WorldWideScience

Sample records for assess electronic travel

  1. 41 CFR 301-71.105 - Must we issue a written or electronic travel authorization in advance of travel?

    Science.gov (United States)

    2010-07-01

    ... or electronic travel authorization in advance of travel? 301-71.105 Section 301-71.105 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 71-AGENCY TRAVEL ACCOUNTABILITY REQUIREMENTS Travel Authorization § 301-71.105...

  2. Electronic Commerce, the Internet and Travel Cybermediaries

    Directory of Open Access Journals (Sweden)

    Paul O'Brien

    1998-11-01

    Full Text Available The purchase of a very expensive, complex holiday requires a great deal of information and reliable expert advice. The risks involved in such a purchase are substantial. Industry opinion leaders believe that consumers will continue to take advice from a human sales consultant before purchasing, with the exception of major corporate bookings and simple point to point bookings. This paper investigates the likely disintermediation effects of electronic commerce on Retail Travel Agents. It provides the basis for the development of a strategic framework for intermediaries that can be used to enhance business performance. The findings of exploratory interviews with travel industry opinion leaders are presented, together with recommended strategic responses for Retail Travel Agents.

  3. Research on backward traveling wave electron linac

    International Nuclear Information System (INIS)

    Chen Huaibi; Zheng Shuxin; Ding Xiaodong; Lin Yuzheng

    1999-01-01

    Future electron linacs require high gradient acceleration. The studies on the high shunt impedance backward traveling wave electron linac accelerating structure (BTW) are presented. At first, the characteristics of BTW are researched. The option of mode and optimal design methods of accelerating cavity for BTW are studied. A physical design method for BTW accelerators, including longitudinal and transversal particle dynamics, is given. Based on above studies, a 9 MeV BTW accelerating tube at 3π/4 mode with frequency 2856 MHz for inspecting large container as radiation source at customs is designed, and a comparison with disk-loaded waveguide accelerating tube is made. The result of research leads to the conclusion that backward traveling wave accelerating structure is preferable. Because BTW has higher effective shunt impedance, shorter filling time and more stable operation

  4. 41 CFR 301-71.3 - May we use electronic signatures on travel documents?

    Science.gov (United States)

    2010-07-01

    ... signatures on travel documents? 301-71.3 Section 301-71.3 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 71-AGENCY TRAVEL ACCOUNTABILITY REQUIREMENTS General § 301-71.3 May we use electronic signatures on travel documents? Yes, if you...

  5. Traveling waves in a free-electron laser with an electromagnetic wiggler

    International Nuclear Information System (INIS)

    Olumi, Mohsen; Maraghechi, B; Rouhani, M H

    2011-01-01

    The propagation of electromagnetic traveling wave in a free-electron laser (FEL) with an electromagnetic wiggler is investigated using the relativistic fluid-Maxwell formulation. By adapting the traveling-wave ansatz, three coupled, nonlinear ordinary differential equations are obtained describing the nonlinear propagation of the coupled wave. These equations may be used to study saturation in FELs. By linearizing the nonlinear equations dispersion relations for the traveling wave are obtained. Numerical solution of the small-signal traveling dispersion relation reveals the coupling of radiation to both slow and fast space-charge waves. It is shown that the traveling wave, which is not a normal mode in a laboratory frame, becomes a normal mode in terms of a transformed variable.

  6. Adolescent school travel: Is online mapping a practical alternative to GPS-assessed travel routes?

    DEFF Research Database (Denmark)

    Stewart, Tom; Schipperijn, Jasper; Snizek, Bernhard

    2017-01-01

    AbstractBackground Geographically accurate travel routes are necessary to estimate exposure to the environment and its potential influence on travel behaviour. Although assessing travel behaviours with Global Positioning System (GPS) receivers is increasingly common, these protocols place......-reporting error seems more pronounced for longer routes, and when multiple travel modes are used. Researchers should consider the advantages (e.g., ease of collection) and disadvantages (e.g., lack of temporal information) when deciding if the data obtainable are sufficient to answer their research questions....

  7. Electron and VLF travel time differences for wave-particle interactions at L=4: Pt. 2

    International Nuclear Information System (INIS)

    Rash, J.P.S.; Scourfield, M.W.J.; Dougherty, M.K.

    1984-01-01

    The cyclotron resonance or gyroresonance interaction has been widely invoked as a generation mechanism for discrete VLF emissions and plasmaspheric hiss. This interaction involves electrons and VLF waves travelling in opposite directions along a geomagnetic field line. We examine, for an interaction region in the equatorial plane at L=4, the energy of the resonant electrons as a function of VLF wave frequency and ambient equatorial electron density. Then for two different spatial configurations of the interaction and two standard plasma distribution models we examine the difference in travel times to a ground-based observer in the Southern hemisphere for the electrons and waves taking part in the interaction. This difference in travel times is shown as a function of VLF wave frequency and equatorial electron density. The results, and their significance for observations of auroral electrons and VLF at Sanae, Antarctica, are discussed and compared with similar results for the Cerenkov interaction discussed in an earlier paper

  8. Electronic network for monitoring travellers' diarrhoea and detection of an outbreak caused by Salmonella enteritidis among overseas travellers.

    Science.gov (United States)

    Osaka, K; Inouye, S; Okabe, N; Taniguchi, K; Izumiya, H; Watanabe, H; Matsumoto, Y; Yokota, T; Hashimoto, S; Sagara, H

    1999-12-01

    The Traveller's Diarrhoea Network, by which the Infectious Disease Surveillance Center is electronically connected with two major airport quarantine stations and three infectious disease hospitals, was launched in February 1988 in Japan. The data on travellers' diarrhoea detected is reported weekly by e-mail. Two clusters of infection among travellers returning from Italy were reported by two airport quarantine stations at the end of September 1998. A total of 12 salmonella isolates from 2 clusters were examined. All were identified as Salmonella enteritidis, phage type 4 and showed identical banding patterns on pulsed-field gel electrophoresis. A case-control study showed that the scrambled eggs served at the hotel restaurant in Rome were the likely source of this outbreak. This outbreak could not have been detected promptly and investigated easily without the e-mail network. International exchange of data on travellers' diarrhoea is important for preventing and controlling food-borne illnesses infected abroad.

  9. Travel risk assessment, advice and vaccinations in immunocompromised travellers (HIV, solid organ transplant and haematopoeitic stem cell transplant recipients): A review.

    Science.gov (United States)

    Aung, A K; Trubiano, J A; Spelman, D W

    2015-01-01

    International travellers with immunocompromising conditions such as human immunodeficiency virus (HIV) infection, solid organ transplantation (SOT) and haematopoietic stem cell transplantation (HSCT) are at a significant risk of travel-related illnesses from both communicable and non-communicable diseases, depending on the intensity of underlying immune dysfunction, travel destinations and activities. In addition, the choice of travel vaccinations, timing and protective antibody responses are also highly dependent on the underlying conditions and thus pose significant challenges to the health-care providers who are involved in pre-travel risk assessment. This review article provides a framework of understanding and approach to aforementioned groups of immunocompromised travellers regarding pre-travel risk assessment and management; in particular travel vaccinations, infectious and non-infectious disease risks and provision of condition-specific advice; to reduce travel-related mortality and morbidity. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Physical design of 9 MeV travelling wave electron linac accelerating tube

    International Nuclear Information System (INIS)

    Chen Huaibi; Ding Xiaodong; Lin Yuzheng

    2000-01-01

    An accelerating tube is described. It is a part of an accelerator used for inspection of vehicle cargoes in rail cars, trucks, shipping containers, or airplanes in customs. A klystron with power of 4 MW and frequency of 2856 MHz will be applied to supply microwave power. The electrons can be accelerated by a travelling wave in the accelerating tube about 220 cm long, with a buncher whose capture efficiency is more than 80%. Energy of electrons after travelling through the tube can reach 9 MeV (pulse current intensity 170 mA) or 6 MeV (pulse current intensity 300 mA). Physical design of the accelerating tube, including the calculations of longitudinal particle dynamics, structure parameter and working character is carried out

  11. Travel Efficiency Assessment Method: Three Case Studies

    Science.gov (United States)

    This slide presentation summarizes three case studies EPA conducted in partnership with Boston, Kansas City, and Tucson, to assess the potential benefits of employing travel efficiency strategies in these areas.

  12. The effect of a new intercity expressway based on travel time reliability using electronic toll collection data

    OpenAIRE

    Yamazaki, H.; Uno, N.; Kurauchi, F.

    2012-01-01

    This study describes a method of evaluating the level of service of road networks, based on the average travel time and travel time reliability using electronic toll collection (ETC) data. The authors focused on the variance in travel time under normal circumstances, thus, traffic accidents were removed from the database, and any effect of individual vehicle preference was excluded. They evaluated the travel time distribution based on the average travel time from ETC data for each 15-min inte...

  13. Importation of yellow fever into China: assessing travel patterns.

    Science.gov (United States)

    Wilder-Smith, Annelies; Leong, W Y

    2017-07-01

    Rapid increase in trade and a growing air passenger market encourages high travel volume between the regions associated with increasing risks of such importations including China. Eleven Chinese workers infected during the 2016 yellow fever (YF) outbreak in Angola imported YF into China highlighting the potential for spread into Asia. Using outbound and inbound travel data, we assessed travel patterns from and to YF endemic countries in relation to China. Among YF endemic countries, Angola has the second highest number of travellers into China and also receives the second highest number of Chinese visitors. We estimated that China needs around half a million YF vaccine doses to cover their population travelling to YF endemic countries. The recent importation cases into China also unmasked the low YF vaccination coverage among Chinese travellers and workers to Angola, indicating the need to ensure better adherence to the International Health Regulations. © International Society of Travel Medicine, 2017.. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  14. Virtual Travel Agencies - Tourist Value through Travel Information Systems

    OpenAIRE

    Anckar, Bill

    1999-01-01

    Anckar, B. (1999), ?Virtual Travel Agencies - Tourist Value through Travel Information Systems?. IAMSR Research Report 5/99. Institute for Advanced Management Systems Research, ?bo Akademi University. As electronic commerce enables the tourist service providers to sell their products directly to the consumer, travel agencies are faced with the imminent threat of being by-passed in the travel industry chain in the information age. This paper suggests that virtual travel agencies can compete su...

