bear population and connectivity in the Sky Islands of Mexico and the United States

    Treesearch

    N. E. Lara-Diaz; C. A. Lopez-Gonzalez; H. Coronel-Arellano; A. Gonzalez-Bernal

    2013-01-01

    The Sky Island region is a mountainous region surrounded by grasslands, deserts and intermountain valleys, located between Mexico and the United States. However, different land management and human impact can have an effect on its wildlife populations. Currently, the border wall poses an immediate threat to the survival of black bears (Ursus americanus), considered an...

  19. An Exploratory Study of High School Students' Creativity and Mathematical Problem Posing in China and the United States

    ERIC Educational Resources Information Center

    Yuan, Xianwei

    2009-01-01

    In recent decades many comparative studies in mathematics have been conducted involving students in China and the United States. There have been claims that U.S. students are more creative than their Chinese counterpart, but Chinese students have better basics in mathematics. Nevertheless, there have been very few comparative studies on creativity…

  20. Examining the Prevalence of Self-Reported Foodborne Illnesses and Food Safety Risks among International College Students in the United States

    ERIC Educational Resources Information Center

    Lyonga, Agnes Ngale; Eighmy, Myron A.; Garden-Robinson, Julie

    2010-01-01

    Foodborne illness and food safety risks pose health threats to everyone, including international college students who live in the United States and encounter new or unfamiliar foods. This study assessed the prevalence of self-reported foodborne illness among international college students by cultural regions and length of time in the United…

  1. Mapping of the Asian longhorned beetle's time to maturity and risk to invasion at contiguous United States extent

    Treesearch

    Alexander P. Kappel; R. Talbot Trotter; Melody A. Keena; John Rogan; Christopher A. Williams

    2017-01-01

    Anoplophora glabripennis, the Asian Longhorned Beetle (ALB), is an invasive species of high economic and ecological relevance given the potential it has to cause tree damage, and sometimes mortality, in the United States. Because this pest is introduced by transport in wood-packing products from Asia, ongoing trade activities pose continuous risk...

  2. Climate change poses additional threat to the future of ash resources in the eastern United States

    Treesearch

    Anantha Prasad; Louis Iverson; Stephen Matthews; Matthew Peters

    2010-01-01

    It is becoming increasingly clear that climate change has the potential to alter the distribution of plant species all over the world. In the United States, ash (Fraxinus spp.) is encountering the double threat of short-term emerald ash borer (EAB) infestation, which could decimate ash throughout the country, and longer term perturbations due to...

  3. Influence of winter season climate variability on snow-precipitation ratio in the western United States

    Treesearch

    Mohammad Safeeq; Shraddhanand Shukla; Ivan Arismendi; Gordon E. Grant; Sarah L. Lewis; Anne Nolin

    2015-01-01

    In the western United States, climate warming poses a unique threat to water and snow hydrology because much of the snowpack accumulates at temperatures near 0 °C. As the climate continues to warm, much of the region's precipitation is expected to switch from snow to rain, causing flashier hydrographs, earlier inflow to reservoirs, and reduced spring and summer...

  4. Geo-Environmental Change and the United States Military: How History Can Inform Future Arctic Operations

    DTIC Science & Technology

    2012-05-17

    and the Northern Sea Route, extraction of potential oil and gas resources, and expanded fishing and tourism .‖ 6 The Arctic‘s vast natural resources...sudden and substantial increase in commercial shipping, marine tourism , and large passenger vessels in the Arctic poses significant challenges to the...security,‖ Huebert states that, ―Canada, Denmark, Norway, Russia and the United States have all either begun to rebuild their Arctic capabilities

  5. Mississippi Embayment Regional Ground Water Study

    EPA Science Inventory

    Increased water usage in the southeastern United States in the tri-state area of Tennessee, Mississippi and Arkansas poses a dilemma to ensuring long-term sustainability of the quantity and quality of ground-water resources that underlie the region. Demand for ground water by ag...

  6. Shifting Gears: Building New Pathways for Low-Skilled Workers to Succeed in the 21st Century Economy

    ERIC Educational Resources Information Center

    Joyce Foundation, 2013

    2013-01-01

    The United States faces an increasing gap between the skills possessed by its workforce and those that are necessary to succeed in the 21st century economy. This gap poses a threat to the financial wellbeing of low-skilled American workers and their families and to the nation's long-term economic growth. Recognizing the threat posed by these…

  7. Kissing Bugs in the United States: Risk for Vector-Borne Disease in Humans

    PubMed Central

    Klotz, Stephen A; Dorn, Patricia L; Mosbacher, Mark; Schmidt, Justin O

    2014-01-01

    Eleven species of kissing bugs are found in the United States. Their home ranges may be expanding northward, perhaps as a consequence of climate change. At least eight of the species, perhaps all, are reported to harbor Trypanosoma cruzi, the parasite that causes Chagas disease. Because humans are encroaching on kissing bug habitat, there is concern for vector-transmitted Chagas disease in the United States. To date, documented autochthonous cases of Chagas in humans in the United States are rare. Kissing bugs are capable of adapting to new habitats such as human domiciles; however, they do not colonize homes in the United States as in Central and South America. We review the biology, behavior, and medical importance of kissing bugs and the risk they pose for transmission of Chagas disease in the United States. Where possible, descriptions of US species are compared to the epidemiologically important Latin American species. PMID:25574143

  8. From Feeble-Minded to Mentally Retarded: Child Protection and the Changing Place of Disabled Children in the Mid-Twentieth Century United States

    ERIC Educational Resources Information Center

    Grossberg, Michael

    2011-01-01

    American attitudes and policies toward children with disabilities changed significantly between the 1920s and the 1950s. Drawn from a larger study of the history of child protection in the United States, I argue that a redefinition of disabled children occurred in this era. Earlier fears that feeble-minded children posed a menace to American…

  9. Early indications of drought impacts on forests in the southeastern United States

    Treesearch

    Michael K. Crosby; Zhaofei Fan; Martin A. Spetich; Ted Leininger; Xingang Fan

    2015-01-01

    In the southeastern United States, drought can pose a significant threat to forests by reducing the  amount of available water, thereby stressing trees. Destructive changes in crown conditions provide the first visible  indication of a problem in a forested area, making it a useful indicator for problems within an  ecosystem. Forest Health and Monitoring (FHM) and...

  10. Major regulatory changes and the impact on diagnostic imaging in the United States 2005 to 2012∗: ∗effective May 15, 2013.

    PubMed

    Relyea-Chew, Annemarie

    2013-09-01

    Federal regulation of diagnostic imaging in the United States has increased dramatically in recent years. The primary statutes aimed at curbing escalating costs and reorienting the national priorities of health care have a direct effect on the specialty of diagnostic imaging. This paper surveys the major regulations and current issues that pose challenges to the practice of diagnostic imaging in the United States, from the Deficit Reduction Act of 2005 through the American Taxpayer Relief Act of 2012. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

  11. Stool DNA Test

    MedlinePlus

    ... in the United States. Why it's done Stool DNA testing is intended to screen for colon cancer or ... and poses no risks. How you prepare Stool DNA testing requires no preparation. You can eat and drink ...

  12. Superfund Record of Decision (EPA Region 5): Spickler Landfill, Operable Unit 2, Spencer, WI, September 29, 1998

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

    NONE

    This decision document represents the selected remedial action for Operable Unit (OU) No. 2 at the Spickler Landfill Superfund Site (the Site) in Specer, Wisconsin. The United States Environmental Protection Agency (US EPA) has found that no further action is appropriate due to the effectiveness of the remedial action for the first operable unit. Proper closure of the landfills and mercury brine pit, installation of a landfill gas collection and flare and leachate collection systems and continued operation have eliminated the primary human health risk posed by direct contact with contaminated soils, eliminated the threat to the environment, and mitigatedmore » the primary human health risk posed by contaminated Site groundwater and landfill gas. The remedy established by this ROD is the final Remedial Action for this Site.« less

  13. China Report, Political, Sociological and Military Affairs, No. 418.

    DTIC Science & Technology

    1983-05-09

    the United States on the ground that they are either premature or too costly. Last month, the U.S. Justice Department labelled three Canadian films ...as "political propaganda" and restricted their showing in the United States. Two of the films dealt with the environmental hazards posed by the acid...most important. Without the needs of the times, there will be no reportage. This explains why Zhu Ziqing, the author of " Moonlight by the Lotus

  14. The State of Diabetes Care Provided to Medicare Beneficiaries Living in Rural America

    ERIC Educational Resources Information Center

    Weingarten, Joseph P.; Brittman, Susan; Hu, Wenrong; Przybyszewski, Chris; Hammond, Judith M.; FitzGerald, Dawn

    2006-01-01

    Context: Diabetes poses a growing health burden in the United States, but much of the research to date has been at the state and local level. Purpose: To present a national profile of diabetes care provided to Medicare beneficiaries living in urban, semirural, and rural communities. Methods: Medicare beneficiaries with diabetes aged 18-75 were…

  15. Mapping the future: U.S. exposure to multiple landscape stressors

    Treesearch

    Marie Oliver; Becky Kerns; John Kim; Jeff Kline

    2017-01-01

    Landscape exposure to multiple stressors can pose risks to human health, biodiversity, and ecosystem services. Attempts to study, control, or mitigate these stressors can strain public and private budgets. An interdisciplinary team of Pacific Northwest Research Station and Oregon State University scientists created maps of the conterminous United States that indicate...

  16. 78 FR 51645 - Memorandum for the Secretary of State [and] the Secretary of Defense

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-20

    ... Colombia, that: (1) interdiction of aircraft reasonably suspected to be primarily engaged in illicit drug trafficking in that country's airspace is necessary, because of the extraordinary threat posed by illicit drug.... 2013-12 of August 9, 2013--Continuation of United States Drug Interdiction Assistance to the Government...

  17. 78 FR 13931 - Designation of Commander Nazir Group, Also Known as Mullah Nazir Group, as a Specially Designated...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-01

    ... DEPARTMENT OF STATE [Public Notice 8209] Designation of Commander Nazir Group, Also Known as... known as Mullah Nazir Group, committed, or poses a significant risk of committing, acts of terrorism... the United States. Consistent with the determination in section 10 of Executive Order 13224 that...

  18. 76 FR 28299 - The Designation of Badruddin Haqqani Also Known as Atiqullah as a Specially Designated Global...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-16

    ... DEPARTMENT OF STATE [Public Notice: 7457] The Designation of Badruddin Haqqani Also Known as... Atiqullah, committed, or poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States...

  19. A Violent Birth: Reframing Coerced Procedures During Childbirth as Obstetric Violence.

    PubMed

    Borges, Maria TR

    2018-01-01

    In the United States, women are routinely forced to undergo cesarean sections, episiotomies, and the use of forceps, despite their desire to attempt natural vaginal delivery. Yet, the current American legal system does little to provide redress for women coerced to undergo certain medical procedures during childbirth. Courts and physicians alike are prepared to override a woman's choice of childbirth procedure if they believe this choice poses risks to the fetus, and both give little value to the woman's right to bodily autonomy. This Note proposes a solution for addressing the problem of coerced medical procedures during childbirth by importing a framework created in Venezuela and Argentina that characterizes this issue as "obstetric violence." First, this Note contains an overview of the shortcomings of the existing American legal framework to address the problem. Second, it explains the advantages of the obstetric violence framework and argues that its adoption in the United States would address many of the failures of the existing system. And third, this Note introduces a few legislative and litigation strategies that can be used to implement this framework in the United States and briefly addresses some of the challenges these strategies may pose.

  20. BACTERIAL SOURCE TRACKING

    EPA Science Inventory

    Fecal contamination of surface waters used for recreation, drinking water and aquaculture are a continuous environmental problem and pose significant human health risks. An alarming amount of the United States rivers/streams (39%), lakes (45%), and estuaries (51%) are not safe f...

  1. MICROBIAL SOURCE TRACKING - 2005

    EPA Science Inventory

    Fecal contamination of surface waters used for recreation, drinking water and aquaculture are a continuous environmental problem and pose significant human health risks. An alarming amount of the United States rivers/streams (39%), lakes (45%), and estuaries (51%) are not safe f...

  2. MICROBIAL SOURCE TRACKING GUIDE

    EPA Science Inventory

    Fecal contamination of surface waters used for recreation, drinking water and aquaculture are a continuous environmental problem and pose significant human health risks. An alarming amount of the United States rivers/streams (39%), lakes (45%), and estuaries (51%) are not safe f...

  3. Changing by degrees : steps to reduce greenhouse gases

    DOT National Transportation Integrated Search

    1991-02-01

    The six congressional committees requesting this assessment asked OTA to focus on a very specific question: "Can the United States reduce carbon dioxide emissions in the near term?" To answer the question Congress posed, OTA focuses specifically on p...

  4. MICROBIAL SOURCE TRACKING - 101

    EPA Science Inventory

    Fecal contamination of surface waters used for recreation, drinking water and aquaculture are a continuous environmental problem and pose significant human health risks. Today, a large portion of the United States rivers/streams (39%), lakes (45%), and estuaries (51%) are not saf...

  5. 75 FR 68671 - Continuation of Emergency With Respect to Weapons of Mass Destruction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-08

    ... the United States posed by the proliferation of nuclear, biological, and chemical weapons (weapons of... Weapons of Mass Destruction #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register / Vol. 75... [[Page 68673

  6. STS-55 crewmembers pose with U.S. and German flags in SL-D2 module on OV-102

    NASA Technical Reports Server (NTRS)

    1993-01-01

    STS-55 crewmembers pose with United States and German flags inside the Spacelab Deutsche 2 (SL-D2) science module located in the payload bay (PLB) of Columbia, Orbiter Vehicle (OV) 102. Wearing communications kit assembly headsets (HDSTs) are (left to right) Mission Specialist 1 (MS1) and Payload Commander (PLC) Jerry L. Ross, MS3 Bernard A. Harris, Jr, German Payload Specialist 1 Ulrich Walter, and Payload Specialist 2 Hans Schlegel.

  7. 76 FR 73760 - In the Matter of the Designation of Ibrahim Suleiman Hamad al-Hablain, Also Known as Abu Jabal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... DEPARTMENT OF STATE [Public Notice 7698] In the Matter of the Designation of Ibrahim Suleiman... poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States. Consistent with the...

  8. 77 FR 42546 - In the Matter of the Designation of Ahmed Abdulrahman Sihab Ahmed Sihab as a Specially Designated...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-19

    ... DEPARTMENT OF STATE [Public Notice 7957] In the Matter of the Designation of Ahmed Abdulrahman... Sihab, committed, or poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States...

  9. 77 FR 14855 - In the Matter of the Designation of Jemmah Anshorut Tauhid (JAT) Also Known as Jemmah Ansharut...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-13

    ... DEPARTMENT OF STATE [Public Notice: 7825] In the Matter of the Designation of Jemmah Anshorut... poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States. Consistent with the...

  10. Stability of calcium sulfate base course in a wet environment.

    DOT National Transportation Integrated Search

    2006-07-01

    Blended Calcium Sulfate (BCS) is fluorogypsum (FG), an industrial by-product, blended with lime or limestone. Approximately 90,000 metric tons (100,000 tons) of FG are generated annually in the United States, posing a serious problem for environmenta...

  11. SOCIAL-ECOLOGICAL RESILIENCE AND LAW IN THE PLATTE RIVER BASIN

    EPA Science Inventory

    Efficiency and resistance to rapid change are hallmarks of both the judicial and legislative branches of the United States government. These defining characteristics, while bringing stability and predictability, pose challenges when it comes to managing dynamic natural systems. A...

  12. Weather-centric rangeland revegetation planning

    USDA-ARS?s Scientific Manuscript database

    Semiarid rangelands in the western United States have been or are being invaded by introduced annual weeds that negatively impact ecosystem services and pose a major conservation threat. Rehabilitation and restoration of these rangelands are challenging due to inter-annual climate and sub-seasonal ...

  13. MODELING CONTAMINANT PROPAGATION IN DISTRIBUTION SYSTEMS.

    EPA Science Inventory

    The Safe Drinking Water Act and its Amendments (SDWAA) will pose a massive hallenge for the drinking water industry in the United States. As the SDWAA regulations reach implementation, increasing effort will be devoted to understanding the facctors causing deterioration of water...

  14. Copyright Development in the United States

    ERIC Educational Resources Information Center

    Stedman, John C.

    1976-01-01

    Some of the problems posed by the more significant new technologies in their relation to the copyright law are described. Included in the discussion are cable television, reprography (especially Xeroxing and comparable processes), and the computer. A federal Technology Commission is proposed. (LBH)

  15. East Meets West: An Earthquake in India Helps Hazard Assessment in the Central United States

    USGS Publications Warehouse

    ,

    2002-01-01

    Although geographically distant, the State of Gujarat in India bears many geological similarities to the Mississippi Valley in the Central United States. The Mississippi Valley contains the New Madrid seismic zone that, during the winter of 1811-1812, produced the three largest historical earthquakes ever in the continental United States and remains the most seismically active region east of the Rocky Mountains. Large damaging earthquakes are rare in ‘intraplate’ settings like New Madrid and Gujarat, far from the boundaries of the world’s great tectonic plates. Long-lasting evidence left by these earthquakes is subtle (fig. 1). Thus, each intraplate earthquake provides unique opportunities to make huge advances in our ability to assess and understand the hazards posed by such events.

  16. Cotton gin trash in the western United States: Resource inventory and energy conversion characterization

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

    Haase, S.G.; Quinn, M.W.; Whittier, J.P.

    1993-12-31

    The disposal of wastes associated with the processing of cotton is posing increasing problems for cotton gin operators in the western United States. Traditional disposal methods, such as open-air incineration and landfilling are no longer adequate due to increasing environmental concerns. This paper evaluates the technical, economic and environmental feasibility for cotton gin trash to serve as an energy resource. Cotton gin trash has been quantified, by county, in the five cotton-growing states of the western United States. The energy conversion technology that appears to offer the most promise is gasification. An economic evaluation model has been developed that willmore » allow gin operators to analyze their own situation to determine the profitability of converting gin trash to energy.« less

  17. Stress drops of induced and tectonic earthquakes in the central United States are indistinguishable.

    PubMed

    Huang, Yihe; Ellsworth, William L; Beroza, Gregory C

    2017-08-01

    Induced earthquakes currently pose a significant hazard in the central United States, but there is considerable uncertainty about the severity of their ground motions. We measure stress drops of 39 moderate-magnitude induced and tectonic earthquakes in the central United States and eastern North America. Induced earthquakes, more than half of which are shallower than 5 km, show a comparable median stress drop to tectonic earthquakes in the central United States that are dominantly strike-slip but a lower median stress drop than that of tectonic earthquakes in the eastern North America that are dominantly reverse-faulting. This suggests that ground motion prediction equations developed for tectonic earthquakes can be applied to induced earthquakes if the effects of depth and faulting style are properly considered. Our observation leads to the notion that, similar to tectonic earthquakes, induced earthquakes are driven by tectonic stresses.

  18. Stress drops of induced and tectonic earthquakes in the central United States are indistinguishable

    PubMed Central

    Huang, Yihe; Ellsworth, William L.; Beroza, Gregory C.

    2017-01-01

    Induced earthquakes currently pose a significant hazard in the central United States, but there is considerable uncertainty about the severity of their ground motions. We measure stress drops of 39 moderate-magnitude induced and tectonic earthquakes in the central United States and eastern North America. Induced earthquakes, more than half of which are shallower than 5 km, show a comparable median stress drop to tectonic earthquakes in the central United States that are dominantly strike-slip but a lower median stress drop than that of tectonic earthquakes in the eastern North America that are dominantly reverse-faulting. This suggests that ground motion prediction equations developed for tectonic earthquakes can be applied to induced earthquakes if the effects of depth and faulting style are properly considered. Our observation leads to the notion that, similar to tectonic earthquakes, induced earthquakes are driven by tectonic stresses. PMID:28782040

  19. SESSION: EMERGING POLLUTANT ASSESSMENT TECHNIQUES TITLE: BACTERIAL SOURCE TRACKING

    EPA Science Inventory

    Fecal contamination of surface waters used for recreation, drinking water and aquaculture are a continuous environmental problem and pose significant human health risks. An alarming amount of the United States rivers/streams (39%), lakes (45%), and estuaries (51%) are not safe f...

  20. MODELING CONTAMINANT PROPAGATION IN DRINKING WATER DISTRIBUTION SYSTEMS

    EPA Science Inventory

    The Safe Drinking Water Act and its Amendments (SDWAA) will pose a massive challenge for the drinking-water industry in the United States. As the SDWAA regulations reach implementation, increasing effort will be devoted to understanding the factors causing deterioration of water ...

  1. At-Risk Students: An Analysis of School Improvement Grants in the State of Missouri

    ERIC Educational Resources Information Center

    Witherspoon, Anissa

    2017-01-01

    The educational system in the United States continues to pose many challenges for law and policy makers. Many of these challenges can be traced back to two landmark cases, "Plessy vs. Ferguson" and "Brown vs. Board of Education of Topeka." And, while the U.S. Department of Education developed programs to address many of these…

  2. Water and land management: Some examples of USDA international programs

    Treesearch

    Richard S. Affleck

    2000-01-01

    Environmental degradation and inefficient use of natural resources pose a growing threat to the interests of the United States, and to the physical, economic, and social well-being of people throughout the world. In his book, Global Paradox, John Naisbit states, "We have never learned, or we have forgotten, that the environment is the basis of all life and for all...

  3. A Systematic Approach to Bilingual Assessment: Development of a Handbook for School District Administrators and School Psychologists

    ERIC Educational Resources Information Center

    Parres, Laura

    2017-01-01

    English language learners (ELLs) are a significant and growing subset of the school age population across the United States. The projected growth of ELL students is significant and poses unique challenges for school districts when assessing bilingual students for special education. The state of California has the most ELL students in the nation…

  4. Implications of Economic, Social, and Educational Developments in Rural America for Rural School Systems.

    ERIC Educational Resources Information Center

    Stephens, E. Robert

    Great changes are occurring in the vast and extremely diverse nonmetropolitan regions of the United States as a result of economic and social shifts taking place. These are not the only issues facing state and local education policy and planning communities. Nationwide focus on the school reform and school excellence movement poses another serious…

  5. Problem-Posing in a Primary Grade Classroom: Utilizing Freire's Methods to Break the Culture of Silence

    ERIC Educational Resources Information Center

    Reed, Judith; Saunders, Karen; Pfadenhauer-Simonds, Susan

    2015-01-01

    Using Paulo Freire's, idea that the aim of education must always be to transform the world so as to liberate oppressed peoples. The authors: Reed, Saunders, and Pfadenhauer-Simonds address this issue by noting that state-backed education systems in the United States, as elsewhere, arguably can be seen as supporting repressive forces that keep…

  6. 78 FR 13931 - Designation of Iyad ag Ghali, Also Known as Iyad ag Ghaly, as a Specially Designated Global...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-01

    ... DEPARTMENT OF STATE [Public Notice 8211] Designation of Iyad ag Ghali, Also Known as Iyad ag Ghaly... Ghaly, committed, or poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States...

  7. 76 FR 69318 - In the Matter of the Designation of Mali Khan also known as Madi Khan as a Specially Designated...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-08

    ... DEPARTMENT OF STATE [Public Notice 7681] In the Matter of the Designation of Mali Khan also known... Khan, committed, or poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States...

  8. 77 FR 58205 - In the Matter of the Designation of the Haqqani Network Also Known as HQN as a Specially...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... DEPARTMENT OF STATE [Public Notice 8033] In the Matter of the Designation of the Haqqani Network..., committed, or poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States. Consistent with the...

  9. 77 FR 68882 - The Designation of Qari Zakir, Also Known as Abdul Rauf, as a Specially Designated Global...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... DEPARTMENT OF STATE [Public Notice 8088] The Designation of Qari Zakir, Also Known as Abdul Rauf..., committed, or poses a significant risk of committing, acts of terrorism that threaten the security of U.S. nationals or the national security, foreign policy, or economy of the United States. Consistent with the...

  10. An ecological risk assessment of nonnative boas and pythons as potentially invasive species in the United States.

    PubMed

    Reed, Robert N

    2005-06-01

    The growing international trade in live wildlife has the potential to result in continuing establishment of nonnative animal populations in the United States. Snakes may pose particularly high risks as potentially invasive species, as exemplified by the decimation of Guam's vertebrate fauna by the accidentally introduced brown tree snake. Herein, ecological and commercial predictors of the likelihood of establishment of invasive populations were used to model risk associated with legal commercial imports of 23 species of boas, pythons, and relatives into the United States during the period 1989-2000. Data on ecological variables were collected from multiple sources, while data on commercial variables were collated from import records maintained by the U.S. Fish and Wildlife Service. Results of the risk-assessment models indicate that species including boa constrictors (Boa constrictor), ball pythons (Python regius), and reticulated pythons (P. reticulatus) may pose particularly high risks as potentially invasive species. Recommendations for reducing risk of establishment of invasive populations of snakes and/or pathogens include temporary quarantine of imports to increase detection rates of nonnative pathogens, increasing research attention to reptile pathogens, reducing the risk that nonnative snakes will reach certain areas with high numbers of federally listed species (such as the Florida Keys), and attempting to better educate individuals purchasing reptiles.

  11. UTILIZATION OF LANDSCAPE INDICATORS TO MODEL WATER QUALITY

    EPA Science Inventory



    Many water-bodies within the United States are contaminated by, non-point source (NFS) pollution, which is defined as those materials posing a threat to water quality arising from a number of individual sources and diffused through hydrologic processes. One such NPS pollu...

  12. 77 FR 27208 - Renewal of Threat Reduction Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-09

    ... national defense, geopolitical and national security affairs, weapons of mass destruction, nuclear physics... Defense (Nuclear, Chemical and Biological Defense Programs), independent advice and recommendations on: a. Reducing the threat to the United States, its military forces, and its allies and partners posed by nuclear...

  13. Official portrait of astronaut Robert D.Cabana

    NASA Technical Reports Server (NTRS)

    1985-01-01

    Official portrait of astronaut Robert D.Cabana, a colonel in the United States Marine Corps (USMC) and a member of the 1985 Astronaut Class 11. Cabana is wearing a blue flight suit and poses with an American flag and asmall model of the space shuttle orbiter.

  14. Threats to North American forests from southern pine beetle with warming winters

    NASA Astrophysics Data System (ADS)

    Lesk, Corey; Coffel, Ethan; D'Amato, Anthony W.; Dodds, Kevin; Horton, Radley

    2017-10-01

    In coming decades, warmer winters are likely to ease range constraints on many cold-limited forest insects. Recent unprecedented expansion of the southern pine beetle (SPB, Dendroctonus frontalis) into New Jersey, New York and Connecticut in concert with warming annual temperature minima highlights the risk that this insect pest poses to the pine forests of the northern United States and Canada under continued climate change. Here we present projections of northward expansion in SPB-suitable climates using a statistical bioclimatic range modelling approach and current-generation general circulation model output under Representative Concentration Pathways 4.5 and 8.5. Results show that by the middle of the twenty-first century, the climate is likely to be suitable for SPB expansion into vast areas of previously unaffected forests throughout the northeastern United States and into southeastern Canada. This scenario would pose a significant economic and ecological risk to the affected regions, including disruption of local ecosystem services, shifts in forest structure, and threats to native biodiversity.

  15. Threats to North American Forests from Southern Pine Beetle with Warming Winters

    NASA Technical Reports Server (NTRS)

    Lesk, Corey; Coffel, Ethan; D'Amato, Anthony W.; Dodds, Kevin; Horton, Radley M.

    2016-01-01

    In coming decades, warmer winters are likely to lift range constraints on many cold-limited forest insects. Recent unprecedented expansion of the southern pine beetle (SPB, Dendroctonus frontalis) into New Jersey, New York, Connecticut, and Massachusetts in concert with warming annual temperature minima highlights the risk that this insect pest poses to the pine forests of the northern United States and Canada under continued climate change. Here we present the first projections of northward expansion in SPB-suitable climates using a statistical bioclimatic range modeling approach and current-generation general circulation model (GCM) output under the RCP 4.5 and 8.5 emissions scenarios. Our results show that by the middle of the 21st century, the climate is likely to be suitable for SPB expansion into vast areas of previously unaffected forests throughout the northeastern United States and into southeastern Canada. This scenario would pose a significant economic and ecological risk to the affected regions, including disruption oflocal ecosystem services, dramatic shifts in forest structure, and threats to native biodiversity.

  16. Evaluation of Computer Aided Vortex Forecast System

    NASA Technical Reports Server (NTRS)

    Rossow, Vernon J.; Olson, Lawrence E. (Technical Monitor)

    1995-01-01

    Several countries, including the United States. Canada, Germany, England and Russia, are in the process of trying to develop some sort of computer-aided system that will guide controllers at airports on the hazard posed by lift-generated vortices that trail behind subsonic transport aircraft. The emphasis on this particular subject has come about because the hazard posed by wake vortices is currently the only reason why aircraft are spaced at 3 to 6 miles apart during landing and takeoff rather than something like 2 miles. It is well known that under certain weather conditions, aircraft spacings can be safely reduced to as little as the desired 2 miles. In an effort to perhaps capitalize on such a possibility, a combined FAA and NASA program is currently underway in the United States to develop such a system. Needless to say, the problems associated with anticipating the required separation distances when weather conditions are involved is very difficult. Similarly, Canada has a corresponding program to develop a vortex forecast system of their own.

  17. California Annual Performance Report: Federally Funded Workforce Investment Act, Title II Programs. Program Year 2016. July 1, 2015-June 30, 2016

    ERIC Educational Resources Information Center

    CASAS - Comprehensive Adult Student Assessment Systems, 2016

    2016-01-01

    This report is a compilation of California's responses to the four questions that the United States Department of Education (ED), Division of Adult Education and Literacy (DAEL) poses annually to all states and territories receiving federal supplementary funding from the Adult Education and Family Literacy Act (AEFLA), Title II of the Workforce…

  18. Using climate and genetic diversity data to prioritize conservation seed banking for imperiled hemlock species

    Treesearch

    J.M. Hastings; K.M. Potter; F.H. Koch; M.A. Megalos; R.M. Jetton

    2017-01-01

    Hemlock woolly adelgid (HWA, Adelges tsugae) is an invasive forest insect that has caused mortality of eastern (Tsuga canadensis) and Carolina hemlock (T. caroliniana) at an alarming rate. Now infesting 19 states and over 400 counties of the eastern United States, HWA poses a significant threat to native host species. The current biological and chemical methods for...

  19. Curricular Joint Ventures: A New Chapter in US Cross-Border Education?

    ERIC Educational Resources Information Center

    Eckel, Peter D.; Green, Madeleine F.; Affolter-Caine, Britany

    2004-01-01

    For universities in industrialized nations such as the United States, globalization poses relatively little threat and offers many benefits. This article identifies and describes one trend emerging from globalization--how American colleges and universities are leveraging their curricula internationally through joint ventures between universities…

  20. 8 CFR 212.1 - Documentary requirements for nonimmigrants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... special humanitarian concern; and (iv) Poses no threat to the welfare, safety or security of the United States, its territories, or commonwealths. Any potential threats to the welfare, safety, or security of...) of this section: Australia, Brunei, Indonesia, Japan, Malaysia, Nauru, New Zealand, Papua New Guinea...

  1. ENVIRONMENTAL CONTAMINANTS AND POTENTIAL HUMAN RISK ASSOCIATED WITH SELECTED BOTANICAL DIETARY SUPPLEMENTS

    EPA Science Inventory

    Botanical dietary supplements have a long history of use in Europe and China and they are becoming increasingly popular in the United States. However, little data is available regarding environmental contaminants in botanical dietary supplements and the risk posed to those ingest...

  2. THE DNAPL REMEDIATION CHALLENGE: IS THERE A CASE FOR SOURCE DEPLETION?

    EPA Science Inventory

    Releases of Dense Non-Aqueous Phase Liquids (DNAPLs) at a large number of public and private sector sites in the United States pose significant challenges in site remediation and long-term site management. Extensive contamination of groundwater occurs as a result of significant ...

  3. AN APPROACH FOR CHARACTERIZING TROPOSPHERIC OZONE RISK TO FOREST

    EPA Science Inventory

    The risk tropospheric ozone poses to forests in the United States is dependent on the variation in ozone exposure across the distribution of the forests in question and the various environmental and climate factors predominant in the region. All these factors have a spatial natur...

  4. UTILIZATION OF LANDSCAPE INDICATORS TO MODEL WATERSHED IMPAIRMENT

    EPA Science Inventory



    Many water-bodies within the United States are contaminated by non-point source (NPS) pollution, which is defined as those materials posing a threat to water quality arising from a number of individual sources and diffused through hydrologic 13romses. One such NPS
    pol...

  5. Vulnerability of freshwater native biodiversity to non-native species invasions across the continental United States

    EPA Science Inventory

    Background/Question/Methods Non-native species pose one of the greatest threats to native biodiversity. The literature provides plentiful empirical and anecdotal evidence of this phenomenon; however, such evidence is limited to local or regional scales. Employing geospatial analy...

  6. Investigating technical challenges and research needs related to shared corridors for high speed passenger and railroad freight operations.

    DOT National Transportation Integrated Search

    2013-05-01

    The development of both incremental and dedicated high-speed rail lines in the United States poses a number of questions. Despite nearly 50 years of international experience in planning, designing, building and operating high-speed passenger infrastr...

  7. Implementation of Slag Stabilized Blended Calcium Sulfate (BCS) in a Pavement Structure : Research Project Capsule

    DOT National Transportation Integrated Search

    2012-09-01

    Blended calcium sulfate (BCS) is fl uorogypsum (FG), an industrial byproduct, : blended with lime or limestone. Approximately 90,000 metric tons (100,000 : tons) of FG are generated annually in the United States, posing a serious : problem for enviro...

  8. Global strike hypersonic weapons

    NASA Astrophysics Data System (ADS)

    Lewis, Mark J.

    2017-11-01

    Beginning in the 1940's, the United States has pursued the development of hypersonic technologies, enabling atmospheric flight in excess of five times the speed of sound. Hypersonic flight has application to a range of military and civilian applications, including commercial transport, space access, and various weapons and sensing platforms. A number of flight tests of hypersonic vehicles have been conducted by countries around the world, including the United States, Russia, and China, that could lead the way to future hypersonic global strike weapon systems. These weapons would be especially effective at penetrating conventional defenses, and could pose a significant risk to national security.

  9. Effects of rootstock on Xylella fastidiosa infection and grapevine sap phenolics

    USDA-ARS?s Scientific Manuscript database

    Pierce’s disease, caused by the bacterium Xylella fastidiosa, poses a threat to grape production in the United States and warm climates elsewhere. There are numerous grapevine rootstocks available that may impart increased vigor or tolerance to soil-borne pests. However, little is known about the po...

  10. Effects of grapevine sap phenolics on the in vitro growth of Xylella fastidiosa

    USDA-ARS?s Scientific Manuscript database

    Pierce’s disease, caused by the bacterium Xylella fastidiosa, poses a serious threat to grape production in the United States. Previous work indicated that grapevines infected with Xylella fastidiosa respond by producing greater levels of phenolic compounds in xylem sap and tissues, presumably to l...

  11. Stability of soybean aphid resistance in soybean across different temperatures

    USDA-ARS?s Scientific Manuscript database

    The soybean aphid, Aphis glycines Matsumura, is the most important insect pest posing a threat to soybean, Glycine max (L.) Merr., grain production in the United States. Soybean cultivars with resistance are currently being deployed to aid in management of the pest. Temperature has been reported to ...

  12. 77 FR 66519 - National Alzheimer's Disease Awareness Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-06

    ... National Alzheimer's Disease Awareness Month, 2012 By the President of the United States of America A Proclamation Every day, families across our country confront the tragic realities of Alzheimer's disease--an.... As the number of older Americans grows in the coming years, Alzheimer's disease will continue to pose...

  13. Risk assessments for mixtures: technical methods commonly used in the United States

    EPA Science Inventory

    A brief (20 minute) talk on the technical approaches used by EPA and other US agencies to assess risks posed by combined exposures to one or more chemicals. The talk systemically reviews the methodologies (whole-mixtures and component-based approaches) that are or have been used ...

  14. Asbestos in the Home.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC.

    The United States Government is concerned about asbestos-containing products in the home because sometimes asbestos fibers can be released from these produces. If asbestos fibers are inhaled, certain types of cancer may later develop. Asbestos in homes poses several problems. Household members have little or no protection from exposure to asbestos…

  15. 3 CFR - Continuation of the National Emergency With Respect to Weapons of Mass Destruction

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... to Weapons of Mass Destruction Presidential Documents Other Presidential Documents Notice of November 9, 2011 Continuation of the National Emergency With Respect to Weapons of Mass Destruction On... United States posed by the proliferation of nuclear, biological, and chemical weapons (weapons of mass...

  16. 3 CFR - Continuation of the National Emergency With Respect to Weapons of Mass Destruction

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... to Weapons of Mass Destruction Presidential Documents Other Presidential Documents Notice of November 1, 2012 Continuation of the National Emergency With Respect to Weapons of Mass Destruction On... United States posed by the proliferation of nuclear, biological, and chemical weapons (weapons of mass...

  17. 76 FR 68295 - Reducing Prescription Drug Shortages

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-03

    ... Reducing Prescription Drug Shortages By the authority vested in me as President by the Constitution and the... pharmaceutical drugs pose a serious and growing threat to public health. While a very small number of drugs in the United States experience a shortage in any given year, the number of prescription drug shortages...

  18. 12 CFR 225.181 - Conformance Period for Banking Entities Engaged in Prohibited Proprietary Trading or Private Fund...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., or transfer of such assets have expired; (viii) The date on which the fund is expected to wind up its... activity may pose to the banking entity or the financial stability of the United States; (x) The cost to...

  19. 12 CFR 225.181 - Conformance Period for Banking Entities Engaged in Prohibited Proprietary Trading or Private Fund...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., or transfer of such assets have expired; (viii) The date on which the fund is expected to wind up its... activity may pose to the banking entity or the financial stability of the United States; (x) The cost to...

  20. Academic and Artistic Freedom.

    ERIC Educational Resources Information Center

    Strossen, Nadine

    1992-01-01

    Issues and recent events concerning censorship of the arts in the United States are examined, and the threat to artistic freedom posed by recent Supreme Court decisions is examined. Focus is on erosion of the actual or imminent harm requirement of the law and on the court's class-based approach to free speech. (MSE)

  1. Hegemony, Big Money and Academic Independence

    ERIC Educational Resources Information Center

    Anderson, Tim

    2010-01-01

    This article considers whether a threat is posed to academic independence in corporate universities by the United States Studies Centre (USSC) at the University of Sydney. The USSC rapidly worked its way into Australia's oldest university, building a unique governance structure in which a private business lobby vets senior academics and controls…

  2. USE AND RELEASE OF MERCURY IN THE UNITED STATES

    EPA Science Inventory

    Although mercury use is decreasing in the U.S., mercury continues to pose a serious risk to human health and the environment. This report presents the results of a two-year effort sponsored by EPA's office of Research & Development to quantify and map the flows of mercury throug...

  3. COMPARISON OF OZONE INDICATORS MONITORED AT CASTNET AND RURALLY - DESIGNATED SLAMS SITES

    EPA Science Inventory

    Many water-bodies within the United States are contaminated by non-point source (NPS) pollution, which is defined as those materials posing a threat to water quality arising from a number of individual sources and diffused through hydrologic 13romses. One such NPS pollutant is fe...

  4. A new soil test for measurement of plant available and adsorbed boron

    USDA-ARS?s Scientific Manuscript database

    Agricultural drainage waters and treated municipal wastewaters are often elevated in B, posing a potential hazard to crop production if these waters are reused for irrigation. In arid areas, such as the Western United States, elevated B concentrations, of potential toxicity to crops, are also encou...

  5. The Full-Scale Implementation of an Innovative Biological Ammonia Treatment Process

    EPA Science Inventory

    Across the United States, high levels of ammonia in drinking water sources can be found, including small communities like Palo, Iowa (approximate population of 1,026). Although ammonia in water does not pose a direct health concern, ammonia nitrification can cause a number of iss...

  6. 40 CFR 300.135 - Response operations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... exposure; the potential impact on human health, welfare, and safety and the environment; whether the discharge or release poses a substantial threat to the public health or welfare of the United States as discussed in § 300.322; the potential impact on natural resources and property which may be affected...

  7. 40 CFR 300.135 - Response operations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... exposure; the potential impact on human health, welfare, and safety and the environment; whether the discharge or release poses a substantial threat to the public health or welfare of the United States as discussed in § 300.322; the potential impact on natural resources and property which may be affected...

  8. Illuminating the Lived Experiences of Research with Indigenous Communities

    ERIC Educational Resources Information Center

    Burnette, Catherine E.; Sanders, Sara; Butcher, Howard K.; Salois, Emily Matt

    2011-01-01

    The historical exploitation experienced by indigenous people in the United States has left a number of negative legacies, including distrust toward research. This distrust poses a barrier to progress made through culturally sensitive research. Given the complex history of research with indigenous groups, the purpose of this descriptive…

  9. Assessing the risks posed by goldspotted oak borer to California and beyond

    Treesearch

    Robert C. Venette; Tom W. Coleman; Steve Seybold

    2015-01-01

    Goldspotted oak borer, Agrilus auroguttatus, has killed approximately 27,000 mature oaks in southern California. Consequently, the future spread of this insect is a significant concern to many oak woodland managers in California and across the United States. "Risk" reflects the likelihood that A. auroguttatus will...

  10. Challenging Anti-Immigration Discourses in School and Community Contexts

    ERIC Educational Resources Information Center

    Allexsaht-Snider, Martha; Buxton, Cory A.; Harman, Ruth

    2012-01-01

    Rapid migration shifts, anti-immigrant discourses in the public sphere, and harsh immigration policies have posed daunting challenges for immigrant students, their families, their teachers, and their communities in the 21st century. Trends in public discourse and law enforcement in the United States mirror developments in European countries with…

  11. Public perceptions of climate change as a human health risk: surveys of the United States, Canada and Malta.

    PubMed

    Akerlof, Karen; Debono, Roberto; Berry, Peter; Leiserowitz, Anthony; Roser-Renouf, Connie; Clarke, Kaila-Lea; Rogaeva, Anastasia; Nisbet, Matthew C; Weathers, Melinda R; Maibach, Edward W

    2010-06-01

    We used data from nationally representative surveys conducted in the United States, Canada and Malta between 2008 and 2009 to answer three questions: Does the public believe that climate change poses human health risks, and if so, are they seen as current or future risks? Whose health does the public think will be harmed? In what specific ways does the public believe climate change will harm human health? When asked directly about the potential impacts of climate change on health and well-being, a majority of people in all three nations said that it poses significant risks; moreover, about one third of Americans, one half of Canadians, and two-thirds of Maltese said that people are already being harmed. About a third or more of people in the United States and Canada saw themselves (United States, 32%; Canada, 67%), their family (United States, 35%; Canada, 46%), and people in their community (United States, 39%; Canada, 76%) as being vulnerable to at least moderate harm from climate change. About one third of Maltese (31%) said they were most concerned about the risk to themselves and their families. Many Canadians said that the elderly (45%) and children (33%) are at heightened risk of harm, while Americans were more likely to see people in developing countries as being at risk than people in their own nation. When prompted, large numbers of Canadians and Maltese said that climate change can cause respiratory problems (78-91%), heat-related problems (75-84%), cancer (61-90%), and infectious diseases (49-62%). Canadians also named sunburn (79%) and injuries from extreme weather events (73%), and Maltese cited allergies (84%). However, climate change appears to lack salience as a health issue in all three countries: relatively few people answered open-ended questions in a manner that indicated clear top-of-mind associations between climate change and human health risks. We recommend mounting public health communication initiatives that increase the salience of the human health consequences associated with climate change.

  12. Public Perceptions of Climate Change as a Human Health Risk: Surveys of the United States, Canada and Malta

    PubMed Central

    Akerlof, Karen; DeBono, Roberto; Berry, Peter; Leiserowitz, Anthony; Roser-Renouf, Connie; Clarke, Kaila-Lea; Rogaeva, Anastasia; Nisbet, Matthew C.; Weathers, Melinda R.; Maibach, Edward W.

    2010-01-01

    We used data from nationally representative surveys conducted in the United States, Canada and Malta between 2008 and 2009 to answer three questions: Does the public believe that climate change poses human health risks, and if so, are they seen as current or future risks? Whose health does the public think will be harmed? In what specific ways does the public believe climate change will harm human health? When asked directly about the potential impacts of climate change on health and well-being, a majority of people in all three nations said that it poses significant risks; moreover, about one third of Americans, one half of Canadians, and two-thirds of Maltese said that people are already being harmed. About a third or more of people in the United States and Canada saw themselves (United States, 32%; Canada, 67%), their family (United States, 35%; Canada, 46%), and people in their community (United States, 39%; Canada, 76%) as being vulnerable to at least moderate harm from climate change. About one third of Maltese (31%) said they were most concerned about the risk to themselves and their families. Many Canadians said that the elderly (45%) and children (33%) are at heightened risk of harm, while Americans were more likely to see people in developing countries as being at risk than people in their own nation. When prompted, large numbers of Canadians and Maltese said that climate change can cause respiratory problems (78–91%), heat-related problems (75–84%), cancer (61–90%), and infectious diseases (49–62%). Canadians also named sunburn (79%) and injuries from extreme weather events (73%), and Maltese cited allergies (84%). However, climate change appears to lack salience as a health issue in all three countries: relatively few people answered open-ended questions in a manner that indicated clear top-of-mind associations between climate change and human health risks. We recommend mounting public health communication initiatives that increase the salience of the human health consequences associated with climate change. PMID:20644690

  13. STS-87 Mission Specialist Doi and his wife pose at LC 39B

    NASA Technical Reports Server (NTRS)

    1997-01-01

    STS-87 Mission Specialist Takao Doi, Ph.D., of the National Space Development Agency of Japan poses with his wife, Hitomi Doi, in front of Kennedy Space Center's Launch Pad 39B during final prelaunch activities leading up to the scheduled Nov. 19 liftoff. The other STS-87 crew members are Commander Kevin Kregel; Pilot Steven Lindsey; Mission Specialists Kalpana Chawla, Ph.D., and Winston Scott; and Payload Specialist Leonid Kadenyuk of the National Space Agency of Ukraine. STS-87 will be the fourth flight of the United States Microgravity Payload and the Spartan- 201 deployable satellite.

  14. Teaching about Africa. ERIC Digest No. 36.

    ERIC Educational Resources Information Center

    Merryfield, Merry M.

    Recognizing the need to strengthen education about Africa in United States schools and to enable teachers to present complex issues about apartheid, political stability, and cultural conflict, this digest addresses the issue of how teachers can improve their teaching about Africa. The article poses 3 questions: (1) Why is it important to teach…

  15. Motor carrier safety : reincarnating commercial vehicle companies pose safety threat to motoring public; federal safety agency has initiated efforts to prevent future occurrences.

    DOT National Transportation Integrated Search

    2009-07-01

    In 2008, the Federal Motor Carrier Safety Administration (FMCSA) reports that there were about 300 fatalities from bus crashes in the United States. Although bus crashes are relatively rare, they are particularly deadly since many individuals may be ...

  16. Meteorology Meets Engineering: An Interdisciplinary STEM Module for Middle and Early Secondary School Students

    ERIC Educational Resources Information Center

    Barrett, Bradford S.; Moran, Angela L.; Woods, John E.

    2014-01-01

    Background: Given the continued need to educate the public on both the meteorological and engineering hazards posed by the severe winds of a tornado, an interdisciplinary science, technology, engineering, and mathematics (STEM) module designed by the faculty from the Oceanography and Mechanical Engineering Departments at the United States Naval…

  17. Debates in the Literature on Islamic Schools

    ERIC Educational Resources Information Center

    Elbih, Randa

    2012-01-01

    Contemporary global events, such as the wars in Iraq and Afghanistan, the unresolved conflict in the Middle East, and the pessimistic relationships with Muslim countries, pose challenges for Muslims living in the United States in all walks of life. In addition, Muslims encounter daily struggles to live within a society that follows considerably…

  18. Troubled Transitions into College and the Effects of a Small Intervention Course

    ERIC Educational Resources Information Center

    Mellor, David T.; Brooks, Wesley R.; Gray, Steven A.; Jordan, Rebecca C.

    2015-01-01

    Student attrition from colleges in the United States is a widespread phenomenon, posing real stresses to students, their families, and to universities. We examined the causes of poor academic performance in students' first semester through interviews and questionnaires and administered a small intervention course to freshmen on academic probation…

  19. Students Advise Fortune 500 Company: Designing a Problem-Based Learning Community

    ERIC Educational Resources Information Center

    Brzovic, Kathy; Matz, S. Irene

    2009-01-01

    This article describes the process of planning and implementing a problem-based learning community. Business and communication students from a large university in the Western United States competed in teams to solve an authentic business problem posed by a Fortune 500 company. The company's willingness to adopt some of their recommendations…

  20. Compensatory response of fathead minnow larve following a pulsed in-situ exposure to a seasonal agricultural runoff event

    USDA-ARS?s Scientific Manuscript database

    Agriculturally-dominated waterways such as those found throughout the Midwestern United States often experience seasonal pulses of agrichemical contaminants which pose a potential hazard to aquatic organisms at varying life stages. The objective of this study was to characterize the developmental pl...

  1. 76 FR 64264 - Authority to Require Supervision and Regulation of Certain Nonbank Financial Companies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... company could pose a threat to the financial stability of the United States, including examples of quantitative metrics for assessing each category; The six uniform quantitative thresholds that the Council..., including examples of the metrics that the Council intends to use when evaluating a nonbank financial...

  2. 40 CFR 300.320 - General pattern of response.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...., substantial threat to the public health or welfare of the United States, worst case discharge) of the... private party efforts, and where the discharge does not pose a substantial threat to the public health or... 40 Protection of Environment 27 2010-07-01 2010-07-01 false General pattern of response. 300.320...

  3. CONSIDERATIONS FOR A REGULATORY FRAMEWORK FOR LARGE-SCALE GEOLOGIC SEQUESTRATION OF CARBON DIOXIDE: A NORTH AMERICAN PERSPECTIVE

    EPA Science Inventory

    Large scale geologic sequestration (GS) of carbon dioxide poses a novel set of challenges for regulators. This paper focuses on the unique needs of large scale GS projects in light of the existing regulatory regimes in the United States and Canada and identifies several differen...

  4. 77 FR 47411 - Privacy Act of 1974; Department of Homeland Security/U.S. Citizenship and Immigration Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... strengthening the integrity of the nation's legal immigration system by ensuring that immigration benefits are... the United States. In addition, USCIS enhances the integrity of the nation's legal immigration system... legal immigration system by: (1) Identifying threats to national security and public safety posed by...

  5. Evaluation of predicted Medfly (Ceratitis capitata) quarantine length in the United States utilizing degree-day and agent-based models

    USDA-ARS?s Scientific Manuscript database

    Invasions by pest insects pose a significant threat to agriculture worldwide. In the case of Ceratitis capitata incursions on the US mainland, where it is not officially established, repeated detections are followed by quarantines to eliminate the invading population. However, it is notoriously diff...