  15. Compact toroidal energy storage device with relativistically densified electrons through the use of travelling magnetic waves

    International Nuclear Information System (INIS)

    Peter, W.; Faehl, R.J.

    1983-01-01

    A new concept for a small compact multimegajoule energy storage device utilizing relativistically densified electron beam circulating in a torus is presented. The electron cloud is produced through inductive charge injection by a travelling magnetic wave circulating the torus. Parameters are given for two representative toroidal energy storage devices, consisting of 1 m and 32 m in radius respectively, which could store more than 4 x 10 17 electrons and 30' MJ in energy. The concept utilizes the idea that large electric and magnetic fields can be produced by a partially space-charge neutralized intense relativistic electron beam which could become many orders of magnitude greater than the externally applied field confining the beam. In the present approach, the electron cloud densification can be achieved gradually by permitting multiple traversals of the magnetic wave around the torus. The magnetic mirror force acts on the orbital magnetic electron dipole moment and completely penetrates the entire electron cloud. As the electrons gain relativistic energies, the beam can be continuously densified at the front of the travelling wave, where the magnetic field is rising with time. The use of travelling magnetic wave to accelerate an electron cloud and the use of large electric field at the thusly accelerated cloud form the basis for a high beam intensity and hence high energy storage. Technical considerations and several potential applications, which include the driving of a powerful gyrotron, are discussed

  16. Electron detector with a traVelling wave

    International Nuclear Information System (INIS)

    Goncharov, A.S.; Kazakov, V.M.; Kozlov, O.V.

    1979-01-01

    Basic principles of operation of a travelling-wave detector designed to measure the shapes of nanosecond electron pulses are discussed. Propagation of electrons through the input window into the detector results in spreading of TEM waves to both sides. The energy of the wave propagating towards resistor R is absorbed by the latter, while the wave propagating in the opposite direction hits a register. Thus good matching of all the detector elements results in the absence of reflection and standing waves which provides extremely high time resolution and minimum distortion of the electron pulse shape. The detector constitutes a piece of a cylindrical coaxial line whose impedance is equal to the impedance of a transmission line. On one side the detector is loaded onto resistor R equal to the wave resistance of the detector. On the other side the detector is loaded onto the transmission line which connects the detector with a wide-range register. The design and calculation of a detector having a time resolution of about 0.1 ns are presented. The results of testing the coaxial detector When measuring electron pulses with a duration of 60 ns and frequency of 1818 MHz have shown that the developed detector (external diameter being 63 mm, internal diameter 18 mm, length 400 mm) provides the 0.2 ns time resolution

  17. rf traveling-wave electron gun for photoinjectors

    Science.gov (United States)

    Schaer, Mattia; Citterio, Alessandro; Craievich, Paolo; Reiche, Sven; Stingelin, Lukas; Zennaro, Riccardo

    2016-07-01

    The design of a photoinjector, in particular that of the electron source, is of central importance for free electron laser (FEL) machines where a high beam brightness is required. In comparison to standard designs, an rf traveling-wave photocathode gun can provide a more rigid beam with a higher brightness and a shorter pulse. This is illustrated by applying a specific optimization procedure to the SwissFEL photoinjector, for which a brightness improvement up to a factor 3 could be achieved together with a double gun output energy compared to the reference setup foreseeing a state-of-the-art S-band rf standing-wave gun. The higher brightness is mainly given by a (at least) double peak current at the exit of the gun which brings benefits for both the beam dynamics in the linac and the efficiency of the FEL process. The gun design foresees an innovative coaxial rf coupling at both ends of the structure which allows a solenoid with integrated bucking coil to be placed around the cathode in order to provide the necessary focusing right after emission.

  18. The assessment of collective dose for travellers travelling by water

    International Nuclear Information System (INIS)

    Yue Qingyu; Jiang Ping; Jin Hua

    1992-06-01

    The major contribution to the various radiation exposure received by mankind comes from natural radiation. Some environmental change caused by human beings and some activities of mankind may decrease or increase the radiation exposure level from natural radiation. People travelling by air will receive more exposure dose and by water will receive less. China has about 18000 km coast line and the inland water transportation is very flourishing. According to statistic data from Ministry of Transportation in 1988, the turnover in that year was about 2 x 10 10 man.km. The total number of fisherman for inshore fishing was nearly two million reported by Ministry of Farming, Animal Husbandry and Fishery. We measured 212 points in six typical shipping lines of inshore lines and inland rivers, and the distance was 5625 km. The average natural radiation exposure dose rate received by travellers in each shipping line was calculated. From that the assessment of collective dose equivalent for passengers by water and fishermen was derived. The value is 32.7 man.Sv for passengers and 265.3 man.Sv for fishermen

  19. German travelers' preferences for travel vaccines assessed by a discrete choice experiment.

    Science.gov (United States)

    Poulos, Christine; Curran, Desmond; Anastassopoulou, Anastassia; De Moerlooze, Laurence

    2018-02-08

    Many travelers to regions with endemic infectious diseases do not follow health authorities' recommendations regarding vaccination against vaccine-preventable infectious diseases, before traveling. The determinants of individual travelers' decisions to vaccinate before traveling are largely unknown. This study aimed to provide this information using a discrete choice experiment (DCE) administered to four types of German travelers: (1) business travelers; (2) travelers visiting friends and relatives (VFR); (3) leisure travelers; and (4) backpackers. A DCE survey was developed, pretested and administered online. It included a series of choice questions in which respondents chose between two hypothetical vaccines, each characterized by four disease attributes with varying levels describing the of risk, health impact, curability and transmissibility of the disease they would prevent (described with four disease attributes with varying levels of risk, health impact, curability and transmissibility), and varying levels of four vaccine attributes (duration of protection, number of doses required, time required for vaccination, and vaccine cost). A random-parameters logit model was used to estimate the importance weights each traveler type placed on the various attribute levels. These weights were used to calculate mean monetary equivalents (MMEs) of changes in each attribute (holding all others constant) and of hypothetical disease-vaccine combinations. All traveler types' choices indicated that they attached the greatest importance to the risk and health impact of disease and to the vaccine cost whereas the other disease and vaccine attributes were less important for their decisions about travel vaccines. An option of not choosing any of the vaccine-pairs presented was rarely selected indicating that travelers' generally prefer to be vaccinated rather than not. The MMEs of changes in vaccine attributes indicated a very high variability between the individual travelers

  20. rf traveling-wave electron gun for photoinjectors

    Directory of Open Access Journals (Sweden)

    Mattia Schaer

    2016-07-01

    Full Text Available The design of a photoinjector, in particular that of the electron source, is of central importance for free electron laser (FEL machines where a high beam brightness is required. In comparison to standard designs, an rf traveling-wave photocathode gun can provide a more rigid beam with a higher brightness and a shorter pulse. This is illustrated by applying a specific optimization procedure to the SwissFEL photoinjector, for which a brightness improvement up to a factor 3 could be achieved together with a double gun output energy compared to the reference setup foreseeing a state-of-the-art S-band rf standing-wave gun. The higher brightness is mainly given by a (at least double peak current at the exit of the gun which brings benefits for both the beam dynamics in the linac and the efficiency of the FEL process. The gun design foresees an innovative coaxial rf coupling at both ends of the structure which allows a solenoid with integrated bucking coil to be placed around the cathode in order to provide the necessary focusing right after emission.

  1. Validity of instruments to assess students' travel and pedestrian safety

    Directory of Open Access Journals (Sweden)

    Baranowski Tom

    2010-05-01

    Full Text Available Abstract Background Safe Routes to School (SRTS programs are designed to make walking and bicycling to school safe and accessible for children. Despite their growing popularity, few validated measures exist for assessing important outcomes such as type of student transport or pedestrian safety behaviors. This research validated the SRTS school travel survey and a pedestrian safety behavior checklist. Methods Fourth grade students completed a brief written survey on how they got to school that day with set responses. Test-retest reliability was obtained 3-4 hours apart. Convergent validity of the SRTS travel survey was assessed by comparison to parents' report. For the measure of pedestrian safety behavior, 10 research assistants observed 29 students at a school intersection for completion of 8 selected pedestrian safety behaviors. Reliability was determined in two ways: correlations between the research assistants' ratings to that of the Principal Investigator (PI and intraclass correlations (ICC across research assistant ratings. Results The SRTS travel survey had high test-retest reliability (κ = 0.97, n = 96, p Conclusions These validated instruments can be used to assess SRTS programs. The pedestrian safety behavior checklist may benefit from further formative work.

  2. Travel itinerary uncertainty and the pre-travel consultation--a pilot study.

    Science.gov (United States)

    Flaherty, Gerard; Md Nor, Muhammad Najmi

    2016-01-01

    Risk assessment relies on the accuracy of the information provided by the traveller. A questionnaire was administered to 83 consecutive travellers attending a travel medicine clinic. The majority of travellers was uncertain about destinations within countries, transportation or type of accommodation. Most travellers were uncertain if they would be visiting malaria regions. The degree of uncertainty about itinerary potentially impacts on the ability of the travel medicine specialist to perform an adequate risk assessment, select appropriate vaccinations and prescribe malaria prophylaxis. This study reveals high levels of traveller uncertainty about their itinerary which may potentially reduce the effectiveness of their pre-travel consultation. © The Author 2016. Published by Oxford University Press on behalf of International society of travel medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Kapitza–Dirac effect with traveling waves

    International Nuclear Information System (INIS)

    Hayrapetyan, Armen G; Götte, Jörg B; Grigoryan, Karen K; Petrosyan, Rubik G

    2015-01-01

    We report on the possibility of diffracting electrons from light waves traveling inside a dielectric medium. We show that, in the frame of reference which moves with the group velocity of light, the traveling wave acts as a stationary diffraction grating from which electrons can diffract, similar to the conventional Kapitza–Dirac effect. To characterize the Kapitza–Dirac effect with traveling light waves, we make use of the Hamiltonian Analogy between electron optics and quantum mechanics and apply the Helmholtz–Kirchhoff theory of diffraction. (fast track communication)

  4. Physics design of a 10 MeV, 6 kW travelling wave electron linac for industrial applications

    International Nuclear Information System (INIS)

    Kulkarni, Nita S.; Dhingra, Rinky; Kumar, Vinit

    2016-01-01

    We present the physics design of a 10 MeV, 6 kW S-band (2856 MHz) electron linear accelerator (linac), which has been recently built and successfully operated at Raja Ramanna Centre for Advanced Technology, Indore. The accelerating structure is a 2π/3 mode constant impedance travelling wave structure, which comprises travelling wave buncher cells, followed by regular accelerating cells. The structure is designed to accelerate 50 keV electron beam from the electron gun to 10 MeV. This paper describes the details of electromagnetic design simulations to fix the mechanical dimensions and tolerances, as well as heat loss calculations in the structure. Results of design simulations have been compared with those obtained using approximate analytical formulae. The beam dynamics simulation with space charge is performed and the required magnetic field profile for keeping the beam focussed in the linac has been evaluated and discussed. An important feature of a travelling wave linac (in contrast with standing wave linac) is that it accepts the RF power over a band of frequencies. Three dimensional transient simulations of the accelerating structure along with the input and output couplers have been performed using the software CST-MWS to explicitly demonstrate this feature. (author)

  5. Development and Implementation of the Ebola Traveler Monitoring Program and Clinical Outcomes of Monitored Travelers during October - May 2015, Minnesota.

    Directory of Open Access Journals (Sweden)

    Aaron DeVries

    Full Text Available In October 2014, the United States began actively monitoring all persons who had traveled from Guinea, Liberia, and Sierra Leone in the previous 21 days. State public health departments were responsible for monitoring all travelers; Minnesota has the largest Liberian population in the United States. The MDH Ebola Clinical Team (ECT was established to assess travelers with symptoms of concern for Ebola virus disease (EVD, coordinate access to healthcare at appropriate facilities including Ebola Assessment and Treatment Units (EATU, and provide guidance to clinicians.Minnesota Department of Health (MDH began receiving traveler information collected by U.S. Customs and Border Control and Centers for Disease Control and Prevention staff on October 21, 2014 via encrypted electronic communication. All travelers returning from Liberia, Sierra Leone, and Guinea during 10/21/14-5/15/15 were monitored by MDH staff in the manner recommended by CDC based on the traveler's risk categorization as "low (but not zero", "some" and "high" risk. When a traveler reported symptoms or a temperature ≥100.4° F at any time during their 21-day monitoring period, an ECT member would speak to the traveler and perform a clinical assessment by telephone or via video-chat. Based on the assessment the ECT member would recommend 1 continued clinical monitoring while at home with frequent telephone follow-up by the ECT member, 2 outpatient clinical evaluation at an outpatient site agreed upon by all parties, or 3 inpatient clinical evaluation at one of four Minnesota EATUs. ECT members assessed and approved testing for Ebola virus infection at MDH. Traveler data, calls to the ECT and clinical outcomes were logged on a secure server at MDH.During 10/21/14-5/15/15, a total of 783 travelers were monitored; 729 (93% traveled from Liberia, 30 (4% Sierra Leone, and 24 (3% Guinea. The median number monitored per week was 59 (range 45-143. The median age was 35 years; 136 (17% were

  6. Development and Implementation of the Ebola Traveler Monitoring Program and Clinical Outcomes of Monitored Travelers during October - May 2015, Minnesota.

    Science.gov (United States)

    DeVries, Aaron; Talley, Pamela; Sweet, Kristin; Kline, Susan; Stinchfield, Patricia; Tosh, Pritish; Danila, Richard

    2016-01-01

    In October 2014, the United States began actively monitoring all persons who had traveled from Guinea, Liberia, and Sierra Leone in the previous 21 days. State public health departments were responsible for monitoring all travelers; Minnesota has the largest Liberian population in the United States. The MDH Ebola Clinical Team (ECT) was established to assess travelers with symptoms of concern for Ebola virus disease (EVD), coordinate access to healthcare at appropriate facilities including Ebola Assessment and Treatment Units (EATU), and provide guidance to clinicians. Minnesota Department of Health (MDH) began receiving traveler information collected by U.S. Customs and Border Control and Centers for Disease Control and Prevention staff on October 21, 2014 via encrypted electronic communication. All travelers returning from Liberia, Sierra Leone, and Guinea during 10/21/14-5/15/15 were monitored by MDH staff in the manner recommended by CDC based on the traveler's risk categorization as "low (but not zero)", "some" and "high" risk. When a traveler reported symptoms or a temperature ≥100.4° F at any time during their 21-day monitoring period, an ECT member would speak to the traveler and perform a clinical assessment by telephone or via video-chat. Based on the assessment the ECT member would recommend 1) continued clinical monitoring while at home with frequent telephone follow-up by the ECT member, 2) outpatient clinical evaluation at an outpatient site agreed upon by all parties, or 3) inpatient clinical evaluation at one of four Minnesota EATUs. ECT members assessed and approved testing for Ebola virus infection at MDH. Traveler data, calls to the ECT and clinical outcomes were logged on a secure server at MDH. During 10/21/14-5/15/15, a total of 783 travelers were monitored; 729 (93%) traveled from Liberia, 30 (4%) Sierra Leone, and 24 (3%) Guinea. The median number monitored per week was 59 (range 45-143). The median age was 35 years; 136 (17%) were aged

  7. Travel-related health problems in Japanese travelers.

    Science.gov (United States)

    Mizuno, Yasutaka; Kudo, Koichiro

    2009-09-01

    Although the number of Japanese individuals traveling abroad has increased steadily, reaching approximately 17.3 million in 2007, the incidence of various travel-related health problems in Japan remains unknown. The travel-related health problems of Japanese travelers returning to Japan from abroad are analyzed by assessing the records. Data were collected retrospectively on returning travelers who visited the authors' travel clinic during the period from January 2005 through to December 2006 with any health problem acquired overseas. A total of 345 patients were included in this study (200 male, 145 female; average age, 34+/-12.3 years). Reasons for travel included leisure (45.8%); business (39.1%); visiting friends and relatives or accompanying other travelers (8.7%); volunteering (3.8%); and long stays in order to study or live (2.6%). The most visited destination was Asia (n=260), followed by Africa (n=105). The most commonly reported health problems were gastro-intestinal infections (39.1%), followed by respiratory tract infections (16.2%), animal bites (8.1%), and skin problems (5.8%). Together, malaria and dengue accounted for 10% of diagnoses in 125 febrile patients (36.2%). Although the profile of travel-related health problems in Japanese travelers is similar to that of Western travelers, the characteristics of travel were quite different. Therefore Japanese travel advice should be tailored to suit the Japanese traveler.

  8. Physics design of a 10 MeV, 6 kW travelling wave electron linac

    Indian Academy of Sciences (India)

    We present the physics design of a 10 MeV, 6 kW S-band (2856 MHz) electron linear accelerator (linac), which has been recently built and successfully operated at Raja Ramanna Centre for Advanced Technology, Indore. The accelerating structure is a 2 π / 3 mode constant impedance travelling wave structure, which ...

  9. Business travel and behavioral and mental health.

    Science.gov (United States)

    Rundle, Andrew G; Revenson, Tracey A; Friedman, Michael

    2017-12-21

    Assess associations between business travel and behavioral and mental health. Cross-sectional analyses of de-identified electronic medical record data from EHE International, Inc. a provider of corporate wellness programs. Higher levels of business travel were associated with poorer outcomes. Compared to traveling 1-6 nights/month for work, those who traveled 21 + nights were more likely to: smoke (prevalence ratio = 3.74, 95% CI 2.56, 5.46), report trouble sleeping (PR = 1.37, 95% CI 1.09, 1.71), be sedentary (PR = 1.95, 95%CI 1.56, 2.43) and score above clinical thresholds for alcohol dependence (CAGE score>1: PR = 2.04, 95% CI 1.26, 3.29), and mild or worse anxiety (GAD-7 Score>4: PR = 1.69, 95% CI 1.29, 2.21) and depression symptoms (PHQ-9 Score>4: PR = 2.27, 95%CI 1.70, 3.03). Employers should provide programs to help employees manage stress and maintain health while traveling for work.

  10. Assessing the risk of work-related international travel.

    Science.gov (United States)

    Druckman, Myles; Harber, Philip; Liu, Yihang; Quigley, Robert L

    2014-11-01

    To identify factors affecting the likelihood of requiring medical services during international business trips. Data from more than 800,000 international trips and medical assistance cases provided to 48 multinational corporations in 2009. Travel destination countries were grouped into four a priori risk-related categories. Travel to "low" medical risk countries in aggregate accounted for more hospitalizations and medical evacuations than travel to "high" medical risk countries. Nevertheless, the risk per trip was much higher for travel to higher medical risk countries. Corporations with employees on international travel should allocate sufficient resources to manage and ideally prevent medical issues during business travel. Travel medicine must focus on more than infectious diseases, and programs are necessary for both high- and low-risk regions. Improved understanding of travel-related needs determines resource allocation and risk mitigation efforts.