  6. New tropical fruit hosts of Scirtothrips dorsalis (Thysanoptera: Thripidae) and its relative abundance on them in South Florida

    USDA-ARS?s Scientific Manuscript database

    Chilli thrips, Scritothrips dorsalis Hood, recently established in the southeast region of the United States, poses an economic threat to a wide-range of ornamental and vegetable plants. During scouting and sampling various hosts at different commercial nursery locations in Florida (Miami-Dade Count...

  7. Assessment of mycotoxins in Vitis vinifera wines of the Southeastern United States

    USDA-ARS?s Scientific Manuscript database

    Mycotoxins pose a serious worldwide threat to the safety of numerous food commodities. Red wine is prone to contamination from ochratoxin A, produced by black-spored Aspergillus spp., and it was recently discovered that some of these species can also produce the mycotoxin fumonisin B2. Although wine...

  8. Genetic transformation of Fraxinus spp. for resistance to the emerald ash borer

    Treesearch

    Paula M. Pijut; Rochelle R. Beasley; Kaitlin J. Palla

    2010-01-01

    The emerald ash borer (EAB; Agrilus planipennis Fairmaire) (Coleoptera; Buprestidae) is a wood-boring beetle that poses substantial risk to the ash resource in North America. Ash species native to the United States and known to be susceptible to EAB are Fraxinus pennsylvanica (green ash), F. americana (white ash...

  9. More Heat than Light: Plagiarism in Its Appearing

    ERIC Educational Resources Information Center

    Clegg, Sue; Flint, Abbi

    2006-01-01

    This paper argues that the recent debate about plagiarism has taken on aspects of a moral panic, which reflects underlying anxieties about the state of higher education in the United Kingdom. In contrast to the moral absolutism of some commentators, we argue for the significance of posing the phenomenological question of "what is plagiarism…

  10. Climate services for coping with climate change, drought, and extreme heat in the Mexico-U.S. border region

    USDA-ARS?s Scientific Manuscript database

    Climate change poses challenges for northern México and the southern United States, including drought, extreme heat, and flooding. To aid society in preparing for climate- and weather-related risks, partners in the North American Climate Services Partnership have initiated several collaborations. Th...

  11. The Discourse of Transition: Teachers' Language Ideologies within Transitional Bilingual Education Programs

    ERIC Educational Resources Information Center

    Palmer, Deborah

    2011-01-01

    Transitional bilingual education (TBE), the most common form of bilingual education in the United States, is too often entrenched in a subtractive, English-dominant ideology. This article explores the conflicting language ideologies of teachers in TBE programs, posing the question, "In what way do TBE teachers' discourses reflect/reinforce…

  12. The Centrality of Critical Thinking in Educating for Diversity.

    ERIC Educational Resources Information Center

    Pierce, Gloria

    The cultural crisis in the United States poses a challenge for educators to educate for diversity. According to T. Cross (1988), there are six stages of cultural competence that allow effective cross-cultural functioning. Educators must encourage the movement from the first stage of seeking to destroy another culture to the final advanced cultural…

  13. An analysis of arthropod interceptions by APHIS-PPQ and Customs and Border Patrol in Puerto Rico

    USDA-ARS?s Scientific Manuscript database

    USDA Animal Plant Health Inspection Service Plant Protection and Quarantine (APHIS-PPQ) and Customs and Border Patrol (CBP) inspect traffic entering the United States for arthropods that pose a threat to national agriculture and/or ecosystems. We analyzed interceptions made by these agencies in Puer...

  14. WESTERN AIRBORNE CONTAMINANTS ASSESSMENT PROJECT (WACAP): ASSESSING DEPOSITION AND IMPACTS OF PERSISTENT ORGANIC POLLUTANTS AND METALS IN SEVEN NATIONAL PARKS IN THE WESTERN UNITED STATES

    EPA Science Inventory

    Airborne contaminants, especially those that biomagnify in the food chain, can pose serious health threats to wildlife and humans. Biological effects of airborne contaminants include impacts on reproductive success, growth, behavior, disease, and survival. In response to concer...

  15. Globalization in the North American Region: Toward Renegotiation of Cultural Space

    ERIC Educational Resources Information Center

    Ghosh, Ratna

    2004-01-01

    There are sharp differences in the economic, educational and political conditions among the NAFTA countries. This paper focuses on the difference in cultural and value orientations in Mexico, Canada and the United States. Education is increasingly market driven, which poses a challenge in balancing the integration of education with international…

  16. Designing a Multi-Objective Multi-Support Accuracy Assessment of the 2001 National Land Cover Data (NLCD 2001) of the Conterminous United States

    EPA Science Inventory

    The database design and diverse application of NLCD 2001 pose significant challenges for accuracy assessment because numerous objectives are of interest, including accuracy of land cover, percent urban imperviousness, percent tree canopy, land-cover composition, and net change. ...

  17. Cap and trade: offsets and implications for Alaska

    Treesearch

    Joseph A. Roos; Valerie Barber; Allen M. Brackley

    2011-01-01

    The Environmental Protection Agency (EPA) has formally declared that greenhouse gases (GHG) pose a threat to public health and the environment. This is significant because it gives the executive branch the authority to impose carbon regulations on carbon-emitting entities. United States GHG emissions have increased by approximately 17 percent between 1990 and 2007, and...

  18. Acute Flaccid Paralysis Associated with Novel Enterovirus C105

    PubMed Central

    Horner, Liana M.; Poulter, Melinda D.; Brenton, J. Nicholas

    2015-01-01

    An outbreak of acute flaccid paralysis among children in the United States during summer 2014 was tentatively associated with enterovirus D68 infection. This syndrome in a child in fall 2014 was associated with enterovirus C105 infection. The presence of this virus strain in North America may pose a diagnostic challenge. PMID:26401731

  19. Cottonwood Fiber Farm Pest Managment: Cottonwood Leaf Beetle

    Treesearch

    T. Evan Nebeker; Michael D. Warriner; Elwood R. Hart

    2002-01-01

    Defoliation by the cottonwood leaf beetle, CLB, (Chrysomela scripta F.) can pose a significant threat to the growth and development of one and two-year old Populus plantings. In the southeastern United States, guidelines for monitoring CLB populations at the landscape level have not been fully developed. Accurate determination of when CLB are...

  20. Differentiation at Higher Levels of Cognitive Ability: Evidence from the United States

    ERIC Educational Resources Information Center

    Kane, Harrison D.; Oakland, Thomas D.; Brand, Christopher R.

    2006-01-01

    Most psychologists and educators assume that intelligence is a linear construct, meaning that smart people simply have more intelligence than their less gifted peers. Likewise, individuals with mental retardation are thought to have less intelligence. In contrast to this widely accepted belief, the authors posed an alternative hypothesis--that…

  1. Significant Threat to North American forests from Southern Pine Beetle with Warming Winters

    NASA Astrophysics Data System (ADS)

    Horton, R. M.; Lesk, C.; Coffel, E.; D'Amato, A. W.

    2016-12-01

    In coming decades, warmer winters are likely to lift range constraints on many cold-limited forest insects. Recent unprecedented expansion of the southern pine beetle (SPB, Dendroctonus frontalis) into New Jersey, New York, Connecticut, and Massachusetts in concert with warming annual temperature minima highlights the risk that this insect pest poses to the pine forests of the northern United States and Canada under continued climate change. Here we present the first projections of northward expansion in SPB-suitable climates using a statistical bioclimatic range modeling approach and current-generation general circulation model (GCM) output under the RCP 4.5 and 8.5 emissions scenarios. Our results show that by the middle of the 21st century, the climate is likely to be suitable for SPB expansion into vast areas of previously unaffected forests throughout the northeastern United States and into southeastern Canada. This scenario would pose a significant economic and ecological risk to the affected regions, including disruption of local ecosystem services, dramatic shifts in forest structure, and threats to native biodiversity.

  2. Buffelgrass-Integrated modeling of an invasive plant

    USGS Publications Warehouse

    Holcombe, Tracy R.

    2011-01-01

    Buffelgrass (Pennisetum ciliare) poses a problem in the deserts of the United States, growing in dense stands and introducing a wildfire risk in an ecosystem not adapted to fire. The Invasive Species Science Branch of the Fort Collins Science Center has worked with many partners to develop a decision support model and a data management system to address the problem. The decision support model evaluates potential strategies for resource use and allocation. The data management system is a portal where users can submit, view, and download buffelgrass data. These tools provide a case study showcasing how the FORT is working to address the urgent issue of invasive species in the United States.

  3. Deregulating Low-Risk Research

    ERIC Educational Resources Information Center

    Shamoo, Adil E.

    2007-01-01

    In the past few decades, with the explosion of biotechnology and the aging of the population, the use of human subjects in research has increased significantly. The United States has done much to protect human research subjects, and no one can deny the importance of keeping them safe. But at the same time, researchers whose work poses no threat to…

  4. Screening Gulf Coast forest species for susceptibility to Phytophthora ramorum

    Treesearch

    Jason Preuett; Daniel Collins; Douglas Luster; Timothy Widmer

    2013-01-01

    Phytophthora ramorum, the causal agent of sudden oak death in California oak woodlands, poses a threat to woody plants in the rest of the United States, including the Gulf Coast area, which is regarded as a high-risk location. Several plant species native to Gulf Coast forests were tested for susceptibility to P. ramorum,...

  5. Members of Faculty with Hearing Impairments in Academia: What Are Their Needs?

    ERIC Educational Resources Information Center

    Roufs, Kathleen S.

    2011-01-01

    Seventeen percent of adults in the United States suffer from some degree of hearing loss, and this impairment can pose considerable personal, professional, social, and psychological challenges, often, to people reluctant to seek help (Hearing Loss Association, 2011). Post-secondary faculty members with hearing loss are among us, and most of them…

  6. Demography in the United States: Some Twentieth Century Myths.

    ERIC Educational Resources Information Center

    Egbert, Robert L.

    Five demographic myths related to education pose dangers to educational planning and thinking. The first myth says the return of service personnel after World War II caused the baby boom. Actually the baby boom began in 1939 and was not related to service personnel. The second myth claims the Great Depression decreased the birth and fertility…

  7. Military Control over War News: The Implications of the Persian Gulf.

    ERIC Educational Resources Information Center

    Cooper, Stephen

    1996-01-01

    Notes that news coverage of warfare poses a problem for political systems with a free press, such as the United States. Reports that the military's controls over newsgathering during the Persian Gulf War set off a controversy still smoldering during the Haiti occupation of 1994. Examines the legal, historical, and technological aspects of the…

  8. 3Ts--Training, Testing, and Telling: A Guide for Community Partners

    ERIC Educational Resources Information Center

    US Environmental Protection Agency, 2006

    2006-01-01

    The United States Environmental Protection Agency (EPA) wants to ensure schools and child care facilities are safe environments for the nation's children. In response to rising public concern over the health risks posed to young children by lead in the drinking water, EPA is launching a "3Ts--Training, Testing, and Telling" program. This…

  9. A Window to the Past: What an Essay Contest Reveals about Early American Education

    ERIC Educational Resources Information Center

    Justice, Benjamin

    2015-01-01

    In 1795 America's premier scholarly association, the American Philosophical Society (APS), posed the following question: [Write] an essay on a system of liberal education, and literary instruction, adapted to the genius of the government, and best calculated to promote the general welfare of the United States; comprehending, also, a plan for…

  10. (Op)posing Representations: Disentangling the Model Minority and the Foreigner.

    ERIC Educational Resources Information Center

    Lei, Joy L.

    This paper examines how the representations of Asian Americans as the model minority and as perpetual foreigners play off one another to shape the positioning and experiences of Asian American students in U.S. schools and maintain the dominant racial order in the United States. Although the representation of Asian Americans as a high-achieving and…

  11. Elm yellows: a widespread and overlooked killer of elm trees across the United States

    Treesearch

    Charles E. Flower; Nancy Hayes-Plazolles; Cristina Rosa; James M. Slavicek

    2017-01-01

    The elm yellows phytoplasma (Candidatus Phytoplasma ulmi) is a geographically widespread pathogen that poses a significant threat to most native wild elms in North America (Ulmus americana, U. rubra, U. alata, U. crassifolia, and U. serotina) (Mäurer et al. 1993), as well as to the success of American elm...

  12. The Central Office in a Decentralized System

    ERIC Educational Resources Information Center

    Schwartz, Heather Lee

    2010-01-01

    As the charter school movement has come to scale within the United States, it poses new questions about how to govern public education. With a significant rural contingent, charter schools are no longer just an urban phenomenon. Partly in response to the growth in charter schools, Paul Hill, director of the Center on Reinventing Public Education,…

  13. Nurse Home Visitors' Perceptions of Mandatory Reporting of Intimate Partner Violence to Law Enforcement Agencies

    ERIC Educational Resources Information Center

    Davidov, Danielle M.; Nadorff, Michael R.; Jack, Susan M.; Coben, Jeffrey H.

    2012-01-01

    In the United States, there is an ongoing debate about requiring health care professionals to report intimate partner violence (IPV) to law enforcement agencies. A comprehensive examination of the perspectives of those required to report abuse is critical, as their roles as mandated reporters often pose legal, practical, moral, and ethical…

  14. 77 FR 63205 - Enforcement of Subsidiary and Affiliate Contracts by the FDIC as Receiver of a Covered Financial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ... stability of the United States (a ``covered financial company''), to enforce contracts of subsidiaries or... that poses a systemic risk to the nation's economic stability and outlines the process for the orderly... the Corporation, as receiver for a covered financial company, has the power ``to enforce contracts of...

  15. A Qualitative Investigation of the Experience of Membership for African-American Women in Historically White Sororities

    ERIC Educational Resources Information Center

    Thompson, Rhonda H.

    2017-01-01

    This qualitative research study explored the experiences of membership for Black women living in the Southeastern United States who joined historically White sororities. The growth of college diversity poses a problem for the field of psychology considering the abundance of psychological knowledge that was generated without the inclusion of ethnic…

  16. New cooperative seismograph networks established in southern California

    USGS Publications Warehouse

    Hill, D.P.

    1974-01-01

    Southern California has more active faults located close to large, urban population centers than any other region in the United States. Reduction of risk to life and property posed by potential earthquakes along these active faults is a primary motivation for a cooperative earthquake research program between the U.S Geological Survey and major universities in Southern California. 

  17. 78 FR 67289 - Continuation of the National Emergency With Respect to the Proliferation of Weapons of Mass...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    ... economy of the United States posed by the proliferation of nuclear, biological, and chemical weapons (weapons of mass destruction) and the means of delivering such weapons. On July 28, 1998, the President... November 7, 2013 Continuation of the National Emergency With Respect to the Proliferation of Weapons of...

  18. The Evolution/Creation Science Controversy: Educate Rather Than Debate.

    ERIC Educational Resources Information Center

    Jane, Beverley

    This paper is linked to the theme History and Philosophy of Science. The Evolution and creation science controversy is now in the general public's arena and poses a challenge for school science. The paper begins by briefly describing the current situation concerning this issue in Australia and the United States of America. In the subject Biology,…

  19. Efficient initial attacks: analysis of capacity and funding provides insights to wildfire protection planning

    Treesearch

    Jeremy Fried; Paul Meznarich

    2014-01-01

    Large wildfires in the United States pose significant challenges to fire management agencies charged with protecting lives, property, and natural resources. A vigorous initial response to a wildfire, a process referred to as "initial attack," can greatly reduce the likelihood of the fire becoming larger and causing substantial damage. Successful...

  20. Mind the Gap: Political Science Education in Community Colleges

    ERIC Educational Resources Information Center

    Yanus, Alixandra B.; O'Connor, Karen; Weakley, Jon L.

    2012-01-01

    Community colleges occupy a growing role in the American education system. Their unique cross-section of students poses a challenge for teachers of political science. This paper uses information from a survey completed by over 2,000 students at 20 colleges and universities across the United States to shed light on some of the most significant…

  1. Childhood animal cruelty, bestiality, and the link to adult interpersonal violence.

    PubMed

    Holoyda, Brian J; Newman, William J

    2016-01-01

    Animal cruelty has been a concern of the legal and psychiatric communities for many years. Beginning in the early 1800s, state legislatures in the United States established laws to protect the basic safety and security of animals in their jurisdictions. Legislatures have differed in opinion on the animals to receive protection under the law and have instituted differing penalties for infractions of anti-cruelty measures. In the 1960s, the psychiatric community took notice of childhood animal cruelty as a potential risk factor for violent acts against humans. Since that time there has been increasing evidence that children who engage in animal cruelty may be at increased risk of interpersonal offenses in adulthood. Less is known about children and adults who engage in bestiality and the potential risk that these individuals may pose for interpersonal sexual or nonsexual violent acts. We review the legal status of animal cruelty in the United States, summarize the history of psychiatric interest in and research of animal cruelty, describe current knowledge regarding the link between animal cruelty and violence, and propose a novel classification scheme for individuals who engage in bestiality to assist forensic psychiatric examiners in determining the risk that such behavior poses for future interpersonal offending. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Investigating white-nose syndrome in bats

    USGS Publications Warehouse

    Blehert, David S.

    2009-01-01

    A devastating, emergent disease afflicting hibernating bats has pread from the northeast to the mid-Atlantic region of the United States at an alarming rate. Since the winter of 2006-2007, hundreds of thousands of insect-eating bats from at least nine states have died from this new disease, named White-Nose Syndrome (WNS). The disease is named for the white fungus often seen on the muzzles, ears, and wings of bats. This disease poses a threat to cave hibernating bats of the United States and potentially all temperate regions of the world. USGS scientists from the National Wildlife Health Center (NWHC) and the Fort Collins Science Center (FORT), in collaboration with the New York State Department of Environmental Conservation, the U.S. Fish and Wildlife Service, and others have linked a newly described, cold-loving fungus to WNS.

  3. Internationalizing professional codes in engineering.

    PubMed

    Harris, Charles E

    2004-07-01

    Professional engineering societies which are based in the United States, such as the American Society of Mechanical Engineers (ASME, now ASME International) are recognizing that their codes of ethics must apply to engineers working throughout the world. An examination of the ethical code of the ASME International shows that its provisions pose many problems of application, especially in societies outside the United States. In applying the codes effectively in the international environment, two principal issues must be addressed. First, some Culture Transcending Guidelines must be identified and justified. Nine such guidelines are identified Second, some methods for applying the codes to particular situations must be identified Three such methods are specification, balancing, and finding a creative middle way.

  4. On the Outskirts of National Health Reform: A Comparative Assessment of Health Insurance and Access to Care in Puerto Rico and the United States.

    PubMed

    Portela, Maria; Sommers, Benjamin D

    2015-09-01

    Puerto Rico is the United States' largest territory, home to nearly 4 million American citizens, yet it has remained largely on the outskirts of US health policy, including the Affordable Care Act (ACA). We analyzed national survey data from 2011 to 2012 and found that despite its far poorer population, Puerto Rico outperforms the mainland United States on several measures of health care coverage and access to care. While the ACA significantly increases federal resources in Puerto Rico, ongoing federal restrictions on Medicaid funding and premium tax credits in Puerto Rico pose substantial health policy challenges in the territory. Puerto Rico is the United States' largest territory, home to nearly 4 million American citizens. Yet it has remained largely on the outskirts of US health policy, including the Affordable Care Act (ACA). This article presents an overview of Puerto Rico's health care system and a comparative analysis of coverage and access to care in Puerto Rico and the mainland United States. We analyzed 2011-2012 data from the Behavioral Risk Factor Surveillance System, and 2012 data from the American Community Survey and its counterpart, the Puerto Rico Community Survey. Among adults 18 and older, we examined health insurance coverage; access measures, such as having a usual source of care and cost-related delays in care; self-reported health; and the receipt of recommended preventive services, such as cancer screening and glucose testing. We used multivariate regression models to compare Puerto Rico and the mainland United States, adjusted for age, income, race/ethnicity, and other demographic variables. Uninsured rates were significantly lower in Puerto Rico (unadjusted 7.4% versus 15.0%, adjusted difference: -12.0%, p < 0.001). Medicaid was far more common in Puerto Rico. Puerto Rican residents were more likely than those in the mainland United States to have a usual source of care and to have had a checkup within the past year, and fewer experienced cost-related delays in care. Screening rates for diabetes, mammograms, and Pap smears were comparable or better in Puerto Rico, while colonoscopy rates were lower. Self-reported health was slightly worse, but obesity and smoking rates were lower. Despite its far poorer population, Puerto Rico outperforms the mainland United States on several measures of coverage and access. Congressional policies capping federal Medicaid funds to the territory, however, have contributed to major budgetary challenges. While the ACA has significantly increased federal resources in Puerto Rico, ongoing restrictions on Medicaid funding and premium tax credits are posing substantial health policy challenges in the territory. © 2015 Milbank Memorial Fund.

  5. Authorities for Military Operations Against Terrorist Groups: The State of the Debate and Options for Congress

    DTIC Science & Technology

    2015-12-07

    terrorist threat and the likely trajectory it will take in the coming five years. The second, eliciting the perspectives of legal and policy experts...focused on specific elements of notional ver- sions of a congressional AUMF. We thus sought to survey the current thinking among both terrorism and legal ...United States faces are no longer those that posed the greatest threat in 2001. Operations can continue under the 2001 authority, but not without legal

  6. Evidence for increasingly variable Palmer Drought Severity Index in the United States since 1895.

    PubMed

    Rayne, Sierra; Forest, Kaya

    2016-02-15

    Annual and summertime trends towards increasingly variable values of the Palmer Drought Severity Index (PDSI) over a sub-decadal period (five years) were investigated within the contiguous United States between 1895 and the present. For the contiguous United States as a whole, there is a significant increasing trend in the five-year running minimum-maximum ranges for the annual PDSI (aPDSI5 yr(min|max, range)). During this time frame, the average aPDSI5 yr(min|max, range) has increased by about one full unit, indicating a substantial increase in drought variability over short time scales across the United States. The end members of the running aPDSI5 yr(min|max, range) highlight even more rapid changes in the drought index variability within the past 120 years. This increasing variability in the aPDSI5 yr(min|max, range) is driven primarily by changes taking place in the Pacific and Atlantic Ocean coastal climate regions, climate regions which collectively comprise one-third the area of the contiguous United States. Similar trends were found for the annual and summertime Palmer Hydrological Drought Index (PHDI), the Palmer Modified Drought Index (PMDI), and the Palmer Z Index (PZI). Overall, interannual drought patterns in the contiguous United States are becoming more extreme and difficult to predict, posing a challenge to agricultural and other water-resource related planning efforts. Copyright © 2015 Elsevier B.V. All rights reserved.

  7. Blue Horizons IV: Deterrence in the Age of Surprise

    DTIC Science & Technology

    2014-01-01

    technologies. It posits that the result of rapid advances in nanotechnology, biotechnology , directed energy, space, computers and communications...nanotechnology, and biotechnology . Each of these poses the risk of catastrophic attack to the United States, its citizens, and its infrastructure. Deterring...of advanced and potentially dangerous technologies. It posits that the result of rapid advances in nanotechnology, biotechnology , directed energy

  8. What Happens When Parents and Children Go Grocery Shopping? An Observational Study of Latino Dyads in Southern California, USA

    ERIC Educational Resources Information Center

    Calderon, Joanna; Ayala, Guadalupe X.; Elder, John P.; Belch, George E.; Castro, Iana A.; Weibel, Nadir; Pickrel, Julie

    2017-01-01

    The objective of this study was to observe parent-child interactions in "tiendas," limited assortment food stores catering to Latinos in the United States, and to examine the extent to which child involvement influenced these interactions and their purchase outcomes. Two confederates, one posing as a "tienda" employee and one…

  9. Drugs and the Internet: An Overview of the Threat to America's Youth.

    ERIC Educational Resources Information Center

    Department of Justice, Washington, DC.

    This report is an overview of the threat that certain Internet websites pose to adolescents and young adults in the United States. This preliminary baseline is intended to assist policymakers in countering this threat to America's youth. This report focuses on websites that promote or facilitate the production, use, and sale of MDMA, GHB, and LSD,…

  10. Proceedings of the Symposium on Social Aspects and Recreation Research, February 19-22, 1992, Ontario, California

    Treesearch

    Deborah J. Chavez

    1992-01-01

    The growing demand for recreation at the wildland-urban interface throughout the United States poses new challenges for natural resource managers. To enable resource managers and researchers to exchange information and ideas, the first Symposium on Social Aspects and Recreation Research was held. The format of the symposium offered various opportunities for interactive...

  11. Adapting nematode-based biological control systems to North American populations of Sirex noctilio

    Treesearch

    David W. Williams; Victor C. Mastro

    2011-01-01

    The European woodwasp, Sirex noctilio, was found in Oswego County, NY, in 2004. During the past 6 years, surveys have revealed that it is distributed over a wide area of eastern North America. Because S. noctilio kills relatively healthy trees, it poses a serious threat to pine forests and plantations in the United States and...

  12. Comparative molecular analyses of invasive fall armyworm in Togo reveal strong similarities to populations from the eastern United States and the Greater Antilles

    USDA-ARS?s Scientific Manuscript database

    The fall armyworm (Spodoptera frugiperda, J.E. Smith) is a major and ubiquitous noctuid pest of agricultural in the Western Hemisphere. Infestations have recently been identified in several locations in Africa, indicating its establishment in the Eastern Hemisphere where it poses an immediate and si...

  13. Small enterprises as important hardwood lumber consumers: Evidence from the current housing downturn

    Treesearch

    Urs Buehlmann; Matthew Bumgardner; Al Schuler; Jeff Crissey

    2011-01-01

    Housing fixtures (such as cabinets, flooring, moldings, and stairways) have become a major market for secondary wood products manufacturers in the United States and a major user of U.S. hardwood lumber. Thus, downturns in housing markets, with associated declines in the demand and price for fixtures, can pose significant challenges to the profitability of these...

  14. 2002 Industry Studies: Education

    DTIC Science & Technology

    2002-01-01

    1 EDUCATION ABSTRACT United States schools are better than ever, but they are not assuring competitive advantage . Unequal access to quality...competitive advantage , and promote national security. • Demand for education continues to grow as the US transitions from an industrial to a knowledge... international assessments, pose challenges. With human capital constituting our most critical national resource, a world-class education system is vital to

  15. Pragmatism as a Philosophy of Education in the Hispanic World: A Response

    ERIC Educational Resources Information Center

    Pappas, Gregario Fernando; Garrison, Jim

    2005-01-01

    We concentrate on four questions among the many posed by this special collection of papers on Pragmatism and the Hispanic world. They are, first, what took pragmatism beyond the borders of the United States and into the Hispanic world? Next, what are the ideas of Dewey (or pragmatism) that have had the greatest impact on Hispanic culture? Third,…

  16. Global Distribution of Businesses Marketing Stem Cell-Based Interventions.

    PubMed

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

    2016-08-04

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

  17. Governing American Education: Why This Dry Subject May Hold the Key to Advances in American Education

    ERIC Educational Resources Information Center

    Tucker, Marc S.

    2013-01-01

    The fundamental changes taking place in the global economy pose an existential threat for high-wage economies like the United States. Countries with high-wage economies will either figure out how to convert their mass education systems into systems that can educate virtually all their students to the standards formerly reserved for their elites,…

  18. Allee effects and pulsed invasion by the gypsy moth

    Treesearch

    Derk M. Johnson; Andrew M. Liebhold; Patrick C. Tobin; Ottar N. Bjornstad

    2006-01-01

    Biological invasions pose considerable threats to the world's ecosystems and cause substantial economic losses. A prime example is the invasion of the gypsy moth in the United States, for which more than $194 million was spent on management and monitoring between 1985 and 2004 alone. The spread of the gypsy moth across eastern North America is, perhaps, the most...

  19. PROFILES OF PH.D.'S IN THE SCIENCES, SUMMARY REPORT ON FOLLOW-UP OF DOCTORATE COHORTS, 1935-1960.

    ERIC Educational Resources Information Center

    HARMON, LINDSEY R.

    QUESTIONS ABOUT THEIR CAREERS AND BACKGROUNDS WERE POSED TO 10,000 DOCTORATE HOLDERS WHO HAD GRADUATED FROM UNITED STATES UNIVERSITIES IN 1935, 1940, 1950, 1955, AND 1960. THE SAMPLE ITSELF WAS STRATIFIED SO THAT THE MAJOR EMPHASIS WAS ON THE HEALTH RELATED SCIENCES. THE QUESTIONNAIRES REQUESTED INFORMATION ON PRESENT EMPLOYMENT, JOBS PREVIOUSLY…

  20. An Economic Evaluation Comparing Stroke Telemedicine to Conventional Stroke Medicine

    ERIC Educational Resources Information Center

    Budhram, Stanley Chandra

    2011-01-01

    Stroke is not only a serious medical problem, but it also poses an enormous economic burden on society. Stroke ranks the third as the leading cause of death in the United States behind heart disease and cancer. The survivors of stroke suffer from various degrees of long-term disability which create a severe financial burden on society. University…

  1. The use and role of open source software applications in public and not-for-profit hospitals in the United States.

    PubMed

    Vest, Joshua R; Stephens, James H

    2013-01-01

    The potential cost savings and customizability of open source software (OSS) may be particularly attractive for hospitals. However, numerous health-care-specific OSS applications exist, the adoption of OSS health information technology (HIT) applications is not widespread in the United States. This disconnect between the availability of promising software and low adoption raises the basic question: If OSS HIT is so advantageous, why are more health care organizations not using it? We interviewed the chief information officer, or equivalent position, at 17 not-for-profit and public hospitals across the United States. Through targeted recruitment, our sample included nine hospitals using OSS HIT and eight hospitals not using OSS HIT. The open-ended interview questions were guided by domains included in the fit-viability theory, an organizational-level innovation adoption framework, and those suggested by a review of the literature. Transcripts were analyzed using an inductive and comparative approach, which involved an open coding for relevant themes. Interviews described the state of OSS use in hospitals. Specifically, general OSS applications were widely used by IT professionals. In addition, hospitals using OSS HIT still relied heavily on vendor support. In terms of why decisions arose to use OSS HIT, several hospitals using OSS HIT noted the cost advantages. In contrast, hospitals avoiding OSS HIT were clear, OSS as a class did not fit with clinical work and posed too much risk. Perceptions of OSS HIT ranged from enthusiastic embracement to resigned adoption, to refusal, to abandonment. Some organizations were achieving success with their OSS HIT choices, but they still relied on vendors for significant support. The decision to adopt OSS HIT was not uniform but contingent upon views of the risk posed by the technology, economic factors, and the hospital's existing capabilities.

  2. Radionuclides in surface and groundwater

    USGS Publications Warehouse

    Campbell, Kate M.

    2009-01-01

    Unique among all the contaminants that adversely affect surface and water quality, radioactive compounds pose a double threat from both toxicity and damaging radiation. The extreme energy potential of many of these materials makes them both useful and toxic. The unique properties of radioactive materials make them invaluable for medical, weapons, and energy applications. However, mining, production, use, and disposal of these compounds provide potential pathways for their release into the environment, posing a risk to both humans and wildlife. This chapter discusses the sources, uses, and regulation of radioactive compounds in the United States, biogeochemical processes that control mobility in the environment, examples of radionuclide contamination, and current work related to contaminated site remediation.

  3. Vulnerability of U.S. water supply to shortage: a technical document supporting the Forest Service 2010 RPA Assessment

    Treesearch

    Romano Foti; Jorge A. Ramirez; Thomas C. Brown

    2012-01-01

    Comparison of projected future water demand and supply across the conterminous United States indicates that, due to improving efficiency in water use, expected increases in population and economic activity do not by themselves pose a serious threat of large-scale water shortages. However, climate change can increase water demand and decrease water supply to the extent...

  4. Children's Contemporary Realistic Fiction Portraying Dyslexic Characters: An Examination of the Issues Confronted and the Gender of the Characters

    ERIC Educational Resources Information Center

    Altieri, Jennifer L.

    2006-01-01

    Seventy-seven contemporary realistic fiction children's books portraying a dyslexic character were published in the United States between 1993 and 2003. This study examined the texts to determine what types of issues the reading difficulty posed for the character. Texts were analyzed to determine if there was a relationship between the gender of…

  5. Response to the Questions Posed by the Food Safety and Inspection Service Regarding Determination of the Most Appropriate Technologies to Adopt for FSIS Routine and Baseline Microbiological Analysis

    USDA-ARS?s Scientific Manuscript database

    The National Advisory Committee on Microbiological Criteria for Foods (NACMCF) should provide guidance to assist with the United States Department of Agriculture, Food Safety and Inspection Service (USDA/FSIS) Agency’s goal of moving into the next generation of microbiological testing methods. To do...

  6. When a Trial Becomes a Political Circus: Cases that Brought our Court System to the Breaking Point.

    ERIC Educational Resources Information Center

    White, Charles

    1981-01-01

    Reviews court litigation during the 19th and 20th centuries in the United States which was blatantly political. Also questions the extent to which political influences in the courtroom pose a threat to the administration of justice. Cases include anarchist trials of the late 1800s, the Debs Case, and the Sacco-Vanzetti Case. (DB)

  7. Conflict with China: Prospects, Consequences, and Strategies for Deterrence

    DTIC Science & Technology

    2011-01-01

    Burma / Myanmar . Above and beyond the dangers posed by a clash between the world’s two most populous countries, the presence of nuclear weapons on...Reconnaissance CBRNE Chemical, Biological, Radiological, Nuclear , High-Yield Explosives DMZ Demilitarized Zone DPRK Democratic People’s Republic of Korea EEZ...most concern to the United States. 2 Conflict with China: Prospects, Consequences, and Strategies for Deterrence Occasions for Conflict North Korea

  8. Why Is There so Little Critical Physical Education Scholarship in the United States? The Case of "Fitnessgram"

    ERIC Educational Resources Information Center

    Gard, Michael; Pluim, Carolyn

    2017-01-01

    In posing the question in our title, we have set ourselves the task of trying to understand why so little scholarly scrutiny and questioning of "Fitnessgram"--a product designed to assist in the school-based physical fitness testing of young people--exists in the country of its origin and then consider the implications of this silence.…

  9. Reaching into the Digital Divide: Technological Use of Computers by African American Male Youth in the American South

    ERIC Educational Resources Information Center

    Moore, Antionette L.

    2012-01-01

    The purpose of this qualitative study was to explore how the computer is utilized in the daily lives of seven African American male youth in the southeastern region of the United States. Critical pedagogy was selected as the theoretical framework using Paulo Freire ideas of problem-posing education to promote awareness towards using the computer…

  10. Modeling the spatial distribution of forest crown biomass and effects on fire behavior with FUEL3D and WFDS

    Treesearch

    Russell A. Parsons; William Mell; Peter McCauley

    2010-01-01

    Crown fire poses challenges to fire managers and can endanger fire fighters. Understanding of how fire interacts with tree crowns is essential to informed decisions about crown fire. Current operational crown fire predictions in the United States assume homogeneous crown fuels. While a new class of research fire models, which model fire behavior with computational...

  11. Mercury Project

    NASA Image and Video Library

    1959-01-01

    Dr. Wernher von Braun, Director of the Army Ballistic Missile Agency's (ABMA) Development Operations Division, poses with the original Mercury astronauts in ABMA's Fabrication Laboratory during a 1959 visit. Inspecting Mercury-Redstone hardware are from left to right, Alan Shepard, Donald Deke Slayton, Virgil Gus Grissom, von Braun, Gordon Cooper, Wally Schirra, John Glenn, and Scott Carpenter. Project Mercury officially began October 7, 1958 as the United States' first manned space program.

  12. The Use of Online Technology to Facilitate Pre-Service Teachers' Engagement and Cultural Competency Development during an International Field Placement: Reflections from Austria

    ERIC Educational Resources Information Center

    Boury, Tiffany T.; Hineman, John M.; Klentzin, Jacqueline Courtney; Semich, George W.

    2013-01-01

    Student teaching abroad is becoming increasingly popular in many colleges and universities in the United States. This experience can be highly rewarding in terms of developing pre-service teachers' culture competency, yet can pose challenges for faculty monitoring such placements. Stewart and Kagan (2005) suggest a framework for teacher…

  13. Emerging zoonoses in the southern United States: toxocariasis, bovine tuberculosis and southern tick-associated rash illness.

    PubMed

    Clinton, Rachel M; Carabin, Hélène; Little, Susan E

    2010-09-01

    The majority of emerging diseases in humans have been linked to zoonotic pathogens originating in domestic animals or wildlife. This is a public health concern because zoonotic infections affect several aspects of the society. The complex interactions among pathogen, host and environment also pose challenges in estimating the true burden of those infections. However, the recent development of new molecular diagnostic tools has allowed for better diagnosis of zoonotic infections. This review focuses on 3 emerging zoonoses, namely toxocariasis, bovine tuberculosis and southern tick-associated rash illness, and demonstrates that these infections may be more prevalent in the southern United States than previously recognized. This review places special emphasis on the recent epidemiologic trends, intra/interspecies transmission and clinical features of each of these zoonoses. In addition, treatment and prevention for each zoonotic pathogen are discussed. Clinicians working in the southern United States should be aware of the presence of those zoonotic infections.

  14. Trade Agreements and Direct-to-Consumer Advertising of Pharmaceuticals

    PubMed Central

    Gleeson, Deborah; Menkes, David B.

    2018-01-01

    There is growing international concern about the risks posed by direct-to-consumer advertising (DTCA) of prescription pharmaceuticals, including via the internet. Recent trade agreements negotiated by the United States, however, incorporate provisions that may constrain national regulation of DTCA. Some provisions explicitly mention DTCA; others enable foreign investors to seek compensation if new regulations are seen to harm their investments. These provisions may thus prevent countries from restricting DTCA or put them at risk of expensive legal action from companies seeking damages due to restrictions on advertising. While the most recent example, the Trans-Pacific Partnership Agreement (TPP), collapsed following US withdrawal in January 2017, early indications of the Trump Administration’s trade policy agenda signal an even more aggressive approach on the part of the United States in negotiating advantages for American businesses. Furthermore, the eleven remaining TPP countries may decide to proceed with the agreement in the absence of the United States, with most of the original text (including the provisions relevant to DTCA) intact. PMID:29524933

  15. United States-Philippines bases agreements: prospect for its renewal. Research report

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

    Mahimer, S.M.

    1988-05-01

    Remarks on the problems and issues related to the United States-Philippines Bases Agreement and prospect for its renewal are included namely: analysis of the provisions of the new Philippine Constitution; ASEAN perspective on the bases; US policy on nuclear weapons and its interest and options; Philippine interests and priorities, including alternate plans to compensate for the possible withdrawal of the US from the Philippines; and then an assessment of the effects of these factors on the renewal of the Bases Agreement. There are difficulties and barriers to the renewal of the said Agreement posed by conflicting policies of both partiesmore » and also due to divergent views on priorities, constitutional processes of both countries, and time constraints for concluding an agreement. However there are options for the United States regarding the problem, depending upon the desired level of its presence in Asia/Pacific region and how central the Philippine bases are to US national security interests.« less

  16. Child sex tourism: extending the borders of sexual offender legislation.

    PubMed

    Newman, William J; Holt, Ben W; Rabun, John S; Phillips, Gary; Scott, Charles L

    2011-01-01

    Child sex tourism, the act of traveling to engage in sexual acts with minors, plagues developing nations worldwide. Several laws have been passed internationally in recent years designed to curtail this practice. Government entities and human rights organizations have driven these efforts. United States citizens represent a significant proportion of participants in child sex tourism. The PROTECT Act of 2003 prohibits United States citizens from participating in sexual acts with minors while traveling, and establishes extraterritorial jurisdiction. The case of Michael Lewis Clark, the first United States citizen convicted under this legislation, is highlighted. Child sex tourism poses unique issues to courts that will require ongoing clarification as challenges arise. This article discusses potential future challenges, describes strategies to address this problem, and relates this issue to psychiatry. Mental health providers may have the role of evaluating both the victims and perpetrators of child sex tourism. The authors propose a classification system for offenses and an initial list of topics to discuss with victims. The authors also describe the proper mechanism for reporting United States citizens suspected of participating in child sex tourism. Copyright © 2011 Elsevier Ltd. All rights reserved.

  17. Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature.

    PubMed

    Haddad, Linda; El-Shahawy, Omar; Ghadban, Roula; Barnett, Tracey E; Johnson, Emily

    2015-05-29

    Researchers in tobacco control are concerned about the increasing prevalence of waterpipe smoking in the United States, which may pose similar risks as cigarette smoking. This review explores the prevalence of waterpipe smoking in the United States as well as the shortcomings of current U.S. policy for waterpipe control and regulation. Researchers conducted a literature review for waterpipe articles dated between 2004 and 2015 using five online databases: MEDLINE, CINHAHL, ScienceDirect, PMC, and Cochrane Library. To date, few studies have explored the marketing and regulation of waterpipe smoking in the U.S., which has increased in the last ten years, especially among women, adolescents, and young adults. Data indicate that the majority of waterpipe smokers are unaware of the potential risks of use. In addition, current tobacco control policies do not address waterpipe smoking, enabling tobacco companies to readily market and sell waterpipe products to young adults, who are at risk for becoming lifelong smokers. Policy makers in the area of public health need to update existing tobacco regulations to include waterpipe smoking. Similarly, public health researchers should develop public health campaigns and interventions to address the increasing rates of waterpipe smoking in the United States.

  18. The Occurrence of the Rat Lungworm, Angiostrongylus cantonensis, in Nonindigenous Snails in the Gulf of Mexico Region of the United States

    PubMed Central

    Qvarnstrom, Yvonne; Bishop, Henry S; da Silva, Alexandre J; Carter, Jacoby; White-Mclean, Jodi; Smith, Trevor

    2013-01-01

    Nonindigenous apple snails, Pomacea maculata (formerly Pomacea insularum), are currently spreading rapidly through the southeastern United States. This mollusk serves as an intermediate host of the rat lungworm parasite (Angiostrongylus cantonensis), which can cause eosinophilic meningitis in humans who consume infected mollusks. A PCR-based detection assay was used to test nonindigenous apple snails for the rat lungworm parasite in Louisiana, Texas, Mississippi, and Florida. Only apple snails obtained from the New Orleans, Louisiana, area tested positive for the parasite. These results provide the first evidence that Angiostrongylus cantonensis does occur in nonindigenous apple snails in the southeastern United States. Additionally, Angiostrongylus cantonensis was identified in the terrestrial species Achatina fulica in Miami, Florida, indicating that rat lungworm is now established in Florida as well as Louisiana. Although the study suggests that the rat lungworm is not widespread in the Gulf States region, the infected snail population could still pose a risk to human health and facilitate the spread of the parasite to new areas. PMID:23901374

  19. The occurrence of the rat lungworm, Angiostrongylus cantonensis, in nonindigenous snails in the Gulf of Mexico region of the United States

    USGS Publications Warehouse

    Teem, John L.; Qvarnstrom, Yvonne; Bishop, Henry S.; da Silva, Alexandre J.; Carter, Jacoby; White-McLean, Jodi; Smith, Trevor

    2013-01-01

    Nonindigenous apple snails, Pomacea maculata (formerly Pomacea insularum), are currently spreading rapidly through the southeastern United States. This mollusk serves as an intermediate host of the rat lungworm parasite (Angiostrongylus cantonensis), which can cause eosinophilic meningitis in humans who consume infected mollusks. A PCR-based detection assay was used to test nonindigenous apple snails for the rat lungworm parasite in Louisiana, Texas, Mississippi, and Florida. Only apple snails obtained from the New Orleans, Louisiana, area tested positive for the parasite. These results provide the first evidence that Angiostrongylus cantonensis does occur in nonindigenous apple snails in the southeastern United States. Additionally, Angiostrongylus cantonensis was identified in the terrestrial species Achatina fulica in Miami, Florida, indicating that rat lungworm is now established in Florida as well as Louisiana. Although the study suggests that the rat lungworm is not widespread in the Gulf States region, the infected snail population could still pose a risk to human health and facilitate the spread of the parasite to new areas.

  20. Astronaut Edwin Aldrin poses for photograph beside deployed U.S. flag

    NASA Image and Video Library

    1969-07-20

    AS11-40-5875 (20 July 1969) --- Astronaut Edwin E. Aldrin Jr., lunar module pilot of the first lunar landing mission, poses for a photograph beside the deployed United States flag during an Apollo 11 extravehicular activity (EVA) on the lunar surface. The Lunar Module (LM) is on the left, and the footprints of the astronauts are clearly visible in the soil of the moon. Astronaut Neil A. Armstrong, commander, took this picture with a 70mm Hasselblad lunar surface camera. While astronauts Armstrong and Aldrin descended in the LM, the "Eagle", to explore the Sea of Tranquility region of the moon, astronaut Michael Collins, command module pilot, remained with the Command and Service Modules (CSM) "Columbia" in lunar orbit. Photo credit: NASA

  1. Dr. von Braun with Original Mercury Astronauts

    NASA Technical Reports Server (NTRS)

    1959-01-01

    Dr. Wernher von Braun, Director of the Army Ballistic Missile Agency's (ABMA) Development Operations Division, poses with the original Mercury astronauts in ABMA's Fabrication Laboratory during a 1959 visit. Inspecting Mercury-Redstone hardware are from left to right, Alan Shepard, Donald Deke Slayton, Virgil Gus Grissom, von Braun, Gordon Cooper, Wally Schirra, John Glenn, and Scott Carpenter. Project Mercury officially began October 7, 1958 as the United States' first manned space program.

  2. Quantitative Study Examining the Relationship between Demographic Factors and Loan Default among 4-Year College Students

    ERIC Educational Resources Information Center

    Cobb, Ashley K.

    2017-01-01

    The rate of default on college loans in the United States is staggering and poses a major financial threat not only to the students who are unable to repay their student loans but the U.S. economy. For instance, in 2011, borrowers at nonprofit and for-profit 4-year colleges accounted for almost 50% of all federal loan recipients. College students…

  3. Diplomatic-Military Cooperation in Operations Other Than War

    DTIC Science & Technology

    2003-06-06

    the West to new levels . Though the United States condemned the invasion and brokered a withdrawal, in much of the Arab world America was regarded as...Departments was incomplete and operational level coordination between McClintock and Holloway was nonexistent. Several short brain- storming sessions, a ...presented two conclusions. First, there was a need for more flexible, high- level decision making in the initial stages. While he did not directly pose

  4. If We Don’t, Who Will? The Employment of the United States Army to Combat Potential Pandemic Outbreaks in West Africa

    DTIC Science & Technology

    2015-06-12

    27 viii Threats to Validity and Biases ...draw conclusions and make recommendations for future research. Threats to Validity and Biases There are a several issues that pose a threat to...validity and bias to the research. Threats to validity affect the accuracy of the research and soundness of the conclusion. Threats to external validity

  5. Employment Needs of Amish Youth. Hearing before a Subcommittee of the Committee on Appropriations, United States Senate, One Hundred Seventh Congress, First Session. Special Hearing.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC.

    A Senate subcommittee hearing received testimony concerning a proposed amendment to the Fair Labor Standards Act (FLSA) to permit Amish youth, ages 14-18, to work under adult supervision in sawmills. Current Department of Labor regulations ban the employment of minors in sawmill operations. This poses a problem for Amish youth who finish their…

  6. UAV Swarm Attack: Protection System Alternatives for Destroyers

    DTIC Science & Technology

    2012-12-01

    Tactical Rocket-Propelled Grenade Airbag Protection System TRL - Technology Readiness Level UAV - Unmanned Aerial Vehicle USN - United States...com- posed of 62 DDGs is $2.014 billion dollars for the 12 year life cycle. J. REACTIVE ARMOR The Tactical Rocket-Propelled Grenade (RPG) Airbag ...Protection System (TRAPS) system involves ‘close-in’ protection using airbags located around a vehicle to minimize the damage from RPGs. This system was

  7. Brazil and the United States: Security Issues for the Twenty-First Century

    DTIC Science & Technology

    2001-01-01

    American continent. Its Atlantic Ocean coastline stretches for 4,600 miles. The country contains the bulk of the Amazon Basin with the largest...Paraguay, Bolivia, Peru , Columbia, Venezuela, Guyana, Suriname and French Guiana.[2] With the exception of Columbia, Brazil has cordial diplomatic...relations with its contiguous neighbors. Brazil’s Amazon jungle border with Columbia poses serious challenges from Columbia’s narcotics trade. Brazil

  8. Combating Terrorism, Rebel Groups, and Armed Militias in the Face of Economic Prosperity Opportunities

    DTIC Science & Technology

    2012-05-04

    FINAL 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Combatting Terrorism, Rebel Groups , and Armed...facing many security threats. Al-Shabaab in Somalia, armed rebel groups , and armed militia in South Sudan pose the greatest security challenges to the...these groups . 15. SUBJECT TERMS United States Africa Command, Al-Shabaab, Lamu Oil Pipeline, Security. 16. SECURITY CLASSIFICATION OF: 17

  9. Increased nuisance flooding along the coasts of the United States due to sea level rise: Past and future

    NASA Astrophysics Data System (ADS)

    Moftakhari, Hamed R.; AghaKouchak, Amir; Sanders, Brett F.; Feldman, David L.; Sweet, William; Matthew, Richard A.; Luke, Adam

    2015-11-01

    Mean sea level has risen tenfold in recent decades compared to the most recent millennia, posing a serious threat for population and assets in flood-prone coastal zones over the next century. An increase in the frequency of nuisance (minor) flooding has also been reported due to the reduced gap between high tidal datums and flood stage, and the rate of sea level rise (SLR) is expected to increase based on current trajectories of anthropogenic activities and greenhouse gases emissions. Nuisance flooding (NF), however nondestructive, causes public inconvenience, business interruption, and substantial economic losses due to impacts such as road closures and degradation of infrastructure. It also portends an increased risk in severe floods. Here we report substantial increases in NF along the coasts of United States due to SLR over the past decades. We then take projected near-term (2030) and midterm (2050) SLR under two representative concentration pathways (RCPs), 2.6 and 8.5, to estimate the increase in NF. The results suggest that on average, - 80 ± 10% local SLR causes the median of the NF distribution to increase by 55 ± 35% in 2050 under RCP8.5. The projected increase in NF will have significant socio-economic impacts and pose public health risks in coastal regions.