  11. Validity of instruments to assess students' travel and pedestrian safety.

    Science.gov (United States)

    Mendoza, Jason A; Watson, Kathy; Baranowski, Tom; Nicklas, Theresa A; Uscanga, Doris K; Hanfling, Marcus J

    2010-05-18

    Safe Routes to School (SRTS) programs are designed to make walking and bicycling to school safe and accessible for children. Despite their growing popularity, few validated measures exist for assessing important outcomes such as type of student transport or pedestrian safety behaviors. This research validated the SRTS school travel survey and a pedestrian safety behavior checklist. Fourth grade students completed a brief written survey on how they got to school that day with set responses. Test-retest reliability was obtained 3-4 hours apart. Convergent validity of the SRTS travel survey was assessed by comparison to parents' report. For the measure of pedestrian safety behavior, 10 research assistants observed 29 students at a school intersection for completion of 8 selected pedestrian safety behaviors. Reliability was determined in two ways: correlations between the research assistants' ratings to that of the Principal Investigator (PI) and intraclass correlations (ICC) across research assistant ratings. The SRTS travel survey had high test-retest reliability (kappa = 0.97, n = 96, p < 0.001) and convergent validity (kappa = 0.87, n = 81, p < 0.001). The pedestrian safety behavior checklist had moderate reliability across research assistants' ratings (ICC = 0.48) and moderate correlation with the PI (r = 0.55, p = < 0.01). When two raters simultaneously used the instrument, the ICC increased to 0.65. Overall percent agreement (91%), sensitivity (85%) and specificity (83%) were acceptable. These validated instruments can be used to assess SRTS programs. The pedestrian safety behavior checklist may benefit from further formative work.

  12. THE ELECTRONIC COMMERCE IN THE TRAVEL AGENCIES’ ACTIVITIES IN BULGARIA AND TERMS OF REFERENCE FOR ITS ELABORATION

    Directory of Open Access Journals (Sweden)

    Velina Kazandzhieva

    2010-12-01

    Full Text Available The data used in the paper and the sources of information studied, show regaining of the positions and the role of travel agencies in the distribution system of tourism. The main trends and special features of the European on-line tourist market have been analyzed, as well as the state of the electronic commerce in travel agencies in Bulgaria. Alternatives and values-generating strategies for the intermediary business through efficient use of the advantages of е-commerce have been pointed out.

  13. Travel medicine

    Science.gov (United States)

    Aw, Brian; Boraston, Suni; Botten, David; Cherniwchan, Darin; Fazal, Hyder; Kelton, Timothy; Libman, Michael; Saldanha, Colin; Scappatura, Philip; Stowe, Brian

    2014-01-01

    Abstract Objective To define the practice of travel medicine, provide the basics of a comprehensive pretravel consultation for international travelers, and assist in identifying patients who might require referral to travel medicine professionals. Sources of information Guidelines and recommendations on travel medicine and travel-related illnesses by national and international travel health authorities were reviewed. MEDLINE and EMBASE searches for related literature were also performed. Main message Travel medicine is a highly dynamic specialty that focuses on pretravel preventive care. A comprehensive risk assessment for each individual traveler is essential in order to accurately evaluate traveler-, itinerary-, and destination-specific risks, and to advise on the most appropriate risk management interventions to promote health and prevent adverse health outcomes during travel. Vaccinations might also be required and should be personalized according to the individual traveler’s immunization history, travel itinerary, and the amount of time available before departure. Conclusion A traveler’s health and safety depends on a practitioner’s level of expertise in providing pretravel counseling and vaccinations, if required. Those who advise travelers are encouraged to be aware of the extent of this responsibility and to refer all high-risk travelers to travel medicine professionals whenever possible. PMID:25500599

  14. Travel Time Reliability in Indiana

    OpenAIRE

    Martchouk, Maria; Mannering, Fred L.; Singh, Lakhwinder

    2010-01-01

    Travel time and travel time reliability are important performance measures for assessing traffic condition and extent of congestion on a roadway. This study first uses a floating car technique to assess travel time and travel time reliability on a number of Indiana highways. Then the study goes on to describe the use of Bluetooth technology to collect real travel time data on a freeway and applies it to obtain two weeks of data on Interstate 69 in Indianapolis. An autoregressive model, estima...

  15. Travel patterns of cancer surgery patients in a regionalized system.

    Science.gov (United States)

    Smith, Andrew K; Shara, Nawar M; Zeymo, Alexander; Harris, Katherine; Estes, Randy; Johnson, Lynt B; Al-Refaie, Waddah B

    2015-11-01

    Regionalization of complex surgeries has increased patient travel distances possibly leaving a substantial burden on those at risk for poorer surgical outcomes. To date, little is known about travel patterns of cancer surgery patients in regionalized settings. To inform this issue, we sought to assess travel patterns of those undergoing a major cancer surgery within a regionalized system. We identified 4733 patients who underwent lung, esophageal, gastric, liver, pancreatic, and colorectal resections from 2002-2014 within a multihospital system in the Mid-Atlantic region of the United States. Patient age, race and/or ethnicity, and insurance status were extracted from electronic health records. We used Geographical Information System capabilities in R software to estimate travel distance and map patient addresses based on cancer surgery type and these characteristics. We used visual inspection, analysis of variance, and interaction analyses to assess the distribution of travel distances between patient populations. A total of 48.2% of patients were non-white, 49.9% were aged >65 y, and 54.9% had private insurance. Increased travel distance was associated with decreasing age and those undergoing pancreatic and esophageal resections. Also, black patients tend to travel shorter distances than other racial and/or ethnic groups. These maps offer a preliminary understanding into variations of geospatial travel patterns among patients receiving major cancer surgery in a Mid-Atlantic regionalized setting. Future research should focus on the impact of regionalization on timely delivery of surgical care and other quality metrics. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. The impact of injection anxiety on education of travelers about common travel risks.

    Science.gov (United States)

    Noble, Lorraine M; Farquharson, Lorna; O'Dwyer, Niamh A; Behrens, Ron H

    2014-01-01

    Despite many travelers receiving at least one vaccination during the pre-travel consultation, little is known about travelers' fear of injections and the impact this may have on educating travelers about health risks associated with their trip. This study aimed to investigate: (1) the prevalence of injection anxiety in travelers attending a pre-travel consultation, (2) whether anxiety due to anticipating a vaccination adversely affects recall of information and advice, and (3) whether clinicians can recognize travelers' anxiety, and how they respond to anxious travelers. Consecutive adult travelers (N = 105) attending one of two inner-city travel clinics completed self-report measures of state anxiety, injection anxiety, and symptoms of needle phobia immediately before and after their pre-travel consultation. Clinicians were also asked to rate travelers' anxiety and report any anxiety management strategies. Standardized information was presented during the consultation and recall of information and advice was assessed immediately post-consultation. Delayed recall (24 hours) was assessed for a subsample (20%) of participants. More than one third of travelers reported feeling nervous or afraid when having an injection (39%). Travelers' state anxiety was related to their psychological and physiological reactions to needles, and reduced significantly post-consultation. Recall of information and advice varied, with failure of recall ranging from 2 to 70% across 15 items, and delayed recall being significantly lower. No relationship was found between recall and anxiety. Clinician-rated anxiety moderately correlated with travelers' self-reported anxiety. A significant proportion of travelers experienced injection anxiety when attending the pre-travel consultation, with some travelers reporting symptoms consistent with criteria for Blood Injection Injury phobia. There were important gaps in recall of information and advice about common travel risks. Although no

  17. Pre-travel care for immunocompromised and chronically ill travellers: A retrospective study.

    Science.gov (United States)

    van Aalst, Mariëlle; Verhoeven, Roos; Omar, Freshta; Stijnis, Cornelis; van Vugt, Michèle; de Bree, Godelieve J; Goorhuis, Abraham; Grobusch, Martin P

    2017-09-01

    Immunocompromised and chronically ill travellers (ICCITs) are susceptible to travel related diseases. In ICCITs, pre-travel care regarding vaccinations and prophylactics is complex. We evaluated the protection level by preventive measures in ICCITs by analysing rates of vaccination protection, antibody titres, and the prescription of standby antibiotics. We analysed, and reported according to STROBE guidelines, pre-travel care data for ICCITs visiting the medical pre-travel clinic at the Academic Medical Centre, The Netherlands from 2011 to 2016. We analysed 2104 visits of 1826 ICCITs. Mean age was 46.6 years and mean travel duration 34.5 days. ICCITs on immunosuppressive treatment (29.7%), HIV (17.2%) or diabetes mellitus (10.2%) comprised the largest groups. Most frequently visited countries were Suriname, Indonesia, and Ghana. Most vaccination rates were >90%. Of travellers in high need of hepatitis A and B protection, 56.6 and 75.7%, underwent titre assessments, respectively. Of ICCITs with a respective indication, 50.6% received a prescription for standby antibiotics. Vaccination rates in our study population were overall comparable to those of healthy travellers studied previously in our centre. However, regarding antibody titre assessments and prescription of standby antibiotics, this study demonstrates that uniform pre-travel guidelines for ICCITs are highly needed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. The assessment of the collective dose for China population travelling by water

    International Nuclear Information System (INIS)

    Yue Qingyu; Jiang Ping; Jin Hua

    1992-01-01

    The exposure dose rate at 212 points in six shipping lines of the inshore and inland rivers has been measured and the average natural sources exposure dose rate which may be received by the travellers in each shipping line has got. The assessment of collective dose equivalent for the travellers on the shipping lines and the fishery people on the sea has done. In 1988, the collective dose equivalent from natural sources received by Chinese population travelled on the shipping lines of the inshore and inland rivers was 32.7 man·Sv, and the collective dose equivalent from natural sources received by fishery people on the sea was 265.3 man·Sv. The average dose equivalent rate from natural sources at various stayed point received by people of China is given

  19. Organisational travel plans for improving health.

    Science.gov (United States)