  10. Population dynamics and antimicrobial resistance of the most prevalent poultry-associated Salmonella serotypes.

    PubMed

    Shah, Devendra H; Paul, Narayan C; Sischo, Willium C; Crespo, Rocio; Guard, Jean

    2017-03-01

    Salmonella spp. is the most predominant bacterial cause of foodborne gastroenteritis in humans. Due to the risk of human infection associated with poultry products and the prevalence of antimicrobial resistance, Salmonella also poses a significant challenge to commercial poultry production. During the last decade (2002 to 2012), the 12 most prevalent poultry-associated Salmonella serotypes (MPPSTs) were frequently and consistently isolated from poultry products in the United States. These MPPSTs and their percent prevalence in poultry products include Kentucky (4%), Enteritidis (2%) Heidelberg (2%), Typhimurium (2%), S. I 4,[5],12:i:- (0.31%), Montevideo (0.20%), Infantis (0.16%) Schwarzengrund (0.15%), Hadar (0.15%), Mbandaka (0.13%), Thompson (0.12%), and Senftenberg (0.04%). All MPPSTs except Kentucky are among the top 30 clinically significant serotypes that cause human illnesses in the United States. However with the exception of a few widely studied serotypes such as S. Enteritidis and Typhimurium, the ecology and epidemiology of the majority of MPPSTs still remain poorly investigated. Published data from the United States suggests that MPPSTs such as Heidelberg, Typhimurium, Kentucky, and Sentfenberg are more likely to be multi-drug resistant (MDR, ≥3 antimicobial classes) whereas Enteritidis, Montevideo, Schwarzengrund, Hadar, Infantis, Thompson, and Mbandaka are generally pan-susceptible or display resistance to fewer antimicobials. In contrast, the majority of MPPSTs isolated globally have been reported to display MDR phenotype. There also appears to be an international spread of a few MDR serotypes including Kentucky, Schwarzengrund, Hadar, Thomson, Sentfenberg, and Enteritidis, which may pose significant challenges to the public health. The current knowledge gaps on the ecology, epidemiology, and antimicrobial resistance of MPPSTs are discussed. © 2016 Poultry Science Association Inc.

  11. Where Does Your State Stand on Shackling of Pregnant Incarcerated Women?

    PubMed

    Ferszt, Ginette G; Palmer, Michelle; McGrane, Christine

    2018-02-01

    Pregnant incarcerated women have been identified as a particularly high-risk group and among the most vulnerable women in the United States. The use of shackling or restraints poses health risks to pregnant women and their fetuses. Currently, only 22 states have legislation prohibiting or limiting the shackling of pregnant women. Here we provide an overview of the potential negative health outcomes that can result from shackling pregnant women, especially during labor and birth, and suggest strategies for nurses who wish to promote optimal health care for incarcerated women and to advocate for anti-shackling legislation in their states. © 2018 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses.

  12. Housing growth in and near United States protected areas limits their conservation value.

    PubMed

    Radeloff, Volker C; Stewart, Susan I; Hawbaker, Todd J; Gimmi, Urs; Pidgeon, Anna M; Flather, Curtis H; Hammer, Roger B; Helmers, David P

    2010-01-12

    Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern "Noah's Ark." Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries.

  13. Housing growth in and near United States protected areas limits their conservation value

    PubMed Central

    Radeloff, Volker C.; Stewart, Susan I.; Hawbaker, Todd J.; Gimmi, Urs; Pidgeon, Anna M.; Flather, Curtis H.; Hammer, Roger B.; Helmers, David P.

    2009-01-01

    Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern “Noah’s Ark.” Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries. PMID:20080780

  14. Housing growth in and near United States protected areas limits their conservation value

    USGS Publications Warehouse

    Radeloff, V.C.; Stewart, S.I.; Hawbaker, T.J.; Gimmi, U.; Pidgeon, A.M.; Flather, C.H.; Hammer, R.B.; Helmers, D.P.

    2010-01-01

    Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern "Noah's Ark." Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries.

  15. An Analysis of Information Technology Adoption by IRBs of Large Academic Medical Centers in the United States.

    PubMed

    He, Shan; Botkin, Jeffrey R; Hurdle, John F

    2015-02-01

    The clinical research landscape has changed dramatically in recent years in terms of both volume and complexity. This poses new challenges for Institutional Review Boards' (IRBs) review efficiency and quality, especially at large academic medical centers. This article discusses the technical facets of IRB modernization. We analyzed the information technology used by IRBs in large academic institutions across the United States. We found that large academic medical centers have a high electronic IRB adoption rate; however, the capabilities of electronic IRB systems vary greatly. We discuss potential use-cases of a fully exploited electronic IRB system that promise to streamline the clinical research work flow. The key to that approach utilizes a structured and standardized information model for the IRB application. © The Author(s) 2014.

  16. Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature

    PubMed Central

    Haddad, Linda; El-Shahawy, Omar; Ghadban, Roula; Barnett, Tracey E.; Johnson, Emily

    2015-01-01

    Background: Researchers in tobacco control are concerned about the increasing prevalence of waterpipe smoking in the United States, which may pose similar risks as cigarette smoking. This review explores the prevalence of waterpipe smoking in the United States as well as the shortcomings of current U.S. policy for waterpipe control and regulation. Methods: Researchers conducted a literature review for waterpipe articles dated between 2004 and 2015 using five online databases: MEDLINE, CINHAHL, ScienceDirect, PMC, and Cochrane Library. Results: To date, few studies have explored the marketing and regulation of waterpipe smoking in the U.S., which has increased in the last ten years, especially among women, adolescents, and young adults. Data indicate that the majority of waterpipe smokers are unaware of the potential risks of use. In addition, current tobacco control policies do not address waterpipe smoking, enabling tobacco companies to readily market and sell waterpipe products to young adults, who are at risk for becoming lifelong smokers. Conclusion: Policy makers in the area of public health need to update existing tobacco regulations to include waterpipe smoking. Similarly, public health researchers should develop public health campaigns and interventions to address the increasing rates of waterpipe smoking in the United States. PMID:26110330

  17. 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

  18. Taming the Bear Countering Russian Energy Dominance in Europe

    DTIC Science & Technology

    2009-07-01

    poses a question for Western leaders and the thesis for this paper: How should the US and the EU counter Russian endeavors to dominate the energy...equation. If the EU can muster the political will, however, the regional gas market can be liberalized to approach the liquidity of the oil market...market liberalization will reduce any inherent threats to new Gazprom pipelines. However, it is primarily an EU solution that the United States

  19. Demonstration of In Situ Treatment with Reactive Amendments for Contaminated Sediments in Active DoD Harbors

    DTIC Science & Technology

    2017-06-30

    United States (NRC 2007). At elevated concentrations, these contaminants pose long-term risks to ecosystems and human health . 4 Reactive amendments...ability to reduce bioavailable concentrations thereby reducing ecological and human health risks. 6 2.1.2 AquaGate Composite Aggregate...could be of great interest as a remedy to HOC-impacted (e.g., PCBs, polycyclic aromatic hydrocarbon [PAHs], and pesticides ) surface sediments in

  20. Deterring Emergent Technologies

    DTIC Science & Technology

    2016-01-01

    materials ablaze (451° F or 233° C).38 The laser runs off a single lithium - ion battery , roughly the size of a standard AA battery , which enables the...United States has historically en- joyed may no longer be possible. By some measures of innovation , such as the number of major scientific articles...infrastructure in the world, our productivity is declining while others are rapidly improving their ability to innovate . This poses the danger of the

  1. U.S. Overseas Military Posture: Relative Costs and Strategic Benefits

    DTIC Science & Technology

    2013-01-01

    C O R P O R A T I O N RESE ARCH BR IEF U.S. Overseas Military Posture Relative Costs and Strategic Benefits The United States is at an inflection...posture translates into benefits ; the risks that different poten- tial postures pose and the cost of maintaining these postures; how these benefits ...changes. Strategic Benefits of Overseas Posture Overseas presence contributes to contingency responsiveness, deterrence of adversaries and assurance of

  2. Structural Causes and Cyber Effects: A Response to Our Critics

    DTIC Science & Technology

    2015-01-01

    the incident, saying “North Korea’s attack on [Sony] reaf- firms that cyber threats pose one of the gravest national security dangers to the United...around the world to strengthen cyber - security , promote norms of acceptable state behavior, uphold freedom of expression, and ensure that the Internet... cyber working group that made progress toward “interna- tional cyberspace rules, and measures to boost dialogue and cooperation on cyber security .”15

  3. Report on the costs of domestic and international emergencies and on the threats posed by the Kuwaiti oil fires as required by P. L. 102-55

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

    Not Available

    1991-06-01

    The report fulfills the requirements of Public Law 12-55, the FY 1992 dire emergency supplemental appropriations bill, signed by the President on June 13, 1991. This law required the Director of the Office of Management and Budget to prepare and submit to the appropriate committees of Congress a report on: unfunded costs of dire emergencies because of floods, droughts, tornadoes, unemployment, and other disasters in the United States; unfunded costs, including food assistance, of international disaster emergencies existing because of floods, droughts, tornadoes, and other disasters; and the threats to oil supply, human health, and the environment that the Kuwaitimore » oil fires might pose.« less

  4. Doctor shopping: a concept analysis.

    PubMed

    Worley, Julie; Hall, Joanne M

    2012-01-01

    Prescription drug abuse is a significant problem in the United States that poses a serious health risk to Americans and is therefore significant to the field of nursing. The prescription drugs that are designated in the United States as having abuse potential are called controlled or scheduled drugs. The most common types of abused prescription drugs are benzodiazepines prescribed for anxiety, opioids prescribed for pain, and stimulants prescribed for attention deficit disorder. These prescription drugs are abused by taking larger doses than prescribed for nonmedical use to achieve a high or euphoric feeling, or are sold illicitly for profit. In 2009, there were 2.4 million nonmedical users of prescription opioids in the United States. These prescription drugs are often obtained by seeing multiple prescribers, often under false pretenses or with complicity from the prescribers that leads to abuse and illicit sales. The term doctor shopping has been used not only to refer to this phenomenon but has also had other meanings throughout the past decades. Thus, concept analysis is the focus of this article for clarification using the Walker and Avant method. Health implications and suggestions for minimizing doctor shopping are included.

  5. An assessment of the cyber security legislation and its impact on the United States electrical sector

    NASA Astrophysics Data System (ADS)

    Born, Joshua

    The purpose of this research was to examine the cyber-security posture for the United States' electrical grid, which comprises a major component of critical infrastructure for the country. The United States electrical sector is so vast, that the Department of Homeland Security (DHS) estimates, it contains more than 6,413 power plants (this includes 3,273 traditional electric utilities and 1,738 nonutility power producers) with approximately 1,075 gigawatts of energy produced on a daily basis. A targeted cyber-security attack against the electric grid would likely have catastrophic results and could even serve as a precursor to a physical attack against the United States. A recent report by the consulting firm Black and Veatch found that one of the top five greatest concerns for United States electric utilities is the risk that cybersecurity poses to their industry and yet, only one-third state they are currently prepared to meet the increasingly likely threat. The report goes on to state, "only 32% of electric utilities surveyed had integrated security systems with the proper segmentation, monitoring and redundancies needed for cyber threat protection. Another 48 % said they did not" Recent estimates indicate that a large-scale cyber-attack against this sector could cost the United States economy as much as a trillion dollars within a weeks' time. Legislative efforts in the past have primarily been focused on creating mandates that encourage public and private partnership, which have been not been adopted as quickly as desired. With 85 % of all electric utilities being privately owned, it is key that the public and private sector partner in order to mitigate risks and respond as a cohesive unit in the event of a major attack. Keywords: Cybersecurity, Professor Riddell, cyber security, energy, intelligence, outlook, electrical, compliance, legislation, partnerships, critical infrastructure.

  6. The Syrian Refugee Crisis: What Nurses Need to Know.

    PubMed

    Almontaser, Esmihan; Baumann, Steven L

    2017-04-01

    The civil war in Syria that began in 2011 has displaced millions of Syrians of all ages. While the number that have arrived in the United States is small in comparison to many other countries, it is important that nurses and other healthcare workers here understand that many of them have faced considerable trauma and endured stresses. Most of them are Muslims. Muslims in the United States and elsewhere represent a heterogeneous group of people with a long intellectual and cultural history. Islamic cultural patterns do pose unique barriers to a primarily Anglo-Saxon medical system that medical practitioners need to consider in order to avoid misunderstanding and provide culturally sensitive care. The authors discuss the Syrian refugee crisis and the experience of being a Muslim or Arab American patient in U.S. healthcare settings.

  7. Radiation dose equivalent to stowaways in vehicles.

    PubMed

    Khan, Siraj M; Nicholas, Paul E; Terpilak, Michael S

    2004-05-01

    The U.S. Bureau of Customs and Border Protection has deployed a large number of non-intrusive inspection (NII) systems at land border crossings and seaports throughout the United States to inspect cars, trucks, and sea containers. These NII systems use x rays and gamma rays for the detection of contraband. Unfortunately, undocumented aliens infrequently stow away in these same conveyances to illegally enter the United States. It is extremely important that the radiation dose equivalent imparted to these stowaways be within acceptable limits. This paper discusses the issues involved and describes a protocol the U.S. Bureau of Customs and Border Protection has used in a study to measure and document these levels. The results of this study show that the radiation dose equivalent to the stowaways from the deployed NII systems is negligibly small and does not pose a health hazard.

  8. Aedes (Stegomyia) aegypti in the continental United States: a vector at the cool margin of its geographic range.

    PubMed

    Eisen, Lars; Moore, Chester G

    2013-05-01

    After more than a half century without recognized local dengue outbreaks in the continental United States, there were recent outbreaks of autochthonous dengue in the southern parts of Texas (2004-2005) and Florida (2009-2011). This dengue reemergence has provoked interest in the extent of the future threat posed by the yellow fever mosquito, Aedes (Stegomyia) aegypti (L.), the primary vector of dengue and yellow fever viruses in urban settings, to human health in the continental United States. Ae. aegypti is an intriguing example of a vector species that not only occurs in the southernmost portions of the eastern United States today but also is incriminated as the likely primary vector in historical outbreaks of yellow fever as far north as New York, Philadelphia, and Boston, from the 1690s to the 1820s. For vector species with geographic ranges limited, in part, by low temperature and cool range margins occurring in the southern part of the continental United States, as is currently the case for Ae. aegypti, it is tempting to speculate that climate warming may result in a northward range expansion (similar to that seen for Ixodes tick vectors of Lyme borreliosis spirochetes in Scandinavia and southern Canada in recent decades). Although there is no doubt that climate conditions directly impact many aspects of the life history of Ae. aegypti, this mosquito also is closely linked to the human environment and directly influenced by the availability of water-holding containers for oviposition and larval development. Competition with other container-inhabiting mosquito species, particularly Aedes (Stegomyia) albopictus (Skuse), also may impact the presence and local abundance of Ae. aegypti. Field-based studies that focus solely on the impact of weather or climate factors on the presence and abundance of Ae. aegypti, including assessments of the potential impact of climate warming on the mosquito's future range and abundance, do not consider the potential confounding effects of socioeconomic factors or biological competitors for establishment and proliferation of Ae. aegypti. The results of such studies therefore should not be assumed to apply in areas with different socioeconomic conditions or composition of container-inhabiting mosquito species. For example, results from field-based studies at the high altitude cool margins for Ae. aegypti in Mexico's central highlands or the Andes in South America cannot be assumed to be directly applicable to geographic areas in the United States with comparable climate conditions. Unfortunately, we have a very poor understanding of how climatic drivers interact with the human landscape and biological competitors to impact establishment and proliferation of Ae. aegypti at the cool margin of its range in the continental United States. A first step toward assessing the future threat this mosquito poses to human health in the continental United States is to design and conduct studies across strategic climatic and socioeconomic gradients in the United States (including the U.S.-Mexico border area) to determine the permissiveness of the coupled natural and human environment for Ae. aegypti at the present time. This approach will require experimental studies and field surveys that focus specifically on climate conditions relevant to the continental United States. These studies also must include assessments of how the human landscape, particularly the impact of availability of larval developmental sites and the permissiveness of homes for mosquito intrusion, and the presence of other container-inhabiting mosquitoes that may compete with Ae. aegypti for larval habitat affects the ability of Ae. aegypti to establish and proliferate. Until we are armed with such knowledge, it is not possible to meaningfully assess the potential for climate warming to impact the proliferation potential for Ae. aegypti in the United States outside of the geographic areas where the mosquito already is firmly established, and even less so for dengue virus transmission and dengue disease in humans.

  9. Dangerous Use of Seclusion and Restraints in Schools Remains Widespread and Difficult to Remedy: A Review of Ten Cases. United States Senate Health, Education, Labor, and Pensions Committee. Majority Committee Staff Report

    ERIC Educational Resources Information Center

    US Senate (NJ1), 2014

    2014-01-01

    There is no evidence that physically restraining or putting children in unsupervised seclusion in the K-12 school system provides any educational or therapeutic benefit to a child. In fact, use of either seclusion or restraints in non-emergency situations poses significant physical and psychological danger to students. Yet the first round of data…

  10. The Proliferation Of Unmanned Aerial Vehicles And The Threat To The United States

    DTIC Science & Technology

    2016-02-10

    and in other cases, technology enables the violence. Regardless of the reason, nations invest heavily in research and development to develop new...anyone the ability to purchase and operate it. This proliferation in UAV technology will pose a significant threat to our national security, which must be...terrorism is not a new threat faced by nations ; unfortunately, terrorism has existed for almost as long as civilization. The first documented use of

  11. Mechanistic modeling of insecticide risks to breeding birds in ...

    EPA Pesticide Factsheets

    Insecticide usage in the United States is ubiquitous in urban, suburban, and rural environments. In evaluating data for an insecticide registration application and for registration review, scientists at the United States Environmental Protection Agency (USEPA) assess the fate of the insecticide and the risk the insecticide poses to the environment and non-target wildlife. At the present time, current USEPA risk assessments do not include population-level endpoints. In this paper, we present a new mechanistic model, which allows risk assessors to estimate the effects of insecticide exposure on the survival and seasonal productivity of birds known to use agricultural fields during their breeding season. The new model was created from two existing USEPA avian risk assessment models, the Terrestrial Investigation Model (TIM v.3.0) and the Markov Chain Nest Productivity model (MCnest). The integrated TIM/MCnest model has been applied to assess the relative risk of 12 insecticides used to control corn pests on a suite of 31 avian species known to use cornfields in midwestern agroecosystems. The 12 insecticides that were assessed in this study are all used to treat major pests of corn (corn root worm borer, cutworm, and armyworm). After running the integrated TIM/MCnest model, we found extensive differences in risk to birds among insecticides, with chlorpyrifos and malathion (organophosphates) generally posing the greatest risk, and bifenthrin and ë-cyhalothrin (

  12. Problem posing and cultural tailoring: developing an HIV/AIDS health literacy toolkit with the African American community.

    PubMed

    Rikard, R V; Thompson, Maxine S; Head, Rachel; McNeil, Carlotta; White, Caressa

    2012-09-01

    The rate of HIV infection among African Americans is disproportionately higher than for other racial groups in the United States. Previous research suggests that low level of health literacy (HL) is an underlying factor to explain racial disparities in the prevalence and incidence of HIV/AIDS. The present research describes a community and university project to develop a culturally tailored HIV/AIDS HL toolkit in the African American community. Paulo Freire's pedagogical philosophy and problem-posing methodology served as the guiding framework throughout the development process. Developing the HIV/AIDS HL toolkit occurred in a two-stage process. In Stage 1, a nonprofit organization and research team established a collaborative partnership to develop a culturally tailored HIV/AIDS HL toolkit. In Stage 2, African American community members participated in focus groups conducted as Freirian cultural circles to further refine the HIV/AIDS HL toolkit. In both stages, problem posing engaged participants' knowledge, experiences, and concerns to evaluate a working draft toolkit. The discussion and implications highlight how Freire's pedagogical philosophy and methodology enhances the development of culturally tailored health information.

  13. Aquaculture: Incorporating risk assessment and risk management into public policies on genetically modified finfish and shellfish

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

    Hallerman, E.M.; Kapuscinski, A.R.

    Genetically modified finfish and shellfish pose economic benefits to aquaculture, but also pose ecological and genetic risks to ecosystems receiving such organisms. Realization of benefits with minimization of risks posed by a new technology can be addressed through the processes of risk assessment and risk management. Public policies adopted by individual countries will reflect differences in the outocme of risk assessment and risk management processes resulting from differences among the receiving ecosystems and sets of human values at issue. A number of countries and international institutions have begun development of policies for oversight of genetically modified aquatic organisms. In themore » United States, a working group commissioned by the U.S. Department of Agriculture incorporated risk assessment and risk management principles into draft performance standards for safely conducting research with genetically modified finfish and shellfish. The performance standards address research with a broad range of aquatic GMO`s and compliance is intended to be voluntary. In contrast, the Canadian policy mandates adherence to specified guidelines for experiments with transgenic aquatic organisms; establishment as national policy is expended soon.« less

  14. Hurricane intensification along United States coast suppressed during active hurricane periods

    NASA Astrophysics Data System (ADS)

    Kossin, James P.

    2017-01-01

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

  15. STS-63 crew portrait

    NASA Technical Reports Server (NTRS)

    1994-01-01

    With the United States and Russian flags in the background, five NASA astronauts and a Russian cosmonaut named to fly aboard the Space Shuttle Discovery for the the STS-63 mission pose for the flight crew portrait at JSC. Left to right (front row) are Janice E. Voss, mission specialist, Eileen M. Collins, pilot; James D. Wetherbee, mission commander; and Vladimir Titov of the Russian Space Agency, mission specialist. In the rear are Bernard A. Harris Jr., payload commander; and C. Michael Foale, mission specialist.

  16. Social justice issues related to uneven distribution of resources.

    PubMed

    Ervin, Naomi E; Bell, Sue Ellen

    2004-01-01

    This article examines the social justice issues resulting from the uneven distribution of resources. In this article, justice theories are discussed in relation to two of these issues: lack of adequate food and shelter and inequitable access to an appropriate continuum of health care. Public health nurses have the obligation to deal with the results of poverty and the uneven distribution of resources, which pose a threat to the common good in the United States and throughout the global community.

  17. Ethical relativism in a multicultural society.

    PubMed

    Macklin, Ruth

    1998-03-01

    The multicultural composition of the United States can pose problems for physicians and patients who come from diverse backgrounds. Although respect for cultural diversity mandates tolerance of the beliefs and practices of others, in some situations excessive tolerance can produce harm to patients. Careful analysis is needed to determine which values are culturally relative and which rest on an underlying universal ethical principle. A conception of justice as equality challenges the notion that it is always necessary to respect all of the beliefs and practices of every cultural group.

  18. Southeast Asian Perceptions of U.S. Security Policy in the Post-Cold War Era

    DTIC Science & Technology

    1993-06-01

    of the islands or reefs in the Spratlys as sovereign Bruneian territory, other claimants pose a threat to Bruneian waters , where much of the country’s...Southeast Asian waters . Malaysia has grown very wary of China’s naval expansion and force projection in the South China Sea (Stubbs, 1992: 401...Malaysian territorial waters . Singapore has no formal alliances with the United States, but in January .1992 President Bush and Prime Minister Goh Chok

  19. Combat Readiness Check (CRC): Development of a Dual Task Assessment Protocol to Assist with Return-to-Duty Decision-Making After Traumatic Brain Injury

    DTIC Science & Technology

    2010-10-01

    injury CO-PRINCIPAL INVESTIGATORS: Mary Vining Radomski, PhD, OTR/L and Maggie Weightman, PT, PhD (Sister Kenny Research Center [SKRC]) CO...INVESTIGATORS: Leslie Davidson PhD (Cand), MS, OTR/L (Riverbend); MAJ Sarah Goldman PhD, OTR/L, CHT (United States Army Research Institute of Environmental...of Minnesota) ASSISTED BY: Dr. Kristin Heaton and Amanda Antczak (USARIEM) and Marsha Finkelstein (health services researcher ), Michelle Pose, and

  20. The marketing of dissolvable tobacco: social science and public policy research needs.

    PubMed

    Southwell, Brian G; Kim, Annice E; Tessman, Greta K; MacMonegle, Anna J; Choiniere, Conrad J; Evans, Sarah E; Johnson, Robin D

    2012-01-01

    The latest generation of smokeless tobacco products encompasses a wide range of offerings, including what is commonly referred to as dissolvable tobacco. Designed to deliver nicotine upon dissolving or disintegrating in a user's mouth, dissolvable tobacco products currently appear in various United States markets as strips, orbs, sticks, and lozenges. The emergence of these new products poses distinct opportunities and challenges for social and behavioral science and public health research and raises important public policy questions.

  1. Right-Wing Politicians Prefer the Emotional Left

    PubMed Central

    Thomas, Nicole A.; Loetscher, Tobias; Clode, Danielle; Nicholls, Michael E. R.

    2012-01-01

    Physiological research suggests that social attitudes, such as political beliefs, may be partly hard-wired in the brain. Conservatives have heightened sensitivity for detecting emotional faces and use emotion more effectively when campaigning. As the left face displays emotion more prominently, we examined 1538 official photographs of conservative and liberal politicians from Australia, Canada, the United Kingdom and the United States for an asymmetry in posing. Across nations, conservatives were more likely than liberals to display the left cheek. In contrast, liberals were more likely to face forward than were conservatives. Emotion is important in political campaigning and as portraits influence voting decisions, conservative politicians may intuitively display the left face to convey emotion to voters. PMID:22567166

  2. Zoonotic viruses associated with illegally imported wildlife products

    USGS Publications Warehouse

    Smith, Kristine M.; Anthony, Simon J.; Switzer, William M.; Epstein, Jonathan H.; Seimon, Tracie; Jia, Hongwei; Sanchez, Maria D.; Huynh, Thanh Thao; Galland, G. Gale; Shapiro, Sheryl E.; Sleeman, Jonathan M.; McAloose, Denise; Stuchin, Margot; Amato, George; Kolokotronis, Sergios-Orestis; Lipkin, W. Ian; Karesh, William B.; Daszak, Peter; Marano, Nina

    2012-01-01

    The global trade in wildlife has historically contributed to the emergence and spread of infectious diseases. The United States is the world's largest importer of wildlife and wildlife products, yet minimal pathogen surveillance has precluded assessment of the health risks posed by this practice. This report details the findings of a pilot project to establish surveillance methodology for zoonotic agents in confiscated wildlife products. Initial findings from samples collected at several international airports identified parts originating from nonhuman primate (NHP) and rodent species, including baboon, chimpanzee, mangabey, guenon, green monkey, cane rat and rat. Pathogen screening identified retroviruses (simian foamy virus) and/or herpesviruses (cytomegalovirus and lymphocryptovirus) in the NHP samples. These results are the first demonstration that illegal bushmeat importation into the United States could act as a conduit for pathogen spread, and suggest that implementation of disease surveillance of the wildlife trade will help facilitate prevention of disease emergence.

  3. Zoonotic Viruses Associated with Illegally Imported Wildlife Products

    PubMed Central

    Switzer, William M.; Epstein, Jonathan H.; Seimon, Tracie; Jia, Hongwei; Sanchez, Maria D.; Huynh, Thanh Thao; Galland, G. Gale; Shapiro, Sheryl E.; Sleeman, Jonathan M.; McAloose, Denise; Stuchin, Margot; Amato, George; Kolokotronis, Sergios-Orestis; Lipkin, W. Ian; Karesh, William B.; Daszak, Peter; Marano, Nina

    2012-01-01

    The global trade in wildlife has historically contributed to the emergence and spread of infectious diseases. The United States is the world's largest importer of wildlife and wildlife products, yet minimal pathogen surveillance has precluded assessment of the health risks posed by this practice. This report details the findings of a pilot project to establish surveillance methodology for zoonotic agents in confiscated wildlife products. Initial findings from samples collected at several international airports identified parts originating from nonhuman primate (NHP) and rodent species, including baboon, chimpanzee, mangabey, guenon, green monkey, cane rat and rat. Pathogen screening identified retroviruses (simian foamy virus) and/or herpesviruses (cytomegalovirus and lymphocryptovirus) in the NHP samples. These results are the first demonstration that illegal bushmeat importation into the United States could act as a conduit for pathogen spread, and suggest that implementation of disease surveillance of the wildlife trade will help facilitate prevention of disease emergence. PMID:22253731

  4. Mycotic Infections Acquired outside Areas of Known Endemicity, United States.

    PubMed

    Benedict, Kaitlin; Thompson, George R; Deresinski, Stan; Chiller, Tom

    2015-11-01

    In the United States, endemic mycoses--blastomycosis, coccidioidomycosis, and histoplasmosis--pose considerable clinical and public health challenges. Although the causative fungi typically exist within broadly defined geographic areas or ecologic niches, some evidence suggests that cases have occurred in humans and animals not exposed to these areas. We describe cases acquired outside regions of traditionally defined endemicity. These patients often have severe disease, but diagnosis may be delayed because of a low index of suspicion for mycotic disease, and many more cases probably go entirely undetected. Increased awareness of these diseases, with a specific focus on their potential occurrence in unusual areas, is needed. Continued interdisciplinary efforts to reevaluate and better describe areas of true endemicity are warranted, along with a more nuanced view of the notion of endemicity. The term "nonendemic" should be used with care; mycoses in such regions might more accurately be considered "not known to be endemic."

  5. Mycotic Infections Acquired outside Areas of Known Endemicity, United States

    PubMed Central

    Thompson, George R.; Deresinski, Stan; Chiller, Tom

    2015-01-01

    In the United States, endemic mycoses—blastomycosis, coccidioidomycosis, and histoplasmosis—pose considerable clinical and public health challenges. Although the causative fungi typically exist within broadly defined geographic areas or ecologic niches, some evidence suggests that cases have occurred in humans and animals not exposed to these areas. We describe cases acquired outside regions of traditionally defined endemicity. These patients often have severe disease, but diagnosis may be delayed because of a low index of suspicion for mycotic disease, and many more cases probably go entirely undetected. Increased awareness of these diseases, with a specific focus on their potential occurrence in unusual areas, is needed. Continued interdisciplinary efforts to reevaluate and better describe areas of true endemicity are warranted, along with a more nuanced view of the notion of endemicity. The term “nonendemic” should be used with care; mycoses in such regions might more accurately be considered “not known to be endemic.” PMID:26485441

  6. Social Disconnection as a Risk Factor for Health among Cambodian Refugees and Their Offspring in the United States.

    PubMed

    Berthold, S Megan; Loomis, Alysse Melville; Kuoch, Theanvy; Scully, Mary; Hin-McCormick, Mui Mui; Casavant, Bryce; Buckley, Thomas

    2018-05-23

    Studies of relatively recently resettled refugees have noted social disconnection, linked to various physical and mental health outcomes, as a concern. Limited studies have examined whether social disconnection and its effects persists within refugee populations resettled more than 3 decades prior. The relationship between social disconnection and self-reported health was explored in a secondary analysis of a cross-sectional needs assessment survey with a snowball sample of 100 Cambodian refugees residing in Connecticut. Social disconnectedness and comorbid health conditions were prevalent. Lack of religious and community engagement were associated with poor health outcomes, while individuals with a lack of ethnic engagement reported better overall health. This study underscores the importance of understanding the specific risks that social disconnection poses to refugees who have resettled many years before and their offspring that may assist in better serving currently settling refugees within the United States.

  7. Breaking the silence surrounding hepatitis C by promoting self-efficacy: hepatitis C public service announcements.

    PubMed

    Grow, Jean M; Christopher, Stephanie A

    2008-10-01

    Hepatitis C virus (HCV) is the most common chronic bloodborne virus in the United States. Despite this fact, there is a startling lack of awareness about HCV among individuals who might have contracted the virus. In this study, grounded in self-efficacy theory, we analyze public service announcements for HCV. Using focus groups to contextualize the responses of individuals living with HCV, we conclude that stigma and structural barriers pose the greatest challenges for health communicators trying to reach at-risk populations. The findings suggest that expanded use of celebrity appeals, realistic drug-use portrayals, more extensive use of social networking in tandem with nontraditional media, tapping into veterans, and maximizing self-efficacy messages while minimizing fear tactics offer new hope for successful health communication strategies. With 3.9 million people in the United States infected with HCV, this study offers urgently needed communication strategies to address this silent epidemic.

  8. The potential distribution of invading Helicoverpa armigera in North America: is it just a matter of time?

    PubMed

    Kriticos, Darren J; Ota, Noboru; Hutchison, William D; Beddow, Jason; Walsh, Tom; Tay, Wee Tek; Borchert, Daniel M; Paula-Moraes, Silvana V; Paula-Moreas, Silvana V; Czepak, Cecília; Zalucki, Myron P

    2015-01-01

    Helicoverpa armigera has recently invaded South and Central America, and appears to be spreading rapidly. We update a previously developed potential distribution model to highlight the global invasion threat, with emphasis on the risks to the United States. The continued range expansion of H. armigera in Central America is likely to change the invasion threat it poses to North America qualitatively, making natural dispersal from either the Caribbean islands or Mexico feasible. To characterise the threat posed by H. armigera, we collated the value of the major host crops in the United States growing within its modelled potential range, including that area where it could expand its range during favourable seasons. We found that the annual value of crops that would be exposed to H. armigera totalled approximately US$78 billion p.a., with US$843 million p.a. worth growing in climates that are optimal for the pest. Elsewhere, H. armigera has developed broad-spectrum pesticide resistance; meaning that if it invades the United States, protecting these crops from significant production impacts could be challenging. It may be cost-effective to undertake pre-emptive biosecurity activities such as slowing the spread of H. armigera throughout the Americas, improving the system for detecting H. armigera, and methods for rapid identification, especially distinguishing between H. armigera, H. zea and potential H. armigera x H. zea hybrids. Developing biological control programs, especially using inundative techniques with entomopathogens and parasitoids could slow the spread of H. armigera, and reduce selective pressure for pesticide resistance. The rapid spread of H. armigera through South America into Central America suggests that its spread into North America is a matter of time. The likely natural dispersal routes preclude aggressive incursion responses, emphasizing the value of preparatory communication with agricultural producers in areas suitable for invasion by H. armigera.

  9. Assessing potential health risks to fish and humans using mercury concentrations in inland fish from across western Canada and the United States

    USGS Publications Warehouse

    Lepak, Jesse M.; Hooten, Mevin B.; Eagles-Smith, Collin A.; Tate, Michael T.; Lutz, Michelle A.; Ackerman, Joshua T.; Willacker, James J.; Jackson, Allyson K.; Evers, David C.; Wiener, James G.; Pritz, Colleen Flanagan; Davis, Jay

    2016-01-01

    Fish represent high quality protein and nutrient sources, but Hg contamination is ubiquitous in aquatic ecosystems and can pose health risks to fish and their consumers. Potential health risks posed to fish and humans by Hg contamination in fish were assessed in western Canada and the United States. A large compilation of inland fish Hg concentrations was evaluated in terms of potential health risk to the fish themselves, health risk to predatory fish that consume Hg contaminated fish, and to humans that consume Hg contaminated fish. The probability that a fish collected from a given location would exceed a Hg concentration benchmark relevant to a health risk was calculated. These exceedance probabilities and their associated uncertainties were characterized for fish of multiple size classes at multiple health-relevant benchmarks. The approach was novel and allowed for the assessment of the potential for deleterious health effects in fish and humans associated with Hg contamination in fish across this broad study area. Exceedance probabilities were relatively common at low Hg concentration benchmarks, particularly for fish in larger size classes. Specifically, median exceedances for the largest size classes of fish evaluated at the lowest Hg concentration benchmarks were 0.73 (potential health risks to fish themselves), 0.90 (potential health risk to predatory fish that consume Hg contaminated fish), and 0.97 (potential for restricted fish consumption by humans), but diminished to essentially zero at the highest benchmarks and smallest fish size classes. Exceedances of benchmarks are likely to have deleterious health effects on fish and limit recommended amounts of fish humans consume in western Canada and the United States. Results presented here are not intended to subvert or replace local fish Hg data or consumption advice, but provide a basis for identifying areas of potential health risk and developing more focused future research and monitoring efforts.

  10. The Potential Distribution of Invading Helicoverpa armigera in North America: Is It Just a Matter of Time?

    PubMed Central

    Kriticos, Darren J.; Ota, Noboru; Hutchison, William D.; Beddow, Jason; Walsh, Tom; Tay, Wee Tek; Borchert, Daniel M.; Paula-Moreas, Silvana V.; Czepak, Cecília; Zalucki, Myron P.

    2015-01-01

    Helicoverpa armigera has recently invaded South and Central America, and appears to be spreading rapidly. We update a previously developed potential distribution model to highlight the global invasion threat, with emphasis on the risks to the United States. The continued range expansion of H. armigera in Central America is likely to change the invasion threat it poses to North America qualitatively, making natural dispersal from either the Caribbean islands or Mexico feasible. To characterise the threat posed by H. armigera, we collated the value of the major host crops in the United States growing within its modelled potential range, including that area where it could expand its range during favourable seasons. We found that the annual value of crops that would be exposed to H. armigera totalled approximately US$78 billion p.a., with US$843 million p.a. worth growing in climates that are optimal for the pest. Elsewhere, H. armigera has developed broad-spectrum pesticide resistance; meaning that if it invades the United States, protecting these crops from significant production impacts could be challenging. It may be cost-effective to undertake pre-emptive biosecurity activities such as slowing the spread of H. armigera throughout the Americas, improving the system for detecting H. armigera, and methods for rapid identification, especially distinguishing between H. armigera, H. zea and potential H. armigera x H. zea hybrids. Developing biological control programs, especially using inundative techniques with entomopathogens and parasitoids could slow the spread of H. armigera, and reduce selective pressure for pesticide resistance. The rapid spread of H. armigera through South America into Central America suggests that its spread into North America is a matter of time. The likely natural dispersal routes preclude aggressive incursion responses, emphasizing the value of preparatory communication with agricultural producers in areas suitable for invasion by H. armigera. PMID:25786260

  11. Realization of the international human right to health in an economically integrated North America.

    PubMed

    Kinney, Eleanor D

    2009-01-01

    With the North American Free Trade Agreement (NAFTA), the health care sectors of the United States, Canada, and Mexico are becoming more economically integrated. NAFTA poses major challenges to the realization of the international human right. These include: (1) Cross Border Trade in Medical Products, (2) Cross Border Trade in Medical Services, and the attendant investment protections, (3) Portability and Comparability of Health Insurance Coverage, and (4) Protection of Public Health Insurance Programs. The United States, Mexico, and Canada all provide public health insurance programs either to the entire population as in Canada or to vulnerable groups as in the United States. In none of these countries have private, for-profit providers and insurers been able to provide universal and affordable health coverage and care in a truly free market. Private insurers and for-profit providers should not profit from the care of the healthy and wealthy in ways that compromise the public programs that serve the poor and seriously ill. Nor should they be allowed to use NAFTA processes to compromise public programs. Policy makers must consider implications of NAFTA and move toward assuring access to affordable health care for all people on the North American continent.

  12. Ranking the risk of wildlife species hazardous to military aircraft

    USGS Publications Warehouse

    Zakrajsek, E.J.; Bissonette, J.A.

    2005-01-01

    Collisions between birds and aircraft (birdstrikes) pose a major threat to aviation safety. Different species pose different levels of threat; thus, identification of the most hazardous species can help managers identify the level of hazard and prioritize mitigation efforts. Dolbeer et al. (2000) assessed the hazard posed by birds to civilian aircraft by analyzing data from the Federal Aviation Administration's (FAA) Wildlife Strike Database to rank the hazardous species and species groups. A similar analysis has not been done for the military but would be useful and necessary. Military flight characteristics differ from those of civilian flights. During the period 1985-1998, birdstrikes cost the United States Air Force (USAF) an average of $35 million/year in damage. Using the USAF Birdstrike Database, we selected and evaluated each species or species group by the number of strikes recorded in each of 3 damage categories. We weighted damage categories to reflect extent and cost of damage. The USAF Birdstrike Database contained 25,519 records of wildlife strikes in the United States. During the period 1985-1998, 22 (mean = 1.6/year) Class-A birdstrikes (>$1,000,000 damage, loss of aircraft, loss of life, or permanent total disability) were sustained, accounting for 80% of total monetary losses caused by birds. Vultures (Cathartes aura, Coragyps atratus, Caracara cheriway) were ranked the most hazardous species group (Hazard Index Rank [HIR] = 127) to USAF aircraft, followed by geese (Branta canadensis, Chen caerulescens, HIR = 76), pelicans (Pelecanus erythrorhynchos, P. occidentalis, HIR = 47), and buteos (Buteo sp., HIR = 30). Of the smaller flocking birds, blackbirds and starlings (mostly Agelaius phoeniceus, Euphagus cyanocephalus, Molothrus ater, Sturnus vulgaris, HIR = 46), horned larks (Eremophila alpestris, HIR = 24), and swallows (Families Hirundinidae, Apodidae, HIR = 23) were species groups ranked highest. Coupling these results with local bird census data to adjust hazard rank indices to specific locations can facilitate hazard management and lead to meaningful reductions in hazards and costs associated with birdstrikes.

  13. Requiring Pollutant Discharge Permits for Pesticide Applications that Deposit Residues in Surface Waters

    PubMed Central

    Centner, Terence; Eberhart, Nicholas

    2014-01-01

    Agricultural producers and public health authorities apply pesticides to control pests that damage crops and carry diseases. Due to the toxic nature of most pesticides, they are regulated by governments. Regulatory provisions require pesticides to be registered and restrictions operate to safeguard human health and the environment. Yet pesticides used near surface waters pose dangers to non-target species and drinking water supplies leading some governments to regulate discharges of pesticides under pollution discharge permits. The dual registration and discharge permitting provisions are burdensome. In the United States, agricultural interest groups are advancing new legislation that would exempt pesticide residues from water permitting requirements. An analysis of the dangers posed by pesticide residues in drinking water leads to a conclusion that both pesticide registration and pollutant discharge permitting provisions are needed to protect human health and aquatic species. PMID:24814945

  14. Electronic cigarette explosions involving the oral cavity.

    PubMed

    Harrison, Rebecca; Hicklin, David

    2016-11-01

    The use of electronic cigarettes (e-cigarettes) is a rapidly growing trend throughout the United States. E-cigarettes have been linked to the risk of causing explosion and fire. Data are limited on the associated health hazards of e-cigarette use, particularly long-term effects, and available information often presents conflicting conclusions. In addition, an e-cigarette explosion and fire can pose a unique treatment challenge to the dental care provider because the oral cavity may be affected heavily. In this particular case, the patient's injuries included intraoral burns, luxation injuries, and alveolar fractures. This case report aims to help clinicians gain an increased knowledge about e-cigarette design, use, and risks; discuss the risk of spontaneous failure and explosion of e-cigarettes with patients; and understand the treatment challenges posed by an e-cigarette explosion. Copyright © 2016 American Dental Association. Published by Elsevier Inc. All rights reserved.

  15. An Evaluation of Historical Fire Occurrence, Drought and the El Niño Southern Oscillation in the Southcentral United States

    NASA Astrophysics Data System (ADS)

    Rooney, M.; Stambaugh, M. C.

    2016-12-01

    Wildfire occurrence in the forested ecosystems of the southcentral United States is driven by conditions of drought. Historically, fire intervals varied temporally and spatially - forced by climate, humans, and environmental conditions. Thus, proxy records are required to assess the relationships between fire occurrence, drought, and the El Niño Southern Oscillation (ENSO). Fire scar data from tree-rings are well-suited to assess historical fire regimes in this region, paired with reconstructions of drought and ENSO that have been developed from networks of ring-width chronologies across the United States. This study combines fire-scar data from twelve different sites in the southcentral United States, including two new fire-history reconstructions. Fire data incorporates 665 fires across Eastern Oklahoma and Northern Texas from 1637-2014. These robust reconstructions of post oak (Quercus stellata) evaluate the variability in fire activity and its association to drought and ENSO. Climate-explained growth variance in post-oak chronologies is strong in this region, providing powerful proxy information in the derived chronologies. In general, most fires occur during the La Niña portion of the ENSO cycle. Many severe fires correspond with drought, and results from super-posed epoch analysis suggest a significant relationship between fire event years and drought conditions in the full period of record. Analysis reveals differences in the relationships of fire, drought and ENSO through time, corresponding to changes in human settlement in the region. Understanding the spatial and temporal relationships that exist between fire occurrence, drought, and ENSO aid in quantifying disturbance characteristics and their associations to climate in the forested ecosystems of the southcentral United States.

  16. Semantic network analysis of vaccine sentiment in online social media.

    PubMed

    Kang, Gloria J; Ewing-Nelson, Sinclair R; Mackey, Lauren; Schlitt, James T; Marathe, Achla; Abbas, Kaja M; Swarup, Samarth

    2017-06-22

    To examine current vaccine sentiment on social media by constructing and analyzing semantic networks of vaccine information from highly shared websites of Twitter users in the United States; and to assist public health communication of vaccines. Vaccine hesitancy continues to contribute to suboptimal vaccination coverage in the United States, posing significant risk of disease outbreaks, yet remains poorly understood. We constructed semantic networks of vaccine information from internet articles shared by Twitter users in the United States. We analyzed resulting network topology, compared semantic differences, and identified the most salient concepts within networks expressing positive, negative, and neutral vaccine sentiment. The semantic network of positive vaccine sentiment demonstrated greater cohesiveness in discourse compared to the larger, less-connected network of negative vaccine sentiment. The positive sentiment network centered around parents and focused on communicating health risks and benefits, highlighting medical concepts such as measles, autism, HPV vaccine, vaccine-autism link, meningococcal disease, and MMR vaccine. In contrast, the negative network centered around children and focused on organizational bodies such as CDC, vaccine industry, doctors, mainstream media, pharmaceutical companies, and United States. The prevalence of negative vaccine sentiment was demonstrated through diverse messaging, framed around skepticism and distrust of government organizations that communicate scientific evidence supporting positive vaccine benefits. Semantic network analysis of vaccine sentiment in online social media can enhance understanding of the scope and variability of current attitudes and beliefs toward vaccines. Our study synthesizes quantitative and qualitative evidence from an interdisciplinary approach to better understand complex drivers of vaccine hesitancy for public health communication, to improve vaccine confidence and vaccination coverage in the United States. Copyright © 2017. Published by Elsevier Ltd.

  17. Trends in hydrophobic organic contaminants in urban and reference lake sediments across the United States, 1970-2001

    USGS Publications Warehouse

    Van Metre, P.C.; Mahler, B.J.

    2005-01-01

    A shift in national policy toward stronger environmental protection began in the United States in about 1970. Conversely, urban land use, population, energy consumption, and vehicle use have increased greatly since then. To assess the effects of these changes on water quality, the U.S. Geological Survey used sediment cores to reconstruct water-quality histories for38 urban and reference lakes across the United States. Cores were age-dated, and concentration profiles of polycyclic aromatic hydrocarbons (PAHs) and chlorinated hydrocarbons were tested statistically. Significant trends in total DDT, p,p???-DDE, and total PCBs were all downward. Trends in chlordane were split evenly between upward and downward, and trends in PAHs were mostly upward. Significant trends did not occur in about one-half of cases tested. Concentrations of p,p???-DDE, p,p???-DDD, and PCBs were about one-half as likely to exceed the probable effect concentration (PEC), a sediment quality guideline, in sediments deposited in the 1990s as in 1965-1975, whereas PAHs were twice as likely to exceed the PEC in the more recently deposited sediments. Concentrations of all contaminants evaluated correlated strongly with urban land use. Upward trends in PAH concentrations, the strong association of PAH with urban settings, and rapid urbanization occurring in the United States suggest that PAHs could surpass chlorinated hydrocarbons in the threat they pose to aquatic biota in urban streams and lakes.

  18. Radiation exposure and lung disease in today's nuclear world.

    PubMed

    Deas, Steven D; Huprikar, Nikhil; Skabelund, Andrew

    2017-03-01

    Ionizing radiation poses important health risks. The per capita annual dose rate has increased in the United States and there is increasing concern for the risks posed by low-dose occupational exposure among workers in nuclear industries and healthcare. Recent nuclear accidents and concern for terrorism have heightened concern for catastrophic, high-dose ionizing radiation exposure. This review will highlight recent research into the risks to lung health posed by ionizing radiation exposure and into potential treatments. Angiotensin-converting enzyme inhibitors and some antioxidants have shown promise as mitigators, to decrease pneumonitis and fibrosis when given after exposure. Studies of survivors of nuclear catastrophes have shown increased risk for lung cancer, especially in nonsmokers. There is evidence for increased lung cancer risk in industrial radiation workers, especially those who process plutonium and may inhale radioactive particles. There does not seem to be an increased risk of lung cancer in healthcare workers who perform fluoroscopic procedures. High-dose ionizing radiation exposure causes pneumonitis and fibrosis, and more research is needed to develop mitigators to improve outcomes in nuclear catastrophes. Long-term, low-dose occupational radiation may increase lung cancer risk. More research to better define this risk could lead to improved safety protocols and screening programs.

  19. Miracle drug, poison, or placebo: patients' experiences with antidepressant medications as described in postings on an online message board.

    PubMed

    Montagne, Michael

    2011-01-01

    Messages posted on the MSN Health message board in response to a news story reporting that antidepressant medications are placebos were examined. Over 37 days, 1,624 messages were posted by 1,238 unique authors. The sampling unit consisted of 960 authors who were users. Users' messages were gathered in real time and content analyzed. Few users explicitly responded to the question posed in the article: 2.5% of the users stated their antidepressant was a miracle drug, 2.0% stated it was a poison, and only 0.2% stated it was a placebo. Users reported positive experiences with antidepressants more than twice as often as they reported negative experiences. Copyright © 2011 Informa Healthcare USA, Inc.

  20. State Gun Law Environment and Youth Gun Carrying in the United States.

    PubMed

    Xuan, Ziming; Hemenway, David

    2015-11-01

    Gun violence and injuries pose a substantial threat to children and youth in the United States. Existing evidence points to the need for interventions and policies for keeping guns out of the hands of children and youth. (1) To examine the association between state gun law environment and youth gun carrying in the United States, and (2) to determine whether adult gun ownership mediates this association. This was a repeated cross-sectional observational study design with 3 years of data on youth gun carrying from US states. The Youth Risk Behavior Survey comprises data of representative samples of students in grades 9 to 12 from biennial years of 2007, 2009, and 2011. We hypothesized that states with more restrictive gun laws have lower rates of youth gun carrying, and this association is mediated by adult gun ownership. State gun law environment as measured by state gun law score. Youth gun carrying was defined as having carried a gun on at least 1 day during the 30 days before the survey. In the fully adjusted model, a 10-point increase in the state gun law score, which represented a more restrictive gun law environment, was associated with a 9% decrease in the odds of youth gun carrying (adjusted odds ratio [AOR], 0.91 [95% CI, 0.86-0.96]). Adult gun ownership mediated the association between state gun law score and youth gun carrying (AOR, 0.94 [ 95% CI, 0.86-1.01], with 29% attenuation of the regression coefficient from -0.09 to -0.07 based on bootstrap resampling). More restrictive overall gun control policies are associated with a reduced likelihood of youth gun carrying. These findings are relevant to gun policy debates about the critical importance of strengthening overall gun law environment to prevent youth gun carrying.

  1. Using radar to advance migratory bird management: An interagency collaboration

    USGS Publications Warehouse

    Sojda, R.; Ruth, J.M.; Barrow, W.C.; Dawson, D.K.; Diehl, R.H.; Manville, A.; Green, M.T.; Krueper, D.J.; Johnston, S.

    2005-01-01

    Migratory birds face many changes to the landscapes they traverse and the habitats they use. Wind turbines and communications towers, which pose hazards to birds and bats in flight, are being erected across the United States and offshore. Human activities can also destroy or threaten habitats critical to birds during migratory passage, and climate change appears to be altering migratory patterns. The U.S. Fish and Wildlife Service (USFWS) and other agencies are under increasing pressure to identify and evaluate movement patterns and habitats used during migration and other times.