    Hosking, Jamie; Macmillan, Alexandra; Connor, Jennie; Bullen, Chris; Ameratunga, Shanthi

    2010-03-17

    Dependence on car use has a number of broad health implications, including contributing to physical inactivity, road traffic injury, air pollution and social severance, as well as entrenching lifestyles that require environmentally unsustainable energy use. Travel plans are interventions that aim to reduce single-occupant car use and increase the use of alternatives such as walking, cycling and public transport, with a variety of behavioural and structural components. This review focuses on organisational travel plans for schools, tertiary institutes and workplaces. These plans are closely aligned in their aims and intervention design, having emerged from a shared theoretical base. To assess the effects of organisational travel plans on health, either directly measured, or through changes in travel mode. We searched the following electronic databases; Transport (1988 to June 2008), MEDLINE (1950 to June 2008), EMBASE (1947 to June 2008), CINAHL (1982 to June 2008), ERIC (1966 to June 2008), PSYCINFO (1806 to June 2008), Sociological Abstracts (1952 to June 2008), BUILD (1989 to 2002), Social Sciences Citation Index (1900 to June 2008), Science Citation Index (1900 to June 2008), Arts & Humanities Index (1975 to June 2008), Cochrane Database of Systematic Reviews (to August 2008), CENTRAL (to August 2008), Cochrane Injuries Group Register (to December 2009), C2-RIPE (to July 2008), C2-SPECTR (to July 2008), ProQuest Dissertations & Theses (1861 to June 2008). We also searched the reference lists of relevant articles, conference proceedings and Internet sources. We did not restrict the search by date, language or publication status. We included randomised controlled trials and controlled before-after studies of travel behaviour change programmes conducted in an organisational setting, where the measured outcome was change in travel mode or health. Both positive and negative health effects were included. Two authors independently assessed eligibility, assessed trial

  20. Power efficiency optimization of disk-loaded waveguide traveling wave structure of electron linear accelerator

    International Nuclear Information System (INIS)

    Yang Jinghe; Li Jinhai; Li Chunguang

    2014-01-01

    Disk-loaded waveguide traveling wave structure (TWS), which is widely used in scientific research and industry, is a vital accelerating structure in electron linear accelerator. The power efficiency is an important parameter for designing TWS, which greatly effects the expenses for the fabrication and commercial running. The key parameters related with power efficiency were studied for TWS optimization. The result was proved by experiment result, and it shows some help for accelerator engineering. (authors)

  1. A cross-sectional study of pre-travel health-seeking practices among travelers departing Sydney and Bangkok airports.

    Science.gov (United States)

    Heywood, Anita E; Watkins, Rochelle E; Iamsirithaworn, Sopon; Nilvarangkul, Kessarawan; MacIntyre, C Raina

    2012-05-02

    Pre-travel health assessments aim to promote risk reduction through preventive measures and safe behavior, including ensuring travelers are up-to-date with their immunizations. However, studies assessing pre-travel health-seeking practices from a variety of medical and non-medical sources and vaccine uptake prior to travel to both developing and developed countries within the Asia-Pacific region are scarce. Cross-sectional surveys were conducted between July and December 2007 to assess pre-travel health seeking practices, including advice from health professionals, health information from other sources and vaccine uptake, in a sample of travelers departing Sydney and Bangkok airports. A two-stage cluster sampling technique was used to ensure representativeness of travelers and travel destinations. Pre-travel health seeking practices were assessed using a self-administered questionnaire distributed at the check-in queues of departing flights. Logistic regression models were used to identify significant factors associated with seeking pre-travel health advice from a health professional, reported separately for Australian residents, residents of other Western countries and residents of countries in Asia. A total of 843 surveys were included in the final sample (Sydney 729, response rate 56%; Bangkok 114, response rate 60%). Overall, pre-travel health information from any source was sought by 415 (49%) respondents with 298 (35%) seeking pre-travel advice from a health professional, the majority through general practice. Receipt of a pre-travel vaccine was reported by 100 (12%) respondents. Significant factors associated with seeking pre-travel health advice from a health professional differed by region of residence. Asian travelers were less likely to report seeking pre-travel health advice and uptake of pre-travel vaccines than Australian or other Western travelers. Migrant Australians were less likely to report seeking pre-travel health advice than Australian

  2. A cross-sectional study of pre-travel health-seeking practices among travelers departing Sydney and Bangkok airports

    Science.gov (United States)

    2012-01-01

    Background Pre-travel health assessments aim to promote risk reduction through preventive measures and safe behavior, including ensuring travelers are up-to-date with their immunizations. However, studies assessing pre-travel health-seeking practices from a variety of medical and non-medical sources and vaccine uptake prior to travel to both developing and developed countries within the Asia-Pacific region are scarce. Methods Cross-sectional surveys were conducted between July and December 2007 to assess pre-travel health seeking practices, including advice from health professionals, health information from other sources and vaccine uptake, in a sample of travelers departing Sydney and Bangkok airports. A two-stage cluster sampling technique was used to ensure representativeness of travelers and travel destinations. Pre-travel health seeking practices were assessed using a self-administered questionnaire distributed at the check-in queues of departing flights. Logistic regression models were used to identify significant factors associated with seeking pre-travel health advice from a health professional, reported separately for Australian residents, residents of other Western countries and residents of countries in Asia. Results A total of 843 surveys were included in the final sample (Sydney 729, response rate 56%; Bangkok 114, response rate 60%). Overall, pre-travel health information from any source was sought by 415 (49%) respondents with 298 (35%) seeking pre-travel advice from a health professional, the majority through general practice. Receipt of a pre-travel vaccine was reported by 100 (12%) respondents. Significant factors associated with seeking pre-travel health advice from a health professional differed by region of residence. Asian travelers were less likely to report seeking pre-travel health advice and uptake of pre-travel vaccines than Australian or other Western travelers. Migrant Australians were less likely to report seeking pre-travel health

  3. A stated adaptation approach to assess changes in individuals’ activity-travel behavior in presence of personalized travel information

    NARCIS (Netherlands)

    Parvaneh, Zahra; Arentze, Theo; Timmermans, Harry

    2014-01-01

    The rapid and inevitable growth of availability of travel information for travellers has increased expectations among policy makers about the benefits of travel information. It is increasingly expected that providing advanced travel information can trigger particular travel behaviors that would

  4. Bandwidth broadening effect in a traveling-wave-tube amplifier by using impulse electron beam

    International Nuclear Information System (INIS)

    Jung, Sang Wook; Choi, Jin Joo; Kim, Seon Joo

    2012-01-01

    This paper reports on a wideband amplification mechanism involving an impulse electron beam. To prove broadband amplification with the impulse beam, we perform 3-dimensional particle-in-cell (3D PIC) code simulation. An impulse electron beam with a pulse width of 1 ns with electric potential 17.2 kV is injected into an interaction circuit of a coupled-cavity traveling-wave-tube (CCTWT) driven by a continuous-wave (CW) signal of 29.1 GHz. The resulting output bandwidth was 2.96%, and the peak output power of 713 W was the same as that obtained with CW operation at a single frequency. The simulation yielded very similar results with ultra short impulse signal from the simulation.

  5. Factors Adopting E-Travel Website: The Case of Indonesia

    OpenAIRE

    Vera Pujani; Alfitman; Refdinal Nazir

    2012-01-01

    E-travel is travel agency-s companies employing internet and website as e-commerce context. This study presents numerous initial key factors of electronic travel model based on small travel agencies perspectives. Browsing previous studies related to website travel activities are conducted. Five small travel agencies in Indonesia has been deeply interviewed in case studies. The finding of this research is identifying numerous characteristics and dimension factors and travel website operations ...

  6. EPA’s Travel Efficiency Method (TEAM) AMPO Presentation

    Science.gov (United States)

    Presentation describes EPA’s Travel Efficiency Assessment Method (TEAM) assessing potential travel efficiency strategies for reducing travel activity and emissions, includes reduction estimates in Vehicle Miles Traveled in four different geographic areas.

  7. Assessment of Smolt Condition for Travel Time Analysis Project, 1987-1997 Project Review.

    Energy Technology Data Exchange (ETDEWEB)

    Schrock, Robin M.; Hans, Karen M.; Beeman, John W. [US Geological Survey, Western Fisheries Research Center, Columbia River Research Laboratory, Cook, WA

    1997-12-01

    The assessment of Smolt Condition for Travel Time Analysis Project (Bonneville Power Administration Project 87-401) monitored attributes of salmonid smolt physiology in the Columbia and Snake River basins from 1987 to 1997, under the Northwest Power Planning Council Fish and Wildlife Program, in cooperation with the Smolt Monitoring Program of the Fish Passage Center. The primary goal of the project was to investigate the physiological development of juvenile salmonids related to migration rates. The assumption was made that the level of smolt development, interacting with environmental factos such as flow, would be reflected in travel times. The Fish Passage Center applied the physiological measurements of smolt condition to Water Budget management, to regulate flows so as to decrease travel time and increase survival.

  8. The assessment of collective dose for travellers travelling by water

    International Nuclear Information System (INIS)

    Yue Qingyu; Jian Ping; Jin Hua

    1994-01-01

    The major contribution to various radiation exposure received by mankind comes from natural radiation. Some environmental change caused by human beings and some activities of mankind may decrease or increase the radiation exposure level from natural radiation. China has about 18000 km coast line and the inland water transportation is very flourishing. According to statistic data from Ministry of Transportation in 1988, the turnover in that year was about 2 x 10 10 man·km. The total number of fisherman for inshore fishing was nearly two millions reported by Ministry of Farming, Animal Husbandry and Fishery. We measured exposure dose rates over 212 points in six typical shipping lines of inshore lines and inland rivers, and the distance was 5625 km. The average natural radiation exposure dose rate received by travellers in each shipping line was calculated. From that the assessment of collective dose equivalent for passengers by water and fishermen was derived. The value is 32.7 man·Sv for passengers and 265.3 man·Sv for fishermen

  9. A cross-sectional study of pre-travel health-seeking practices among travelers departing Sydney and Bangkok airports

    OpenAIRE

    Heywood Anita E; Watkins Rochelle E; Iamsirithaworn Sopon; Nilvarangkul Kessarawan; MacIntyre C

    2012-01-01

    Abstract Background Pre-travel health assessments aim to promote risk reduction through preventive measures and safe behavior, including ensuring travelers are up-to-date with their immunizations. However, studies assessing pre-travel health-seeking practices from a variety of medical and non-medical sources and vaccine uptake prior to travel to both developing and developed countries within the Asia-Pacific region are scarce. Methods Cross-sectional surveys were conducted between July and De...

  10. Assessment of the potential for international dissemination of Ebola virus via commercial air travel during the 2014 west African outbreak.

    Science.gov (United States)

    Bogoch, Isaac I; Creatore, Maria I; Cetron, Martin S; Brownstein, John S; Pesik, Nicki; Miniota, Jennifer; Tam, Theresa; Hu, Wei; Nicolucci, Adriano; Ahmed, Saad; Yoon, James W; Berry, Isha; Hay, Simon I; Anema, Aranka; Tatem, Andrew J; MacFadden, Derek; German, Matthew; Khan, Kamran

    2015-01-03

    The WHO declared the 2014 west African Ebola epidemic a public health emergency of international concern in view of its potential for further international spread. Decision makers worldwide are in need of empirical data to inform and implement emergency response measures. Our aim was to assess the potential for Ebola virus to spread across international borders via commercial air travel and assess the relative efficiency of exit versus entry screening of travellers at commercial airports. We analysed International Air Transport Association data for worldwide flight schedules between Sept 1, 2014, and Dec 31, 2014, and historic traveller flight itinerary data from 2013 to describe expected global population movements via commercial air travel out of Guinea, Liberia, and Sierra Leone. Coupled with Ebola virus surveillance data, we modelled the expected number of internationally exported Ebola virus infections, the potential effect of air travel restrictions, and the efficiency of airport-based traveller screening at international ports of entry and exit. We deemed individuals initiating travel from any domestic or international airport within these three countries to have possible exposure to Ebola virus. We deemed all other travellers to have no significant risk of exposure to Ebola virus. Based on epidemic conditions and international flight restrictions to and from Guinea, Liberia, and Sierra Leone as of Sept 1, 2014 (reductions in passenger seats by 51% for Liberia, 66% for Guinea, and 85% for Sierra Leone), our model projects 2.8 travellers infected with Ebola virus departing the above three countries via commercial flights, on average, every month. 91,547 (64%) of all air travellers departing Guinea, Liberia, and Sierra Leone had expected destinations in low-income and lower-middle-income countries. Screening international travellers departing three airports would enable health assessments of all travellers at highest risk of exposure to Ebola virus infection

  11. Assessment of Smolt Condition for Travel Time Analysis, 1993-1994 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Schrock, Robin M; Beeman, John W; VanderKooi, Scott P [US Geological Survey, Western Fisheries Research Center, Columbia River Research Laboratory, Cook, WA

    1999-02-01

    The assessment of smolt condition for travel time analysis (ASCTTA) project provided information on the level of smoltification in Columbia River hatchery and wild salmonid stocks to the Fish Passage Center (FPC), for the primary purpose of in-river management of flows.

  12. Assessing the Predictability of Scheduled-Vehicle Travel Times

    DEFF Research Database (Denmark)

    Tiesyte, Dalia; Jensen, Christian Søndergaard

    2009-01-01

    One of the most desired and challenging services in collective transport systems is the real-time prediction of the near-future travel times of scheduled vehicles, especially public buses, thus improving the experience of the transportation users, who may be able to better schedule their travel......, and also enabling system operators to perform real-time monitoring. While travel-time prediction has been researched extensively during the past decade, the accuracies of existing techniques fall short of what is desired, and proposed mathematical prediction models are often not transferable to other...... systems because the properties of the travel-time-related data of vehicles are highly context-dependent, making the models difficult to fit. We propose a framework for evaluating various predictability types of the data independently of the model, and we also compare predictability analysis results...

  13. Optical emission from a high-refractive-index waveguide excited by a traveling electron beam

    International Nuclear Information System (INIS)

    Kuwamura, Yuji; Yamada, Minoru; Okamoto, Ryuichi; Kanai, Takeshi; Fares, Hesham

    2008-01-01

    An optical emission scheme was demonstrated, in which a high-refractive-index waveguide is excited by a traveling electron beam in a vacuum environment. The waveguide was made of Si-SiO 2 layers. The velocity of light propagating in the waveguide was slowed down to 1/3 of that in free space due to the high refractive index of Si. The light penetrated partly into the vacuum in the form of a surface wave. The electron beam was emitted from an electron gun and propagated along the surface of the waveguide. When the velocity of the electron coincided with that of the light, optical emission was observed. This emission is a type of Cherenkov radiation and is not conventional cathode luminescence from the waveguide materials because Si and SiO 2 are transparent to light at the emitted wavelength. This type of emission was observed in an optical wavelength range from 1.2 to 1.6 μm with an electron acceleration voltage of 32-42 kV. The characteristics of the emitted light, such as the polarization direction and the relation between the acceleration voltage of the electron beam and the optical wavelength, coincided well with the theoretical results. The coherent length of an electron wave in the vacuum was confirmed to be equal to the electron spacing, as found by measuring the spectral profile of the emitted light

  14. Provision of travel medicine advice through community pharmacies: assessment of knowledge, attitudes and practices of pharmacists in Malaysia.

    Science.gov (United States)

    Taha, Nur Akmar; See, Yee Lian

    2016-10-01

    The risk for travel-related illnesses has increased with significant growth in international travel, but very few travellers seek travel advice. Community pharmacists can play a vital role in the provision of travel medicine advice due to their accessibility. This study aimed to assess travel medicine knowledge, attitudes and practices (KAP) among community pharmacists in Kuala Lumpur, Malaysia. A self-administered KAP questionnaire was distributed to a convenience sample of pharmacists in Kuala Lumpur identified from the list of licensed community pharmacists in Malaysia year 2014. Questionnaires were returned by 111 pharmacists of 143 distributed (response rate, 78%). Most of the respondents (82%) were not trained in travel medicine. Overall, mean knowledge score was 4.4 ( ± 1.7), indicating a moderate level of knowledge on a variety of travel-related health issues. Community pharmacists who graduated from foreign universities possessed significantly higher knowledge scores than did those who graduated locally (P pharmacy curricula, continuous pharmacy education or certified training may improve the quality of travel advice given and allow pharmacists to be recognised as a credible source of information on travel medicine. © 2016 Royal Pharmaceutical Society.

  15. How to Make Mathematical eContent Travel Well

    OpenAIRE

    Caprotti, Olga; Pauna, Matti; Seppälä, Mika

    2009-01-01

    Electronic content produced for education travels well when it can be reused across national borders and in different curricular frameworks. In this article, we discuss what features of mathematical e-content contribute to making it travel well.

  16. Results of the Fall 2007 UC Davis Campus Travel Assessment

    OpenAIRE

    Congleton, Christopher

    2009-01-01

    Our collective transportation choices have far-reaching effects both locally and globally, from traffic congestion to global warming. While the concerted actions of many travelers working together could make significant inroads into solving these problems, a single traveler working alone could not. This report presents a snapshot of campus travel at the outset of the 2007-2008 academic year, measures campus mode split and average vehicle ridership, collects UC Davis travelers' opinions about ...

  17. 75 FR 47701 - Electronic System for Travel Authorization (ESTA): Travel Promotion Fee and Fee for Use of the...

    Science.gov (United States)

    2010-08-09

    ... significant economic impact on a substantial number of small entities. \\10\\ U.S. Office of Travel and Tourism... Protection (CBP) also invites comments on the economic, environmental or federalism effects of the rule, as... Department of Commerce, Office of Travel and Tourism Industries, CBP estimated the future number of VWP...

  18. A global travelers' electronic health record template standard for personal health records.

    Science.gov (United States)

    Li, Yu-Chuan; Detmer, Don E; Shabbir, Syed-Abdul; Nguyen, Phung Anh; Jian, Wen-Shan; Mihalas, George I; Shortliffe, Edward H; Tang, Paul; Haux, Reinhold; Kimura, Michio

    2012-01-01

    Tourism as well as international business travel creates health risks for individuals and populations both in host societies and home countries. One strategy to reduce health-related risks to travelers is to provide travelers and relevant caregivers timely, ongoing access to their own health information. Many websites offer health advice for travelers. For example, the WHO and US Department of State offer up-to-date health information about countries relevant to travel. However, little has been done to assure travelers that their medical information is available at the right place and time when the need might arise. Applications of Information and Communication Technology (ICT) utilizing mobile phones for health management are promising tools both for the delivery of healthcare services and the promotion of personal health. This paper describes the project developed by international informaticians under the umbrella of the International Medical Informatics Association. A template capable of becoming an international standard is proposed. This application is available free to anyone who is interested. Furthermore, its source code is made open.

  19. Thermomechanical Assessment of the Collector for the Hollow Electron Lens

    CERN Document Server

    Anderson, George Bowers

    2017-01-01

    The hollow electron lens (HEL) is a system proposed for the High Luminosity upgrade of the Large Hadron Collider LHC (HL-LHC) [1]. Being considered for installation at LHC point 4, the HEL improves halo control and collimation of proton beams in the collider [2]. This is achieved by creating a hollow tube of electrons using an electron gun. This axisymmetric electron cloud travels around the proton beam for a few meters, overlapping with the proton beam halo, until the electron cloud is dissipated in a collector, which is the focus of this project. A 3D image of the HEL system is found in Figure 1 and a further technical description of such electron lenses is available in [3].