  2. FMDP reactor alternative summary report. Volume 1 - existing LWR alternative

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

    Greene, S.R.; Bevard, B.B.

    1996-10-07

    Significant quantities of weapons-usable fissile materials [primarily plutonium and highly enriched uranium (HEU)] are becoming surplus to national defense needs in both the United States and Russia. These stocks of fissile materials pose significant dangers to national and international security. The dangers exist not only in the potential proliferation of nuclear weapons but also in the potential for environmental, safety, and health (ES&H) consequences if surplus fissile materials are not properly managed. This document summarizes the results of analysis concerned with existing light water reactor plutonium disposition alternatives.

  3. Advanced National Seismic System—Current status, development opportunities, and priorities for 2017–2027

    USGS Publications Warehouse

    ,

    2017-05-25

    SummaryEarthquakes pose a threat to the safety of over 143 million people living in the United States. Earthquake impacts can be significantly reduced if communities understand their risk and take proactive steps to mitigate that risk. The Advanced National Seismic System (ANSS) is a cooperative effort to collect and analyze seismic and geodetic data on earthquakes, issue timely and reliable notifications of their occurrence and impacts, and provide data for earthquake research and the hazard and risk assessments that are the foundation for creating an earthquakeresilient nation.

  4. STS-95 in-flight crew portrait

    NASA Image and Video Library

    1998-11-16

    STS095-328-031 (29 Oct.-7 Nov. 1998) --- With their feet anchored in the hatchway, the seven STS-95 crew members pose for their traditional in-flight crew portrait. Astronaut Curtis L. Brown Jr., commander, appears at right center in the pyramid. Others, clockwise from there, are Steven W. Lindsey, pilot; Stephen K. Robinson, mission specialist; Pedro Duque, mission specialist representing the European Space Agency (ESA); payload specialist Chiaki Naito-Mukai, who represents Japan's National Space Development Agency (NASDA); Scott E. Parazynski, mission specialist; and United States Senator John H. Glenn Jr. (D.-Ohio), payload specialist.

  5. Coxiella burnetii, the agent of Q fever, in domestic sheep flocks from Wyoming, United States.

    PubMed

    Loftis, Amanda D; Reeves, Will K; Miller, Myrna M; Massung, Robert F

    2012-03-01

    Coxiella burnetii, the agent of Q fever, is an intracellular bacterial pathogen. It has a nearly cosmopolitan distribution. We conducted a serological survey of domestic sheep herds for infections with C. burnetii in Wyoming following reports of abortion and open ewes. Based on the serologic evidence, there was no link between reproductive problems and exposure to C. burnetii. However, the overall prevalence of C. burnetii in WY sheep was 7%, which indicates that the agent is present in the environment and could pose a threat to public health.

  6. Rabies in a Dog Imported from Egypt with a Falsified Rabies Vaccination Certificate--Virginia, 2015.

    PubMed

    Sinclair, Julie R; Wallace, Ryan M; Gruszynski, Karen; Freeman, Marilyn Bibbs; Campbell, Colin; Semple, Shereen; Innes, Kristin; Slavinski, Sally; Palumbo, Gabriel; Bair-Brake, Heather; Orciari, Lillian; Condori, Rene E; Langer, Adam; Carroll, Darin S; Murphy, Julia

    2015-12-18

    Canine rabies virus variant has been eliminated in the United States and multiple other countries. Globally, however, dogs remain the principal source for human rabies infections. The World Health Organization recommends that when dogs cross international borders, national importing authorities should require an international veterinary certificate attesting that the animal did not show signs of rabies at the time of shipment, was permanently identified, vaccinated, or revaccinated, and had been subjected to a serologic test for rabies before shipment. On June 8, 2015, an adult female dog that had recently been picked up from the streets of Cairo, Egypt, and shipped by a U.S. animal rescue organization to the United States was confirmed to have rabies by the Virginia Department of General Services Division of Consolidated Laboratory Services (DCLS). This dog was part of a large shipment of dogs and cats from Egypt that rescue organizations had distributed to multiple states for adoption. During the investigation, public health officials learned that the rabies vaccination certificate used for entry of the rabid dog into the United States had intentionally been falsified to avoid exclusion of the dog from entry under CDC's current dog importation regulations. This report underscores the ongoing risk posed by U.S. importation of domestic animals that have not been adequately vaccinated against rabies.

  7. Trade Agreements and Direct-to-Consumer Advertising of Pharmaceuticals.

    PubMed

    Gleeson, Deborah; Menkes, David B

    2017-10-16

    There is growing international concern about the risks posed by direct-to-consumer advertising (DTCA) of prescription pharmaceuticals, including via the internet. Recent trade agreements negotiated by the United States, however, incorporate provisions that may constrain national regulation of DTCA. Some provisions explicitly mention DTCA; others enable foreign investors to seek compensation if new regulations are seen to harm their investments. These provisions may thus prevent countries from restricting DTCA or put them at risk of expensive legal action from companies seeking damages due to restrictions on advertising. While the most recent example, the Trans-Pacific Partnership Agreement (TPP), collapsed following US withdrawal in January 2017, early indications of the Trump Administration's trade policy agenda signal an even more aggressive approach on the part of the United States in negotiating advantages for American businesses. Furthermore, the eleven remaining TPP countries may decide to proceed with the agreement in the absence of the United States, with most of the original text (including the provisions relevant to DTCA) intact. © 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  8. Predictive Management of Asian Carps in the Upper Mississippi River System

    USGS Publications Warehouse

    Vondracek, Bruce C.; Carlson, Andrew K.

    2014-01-01

    Prolific non-native organisms pose serious threats to ecosystems and economies worldwide. Nonnative bighead carp (Hypophthalmichthys nobilis) and silver carp (H. molitrix), collectively referred to as Asian carps, continue to colonize aquatic ecosystems throughout the central United States. These species are r-selected, exhibiting iteroparous spawning, rapid growth, broad environmental tolerance, high density, and long-distance movement. Hydrological, thermal, and physicochemical conditions are favorable for establishment beyond the current range, rendering containment and control imperative. Ecological approaches to confine Asian carp populations and prevent colonization characterize contemporary management in the United States. Foraging and reproduction of Asian carps govern habitat selection and movement, providing valuable insight for predictive control. Current management approaches are progressive and often anticipatory but deficient in human dimensions. We define predictive management of Asian carps as synthesis of ecology and human dimensions at regional and local scales to develop strategies for containment and control. We illustrate predictive management in the Upper Mississippi River System and suggest resource managers integrate predictive models, containment paradigms, and human dimensions to design effective, socially acceptable management strategies. Through continued research, university-agency collaboration, and public engagement, predictive management of Asian carps is an auspicious paradigm for preventing and alleviating consequences of colonization in the United States.

  9. Blood component recalls in the United States.

    PubMed

    Ramsey, G; Sherman, L A

    1999-05-01

    United States blood suppliers are required to recall marketed blood components later found to be in violation of Food and Drug Administration (FDA) regulations for safety, purity, and potency. Many recalled units have already been transfused. Analysis of the frequency and nature of blood component recalls would be useful for blood suppliers, transfusion services, and physicians. Each blood component recall in the weekly FDA Enforcement Report from 1990 through 1997 was examined for the number of units, recall reason, and hazard class. Units for manufacturing were excluded. In 8 years, an estimated 241,800 blood components were recalled, or approximately 1 in 700 units available to US hospitals. Eighty-eight percent of recalled units were in 22 large recalls of over 1000 units each. The most common reasons were incorrect testing for syphilis (57% of units) or viral markers (19%), reactive or previously reactive donor viral markers (6-11%), and inadequate donor-history screening (4%). Twelve units were in the FDA's highest hazard Class I, 24 percent were in Class II, and 76 percent were in Class III. Over 43,900 units had HIV-related problems, but only 3 units involved HIV transmission. Large recalls have declined since peaking in 1995, but units in small recalls increased 116 percent in 1997 over the previous 7-year average. Although high-risk recalls are rare, many blood component recalls pose medical concerns for physicians and patients. The recent decline in large recalls may be due to increased FDA oversight, stricter accreditation standards for quality improvement, and more centralized donor testing in large specialized laboratories. However, smaller recalls, which involve nearly all blood suppliers, were sharply higher in 1997.

  10. Key Data Gaps Regarding the Public Health Issues Associated with Opioid Analgesics

    PubMed Central

    Schmidt, Teresa D.; Haddox, J. David; Nielsen, Alexandra E.; Wakeland, Wayne; Fitzgerald, John

    2014-01-01

    Most pharmaceutical opioids are used to treat pain and they have been demonstrated to be effective medications for many. Their abuse and misuse pose significant public health concerns in the United States. Research has provided much insight into the prevalence, scope, and drivers of opioid abuse, but a holistic understanding is limited by a lack of available data regarding key aspects of this public health problem. Twelve data gaps were revealed during the creation of a systems-level computer model of medical use, diversion, nonmedical use, and the adverse outcomes associated with opioid analgesics in the United States. Data specific to these gaps would enhance the validity and real-world applications of systems-level models of this public health problem, and would increase understanding of the complex system in which use and abuse occur. This paper provides an overview of these gaps, argues for the importance of closing them, and provides specific recommendations for future data collection efforts. PMID:24554390

  11. Policies of containment: immigration in the era of AIDS.

    PubMed Central

    Fairchild, A L; Tynan, E A

    1994-01-01

    The US Public Health Service began the medical examination of immigrants at US ports in 1891. By 1924, national origin had become a means to justify broad-based exclusion of immigrants after Congress passed legislation restricting immigration from southern and eastern European countries. This legislation was passed based on the alleged genetic inferiority of southern and eastern Europeans. Since 1987, the United States has prohibited the entrance of immigrants infected with the human immunodeficiency virus (HIV). On the surface, a policy of excluding individuals with an inevitably fatal "communicable disease of public health significance" rests solidly in the tradition of protecting public health. But excluding immigrants with HIV is also a policy that, in practice, resembles the 1924 tradition of selective racial restriction of immigrants from "dangerous nations." Since the early 1980s, the United States has erected barriers against immigrants from particular Caribbean and African nations, whose citizens were thought to pose a threat of infecting the US blood supply with HIV. Images p2012-a p2014-a PMID:7998650

  12. The quality of our Nation's waters: Water quality in principal aquifers of the United States, 1991-2010

    USGS Publications Warehouse

    DeSimone, Leslie A.; McMahon, Peter B.; Rosen, Michael R.

    2015-01-01

    About 130 million people in the United States rely on groundwater for drinking water, and the need for high-quality drinking-water supplies becomes more urgent as our population grows. Although groundwater is a safe, reliable source of drinking water for millions of people nationwide, high concentrations of some chemical constituents can pose potential human-health concerns. Some of these contaminants come from the rocks and sediments of the aquifers themselves, and others are chemicals that we use in agriculture, industry, and day-to-day life. When groundwater supplies are contaminated, millions of dollars can be required for treatment so that the supplies can be usable. Contaminants in groundwater can also affect the health of our streams and valuable coastal waters. By knowing where contaminants occur in groundwater, what factors control contaminant concentrations, and what kinds of changes in groundwater quality might be expected in the future, we can ensure the availability and quality of this vital natural resource in the future.

  13. The Department of Defense critical technologies plan for the Committees on Armed Services United States Congress

    NASA Astrophysics Data System (ADS)

    Young, Leo

    1990-03-01

    The second Annual Defense Critical Technologies Plan responds to the requirement that the Secretary of Defense submit to the Committees on Armed Services of the Senate and House of Representatives an annual plan for developing the technologies considered by the Secretary of Defense and the Secretary of Energy to be the technologies most critical to ensuring the long term qualitative superiority of the United States weapon systems. Twenty critical technologies are selected. The selection process is described, criteria for selection are set forth, and industrial and international assessments are summarized. The major portion of this report is contained in 20 sections in Appendix A, one section for each critical technology. Each section addresses the questions posed by Congress on funding, plans and milestones, industrial base and manufacturing issues, and the competitiveness of U.S. industry; it also provides an assessment of the positions of the Soviet Union, NATO, Japan and other industrialized countries in niche technologies within each critical technology.

  14. Head and neck surgical subspecialty training in Africa: Sustainable models to improve cancer care in developing countries.

    PubMed

    Fagan, Johannes J; Zafereo, Mark; Aswani, Joyce; Netterville, James L; Koch, Wayne

    2017-03-01

    Cancer poses a health crisis in the developing world where surgery is the mainstay of treatment for head and neck cancers. However, a shortage of surgeons with appropriate skills exists. How do we train head and neck surgeons in developing countries and avoid a brain drain? The ideal model provides appropriate affordable training leading to establishment of head and neck cancer centers that teach and train others. Different head and neck surgery training models are presented based on the personal experiences of the authors. Surgical exposure of head and neck fellows in Cape Town and (potentially) in Nairobi is benchmarked against programs in the United States. Surgical exposure in Cape Town is equivalent to that in the United States, but more appropriate to a developing world setting. Training can be achieved in a number of ways, which may be complimentary. Fellowship training is possible in developing countries. © 2016 Wiley Periodicals, Inc. Head Neck 39: 605-611, 2017. © 2016 Wiley Periodicals, Inc.

  15. Pediatric Firework-Related Injuries Presenting to United States Emergency Departments, 1990-2014.

    PubMed

    Billock, Rachael M; Chounthirath, Thiphalak; Smith, Gary A

    2017-06-01

    This study characterizes the epidemiology of nonfatal pediatric firework-related injuries in the United States among children and adolescents by analyzing data from the National Electronic Injury Surveillance System from 1990 through 2014. During this 25-year period, an estimated 136 991 (95% CI = 113 574-160 408) children <20 years old were treated in US emergency departments for firework-related injuries. The annual injury rate decreased significantly by 30.4% during this period. Most of those injured were male (75.7%), mean patient age was 10.6 years, and 7.6% required hospital admission. The hands (30.0%) were the most commonly injured body region, followed by head and neck (22.2%), and eyes (21.5%). Sixty percent of injuries were burns. Injuries were most commonly associated with firecrackers (26.2%), aerial devices (16.3%), and sparklers (14.3%). Consumer fireworks pose a serious injury risk to pediatric users and bystanders, and families should be encouraged to attend public firework displays rather than use consumer fireworks.

  16. Barriers to children walking and biking to school--United States, 1999.

    PubMed

    2002-08-16

    Physical activity is an important part of a healthy lifestyle; however, many children in the United States do not meet recommended levels of physical activity. Although walking and biking to school can increase physical activity among children, motor-vehicle traffic and other factors can make these activities difficult. The majority of U.S. children do not walk or bike to school, approximately one third ride a school bus, and half are driven in a private vehicle. Less than one trip in seven is made by walking or biking. To examine why the majority of children do not walk or bike to school, CDC analyzed data from the national HealthStyles Survey. This report summarizes the results of that analysis, which indicate that long distances and dangerous motor-vehicle traffic pose the most common barriers to children walking and biking to school. Public health and community-based efforts that encourage walking and biking to school should address these barriers.

  17. The Legal Landscape of Concussion: Implications for Sports Medicine Providers.

    PubMed

    Albano, Andrew W; Senter, Carlin; Adler, Richard H; Herring, Stanley A; Asif, Irfan M

    2016-09-01

    Concussion legislation has been enacted in all 50 of the United States, aiming to prevent mild traumatic brain injuries and the potential long-term sequelae of these injuries in youth athletics. Sports medicine providers, in addressing this major public health concern, are tasked with adhering to the established standards of medical care while also considering the legal implications. The PubMed (2011-2016) database was searched using the following search terms: concussion, sports concussion, legislation, and concussion legislation. References from consensus statements, review articles, and book chapters were also utilized. Clinical review. Level 4. The Lystedt law and its progeny have increased awareness of the signs and symptoms of sports concussion, but adherence to state legislation can pose some challenges. The presence of concussion legislation places a responsibility on the sports medicine provider to have a firm understanding of the legality of concussion management in the state(s) in which they practice. © 2016 The Author(s).

  18. Pathways of fish invasions in the Mid-Atlantic region of the United States

    USGS Publications Warehouse

    Lapointe, Nicolas W. R.; Fuller, Pam; Neilson, Matthew; Murphy, Brian R.; Angermeier, Paul

    2016-01-01

    Non-native fish introductions are a major threat to biodiversity and fisheries, and occur through numerous pathways that vary regionally in importance. A key strategy for managing invasions is to focus prevention efforts on pathways posing the greatest risk of future introductions. We identified high-risk pathways for fish establishment in the Mid-Atlantic region of the United States based on estimates of probability of establishment and records of previous introductions, which were considered in the context of emerging socioeconomic trends. We used estimates of propagule pressure, species’ environmental tolerance, and size of species pool to assess the risk of establishment by pathway. Pathways varied considerably in historic importance and species composition, with the majority of species introduced intentionally via stocking (primarily for sport, forage, or biocontrol) or bait release. Bait release, private stocking, illegal introductions intended to establish reproducing populations (e.g., of sport fish), aquaculture, and the sale of live organisms all create risks for future invasions in the Mid-Atlantic region. Of these pathways, bait release probably poses the greatest risk of introductions for the Mid-Atlantic region because propagule pressure is moderate, most released species are tolerant of local environmental conditions, and the pool of species available for transplantation is large. Our findings differ considerably from studies in other regions (e.g., bait release is a dominant pathway in the Mid-Atlantic region, whereas illegal introduction of sport fish is dominant in the western US and aquarium releases are dominant in Florida), demonstrating the need for regional-scale assessments of, and management strategies for, introduction pathways.

  19. Comparative approaches to gentrification

    PubMed Central

    Phillips, Martin; Smith, Darren P

    2018-01-01

    The epistemologies and politics of comparative research are prominently debated within urban studies, with ‘comparative urbanism’ emerging as a contemporary lexicon of urban studies. The study of urban gentrification has, after some delay, come to engage with these debates, which can be seen to pose a major challenge to the very concept of gentrification. To date, similar debates or developments have not unfolded within the study of rural gentrification. This article seeks to address some of the challenges posed to gentrification studies through an examination of strategies of comparison and how they might be employed within a comparative study of rural gentrification. Drawing on Tilly (Big structures Large Processes Huge Comparisons. New York: Russell Sage), examples of four ‘strategies of comparison’ are identified within studies of urban and rural gentrification, before the paper explores how ‘geographies of the concept’ and ‘geographies of the phenomenon’ of rural gentrification in the United Kingdom, United States and France may be investigated using Latour’s (Pandora’s Hope. London: Harvard University Press) notion of ‘circulatory sociologies of translation’. The aim of our comparative discussion is to open up dialogues on the challenges of comparative studies that employ conceptions of gentrification and also to promote reflections of the metrocentricity of recent discussions of comparative research. PMID:29657708

  20. Comparative approaches to gentrification: Lessons from the rural.

    PubMed

    Phillips, Martin; Smith, Darren P

    2018-03-01

    The epistemologies and politics of comparative research are prominently debated within urban studies, with 'comparative urbanism' emerging as a contemporary lexicon of urban studies. The study of urban gentrification has, after some delay, come to engage with these debates, which can be seen to pose a major challenge to the very concept of gentrification. To date, similar debates or developments have not unfolded within the study of rural gentrification. This article seeks to address some of the challenges posed to gentrification studies through an examination of strategies of comparison and how they might be employed within a comparative study of rural gentrification. Drawing on Tilly ( Big structures Large Processes Huge Comparisons . New York: Russell Sage), examples of four 'strategies of comparison' are identified within studies of urban and rural gentrification, before the paper explores how 'geographies of the concept' and 'geographies of the phenomenon' of rural gentrification in the United Kingdom, United States and France may be investigated using Latour's ( Pandora's Hope . London: Harvard University Press) notion of 'circulatory sociologies of translation'. The aim of our comparative discussion is to open up dialogues on the challenges of comparative studies that employ conceptions of gentrification and also to promote reflections of the metrocentricity of recent discussions of comparative research.

  1. The Safe Drinking Water Act of 1974 and Its Role in Providing Access to Safe Drinking Water in the United States.

    PubMed

    Weinmeyer, Richard; Norling, Annalise; Kawarski, Margaret; Higgins, Estelle

    2017-10-01

    In 1974, President Gerald Ford signed into law the Safe Drinking Water Act, the first piece of legislation of its kind to provide a comprehensive regulatory framework for overseeing the nation's drinking water supply. The law has proven instrumental in setting standards for ensuring that the US population can access drinking water that is safe. However, the law delegates much of its monitoring requirements to states, creating, at times, a confusing and complicated system of standards that must be adhered to and enforced. Although it has proven valuable in the safety standards it specifies, the law's administration and enforcement poses tremendous challenges. © 2017 American Medical Association. All Rights Reserved.

  2. Spatial Distribution of Counties in the Continental United States with Records of Occurrence of Amblyomma americanum (Ixodida: Ixodidae)

    PubMed Central

    SPRINGER, YURI P.; EISEN, LARS; BEATI, LORENZA; JAMES, ANGELA M.; EISEN, REBECCA J.

    2015-01-01

    In addition to being a major nuisance biter, the lone star tick, Amblyomma americanum (L.), is increasingly recognized as an important vector of pathogens affecting humans, domestic animals, and wildlife. Despite its notoriety, efforts have been lacking to define the spatial occurrence of A. americanum in the continental United States with precision beyond that conveyed in continental-scale distribution maps. Here we present a county-level distribution map for A. americanum generated by compiling collection records obtained from a search of the published literature and databases managed by the USDA, U.S. National Tick Collection, and Walter Reed Biosystematics Unit. Our decadal and cumulative maps, which visually summarize 18,121 collections made between 1898 and 2012, show that A. americanum is either established (≥six ticks or ≥two life stages) or reported (

  3. Benefits of mercury controls for the United States.

    PubMed

    Giang, Amanda; Selin, Noelle E

    2016-01-12

    Mercury pollution poses risks for both human and ecosystem health. As a consequence, controlling mercury pollution has become a policy goal on both global and national scales. We developed an assessment method linking global-scale atmospheric chemical transport modeling to regional-scale economic modeling to consistently evaluate the potential benefits to the United States of global (UN Minamata Convention on Mercury) and domestic [Mercury and Air Toxics Standards (MATS)] policies, framed as economic gains from avoiding mercury-related adverse health endpoints. This method attempts to trace the policies-to-impacts path while taking into account uncertainties and knowledge gaps with policy-appropriate bounding assumptions. We project that cumulative lifetime benefits from the Minamata Convention for individuals affected by 2050 are $339 billion (2005 USD), with a range from $1.4 billion to $575 billion in our sensitivity scenarios. Cumulative economy-wide benefits to the United States, realized by 2050, are $104 billion, with a range from $6 million to $171 billion. Projected Minamata benefits are more than twice those projected from the domestic policy. This relative benefit is robust to several uncertainties and variabilities, with the ratio of benefits (Minamata/MATS) ranging from ≈1.4 to 3. However, we find that for those consuming locally caught freshwater fish from the United States, rather than marine and estuarine fish from the global market, benefits are larger from US than global action, suggesting domestic policies are important for protecting these populations. Per megagram of prevented emissions, our domestic policy scenario results in US benefits about an order of magnitude higher than from our global scenario, further highlighting the importance of domestic action.

  4. Anti-Counterfeiting

    NASA Astrophysics Data System (ADS)

    Tuyls, Pim; Guajardo, Jorge; Batina, Lejla; Kerins, Tim

    Counterfeiting of goods is becoming a very huge problem for our society. It not only has a global economic impact, but it also poses a serious threat to our global safety and health. Currently, global economic damage across all industries due to the counterfeiting of goods is estimated at over 600 billion annually [2]. In the United States, seizure of counterfeit goods has tripled in the last 5 years, and in Europe, over 100 million pirated and counterfeit goods were seized in 2004. Fake products cost businesses in the United Kingdom approximately 17 billion [2]. In India, 15% of fast-moving consumer goods and 38% of auto parts are counterfeit. Other industries in which many goods are being counterfeit are the toy industry, content and software, cosmetics, publishing, food and beverages, tobacco, apparel, sports goods, cards, and so forth.

  5. A pose estimation method for unmanned ground vehicles in GPS denied environments

    NASA Astrophysics Data System (ADS)

    Tamjidi, Amirhossein; Ye, Cang

    2012-06-01

    This paper presents a pose estimation method based on the 1-Point RANSAC EKF (Extended Kalman Filter) framework. The method fuses the depth data from a LIDAR and the visual data from a monocular camera to estimate the pose of a Unmanned Ground Vehicle (UGV) in a GPS denied environment. Its estimation framework continuy updates the vehicle's 6D pose state and temporary estimates of the extracted visual features' 3D positions. In contrast to the conventional EKF-SLAM (Simultaneous Localization And Mapping) frameworks, the proposed method discards feature estimates from the extended state vector once they are no longer observed for several steps. As a result, the extended state vector always maintains a reasonable size that is suitable for online calculation. The fusion of laser and visual data is performed both in the feature initialization part of the EKF-SLAM process and in the motion prediction stage. A RANSAC pose calculation procedure is devised to produce pose estimate for the motion model. The proposed method has been successfully tested on the Ford campus's LIDAR-Vision dataset. The results are compared with the ground truth data of the dataset and the estimation error is ~1.9% of the path length.

  6. Volcano hazards program in the United States

    USGS Publications Warehouse

    Tilling, R.I.; Bailey, R.A.

    1985-01-01

    Volcano monitoring and volcanic-hazards studies have received greatly increased attention in the United States in the past few years. Before 1980, the Volcanic Hazards Program was primarily focused on the active volcanoes of Kilauea and Mauna Loa, Hawaii, which have been monitored continuously since 1912 by the Hawaiian Volcano Observatory. After the reawakening and catastrophic eruption of Mount St. Helens in 1980, the program was substantially expanded as the government and general public became aware of the potential for eruptions and associated hazards within the conterminous United States. Integrated components of the expanded program include: volcanic-hazards assessment; volcano monitoring; fundamental research; and, in concert with federal, state, and local authorities, emergency-response planning. In 1980 the David A. Johnston Cascades Volcano Observatory was established in Vancouver, Washington, to systematically monitor the continuing activity of Mount St. Helens, and to acquire baseline data for monitoring the other, presently quiescent, but potentially dangerous Cascade volcanoes in the Pacific Northwest. Since June 1980, all of the eruptions of Mount St. Helens have been predicted successfully on the basis of seismic and geodetic monitoring. The largest volcanic eruptions, but the least probable statistically, that pose a threat to western conterminous United States are those from the large Pleistocene-Holocene volcanic systems, such as Long Valley caldera (California) and Yellowstone caldera (Wyoming), which are underlain by large magma chambers still potentially capable of producing catastrophic caldera-forming eruptions. In order to become better prepared for possible future hazards associated with such historically unpecedented events, detailed studies of these, and similar, large volcanic systems should be intensified to gain better insight into caldera-forming processes and to recognize, if possible, the precursors of caldera-forming eruptions. ?? 1985.

  7. Estimation of Antenna Pose in the Earth Frame Using Camera and IMU Data from Mobile Phones

    PubMed Central

    Wang, Zhen; Jin, Bingwen; Geng, Weidong

    2017-01-01

    The poses of base station antennas play an important role in cellular network optimization. Existing methods of pose estimation are based on physical measurements performed either by tower climbers or using additional sensors attached to antennas. In this paper, we present a novel non-contact method of antenna pose measurement based on multi-view images of the antenna and inertial measurement unit (IMU) data captured by a mobile phone. Given a known 3D model of the antenna, we first estimate the antenna pose relative to the phone camera from the multi-view images and then employ the corresponding IMU data to transform the pose from the camera coordinate frame into the Earth coordinate frame. To enhance the resulting accuracy, we improve existing camera-IMU calibration models by introducing additional degrees of freedom between the IMU sensors and defining a new error metric based on both the downtilt and azimuth angles, instead of a unified rotational error metric, to refine the calibration. In comparison with existing camera-IMU calibration methods, our method achieves an improvement in azimuth accuracy of approximately 1.0 degree on average while maintaining the same level of downtilt accuracy. For the pose estimation in the camera coordinate frame, we propose an automatic method of initializing the optimization solver and generating bounding constraints on the resulting pose to achieve better accuracy. With this initialization, state-of-the-art visual pose estimation methods yield satisfactory results in more than 75% of cases when plugged into our pipeline, and our solution, which takes advantage of the constraints, achieves even lower estimation errors on the downtilt and azimuth angles, both on average (0.13 and 0.3 degrees lower, respectively) and in the worst case (0.15 and 7.3 degrees lower, respectively), according to an evaluation conducted on a dataset consisting of 65 groups of data. We show that both of our enhancements contribute to the performance improvement offered by the proposed estimation pipeline, which achieves downtilt and azimuth accuracies of respectively 0.47 and 5.6 degrees on average and 1.38 and 12.0 degrees in the worst case, thereby satisfying the accuracy requirements for network optimization in the telecommunication industry. PMID:28397765

  8. STS-87 crew pose in front of the orbiter Columbia after landing

    NASA Technical Reports Server (NTRS)

    1997-01-01

    The STS-87 crew pose in front of the orbiter Columbia shortly after landing on Runway 33 at KSC's Shuttle Landing Facility. STS-87 concluded its mission with a main gear touchdown at 7:20:04 a.m. EST Dec. 5, drawing the 15-day, 16-hour and 34- minute-long mission of 6.5 million miles to a close. From left to right are Mission Specialists Winston Scott and Takao Doi, Ph.D., of the National Space Development Agency of Japan; Commander Kevin Kregel; Payload Specialist Leonid Kadenyuk of the National Space Agency of Ukraine; Mission Specialist Kalpana Chawla, Ph.D.; and Pilot Steven Lindsey. During the 88th Space Shuttle mission, the crew performed experiments on the United States Microgravity Payload-4 and pollinated plants as part of the Collaborative Ukrainian Experiment. This was the 12th landing for Columbia at KSC and the 41st KSC landing in the history of the Space Shuttle program.

  9. Preliminary Recommendations for the Collection, Storage, and Analysis of UAS Safety Data

    NASA Technical Reports Server (NTRS)

    Enomoto, Francis; Bushnell, David; Denney, Ewen; Pai, Ganesh; Schumann, Johann

    2013-01-01

    Although the use of UASs in military and public service operations is proliferating, civilian use of UASs remains limited in the United States today. With efforts underway to accommodate and integrate UASs into the NAS, a proactive understanding of safety issues, i.e., the unique hazards and the corresponding risks that UASs pose not only through their operations for commercial purposes, but also to existing operations in the NAS, is especially important so as to (a) support the development of a sound regulatory basis, (b) regulate, design and properly equip UASs, and (c) effectively mitigate the risks posed. Data, especially about system and component failures, incidents, and accidents, provides valuable insight into how performance and operational capabilities/limitations contribute to hazards. Since the majority of UAS operations today take place in a context that is significantly different from the norm in civil aviation, i.e., with different operational goals and standards, identifying that which constitutes useful and sufficient data on UASs and their operations is a substantial research challenge.

  10. Hg-contaminated terrestrial spiders pose a potential risk to songbirds at Caddo Lake (Texas/Louisiana, USA).

    PubMed

    Gann, Gretchen L; Powell, Cleveland H; Chumchal, Matthew M; Drenner, Ray W

    2015-02-01

    Methylmercury (MeHg) is an environmental contaminant that can have adverse effects on wildlife. Because MeHg is produced by bacteria in aquatic ecosystems, studies of MeHg contamination of food webs historically have focused on aquatic organisms. However, recent studies have shown that terrestrial organisms such as songbirds can be contaminated with MeHg by feeding on MeHg-contaminated spiders. In the present study, the authors examined the risk that MeHg-contaminated terrestrial long-jawed orb weaver spiders (Tetragnatha sp.) pose to songbirds at Caddo Lake (Texas/Louisiana, USA). Methylmercury concentrations in spiders were significantly different in river, wetland, and open-water habitats. The authors calculated spider-based wildlife values (the minimum spider MeHg concentrations causing physiologically significant doses in consumers) to assess exposure risks for arachnivorous birds. Methylmercury concentrations in spiders exceeded wildlife values for Carolina chickadee (Poecile carolinensis) nestlings, with the highest risk in the river habitat. The present study indicates that MeHg concentrations in terrestrial spiders vary with habitat and can pose a threat to small-bodied nestling birds that consume large amounts of spiders at Caddo Lake. This MeHg threat to songbirds may not be unique to Caddo Lake and may extend throughout the southeastern United States. © 2014 SETAC.

  11. Volcanic ash - danger to aircraft in the north Pacific

    USGS Publications Warehouse

    Neal, Christina A.; Casadevall, Thomas J.; Miller, Thomas P.; Hendley, James W.; Stauffer, Peter H.

    1997-01-01

    The world's busy air traffic corridors pass over hundreds of volcanoes capable of sudden, explosive eruptions. In the United States alone, aircraft carry many thousands of passengers and millions of dollars of cargo over volcanoes each day. Volcanic ash can be a serious hazard to aviation even thousands of miles from an eruption. Airborne ash can diminish visibility, damage flight control systems, and cause jet engines to fail. USGS and other scientists with the Alaska Volcano Observatory are playing a leading role in the international effort to reduce the risk posed to aircraft by volcanic eruptions.

  12. From Public to Private Care The Historical Trajectory of Medical Services in a New York City Jail

    PubMed Central

    2009-01-01

    Over the past 25 years, incarceration rates in the United States have more than tripled. Providing health care services for this growing number of inmates poses immense medical and public health challenges. Focusing on the administrative and financial shifts in health care delivery, I examined the history of medical services in one of the nation's largest correctional facilities, Rikers Island in New York City. Over time, medical services at Rikers have become increasingly privatized. This trend toward privatization is mirrored nationwide and coincides with the rising prevalence of incarceration. PMID:19372534

  13. The informatics of health care reform.

    PubMed Central

    Masys, D R

    1996-01-01

    Health care in the United States has entered a period of economic upheaval. Episodic, fee-for-service care financed by indemnity insurance is being replaced by managed care financed by fixed-price, capitated health plans. The resulting focus on reducing costs, especially in areas where there is competition fueled by oversupply of health services providers and facilities, poses new threats to the livelihood of medical libraries and medical librarians but also offers new opportunities. Internet services, consumer health education, and health services research will grow in importance, and organizational mergers will provide librarians with opportunities to assume new roles within their organizations. PMID:8938325

  14. The role of the Department of Homeland Security, Science and Technology Directorate in the development of vaccines and diagnostics for Transboundary Animal Diseases.

    PubMed

    Colby, M; Coats, M; Brake, D; Fine, J

    2013-01-01

    The development of countermeasures to support an effective response to Transboundary Animal Diseases (TAD) poses a challenge on a global scale and necessitates the coordinated involvement of scientists from government, industry and academia, as well as regulatory entities. The Agricultural Defense Branch under the Chemical and Biological Defense Division (CBD) of the Department of Homeland Security (DHS), Science and Technology Directorate (S&T) supports this important mission within the United States. This article provides an overview of the Agricultural Defense Branch's vaccine and diagnostic TAD project.

  15. Increasing fine particulate air pollution in China and the potential use of exposure and biomarker data in disease prevention.

    PubMed

    Wendt, Chris H; Ramachandran, Gurumurthy; Lo, Charles; Hertz, Marshall; Mandel, Jeffrey H

    2015-03-16

    Increased industrialization and urbanization have led to marked increases in air pollutants in China over the last decade. Pollutant levels in the north and eastern regions are often four times higher than current daily levels in the United States. Recent reports indicate a higher incidence of lung cancer and mortality in men and urban dwellers, but the contribution of air pollution to these findings remains unknown. Future studies that define individual exposures, combined with biomarkers linked to disease, will be essential to the understanding of risk posed by air pollution in China.

  16. Obesity, fast food manufacture, and regulation: revisiting opportunities for reform.

    PubMed

    Ahmed, Haitham M

    2009-01-01

    Regulations have historically been able to shape public behavior in various ways. As poor dietary practices and obesity continue to pose major health and economic threats to society, attention will continue to be directed towards the ethical and legal responsibilities of fast food manufacturers as potential contributors to these problems. In light of these considerations, several opportunities emerge that may impact dietary behavior and obesity through regulation of the fast food industry. This article addresses the health consequences of fast food consumption, as well as the historical and legal contexts of fast food regulation in the United States.

  17. From public to private care the historical trajectory of medical services in a New York city jail.

    PubMed

    Shalev, Noga

    2009-06-01

    Over the past 25 years, incarceration rates in the United States have more than tripled. Providing health care services for this growing number of inmates poses immense medical and public health challenges. Focusing on the administrative and financial shifts in health care delivery, I examined the history of medical services in one of the nation's largest correctional facilities, Rikers Island in New York City. Over time, medical services at Rikers have become increasingly privatized. This trend toward privatization is mirrored nationwide and coincides with the rising prevalence of incarceration.

  18. The Relationship Between Neighborhood Criminal Behavior and Oxford Houses

    PubMed Central

    Deaner, Jeffrey; Jason, Leonard A.; Aase, Darrin M.; Mueller, David G.

    2013-01-01

    The present study investigated crime rates in areas surrounding 42 Oxford Houses and 42 control houses in a large city in the Northwestern United States. A city-run Global Information Systems’ (GIS) website was used to gather crime data including assault, arson, burglary, larceny, robbery, sexual assault, homicide, and vehicle theft over a calendar year. Findings indicated that there were no significant differences between the crime rates around Oxford Houses and the control houses. These results suggest that well-managed and governed recovery homes pose minimal risks to neighbors in terms of criminal behavior. PMID:23487588

  19. Recovery at Work: The Relationship Between Social Identity and Commitment Among Substance Abuse Counselors

    PubMed Central

    Curtis, Sara L.; Eby, Lillian T.

    2010-01-01

    The complex makeup of the substance abuse treatment workforce poses unique challenges to the field. One interesting dynamic is the high rate of counselors who are personally recovering from addictions. Based on social identity theory, it was expected that counselors working in the field of substance abuse treatment who are in recovery themselves will identify more with their profession and report higher professional and organizational commitment. Data from a study of substance abuse counselors from across the United States supports the proposed relationship between personal recovery status and professional commitment but not organizational commitment. PMID:20674241

  20. Community Campaigns, Supply Chains, and Protecting the Health and Well-Being of Workers

    PubMed Central

    Quinlan, Michael

    2009-01-01

    The growth of contingent work (also known as precarious employment), the informal sector, and business practices that diffuse employer responsibility for worker health and safety (such as outsourcing and the development of extended national and international contracting networks [supply chains]) pose a serious threat to occupational health and safety that disproportionately affects low-wage, ethnic minority, and immigrant workers. Drawing on cases from the United States and Australia, we examine the role that community-based campaigns can play in meeting these challenges, including several successful campaigns that incorporate supply chain regulation. PMID:19890154

  1. Community campaigns, supply chains, and protecting the health and well-being of workers.

    PubMed

    Quinlan, Michael; Sokas, Rosemary K

    2009-11-01

    The growth of contingent work (also known as precarious employment), the informal sector, and business practices that diffuse employer responsibility for worker health and safety (such as outsourcing and the development of extended national and international contracting networks [supply chains]) pose a serious threat to occupational health and safety that disproportionately affects low-wage, ethnic minority, and immigrant workers. Drawing on cases from the United States and Australia, we examine the role that community-based campaigns can play in meeting these challenges, including several successful campaigns that incorporate supply chain regulation.

  2. Members of the genus Burkholderia: good and bad guys

    PubMed Central

    Eberl, Leo; Vandamme, Peter

    2016-01-01

    In the 1990s several biocontrol agents on that contained Burkholderia strains were registered by the United States Environmental Protection Agency (EPA). After risk assessment these products were withdrawn from the market and a moratorium was placed on the registration of Burkholderia-containing products, as these strains may pose a risk to human health. However, over the past few years the number of novel Burkholderia species that exhibit plant-beneficial properties and are normally not isolated from infected patients has increased tremendously. In this commentary we wish to summarize recent efforts that aim at discerning pathogenic from beneficial Burkholderia strains. PMID:27303639

  3. Tackling U.S. energy challenges and opportunities: preliminary policy recommendations for enhancing energy innovation in the United States

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

    Anadon, Laura Diaz; Gallagher, Kelly Sims; Bunn, Matthew

    2009-02-18

    The report offers preliminary recommendations for near-term actions to strengthen the U.S. effort to develop and deploy advanced energy technologies. The report comes as the Obama Administration and the 111th U.S. Congress face enormous challenges and opportunities in tackling the pressing security, economic, and environmental problems posed by the energy sector. Improving the technologies of energy supply and end-use is a prerequisite for surmounting these challenges in a timely and cost-effective way, and this report elaborates on how policy can support develop of these important energy technologies.

  4. A looming public health crisis: the nursing shortage of today.

    PubMed

    Ross, Jacqueline

    2002-10-01

    The present and anticipated nursing shortage poses a public health concern. This is a unique shortage because nursing is encountering both an increased demand for nursing care and a lower supply of nurses available to deliver it. Nurses, known for patient advocacy, are ethically bound to provide competent, quality care. Currently, nurses comprise the largest group of health care providers in the United States. Through increased understanding of the current situation, the profession will be in a better position to advocate and promote nursing as a viable, attractive career. Copyright 2002 by American Society of PeriAnesthesia Nurses.

  5. Threats to US energy security: the challenge of Arab oil

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

    Phillips, J.

    1979-08-13

    Assured access to foreign oil supplies is a vital national interest of the United States which has been repeatedly jeopardized in the 1970s and one that will face additional critical challenges in the 1980s. This paper identifies and analyzes various threats to US energy security both in terms of their past use and future usability. Since the most ominous threat to US energy security is posed in connection with the Arab-Israeli conflict, the paper focuses on the Arab oil weapon, although the energy-security implications of the Iranian revolution are also assessed.

  6. Mechanistic modeling of insecticide risks to breeding birds in North American agroecosystems

    PubMed Central

    Garber, Kristina; Odenkirchen, Edward

    2017-01-01

    Insecticide usage in the United States is ubiquitous in urban, suburban, and rural environments. There is accumulating evidence that insecticides adversely affect non-target wildlife species, including birds, causing mortality, reproductive impairment, and indirect effects through loss of prey base, and the type and magnitude of such effects differs by chemical class, or mode of action. In evaluating data for an insecticide registration application and for registration review, scientists at the United States Environmental Protection Agency (USEPA) assess the fate of the insecticide and the risk the insecticide poses to the environment and non-target wildlife. Current USEPA risk assessments for pesticides generally rely on endpoints from laboratory based toxicity studies focused on groups of individuals and do not directly assess population-level endpoints. In this paper, we present a mechanistic model, which allows risk assessors to estimate the effects of insecticide exposure on the survival and seasonal productivity of birds known to forage in agricultural fields during their breeding season. This model relies on individual-based toxicity data and translates effects into endpoints meaningful at the population level (i.e., magnitude of mortality and reproductive impairment). The model was created from two existing USEPA avian risk assessment models, the Terrestrial Investigation Model (TIM v.3.0) and the Markov Chain Nest Productivity model (MCnest). The integrated TIM/MCnest model was used to assess the relative risk of 12 insecticides applied via aerial spray to control corn pests on a suite of 31 avian species known to forage in cornfields in agroecosystems of the Midwest, USA. We found extensive differences in risk to birds among insecticides, with chlorpyrifos and malathion (organophosphates) generally posing the greatest risk, and bifenthrin and λ-cyhalothrin (pyrethroids) posing the least risk. Comparative sensitivity analysis across the 31 species showed that ecological trait parameters related to the timing of breeding and reproductive output per nest attempt offered the greatest explanatory power for predicting the magnitude of risk. An important advantage of TIM/MCnest is that it allows risk assessors to rationally combine both acute (lethal) and chronic (reproductive) effects into a single unified measure of risk. PMID:28467479

  7. Mechanistic modeling of insecticide risks to breeding birds in North American agroecosystems.

    PubMed

    Etterson, Matthew; Garber, Kristina; Odenkirchen, Edward

    2017-01-01

    Insecticide usage in the United States is ubiquitous in urban, suburban, and rural environments. There is accumulating evidence that insecticides adversely affect non-target wildlife species, including birds, causing mortality, reproductive impairment, and indirect effects through loss of prey base, and the type and magnitude of such effects differs by chemical class, or mode of action. In evaluating data for an insecticide registration application and for registration review, scientists at the United States Environmental Protection Agency (USEPA) assess the fate of the insecticide and the risk the insecticide poses to the environment and non-target wildlife. Current USEPA risk assessments for pesticides generally rely on endpoints from laboratory based toxicity studies focused on groups of individuals and do not directly assess population-level endpoints. In this paper, we present a mechanistic model, which allows risk assessors to estimate the effects of insecticide exposure on the survival and seasonal productivity of birds known to forage in agricultural fields during their breeding season. This model relies on individual-based toxicity data and translates effects into endpoints meaningful at the population level (i.e., magnitude of mortality and reproductive impairment). The model was created from two existing USEPA avian risk assessment models, the Terrestrial Investigation Model (TIM v.3.0) and the Markov Chain Nest Productivity model (MCnest). The integrated TIM/MCnest model was used to assess the relative risk of 12 insecticides applied via aerial spray to control corn pests on a suite of 31 avian species known to forage in cornfields in agroecosystems of the Midwest, USA. We found extensive differences in risk to birds among insecticides, with chlorpyrifos and malathion (organophosphates) generally posing the greatest risk, and bifenthrin and λ-cyhalothrin (pyrethroids) posing the least risk. Comparative sensitivity analysis across the 31 species showed that ecological trait parameters related to the timing of breeding and reproductive output per nest attempt offered the greatest explanatory power for predicting the magnitude of risk. An important advantage of TIM/MCnest is that it allows risk assessors to rationally combine both acute (lethal) and chronic (reproductive) effects into a single unified measure of risk.

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

    PubMed Central

    2011-01-01

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

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

    PubMed

    Henrickson, Michael

    2011-01-01

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

  10. Should states and local governments regulate dietary supplements?

    PubMed

    Starr, Ranjani

    2016-01-01

    Federal regulation of dietary supplements in the United States is governed by the Dietary Supplement Health and Education Act of 1994. The law has been criticized as weak and ineffective. Alarming research has emerged demonstrating that supplements may be mislabelled, contaminated, adulterated with dangerous or unknown compounds, or sold at toxic doses. As a result, the health community has raised concerns about the safety and quality of dietary supplements. Increased federal oversight is an important avenue for improving supplement safety; however, states and local governments may also pursue strategies to strengthen the overall regulatory control of dietary supplements. States and local governments have substantial experience in regulating other products that pose a risk to public health, such as tobacco. Additionally, much has been learned about the tactics the tobacco industry has employed to protect its interests. Lessons learned may be applied to new regulatory efforts aimed at improving the safety of dietary supplements at the state and local levels. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  11. Social, political, and institutional setting: Water management problems of the Rio Grande

    USGS Publications Warehouse

    Douglas, A.J.

    2009-01-01

    This paper discusses various water management issues facing federal, state, and local agencies charged with managing the water resources of the Rio Grande River Basin and its major tributaries. The Rio Grande - 3,058 km (=1,900 mi) long - is the fourth longest river in the United States. The river's basin is 870,236 km2 (=336,000 mi2) and for roughly two-thirds of its length it forms the United States-Mexican border. It is a major recreational resource providing world class trout fishing near its headwaters in Colorado's San Juan Mountains and shoreline, angling, and boating opportunities near the Colorado-New Mexico border. The Rio Grande is the principal tourist attraction of Big Bend National Park and flows through downtown Albuquerque and El Paso. Many reaches are wide and broad, but almost all are relatively shallow and not navigable by commercial ships. Nevertheless, it is one of the most important renewable water resources of the southwestern United States and North America. The issue of the "manageability" of the river in the face of social forces and disparate administrative jurisdictions that adversely impact Rio Grande flows is a thread linking various sections of the paper together. The length of the river; the fact that major reaches lie in Colorado, New Mexico, and Texas; and its unique role as an international boundary pose complex management problems. The allocation status quo formed by the complex nexus of existing river laws make it difficult to reshape Rio Grande management. ?? 2009 ASCE.

  12. Pennies (Nickels and Dimes) from Heaven. Unit Plans.

    ERIC Educational Resources Information Center

    United States Mint (Dept. of Treasury), Washington, DC.

    This unit of study walks early elementary students through the basics of counting and using the smallest U.S. coin denominations (penny, nickel, and dime). The unit provides keywords; recommends subject areas and approximate length of time; poses an essential question or problem; provides a unit introduction; outlines five individual lessons ((1)…

  13. Creative Coin Combinations. Unit Plans.

    ERIC Educational Resources Information Center

    United States Mint (Dept. of Treasury), Washington, DC.

    This unit of study for grades K-2 focuses on counting coins and coin equivalencies up to 50 cents, making use of a literature connection. The unit provides key words; recommends subject areas and approximate length of time; poses an essential question or problem; provides a unit introduction; notes four individual lessons ((1) For Sale!; (2)…

  14. Understanding the Geographic Controls of Hazardous Convective Weather Environments in the United States

    NASA Astrophysics Data System (ADS)

    Reed, K. A.; Chavas, D. R.

    2017-12-01

    Hazardous Convective Weather (HCW), such as severe thunderstorms and tornadoes, poses significant risk to life and property in the United States every year. While these HCW events are small scale, they develop principally within favorable larger-scale environments (i.e., HCW environments). Why these large-scale environments are confined to specific regions, particularly the Eastern United States, is not well understood. This can, in part, be related to a limited fundamental knowledge of how the climate system creates HCW environment, which provides uncertainty in how HCW environments may be altered in a changing climate. Previous research has identified the Gulf of Mexico to the south and elevated terrain upstream as key geographic contributors to the generation of HCW environments over the Eastern United States. This work investigates the relative role of these geographic features through "component denial" experiments in the Community Atmosphere Model version 5 (CAM5). In particular, CAM5 simulations where topography is removed (globally and regionally) and/or the Gulf of Mexico is converted to land is compared to a CAM5 control simulation of current climate following the Atmospheric Model Intercomparison Project (AMIP) protocols. In addition to exploring differences in general characteristics of the large-scale environments amongst the experiments, HCW changes will be explored through a combination of high shear and high Convective Available Potential Energy (CAPE) environments. Preliminary work suggests that the removal of elevated terrain reduces the inland extent of HCW environments in the United States, but not the existence of these events altogether. This indicates that topography is crucial for inland HCW environments but perhaps not for their existence in general (e.g., near the Gulf of Mexico). This initial work is a crucial first step to building a reduced-complexity framework within CAM5 to quantify how land-ocean contrast and elevated terrain control HCW environments.