  20. 41 CFR 301-2.1 - Must I have authorization to travel?

    Science.gov (United States)

    2010-07-01

    ... authorization to travel? 301-2.1 Section 301-2.1 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES INTRODUCTION 2-GENERAL RULES § 301-2.1 Must I have authorization to travel? Yes, generally you must have written or electronic authorization prior to incurring any...

  1. Electron Emission And Beam Generation Using Ferroelectric Cathodes (electron Beam Generation, Lead Lanthanum Zicronate Titanate, High Power Traveling Wave Tube Amplfier)

    CERN Document Server

    Flechtner, D D

    1999-01-01

    In 1989, researchers at CERN published the discovery of significant electron emission (1– 100 A/cm2) from Lead- Lanthanum-Zirconate-Titanate (PLZT). The publication of these results led to international interest in ferroelectric cathodes studies for use in pulsed power devices. At Cornell University in 1991, experiments with Lead-Zirconate-Titanate (PZT) compositions were begun to study the feasibility of using this ferroelectric material as a cathode in the electron gun section of High Power Traveling Wave Tube Amplifier Experiments. Current-voltage characteristics were documented for diode voltages ranging from 50– 500,000 V with anode cathode gaps of.5– 6 cm. A linear current-voltage relation was found for voltages less than 50 kV. For diode voltages ≥ 200 kV, a typical Child-Langmuir V3/2 dependence was observed...

  2. Design study of a traveling-wave Thomson-scattering experiment for the realization of optical free electron lasers

    Energy Technology Data Exchange (ETDEWEB)

    Steiniger, Klaus; Loeser, Markus; Pausch, Richard; Schramm, Ulrich [Helmholtz-Zentrum Dresden-Rossendorf (Germany); Technische Universitaet Dresden (Germany); Albach, Daniel; Debus, Alexander; Roeser, Fabian; Siebold, Matthias; Bussmann, Michael [Helmholtz-Zentrum Dresden-Rossendorf (Germany)

    2016-07-01

    We present an experimental setup strategy for the realization of an optical free-electron laser (OFEL) in the Traveling-Wave Thomson-Scattering geometry (TWTS). In TWTS, the electric field of petawatt class, pulse-front tilted laser pulses is used to provide an optical undulator field. This is passed by a relativistic electron bunch so that electron direction of motion and laser propagation direction enclose an interaction angle. The combination of side scattering and pulse-front tilt provides continuous overlap of electrons and laser pulse over meter scale distances which are achieved with centimeter wide laser pulses. An experimental challenge lies in shaping of these wide laser pulses in terms of laser dispersion compensation along the electron trajectory and focusing. In the talk we show how diffraction gratings in combination with mirrors are used to introduce and control dispersion of the laser in order to provide a plane wave laser field along the electron trajectory. Furthermore we give tolerance limits on alignment errors to operate the OFEL. Example setups illustrate functioning and demonstrate feasibility of the scheme.

  3. Comparison of geographic methods to assess travel patterns of persons diagnosed with HIV in Philadelphia: how close is close enough?

    Science.gov (United States)

    Eberhart, Michael G; Share, Amanda M; Shpaner, Mark; Brady, Kathleen A

    2015-02-01

    Travel distance to medical care has been assessed using a variety of geographic methods. Network analyses are less common, but may generate more accurate estimates of travel costs. We compared straight-line distances and driving distance, as well as average drive time and travel time on a public transit network for 1789 persons diagnosed with HIV between 2010 and 2012 to identify differences overall, and by distinct geographic areas of Philadelphia. Paired t-tests were used to assess differences across methods, and analysis of variance was used to assess between-group differences. Driving distances were significantly longer than straight-line distances (ptravel costs, and may improve models to predict medical care outcomes. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Health risks, travel preparation, and illness among public health professionals during international travel.

    Science.gov (United States)

    Balaban, Victor; Warnock, Eli; Ramana Dhara, V; Jean-Louis, Lee Ann; Sotir, Mark J; Kozarsky, Phyllis

    2014-01-01

    Few data currently exist on health risks faced by public health professionals (PHP) during international travel. We conducted pre- and post-travel health surveys to assess knowledge, attitudes, and practices (KAP), and illnesses among PHP international travelers. Anonymous surveys were completed by PHP from a large American public health agency who sought a pre-travel medical consult from September 1, 2009, to September 30, 2010. Surveys were completed by 122 participants; travelers went to 163 countries. Of the 122 respondents, 97 (80%) reported at least one planned health risk activity (visiting rural areas, handling animals, contact with blood or body fluids, visiting malarious areas), and 50 (41%) reported exposure to unanticipated health risks. Of the 62 travelers who visited malarious areas, 14 (23%) reported inconsistent or no use of malaria prophylaxis. Illness during travel was reported by 33 (27%) respondents. Most of the PHP travelers in our study reported at least one planned health risk activity, and almost half reported exposure to unanticipated health risks, and one-quarter of travelers to malarious areas reported inconsistent or no use of malaria chemoprophylaxis. Our findings highlight that communication and education outreach for PHP to prevent travel-associated illnesses can be improved. Published by Elsevier Ltd.

  5. A simple method to assess unsaturated zone time lag in the travel time from ground surface to receptor.

    Science.gov (United States)

    Sousa, Marcelo R; Jones, Jon P; Frind, Emil O; Rudolph, David L

    2013-01-01

    In contaminant travel from ground surface to groundwater receptors, the time taken in travelling through the unsaturated zone is known as the unsaturated zone time lag. Depending on the situation, this time lag may or may not be significant within the context of the overall problem. A method is presented for assessing the importance of the unsaturated zone in the travel time from source to receptor in terms of estimates of both the absolute and the relative advective times. A choice of different techniques for both unsaturated and saturated travel time estimation is provided. This method may be useful for practitioners to decide whether to incorporate unsaturated processes in conceptual and numerical models and can also be used to roughly estimate the total travel time between points near ground surface and a groundwater receptor. This method was applied to a field site located in a glacial aquifer system in Ontario, Canada. Advective travel times were estimated using techniques with different levels of sophistication. The application of the proposed method indicates that the time lag in the unsaturated zone is significant at this field site and should be taken into account. For this case, sophisticated and simplified techniques lead to similar assessments when the same knowledge of the hydraulic conductivity field is assumed. When there is significant uncertainty regarding the hydraulic conductivity, simplified calculations did not lead to a conclusive decision. Copyright © 2012 Elsevier B.V. All rights reserved.

  6. Travel advice for the immunocompromised traveler: prophylaxis, vaccination, and other preventive measures

    Directory of Open Access Journals (Sweden)

    Patel RR

    2015-02-01

    Full Text Available Rupa R Patel,1 Stephen Y Liang,1 Pooja Koolwal,2 Frederick Matthew Kuhlmann1 1Division of Infectious Diseases, 2Division of Medical Education, Washington University School of Medicine, St Louis, MO, USA Abstract: Immunocompromised patients are traveling at increasing rates. Physicians caring for these complex patients must be knowledgeable in pretravel consultation and recognize when referral to an infectious disease specialist is warranted. This article outlines disease prevention associated with international travel for adults with human immunodeficiency virus, asplenia, solid organ and hematopoietic transplantation, and other immunosuppressed states. While rates of infection may not differ significantly between healthy and immunocompromised travelers, the latter are at greater risk for severe disease. A thorough assessment of these risks can ensure safe and healthy travel. The travel practitioners’ goal should be to provide comprehensive risk information and recommend appropriate vaccinations or prevention measures tailored to each patient’s condition. In some instances, live vaccines and prophylactic medications may be contraindicated. Keywords: immunocompromised, vaccines, travel, malaria, diarrhea

  7. Monitoring travellers from Ebola-affected countries in New South Wales, Australia: what is the impact on travellers?

    Directory of Open Access Journals (Sweden)

    Jocelyn Chan

    2017-01-01

    Full Text Available Abstract Background Amidst an Ebola virus disease (EVD epidemic of unprecedented magnitude in west Africa, concerns about the risk of importing EVD led to the introduction of programs for the screening and monitoring of travellers in a number of countries, including Australia. Emerging reports indicate that these programs are feasible to implement, however rigorous evaluations are not yet available. We aimed to evaluate the program of screening and monitoring travellers in New South Wales. Methods We conducted a mixed methods study to evaluate the program of screening and monitoring travellers in New South Wales. We extracted quantitative data from the Notifiable Conditions Information Management System database and obtained qualitative data from two separate surveys of public health staff and arrivals, conducted by phone. Results Between 1 October 2014 and 13 April 2015, public health staff assessed a total of 122 out of 123 travellers. Six people (5% developed symptoms compatible with EVD and required further assessment. None developed EVD. Aid workers required lower levels of support compared to other travellers. Many travellers experienced stigmatisation. Public health staff were successful in supporting travellers to recognise and manage symptoms. Conclusion We recommend that programs for monitoring travellers should be tailored to the needs of different populations and include specific strategies to remediate stigmatisation.

  8. Previous exposure in a high-risk area for travellers' diarrhoea within the past year is associated with a significant protective effect for travellers' diarrhoea: a prospective observational cohort study in travellers to South Asia.