  15. Outpatient Antibiotic Use and the Need for Increased Antibiotic Stewardship Efforts.

    PubMed

    Zetts, Rachel M; Stoesz, Andrea; Smith, Brian A; Hyun, David Y

    2018-06-01

    Antibiotic-resistant infections pose a growing threat to public health. Antibiotic use, regardless of whether it is warranted, is a primary factor in the development of resistance. In the United States, the majority of antibiotic health care expenditures are due to prescribing in outpatient settings. Much of this prescribing is inappropriate, with research showing that at least 30% of antibiotic use in outpatient settings is unnecessary. In this State of the Art Review article, we provide an overview of the latest research on outpatient antibiotic prescribing practices in the United States. Although many of the researchers in these studies describe antibiotic prescribing across all patient age groups, we highlight prescribing in pediatric populations when data are available. We then describe the various factors that can influence a physician's prescribing decisions and drive inappropriate antibiotic use and the potential role of behavioral science in enhancing stewardship interventions to address these drivers. Finally, we highlight the role that a wide range of health care stakeholders can play in aiding the expansion of outpatient stewardship efforts that are needed to fully address the threat of antibiotic resistance. Copyright © 2018 by the American Academy of Pediatrics.

  16. Molecular Monte Carlo Simulations Using Graphics Processing Units: To Waste Recycle or Not?

    PubMed

    Kim, Jihan; Rodgers, Jocelyn M; Athènes, Manuel; Smit, Berend

    2011-10-11

    In the waste recycling Monte Carlo (WRMC) algorithm, (1) multiple trial states may be simultaneously generated and utilized during Monte Carlo moves to improve the statistical accuracy of the simulations, suggesting that such an algorithm may be well posed for implementation in parallel on graphics processing units (GPUs). In this paper, we implement two waste recycling Monte Carlo algorithms in CUDA (Compute Unified Device Architecture) using uniformly distributed random trial states and trial states based on displacement random-walk steps, and we test the methods on a methane-zeolite MFI framework system to evaluate their utility. We discuss the specific implementation details of the waste recycling GPU algorithm and compare the methods to other parallel algorithms optimized for the framework system. We analyze the relationship between the statistical accuracy of our simulations and the CUDA block size to determine the efficient allocation of the GPU hardware resources. We make comparisons between the GPU and the serial CPU Monte Carlo implementations to assess speedup over conventional microprocessors. Finally, we apply our optimized GPU algorithms to the important problem of determining free energy landscapes, in this case for molecular motion through the zeolite LTA.

  17. A Review of the Toxicity of Compounds Found in Herbal Dietary Supplements.

    PubMed

    Hudson, Amy; Lopez, Elizabeth; Almalki, Ahmad J; Roe, Amy L; Calderón, Angela I

    2018-07-01

    Use of herbal dietary supplements by the public is common and has been happening for centuries. In the United States, the Food and Drug Administration has a limited scope of regulation over marketed herbal dietary supplements, which may contain toxic botanical compounds that pose a public health risk. While the Food and Drug Administration has made efforts to prohibit the sale of unsafe herbal dietary supplements, numerous reports have proliferated of adverse events due to these supplements. This literature review investigates bioactive plant compounds commonly used in herbal dietary supplements and their relative toxicities. Using primarily the National Library of Medicine journal database and SciFinder for current reports, 47 toxic compounds in 55 species from 46 plant families were found to demonstrate harmful effects due to hepatic, cardiovascular, central nervous system, and digestive system toxicity. This review further contributes a novel and comprehensive view of toxicity across the botanical dietary market, and investigates the toxicity of the top ten botanical dietary supplements purchased in the United States of America to gauge the exposure risk of toxicity to the public. The criteria of measuring toxicity in this review (plant compound, family, quantity, and toxicity effects) across the entire market in the United States, with special attention to those supplements whose exposure to the consumer is maximal, provides a unique contribution to the investigation of botanical supplements. Georg Thieme Verlag KG Stuttgart · New York.

  18. A systematic review of the epidemiology of carbapenem-resistant Enterobacteriaceae in the United States.

    PubMed

    Livorsi, Daniel J; Chorazy, Margaret L; Schweizer, Marin L; Balkenende, Erin C; Blevins, Amy E; Nair, Rajeshwari; Samore, Matthew H; Nelson, Richard E; Khader, Karim; Perencevich, Eli N

    2018-01-01

    Carbapenem-resistant Enterobacteriaceae (CRE) pose an urgent public health threat in the United States. An important step in planning and monitoring a national response to CRE is understanding its epidemiology and associated outcomes. We conducted a systematic literature review of studies that investigated incidence and outcomes of CRE infection in the US. We performed searches in MEDLINE via Ovid, CDSR, DARE, CENTRAL, NHS EED, Scopus, and Web of Science for articles published from 1/1/2000 to 2/1/2016 about the incidence and outcomes of CRE at US sites. Five studies evaluated incidence, but many used differing definitions for cases. Across the entire US population, the reported incidence of CRE was 0.3-2.93 infections per 100,000 person-years. Infection rates were highest in long-term acute-care (LTAC) hospitals. There was insufficient data to assess trends in infection rates over time. Four studies evaluated outcomes. Mortality was higher in CRE patients in some but not all studies. While the incidence of CRE infections in the United States remains low on a national level, the incidence is highest in LTACs. Studies assessing outcomes in CRE-infected patients are limited in number, small in size, and have reached conflicting results. Future research should measure a variety of clinical outcomes and adequately adjust for confounders to better assess the full burden of CRE.

  19. The medicalization of obesity, bariatric surgery, and population health.

    PubMed

    Ortiz, Selena E; Kawachi, Ichiro; Boyce, Angie M

    2017-09-01

    This article examines how the medicalization of obesity validates the use of bariatric surgery to treat obesity in the United States and how expansions in access to bariatric surgery normalize surgical procedures as disease treatment and prevention tools. Building on this discussion, the article poses two questions for population health regarding health technology: (1) to what extent does bariatric surgery treat obesity in the United States while diverting attention away from the ultimate drivers of the epidemic and (2) to what extent does bariatric surgery improve outcomes for some groups in the US population while simultaneously generating disparities? We conduct a brief, historical analysis of the American Medical Association's decision to reclassify obesity as a disease through internal documents, peer-reviewed expert reports, and major media coverage. We use medicalization theory to show how this decision by the American Medical Association channels increased focus on obesity into the realm of medical intervention, particularly bariatric surgery, and use this evidence to review research trends on bariatric surgery. We propose research questions that investigate the population health dimensions of bariatric surgery in the United States and note key areas of future research. Our objective is to generate a discourse that considers bariatric surgery beyond the medical realm to better understand how technological interventions might work collectively with population-level obesity prevention efforts and how, in turn, population health approaches may improve bariatric surgery outcomes.

  20. It's Not Business, It's Personal: Implicit Religion in the Corporate Personhood Debate

    PubMed Central

    McClendon, David

    2016-01-01

    Debate surrounding the United States Supreme Court's 2010 decision in Citizens United v. FEC is ostensibly about the legal rights of corporations. However, I argue that the debate about corporate personhood is infused with religious concerns, rooted in the Protestant Reformation, about the proper identification of agentive subjects and the consequences of misidentification for human personhood. Focusing on the language used by opponents and defenders in the popular media, I show how both sides are animated by Protestant notions of human agency and share similar anxieties about the threats to that agency posed by abstract corporate or governmental entities. Attending to this fundamentally religious dimension not only improves our understanding of the moral stakes in the debate over corporations’ legal rights but it also illuminates the implicit religious underpinnings of American political discourse. PMID:27493585

  1. Multinational operations of US for-profit hospital chains: trends and implications.

    PubMed Central

    Berliner, H S; Regan, C

    1987-01-01

    The expansion of United States for-profit hospital chains into the international arena is a new and important development. Experiences with contract management of middle eastern hospitals in the early 1970s gave the American firms impetus to pursue ownership of health facilities in other parts of the world. US companies now operate over 95 foreign hospitals. The reasons for this involvement include the political receptivity of the government of the host nation; the potential for rapid growth and profits; the lack of indigenous competition; and the ability to occupy a distinct niche within the extant health services organization. The political and ideological implications of the growth of private medicine, particularly in the United Kingdom, in terms of its effects on the National Health Service are discussed. Questions for future research are posed. PMID:3631360

  2. A summary of information on the rust Puccinia psidii Winter (guava rust) with emphasis on means to prevent introduction of additional strains to Hawaii

    USGS Publications Warehouse

    Loope, Lloyd

    2010-01-01

    Hawaii Department of Agriculture has a clear mandate to protect Hawaii’s natural environment, forestry and cultivated Myrtaceae. Principles of the World Trade Organization’s Treaty on Sanitary and Phytosanitary Measures and the International Plant Protection Convention are consistent with the right of Hawaii to take action. The current threat of P. psidiiand the other five serious threats to Myrtaceae are primarily posed by the importation of infected plants from the continental United States; however, that may change in the future. If Hawaii were to decide to take a stand (through State regulation) to protect its native and introduced Myrtaceae, there is a possibility that USDA would consider Federal regulation of Myrtaceae from foreign countries.

  3. Molecular Characterizations of Surface Proteins Hemagglutinin and Neuraminidase from Recent H5Nx Avian Influenza Viruses.

    PubMed

    Yang, Hua; Carney, Paul J; Mishin, Vasiliy P; Guo, Zhu; Chang, Jessie C; Wentworth, David E; Gubareva, Larisa V; Stevens, James

    2016-06-15

    During 2014, a subclade 2.3.4.4 highly pathogenic avian influenza (HPAI) A(H5N8) virus caused poultry outbreaks around the world. In late 2014/early 2015, the virus was detected in wild birds in Canada and the United States, and these viruses also gave rise to reassortant progeny, composed of viral RNA segments (vRNAs) from both Eurasian and North American lineages. In particular, viruses were found with N1, N2, and N8 neuraminidase vRNAs, and these are collectively referred to as H5Nx viruses. In the United States, more than 48 million domestic birds have been affected. Here we present a detailed structural and biochemical analysis of the surface antigens of H5N1, H5N2, and H5N8 viruses in addition to those of a recent human H5N6 virus. Our results with recombinant hemagglutinin reveal that these viruses have a strict avian receptor binding preference, while recombinantly expressed neuraminidases are sensitive to FDA-approved and investigational antivirals. Although H5Nx viruses currently pose a low risk to humans, it is important to maintain surveillance of these circulating viruses and to continually assess future changes that may increase their pandemic potential. The H5Nx viruses emerging in North America, Europe, and Asia pose a great public health concern. Here we report a molecular and structural study of the major surface proteins of several H5Nx influenza viruses. Our results improve the understanding of these new viruses and provide important information on their receptor preferences and susceptibilities to antivirals, which are central to pandemic risk assessment. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

  4. Molecular Characterizations of Surface Proteins Hemagglutinin and Neuraminidase from Recent H5Nx Avian Influenza Viruses

    PubMed Central

    Yang, Hua; Carney, Paul J.; Mishin, Vasiliy P.; Guo, Zhu; Chang, Jessie C.; Wentworth, David E.; Gubareva, Larisa V.

    2016-01-01

    ABSTRACT During 2014, a subclade 2.3.4.4 highly pathogenic avian influenza (HPAI) A(H5N8) virus caused poultry outbreaks around the world. In late 2014/early 2015, the virus was detected in wild birds in Canada and the United States, and these viruses also gave rise to reassortant progeny, composed of viral RNA segments (vRNAs) from both Eurasian and North American lineages. In particular, viruses were found with N1, N2, and N8 neuraminidase vRNAs, and these are collectively referred to as H5Nx viruses. In the United States, more than 48 million domestic birds have been affected. Here we present a detailed structural and biochemical analysis of the surface antigens of H5N1, H5N2, and H5N8 viruses in addition to those of a recent human H5N6 virus. Our results with recombinant hemagglutinin reveal that these viruses have a strict avian receptor binding preference, while recombinantly expressed neuraminidases are sensitive to FDA-approved and investigational antivirals. Although H5Nx viruses currently pose a low risk to humans, it is important to maintain surveillance of these circulating viruses and to continually assess future changes that may increase their pandemic potential. IMPORTANCE The H5Nx viruses emerging in North America, Europe, and Asia pose a great public health concern. Here we report a molecular and structural study of the major surface proteins of several H5Nx influenza viruses. Our results improve the understanding of these new viruses and provide important information on their receptor preferences and susceptibilities to antivirals, which are central to pandemic risk assessment. PMID:27053557

  5. Molecular Characterizations of Surface Proteins Hemagglutinin and Neuraminidase from Recent H5Nx Avian Influenza Viruses

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

    Yang, Hua; Carney, Paul J.; Mishin, Vasiliy P.

    ABSTRACT During 2014, a subclade 2.3.4.4 highly pathogenic avian influenza (HPAI) A(H5N8) virus caused poultry outbreaks around the world. In late 2014/early 2015, the virus was detected in wild birds in Canada and the United States, and these viruses also gave rise to reassortant progeny, composed of viral RNA segments (vRNAs) from both Eurasian and North American lineages. In particular, viruses were found with N1, N2, and N8 neuraminidase vRNAs, and these are collectively referred to as H5Nx viruses. In the United States, more than 48 million domestic birds have been affected. Here we present a detailed structural and biochemicalmore » analysis of the surface antigens of H5N1, H5N2, and H5N8 viruses in addition to those of a recent human H5N6 virus. Our results with recombinant hemagglutinin reveal that these viruses have a strict avian receptor binding preference, while recombinantly expressed neuraminidases are sensitive to FDA-approved and investigational antivirals. Although H5Nx viruses currently pose a low risk to humans, it is important to maintain surveillance of these circulating viruses and to continually assess future changes that may increase their pandemic potential. IMPORTANCEThe H5Nx viruses emerging in North America, Europe, and Asia pose a great public health concern. Here we report a molecular and structural study of the major surface proteins of several H5Nx influenza viruses. Our results improve the understanding of these new viruses and provide important information on their receptor preferences and susceptibilities to antivirals, which are central to pandemic risk assessment.« less

  6. 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

  7. Benefits of mercury controls for the United States

    PubMed Central

    Selin, Noelle E.

    2016-01-01

    Mercury pollution poses risks for both human and ecosystem health. As a consequence, controlling mercury pollution has become a policy goal on both global and national scales. We developed an assessment method linking global-scale atmospheric chemical transport modeling to regional-scale economic modeling to consistently evaluate the potential benefits to the United States of global (UN Minamata Convention on Mercury) and domestic [Mercury and Air Toxics Standards (MATS)] policies, framed as economic gains from avoiding mercury-related adverse health endpoints. This method attempts to trace the policies-to-impacts path while taking into account uncertainties and knowledge gaps with policy-appropriate bounding assumptions. We project that cumulative lifetime benefits from the Minamata Convention for individuals affected by 2050 are $339 billion (2005 USD), with a range from $1.4 billion to $575 billion in our sensitivity scenarios. Cumulative economy-wide benefits to the United States, realized by 2050, are $104 billion, with a range from $6 million to $171 billion. Projected Minamata benefits are more than twice those projected from the domestic policy. This relative benefit is robust to several uncertainties and variabilities, with the ratio of benefits (Minamata/MATS) ranging from ≈1.4 to 3. However, we find that for those consuming locally caught freshwater fish from the United States, rather than marine and estuarine fish from the global market, benefits are larger from US than global action, suggesting domestic policies are important for protecting these populations. Per megagram of prevented emissions, our domestic policy scenario results in US benefits about an order of magnitude higher than from our global scenario, further highlighting the importance of domestic action. PMID:26712021

  8. Salamander chytrid fungus (Batrachochytrium salamandrivorans) in the United States—Developing research, monitoring, and management strategies

    USGS Publications Warehouse

    Grant, Evan H. Campbell; Muths, Erin L.; Katz, Rachel A.; Canessa, Stefano; Adams, Michael J.; Ballard, Jennifer R.; Berger, Lee; Briggs, Cheryl J.; Coleman, Jeremy; Gray, Matthew J.; Harris, M. Camille; Harris, Reid N.; Hossack, Blake R.; Huyvaert, Kathryn P.; Kolby, Jonathan E.; Lips, Karen R.; Lovich, Robert E.; McCallum, Hamish I.; Mendelson, Joseph R.; Nanjappa, Priya; Olson, Deanna H.; Powers, Jenny G.; Richgels, Katherine L. D.; Russell, Robin E.; Schmidt, Benedikt R.; Spitzen-van der Sluijs, Annemarieke; Watry, Mary Kay; Woodhams, Douglas C.; White, C. LeAnn

    2016-01-20

    The recently (2013) identified pathogenic chytrid fungus, Batrachochytrium salamandrivorans (Bsal), poses a severe threat to the distribution and abundance of salamanders within the United States and Europe. Development of a response strategy for the potential, and likely, invasion of Bsal into the United States is crucial to protect global salamander biodiversity. A formal working group, led by Amphibian Research and Monitoring Initiative (ARMI) scientists from the U.S. Geological Survey (USGS) Patuxent Wildlife Research Center, Fort Collins Science Center, and Forest and Rangeland Ecosystem Science Center, was held at the USGS Powell Center for Analysis and Synthesis in Fort Collins, Colorado, United States from June 23 to June 25, 2015, to identify crucial Bsal research and monitoring needs that could inform conservation and management strategies for salamanders in the United States. Key findings of the workshop included the following: (1) the introduction of Bsal into the United States is highly probable, if not inevitable, thus requiring development of immediate short-term and long-term intervention strategies to prevent Bsal establishment and biodiversity decline; (2) management actions targeted towards pathogen containment may be ineffective in reducing the long-term spread of Bsal throughout the United States; and (3) early detection of Bsal through surveillance at key amphibian import locations, among high-risk wild populations, and through analysis of archived samples is necessary for developing management responses. Top research priorities during the preinvasion stage included the following: (1) deployment of qualified diagnostic methods for Bsal and establishment of standardized laboratory practices, (2) assessment of susceptibility for amphibian hosts (including anurans), and (3) development and evaluation of short- and long-term pathogen intervention and management strategies. Several outcomes were achieved during the workshop, including development of an organizational structure with working groups for a Bsal Task Force, creation of an initial influence diagram to aid in identifying effective management actions in the face of uncertainty, and production of a list of potential management actions and key research uncertainties. Additional products under development include a Bsal Strategic Action plan, an emergency response plan, a monitoring and surveillance program, a standardized diagnostic approach, decision models for natural resource agencies, and a reporting database for salamander mortalities. This workshop was the first international meeting to address the threat of Bsal to salamander populations in the United States, with more than 30 participants from U.S. conservation and resource management agencies (U.S. Fish and Wildlife Service, U.S. Forest Service, U.S. Department of Defense, U.S. National Park Service, and Association of Fish and Wildlife Agencies) and academic research institutions in Australia, the Netherlands, Switzerland, the United Kingdom, and the United States.

  9. Deliberating the risks of nanotechnologies for energy and health applications in the United States and United Kingdom

    NASA Astrophysics Data System (ADS)

    Pidgeon, Nick; Harthorn, Barbara Herr; Bryant, Karl; Rogers-Hayden, Tee

    2009-02-01

    Emerging nanotechnologies pose a new set of challenges for researchers, governments, industries and citizen organizations that aim to develop effective modes of deliberation and risk communication early in the research and development process. These challenges derive from a number of issues including the wide range of materials and devices covered by the term `nanotechnology', the many different industrial sectors involved, the fact that many areas of nanotechnology are still at a relatively early stage of development, and uncertainty about the environmental, health and safety impacts of nanomaterials. Public surveys have found that people in the United States and Europe currently view the benefits of nanotechnologies as outweighing their risks although, overall, knowledge about nanotechnology remains very low. However, surveys cannot easily uncover the ways that people will interpret and understand the complexities of nanotechnologies (or any other topic about which they know very little) when asked to deliberate about it in more depth, so new approaches to engaging the public are needed. Here, we report the results of the first comparative United States-United Kingdom public engagement experiment. Based upon four concurrent half-day workshops debating energy and health nanotechnologies we find commonalities that were unexpected given the different risk regulatory histories in the two countries. Participants focused on benefits rather than risks and, in general, had a high regard for science and technology. Application context was much more salient than nation as a source of difference, with energy applications viewed in a substantially more positive light than applications in health and human enhancement in both countries. More subtle differences were present in views about the equitable distribution of benefits, corporate and governmental trustworthiness, the risks to realizing benefits, and in consumerist attitudes.

  10. Joint Facial Action Unit Detection and Feature Fusion: A Multi-conditional Learning Approach.

    PubMed

    Eleftheriadis, Stefanos; Rudovic, Ognjen; Pantic, Maja

    2016-10-05

    Automated analysis of facial expressions can benefit many domains, from marketing to clinical diagnosis of neurodevelopmental disorders. Facial expressions are typically encoded as a combination of facial muscle activations, i.e., action units. Depending on context, these action units co-occur in specific patterns, and rarely in isolation. Yet, most existing methods for automatic action unit detection fail to exploit dependencies among them, and the corresponding facial features. To address this, we propose a novel multi-conditional latent variable model for simultaneous fusion of facial features and joint action unit detection. Specifically, the proposed model performs feature fusion in a generative fashion via a low-dimensional shared subspace, while simultaneously performing action unit detection using a discriminative classification approach. We show that by combining the merits of both approaches, the proposed methodology outperforms existing purely discriminative/generative methods for the target task. To reduce the number of parameters, and avoid overfitting, a novel Bayesian learning approach based on Monte Carlo sampling is proposed, to integrate out the shared subspace. We validate the proposed method on posed and spontaneous data from three publicly available datasets (CK+, DISFA and Shoulder-pain), and show that both feature fusion and joint learning of action units leads to improved performance compared to the state-of-the-art methods for the task.

  11. A demonstration of a low cost approach to security at shipping facilities and ports

    NASA Astrophysics Data System (ADS)

    Huck, Robert C.; Al Akkoumi, Mouhammad K.; Herath, Ruchira W.; Sluss, James J., Jr.; Radhakrishnan, Sridhar; Landers, Thomas L.

    2010-04-01

    Government funding for the security at shipping facilities and ports is limited so there is a need for low cost scalable security systems. With over 20 million sea, truck, and rail containers entering the United States every year, these facilities pose a large risk to security. Securing these facilities and monitoring the variety of traffic that enter and leave is a major task. To accomplish this, the authors have developed and fielded a low cost fully distributed building block approach to port security at the inland Port of Catoosa in Oklahoma. Based on prior work accomplished in the design and fielding of an intelligent transportation system in the United States, functional building blocks, (e.g. Network, Camera, Sensor, Display, and Operator Console blocks) can be assembled, mixed and matched, and scaled to provide a comprehensive security system. The following functions are demonstrated and scaled through analysis and demonstration: Barge tracking, credential checking, container inventory, vehicle tracking, and situational awareness. The concept behind this research is "any operator on any console can control any device at any time."

  12. Primary Care for Refugees: Challenges and Opportunities.

    PubMed

    Mishori, Ranit; Aleinikoff, Shoshana; Davis, Dawn

    2017-07-15

    Since 1975, more than 3 million refugees have settled in the United States, fleeing unrest, conflict, and persecution. Refugees represent diverse ethnic, cultural, religious, socioeconomic, and educational backgrounds. Despite this heterogeneity, there are commonalities in the refugee experience. Before resettlement, all refugees must undergo an overseas medical screening to detect conditions that pose a potential health threat in the United States. On arrival, they should undergo an examination to detect diseases with high prevalence in their country of origin or departure. Refugees have higher rates of chronic pain compared with the general population, and their mental health and wellbeing are strongly influenced by their migration history. Refugees have higher rates of mood disorders, posttraumatic stress disorder, and anxiety than the general population. Some refugees have been tortured, which contributes to poorer health. Chronic noncommunicable diseases, such as diabetes mellitus and hypertension, are also prevalent among refugees. Many refugees may be missing routine immunizations and screenings for cancer and chronic diseases. Attention to reproductive health, oral health, and vision care will help identify and address previously unmet needs. Refugees face barriers to care as a result of cultural, language, and socioeconomic factors.

  13. The effect of visiting surgical patients in the postanesthesia care unit on family members' anxiety: a prospective quasi-experimental study.

    PubMed

    Patelarou, Athina; Melidoniotis, Evangelos; Sgouraki, Maria; Karatzi, Maria; Souvatzis, Xenia

    2014-06-01

    Surgical procedures pose stressful events for patients and their family members. The main purpose of this study was to determine if visiting patients in the postanesthesia care unit (PACU) would reduce the anxiety levels of Greek patients' family members. A prospective study with a one-group quasi-experimental pretest/post-test design was used. Situational anxiety of surgical patients' relatives was assessed using the state subscale of the State-Trait Anxiety Inventory (STAI; Greek validation) at the beginning of the surgical procedure and again after their visitation of patients in the PACU. STAI scores were significantly higher preoperatively (57 [23-80]) than postoperatively (51 [21-77]; P=.000008). Clinically significant levels of anxiety were present in 76% and 58% of the participants, pre- and postoperatively, respectively. Although postoperative STAI scores were reduced, family visitation in the PACU did not sufficiently reduce the anxiety of Greek family members to clinically acceptable levels. Copyright © 2014 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  14. Nonprofit Human Milk Banking in the United States.

    PubMed

    Updegrove, Kimberly

    2013-01-01

    Human milk, widely understood to be beneficial for infants, can be lifesaving for preterm neonates, especially in reducing the risk of necrotizing enterocolitis. Donor human milk (DHM) is an option when mothers are unable to provide milk or have an inadequate supply for their infants. Nonprofit donor human milk banks are established to provide safe, processed human milk from milk donated by healthy lactating mothers who have undergone a rigorous screening process. These milk banks, operating under the auspices of the Human Milk Banking Association of North America, obtain, process, and dispense human milk under strict guidelines set by the association. Increasing the supply of donor human milk to meet a dramatic increase in demand poses a significant challenge for nonprofit milk banks. Efforts to increase supply nationwide include education of providers, use of social media to engage potential donors, and outreach to news media. In parallel, milk banks are establishing regional depots to collect donations, and additional milk banks are being developed. This article describes the current nonprofit milk bank industry in the United States, its challenges, and its future prospects. © 2013 by the American College of Nurse‐Midwives.

  15. Evaluation of external hazards to nuclear power plants in the United States

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

    Kimura, C.Y.; Budnitz, R.J.

    1987-12-01

    The Lawrence Livermore National Laboratory (LLNL) has performed a study of the risk of core damage to nuclear power plants in the United States due to externally initiated events. The broad objective has been to gain an understanding of whether or not each external initiator is among the major potential accident initiators that may pose a threat of severe reactor core damage or of large radioactive release to the environment from the reactor. Four external hazards were investigated in this report. These external hazards are internal fires, high winds/tornadoes, external floods, and transportation accidents. Analysis was based on two figures-of-merit,more » one based on core damage frequency and the other based on the frequency of large radioactive releases. Using these two figures-of-merit as evaluation criteria, it has been feasible to ascertain whether the risk from externally initiated accidents is, or is not, an important contributor to overall risk for the US nuclear power plants studied. This has been accomplished for each initiator separately. 208 refs., 17 figs., 45 tabs.« less

  16. A proliferation of nuclear waste for the Southeast.

    PubMed

    Alvarez, Robert; Smith, Stephen

    2007-12-01

    The U.S. Department of Energy's (DOE) Global Nuclear Energy Partnership (GNEP) is being promoted as a program to bring about the expansion of worldwide nuclear energy. Here in the U.S. much of this proposed nuclear power expansion is slated to happen in the Southeast, including here in South Carolina. Under the GNEP plan, the United States and its nuclear partners would sell nuclear power plants to developing nations that agree not to pursue technologies that would aid nuclear weapons production, notably reprocessing and uranium enrichment. As part of the deal, the United States would take highly radioactive spent ("used") fuel rods to a reprocessing center in this country. Upon analysis of the proposal, it is clear that DOE lacks a credible plan for the safe management and disposal of radioactive wastes stemming from the GNEP program and that the high costs and possible public health and environmental impacts from the program pose significant risks, especially to this region. Given past failures to address waste problems before they were created, DOE's rush to invest major public funds for deployment of reprocessing should be suspended.

  17. Taking a stand against nuclear proliferation: the pediatrician's role.

    PubMed

    Newman, Thomas B

    2008-05-01

    Nuclear weapons pose a grave threat to the health of children. The Nuclear Nonproliferation Treaty, which for almost 40 years has limited the spread of nuclear weapons, is in danger of unraveling. At the 2000 Nuclear Nonproliferation Treaty Review Conference, 180 countries, including the United States, agreed on 13 practical steps to implement Article VI of the treaty, which calls for nuclear disarmament. However, the United States has acted in contravention of several of those disarmament steps, with announced plans to develop new nuclear weapons and to maintain a large nuclear arsenal for decades to come. Pediatricians, working individually and through organizations such as the American Academy of Pediatrics and International Physicians for the Prevention of Nuclear War, can educate the public and elected officials regarding the devastating and irremediable effects of nuclear weapons on children and the need for policies that comply with and strengthen the Nuclear Nonproliferation Treaty, rather than undermining it. For the children of the world, our goal must be a nuclear weapons convention (similar to the chemical and biological weapons conventions) that would prohibit these weapons globally.

  18. Solutions Network Formulation Report. Landsat Data Continuity Mission Simulated Data Products for Bureau of Land Management and Environmental Protection Agency Abandoned Mine Lands Decision Support

    NASA Technical Reports Server (NTRS)

    Estep, Leland

    2007-01-01

    Presently, the BLM (Bureau of Land Management) has identified a multitude of abandoned mine sites in primarily Western states for cleanup. These sites are prioritized and appropriate cleanup has been called in to reclaim the sites. The task is great in needing considerable amounts of agency resources. For instance, in Colorado alone there exists an estimated 23,000 abandoned mines. The problem is not limited to Colorado or to the United States. Cooperation for reclamation is sought at local, state, and federal agency level to aid in identification, inventory, and cleanup efforts. Dangers posed by abandoned mines are recognized widely and will tend to increase with time because some of these areas are increasingly used for recreation and, in some cases, have been or are in the process of development. In some cases, mines are often vandalized once they are closed. The perpetrators leave them open, so others can then access the mines without realizing the danger posed. Abandoned mine workings often fill with water or oxygen-deficient air and dangerous gases following mining. If the workings are accidentally entered into, water or bad air can prove fatal to those underground. Moreover, mine residue drainage negatively impacts the local watershed ecology. Some of the major hazards that might be monitored by higher-resolution satellites include acid mine drainage, clogged streams, impoundments, slides, piles, embankments, hazardous equipment or facilities, surface burning, smoke from underground fires, and mine openings.

  19. On the Outskirts of National Health Reform: A Comparative Assessment of Health Insurance and Access to Care in Puerto Rico and the United States

    PubMed Central

    Portela, Maria; Sommers, Benjamin D

    2015-01-01

    Context Puerto Rico is the United States’ largest territory, home to nearly 4 million American citizens. Yet it has remained largely on the outskirts of US health policy, including the Affordable Care Act (ACA). This article presents an overview of Puerto Rico’s health care system and a comparative analysis of coverage and access to care in Puerto Rico and the mainland United States. Methods We analyzed 2011-2012 data from the Behavioral Risk Factor Surveillance System, and 2012 data from the American Community Survey and its counterpart, the Puerto Rico Community Survey. Among adults 18 and older, we examined health insurance coverage; access measures, such as having a usual source of care and cost-related delays in care; self-reported health; and the receipt of recommended preventive services, such as cancer screening and glucose testing. We used multivariate regression models to compare Puerto Rico and the mainland United States, adjusted for age, income, race/ethnicity, and other demographic variables. Findings Uninsured rates were significantly lower in Puerto Rico (unadjusted 7.4% versus 15.0%, adjusted difference: −12.0%, p < 0.001). Medicaid was far more common in Puerto Rico. Puerto Rican residents were more likely than those in the mainland United States to have a usual source of care and to have had a checkup within the past year, and fewer experienced cost-related delays in care. Screening rates for diabetes, mammograms, and Pap smears were comparable or better in Puerto Rico, while colonoscopy rates were lower. Self-reported health was slightly worse, but obesity and smoking rates were lower. Conclusions Despite its far poorer population, Puerto Rico outperforms the mainland United States on several measures of coverage and access. Congressional policies capping federal Medicaid funds to the territory, however, have contributed to major budgetary challenges. While the ACA has significantly increased federal resources in Puerto Rico, ongoing restrictions on Medicaid funding and premium tax credits are posing substantial health policy challenges in the territory. PMID:26350931

  20. The Arctic Coastal Erosion Problem

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

    Frederick, Jennifer M.; Thomas, Matthew Anthony; Bull, Diana L.

    Permafrost-dominated coastlines in the Arctic are rapidly disappearing. Arctic coastal erosion rates in the United States have doubled since the middle of the twentieth century and appear to be accelerating. Positive erosion trends have been observed for highly-variable geomorphic conditions across the entire Arctic, suggesting a major (human-timescale) shift in coastal landscape evolution. Unfortunately, irreversible coastal land loss in this region poses a threat to native, industrial, scientific, and military communities. The Arctic coastline is vast, spanning more than 100,000 km across eight nations, ten percent of which is overseen by the United States. Much of area is inaccessible bymore » all-season roads. People and infrastructure, therefore, are commonly located near the coast. The impact of the Arctic coastal erosion problem is widespread. Homes are being lost. Residents are being dispersed and their villages relocated. Shoreline fuel storage and delivery systems are at greater risk. The U.S. Department of Energy (DOE) and Sandia National Laboratories (SNL) operate research facilities along some of the most rapidly eroding sections of coast in the world. The U.S. Department of Defense (DOD) is struggling to fortify coastal radar sites, operated to ensure national sovereignty in the air, against the erosion problem. Rapid alterations to the Arctic coastline are facilitated by oceanographic and geomorphic perturbations associated with climate change. Sea ice extent is declining, sea level is rising, sea water temperature is increasing, and permafrost state is changing. The polar orientation of the Arctic exacerbates the magnitude and rate of the environmental forcings that facilitate coastal land area loss. The fundamental mechanics of these processes are understood; their non-linear combination poses an extreme hazard. Tools to accurately predict Arctic coastal erosion do not exist. To obtain an accurate predictive model, a coupling of the influences of evolving wave dynamics, thermodynamics, and sediment dynamics must be developed. The objective of this document is to present the state-of-the-science and outline the key steps for creation of a framework that will allow for improved prediction of Arctic coastal erosion rates. This is the first step towards the quantification of coastal hazards that will allow for sustainable planning and development of Arctic infrastructure.« less

  1. Presentation and Epidemiology of Gastroesophageal Reflux Disease.

    PubMed

    Richter, Joel E; Rubenstein, Joel H

    2018-01-01

    Gastroesophageal reflux disease (GERD) is the most prevalent gastrointestinal disorder in the United States, and leads to substantial morbidity, though associated mortality is rare. The prevalence of GERD symptoms appeared to increase until 1999. Risk factors for complications of GERD include advanced age, male sex, white race, abdominal obesity, and tobacco use. Most patients with GERD present with heartburn and effortless regurgitation. Coexistent dysphagia is considered an alarm symptom, prompting evaluation. There is substantial overlap between symptoms of GERD and those of eosinophilic esophagitis, functional dyspepsia, and gastroparesis, posing a challenge for patient management. Copyright © 2018 AGA Institute. Published by Elsevier Inc. All rights reserved.

  2. STS-41 MS Melnick displays US Coast Guard decal on OV-103's middeck

    NASA Image and Video Library

    1990-10-10

    STS041-06-029 (10 Oct 1990) --- STS-41 Mission Specialist (MS) Bruce E. Melnick, who is a graduate of the Coast Guard Academy and the first ever active Coast Guardsman to fly in space, draws attention to his branch of the service, while posing next to a banner from his Alma Mater (on locker MF57K) and a United States (U.S.) Coast Guard decal (on the Solid Surface Combustion Experiment (SSCE)). Behind Melnick are the starboard wall-mounted sleep restraints. Insignias belonging to other crewmembers are displayed on the lockers including University of Missouri Rolla and U.S. Marine Corps.

  3. STS-99 Commander Kregel poses with EARTHKAM camera on OV-105's flight deck

    NASA Image and Video Library

    2000-03-30

    STS099-314-035 (11-22 February 2000) ---Astronaut Kevin R. Kregel, mission commander, works with camera equipment, which was used for the EarthKAM project. The camera stayed busy throughout the 11-day mission taking vertical imagery of the Earth points of opportunity for the project. Students across the United States and in France, Germany and Japan took photos throughout the STS-99 mission. And they are using these new photos, plus all the images already available in the EarthKAM system, to enhance their classroom learning in Earth and space science, social studies, geography, mathematics and more.

  4. The challenge posed to children's health by mixtures of toxic waste: the Tar Creek superfund site as a case-study.

    PubMed

    Hu, Howard; Shine, James; Wright, Robert O

    2007-02-01

    In the United States, many of the millions of tons of hazardous wastes that have been produced since World War II have accumulated in sites throughout the nation. Citizen concern about the extent of this problem led Congress to establish the Superfund Program in 1980 to locate, investigate, and clean up the worst sites nationwide. Most such waste exists as a complex mixture of many substances. This article discusses the issue of toxic mixtures and children's health by focusing on the specific example of mining waste at the Tar Creek Superfund Site in Northeast Oklahoma.

  5. KSC-04PD-0499

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Center Director Jim Kennedy (center) poses for a photo amid the members of the KSC-sponsored Pink team and the FIRST LEGO League at the 2004 Florida Regional FIRST competition, held at the University of Central Florida. The annual event is hosting 41 teams from Canada, Brazil, Great Britain and the United States. FIRST is a nonprofit organization, For Inspiration and Recognition of Science and Technology, that sponsors the event pitting gladiator robots against each other in an athletic-style competition. The FIRST robotics competition is designed to provide students with a hands-on, inside look at engineering and other professional careers, pairing high school students with engineer mentors and corporations.

  6. KSC-04pd0504

    NASA Image and Video Library

    2004-03-12

    KENNEDY SPACE CENTER, FLA. - The KSC-sponsored “Pink” team poses for a photo with Florida Gov. Jeb Bush (second from left) during a break at the 2004 Florida Regional FIRST competition, held at the University of Central Florida. The annual event is hosting 41 teams from Canada, Brazil, Great Britain and the United States. FIRST is a nonprofit organization, For Inspiration and Recognition of Science and Technology, that sponsors the event pitting robots against each other in an athletic-style competition. The FIRST robotics competition is designed to provide students with a hands-on, inside look at engineering and other professional careers, pairing high school students with engineer mentors and corporations.

  7. Official portrait of the STS-46 Atlantis, Orbiter Vehicle (OV) 104, crew

    NASA Image and Video Library

    1999-02-26

    STS046-S-002 (May 1992) --- The crew members assigned to the STS-46 mission pose with seven flags that represent participation on the flight. Loren J. Shriver (right front) is mission commander; Andrew M. Allen (left front) is pilot. Others are (left to right) Marsha S. Ivins, mission specialist; Claude Nicollier, mission specialist representing the European Space Agency (ESA); Jeffrey A. Hoffman, payload commander; Franklin R. Chang-Diaz, mission specialist; and Franco Malerba, flying for the Italian Space Agency (ASI). The flags, left to right, represent the United States of America, Costa Rica (Chang's native country), Italy, Switzerland (Nicollier's homeland), NASA, ESA and ASI.

  8. IMU-based Real-time Pose Measurement system for Anterior Pelvic Plane in Total Hip Replacement Surgeries.

    PubMed

    Zhe Cao; Shaojie Su; Hao Tang; Yixin Zhou; Zhihua Wang; Hong Chen

    2017-07-01

    With the aging of population, the number of Total Hip Replacement Surgeries (THR) increased year by year. In THR, inaccurate position of the implanted prosthesis may lead to the failure of the operation. In order to reduce the failure rate and acquire the real-time pose of Anterior Pelvic Plane (APP), we propose a measurement system in this paper. The measurement system includes two parts: Initial Pose Measurement Instrument (IPMI) and Real-time Pose Measurement Instrument (RPMI). IPMI is used to acquire the initial pose of the APP, and RPMI is used to estimate the real-time pose of the APP. Both are composed of an Inertial Measurement Unit (IMU) and magnetometer sensors. To estimate the attitude of the measurement system, the Extended Kalman Filter (EKF) is adopted in this paper. The real-time pose of the APP could be acquired together with the algorithm designed in the paper. The experiment results show that the Root Mean Square Error (RMSE) is within 1.6 degrees, which meets the requirement of THR operations.

  9. Performance of USGS one-year earthquake hazard map for natural and induced seismicity in the central and eastern United States

    NASA Astrophysics Data System (ADS)

    Brooks, E. M.; Stein, S.; Spencer, B. D.; Salditch, L.; Petersen, M. D.; McNamara, D. E.

    2017-12-01

    Seismicity in the central United States has dramatically increased since 2008 due to the injection of wastewater produced by oil and gas extraction. In response, the USGS created a one-year probabilistic hazard model and map for 2016 to describe the increased hazard posed to the central and eastern United States. Using the intensity of shaking reported to the "Did You Feel It?" system during 2016, we assess the performance of this model. Assessing the performance of earthquake hazard maps for natural and induced seismicity is conceptually similar but has practical differences. Maps that have return periods of hundreds or thousands of years— as commonly used for natural seismicity— can be assessed using historical intensity data that also span hundreds or thousands of years. Several different features stand out when assessing the USGS 2016 seismic hazard model for the central and eastern United States from induced and natural earthquakes. First, the model can be assessed as a forecast in one year, because event rates are sufficiently high to permit evaluation with one year of data. Second, because these models are projections from the previous year thus implicitly assuming that fluid injection rates remain the same, misfit may reflect changes in human activity. Our results suggest that the model was very successful by the metric implicit in probabilistic hazard seismic assessment: namely, that the fraction of sites at which the maximum shaking exceeded the mapped value is comparable to that expected. The model also did well by a misfit metric that compares the spatial patterns of predicted and maximum observed shaking. This was true for both the central and eastern United States as a whole, and for the region within it with the highest amount of seismicity, Oklahoma and its surrounding area. The model performed least well in northern Texas, over-stating hazard, presumably because lower oil and gas prices and regulatory action reduced the water injection volume relative to the previous year. These results imply that such hazard maps have the potential to be valuable tools for policy makers and regulators in managing the seismic risks associated with unconventional oil and gas production.

  10. UNICEF, syphilis and the state: negotiating female citizenship in the post-Second World War world.

    PubMed

    Morris, Jennifer

    2010-01-01

    Few charitable organizations have achieved the status of global recognition enjoyed by UNICEF, the United Nations Children's Fund, which embodies the international effort to provide for needy children the world over. Created because of its synchronicity with the United Nations' stated purpose—to maintain peace in the world—UNICEF launched its operations in 1946. Its founding, early operations and eventual restructuring reveal a great deal about concurrent political and economic events, but also provide keen insight into international ideas about who qualified for full citizenship in the post-war world. The consequences of UNICEF's policies, procedures and practices posed challenges to notions of citizenship for both women and children. It challenged citizenship not by questioning sex-specific gender roles, but by judiciously adhering to the United Nations' promise to create equality for men and women alike. UNICEF found itself in the unique position to be able to globalize definitions of what constituted full citizenship in any nation, due to its rapid expansion throughout the world. Through its programs, especially those related to health care, it not only challenged these roles in the West, but began over several decades to complicate the definition of citizenship as it became a forceful presence in Asia and Africa throughout the 1970s.

  11. Engineering Design and Operation Report: Biological ...

    EPA Pesticide Factsheets

    Many regions in the United States have excessive levels of ammonia in their drinking water sources (e.g., ground and surface waters) as a result of naturally occurring processes, agricultural and urban runoff, concentrated animal feeding operations, municipal wastewater treatment plants, and other sources. Ammonia is not regulated by the U.S. Environmental Protection Agency (EPA) as a contaminant. Based on a 2003 World Health Organization (WHO) assessment, ammonia levels in groundwater are typically below 0.2 milligrams per liter (mg/L), and do not pose a direct health concern at levels expected in drinking water (WHO 2003); however, they may pose a concern when nitrification of significant levels of ammonia from the source water occurs in the drinking water distribution system. Specifically, this nitrification, which is the conversion of the ammonia to nitrite and nitrate by bacteria, leads to water quality issues, such as potential corrosion problems, oxidant demand, taste and odor complaints, and elevated nitrite levels (Bremer et al.,2001; Fleming et al., 2005; Lee et al., 1980; Odell et al., 1996; Rittman & Snoeyink, 1984; Suffet et al., 1996). The EPA’s regulatory limits for nitrite and nitrate (at the entry point to the distribution system) are 0.1 and 10 mg N/L, respectively. Ammonia in water may also pose problems with water treatment effectiveness. For example, in source waters containing both ammonia and arsenic, the ammonia may negatively impact

  12. Teaching the Manhattan Project

    ERIC Educational Resources Information Center

    Schibuk, Elizabeth

    2015-01-01

    This article describes a nuclear chemistry unit on the Manhattan Project, a research effort that led to the development of the world's first nuclear weapons during World War II. The unit is appropriate for an introductory high school chemistry or physics course and takes from four to six weeks. The unit poses this essential question: "Over…

  13. Labor-Force Participation, Policies & Practices in an Aging America: Adaptation Essential for a Healthy & Resilient Population

    PubMed Central

    Berkman, Lisa F.; Börsch-Supan, Axel; Avendano, Mauricio

    2016-01-01

    Population aging in the United States poses challenges to societal institutions while simultaneously creating opportunities to build a more resilient, successful, and cohesive society. Work organization and labor-force participation are central to both the opportunities and challenges posed by our aging society. We argue that expectations about old age have not sufficiently adapted to the reality of aging today. Our institutions need more adaptation in order to successfully face the consequences of demographic change. Although this adaptation needs to focus especially on work patterns among the “younger elderly,” our society has to change its general attitudes toward work organization and labor-force participation, which will have implications for education and health care. We also show that work’s beneficial effects on well-being in older ages are often neglected, while the idea that older workers displace younger workers is a misconception emerging from the “lump of labor” fallacy. We conclude, therefore, that working at older ages can lead to better quality of life for older people and to a more productive and resilient society overall. PMID:28042166

  14. Labor-Force Participation, Policies & Practices in an Aging America: Adaptation Essential for a Healthy & Resilient Population.

    PubMed

    Berkman, Lisa F; Börsch-Supan, Axel; Avendano, Mauricio

    2015-01-01

    Population aging in the United States poses challenges to societal institutions while simultaneously creating opportunities to build a more resilient, successful, and cohesive society. Work organization and labor-force participation are central to both the opportunities and challenges posed by our aging society. We argue that expectations about old age have not sufficiently adapted to the reality of aging today. Our institutions need more adaptation in order to successfully face the consequences of demographic change. Although this adaptation needs to focus especially on work patterns among the "younger elderly," our society has to change its general attitudes toward work organization and labor-force participation, which will have implications for education and health care. We also show that work's beneficial effects on well-being in older ages are often neglected, while the idea that older workers displace younger workers is a misconception emerging from the "lump of labor" fallacy. We conclude, therefore, that working at older ages can lead to better quality of life for older people and to a more productive and resilient society overall.

  15. Digital Social Media, Youth, and Nonmedical Use of Prescription Drugs: The Need for Reform

    PubMed Central

    Liang, Bryan A; Strathdee, Steffanie A

    2013-01-01

    The tragic death of 18-year-old Ryan Haight highlighted the ethical, public health, and youth patient safety concerns posed by illicit online nonmedical use of prescription drugs (NUPM) sourcing, leading to a federal law in an effort to address this concern. Yet despite the tragedy and resulting law, the NUPM epidemic in the United States has continued to escalate and represents a dangerous and growing trend among youth and adolescents. A critical point of access associated with youth NUPM is the Internet. Internet use among this vulnerable patient group is ubiquitous and includes new, emerging, and rapidly developing technologies—particularly social media networking (eg, Facebook and Twitter). These unregulated technologies may pose a potential risk for enabling youth NUPM behavior. In order to address limitations of current regulations and promote online safety, we advocate for legislative reform to specifically address NUPM promotion via social media and other new online platforms. Using more comprehensive and modernized federal legislation that anticipates future online developments is critical in substantively addressing youth NUPM behavior occurring through the Internet. PMID:23892156

  16. Identifying the impact of the built environment on flood damage in Texas.

    PubMed

    Brody, Samuel D; Zahran, Sammy; Highfield, Wesley E; Grover, Himanshu; Vedlitz, Arnold

    2008-03-01

    Floods continue to pose the greatest threat to the property and safety of human communities among all natural hazards in the United States. This study examines the relationship between the built environment and flood impacts in Texas, which consistently sustains the most damage from flooding of any other state in the country. Specifically, we calculate property damage resulting from 423 flood events between 1997 and 2001 at the county level. We identify the effect of several built environment measures, including wetland alteration, impervious surface, and dams on reported property damage while controlling for biophysical and socio-economic characteristics. Statistical results suggest that naturally occurring wetlands play a particularly important role in mitigating flood damage. These findings provide guidance to planners and flood managers on how to alleviate most effectively the costly impacts of foods at the community level.

  17. Child Custody Determinations in Cases Involving Intimate Partner Violence: a Human Rights Analysis

    PubMed Central

    Silverman, Jay G.; Mesh, Cynthia M.; Cuthbert, Carrie V.; Slote, Kim; Bancroft, Lundy

    2004-01-01

    Intimate partner violence and child abuse are recognized both as public health concerns and as violations of human rights, but related government actions and inactions are rarely documented as human rights violations in the United States. Men who abuse female partners are also highly likely to abuse the children of these women. However, family courts are reported to often ignore risks posed by abusive men in awarding child custody and visitation. Battered women involved in child custody litigation in Massachusetts (n = 39) were interviewed. A recurring pattern of potential human rights violations by the state was documented, corresponding to rights guaranteed in multiple internationally accepted human rights covenants and treaties. The human rights framework is a powerful tool for demonstrating the need for legal, social, and political reform regarding public health concerns. PMID:15249297

  18. Dendroclimate evidence for extreme hydrologic events over the late Holocene in the Northeastern United States

    NASA Astrophysics Data System (ADS)

    Pearl, J. K.; Anchukaitis, K. J.; Pederson, N.; Donnelly, J. P.

    2017-12-01

    Extreme hydrologic events pose a present and future threat to cities and infrastructure in the densely populated coastal corridor of the northeastern United States (NE). An understanding of the potential range and return interval of storms, floods, and droughts is important for improving coastal management and hazard planning, as well as the detection and attribution of trends in regional climate phenomena. Here, we examine a suite of evidence for Common Era paleohydroclimate extreme events in the NE. Our study analyzes a network of hydroclimate sensitive trees, subfossil 'drowned' forests and co-located sediment records, using both classical and isotope dendrochronology, radiocarbon analyses, and sediment stratigraphy. Atlantic White cedar (AWC) forests grow along the NE coast and are exposed to severe coastal weather, as they are typically most successful in near-shore, glacially formed depressions. Many coastal AWC sites are ombrotrophic and contain a precipitation or drought signal in their ring widths. Sub-fossil AWC forests are found where near-shore swamps were drowned and exposed to the ocean. Additionally, the rings of coastal AWC may contain the geochemical signature of landfalling tropical cyclones, which bring with them a large influx of precipitation with distinct oxygen isotopes, which can be used to identify these large storms. Dendrochronology, radiocarbon dating, and analysis of sediment cores are used here to identify and date the occurrence of large overwash events along the coastline of the northeastern United States associated with extreme storms.

  19. Climate-driven ground-level ozone extreme in the fall over the Southeast United States

    PubMed Central

    Wang, Yuhang

    2016-01-01

    Ground-level ozone is adverse to human and vegetation health. High ground-level ozone concentrations usually occur over the United States in the summer, often referred to as the ozone season. However, observed monthly mean ozone concentrations in the southeastern United States were higher in October than July in 2010. The October ozone average in 2010 reached that of July in the past three decades (1980–2010). Our analysis shows that this extreme October ozone in 2010 over the Southeast is due in part to a dry and warm weather condition, which enhances photochemical production, air stagnation, and fire emissions. Observational evidence and modeling analysis also indicate that another significant contributor is enhanced emissions of biogenic isoprene, a major ozone precursor, from water-stressed plants under a dry and warm condition. The latter finding is corroborated by recent laboratory and field studies. This climate-induced biogenic control also explains the puzzling fact that the two extremes of high October ozone both occurred in the 2000s when anthropogenic emissions were lower than the 1980s and 1990s, in contrast to the observed decreasing trend of July ozone in the region. The occurrences of a drying and warming fall, projected by climate models, will likely lead to more active photochemistry, enhanced biogenic isoprene and fire emissions, an extension of the ozone season from summer to fall, and an increase of secondary organic aerosols in the Southeast, posing challenges to regional air quality management. PMID:27551089

  20. Epidemiology of obesity in the Western Hemisphere.

    PubMed

    Ford, Earl S; Mokdad, Ali H

    2008-11-01

    Obesity has emerged as a global public health challenge. The objective of this review was to examine epidemiological aspects of obesity in the Western Hemisphere. Using PubMed, we searched for publications about obesity (prevalence, trends, correlates, economic costs) in countries in North America, Central America, South America, and the Caribbean. To the extent possible, we focused on studies that were primarily population based in design and on four countries in the Western Hemisphere: Brazil, Canada, Mexico, and the United States. Data compiled by the International Obesity Task Force show a substantial level of obesity in all of or selected areas of the Bahamas, Barbados, Canada, Chile, Guyana, Mexico, Panama, Paraguay, Peru, St. Lucia, Trinidad and Tobago, the United States, and Venezuela. Furthermore, countries such as Brazil, Canada, Mexico, and the United States have experienced increases in the prevalence of obesity. In many countries, the prevalence of obesity is higher among women than men and in urban areas than in rural areas. The relationship between socioeconomic status and obesity depends on the stage of economic transition. Early in the transition, the prevalence of obesity is positively related to income whereas at some point during the transition the prevalence becomes inversely related to income. Like other countries in the Western Hemisphere, the four countries that we focused on have experienced a rising tide of obesity. The high and increasing prevalence of obesity and its attendant comorbidities are likely to pose a serious challenge to the public health and medical care systems in these countries.

  1. Climate-driven ground-level ozone extreme in the fall over the Southeast United States.

    PubMed

    Zhang, Yuzhong; Wang, Yuhang

    2016-09-06

    Ground-level ozone is adverse to human and vegetation health. High ground-level ozone concentrations usually occur over the United States in the summer, often referred to as the ozone season. However, observed monthly mean ozone concentrations in the southeastern United States were higher in October than July in 2010. The October ozone average in 2010 reached that of July in the past three decades (1980-2010). Our analysis shows that this extreme October ozone in 2010 over the Southeast is due in part to a dry and warm weather condition, which enhances photochemical production, air stagnation, and fire emissions. Observational evidence and modeling analysis also indicate that another significant contributor is enhanced emissions of biogenic isoprene, a major ozone precursor, from water-stressed plants under a dry and warm condition. The latter finding is corroborated by recent laboratory and field studies. This climate-induced biogenic control also explains the puzzling fact that the two extremes of high October ozone both occurred in the 2000s when anthropogenic emissions were lower than the 1980s and 1990s, in contrast to the observed decreasing trend of July ozone in the region. The occurrences of a drying and warming fall, projected by climate models, will likely lead to more active photochemistry, enhanced biogenic isoprene and fire emissions, an extension of the ozone season from summer to fall, and an increase of secondary organic aerosols in the Southeast, posing challenges to regional air quality management.

  2. Prevalence and public health implications of state laws that criminalize potential HIV exposure in the United States.

    PubMed

    Lehman, J Stan; Carr, Meredith H; Nichol, Allison J; Ruisanchez, Alberto; Knight, David W; Langford, Anne E; Gray, Simone C; Mermin, Jonathan H

    2014-06-01

    For the past three decades, legislative approaches to prevent HIV transmission have been used at the national, state, and local levels. One punitive legislative approach has been enactment of laws that criminalize behaviors associated with HIV exposure (HIV-specific criminal laws). In the USA, HIV-specific criminal laws have largely been shaped by state laws. These laws impose criminal penalties on persons who know they have HIV and subsequently engage in certain behaviors, most commonly sexual activity without prior disclosure of HIV-positive serostatus. These laws have been subject to intense public debate. Using public health law research methods, data from the legal database WestlawNext© were analyzed to describe the prevalence and characteristics of laws that criminalize potential HIV exposure in the 50 states (plus the District of Columbia) and to examine the implications of these laws for public health practice. The first state laws were enacted in 1986; as of 2011 a total of 67 laws had been enacted in 33 states. By 1995, nearly two-thirds of all laws had been enacted; by 2000, 85 % of laws had been enacted; and since 2000, an additional 10 laws have been enacted. Twenty-four states require persons who are aware that they have HIV to disclose their status to sexual partners and 14 states require disclosure to needle-sharing partners. Twenty-five states criminalize one or more behaviors that pose a low or negligible risk for HIV transmission. Nearly two-thirds of states in the USA have legislation that criminalizes potential HIV exposure. Many of these laws criminalize behaviors that pose low or negligible risk for HIV transmission. The majority of laws were passed before studies showed that antiretroviral therapy (ART) reduces HIV transmission risk and most laws do not account for HIV prevention measures that reduce transmission risk, such as condom use, ART, or pre-exposure prophylaxis. States with HIV-specific criminal laws are encouraged to use the findings of this paper to re-examine those laws, assess the laws' alignment with current evidence regarding HIV transmission risk, and consider whether the laws are the best vehicle to achieve their intended purposes.

  3. Extreme hydrological changes in the southwestern US drive reductions in water supply to Southern California by mid century

    DOE PAGES

    Pagán, Brianna R.; Ashfaq, Moetasim; Rastogi, Deeksha; ...

    2016-09-21

    The Southwestern United States has a greater vulnerability to climate change impacts on water security due to a reliance on snowmelt driven imported water. The State of California, which is the most populous and agriculturally productive in the United States, depends on an extensive artificial water storage and conveyance system primarily for irrigated agriculture, municipal and industrial supply and hydropower generation. Here we take an integrative high-resolution ensemble approach to examine near term climate change impacts on all imported and local sources of water supply to Southern California. While annual precipitation is projected to remain the same or slightly increase,more » rising temperatures result in a shift in precipitation type towards more rainfall, reducing cold season snowpack and earlier snowmelt. Associated with these hydrological changes are substantial increases in both dry and flood event frequency and intensity. On one hand, the greater probability of drought decreases imported water supply availability. On the other hand, earlier snowmelt and significantly stronger winter precipitation events pose increased flood risk requiring water releases from reservoirs for flood control, also potentially decreasing water availability. As a result, lack of timely local water resource expansion coupled with climate change projections and population increases may leave the area in extended periods of shortages.« less

  4. Extreme hydrological changes in the southwestern US drive reductions in water supply to Southern California by mid century

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

    Pagán, Brianna R.; Ashfaq, Moetasim; Rastogi, Deeksha

    The Southwestern United States has a greater vulnerability to climate change impacts on water security due to a reliance on snowmelt driven imported water. The State of California, which is the most populous and agriculturally productive in the United States, depends on an extensive artificial water storage and conveyance system primarily for irrigated agriculture, municipal and industrial supply and hydropower generation. Here we take an integrative high-resolution ensemble approach to examine near term climate change impacts on all imported and local sources of water supply to Southern California. While annual precipitation is projected to remain the same or slightly increase,more » rising temperatures result in a shift in precipitation type towards more rainfall, reducing cold season snowpack and earlier snowmelt. Associated with these hydrological changes are substantial increases in both dry and flood event frequency and intensity. On one hand, the greater probability of drought decreases imported water supply availability. On the other hand, earlier snowmelt and significantly stronger winter precipitation events pose increased flood risk requiring water releases from reservoirs for flood control, also potentially decreasing water availability. As a result, lack of timely local water resource expansion coupled with climate change projections and population increases may leave the area in extended periods of shortages.« less

  5. Recent trends in automobile recycling: An energy and economic assessment

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

    Curlee, T.R.; Das, S.; Rizy, C.G.

    1994-03-01

    Recent and anticipated trends in the material composition of domestic and imported automobiles and the increasing cost of landfilling the non-recyclable portion of automobiles (automobile shredder residue or ASR) pose questions about the future of automobile recycling. This report documents the findings of a study sponsored by the US Department of Energy`s Office of Environmental Analysis to examine the impacts of these and other relevant trends on the life-cycle energy consumption of automobiles and on the economic viability of the domestic automobile recycling industry. More specifically, the study (1) reviewed the status of the automobile recycling industry in the Unitedmore » States, including the current technologies used to process scrapped automobiles and the challenges facing the automobile recycling industry; (2) examined the current status and future trends of automobile recycling in Europe and Japan, with the objectives of identifying ``lessons learned`` and pinpointing differences between those areas and the United States; (3) developed estimates of the energy system impacts of the recycling status quo and projections of the probable energy impacts of alternative technical and institutional approaches to recycling; and (4) identified the key policy questions that will determine the future economic viability of automobile shredder facilities in the United States.« less

  6. Terra incognita: The unknown risks to environmental quality posed by the spatial distribution and abundance of concentrated animal feeding operations.

    PubMed

    Martin, Katherine L; Emanuel, Ryan E; Vose, James M

    2018-06-18

    Concentrated animal feeding operations (CAFOs) pose wide ranging environmental risks to many parts of the US and across the globe, but datasets for CAFO risk assessments are not readily available. Within the United States, some of the greatest concentrations of CAFOs occur in North Carolina. It is also one of the only states with publicly accessible location data for classes of CAFOs that are required to obtain water quality permits from the U.S. Environmental Protection Agency (EPA); however, there are no public data sources for the large number of CAFOs that do not require EPA water quality permits. We combined public records of CAFO locations with data collected in North Carolina by the Waterkeeper and Riverkeeper Alliances to examine the distribution of both permitted and non-permitted CAFOs across the state. Over half (55%) of the state's 6646 CAFOs are located in the Coastal Plain, a low-lying region vulnerable to flooding associated with regular cyclonic and convective storms. We identified 19% of CAFOs ≤ 100 m of the nearest stream, and some as close as 15 m to the nearest stream, a common riparian buffer width for water quality management. Future climate scenarios suggest large storm events are expected to become increasingly extreme, and dry interstorm periods could lengthen. Such extremes could exacerbate the environmental impacts of CAFOs. Understanding the potential impacts of CAFO agroecosystems will require remote sensing to identify CAFOs, fieldwork to determine the extent of environmental footprints, and modeling to identify thresholds that determine environmental risk under changing conditions. Copyright © 2018 Elsevier B.V. All rights reserved.

  7. Security, development and human rights: normative, legal and policy challenges for the international drug control system.

    PubMed

    Barrett, Damon

    2010-03-01

    This commentary addresses some of the challenges posed by the broader normative, legal and policy framework of the United Nations for the international drug control system. The 'purposes and principles' of the United Nations are presented and set against the threat based rhetoric of the drug control system and the negative consequences of that system. Some of the challenges posed by human rights law and norms to the international drug control system are also described, and the need for an impact assessment of the current system alongside alternative policy options is highlighted as a necessary consequence of these analyses. Copyright (c) 2010 Elsevier B.V. All rights reserved.

  8. The state of primary care in the United States of America and lessons for primary care groups in the United Kingdom.

    PubMed

    Koperski, M

    2000-04-01

    The health care system of the United States of America (USA) is lavishly funded and those with adequate insurance usually receive excellent attention. However, the system is fragmented and inequitable. Health workers often find it difficult to separate vocational roles from business roles. Care tends to focus on the acute rather than the chronic, on 'episodes of illness' rather than 'person-centred' care, on short-term fixes rather than long-term approaches, on scientific/technical solutions rather than discourse or the 'art of healing', and on individual health rather than population health. The majority of US doctors are trained in the 'hightech' hospital paradigm and there is no equivalent of the United Kingdom (UK) general practitioner (GP), who lies at the hub of a primary health care team (PHCT) and who is charged with taking a long-term view, co-ordinating health care for individual patients, and acting as patient advocate without major conflicting financial incentives. However, primary care groups/trusts (PCGs) could learn from US management and training techniques, case management, NHS Direct equivalents, and the effects of poorly developed PHCTs. PCGs could develop the UK's own version of utilisation management. A cash-limited, unified budget within an underfunded National Health Service poses threats to general practice. In both the USA and the UK, primary care is a prominent tool in new attempts at cost control. PCGs offer the opportunity of better integration with public health and social services, but threaten GPs' role as independent advocates by giving them a rationing role. Managed care has forced a similar role onto our US counterparts with consequent public displeasure and professional disillusion. UK GPs will have to steer a careful course if they are to avoid a similar fate.

  9. The effect of fast and slow motor unit activation on whole-muscle mechanical performance: the size principle may not pose a mechanical paradox

    PubMed Central

    Holt, N. C.; Wakeling, J. M.; Biewener, A. A.

    2014-01-01

    The output of skeletal muscle can be varied by selectively recruiting different motor units. However, our knowledge of muscle function is largely derived from muscle in which all motor units are activated. This discrepancy may limit our understanding of in vivo muscle function. Hence, this study aimed to characterize the mechanical properties of muscle with different motor unit activation. We determined the isometric properties and isotonic force–velocity relationship of rat plantaris muscles in situ with all of the muscle active, 30% of the muscle containing predominately slower motor units active or 20% of the muscle containing predominately faster motor units active. There was a significant effect of active motor unit type on isometric force rise time (p < 0.001) and the force–velocity relationship (p < 0.001). Surprisingly, force rise time was longer and maximum shortening velocity higher when all motor units were active than when either fast or slow motor units were selectively activated. We propose this is due to the greater relative effects of factors such as series compliance and muscle resistance to shortening during sub-maximal contractions. The findings presented here suggest that recruitment according to the size principle, where slow motor units are activated first and faster ones recruited as demand increases, may not pose a mechanical paradox, as has been previously suggested. PMID:24695429

  10. The effect of fast and slow motor unit activation on whole-muscle mechanical performance: the size principle may not pose a mechanical paradox.

    PubMed

    Holt, N C; Wakeling, J M; Biewener, A A

    2014-05-22

    The output of skeletal muscle can be varied by selectively recruiting different motor units. However, our knowledge of muscle function is largely derived from muscle in which all motor units are activated. This discrepancy may limit our understanding of in vivo muscle function. Hence, this study aimed to characterize the mechanical properties of muscle with different motor unit activation. We determined the isometric properties and isotonic force-velocity relationship of rat plantaris muscles in situ with all of the muscle active, 30% of the muscle containing predominately slower motor units active or 20% of the muscle containing predominately faster motor units active. There was a significant effect of active motor unit type on isometric force rise time (p < 0.001) and the force-velocity relationship (p < 0.001). Surprisingly, force rise time was longer and maximum shortening velocity higher when all motor units were active than when either fast or slow motor units were selectively activated. We propose this is due to the greater relative effects of factors such as series compliance and muscle resistance to shortening during sub-maximal contractions. The findings presented here suggest that recruitment according to the size principle, where slow motor units are activated first and faster ones recruited as demand increases, may not pose a mechanical paradox, as has been previously suggested.

  11. Voices from the field--a qualitative analysis of classroom, school, district, and state health education policies and programs.

    PubMed

    Pateman, B; Grunbaum, J A; Kann, L

    1999-09-01

    This study provides a qualitative analysis of responses from classroom-, school-, district-, and state-level educators and administrators to open-ended questions about school health education. These questions were posed as part of the School Health Policies and Programs Study (SHPPS), conducted by the Centers for Disease Control and Prevention in 1994, and elicited a range of responses about the status of school health education programs and factors that facilitated and hindered the delivery of such programs. To improve school health education in the United States, respondents cited the need to increase the value and priority of health education in the school curriculum and advocated for 1) professional preparation in health education for persons teaching health-related courses, 2) health education course curricula to address important and timely issues, 3) student testing in health education, 4) improved resources and support for health education, and 5) increased communication and collaboration within their schools and communities related to health education.

  12. Prescription Opioid Analgesics: Promoting Patient Safety with Better Patient Education.

    PubMed

    Costello, Margaret

    2015-11-01

    Patients expect and deserve adequate postoperative pain relief. Opioid analgesics are widely used and effective in controlling postoperative pain, but their use poses risks that many patients don't understand and that all too often result in adverse outcomes. Inappropriate and often dangerous use of prescription medication has increased sharply in the past two decades in the United States. Patients and caregivers must have an adequate understanding of safe use, storage, and disposal of opioids to prevent adverse drug events in patients and others. Nurses play a key role in providing this patient education. This article provides a case study that highlights the risks and important aspects of opioid medication use in the postoperative patient.

  13. Case study: Mapping tsunami hazards associated with debris flow into a reservoir

    USGS Publications Warehouse

    Walder, J.S.; Watts, P.; Waythomas, C.F.

    2006-01-01

    Debris-flow generated impulse waves (tsunamis) pose hazards in lakes, especially those used for hydropower or recreation. We describe a method for assessing tsunami-related hazards for the case in which inundation by coherent water waves, rather than chaotic splashing, is of primary concern. The method involves an experimentally based initial condition (tsunami source) and a Boussinesq model for tsunami propagation and inundation. Model results are used to create hazard maps that offer guidance for emergency planners and responders. An example application explores tsunami hazards associated with potential debris flows entering Baker Lake, a reservoir on the flanks of the Mount Baker volcano in the northwestern United States. ?? 2006 ASCE.

  14. Public Health Implications of Counterfeit Medications.

    PubMed

    Fantasia, Heidi Collins; Vooys, Katherine M

    2018-06-01

    Counterfeit medications are broadly defined as drugs that can contain inadequate amounts of active ingredients, contain the wrong active ingredients, be contaminated with harmful substances, and/or be falsely labeled. These medications are a public health issue globally, and their presence in the United States is growing. Counterfeit medications are produced without regulatory oversight and are distributed illegally, often via online sources. Use of these medications can result in adverse effects or a lack of improvement in a person's health condition. Nurses can assess where individuals are obtaining their medications and provide education about the potentially serious risks posed by counterfeit medications and how to avoid them. Copyright © 2018 AWHONN. Published by Elsevier Inc. All rights reserved.

  15. Public pensions, family allowances and endogenous demographic change.

    PubMed

    Peters, W

    1995-05-01

    "A tax-transfer system deals with redistribution a PAYGmong generations and corrective taxation a PAYGt the same time. Since such a policy is a government's task, we take a normative approach and pose the question: Which tax-transfer system should a government apply to maximize social welfare? The framework we consider allows for endogenous demographic aspects...: first, fertility has a great impact on a PAYG [pay-as-you-go] financed pension insurance; and second, through education human capital is accumulated.... We analyzed the optimal extent of a public pension scheme in the presence of external effects of fertility and education on the net domestic product." Pension schemes in Germany and the United States are compared. excerpt

  16. Drug shortages: the cycle of quantity and quality.

    PubMed

    Kweder, S L; Dill, S

    2013-03-01

    Shortages of pharmaceutical drugs pose a serious and growing threat to public health. Although the number of drugs in shortage in the United States in any given year is very small, the number of prescription drug shortages in the country nearly tripled between 2005 and 2010. Drug shortages are becoming more severe as well as more frequent. The affected medicines include cancer treatments, anesthesia drugs, and other drugs that are critical to the treatment and prevention of serious diseases and life-threatening conditions. (The White House, Office of the Press Secretary, Executive Order 13588-Reducing Prescription Drug Shortages (http://www.whitehouse.gov/the-press-office/2011/10/31/executive-order-reducing-prescription-drug-shortages)).

  17. Continental Divide? The attitudes of US and Canadian oncologists on the costs, cost-effectiveness, and health policies associated with new cancer drugs.

    PubMed

    Berry, Scott R; Bell, Chaim M; Ubel, Peter A; Evans, William K; Nadler, Eric; Strevel, Elizabeth L; Neumann, Peter J

    2010-09-20

    Oncologists in the United States and Canada work in different health care systems, but physicians in both countries face challenges posed by the rising costs of cancer drugs. We compared their attitudes regarding the costs and cost-effectiveness of medications and related health policy. Survey responses of a random sample of 1,355 United States and 238 Canadian medical oncologists (all outside of Québec) were compared. Response rate was 59%. More US oncologists (67% v 52%; P < .001) favor access to effective treatments regardless of cost, while more Canadians favor access to effective treatments only if they are cost-effective (75% v 58%; P < .001). Most (84% US, 80% Canadian) oncologists state that patient out-of-pocket costs influence their treatment recommendations, but less than half the respondents always or frequently discuss the costs of treatments with their patients. The majority of oncologists favor more use of cost-effectiveness data in coverage decisions (80% US, 69% Canadian; P = .004), but fewer than half the oncologists in both countries feel well equipped to use cost-effectiveness information. Majorities of oncologists favor government price controls (57% US, 68% Canadian; P = .01), but less than half favor more cost-sharing by patients (29% US, 41% Canadian; P = .004). Oncologists in both countries prefer to have physicians and nonprofit agencies determine whether drugs provide good value. Oncologists in the United States and Canada generally have similar attitudes regarding cancer drug costs, cost-effectiveness, and associated policies, despite practicing in different health care systems. The results support providing education to help oncologists in both countries use cost-effectiveness information and discuss drug costs with their patients.

  18. Creating a stakeholder-driven unified conservation blueprint for 15 southeastern states.

    NASA Astrophysics Data System (ADS)

    Hopkins, T. E.

    2017-12-01

    The dramatic changes sweeping the Southeastern United States — such as urbanization, competition for water resources, extreme weather events, sea-level rise, and climate change — pose unprecedented challenges for sustaining our natural and cultural resources. Defining the conservation landscape of the future requires a new model of working together across entities, factions, and political boundaries through a collaborative process. We will illustrate how ecosystem service valuation can be built using a stakeholder-drive process which has united the conservation community through a shared, long-term vision for the future through the Southeast Conservation Adaptation Strategy (SECAS). Through SECAS, diverse public and private partners have worked together to design and achieve a connected network of landscapes and seascapes that supports thriving fish and wildlife populations and improved quality of life for people across the southeastern U.S. and the Caribbean. The scope of SECAS is the fifteen southeastern states that comprise the Southeast Association of Fish and Wildlife Agencies (SEAFWA) plus Puerto Rico and the United States Virgin Islands. SECAS was initiated by SEAFWA and the federal Southeast Natural Resource Leaders Group with support from six Landscape Conservation Cooperatives (LCCs), the Southeast Climate Science Center, and the Southeast Aquatic Resources Partnership. In October of 2016, SECAS achieved a major milestone with the release of a first draft of a conservation blueprint for the Southeast and Caribbean. This blueprint stitches together the conservation and restoration priorities of multiple LCCs in the region into one unifying map — a living spatial plan to make the SECAS vision a reality. Whether you are an urban planner, a private landowner, a non-profit advocate, a public lands manager, or anyone else committed to sustaining our natural and cultural heritage for future generations, join the SECAS conversation at www.secassoutheast.org

  19. The emergence of Electronic Democracy as an auxiliary to representational democracy

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

    Noel, R.E.

    1994-06-01

    Electronic democracy as a system is defined, and the ways in which it may affect current systems of government is addressed. Electronic democracy`s achievements thus far in the United States at the community level are surveyed, and prospects for its expansion to state, national, and international systems are summarized. Central problems of electronic democracy are described, and its feasibility assessed (including safeguards against, and vulnerabilities to sabotage and abuse); the ways in which new and ongoing methods for information dissemination pose risks to current systems of government are discussed. One of electronic democracy`s underlying assumptions is challenged, namely that itsmore » direct, instant polling capability necessarily improves or refines governance. Further support is offered for the assertion that computer systems/networks should be used primarily to educate citizens and enhance awareness of issues, rather than as frameworks for direct decision making.« less

  20. Comparative molecular analyses of invasive fall armyworm in Togo reveal strong similarities to populations from the eastern United States and the Greater Antilles

    PubMed Central

    Koffi, Djima; Agboka, Komi; Tounou, Kodjo Agbeko; Banerjee, Rahul; Jurat-Fuentes, Juan Luis; Meagher, Robert L.

    2017-01-01

    The fall armyworm (Spodoptera frugiperda, J.E. Smith) is a noctuid moth that is a major and ubiquitous agricultural pest in the Western Hemisphere. Infestations have recently been identified in several locations in Africa, indicating its establishment in the Eastern Hemisphere where it poses an immediate and significant economic threat. Genetic methods were used to characterize noctuid specimens infesting multiple cornfields in the African nation of Togo that were tentatively identified as fall armyworm by morphological criteria. Species identification was confirmed by DNA barcoding and the specimens were found to be primarily of the subgroup that preferentially infests corn and sorghum in the Western Hemisphere. The mitochondrial haplotype configuration was most similar to that found in the Caribbean region and the eastern coast of the United States, identifying these populations as the likely originating source of the Togo infestations. A genetic marker linked with resistance to the Cry1Fa toxin from Bacillus thuringiensis (Bt) expressed in transgenic corn and common in Puerto Rico fall armyworm populations was not found in the Togo collections. These observations demonstrate the usefulness of genetic surveys to characterize fall armyworm populations from Africa. PMID:28738081

  1. Electromagnetic reprogrammable coding-metasurface holograms.

    PubMed

    Li, Lianlin; Jun Cui, Tie; Ji, Wei; Liu, Shuo; Ding, Jun; Wan, Xiang; Bo Li, Yun; Jiang, Menghua; Qiu, Cheng-Wei; Zhang, Shuang

    2017-08-04

    Metasurfaces have enabled a plethora of emerging functions within an ultrathin dimension, paving way towards flat and highly integrated photonic devices. Despite the rapid progress in this area, simultaneous realization of reconfigurability, high efficiency, and full control over the phase and amplitude of scattered light is posing a great challenge. Here, we try to tackle this challenge by introducing the concept of a reprogrammable hologram based on 1-bit coding metasurfaces. The state of each unit cell of the coding metasurface can be switched between '1' and '0' by electrically controlling the loaded diodes. Our proof-of-concept experiments show that multiple desired holographic images can be realized in real time with only a single coding metasurface. The proposed reprogrammable hologram may be a key in enabling future intelligent devices with reconfigurable and programmable functionalities that may lead to advances in a variety of applications such as microscopy, display, security, data storage, and information processing.Realizing metasurfaces with reconfigurability, high efficiency, and control over phase and amplitude is a challenge. Here, Li et al. introduce a reprogrammable hologram based on a 1-bit coding metasurface, where the state of each unit cell of the coding metasurface can be switched electrically.

  2. Advancing Value Assessment in the United States: A Multistakeholder Perspective.

    PubMed

    Sorenson, Corinna; Lavezzari, Gabriela; Daniel, Gregory; Burkholder, Randy; Boutin, Marc; Pezalla, Edmund; Sanders, Gillian; McClellan, Mark

    2017-02-01

    Rising costs without perceived proportional improvements in quality and outcomes have motivated fundamental shifts in health care delivery and payment to achieve better value. Aligned with these efforts, several value assessment frameworks have been introduced recently to help providers, patients, and payers better understand the potential value of drugs and other interventions and make informed decisions about their use. Given their early stage of development, it is imperative to evaluate these efforts on an ongoing basis to identify how best to support and improve them moving forward. This article provides a multistakeholder perspective on the key limitations and opportunities posed by the current value assessment frameworks and areas of and actions for improvement. In particular, we outline 10 fundamental guiding principles and associated strategies that should be considered in subsequent iterations of the existing frameworks or by emerging initiatives in the future. Although value assessment frameworks may not be able to meet all the needs and preferences of stakeholders, we contend that there are common elements and potential next steps that can be supported to advance value assessment in the United States. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  3. Direct and indirect cost of managing alzheimer’s disease and related dementias in the United States

    PubMed Central

    Deb, Arijita; Thornton, James Douglas; Sambamoorthi, Usha; Innes, Kim

    2017-01-01

    Introduction Care of individuals with Alzheimer’s Disease and Related Dementias (ADRD) poses special challenges. As the disease progresses, individuals with ADRD require increasing levels of medical care, caregiver support, and long-term care which can lead to substantial economic burden. Areas covered In this expert review, we synthesized findings from studies of costs of ADRD in the United States that were published between January 2006 and February 2017, highlighted major sources of variation in costs, identified knowledge gaps and briefly outlined directions for future research and implications for policy and program planning. Expert commentary A consistent finding of all studies comparing individuals with and without ADRD is that the average medical, non-medical, and indirect costs of individuals with ADRD are higher than those without ADRD, despite the differences in the methods of identifying ADRD, duration of the study, payer type and settings of study population. The economic burden of ADRD may be underestimated because many components such as direct non-medical costs for home safety modifications and adult day care services and indirect costs due to the adverse impact of ADRD on caregivers’ health and productivity are not included in cost estimates. PMID:28351177

  4. Prevention and control of rabies in an age of global travel: a review of travel- and trade-associated rabies events--United States, 1986-2012.

    PubMed

    Lankau, E W; Cohen, N J; Jentes, E S; Adams, L E; Bell, T R; Blanton, J D; Buttke, D; Galland, G G; Maxted, A M; Tack, D M; Waterman, S H; Rupprecht, C E; Marano, N

    2014-08-01

    Rabies prevention and control efforts have been successful in reducing or eliminating virus circulation regionally through vaccination of specific reservoir populations. A notable example of this success is the elimination of canine rabies virus variant from the United States and many other countries. However, increased international travel and trade can pose risks for rapid, long-distance movements of ill or infected persons or animals. Such travel and trade can result in human exposures to rabies virus during travel or transit and could contribute to the re-introduction of canine rabies variant or transmission of other viral variants among animal host populations. We present a review of travel- and trade-associated rabies events that highlight international public health obligations and collaborative opportunities for rabies prevention and control in an age of global travel. Rabies is a fatal disease that warrants proactive coordination among international public health and travel industry partners (such as travel agents, tour companies and airlines) to protect human lives and to prevent the movement of viral variants among host populations. Published 2013. This article is a U.S. Government work and is in the public domain in the USA.

  5. Space for the Prisoner's Point of View.

    PubMed

    Haupt, Laura

    2017-03-01

    The lead article in this issue discusses a potentially free metaphorical space-that of decision-making-within the confines, tangible and intangible, of life in jail or prison. By interviewing prisoner-participants from six clinical studies, Paul Christopher and colleagues sought to find out how these men and women would answer open-ended questions about their decision to enroll in the research. What the interviewers heard was that none saw themselves as having been inappropriately pressured to do so. In fact, a significant percentage of the prisoners described being dissuaded from participating in the studies. The authors therefore advise that unfair exploitation poses the more relevant research risk to contemporary prisoners in the United States than does coercion, and they encourage investigations into whether prisoners are unfairly restricted or discouraged from joining clinical studies. Although Keramet Reiter makes no reference to etymology in her commentary responding to the article, her argument suggests that the roots of "coerce"-the Latin for "shut up" or "enclose"-remain relevant. Reiter argues that, under current conditions, the people shut up in prisons in the United States cannot make an unfettered choice to join a clinical trial. © 2017 The Hastings Center.

  6. Laboring Until Labor: The Prevalence and Correlates of Antenatal Maternity Leave in the United States.

    PubMed

    Goodman, Julia M

    2018-02-01

    Introduction Most women in the U.S. are employed during pregnancy and work until the month of childbirth. For many, working throughout pregnancy poses little threat to their health; however, women experiencing difficult pregnancies and/or working in strenuous or inflexible jobs may benefit from taking time from work as they approach childbirth, but almost no empirical evidence examines antenatal leave (ANL). Methods Using a national survey of English-speaking women, this paper offers the first national description of ANL and examines state policy predictors of uptake. Results Thirty-seven percent of employed women worked until the week their baby was due. After controlling for characteristics of women and their jobs, living in a state with any or multiple leave laws increased the probability of ANL by 14 and 23% points, respectively. Women living in states with multiple leave laws stopped work almost 2 weeks earlier than women in states without a policy. Discussion Paid leave policies currently being considered at the federal, state, and local levels should consider the potential impact on antenatal leave, in addition to postnatal leave, and how they influence population health.

  7. Using an iPad for Basic Communication Between Spanish-Speaking Families and Nurses in Pediatric Acute Care: A Feasibility Pilot Study.

    PubMed

    Jackson, Kylie H; Mixer, Sandra J

    2017-08-01

    The growing number of Spanish speakers in the United States poses communication challenges for healthcare providers. Language barriers in pediatric acute care have been associated with an increased risk for adverse events, longer hospital stays, and decreased quality of care. In addition, clinicians' usage of interpreter services is inconsistent. In fact, nurses often lack interpreter support during daily bedside care. Nursing staff at a pediatric children's hospital in the southeastern United States identified bedside communication with Spanish-speaking patients and families as a clinical challenge. To address this challenge, a basic communication interface, UTalk version 1.0 (the author is the owner and proprietor), supported by an Apple iPad, was developed by the researcher with input from nursing staff, a certified medical interpreter, and Spanish-speaking community members. A feasibility pilot study of the interface's usability and engagement was conducted on the hospital's pediatric medical-surgical unit through qualitative interviews with nurse-family dyads. Three themes emerged from the data: UTalk-facilitated communication, UTalk needs improvement, and interpreter miscommunication. These findings indicate that a mobile digital device interface is a feasible method for augmenting bedside communication with Spanish-speaking patients and families. These results also may serve as a reference for the development of similar mobile device interfaces. Further research with a larger sample size is needed.

  8. Firearms and health: the right to be armed with accurate information about the Second Amendment.

    PubMed Central

    Vernick, J S; Teret, S P

    1993-01-01

    An organized campaign by groups such as the National Rifle Association has sought to convince policymakers and others that the Second Amendment to the US Constitution grants an unfettered right to individuals to possess any firearm, free from federal or state regulation. Although advocates may debate the meaning that should be given to the Second Amendment, under the American legal system the meaning of any particular constitutional provision is determined by the controlling precedent of Supreme Court cases. Two cases, Presser v Illinois and United States v Miller, remain the Supreme Court's latest word on the meaning of the Second Amendment. In Presser, the Court held that the Second Amendment is applicable only to federal, not state, laws. In Miller and subsequent federal cases, any Second Amendment "right" to bear arms is closely linked to the preservation of state militias, upholding a variety of federal gun legislation. Unless the Supreme Court modifies or reverses its Presser and Miller decisions, health advocates should understand that the Second Amendment poses no obstacle to even broad gun control legislation. PMID:8259817

  9. Modeled ecohydrological responses to climate change at seven small watersheds in the northeastern United States

    USGS Publications Warehouse

    Pourmokhtarian, Afshin; Driscoll, Charles T.; Campbell, John L.; Hayhoe, Katharine; Stoner, Anne M. K.; Adams, Mary Beth; Burns, Douglas; Fernandez, Ivan; Mitchell, Myron J.; Shanley, James B.

    2017-01-01

    A cross-site analysis was conducted on seven diverse, forested watersheds in the northeastern United States to evaluate hydrological responses (evapotranspiration, soil moisture, seasonal and annual streamflow, and water stress) to projections of future climate. We used output from four atmosphere–ocean general circulation models (AOGCMs; CCSM4, HadGEM2-CC, MIROC5, and MRI-CGCM3) included in Phase 5 of the Coupled Model Intercomparison Project, coupled with two Representative Concentration Pathways (RCP 8.5 and 4.5). The coarse resolution AOGCMs outputs were statistically downscaled using an asynchronous regional regression model to provide finer resolution future climate projections as inputs to the deterministic dynamic ecosystem model PnET-BGC. Simulation results indicated that projected warmer temperatures and longer growing seasons in the northeastern United States are anticipated to increase evapotranspiration across all sites, although invoking CO2 effects on vegetation (growth enhancement and increases in water use efficiency (WUE)) diminish this response. The model showed enhanced evapotranspiration resulted in drier growing season conditions across all sites and all scenarios in the future. Spruce-fir conifer forests have a lower optimum temperature for photosynthesis, making them more susceptible to temperature stress than more tolerant hardwood species, potentially giving hardwoods a competitive advantage in the future. However, some hardwood forests are projected to experience seasonal water stress, despite anticipated increases in precipitation, due to the higher temperatures, earlier loss of snow packs, longer growing seasons, and associated water deficits. Considering future CO2effects on WUE in the model alleviated water stress across all sites. Modeled streamflow responses were highly variable, with some sites showing significant increases in annual water yield, while others showed decreases. This variability in streamflow responses poses a challenge to water resource management in the northeastern United States. Our analyses suggest that dominant vegetation type and soil type are important attributes in determining future hydrological responses to climate change.

  10. Modeled ecohydrological responses to climate change at seven small watersheds in the northeastern United States.

    PubMed

    Pourmokhtarian, Afshin; Driscoll, Charles T; Campbell, John L; Hayhoe, Katharine; Stoner, Anne M K; Adams, Mary Beth; Burns, Douglas; Fernandez, Ivan; Mitchell, Myron J; Shanley, James B

    2017-02-01

    A cross-site analysis was conducted on seven diverse, forested watersheds in the northeastern United States to evaluate hydrological responses (evapotranspiration, soil moisture, seasonal and annual streamflow, and water stress) to projections of future climate. We used output from four atmosphere-ocean general circulation models (AOGCMs; CCSM4, HadGEM2-CC, MIROC5, and MRI-CGCM3) included in Phase 5 of the Coupled Model Intercomparison Project, coupled with two Representative Concentration Pathways (RCP 8.5 and 4.5). The coarse resolution AOGCMs outputs were statistically downscaled using an asynchronous regional regression model to provide finer resolution future climate projections as inputs to the deterministic dynamic ecosystem model PnET-BGC. Simulation results indicated that projected warmer temperatures and longer growing seasons in the northeastern United States are anticipated to increase evapotranspiration across all sites, although invoking CO 2 effects on vegetation (growth enhancement and increases in water use efficiency (WUE)) diminish this response. The model showed enhanced evapotranspiration resulted in drier growing season conditions across all sites and all scenarios in the future. Spruce-fir conifer forests have a lower optimum temperature for photosynthesis, making them more susceptible to temperature stress than more tolerant hardwood species, potentially giving hardwoods a competitive advantage in the future. However, some hardwood forests are projected to experience seasonal water stress, despite anticipated increases in precipitation, due to the higher temperatures, earlier loss of snow packs, longer growing seasons, and associated water deficits. Considering future CO 2 effects on WUE in the model alleviated water stress across all sites. Modeled streamflow responses were highly variable, with some sites showing significant increases in annual water yield, while others showed decreases. This variability in streamflow responses poses a challenge to water resource management in the northeastern United States. Our analyses suggest that dominant vegetation type and soil type are important attributes in determining future hydrological responses to climate change. © 2016 John Wiley & Sons Ltd.

  11. Public health implications of changing rodent importation patterns— United States, 1999–2013

    PubMed Central

    Lankau, Emily W.; Sinclair, Julie R.; Schroeder, Betsy A.; Galland, G. Gale; Marano, Nina

    2015-01-01

    Summary The United States imports a large volume of live wild and domestic animal species; these animals pose a demonstrated risk for introduction of zoonotic diseases. Rodents are imported for multiple purposes, including scientific research, zoo exhibits, and the pet trade. Current U.S. public health regulatory restrictions specific to rodent importation pertain only to those of African origin. To understand the impacts of these regulations and the potential public health risks of international rodent trade to the United States, we evaluated live rodent import records during 1999 –2013 by shipment volume and geographic origin, source (e.g., wild -caught versus captive-or commercially bred), intended purpose, and rodent taxonomy. Live rodent imports increased from 2,737 animals during 1999 to 173,761 animals during 2013. Increases in both the number and size of shipments contributed to this trend. The proportion of wild-captured imports declined from 75% during 1999 to <1% during 2013. Nearly all shipments during these years were imported for commercial purposes. Imports from Europe and other countries in North America experienced notable increases in volume. Gerbils and hamsters arriving from Europe and chinchillas, guinea pigs, and hamsters arriving from other countries in North America were predominant taxa underlying this trend . After 2003, African-origin imports became sporadic events under the federal permit process. These patterns suggest development of large -scale captive rodent breeding markets abroad for commercial sale in the United States. While the shift from wild-captured imports alleviates many conservation concerns and risks for novel disease emergence, such consolidated sourcing might elevate exposure risks for zoonotic diseases associated with high-density rodent breeding(e.g. , lymphocytic choriomeningitis or salmonellosis). A responsive border health system must periodically re-evaluate importation regulations in conjunction with key stakeholders to ensure a balance between the economic benefits of rodent trade against the potential public health risks. PMID:26245515

  12. Public Health Implications of Changing Rodent Importation Patterns - United States, 1999-2013.

    PubMed

    Lankau, E W; Sinclair, J R; Schroeder, B A; Galland, G G; Marano, N

    2017-04-01

    The United States imports a large volume of live wild and domestic animal species; these animals pose a demonstrated risk for introduction of zoonotic diseases. Rodents are imported for multiple purposes, including scientific research, zoo exhibits and the pet trade. Current U.S. public health regulatory restrictions specific to rodent importation pertain only to those of African origin. To understand the impacts of these regulations and the potential public health risks of international rodent trade to the United States, we evaluated live rodent import records during 1999-2013 by shipment volume and geographic origin, source (e.g. wild-caught versus captive- or commercially bred), intended purpose and rodent taxonomy. Live rodent imports increased from 2737 animals during 1999 to 173 761 animals during 2013. Increases in both the number and size of shipments contributed to this trend. The proportion of wild-captured imports declined from 75% during 1999 to <1% during 2013. Nearly all shipments during these years were imported for commercial purposes. Imports from Europe and other countries in North America experienced notable increases in volume. Gerbils and hamsters arriving from Europe and chinchillas, guinea pigs and hamsters arriving from other countries in North America were predominant taxa underlying this trend. After 2003, African-origin imports became sporadic events under the federal permit process. These patterns suggest development of large-scale captive rodent breeding markets abroad for commercial sale in the United States. While the shift from wild-captured imports alleviates many conservation concerns and risks for novel disease emergence, such consolidated sourcing might elevate exposure risks for zoonotic diseases associated with high-density rodent breeding (e.g. lymphocytic choriomeningitis or salmonellosis). A responsive border health system must periodically re-evaluate importation regulations in conjunction with key stakeholders to ensure a balance between the economic benefits of rodent trade against the potential public health risks. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

  13. Risk analysis for U.S. offshore wind farms: the need for an integrated approach.

    PubMed

    Staid, Andrea; Guikema, Seth D

    2015-04-01

    Wind power is becoming an increasingly important part of the global energy portfolio, and there is growing interest in developing offshore wind farms in the United States to better utilize this resource. Wind farms have certain environmental benefits, notably near-zero emissions of greenhouse gases, particulates, and other contaminants of concern. However, there are significant challenges ahead in achieving large-scale integration of wind power in the United States, particularly offshore wind. Environmental impacts from wind farms are a concern, and these are subject to a number of on-going studies focused on risks to the environment. However, once a wind farm is built, the farm itself will face a number of risks from a variety of hazards, and managing these risks is critical to the ultimate achievement of long-term reductions in pollutant emissions from clean energy sources such as wind. No integrated framework currently exists for assessing risks to offshore wind farms in the United States, which poses a challenge for wind farm risk management. In this "Perspective", we provide an overview of the risks faced by an offshore wind farm, argue that an integrated framework is needed, and give a preliminary starting point for such a framework to illustrate what it might look like. This is not a final framework; substantial work remains. Our intention here is to highlight the research need in this area in the hope of spurring additional research about the risks to wind farms to complement the substantial amount of on-going research on the risks from wind farms. © 2015 Society for Risk Analysis.

  14. An Examination of Care Practices of Pregnant Women Incarcerated in Jail Facilities in the United States.

    PubMed

    Kelsey, C M; Medel, Nickole; Mullins, Carson; Dallaire, Danielle; Forestell, Catherine

    2017-06-01

    The number of incarcerated women in the United States has been steadily increasing over the last 30 years. An estimated 6-10% of these women are pregnant at intake. Previous studies on the health needs and care of pregnant incarcerated women have focused mainly on prison settings. Therefore, we examined the pregnancy-related accommodations and health care provided for regional jail populations. The present study is a quantitative survey (administered through phone or email to employees of predominately jail medical facilities) of common practices and policies employed across 53 jail facilities in the United States as a function of geographic region (North vs. South; West vs. Central vs. East). We examined provision of pregnancy screening, special diets, and drug rehabilitation and prohibition of shackling. Strikingly, across all aspects of the care of pregnant incarcerated women there are areas to be improved upon. Notably, only 37.7% of facilities pregnancy test all women upon entry, 45.7% put opioid addicted women through withdrawal protocol, and 56.7% of facilities use restraints on women hours after having a baby. In this first study to examine practices in regional jails nationwide, we found evidence that standards of care guidelines to improve health and well-being of pregnant incarcerated women, set by agencies such as American College of Obstetricians and Gynecologists, are not being followed in many facilities. Because not following these guidelines could pose major health risks to the mother and developing fetus, better policies, better enforcement of policies, and better common practices are needed to improve the health and welfare of pregnant incarcerated women.

  15. Evidence of Hybridization between Common Gartersnakes (Thamnophis sirtalis) and Butler’s Gartersnakes (Thamnophis butleri) in Wisconsin (USA).

    USGS Publications Warehouse

    Joshua M. Kapfer,; Sloss, Brian L.; Gregor W. Schuurman,; Paloski, Rori A.; Jeffrey M. Lorch,

    2013-01-01

    Snakes within the genus Thamnophis (Gartersnakes and Ribbonsnakes) are often found in sympatry throughout their geographic distributions. Past work has indicated that some sympatric species within this genus may hybridize, but research of this nature is limited. We attempted to determine whether hybridization occurs between two Thamnophis species native to the upper midwestern United States: Common Gartersnake (Thamnophis sirtalis) and the Butler's Gartersnake (Thamnophis butleri). We sampled snakes (n = 411) across 26 locations in Wisconsin, including sites where both species coexist and sites where only Common Gartersnakes are found. We conducted genetic analyses on tissue collected from individuals field-identified as Common Gartersnakes or Butler's Gartersnakes. To verify the results of our field-collected data, we analyzed tissues from juvenile snakes (n = 4) suspected to be the offspring of a Common Gartersnake and a Butler's Gartersnake that were housed together in a captive situation. Of the field-collected snakes analyzed, eight snakes were consistent with expected Common × Butler's Gartersnake hybrids. All four of the captive offspring analyzed resolved as putative hybrids, corresponding with our field-collected samples. Butler's Gartersnake is a globally rare species, endemic only to the upper midwestern United States. Studies involving the potential for hybridization between common and uncommon species are useful from a conservation perspective. The low incidence of hybridization we observed would indicate that hybridization between these species is uncommon. Further research investigating rates of hybridization would help assess any potential threat posed by outbreeding between common and rare gartersnakes in this region of the United States.

  16. Campus Climate and the Underrepresented Minority Engineering Student Experience: A Critical Race Study

    NASA Astrophysics Data System (ADS)

    Mayes, Terrance

    In the current technological era, the number of minorities in science, technology, engineering, and mathematics (STEM) is a crucial factor in predetermining the economic growth of the United States. Since the minority population is growing at much faster rates than the non-minority population, the lack of proportionate production of minority engineers poses a threat to the United States' ability to remain a global competitor in technological innovation. Sixty-three per cent (63%) of undergraduate students who enter engineering majors continue on to graduate in that major. The graduation rate, however, for African-American, Hispanic, and Native-American students in engineering is significantly lower at 39%. As this group represents only a small fraction of the annual student enrollment, engineering programs are graduating these minority groups at rates that are greatly disproportionate to United States demographics. Therefore, researchers are thoroughly investigating certain initiatives that promote academic success among underrepresented minority students in engineering. Colleges and universities have attempted to address the growing achievement gap between underrepresented minority and non-minority engineering students, predominately through various deficit-based interventions, focusing on the student's flaws and problems. As the pipeline for minorities in engineering continues to narrow, it begs the question of whether institutions are focusing on the right solutions to the problem. Critical Race Theory scholars argue that colleges and universities must address institutional climate issues around students, such as racism, microaggressions, and marginalization, before members of oppressed groups can truly succeed. This dissertation explored the unique experiences of underrepresented minority engineering students in a predominately White and Asian campus.

  17. Current Epidemiology of Revision Total Knee Arthroplasty in the United States.

    PubMed

    Delanois, Ronald E; Mistry, Jaydev B; Gwam, Chukwuweike U; Mohamed, Nequesha S; Choksi, Ujval S; Mont, Michael A

    2017-09-01

    Revision surgery for failed total knee arthroplasty (TKA) continues to pose a substantial burden for the United States healthcare system. The predominant etiology of TKA failure has changed over time and may vary between studies. This report aims to update the current literature on this topic by using a large national database. Specifically, we analyzed: (1) etiologies for revision TKA; (2) frequencies of revision TKA procedures; (3) various demographics including payer type and region; and (4) the length of stay (LOS) and total charges based on type of revision TKA procedure. The Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) database was used to identify all revision TKA procedures performed between 2009 and 2013. Clinical, economic, and demographic data were collected and analyzed for 337,597 procedures. Patients were stratified according to etiology of failure, age, sex, race, US census region, and primary payor class. The mean LOS and total charges were also calculated. Infection was the most common etiology for revision TKA (20.4%), closely followed by mechanical loosening (20.3%). The most common revision TKA procedure performed was all component revision (31.3%). Medicare was the primary payor for the greatest proportion of revisions (57.7%). The South census region performed the most revision TKAs (33.2%). The overall mean LOS was 4.5 days, with arthrotomy for removal of prosthesis without replacement procedures accounting for the longest stays (7.8 days). The mean total charge for revision TKAs was $75,028.07. Without appropriate measures in place, the burden of revision TKAs may become overwhelming and pose a strain on providers and institutions. Continued insight into the etiology and epidemiology of revision TKAs may be the principle step towards improving outcomes and mitigating the need for future revisions. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. International casemix and funding models: lessons for rehabilitation.

    PubMed

    Turner-Stokes, Lynne; Sutch, Stephen; Dredge, Robert; Eagar, Kathy

    2012-03-01

    This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is 'An understanding of the different international models for funding of health care services and casemix systems, as exemplified by those in the US, Australia and the UK.' Payment for treatment in healthcare systems around the world is increasingly based on fixed tariff models to drive up efficiency and contain costs. Casemix classifications, however, must account adequately for the resource implications of varying case complexity. Rehabilitation poses some particular challenges for casemix development. The objectives of this educational narrative review are (a) to provide an overview of the development of casemix in rehabilitation, (b) to describe key characteristics of some well-established casemix and payment models in operation around the world and (c) to explore opportunities for future development arising from the lessons learned. Diagnosis alone does not adequately describe cost variation in rehabilitation. Functional dependency is considered a better cost indicator, and casemix classifications for inpatient rehabilitation in the United States and Australia rely on the Functional Independence Measure (FIM). Fixed episode-based prospective payment systems are shown to contain costs, but at the expense of poorer functional outcomes. More sophisticated models incorporating a mixture of episode and weighted per diem rates may offer greater flexibility to optimize outcome, while still providing incentive for throughput. The development of casemix in rehabilitation poses similar challenges for healthcare systems all around the world. Well-established casemix systems in the United States and Australia have afforded valuable lessons for other countries to learn from, but have not provided all the answers. A range of casemix and payment models is required to cater for different healthcare cultures, and casemix tools must capture all the key cost-determinants of treatment for patients with complex needs.

  19. Which US States Pose the Greatest Threats to Military Readiness and Public Health? Public Health Policy Implications for a Cross-sectional Investigation of Cardiorespiratory Fitness, Body Mass Index, and Injuries Among US Army Recruits.

    PubMed

    Bornstein, Daniel B; Grieve, George L; Clennin, Morgan N; McLain, Alexander C; Whitsel, Laurie P; Beets, Michael W; Hauret, Keith G; Jones, Bruce H; Sarzynski, Mark A

    2018-01-09

    Many states in the southern region of the United States are recognized for higher rates of obesity, physical inactivity, and chronic disease. These states are therefore recognized for their disproportionate public health burden. The purpose of this study was to investigate state-level distributions of cardiorespiratory fitness, body mass index (BMI), and injuries among US Army recruits in order to determine whether or not certain states may also pose disproportionate threats to military readiness and national security. Sex-specific state-level values for injuries and fitness among 165 584 Army recruits were determined. Next, the relationship between median cardiorespiratory fitness and injury incidence at the state level was examined using Spearman correlations. Finally, multivariable Poisson regression models stratified by sex examined state-level associations between fitness and injury incidence, while controlling for BMI, and other covariates. Cardiorespiratory fitness and training-related injury incidence. A cluster of 10 states from the south and southeastern regions (Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, and Texas) produced male or female recruits who were significantly less fit and/or more likely to become injured than recruits from other US states. Compared with the "most fit states," the incidence of injuries increased by 22% (95% CI, 17-28; P < .001) and 28% (95% CI, 19-36; P < .001) in male and female recruits from the "least fit states," respectively. The impact of policies, systems, and environments on physical activity behavior, and subsequently fitness and health, has been clearly established. Advocacy efforts aimed at active living policies, systems, and environmental changes to improve population health often fail. However, advocating for active living policies to improve national security may prove more promising, particularly with legislators. Results from this study demonstrate how certain states, previously identified for their disproportionate public health burden, are also disproportionately burdensome for military readiness and national security.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

  20. Tracking Climate Change through the Spatiotemporal Dynamics of the Teletherms, the Statistically Hottest and Coldest Days of the Year

    DOE PAGES

    Dodds, Peter Sheridan; Mitchell, Lewis; Reagan, Andrew J.; ...

    2016-05-11

    Instabilities and long term shifts in seasons, whether induced by natural drivers or human activities, pose great disruptive threats to ecological, agricultural, and social systems. Here, we propose, measure, and explore two fundamental markers of location-sensitive seasonal variations: the Summer and Winter Teletherms—the on-average annual dates of the hottest and coldest days of the year. We analyze daily temperature extremes recorded at 1218 stations across the contiguous United States from 1853–2012, and observe large regional variation with the Summer Teletherm falling up to 90 days after the Summer Solstice, and 50 days for the Winter Teletherm after the Winter Solstice.more » We show that Teletherm temporal dynamics are substantive with clear and in some cases dramatic shifts reflective of system bifurcations. We also compare recorded daily temperature extremes with output from two regional climate models finding considerable though relatively unbiased error. In conclusion, our work demonstrates that Teletherms are an intuitive, powerful, and statistically sound measure of local climate change, and that they pose detailed, stringent challenges for future theoretical and computational models.« less

  1. Hazard Assessment of Chemical Air Contaminants Measured in Residences

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

    Logue, J.M.; McKone, T.E.; Sherman, M. H.

    2010-05-10

    Identifying air pollutants that pose a potential hazard indoors can facilitate exposure mitigation. In this study, we compiled summary results from 77 published studies reporting measurements of chemical pollutants in residences in the United States and in countries with similar lifestyles. These data were used to calculate representative mid-range and upper bound concentrations relevant to chronic exposures for 267 pollutants and representative peak concentrations relevant to acute exposures for 5 activity-associated pollutants. Representative concentrations are compared to available chronic and acute health standards for 97 pollutants. Fifteen pollutants appear to exceed chronic health standards in a large fraction of homes.more » Nine other pollutants are identified as potential chronic health hazards in a substantial minority of homes and an additional nine are identified as potential hazards in a very small percentage of homes. Nine pollutants are identified as priority hazards based on the robustness of measured concentration data and the fraction of residences that appear to be impacted: acetaldehyde; acrolein; benzene; 1,3-butadiene; 1,4-dichlorobenzene; formaldehyde; naphthalene; nitrogen dioxide; and PM{sub 2.5}. Activity-based emissions are shown to pose potential acute health hazards for PM{sub 2.5}, formaldehyde, CO, chloroform, and NO{sub 2}.« less

  2. Measuring culture: a critical review of acculturation and health in Asian immigrant populations.

    PubMed

    Salant, Talya; Lauderdale, Diane S

    2003-07-01

    The number of studies examining how acculturation affects the health of Asian immigrants has increased in recent years. The proliferation of studies reflects the growing size and heterogeneity of Asian immigrant populations in the United States, Canada, Australia, New Zealand, and the United Kingdom. This paper compares various approaches to acculturation within the health literature on Asian immigrants by reviewing the literature in three-health domains (1) mental health (2) physical health and (3) health services use. The review critically examines the conceptualizations and measures of acculturation in these three domains and presents major findings. We observe that measurement difficulties posed by the experiences of heterogeneous Asian groups compound theoretical and disciplinary disparities between acculturation instruments. The extent to which conceptual and methodological critiques of acculturation studies in Hispanic populations apply to studies of Asian populations is also discussed. The critical review thus provides insights into the diverse ways that the relationship between culture and health is measured in this complicated and growing literature.

  3. Under Control

    PubMed Central

    Payne, John

    1971-01-01

    The new film of David Mercer's Family life poses some hard questions for psychiatry to answer and puts the Laingian case for 'schizophrenia' being an illness created within the family unit. PMID:27670980

  4. Health research needed to resolve scientific issues surrounding drinking water disinfection

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

    Kleffman, D.

    Disinfection of drinking water will most likely continue in the United States in order to prevent exposure to microbial pathogens that can cause infectious disease. However, the emergence of concerns over possible toxicological effects, including cancer, mutagenicity, cardiovascular disease, and reproductive effects, may require that the disinfection techniques used in this country be altered or changed. First, the spectrum of possible health effects and the level of risk posed by exposure to chemicals in drinking water must be determined. This will require a continuing research program to develop the scientific data necessary to resolve these issues. In this paper, themore » authors discusses the microbiological, chemical, toxicological, and epidemiological research that is needed to address these issues.« less

  5. Current Considerations About the Elderly and Firearms

    PubMed Central

    Mertens, Brian

    2012-01-01

    In the United States, more than 17 million people aged 65 years or older own a firearm. They have the highest rate of suicide by a firearm, and recent data suggest that a disproportionate number apply to carry a concealed weapon. At least one new handgun has been designed and marketed for older people. Memory, thinking, and judgment as well as physical and behavioral competence issues related to an elderly person's safe operation of a motor vehicle apply to firearms, too. Gun availability can pose a particular risk to those with dementia and to their caretakers. The elderly constitute a substantial and rapidly growing population and market segment for whom the public health implications of firearm production, promotion, access, ownership, and use merit consideration. PMID:22390501

  6. Superfund record of decision amendment (EPA Region 5): Carter Industrials Site, Detroit, MI, February 28, 1995

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

    NONE

    This decision document changes a decision made on September 18, 1991 in which the United States Environmental Protection Agency (U.S. EPA) chose low-temperature thermal desorption as the remedy for PCB contamination at the Carter Industrials Site in Detroit, Michigan. U.S. EPA is hereby amending the 1991 Record of Decision (PB92-964126) to select off-site disposal as the remedy. This response action addresses remediation of PCB-contaminated soil, debris, and buildings at the Carter Industrials Site. The principal threats posed by conditions at the Site include inhalation of volatilized PCBs and fugitive dust, and dermal contact with contaminated materials. The amended remedy willmore » eliminate these threats.« less

  7. The web of clinical trial registration obligations: have foreign clinical trials been caught?

    PubMed

    Hathaway, Carolyne R; Manthei, John R; Haas, J Ben; Meltzer, Elizabeth D

    2009-01-01

    The web of overlapping requirements, standards, recommendations and policies governing the conduct of clinical trials highlights the intense scrutiny of the ethical, data quality and public access issues raised by human trials that are conducted to demonstrate the safety and efficacy of medical products marketed in the United States. One relatively recent development is the requirement that sponsors register and make public information about their clinical trials and clinical trial results. These clinical trial registration requirements illustrate the interests of patients, providers and researchers in increased visibility, transparency and accessibility of clinical trials and the data they generate. These requirements, however, pose regulatory, logistical and practical hurdles for companies sponsoring clinical trials of drugs and medical devices.

  8. Varicella zoster meningitis in a pregnant woman with acquired immunodeficiency syndrome.

    PubMed

    Jayakrishnan, Asha; Vrees, Roxanne; Anderson, Brenna

    2008-10-01

    Between 6000 and 7000 women in the United States infected with human immunodeficiency virus (HIV) give birth annually. It is well known that HIV-related immunosuppression significantly increases the risk for acquiring opportunistic infections (OIs). However, there is limited information regarding the relationship of pregnancy in the setting of HIV/AIDS infection, subsequent development of OIs, and maternal and fetal outcomes. A pregnant 36-year-old woman with AIDS was diagnosed with varicella zoster meningitis. Weight-based therapy with acyclovir was initiated with clinical improvement in symptoms. Care of a pregnant HIV-infected patient with an OI poses a unique diagnostic and therapeutic challenge for clinicians. Early diagnosis and initiation of appropriate treatment may provide an opportunity to improve both maternal and fetal outcomes.

  9. Adolescence, Attention Allocation, and Driving Safety

    PubMed Central

    Romer, Daniel; Lee, Yi-Ching; McDonald, Catherine C.; Winston, Flaura K.

    2014-01-01

    Motor vehicle crashes are the leading source of morbidity and mortality in adolescents in the United States and the developed world. Inadequate allocation of attention to the driving task and to driving hazards are important sources of adolescent crashes. We review major explanations for these attention failures with particular focus on the roles that brain immaturity and lack of driving experience play in causing attention problems. The review suggests that the potential for overcoming inexperience and immaturity with training to improve attention to both the driving task and hazards is substantial. Nevertheless, there are large individual differences in both attentional abilities and risky driving tendencies that pose challenges to novice driver policies. Research that can provide evidence-based direction for such policies is urgently needed. PMID:24759442

  10. Current considerations about the elderly and firearms.

    PubMed

    Mertens, Brian; Sorenson, Susan B

    2012-03-01

    In the United States, more than 17 million people aged 65 years or older own a firearm. They have the highest rate of suicide by a firearm, and recent data suggest that a disproportionate number apply to carry a concealed weapon. At least one new handgun has been designed and marketed for older people. Memory, thinking, and judgment as well as physical and behavioral competence issues related to an elderly person's safe operation of a motor vehicle apply to firearms, too. Gun availability can pose a particular risk to those with dementia and to their caretakers. The elderly constitute a substantial and rapidly growing population and market segment for whom the public health implications of firearm production, promotion, access, ownership, and use merit consideration.

  11. Imaging artificial satellites: An observational challenge

    NASA Astrophysics Data System (ADS)

    Smith, D. A.; Hill, D. C.

    2016-10-01

    According to the Union of Concerned Scientists, as of the beginning of 2016 there are 1381 active satellites orbiting the Earth, and the United States' Space Surveillance Network tracks about 8000 manmade orbiting objects of baseball-size and larger. NASA estimates debris larger than 1 cm to number more than half a million. The largest ones can be seen by eye—unresolved dots of light that move across the sky in minutes. For most astrophotographers, satellites are annoying streaks that can ruin hours of work. However, capturing a resolved image of an artificial satellite can pose an interesting challenge for a student, and such a project can provide connections between objects in the sky and commercial and political activities here on Earth.

  12. The costume of Shangri-La: thoughts on white privilege, cultural appropriation, and anti-asian racism.

    PubMed

    Kleisath, C Michelle

    2014-01-01

    This piece poses cultural appropriation as an undertheorized aspect of white privilege in White Privilege Studies. By way of narrative exploration, it asserts that a paucity of scholarship on Orientalism and anti-Asian racism has created a gap in White Privilege Studies that curbs its radical transformative potential. It argues for the value of a structural and historically focused lens for understanding the issue of cultural appropriation, and extends questions of culture and race relations beyond the borders of the United States. It also explores the complex ways that interracial and transnational relationships can influence white racial identity, and illustrates the disruptive potential that queer interracial relationships can offer to dominant historical patterns of white behavior.

  13. Ecological aspects of microorganisms inhabiting uranium mill tailings

    USGS Publications Warehouse

    Miller, C.L.; Landa, E.R.; Updegraff, D.M.

    1987-01-01

    Numbers and types of microorganisms in uranium mill tailings were determined using culturing techniques. Arthrobacter were found to be the predominant microorganism inhabiting the sandy tailings, whereas Bacillus and fungi predominated in the slime tailings. Sulfate-reducing bacteria, capable of leaching radium, were isolated in low numbers from tailings samples but were isolated in significantly high numbers from topsoil in contact with the tailings. The results are placed in the context of the magnitude of uranium mill tailings in the United States, the hazards posed by the tailings, and how such hazards could be enhanced or diminished by microbial activities. Patterns in the composition of the microbial population are evaluated with respect to the ecological variables that influence microbial growth. ?? 1987 Springer-Verlag New York Inc.

  14. Well-posed continuum equations for granular flow with compressibility and μ(I)-rheology

    NASA Astrophysics Data System (ADS)

    Barker, T.; Schaeffer, D. G.; Shearer, M.; Gray, J. M. N. T.

    2017-05-01

    Continuum modelling of granular flow has been plagued with the issue of ill-posed dynamic equations for a long time. Equations for incompressible, two-dimensional flow based on the Coulomb friction law are ill-posed regardless of the deformation, whereas the rate-dependent μ(I)-rheology is ill-posed when the non-dimensional inertial number I is too high or too low. Here, incorporating ideas from critical-state soil mechanics, we derive conditions for well-posedness of partial differential equations that combine compressibility with I-dependent rheology. When the I-dependence comes from a specific friction coefficient μ(I), our results show that, with compressibility, the equations are well-posed for all deformation rates provided that μ(I) satisfies certain minimal, physically natural, inequalities.

  15. Well-posed continuum equations for granular flow with compressibility and μ(I)-rheology

    PubMed Central

    Schaeffer, D. G.; Shearer, M.; Gray, J. M. N. T.

    2017-01-01

    Continuum modelling of granular flow has been plagued with the issue of ill-posed dynamic equations for a long time. Equations for incompressible, two-dimensional flow based on the Coulomb friction law are ill-posed regardless of the deformation, whereas the rate-dependent μ(I)-rheology is ill-posed when the non-dimensional inertial number I is too high or too low. Here, incorporating ideas from critical-state soil mechanics, we derive conditions for well-posedness of partial differential equations that combine compressibility with I-dependent rheology. When the I-dependence comes from a specific friction coefficient μ(I), our results show that, with compressibility, the equations are well-posed for all deformation rates provided that μ(I) satisfies certain minimal, physically natural, inequalities. PMID:28588402

  16. Well-posed continuum equations for granular flow with compressibility and μ(I)-rheology.

    PubMed

    Barker, T; Schaeffer, D G; Shearer, M; Gray, J M N T

    2017-05-01

    Continuum modelling of granular flow has been plagued with the issue of ill-posed dynamic equations for a long time. Equations for incompressible, two-dimensional flow based on the Coulomb friction law are ill-posed regardless of the deformation, whereas the rate-dependent μ ( I )-rheology is ill-posed when the non-dimensional inertial number I is too high or too low. Here, incorporating ideas from critical-state soil mechanics, we derive conditions for well-posedness of partial differential equations that combine compressibility with I -dependent rheology. When the I -dependence comes from a specific friction coefficient μ ( I ), our results show that, with compressibility, the equations are well-posed for all deformation rates provided that μ ( I ) satisfies certain minimal, physically natural, inequalities.

  17. 42 CFR 441.468 - Service plan elements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Optional Self-Directed Personal Assistance Services Program § 441.468 Service plan elements. (a) The... identification of risks that may pose harm to the participant along with a written individualized backup plan for... planning for avoiding, risks that may pose harm to a participant. (c) All of the State's applicable...

  18. 42 CFR 441.468 - Service plan elements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Optional Self-Directed Personal Assistance Services Program § 441.468 Service plan elements. (a) The... identification of risks that may pose harm to the participant along with a written individualized backup plan for... planning for avoiding, risks that may pose harm to a participant. (c) All of the State's applicable...

  19. 42 CFR 441.468 - Service plan elements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Optional Self-Directed Personal Assistance Services Program § 441.468 Service plan elements. (a) The... identification of risks that may pose harm to the participant along with a written individualized backup plan for... planning for avoiding, risks that may pose harm to a participant. (c) All of the State's applicable...

  20. 42 CFR 441.468 - Service plan elements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Optional Self-Directed Personal Assistance Services Program § 441.468 Service plan elements. (a) The... identification of risks that may pose harm to the participant along with a written individualized backup plan for... planning for avoiding, risks that may pose harm to a participant. (c) All of the State's applicable...

  1. Krikalev during Elektron repair

    NASA Image and Video Library

    2005-05-05

    ISS011-E-05513 (5 May 2005) --- Cosmonaut Sergei K. Krikalev, Expedition 11 commander representing Russia's Federal Space Agency, poses beside the disconnected Liquid Unit #5 (BZh-5) and the O2 end-filter (BD, secondary purification unit) from the BZh5 he removed while making repairs to the Elektron oxygen generator in the Zvezda Service Module of the international space station.

  2. Unit 1002: The Modes and Functions of Discourse.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Center for Curriculum Development in English.

    The purpose of this 10th-grade unit on language is to pose, for students, basic and tentative questions about the rhetorical uses of language. Examples are provided which designate the modes of language: Daniel Fogarty's story of rhetoric to show language which informs; materials from Northrop Frye to show language which inquires; a John F.…

  3. A Review of the History of Attitudes Toward Drinking in Pregnancy.

    PubMed

    Warren, Kenneth R

    2015-07-01

    It is now well accepted in pediatrics and obstetrics that prenatal alcohol is a teratogenic agent and the primary causative factor underlying fetal alcohol spectrum disorders (FASDs), although for the majority of the 20th century that knowledge was either unknown or ignored. At least 2 factors contributed to the delay in recognizing alcohol's role in teratogenicity: the rejection of earlier evidence pertaining to alcohol and pregnancy following the repeal of Prohibition in the United States, Canada, and several European countries; and misinterpretation of earlier research findings in a eugenic rather than toxicological context. The pervasive belief held well into the 1970s that there was no risk to either mother or fetus from prenatal alcohol posed a major challenge to changing physician and public attitudes on alcohol and pregnancy. This review provides insight on key events that occurred in changing physician and public understanding of the risks posed by prenatal alcohol use in pregnancy. Historical review of events primarily in the U.S. federal government, found in referenced documents. The transition in physician and public understanding of the risks posed by prenatal alcohol use was aided by the existence of National Institute on Alcohol Abuse and Alcoholism (NIAAA) which was created in 1971. This government agency was able to support research on alcohol and pregnancy immediately following the 1973 published clinical reports calling attention to a proposed fetal alcohol syndrome (FAS). These early research studies provided the foundation for the first government health advisory on alcohol and pregnancy, issued by NIAAA in 1977. Subsequently, the U.S. Food and Drug Administration (FDA) used this new knowledge on FAS in their effort to add alcoholic beverages to the range of products with ingredient and consumer information labeling. The ensuing hearings and actions resulted in a new health advisory under the auspices of the Surgeon General, encouraging avoidance of alcohol consumption in pregnancy. In subsequent years, Congressional attention to the FAS issue resulted in the Alcoholic Beverage Labeling Law. The pace at which understanding of the risks of prenatal alcohol moved forward from a total misunderstanding to acceptance was aided by both the efforts of the NIAAA in its support of research, and the FDA in its efforts to improve consumer information. Today, many women in the United States as well as other countries continue to ignore advisories on avoiding alcohol consumption in pregnancy, emphasizing the need for persistence in education on these health risks. Copyright © 2015 by the Research Society on Alcoholism.

  4. Ligand Docking to Intermediate and Close-To-Bound Conformers Generated by an Elastic Network Model Based Algorithm for Highly Flexible Proteins

    PubMed Central

    Kurkcuoglu, Zeynep; Doruker, Pemra

    2016-01-01

    Incorporating receptor flexibility in small ligand-protein docking still poses a challenge for proteins undergoing large conformational changes. In the absence of bound structures, sampling conformers that are accessible by apo state may facilitate docking and drug design studies. For this aim, we developed an unbiased conformational search algorithm, by integrating global modes from elastic network model, clustering and energy minimization with implicit solvation. Our dataset consists of five diverse proteins with apo to complex RMSDs 4.7–15 Å. Applying this iterative algorithm on apo structures, conformers close to the bound-state (RMSD 1.4–3.8 Å), as well as the intermediate states were generated. Dockings to a sequence of conformers consisting of a closed structure and its “parents” up to the apo were performed to compare binding poses on different states of the receptor. For two periplasmic binding proteins and biotin carboxylase that exhibit hinge-type closure of two dynamics domains, the best pose was obtained for the conformer closest to the bound structure (ligand RMSDs 1.5–2 Å). In contrast, the best pose for adenylate kinase corresponded to an intermediate state with partially closed LID domain and open NMP domain, in line with recent studies (ligand RMSD 2.9 Å). The docking of a helical peptide to calmodulin was the most challenging case due to the complexity of its 15 Å transition, for which a two-stage procedure was necessary. The technique was first applied on the extended calmodulin to generate intermediate conformers; then peptide docking and a second generation stage on the complex were performed, which in turn yielded a final peptide RMSD of 2.9 Å. Our algorithm is effective in producing conformational states based on the apo state. This study underlines the importance of such intermediate states for ligand docking to proteins undergoing large transitions. PMID:27348230

  5. An anti-disturbing real time pose estimation method and system

    NASA Astrophysics Data System (ADS)

    Zhou, Jian; Zhang, Xiao-hu

    2011-08-01

    Pose estimation relating two-dimensional (2D) images to three-dimensional (3D) rigid object need some known features to track. In practice, there are many algorithms which perform this task in high accuracy, but all of these algorithms suffer from features lost. This paper investigated the pose estimation when numbers of known features or even all of them were invisible. Firstly, known features were tracked to calculate pose in the current and the next image. Secondly, some unknown but good features to track were automatically detected in the current and the next image. Thirdly, those unknown features which were on the rigid and could match each other in the two images were retained. Because of the motion characteristic of the rigid object, the 3D information of those unknown features on the rigid could be solved by the rigid object's pose at the two moment and their 2D information in the two images except only two case: the first one was that both camera and object have no relative motion and camera parameter such as focus length, principle point, and etc. have no change at the two moment; the second one was that there was no shared scene or no matched feature in the two image. Finally, because those unknown features at the first time were known now, pose estimation could go on in the followed images in spite of the missing of known features in the beginning by repeating the process mentioned above. The robustness of pose estimation by different features detection algorithms such as Kanade-Lucas-Tomasi (KLT) feature, Scale Invariant Feature Transform (SIFT) and Speed Up Robust Feature (SURF) were compared and the compact of the different relative motion between camera and the rigid object were discussed in this paper. Graphic Processing Unit (GPU) parallel computing was also used to extract and to match hundreds of features for real time pose estimation which was hard to work on Central Processing Unit (CPU). Compared with other pose estimation methods, this new method can estimate pose between camera and object when part even all known features are lost, and has a quick response time benefit from GPU parallel computing. The method present here can be used widely in vision-guide techniques to strengthen its intelligence and generalization, which can also play an important role in autonomous navigation and positioning, robots fields at unknown environment. The results of simulation and experiments demonstrate that proposed method could suppress noise effectively, extracted features robustly, and achieve the real time need. Theory analysis and experiment shows the method is reasonable and efficient.

  6. Adherence Barriers to Chronic Dialysis in the United States

    PubMed Central

    Thadhani, Ravi I.; Maddux, Franklin W.

    2014-01-01

    Hemodialysis patients often do not attend their scheduled treatment session. We investigated factors associated with missed appointments and whether such nonadherence poses significant harm to patients and increases overall health care utilization in an observational analysis of 44 million hemodialysis treatments for 182,536 patients with ESRD in the United States. We assessed the risk of hospitalization, emergency room visit, or intensive-coronary care unit (ICU-CCU) admission in the 2 days after a missed treatment relative to the risk for patients who received hemodialysis. Over the 5-year study period, the average missed treatment rate was 7.1 days per patient-year. In covariate adjusted logistic regression, the risk of hospitalization (odds ratio [OR], 3.98; 95% confidence interval [95% CI], 3.93 to 4.04), emergency room visit (OR, 2.00; 95% CI, 1.87 to 2.14), or ICU-CCU admission (OR, 3.89; 95% CI, 3.81 to 3.96) increased significantly after a missed treatment. Overall, 0.9 missed treatment days per year associated with suboptimal transportation to dialysis, inclement weather, holidays, psychiatric illness, pain, and gastrointestinal upset. These barriers also associated with excess hospitalization (5.6 more events per patient-year), emergency room visits (1.1 more visits), and ICU-CCU admissions (0.8 more admissions). In conclusion, poor adherence to hemodialysis treatments may be a substantial roadblock to achieving better patient outcomes. Addressing systemic and patient barriers that impede access to hemodialysis care may decrease missed appointments and reduce patient morbidity. PMID:24762400

  7. Does social selection explain the association between state-level racial animus and racial disparities in self-rated health in the United States?

    PubMed

    McKetta, Sarah; Hatzenbuehler, Mark L; Pratt, Charissa; Bates, Lisa; Link, Bruce G; Keyes, Katherine M

    2017-08-01

    Racism, whether defined at individual, interpersonal, or structural levels, is associated with poor health among Blacks. This association may arise because exposure to racism causes poor health, but geographic mobility patterns pose an alternative explanation-namely, Black individuals with better health and resources can move away from racist environments. We examine the evidence for selection effects using nationally representative, longitudinal data (1990-2009) from the Panel Study on Income Dynamics (n = 33,852). We conceptualized state-level racial animus as an ecologic measure of racism and operationalized it as the percent of racially-charged Google search terms in each state. Among those who move out of state, Blacks reporting good self-rated health (SRH) are more likely to move to a state with less racial animus than Blacks reporting poor SRH (P = .01), providing evidence for at least some selection into environments with less racial animus. However, among Blacks who moved states, over 80% moved to a state within the same quartile of racial animus, and fewer than 5% resided in states with the lowest level of racial animus. Geographic mobility patterns are therefore likely to explain only a small part of the relationship between racial animus and SRH. These results require replication with alternative measures of racist attitudes and health outcomes. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Obesity and Nursing Home Care in the United States: A Systematic Review.

    PubMed

    Harris, John Alexander; Castle, Nicholas George

    2017-12-14

    Obesity is increasing among people residing in nursing homes, and resident obesity substantially affects services needed, equipment and facilities provided, and morbidity in this setting. The purpose of this article is to describe the scope and depth of evidence regarding the impact of obesity among nursing home residents in the United States. A systematic literature review was performed in PubMed, EMBASE, CINAHL, and Web of Science databases as well as additional hand-searched documents. Included articles were published from 1997 to March 2017. The characteristics and content of the included articles were systematically reviewed and reported. Twenty-eight studies met inclusion criteria for review. The median study size was 636 residents (interquartile range 40-11,248); 18 (64%) studies were retrospective and 10 (36%) were prospective in nature. Ten (36%) studies examined medical and functional morbidity, 10 (36%) examined health system effects, and 5 (18%) examined the risk of admission to nursing homes. Most studies found that obesity poses serious issues to resident health and the provision of health care, as well as broad health system and nursing challenges in the provision of high-quality nursing home care and services. Although obesity affects about one in four nursing home residents in the United States, relatively limited evidence exists on the complex challenges of obesity for their residents and their care. A continued focus on resident quality of life, health system improvement, and nursing best practices for properly caring for individuals with obesity is needed. © The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  9. A Review of African Swine Fever and the Potential for Introduction into the United States and the Possibility of Subsequent Establishment in Feral Swine and Native Ticks.

    PubMed

    Brown, Vienna R; Bevins, Sarah N

    2018-01-01

    African swine fever (ASF) is caused by African swine fever virus (ASFV), which can cause substantial morbidity and mortality events in swine. The virus can be transmitted via direct and indirect contacts with infected swine, their products, or competent vector species, especially Ornithodoros ticks. Africa and much of Eastern Europe are endemic for ASF; a viral introduction to countries that are currently ASF free could have severe economic consequences due to the loss of production from infected animals and the trade restrictions that would likely be imposed as a result of an outbreak. We identified vulnerabilities that could lead to ASFV introduction or persistence in the United States or other ASF-free regions. Both legal and illegal movements of live animals, as well as the importation of animal products, byproducts, and animal feed, pose a risk of virus introduction. Each route is described, and current regulations designed to prevent ASFV and other pathogens from entering the United States are outlined. Furthermore, existing ASFV research gaps are highlighted. Laboratory experiments to evaluate multiple species of Ornithodoros ticks that have yet to be characterized would be useful to understand vector competence, host preferences, and distribution of competent soft tick vectors in relation to high pig production areas as well as regions with high feral swine (wild boar or similar) densities. Knowledge relative to antigenic viral proteins that contribute to host response and determination of immune mechanisms that lead to protection are foundational in the quest for a vaccine. Finally, sampling of illegally imported and confiscated wild suid products for ASFV could shed light on the types of products being imported and provide a more informed perspective relative to the risk of ASFV importation.

  10. Barite (Barium)

    USGS Publications Warehouse

    Johnson, Craig A.; Piatak, Nadine M.; Miller, M. Michael; Schulz, Klaus J.; DeYoung,, John H.; Seal, Robert R.; Bradley, Dwight C.

    2017-12-19

    Barite (barium sulfate, BaSO4) is vital to the oil and gas industry because it is a key constituent of the mud used to drill oil and gas wells. Elemental barium is an additive in optical glass, ceramic glazes, and other products. Within the United States, barite is produced mainly from mines in Nevada. Imports in 2011 (the latest year for which complete data were available) accounted for 78 percent of domestic consumption and came mostly from China.Barite deposits can be divided into the following four main types: bedded-sedimentary; bedded-volcanic; vein, cavity-fill, and metasomatic; and residual. Bedded-sedimentary deposits, which are found in sedimentary rocks with characteristics of high biological productivity during sediment accumulation, are the major sources of barite production and account for the majority of reserves, both in the United States and worldwide. In 2013, China and India were the leading producers of barite, and they have large identified resources that position them to be significant producers for the foreseeable future. The potential for undiscovered barite resources in the United States and in many other countries is considerable, however. The expected tight supply and rising costs in the coming years will likely be met by increased production from such countries as Kazakhstan, Mexico, Morocco, and Vietnam.Barium has limited mobility in the environment and exposed barium in the vicinity of barite mines poses minimal risk to human or ecosystem health. Of greater concern is the potential for acidic metal-bearing drainage at sites where the barite ores or waste rocks contain abundant sulfide minerals. This risk is lessened naturally if the host rocks at the site are acid-neutralizing, and the risk can also be lessened by engineering measures.

  11. Importance of Carolina Bays to the Avifauna of Pinelands in the Southeastern United States.

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

    Czapka, Stephen, J.; Kilgo, John, C.

    2011-07-01

    Abstract - Past anthropogenic activity has led to the destruction or alteration of Carolina bay wetlands throughout the southeastern United States. Presently, urban development, combined with a 2001 ruling by the US Supreme Court relaxing protection of isolated wetlands, poses an increasing threat to these and other isolated wetland systems; however, little information exists on the importance of these wetland systems to birds. We compared breeding and wintering bird communities of upland pine (Pinus spp.) forests with and without Carolina bays. Estimated species richness was greater in pine forests with Carolina bays than without during the winter (31.7 ± 1.3more » [mean ± SE] vs. 26.9 ± 1.2; P = 0.027), but not in the breeding season (27.9 ± 2.2 vs. 26.3 ± 2.2; P = 0.644). Total relative abundance did not differ between pine forests with Carolina bays and those without in either the breeding (148.0 ± 16.0 vs. 129.4 ± 10.4 birds/40 ha; P = 0.675) or winter (253.0 ± 36.4 vs. 148.8 ± 15.1 birds/40 ha; P = 0.100) seasons. However, 23 species, 43% of which were wetland-dependent, were observed only in pine forests with bays during the breeding season, and 20 species, 30% of which were wetland-dependent, were observed only in such sites during winter. In contrast, only 6 and 1 species were observed only in pine forests without bays during the breeding and winter seasons, respectively, indicating that few species were negatively affected by the presence of bays. Thus, Carolina bays appear to enrich the avifauna of pine forests in the southeastern United States.« less

  12. On the Path to SunShot. Emerging Opportunities and Challenges in U.S. Solar Manufacturing

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

    Chung, Donald; Horowitz, Kelsey; Kurup, Parthiv

    This report provides insights into photovoltaic (PV) and concentrating solar power (CSP) manufacturing in the context of the U.S. Department of Energy's SunShot Initiative. Although global PV price reductions and deployment have been strong recently, PV manufacturing faces challenges. Slowing rates of manufacturing cost reductions, combined with the relatively low price of incumbent electricity generating sources in most large global PV markets, may constrain profit opportunities for firms and poses a potential challenge to the sustainable operation and growth of the global PV manufacturing base. In the United States, manufacturers also face a factors-of-production cost disadvantage compared with competing nations.more » However, the United States is one of the world's most competitive and innovative countries as well as one of the best locations for PV manufacturing. In conjunction with strong projected PV demand in the United States and across the Americas, these advantages could increase the share of PV technologies produced by U.S. manufacturers as the importance of innovation-driven PV cost reductions increases. Compared with PV, CSP systems are much more complex and require a much larger minimum effective scale, resulting in much higher total CAPEX requirements for system construction, lengthier development cycles, and ultimately higher costs of energy produced. The global lack of consistent CSP project development creates challenges for companies that manufacture specialty CSP components, and the potential lack of a near-term U.S. market could hinder domestic CSP manufacturers. However, global and U.S. CSP deployment is expected to expand beyond 2020, and U.S. CSP manufacturers could benefit from U.S. innovation advantages similar to those associated with PV. Expansion of PV and CSP manufacturing also presents U.S. job-growth opportunities.« less

  13. Public health response to an imported case of canine melioidosis.

    PubMed

    Ryan, C W; Bishop, K; Blaney, D D; Britton, S J; Cantone, F; Egan, C; Elrod, M G; Frye, C W; Maxted, A M; Perkins, G

    2018-06-01

    Melioidosis in humans presents variably as fulminant sepsis, pneumonia, skin infection and solid organ abscesses. It is caused by Burkholderia pseudomallei, which in the United States is classified as a select agent, with "potential to pose a severe threat to both human and animal health, to plant health or to animal and plant products" (Federal Select Agent Program, http://www.selectagents.gov/, accessed 22 September 2016). Burkholderia pseudomallei is found in soil and surface water in the tropics, especially South-East Asia and northern Australia, where melioidosis is endemic. Human cases are rare in the United States and are usually associated with travel to endemic areas. Burkholderia pseudomallei can also infect animals. We describe a multijurisdictional public health response to a case of subclinical urinary B. pseudomallei infection in a dog that had been adopted into upstate New York from a shelter in Thailand. Investigation disclosed three human contacts with single, low-risk exposures to the dog's urine at his residence, and 16 human contacts with possible exposure to his urine or culture isolates at a veterinary hospital. Contacts were offered various combinations of symptom/fever monitoring, baseline and repeat B. pseudomallei serologic testing, and antibiotic post-exposure prophylaxis, depending on the nature of their exposure and their personal medical histories. The dog's owner accepted recommendations from public health authorities and veterinary clinicians for humane euthanasia. A number of animal rescue organizations actively facilitate adoptions into the United States of shelter dogs from South-East Asia. This may result in importation of B. pseudomallei into almost any community, with implications for human and animal health. © 2018 Blackwell Verlag GmbH.

  14. A Review of African Swine Fever and the Potential for Introduction into the United States and the Possibility of Subsequent Establishment in Feral Swine and Native Ticks

    PubMed Central

    Brown, Vienna R.; Bevins, Sarah N.

    2018-01-01

    African swine fever (ASF) is caused by African swine fever virus (ASFV), which can cause substantial morbidity and mortality events in swine. The virus can be transmitted via direct and indirect contacts with infected swine, their products, or competent vector species, especially Ornithodoros ticks. Africa and much of Eastern Europe are endemic for ASF; a viral introduction to countries that are currently ASF free could have severe economic consequences due to the loss of production from infected animals and the trade restrictions that would likely be imposed as a result of an outbreak. We identified vulnerabilities that could lead to ASFV introduction or persistence in the United States or other ASF-free regions. Both legal and illegal movements of live animals, as well as the importation of animal products, byproducts, and animal feed, pose a risk of virus introduction. Each route is described, and current regulations designed to prevent ASFV and other pathogens from entering the United States are outlined. Furthermore, existing ASFV research gaps are highlighted. Laboratory experiments to evaluate multiple species of Ornithodoros ticks that have yet to be characterized would be useful to understand vector competence, host preferences, and distribution of competent soft tick vectors in relation to high pig production areas as well as regions with high feral swine (wild boar or similar) densities. Knowledge relative to antigenic viral proteins that contribute to host response and determination of immune mechanisms that lead to protection are foundational in the quest for a vaccine. Finally, sampling of illegally imported and confiscated wild suid products for ASFV could shed light on the types of products being imported and provide a more informed perspective relative to the risk of ASFV importation. PMID:29468165

  15. Spatio-Temporal Dimensions of Child Poverty in America, 1990-2010.

    PubMed

    Call, Maia A; Voss, Paul R

    2016-01-01

    The persistence of childhood poverty in the United States, a wealthy and developed country, continues to pose both an analytical dilemma and public policy challenge, despite many decades of research and remedial policy implementation. In this paper, our goals are twofold, though our primary focus is methodological. We attempt both to examine the relationship between space, time, and previously established factors correlated with childhood poverty at the county level in the continental United States as well as to provide an empirical case study to demonstrate an underutilized methodological approach. We analyze a spatially consistent dataset built from the 1990 and 2000 U.S. Censuses, and the 2006-2010 American Community Survey. Our analytic approach includes cross-sectional spatial models to estimate the reproduction of poverty for each of the reference years as well as a fixed effects panel data model, to analyze change in child poverty over time. In addition, we estimate a full space-time interaction model, which adjusts for spatial and temporal variation in these data. These models reinforce our understanding of the strong regional persistence of childhood poverty in the U.S. over time and suggest that the factors impacting childhood poverty remain much the same today as they have in past decades.

  16. Communication Challenges and Strategies of U.S. Health Professionals Caring for Seriously Ill South Asian Patients and Their Families.

    PubMed

    Khosla, Nidhi; Washington, Karla T; Shaunfield, Sara; Aslakson, Rebecca

    2017-06-01

    While effective communication is important in the care of seriously ill patients, little is known about communication challenges faced by healthcare providers serving U.S. patients of South Asian origin, one of the fastest growing demographic groups in the United States. Researchers sought to examine communication challenges faced by healthcare providers serving seriously ill South Asian patients and their families and present strategies recommended by providers for effective communication. Researchers conducted a thematic analysis of qualitative data obtained through focus groups and individual interviews with 57 healthcare providers, including physicians, social workers, nurses, chaplains, and others drawn from different healthcare settings in one Midwestern city. While acknowledging the considerable diversity within the U.S. South Asian community, participants discussed three types of communication challenges they often encounter when serving this population: ensuring effective interpretation, identifying a spokesperson, and challenges posed by different cultural norms. Participants shared strategies to address these challenges such as proactively inquiring about patients' and families' preferences and encouraging early appointment of a spokesperson. While providers should avoid stereotyping patients, an awareness of common challenges and adoption of recommended strategies to address these challenges may enhance the provision of culturally responsive person-centered services for seriously ill South Asian patients and their families receiving care in the United States.

  17. Death of family members as an overlooked source of racial disadvantage in the United States

    PubMed Central

    Olson, Julie Skalamera; Crosnoe, Robert; Liu, Hui; Pudrovska, Tetyana; Donnelly, Rachel

    2017-01-01

    Long-standing racial differences in US life expectancy suggest that black Americans would be exposed to significantly more family member deaths than white Americans from childhood through adulthood, which, given the health risks posed by grief and bereavement, would add to the disadvantages that they face. We analyze nationally representative US data from the National Longitudinal Study of Youth (n = 7,617) and the Health and Retirement Study (n = 34,757) to estimate racial differences in exposure to the death of family members at different ages, beginning in childhood. Results indicate that blacks are significantly more likely than whites to have experienced the death of a mother, a father, and a sibling from childhood through midlife. From young adulthood through later life, blacks are also more likely than whites to have experienced the death of a child and of a spouse. These results reveal an underappreciated layer of racial inequality in the United States, one that could contribute to the intergenerational transmission of health disadvantage. By calling attention to this heightened vulnerability of black Americans, our findings underscore the need to address the potential impact of more frequent and earlier exposure to family member deaths in the process of cumulative disadvantage. PMID:28115712

  18. Potential Air Pollutant Emissions and Permitting Classifications for Two Biorefinery Process Designs in the United States

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

    Eberle, Annika; Bhatt, Arpit; Zhang, Yimin

    Advanced biofuel production facilities (biorefineries), such as those envisioned by the United States (U.S.) Renewable Fuel Standard and U.S. Department of Energy's research and development programs, often lack historical air pollutant emissions data, which can pose challenges for obtaining air emission permits that are required for construction and operation. To help fill this knowledge gap, we perform a thorough regulatory analysis and use engineering process designs to assess the applicability of federal air regulations and quantify air pollutant emissions for two feasibility-level biorefinery designs. We find that without additional emission-control technologies both biorefineries would likely be required to obtain majormore » source permits under the Clean Air Act's New Source Review program. The permitting classification (so-called 'major' or 'minor') has implications for the time and effort required for permitting and therefore affects the cost of capital and the fuel selling price. Consequently, we explore additional technically feasible emission-control technologies and process modifications that have the potential to reduce emissions to achieve a minor source permitting classification. Finally, our analysis of air pollutant emissions and controls can assist biorefinery developers with the air permitting process and inform regulatory agencies about potential permitting pathways for novel biorefinery designs.« less

  19. Invasive lionfish reduce native fish abundance on a regional scale

    NASA Astrophysics Data System (ADS)

    Ballew, Nicholas G.; Bacheler, Nathan M.; Kellison, G. Todd; Schueller, Amy M.

    2016-08-01

    Invasive lionfish pose an unprecedented threat to biodiversity and fisheries throughout Atlantic waters off of the southeastern United States, the Caribbean, and the Gulf of Mexico. Here, we employ a spatially replicated Before-After-Control-Impact analysis with temporal pairing to quantify for the first time the impact of the lionfish invasion on native fish abundance across a broad regional scale and over the entire duration of the lionfish invasion (1990-2014). Our results suggest that 1) lionfish-impacted areas off of the southeastern United States are most prevalent off-shore near the continental shelf-break but are also common near-shore and 2) in impacted areas, lionfish have reduced tomtate (a native forage fish) abundance by 45% since the invasion began. Tomtate served as a model native fish species in our analysis, and as such, it is likely that the lionfish invasion has had similar impacts on other species, some of which may be of economic importance. Barring the development of a control strategy that reverses the lionfish invasion, the abundance of lionfish in the Atlantic, Caribbean, and Gulf of Mexico will likely remain at or above current levels. Consequently, the effect of lionfish on native fish abundance will likely continue for the foreseeable future.

  20. Invasive lionfish reduce native fish abundance on a regional scale.

    PubMed

    Ballew, Nicholas G; Bacheler, Nathan M; Kellison, G Todd; Schueller, Amy M

    2016-08-31

    Invasive lionfish pose an unprecedented threat to biodiversity and fisheries throughout Atlantic waters off of the southeastern United States, the Caribbean, and the Gulf of Mexico. Here, we employ a spatially replicated Before-After-Control-Impact analysis with temporal pairing to quantify for the first time the impact of the lionfish invasion on native fish abundance across a broad regional scale and over the entire duration of the lionfish invasion (1990-2014). Our results suggest that 1) lionfish-impacted areas off of the southeastern United States are most prevalent off-shore near the continental shelf-break but are also common near-shore and 2) in impacted areas, lionfish have reduced tomtate (a native forage fish) abundance by 45% since the invasion began. Tomtate served as a model native fish species in our analysis, and as such, it is likely that the lionfish invasion has had similar impacts on other species, some of which may be of economic importance. Barring the development of a control strategy that reverses the lionfish invasion, the abundance of lionfish in the Atlantic, Caribbean, and Gulf of Mexico will likely remain at or above current levels. Consequently, the effect of lionfish on native fish abundance will likely continue for the foreseeable future.

  1. Invasive lionfish reduce native fish abundance on a regional scale

    PubMed Central

    Ballew, Nicholas G.; Bacheler, Nathan M.; Kellison, G. Todd; Schueller, Amy M.

    2016-01-01

    Invasive lionfish pose an unprecedented threat to biodiversity and fisheries throughout Atlantic waters off of the southeastern United States, the Caribbean, and the Gulf of Mexico. Here, we employ a spatially replicated Before-After-Control-Impact analysis with temporal pairing to quantify for the first time the impact of the lionfish invasion on native fish abundance across a broad regional scale and over the entire duration of the lionfish invasion (1990–2014). Our results suggest that 1) lionfish-impacted areas off of the southeastern United States are most prevalent off-shore near the continental shelf-break but are also common near-shore and 2) in impacted areas, lionfish have reduced tomtate (a native forage fish) abundance by 45% since the invasion began. Tomtate served as a model native fish species in our analysis, and as such, it is likely that the lionfish invasion has had similar impacts on other species, some of which may be of economic importance. Barring the development of a control strategy that reverses the lionfish invasion, the abundance of lionfish in the Atlantic, Caribbean, and Gulf of Mexico will likely remain at or above current levels. Consequently, the effect of lionfish on native fish abundance will likely continue for the foreseeable future. PMID:27578096

  2. Scientific evaluation of traditional Chinese medicine under DSHEA: a conundrum. Dietary Supplement Health and Education Act.

    PubMed

    Chang, J

    1999-04-01

    In the United States, traditional Chinese medicines (TCM) are currently sold as dietary supplements, as defined by The Dietary Supplement Health and Education Act (DSHEA). This legislation is unique to the United States and while "structure and function" claims are allowable under DSHEA, disease claims are not. The narrow definition, however, poses a challenge to designing appropriate clinical studies that can provide data for "structure and function" claim substantiation. The process of melding Chinese herbal medicines into the dietary supplement category is complex and there is a need to define a clinical trial paradigm carefully that addresses "structure and function claims" without sacrificing scientific rigor. It is frequently not recognized that TCM favors an amalgamation of several herbs to generate the putative clinical effect. Because of this historical multiherb approach, the reliance on retrospective data to support the potential health benefits of an herb extract has severe limitations. Notwithstanding the immense value of identifying the pharmacological activity of a TCM herb to a chemical suitable for pharmaceutical development, another approach to safe and efficacious herbal products is to develop a standardized herbal extract. This article highlights issues related to the latter approach and will discuss a research-based strategy that may be suitable for validating, in part, the putative health benefits of TCM.

  3. Environmental Influences on Physical Activity among Rural Adults in Montana, United States: Views from Built Environment Audits, Resident Focus Groups, and Key Informant Interviews.

    PubMed

    Lo, Brian K; Morgan, Emily H; Folta, Sara C; Graham, Meredith L; Paul, Lynn C; Nelson, Miriam E; Jew, Nicolette V; Moffat, Laurel F; Seguin, Rebecca A

    2017-10-04

    Rural populations in the United States have lower physical activity levels and are at a higher risk of being overweight and suffering from obesity than their urban counterparts. This paper aimed to understand the environmental factors that influence physical activity among rural adults in Montana. Eight built environment audits, 15 resident focus groups, and 24 key informant interviews were conducted between August and December 2014. Themes were triangulated and summarized into five categories of environmental factors: built, social, organizational, policy, and natural environments. Although the existence of active living features was documented by environmental audits, residents and key informants agreed that additional indoor recreation facilities and more well-maintained and conveniently located options were needed. Residents and key informants also agreed on the importance of age-specific, well-promoted, and structured physical activity programs, offered in socially supportive environments, as facilitators to physical activity. Key informants, however, noted that funding constraints and limited political will were barriers to developing these opportunities. Since building new recreational facilities and structures to support active transportation pose resource challenges, especially for rural communities, our results suggest that enhancing existing features, making small improvements, and involving stakeholders in the city planning process would be more fruitful to build momentum towards larger changes.

  4. Fleeing The Storm(s): An Examination of Evacuation Behavior During Florida’s 2004 Hurricane Season

    PubMed Central

    SMITH, STANLEY K.; MCCARTY, CHRIS

    2009-01-01

    The 2004 hurricane season was the worst in Florida’s history, with four hurricanes causing at least 47 deaths and some $45 billion in damages. To collect information on the demographic impact of those hurricanes, we surveyed households throughout the state and in the local areas that sustained the greatest damage. We estimate that one-quarter of Florida’s population evacuated prior to at least one hurricane; in some areas, well over one-half of the residents evacuated at least once, and many evacuated several times. Most evacuees stayed with family or friends and were away from home for only a few days. Using logistic regression analysis, we found that the strength of the hurricane and the vulnerability of the housing unit had the greatest impact on evacuation behavior; additionally, several demographic variables had significant effects on the probability of evacuating and the choice of evacuation lodging (family/friends, public shelters, or hotels/motels). With continued population growth in coastal areas and the apparent increase in hurricane activity caused by global warming, threats posed by hurricanes are rising in the United States and throughout the world. We believe the present study will help government officials plan more effectively for future hurricane evacuations. PMID:19348112

  5. Potential Air Pollutant Emissions and Permitting Classifications for Two Biorefinery Process Designs in the United States

    DOE PAGES

    Eberle, Annika; Bhatt, Arpit; Zhang, Yimin; ...

    2017-04-26

    Advanced biofuel production facilities (biorefineries), such as those envisioned by the United States (U.S.) Renewable Fuel Standard and U.S. Department of Energy's research and development programs, often lack historical air pollutant emissions data, which can pose challenges for obtaining air emission permits that are required for construction and operation. To help fill this knowledge gap, we perform a thorough regulatory analysis and use engineering process designs to assess the applicability of federal air regulations and quantify air pollutant emissions for two feasibility-level biorefinery designs. We find that without additional emission-control technologies both biorefineries would likely be required to obtain majormore » source permits under the Clean Air Act's New Source Review program. The permitting classification (so-called 'major' or 'minor') has implications for the time and effort required for permitting and therefore affects the cost of capital and the fuel selling price. Consequently, we explore additional technically feasible emission-control technologies and process modifications that have the potential to reduce emissions to achieve a minor source permitting classification. Finally, our analysis of air pollutant emissions and controls can assist biorefinery developers with the air permitting process and inform regulatory agencies about potential permitting pathways for novel biorefinery designs.« less

  6. Potential Air Pollutant Emissions and Permitting Classifications for Two Biorefinery Process Designs in the United States.

    PubMed

    Eberle, Annika; Bhatt, Arpit; Zhang, Yimin; Heath, Garvin

    2017-06-06

    Advanced biofuel production facilities (biorefineries), such as those envisioned by the United States (U.S.) Renewable Fuel Standard and U.S. Department of Energy's research and development programs, often lack historical air pollutant emissions data, which can pose challenges for obtaining air emission permits that are required for construction and operation. To help fill this knowledge gap, we perform a thorough regulatory analysis and use engineering process designs to assess the applicability of federal air regulations and quantify air pollutant emissions for two feasibility-level biorefinery designs. We find that without additional emission-control technologies both biorefineries would likely be required to obtain major source permits under the Clean Air Act's New Source Review program. The permitting classification (so-called "major" or "minor") has implications for the time and effort required for permitting and therefore affects the cost of capital and the fuel selling price. Consequently, we explore additional technically feasible emission-control technologies and process modifications that have the potential to reduce emissions to achieve a minor source permitting classification. Our analysis of air pollutant emissions and controls can assist biorefinery developers with the air permitting process and inform regulatory agencies about potential permitting pathways for novel biorefinery designs.

  7. Availability of Outpatient Mental Health Care by Pediatricians and Child Psychiatrists in Five U.S. Cities.

    PubMed

    Cama, Shireen; Malowney, Monica; Smith, Anna Jo Bodurtha; Spottswood, Margaret; Cheng, Elisa; Ostrowsky, Louis; Rengifo, Jose; Boyd, J Wesley

    2017-10-01

    The authors sought to assess the availability of outpatient mental health care through pediatrician and child psychiatrist offices in the United States and to characterize differences in appointment availability by location, provider type, and insurance across five cities. To do so, the authors posed as parents of a 12-year-old child with depression, gave a predetermined insurance type, and asked to make the first available appointment with the specified provider. They called the offices of 601 individual pediatricians and 312 child psychiatrists located in five U.S. cities and listed as in-network by Blue Cross Blue Shield, one of the largest private insurers in the United States. Appointments were obtained with 40% of the pediatricians and 17% of the child psychiatrists. The mean wait time for psychiatry appointments was 30 days longer than for pediatric appointments. Providers were less likely to have available appointments for children on Medicaid, which is public insurance for low-income people. The most common reason for being unable to make an appointment was that the listed phone number was incorrect. Pediatricians were twice as likely to see new patients and to see them sooner than child psychiatrists. Increasing the number of both types of providers may be necessary to increase access to mental health care for children.

  8. Death of family members as an overlooked source of racial disadvantage in the United States.

    PubMed

    Umberson, Debra; Olson, Julie Skalamera; Crosnoe, Robert; Liu, Hui; Pudrovska, Tetyana; Donnelly, Rachel

    2017-01-31

    Long-standing racial differences in US life expectancy suggest that black Americans would be exposed to significantly more family member deaths than white Americans from childhood through adulthood, which, given the health risks posed by grief and bereavement, would add to the disadvantages that they face. We analyze nationally representative US data from the National Longitudinal Study of Youth (n = 7,617) and the Health and Retirement Study (n = 34,757) to estimate racial differences in exposure to the death of family members at different ages, beginning in childhood. Results indicate that blacks are significantly more likely than whites to have experienced the death of a mother, a father, and a sibling from childhood through midlife. From young adulthood through later life, blacks are also more likely than whites to have experienced the death of a child and of a spouse. These results reveal an underappreciated layer of racial inequality in the United States, one that could contribute to the intergenerational transmission of health disadvantage. By calling attention to this heightened vulnerability of black Americans, our findings underscore the need to address the potential impact of more frequent and earlier exposure to family member deaths in the process of cumulative disadvantage.

  9. Risk Prioritization Tool to Identify the Public Health Risks of Wildlife Trade: The Case of Rodents from Latin America.

    PubMed

    Bueno, I; Smith, K M; Sampedro, F; Machalaba, C C; Karesh, W B; Travis, D A

    2016-06-01

    Wildlife trade (both formal and informal) is a potential driver of disease introduction and emergence. Legislative proposals aim to prevent these risks by banning wildlife imports, and creating 'white lists' of species that are cleared for importation. These approaches pose economic harm to the pet industry, and place substantial burden on importers and/or federal agencies to provide proof of low risk for importation of individual species. As a feasibility study, a risk prioritization tool was developed to rank the pathogens found in rodent species imported from Latin America into the United States with the highest risk of zoonotic consequence in the United States. Four formally traded species and 16 zoonotic pathogens were identified. Risk scores were based on the likelihood of pathogen release and human exposure, and the severity of the disease (consequences). Based on the methodology applied, three pathogens (Mycobacterium microti, Giardia spp. and Francisella tularensis) in one species (Cavia porcellus) were ranked as highest concern. The goal of this study was to present a methodological approach by which preliminary management resources can be allocated to the identified high-concern pathogen-species combinations when warranted. This tool can be expanded to other taxa and geographic locations to inform policy surrounding the wildlife trade. © 2015 Blackwell Verlag GmbH.

  10. Comparative assessment of techniques for initial pose estimation using monocular vision

    NASA Astrophysics Data System (ADS)

    Sharma, Sumant; D`Amico, Simone

    2016-06-01

    This work addresses the comparative assessment of initial pose estimation techniques for monocular navigation to enable formation-flying and on-orbit servicing missions. Monocular navigation relies on finding an initial pose, i.e., a coarse estimate of the attitude and position of the space resident object with respect to the camera, based on a minimum number of features from a three dimensional computer model and a single two dimensional image. The initial pose is estimated without the use of fiducial markers, without any range measurements or any apriori relative motion information. Prior work has been done to compare different pose estimators for terrestrial applications, but there is a lack of functional and performance characterization of such algorithms in the context of missions involving rendezvous operations in the space environment. Use of state-of-the-art pose estimation algorithms designed for terrestrial applications is challenging in space due to factors such as limited on-board processing power, low carrier to noise ratio, and high image contrasts. This paper focuses on performance characterization of three initial pose estimation algorithms in the context of such missions and suggests improvements.

  11. Robust head pose estimation via supervised manifold learning.

    PubMed

    Wang, Chao; Song, Xubo

    2014-05-01

    Head poses can be automatically estimated using manifold learning algorithms, with the assumption that with the pose being the only variable, the face images should lie in a smooth and low-dimensional manifold. However, this estimation approach is challenging due to other appearance variations related to identity, head location in image, background clutter, facial expression, and illumination. To address the problem, we propose to incorporate supervised information (pose angles of training samples) into the process of manifold learning. The process has three stages: neighborhood construction, graph weight computation and projection learning. For the first two stages, we redefine inter-point distance for neighborhood construction as well as graph weight by constraining them with the pose angle information. For Stage 3, we present a supervised neighborhood-based linear feature transformation algorithm to keep the data points with similar pose angles close together but the data points with dissimilar pose angles far apart. The experimental results show that our method has higher estimation accuracy than the other state-of-art algorithms and is robust to identity and illumination variations. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. 28 CFR 541.62 - Referral for placement.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose... housing status when the inmate has been confirmed as testing HIV positive and when there is reliable...

  13. 28 CFR 541.62 - Referral for placement.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose... housing status when the inmate has been confirmed as testing HIV positive and when there is reliable...

  14. 28 CFR 541.62 - Referral for placement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose... housing status when the inmate has been confirmed as testing HIV positive and when there is reliable...

  15. 28 CFR 541.62 - Referral for placement.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose... housing status when the inmate has been confirmed as testing HIV positive and when there is reliable...

  16. 28 CFR 541.62 - Referral for placement.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose... housing status when the inmate has been confirmed as testing HIV positive and when there is reliable...

  17. 77 FR 48124 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ...: Importation of Pork-Filled Pasta. OMB Control Number: 0579-0214. Summary of Collection: The Animal Health... pasta from certain regions pose a minimal risk of introducing swine vesicular disease into the United...

  18. 28 CFR 541.60 - Purpose and scope.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose Danger to Others... institutions, the Bureau of Prisons may place in controlled housing status an inmate who tests HIV positive...

  19. 28 CFR 541.60 - Purpose and scope.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose Danger to Others... institutions, the Bureau of Prisons may place in controlled housing status an inmate who tests HIV positive...

  20. 28 CFR 541.60 - Purpose and scope.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose Danger to Others... institutions, the Bureau of Prisons may place in controlled housing status an inmate who tests HIV positive...

  1. 28 CFR 541.60 - Purpose and scope.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose Danger to Others... institutions, the Bureau of Prisons may place in controlled housing status an inmate who tests HIV positive...

  2. 28 CFR 541.60 - Purpose and scope.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose Danger to Others... institutions, the Bureau of Prisons may place in controlled housing status an inmate who tests HIV positive...

  3. A Multi-Sensor Fusion MAV State Estimation from Long-Range Stereo, IMU, GPS and Barometric Sensors.

    PubMed

    Song, Yu; Nuske, Stephen; Scherer, Sebastian

    2016-12-22

    State estimation is the most critical capability for MAV (Micro-Aerial Vehicle) localization, autonomous obstacle avoidance, robust flight control and 3D environmental mapping. There are three main challenges for MAV state estimation: (1) it can deal with aggressive 6 DOF (Degree Of Freedom) motion; (2) it should be robust to intermittent GPS (Global Positioning System) (even GPS-denied) situations; (3) it should work well both for low- and high-altitude flight. In this paper, we present a state estimation technique by fusing long-range stereo visual odometry, GPS, barometric and IMU (Inertial Measurement Unit) measurements. The new estimation system has two main parts, a stochastic cloning EKF (Extended Kalman Filter) estimator that loosely fuses both absolute state measurements (GPS, barometer) and the relative state measurements (IMU, visual odometry), and is derived and discussed in detail. A long-range stereo visual odometry is proposed for high-altitude MAV odometry calculation by using both multi-view stereo triangulation and a multi-view stereo inverse depth filter. The odometry takes the EKF information (IMU integral) for robust camera pose tracking and image feature matching, and the stereo odometry output serves as the relative measurements for the update of the state estimation. Experimental results on a benchmark dataset and our real flight dataset show the effectiveness of the proposed state estimation system, especially for the aggressive, intermittent GPS and high-altitude MAV flight.

  4. Quarantine Controversy: Kaci Hickox v. Governor Chris Christie.

    PubMed

    Gatter, Robert

    2016-05-01

    Nurse Kaci Hickox is among the "Ebola Fighters" honored by Time magazine as its 2014 Person of the Year, having treated Ebola patients in Sierra Leone while volunteering with Médecins Sans Frontieres. When she returned to the United States in October 2014, she was quarantined in New Jersey for three days before returning home to Maine under the terms of a negotiated release. A year later, in October 2015, Hickox filed suit in federal court against Governor Chris Christie and New Jersey health officials, claiming that the quarantine violated her civil rights. Her complaint asserts that New Jersey officials lacked the authority to quarantine her because she did not pose a significant risk of transmission. The lawsuit raises important questions about disease-transmission risk, the inability of science to rule out certain theoretical risks, and the state's power to quarantine. It also demonstrates that population health depends on respecting individual liberty and using the best available epidemiological data to set public health policy. © 2016 The Hastings Center.

  5. Environmental contaminant exposure data and monitoring priorities for wild terrestrial vertebrates at national parks in coastal and estuarine habitat

    USGS Publications Warehouse

    Rattner, B.A.; Ackerson, B.K.; Eisenreich, K.M.; McKernan, M.A.; Harmon, David

    2006-01-01

    The Biomonitoring of Environmental Status and Trends (BEST) Project of the U.S. Geological Survey (USGS) assesses the exposure and effects of environmental contaminants on select species and habitats in the United States. One of the many BEST Project activities entails the development of decision-support tools to assist in the identification of chemical threats to species and lands under the stewardship of the Department of the Interior. Although there are many ecotoxicological monitoring programs that focus on aquatic species and habitats, there are currently no large-scale efforts that are focused on terrestrial vertebrates in the United States. Nonetheless, organochlorine contaminants, metals, and new pollutants continue to pose hazards to terrestrial vertebrates at many spatial scales (ranging from small hazardous-waste-site point sources to entire watersheds). To evaluate and prioritize pollutant hazards for terrestrial vertebrates, a ?Contaminant Exposure and EffectsTerrestrial Vertebrates? (CEE-TV) database (www.pwrc.usgs.gov/contaminants-online) was developed. The CEE-TV database has been used to conduct simple searches for exposure and biological effects information for a given species or location, identification of temporal contaminant exposure trends, information gap analyses for national wildlife refuge and national park units, and ranking of terrestrial vertebrate ecotoxicological information needs based on data density and water quality problems. Despite widespread concerns about environmental contamination, during the past decade only about one-half of the coastal National Park units appear to have terrestrial vertebrate ecotoxicological data. Based upon known environmental contaminant hazards, it is recommended that regionalized monitoring programs or efforts focused on lands managed by the Department of the Interior should be undertaken to prevent serious natural resource problems.

  6. A geographical information system-based analysis of cancer mortality and population exposure to coal mining activities in West Virginia, United States of America.

    PubMed

    Hendryx, Michael; Fedorko, Evan; Anesetti-Rothermel, Andrew

    2010-05-01

    Cancer incidence and mortality rates are high in West Virginia compared to the rest of the United States of America. Previous research has suggested that exposure to activities of the coal mining industry may contribute to elevated cancer mortality, although exposure measures have been limited. This study tests alternative specifications of exposure to mining activity to determine whether a measure based on location of mines, processing plants, coal slurry impoundments and underground slurry injection sites relative to population levels is superior to a previously-reported measure of exposure based on tons mined at the county level, in the prediction of age-adjusted cancer mortality rates. To this end, we utilize two geographical information system (GIS) techniques--exploratory spatial data analysis and inverse distance mapping--to construct new statistical analyses. Total, respiratory and "other" age-adjusted cancer mortality rates in West Virginia were found to be more highly associated with the GIS-exposure measure than the tonnage measure, before and after statistical control for smoking rates. The superior performance of the GIS measure, based on where people in the state live relative to mining activity, suggests that activities of the industry contribute to cancer mortality. Further confirmation of observed phenomena is necessary with person-level studies, but the results add to the body of evidence that coal mining poses environmental risks to population health in West Virginia.

  7. Lead poisoning in pregnant women who used Ayurvedic medications from India--New York City, 2011-2012.

    PubMed

    2012-08-24

    Lead poisoning still occurs in the United States despite extensive prevention efforts and strict regulations. Exposure to lead can damage the brain, kidneys, and nervous and reproductive systems. Fetal exposure to lead can adversely affect neurodevelopment, decrease fetal growth, and increase the risk for premature birth and miscarriage. During 2011-2012, the New York City Department of Health and Mental Hygiene (DOHMH) investigated six cases of lead poisoning associated with the use of 10 oral Ayurvedic medications made in India. All six cases were in foreign-born pregnant women assessed for lead exposure risk by health-care providers during prenatal visits, as required by New York state law. Their blood lead levels (BLLs) ranged from 16 to 64 µg/dL. Lead concentrations of the medications were as high as 2.4%; several medications also contained mercury or arsenic, which also can have adverse health effects. DOHMH distributed information about the medications to health-care providers, product manufacturers, and government agencies in the United States and abroad, via postal and electronic mail. DOHMH also ordered a local business selling contaminated products to cease sales. Health-care providers should ask patients, especially foreign-born or pregnant patients, about any use of foreign health products, supplements, and remedies such as Ayurvedic medications. Public health professionals should consider these types of products when investigating heavy metal exposures and raise awareness among health-care providers and the public regarding the health risks posed by such products.

  8. West Nile virus infection.

    PubMed

    Guharoy, Roy; Gilroy, Shelley A; Noviasky, John A; Ference, Jonathan

    2004-06-15

    The epidemiology, virology, and transmission of West Nile virus (WNV) are reviewed, and the clinical features, diagnosis, and treatment of WNV infection are examined. WNV infection is caused by a flavivirus transmitted from birds to humans through the bite of culicine mosquitoes. WNV was discovered in the blood of a febrile woman from Uganda's West Nile province in 1937. The first case of domestically acquired WNV infection was reported in the United States in 1999 in New York. Since then, WNV infection has spread rapidly across the United States, with 9306 confirmed cases and 210 deaths reported from 45 states in 2003. It is still not clear how WNV was introduced into North America. WNV is a small, single-stranded RNA virus and a member of the Japanese encephalitis virus antigenic complex. While most humans infected with WNV are asymptomatic, some may develop an influenza-like illness. Disease surveillance remains the cornerstone for the early recognition and control of WNV. We describe one case of WNV infection with an update on the disease. Strategies for the prevention and control of this infection are reviewed. There is no established treatment for WNV infection. Currently, prevention and control are the only measures that help decrease the morbidity and mortality associated with WNV infection. As the number of cases escalates and the geographic distribution of WNV infection widens, the epidemic will continue to pose a major challenge to clinicians in the coming years. There is an urgent need for more research on the pathogenesis and treatment of WNV infection.

  9. KSC-06pd0506

    NASA Image and Video Library

    2006-03-15

    KENNEDY SPACE CENTER, FLA. - Preparing for a simulated emergency landing of a shuttle crew, United Space Alliance (USA) Suit Tech Toni Costa-Davis helps volunteer "astronaut" Brian Bateman, also with USA, with his launch and entry suit. Many volunteers posed as astronauts during the simulation. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/George Shelton

  10. Invasive Plant Management in the United States National Wildlife Refuge

    USGS Publications Warehouse

    Lusk, Michael; Ericson, Jenny

    2011-01-01

    Invasive species pose a significant challenge to the National Wildlife Refuge System and have been identified as the single most important threat to habitat management on refuges. At present, it is estimated that over 2 million acres of refuge lands are invaded by invasive plants. The current and potential costs of controlling invasive plants, as well as monitoring and restoring refuge lands, are significant both financially and ecologically. Budgetary expenditures for invasive species projects in FY 2009 totaled $18.4 million. A number of strategies are used to confront this threat and have resulted in success on a variety of levels. The Refuge System utilizes key partnerships, invasive species strike teams, and a dedicated cadre of volunteers to implement projects that incorporate mechanical, chemical and biological control methods.

  11. Steam generator issues in the United States

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

    Strosnider, J.R.

    1997-02-01

    Alloy 600 steam generator tubes in the US have exhibited degradation mechanisms similar to those observed in other countries. Effective programs have been implemented to address several degradation mechanisms including: wastage; mechanical wear; pitting; and fatigue. These degradation mechanisms are fairly well understood as indicated by the ability to effectively mitigate/manage them. Stress corrosion cracking (SCC) is the dominant degradation mechanism in the US. SCC poses significant inspection and management challenges to the industry and the regulators. The paper also addresses issues of research into SCC, inspection programs, plugging, repair strategies, water chemistry, and regulatory control. Emerging issues in themore » US include: parent tube cracking at sleeve joints; detection and repair of circumferential cracks; free span cracking; inspection and cracking of dented regions; and severe accident analysis.« less

  12. The Space Station Freedom - International cooperation and innovation in space safety

    NASA Technical Reports Server (NTRS)

    Rodney, George A.

    1989-01-01

    The Space Station Freedom (SSF) being developed by the United States, European Space Agency (ESA), Japan, and Canada poses novel safety challenges in design, operations, logistics, and program management. A brief overview discloses many features that make SSF a radical departure from earlier low earth orbit (LEO) space stations relative to safety management: size and power levels; multiphase manned assembly; 30-year planned lifetime, with embedded 'hooks and scars' forevolution; crew size and skill-mix variability; sustained logistical dependence; use of man, robotics and telepresence for on-orbit maintenance of station and free-flyer systems; closed-environment recycling; use of automation and expert systems; long-term operation of collocated life-sciences and materials-science experiments, requiring control and segregation of hazardous and chemically incompatible materials; and materials aging in space.

  13. Access and Costs: Recommendations for Title IV. Hearing on Examining Proposals Authorizing Funds for Title IV Student Aid Programs and Issues Relating to Access to Costs of Postsecondary Education of the Higher Education Act, Including S. 1036, To Revise Section 435 of the Higher Education Act To Allow for the Young Americans Bank and Similar Small, Nonprofit Organizations to Provide Additional Funds for Educational Programming, of the Committee on Labor and Human Resources. United States Senate, One Hundred Fifth Congress, First Session.

    ERIC Educational Resources Information Center

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

    This 10th and final hearing in a series related to the reauthorization of the Higher Education Act, focused on three specific areas: (1) the challenges posed by demographic changes in the college student population--nearly half of all students attend community colleges where the average age of students is 29; (2) the challenges and opportunities…

  14. The rush to drill for natural gas: a public health cautionary tale.

    PubMed

    Finkel, Madelon L; Law, Adam

    2011-05-01

    Efforts to identify alternative sources of energy have focused on extracting natural gas from vast shale deposits. The Marcellus Shale, located in western New York, Pennsylvania, and Ohio, is estimated to contain enough natural gas to supply the United States for the next 45 years. New drilling technology-horizontal drilling and high-volume hydraulic fracturing of shale (fracking)-has made gas extraction much more economically feasible. However, this technique poses a threat to the environment and to the public's health. There is evidence that many of the chemicals used in fracking can damage the lungs, liver, kidneys, blood, and brain. We discuss the controversial technique of fracking and raise the issue of how to balance the need for energy with the protection of the public's health.

  15. Cyanobacterial harmful algal blooms and U.S. Geological Survey science capabilities

    USGS Publications Warehouse

    Graham, Jennifer L.; Dubrovsky, Neil M.; Eberts, Sandra M.

    2016-09-29

    Cyanobacterial harmful algal blooms (CyanoHABs) are increasingly a global concern because CyanoHABs pose a threat to human and aquatic ecosystem health and cause economic damages. Despite advances in scientific understanding of cyanobacteria and associated compounds, many unanswered questions remain about occurrence, environmental triggers for toxicity, and the ability to predict the timing, duration, and toxicity of CyanoHABs. U.S. Geological Survey (USGS) scientists are leading a diverse range of studies to address CyanoHAB issues in water bodies throughout the United States, using a combination of traditional methods and emerging technologies, and in collaboration with numerous partners. By providing practical applications of cutting edge CyanoHAB research, USGS studies have advanced scientific understanding, enabling the development of approaches to help protect ecological and human health.

  16. The Rush to Drill for Natural Gas: A Public Health Cautionary Tale

    PubMed Central

    Law, Adam

    2011-01-01

    Efforts to identify alternative sources of energy have focused on extracting natural gas from vast shale deposits. The Marcellus Shale, located in western New York, Pennsylvania, and Ohio, is estimated to contain enough natural gas to supply the United States for the next 45 years. New drilling technology—horizontal drilling and high-volume hydraulic fracturing of shale (fracking)—has made gas extraction much more economically feasible. However, this technique poses a threat to the environment and to the public's health. There is evidence that many of the chemicals used in fracking can damage the lungs, liver, kidneys, blood, and brain. We discuss the controversial technique of fracking and raise the issue of how to balance the need for energy with the protection of the public's health. PMID:21421959

  17. Online gesture spotting from visual hull data.

    PubMed

    Peng, Bo; Qian, Gang

    2011-06-01

    This paper presents a robust framework for online full-body gesture spotting from visual hull data. Using view-invariant pose features as observations, hidden Markov models (HMMs) are trained for gesture spotting from continuous movement data streams. Two major contributions of this paper are 1) view-invariant pose feature extraction from visual hulls, and 2) a systematic approach to automatically detecting and modeling specific nongesture movement patterns and using their HMMs for outlier rejection in gesture spotting. The experimental results have shown the view-invariance property of the proposed pose features for both training poses and new poses unseen in training, as well as the efficacy of using specific nongesture models for outlier rejection. Using the IXMAS gesture data set, the proposed framework has been extensively tested and the gesture spotting results are superior to those reported on the same data set obtained using existing state-of-the-art gesture spotting methods.

  18. Seismic hazard and risk assessment in the intraplate environment: The New Madrid seismic zone of the central United States

    USGS Publications Warehouse

    Wang, Z.

    2007-01-01

    Although the causes of large intraplate earthquakes are still not fully understood, they pose certain hazard and risk to societies. Estimating hazard and risk in these regions is difficult because of lack of earthquake records. The New Madrid seismic zone is one such region where large and rare intraplate earthquakes (M = 7.0 or greater) pose significant hazard and risk. Many different definitions of hazard and risk have been used, and the resulting estimates differ dramatically. In this paper, seismic hazard is defined as the natural phenomenon generated by earthquakes, such as ground motion, and is quantified by two parameters: a level of hazard and its occurrence frequency or mean recurrence interval; seismic risk is defined as the probability of occurrence of a specific level of seismic hazard over a certain time and is quantified by three parameters: probability, a level of hazard, and exposure time. Probabilistic seismic hazard analysis (PSHA), a commonly used method for estimating seismic hazard and risk, derives a relationship between a ground motion parameter and its return period (hazard curve). The return period is not an independent temporal parameter but a mathematical extrapolation of the recurrence interval of earthquakes and the uncertainty of ground motion. Therefore, it is difficult to understand and use PSHA. A new method is proposed and applied here for estimating seismic hazard in the New Madrid seismic zone. This method provides hazard estimates that are consistent with the state of our knowledge and can be easily applied to other intraplate regions. ?? 2007 The Geological Society of America.

  19. Publishing Trends within State Government: The Situation in North Carolina

    ERIC Educational Resources Information Center

    Martin, Kristin E.

    2004-01-01

    The State Library of North Carolina is responsible for ensuring public access to North Carolina state government publications and maintaining a permanent state documents depository collections. Over the last 7 years, state agencies have increasingly disseminated information in digital formats via the Internet, posing challenges for the State…

  20. Fast Kalman Filtering for Relative Spacecraft Position and Attitude Estimation for the Raven ISS Hosted Payload

    NASA Technical Reports Server (NTRS)

    Galante, Joseph M.; Van Eepoel, John; D'Souza, Chris; Patrick, Bryan

    2016-01-01

    The Raven ISS Hosted Payload will feature several pose measurement sensors on a pan/tilt gimbal which will be used to autonomously track resupply vehicles as they approach and depart the International Space Station. This paper discusses the derivation of a Relative Navigation Filter (RNF) to fuse measurements from the different pose measurement sensors to produce relative position and attitude estimates. The RNF relies on relative translation and orientation kinematics and careful pose sensor modeling to eliminate dependence on orbital position information and associated orbital dynamics models. The filter state is augmented with sensor biases to provide a mechanism for the filter to estimate and mitigate the offset between the measurements from different pose sensors

  1. Fast Kalman Filtering for Relative Spacecraft Position and Attitude Estimation for the Raven ISS Hosted Payload

    NASA Technical Reports Server (NTRS)

    Galante, Joseph M.; Van Eepoel, John; D' Souza, Chris; Patrick, Bryan

    2016-01-01

    The Raven ISS Hosted Payload will feature several pose measurement sensors on a pan/tilt gimbal which will be used to autonomously track resupply vehicles as they approach and depart the International Space Station. This paper discusses the derivation of a Relative Navigation Filter (RNF) to fuse measurements from the different pose measurement sensors to produce relative position and attitude estimates. The RNF relies on relative translation and orientation kinematics and careful pose sensor modeling to eliminate dependence on orbital position information and associated orbital dynamics models. The filter state is augmented with sensor biases to provide a mechanism for the filter to estimate and mitigate the offset between the measurements from different pose sensors.

  2. Recent and projected future climatic suitability of North America for the Asian tiger mosquito Aedes albopictus.

    PubMed

    Ogden, Nicholas H; Milka, Radojević; Caminade, Cyril; Gachon, Philippe

    2014-12-02

    Since the 1980s, populations of the Asian tiger mosquito Aedes albopictus have become established in south-eastern, eastern and central United States, extending to approximately 40°N. Ae. albopictus is a vector of a wide range of human pathogens including dengue and chikungunya viruses, which are currently emerging in the Caribbean and Central America and posing a threat to North America. The risk of Ae. albopictus expanding its geographic range in North America under current and future climate was assessed using three climatic indicators of Ae. albopictus survival: overwintering conditions (OW), OW combined with annual air temperature (OWAT), and a linear index of precipitation and air temperature suitability expressed through a sigmoidal function (SIG). The capacity of these indicators to predict Ae. albopictus occurrence was evaluated using surveillance data from the United States. Projected future climatic suitability for Ae. albopictus was obtained using output of nine Regional Climate Model experiments (RCMs). OW and OWAT showed >90% specificity and sensitivity in predicting observed Ae. albopictus occurrence and also predicted moderate to high risk of Ae. albopictus invasion in Pacific coastal areas of the Unites States and Canada under current climate. SIG also well predicted observed Ae. albopictus occurrence (ROC area under the curve was 0.92) but predicted wider current climatic suitability in the north-central and north-eastern United States and south-eastern Canada. RCM output projected modest (circa 500 km) future northward range expansion of Ae. albopictus by the 2050s when using OW and OWAT indicators, but greater (600-1000 km) range expansion, particularly in eastern and central Canada, when using the SIG indicator. Variation in future possible distributions of Ae. albopictus was greater amongst the climatic indicators used than amongst the RCM experiments. Current Ae. albopictus distributions were well predicted by simple climatic indicators and northward range expansion was predicted for the future with climate change. However, current and future predicted geographic distributions of Ae. albopictus varied amongst the climatic indicators used. Further field studies are needed to assess which climatic indicator is the most accurate in predicting regions suitable for Ae. albopictus survival in North America.

  3. Tracking the Careers of Graduates: A New Agenda for Graduate Schools

    ERIC Educational Resources Information Center

    Stewart, Debra W.

    2013-01-01

    As candidates in the 2012 election debated issues raised by the state of the US economy, unemployment statistics and job creation took center stage. The problems under discussion posed (and continue to pose) a particularly clear and pressing challenge to the nation's graduate schools. While the US enjoys a reputation for having the most dynamic…

  4. Yesterday's war; tomorrow's technology: peer commentary on 'Ethical, legal, social and policy issues in the use of genomic technologies by the US military'.

    PubMed

    Evans, Nicholas G; Moreno, Jonathan D

    2015-02-01

    A recent article by Maxwell J. Mehlman and Tracy Yeheng Li, in the Journal of Law and the Biosciences , sought to examine the ethical, legal, social, and policy issues associated with the use of genetic screening and germ-line therapies ('genomic technologies') by the US Military. In this commentary, we will elaborate several related matters: the relationship between genetic and non-genetic screening methods, the history of selection processes and force strength, and the consequences and ethics of, as Mehlman and Li suggest, engineering enhanced soldiers. We contend, first, that the strengths of genomic testing as a method of determining enrollment in the armed forces has limited appeal, given the state of current selection methods in the US armed forces. Second, that the vagaries of genetic selection, much like other forms of selection that do not bear causally or reliably on soldier performance (such as race, gender, and sexuality), pose a systematic threat to force strength by limiting the (valuable) diversity of combat units. Third, that the idea of enhancing warfighters through germ-line interventions poses serious ethical issues in terms of the control and ownership of 'enhancements' when members separate from service.

  5. Federal travel restrictions to prevent disease transmission in the United States: An analysis of requested travel restrictions.

    PubMed

    Jungerman, M Robynne; Vonnahme, Laura A; Washburn, Faith; Alvarado-Ramy, Francisco

    Individuals with certain communicable diseases may pose risks to the health of the traveling public; there has been documented transmission on commercial aircraft of tuberculosis (TB), measles, and severe acute respiratory syndrome (SARS). Federal public health travel restrictions (PHTR) prevent commercial air or international travel of persons with communicable diseases that pose a public health threat. We described demographics and clinical characteristics of all cases considered for PHTR because of suspected or confirmed communicable disease from May 22, 2007, to December 31, 2015. We reviewed 682 requests for PHTR; 414 (61%) actions were completed to place 396 individuals on PHTR. The majority (>99%) had suspected (n = 27) or confirmed (n = 367) infectious pulmonary TB; 58 (16%) had multidrug-resistant-TB. There were 128 (85%) interceptions that prevented the initiation or continuation of travel. PHTR were removed for 310 (78%) individuals after attaining noninfectious status and 86 (22%) remained on PHTR at the end of the analysis period. PHTR effectively prevent exposure during commercial air travel to persons with potentially infectious diseases. In addition, they are effective tools available to public health agencies to prevent commercial travel of individuals with certain communicable diseases and possibly reconnect them with public health authorities. Published by Elsevier Ltd.

  6. Federal Travel Restrictions to Prevent Disease Transmission in the United States: an analysis of requested travel restrictions

    PubMed Central

    Jungerman, M. Robynne; Vonnahme, Laura A.; Washburn, Faith; Alvarado-Ramy, Francisco

    2017-01-01

    Background Individuals with certain communicable diseases may pose risks to the health of the traveling public; there has been documented transmission on commercial aircraft of tuberculosis (TB), measles, and severe acute respiratory syndrome (SARS). Federal public health travel restrictions (PHTR) prevent commercial air or international travel of persons with communicable diseases that pose a public health threat. Methods We described demographics and clinical characteristics of all cases considered for PHTR because of suspected or confirmed communicable disease from May 22, 2007, to December 31, 2015. Results We reviewed 682 requests for PHTR; 414 (61%) actions were completed to place 396 individuals on PHTR. The majority (>99%) had suspected (n=27) or confirmed (n=367) infectious pulmonary TB; 58 (16%) had multidrug-resistant-TB. There were 128 (85%) interceptions that prevented the initiation or continuation of travel. PHTR were removed for 310 (78%) individuals after attaining noninfectious status and 86 (22%) remained on PHTR at the end of the analysis period. Conclusions PHTR effectively prevent exposure during commercial air travel to persons with potentially infectious diseases. In addition, they are effective tools available to public health agencies to prevent commercial travel of individuals with certain communicable diseases and possibly reconnect them with public health authorities. PMID:28648932

  7. Making Space for Red Tide: Discolored Water and the Early Twentieth Century Bayscape of Japanese Pearl Cultivation.

    PubMed

    Ericson, Kjell

    2017-05-01

    "Red tide" has become a familiar shorthand for unusual changes in the color of ocean waters. It is intimately related both to blooms of creatures like dinoflagellates and to the devastating effects they pose to coastal fisheries. This essay tracks the early twentieth century emergence of discolored water as an aquacultural problem, known in Japan as akashio, and its trans-oceanic transformation into the terms and practices of "red tide" in the post-World War II United States. For Japan's "Pearl King" Mikimoto Kōkichi and his contacts in diverse marine scientific communities, the years-long cycle of guarding and cultivating a pearl oyster went together with the ascription of moral qualities to tiny creatures that posed a threat to farmed bayscapes of pearl monoculture. As akashio, discolored water went from curiosity to marine livestock pest, one that at times left dead pearl oysters in its wake. Red tide arose from the sustained study of the mechanisms by which changes in the biological and chemical composition of seawater might become deadly to exclusively-claimed shellfish along Japanese coastlines, but came to be seen as a way to understand aquatic manifestations of harm in other parts of the littoral world.

  8. Reentry survivability modeling

    NASA Astrophysics Data System (ADS)

    Fudge, Michael L.; Maher, Robert L.

    1997-10-01

    Statistical methods for expressing the impact risk posed to space systems in general [and the International Space Station (ISS) in particular] by other resident space objects have been examined. One of the findings of this investigation is that there are legitimate physical modeling reasons for the common statistical expression of the collision risk. A combination of statistical methods and physical modeling is also used to express the impact risk posed by re-entering space systems to objects of interest (e.g., people and property) on Earth. One of the largest uncertainties in the expressing of this risk is the estimation of survivable material which survives reentry to impact Earth's surface. This point was recently demonstrated in dramatic fashion by the impact of an intact expendable launch vehicle (ELV) upper stage near a private residence in the continental United States. Since approximately half of the missions supporting ISS will utilize ELVs, it is appropriate to examine the methods used to estimate the amount and physical characteristics of ELV debris surviving reentry to impact Earth's surface. This paper examines reentry survivability estimation methodology, including the specific methodology used by Caiman Sciences' 'Survive' model. Comparison between empirical results (observations of objects which have been recovered on Earth after surviving reentry) and Survive estimates are presented for selected upper stage or spacecraft components and a Delta launch vehicle second stage.

  9. Canine infection with Dirofilaria immitis, Borrelia burgdorferi, Anaplasma spp., and Ehrlichia spp. in the United States, 2010–2012

    PubMed Central

    2014-01-01

    Background The geographic distribution of canine infection with vector-borne disease agents in the United States appears to be expanding. Methods To provide an updated assessment of geographic trends in canine infection with Dirofilaria immitis, Borrelia burgdorferi, Ehrlichia spp., and Anaplasma spp., we evaluated results from an average of 3,588,477 dogs tested annually by veterinarians throughout the United States from 2010 – 2012. Results As in an earlier summary report, the percent positive test results varied by agent and region, with antigen of D. immitis and antibody to Ehrlichia spp. most commonly identified in the Southeast (2.9% and 3.2%, respectively) and antibody to both B. burgdorferi and Anaplasma spp. most commonly identified in the Northeast (13.3% and 7.1%, respectively) and upper Midwest (4.4% and 3.9%, respectively). Percent positive test results for D. immitis antigen were lower in every region considered, including in the Southeast, than previously reported. Percent positive test results for antibodies to B. burgdorferi and Ehrlichia spp. were higher nationally than previously reported, and, for antibodies to Anaplasma spp., were higher in the Northeast but lower in the Midwest and West, than in the initial report. Annual reports of human cases of Lyme disease, ehrlichiosis, and anaplasmosis were associated with percent positive canine test results by state for each respective tick-borne disease agent (R2 = 0.701, 0.457, and 0.314, respectively). Within endemic areas, percent positive test results for all three tick-borne agents demonstrated evidence of geographic expansion. Conclusions Continued national monitoring of canine test results for vector-borne zoonotic agents is an important tool for accurately mapping the geographic distribution of these agents, and greatly aids our understanding of the veterinary and public health threats they pose. PMID:24886589

  10. Longitudinal Monitoring of Successive Commercial Layer Flocks for Salmonella enterica Serovar Enteritidis.

    PubMed

    Denagamage, Thomas N; Patterson, Paul; Wallner-Pendleton, Eva; Trampel, Darrell; Shariat, Nikki; Dudley, Edward G; Jayarao, Bhushan M; Kariyawasam, Subhashinie

    2016-11-01

    The Pennsylvania Egg Quality Assurance Program (EQAP) provided the framework for Salmonella Enteritidis (SE) control programs, including the Food and Drug Administration (FDA) mandated Final Egg Rule, for commercial layer facilities throughout the United States. Although flocks with ≥3000 birds must comply with the FDA Final Egg Rule, smaller flocks are exempted from the rule. As a result, eggs produced by small layer flocks may pose a greater public health risk than those from larger flocks. It is also unknown if the EQAPs developed with large flocks in mind are suitable for small- and medium-sized flocks. Therefore, a study was performed to evaluate the effectiveness of best management practices included in EQAPs in reducing SE contamination of small- and medium-sized flocks by longitudinal monitoring of their environment and eggs. A total of 59 medium-sized (3000 to 50,000 birds) and small-sized (<3000 birds) flocks from two major layer production states of the United States were enrolled and monitored for SE by culturing different types of environmental samples and shell eggs for two consecutive flock cycles. Isolated SE was characterized by phage typing, pulsed-field gel electrophoresis (PFGE), and clustered regularly interspaced short palindromic repeats-multi-virulence-locus sequence typing (CRISPR-MVLST). Fifty-four Salmonella isolates belonging to 17 serovars, 22 of which were SE, were isolated from multiple sample types. Typing revealed that SE isolates belonged to three phage types (PTs), three PFGE fingerprint patterns, and three CRISPR-MVLST SE Sequence Types (ESTs). The PT8 and JEGX01.0004 PFGE pattern, the most predominant SE types associated with foodborne illness in the United States, were represented by a majority (91%) of SE. Of the three ESTs observed, 85% SE were typed as EST4. The proportion of SE-positive hen house environment during flock cycle 2 was significantly less than the flock cycle 1, demonstrating that current EQAP practices were effective in reducing SE contamination of medium and small layer flocks.

  11. Ferroresonant Flux-Coupled Battery Charger

    NASA Technical Reports Server (NTRS)

    Mclyman, C. W.

    1986-01-01

    Portable battery charger operates at about 20 kHz to take advantage of relatively low weight and low acoustical noise of ferroresonant circuits operating in this frequency range. Charger split into stationary unit connected to powerline and mobile unit connected to battery or other load. Power transferred to mobile unit by magnetic coupling between mating transformer halves. Advantage where sparking at electrical connection might pose explosion hazard or where operator disabled and cannot manipulate plug into wall outlet. Likely applications for charger include wheelchairs and robots.

  12. Yoga Poses Increase Subjective Energy and State Self-Esteem in Comparison to ‘Power Poses’

    PubMed Central

    Golec de Zavala, Agnieszka; Lantos, Dorottya; Bowden, Deborah

    2017-01-01

    Research on beneficial consequences of yoga focuses on the effects of yogic breathing and meditation. Less is known about the psychological effects of performing yoga postures. The present study investigated the effects of yoga poses on subjective sense of energy and self-esteem. The effects of yoga postures were compared to the effects of ‘power poses,’ which arguably increase the sense of power and self-confidence due to their association with interpersonal dominance (Carney et al., 2010). The study tested the novel prediction that yoga poses, which are not associated with interpersonal dominance but increase bodily energy, would increase the subjective feeling of energy and therefore increase self-esteem compared to ‘high power’ and ‘low power’ poses. A two factorial, between participants design was employed. Participants performed either two standing yoga poses with open front of the body (n = 19), two standing yoga poses with covered front of the body (n = 22), two expansive, high power poses (n = 21), or two constrictive, low power poses (n = 20) for 1-min each. The results showed that yoga poses in comparison to ‘power poses’ increased self-esteem. This effect was mediated by an increased subjective sense of energy and was observed when baseline trait self-esteem was controlled for. These results suggest that the effects of performing open, expansive body postures may be driven by processes other than the poses’ association with interpersonal power and dominance. This study demonstrates that positive effects of yoga practice can occur after performing yoga poses for only 2 min. PMID:28553249

  13. Total Organisms Per Liter of Air with Particle Size Distribution (TOLAp): New Unit of Measure for the Test and Evaluation of Biodetectors

    DTIC Science & Technology

    2010-09-01

    captured by the unit of measure. A bioaerosol with particles the size of peas poses a relatively low threat because the particles will settle to the...background particles. Something as simple as green fluorescent protein (GFP) could act as a signal to a fluorescently gated particle sizer, indicating that a

  14. Educating Citizens of 'The Global': Mapping Textual Constructs of UNESCO's Global Citizenship Education 2012-2015

    ERIC Educational Resources Information Center

    VanderDussen Toukan, Elena

    2018-01-01

    In this article, I pose the question of what constructs of 'global citizenship education' are being mobilized by key international actors. I undertake a comparative analysis of three key United Nations (UN) and United Nations Educational, Scientific and Cultural Organization (UNESCO) documents that have emerged in the past 5 years to frame the…

  15. Occurrence, distribution and ecological risk assessment of multiple classes of UV filters in surface waters from different countries.

    PubMed

    Tsui, Mirabelle M P; Leung, H W; Wai, Tak-Cheung; Yamashita, Nobuyoshi; Taniyasu, Sachi; Liu, Wenhua; Lam, Paul K S; Murphy, Margaret B

    2014-12-15

    Organic UV filters are common ingredients of personal care products (PCPs), but little is known about their distribution in and potential impacts to the marine environment. This study reports the occurrence and risk assessment of twelve widely used organic UV filters in surface water collected in eight cities in four countries (China, the United States, Japan, and Thailand) and the North American Arctic. The number of compounds detected, Hong Kong (12), Tokyo (9), Bangkok (9), New York (8), Los Angeles (8), Arctic (6), Shantou (5) and Chaozhou (5), generally increased with population density. Median concentrations of all detectable UV filters were <250 ng/L. The presence of these compounds in the Arctic is likely due to a combination of inadequate wastewater treatment and long-range oceanic transport. Principal component analysis (PCA) and two-way analysis of variance (ANOVA) were conducted to explore spatiotemporal patterns and difference in organic UV filter levels in Hong Kong. In general, spatial patterns varied with sampling month and all compounds showed higher concentrations in the wet season except benzophenone-4 (BP-4). Probabilistic risk assessment showed that 4-methylbenzylidene camphor (4-MBC) posed greater risk to algae, while benzophenone-3 (BP-3) and ethylhexyl methoxycinnamate (EHMC) were more likely to pose a risk to fishes and also posed high risk of bleaching in hard corals in aquatic recreational areas in Hong Kong. This study is the first to report the occurrence of organic UV filters in the Arctic and provides a wider assessment of their potential negative impacts in the marine environment. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. Assessment of the Gaussian Covariance Approximation over an Earth-Asteroid Encounter Period

    NASA Technical Reports Server (NTRS)

    Mattern, Daniel

    2017-01-01

    In assessing the risk an asteroid may pose to the Earth, the asteroids state is often predicted for many years, often decades. Only by accounting for the asteroids initial state uncertainty can a measure of the risk be calculated. With the asteroids state uncertainty growing as a function of the initial velocity uncertainty, orbit velocity at the last state update, and the time from the last update to the epoch of interest, the asteroids position uncertainties can grow to many times the size of the Earth when propagated to the encounter risk corridor. This paper examines the merits of propagating the asteroids state covariance as an analytical matrix. The results of this study help to bound the efficacy of applying different metrics for assessing the risk an asteroid poses to the Earth. Additionally, this work identifies a criterion for when different covariance propagation methods are needed to continue predictions after an Earth-encounter period.

  17. Tourism trends in the world׳s main destinations before and after the 2008 financial crisis using UNWTO official data.

    PubMed

    Claveria, Oscar; Poluzzi, Alessio

    2016-06-01

    The first decade of the present century has been characterized by several economic shocks such as the 2008 financial crisis. In this data article we present the annual percentage growth rates of the main tourism indicators in the world׳s top tourist destinations: the United States, China, France, Spain, Italy, United Kingdom, Germany, Turkey, Mexico and Austria. We use data from the Compendium of Tourism Statistics provided by the World Tourism Organization (http://www2.unwto.org/content/data-0). It has been demonstrated that the dynamics of growth in the tourism industry pose different challenges to each destination in the previous study "Positioning and clustering of the world׳s top tourist destinations by means of dimensionality reduction techniques for categorical data" (Claveria and Poluzzi, 2016, [1]). We provide a descriptive analysis of the variables over the period comprised between 2000 and 2010. We complement the analysis by graphing the evolution of the main variables so as to visually represent the co-movements between tourism variables and economic growth.

  18. Designing a multi-objective, multi-support accuracy assessment of the 2001 National Land Cover Data (NLCD 2001) of the conterminous United States

    USGS Publications Warehouse

    Stehman, S.V.; Wickham, J.D.; Wade, T.G.; Smith, J.H.

    2008-01-01

    The database design and diverse application of NLCD 2001 pose significant challenges for accuracy assessment because numerous objectives are of interest, including accuracy of land-cover, percent urban imperviousness, percent tree canopy, land-cover composition, and net change. A multi-support approach is needed because these objectives require spatial units of different sizes for reference data collection and analysis. Determining a sampling design that meets the full suite of desirable objectives for the NLCD 2001 accuracy assessment requires reconciling potentially conflicting design features that arise from targeting the different objectives. Multi-stage cluster sampling provides the general structure to achieve a multi-support assessment, and the flexibility to target different objectives at different stages of the design. We describe the implementation of two-stage cluster sampling for the initial phase of the NLCD 2001 assessment, and identify gaps in existing knowledge where research is needed to allow full implementation of a multi-objective, multi-support assessment. ?? 2008 American Society for Photogrammetry and Remote Sensing.

  19. Marketization in Long-Term Care: A Cross-Country Comparison of Large For-Profit Nursing Home Chains.

    PubMed

    Harrington, Charlene; Jacobsen, Frode F; Panos, Justin; Pollock, Allyson; Sutaria, Shailen; Szebehely, Marta

    2017-01-01

    This article presents cross-country comparisons of trends in for-profit nursing home chains in Canada, Norway, Sweden, United Kingdom, and the United States. Using public and private industry reports, the study describes ownership, corporate strategies, costs, and quality of the 5 largest for-profit chains in each country. The findings show that large for-profit nursing home chains are increasingly owned by private equity investors, have had many ownership changes over time, and have complex organizational structures. Large for-profit nursing home chains increasingly dominate the market and their strategies include the separation of property from operations, diversification, the expansion to many locations, and the use of tax havens. Generally, the chains have large revenues with high profit margins with some documented quality problems. The lack of adequate public information about the ownership, costs, and quality of services provided by nursing home chains is problematic in all the countries. The marketization of nursing home care poses new challenges to governments in collecting and reporting information to control costs as well as to ensure quality and public accountability.

  20. Marketization in Long-Term Care: A Cross-Country Comparison of Large For-Profit Nursing Home Chains

    PubMed Central

    Harrington, Charlene; Jacobsen, Frode F; Panos, Justin; Pollock, Allyson; Sutaria, Shailen; Szebehely, Marta

    2017-01-01

    This article presents cross-country comparisons of trends in for-profit nursing home chains in Canada, Norway, Sweden, United Kingdom, and the United States. Using public and private industry reports, the study describes ownership, corporate strategies, costs, and quality of the 5 largest for-profit chains in each country. The findings show that large for-profit nursing home chains are increasingly owned by private equity investors, have had many ownership changes over time, and have complex organizational structures. Large for-profit nursing home chains increasingly dominate the market and their strategies include the separation of property from operations, diversification, the expansion to many locations, and the use of tax havens. Generally, the chains have large revenues with high profit margins with some documented quality problems. The lack of adequate public information about the ownership, costs, and quality of services provided by nursing home chains is problematic in all the countries. The marketization of nursing home care poses new challenges to governments in collecting and reporting information to control costs as well as to ensure quality and public accountability. PMID:28634428

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