    Science.gov (United States)

    Kuenzli, Esther; Juergensen, David; Kling, Kerstin; Jaeger, Veronika K; DeCrom, Susan; Steffen, Robert; Widmer, Andreas F; Battegay, Manuel; Hatz, Christoph; Neumayr, Andreas

    2017-09-01

    Travellers' diarrhoea is the most common health problem in travellers. Depending on the region visited, up to 40% of travellers develop diarrhoea during a 2-week trip. The aim of this study was to assess risk factors for TD among travellers to the Indian subcontinent. An observational prospective multicentre cohort study investigated travellers to the Indian subcontinent. Participants completed questionnaires assessing the incidence of travellers' diarrhoea and identifying potential risk factors. Covariates were assessed univariately, followed by a multivariate regression. Two-hundred and twenty-six travellers were enrolled into the study, 178 filled in both pre- and post-travel questionnaires. Overall, the attack rate of travellers' diarrhoea was 38.2%. Travel destination is a key risk factor for the occurrence of TD. Travelling to India or Nepal vs Bhutan is associated with an increased risk for TD (OR 6.68 and 6.62, respectively). A length of stay of more than 3 weeks compared to less than 2 weeks is also associated with a significantly increased risk (OR 5.45). Having stayed in a high-risk area for travellers' diarrhoea within the past year before the current trip is associated with a significantly decreased risk (OR 0.19). No association was found between consumption of high risk food (i.e. tap water, ice cream, raw meat and hamburgers) and travellers' diarrhoea. Travellers' diarrhoea is a frequent problem in travellers to the Indian subcontinent. Previous exposure in a high-risk area for travellers' diarrhoea within the past year appears to have a significant protective effect. Furthermore, an association between the occurrence of travellers' diarrhoea and travel destination and length of stay, respectively, was observed. Consumption of risk food did not confer a TD risk in our study. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

  9. Approaches to groundwater travel time

    International Nuclear Information System (INIS)

    Kaplan, P.; Klavetter, E.; Peters, R.

    1989-01-01

    One of the objectives of performance assessment for the Yucca Mountain Project is to estimate the groundwater travel time at Yucca Mountain, Nevada, to determine whether the site complies with the criteria specified in the Code of Federal Regulations, Title 10 CFR 60.113 (a). The numerical standard for performance in these criteria is based on the groundwater travel time along the fastest path of likely radionuclide transport from the disturbed zone to the accessible environment. The concept of groundwater travel time as proposed in the regulations, does not have a unique mathematical statement. The purpose of this paper is to discuss the ambiguities associated with the regulatory specification of groundwater travel time, two different interpretations of groundwater travel time, and the effect of the two interpretations on estimates of the groundwater travel time

  10. Traveler information and tourism : assessment of traveler information and 511 impacts upon tourist destinations and national parks

    Science.gov (United States)

    2004-09-08

    The study focused on traveler information systems in tourism areas and the impacts of those traveler information efforts. Case studies were conducted on four sites: Acadia National Park and Bar Harbor, Maine; Branson, Missouri; the I-81 Corridor in t...

  11. Exposure Data for Travel Risk Assessment

    DEFF Research Database (Denmark)

    Jørgensen, N O; Koornstra, Matthijs; Broughton, Jeremy

    1999-01-01

    This report illustrates why risk and exposure data are critical for policymaking at local, national and EU levels.Conclusions are drawn about the evaluation and use of risk information for different modes and estimates are presented for the fatality risk of various travel modes in the EU....

  12. Health challenges of young travelers visiting friends and relatives compared with those traveling for other purposes.

    Science.gov (United States)

    Han, Pauline; Yanni, Emad; Jentes, Emily S; Hamer, Davidson H; Chen, Lin H; Wilson, Mary E; Macleod, William B; Ooi, Winnie W; Kogelman, Laura; Karchmer, Adolf W; Barnett, Elizabeth D

    2012-09-01

    The study objective was to assess differences in demographics and travel health challenges between youths ≤18 years old traveling internationally to visit friends and relatives (VFRs) compared with those traveling for other purposes (non-VFR). The Boston Area Travel Medicine Network consists of 5 clinics collecting anonymous data from international pretravel consultations. Data on all travelers ≤18 years of age seen between January 2008 and July 2010 were used. VFRs were compared with non-VFRs on demographics, primary language, trip characteristics, travel vaccinations administered, malaria prophylaxis and antidiarrheal medications prescribed. Thirty-five percent (610/1731) listed VFR as their purpose of travel. Almost half of VFRs were travel to countries that were yellow fever holoendemic, had malaria risk and were high-risk for typhoid (44% versus 20%, 39% versus 12%, 25% versus 15%, P travel-related morbidity, healthcare providers should be prepared to give travel advice to parents of VFR infants and children, particularly those US-born VFRs with foreign-born parents, regarding antimalarial and antidiarrheal medications and preventing yellow fever, malaria and typhoid.

  13. Approaches to groundwater travel time

    International Nuclear Information System (INIS)

    Kaplan, P.; Klavetter, E.; Peters, R.

    1989-01-01

    One of the objectives of performance assessment for the Yucca Mountain Project is to estimate the groundwater travel time at Yucca Mountain, Nevada, to determine whether the site complies with the criteria specified in the Code of Federal Regulations. The numerical standard for performance in these criteria is based on the groundwater travel time along the fastest path of likely radionuclide transport from the disturbed zone to the accessible environment. The concept of groundwater travel time, as proposed in the regulations, does not have a unique mathematical statement. The purpose of this paper is to discuss (1) the ambiguities associated with the regulatory specification of groundwater travel time, (2) two different interpretations of groundwater travel time, and (3) the effect of the two interpretations on estimates of the groundwater travel time. 3 refs., 2 figs., 2 tabs

  14. Should travellers to rabies-endemic countries be pre-exposure vaccinated? An assessment of post-exposure prophylaxis and pre-exposure prophylaxis given to Danes travelling to rabies-endemic countries 2000-12.

    Science.gov (United States)

    Christiansen, Annette H; Rodriguez, Anna B; Nielsen, Jens; Cowan, Susan A

    2016-04-01

    Since 2000, a steady increase of vaccines used for both rabies Post-exposure prophylaxis (PEP) and rabies Pre-exposure prophylaxis (PrEP) given to Danish travellers was observed. This study aims to evaluate whether the increase of PEP and PrEP was due to increased travelling, increased awareness of the need for PrEP, or more animal bites per travel, leading to more PEP being administered, in order to assess the need for changing the recommendations. We also described in which countries Danish travelers most frequently reported possible exposure to rabies, and evaluated the timeliness of rabies PEP, including rabies immunoglobulin (RIG). We included all Danes reported to the National Database for Rabies Treatment as having started rabies PEP either abroad or after returning to Denmark, between 2000 and 2012. Data on the yearly number of Danish travelers from 2004 to 2012 to Thailand were collected to calculate the incidence of animal bites at this destination. We also included data on rabies vaccines sold for PrEP or for booster vaccination in Denmark. PEP after possible exposure to rabies abroad increased yearly by 8.8 %. Likewise vaccines sold for PrEP increased by 8.2% annually. The number of Danish travelers to Thailand increased by 7.3% per year, resulting in a stable incidence of animal bites per 100,000 travelers. Seventy-five % started PEP in the country of exposure, while only 10 % received RIG. The yearly increase in PEP and PrEP are parallel to the yearly increase in number of travelers, and can thus be explained by the increased rate of traveling, and not by a rise in awareness of rabies risk or more bites per traveler.Even short term travelers should be given the option of including PrEP in their travel immunisation program, as PEP and especially RIG is not always available in rabies-endemic countries. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

  15. What proportion of international travellers acquire a travel-related illness? A review of the literature.

    Science.gov (United States)

    Angelo, Kristina M; Kozarsky, Phyllis E; Ryan, Edward T; Chen, Lin H; Sotir, Mark J

    2017-09-01

    As international travel increases, travellers may be at increased risk of acquiring infectious diseases not endemic in their home countries. Many journal articles and reference books related to travel medicine cite that between 22-64% of international travellers become ill during or after travel; however, this information is minimal, outdated and limited by poor generalizability. We aim to provide a current and more accurate estimate of the proportion of international travellers who acquire a travel-related illness. We identified studies via PubMed or travel medicine experts, published between January 1, 1976-December 31, 2016 that included the number of international travellers acquiring a travel-related illness. We excluded studies that focused on a single disease or did not determine a rate based on the total number of travellers. We abstracted information on traveller demographics, trip specifics, study enrollment and follow-up and number of ill travellers and their illnesses. Of 743 studies, nine met the inclusion criteria. The data sources were from North America (four studies) and Europe (five studies). Most travellers were tourists, the most frequent destination regions were Asia and Africa, and the median trip duration ranged from 8-21 days. Six studies enrolled participants at the travellers' pre-travel consultation. All studies collected data through either extraction from the medical record, weekly diaries, or pre- and post-travel questionnaires. Data collection timeframes varied by study. Between 6-87% of travellers became ill across all studies. Four studies provided the best estimate: between 43-79% of travellers who frequently visited developing nations (e.g. India, Tanzania, and Kenya) became ill; travellers most frequently reported diarrhoea. This is the most comprehensive assessment available on the proportion of international travellers that develop a travel-related illness. Additional cohort studies would provide needed data to more precisely

  16. Travel-associated infection presenting in Europe (2008-12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation

    NARCIS (Netherlands)

    Schlagenhauf, Patricia; Weld, Leisa; Goorhuis, Abraham; Gautret, Philippe; Weber, Rainer; von Sonnenburg, Frank; Lopez-Vélez, Rogelio; Jensenius, Mogens; Cramer, Jakob P.; Field, Vanessa K.; Odolini, Silvia; Gkrania-Klotsas, Effrossyni; Chappuis, Francois; Malvy, Denis; van Genderen, Perry J. J.; Mockenhaupt, Frank; Jauréguiberry, Stéphane; Smith, Catherine; Beeching, Nicholas J.; Ursing, Johan; Parola, Philippe; Grobusch, Martin P.

    2015-01-01

    Travel is important in the acquisition and dissemination of infection. We aimed to assess European surveillance data for travel-related illness to profile imported infections, track trends, identify risk groups, and assess the usefulness of pre-travel advice. We analysed travel-associated morbidity

  17. Bifurcations of nonlinear ion acoustic travelling waves in the frame of a Zakharov-Kuznetsov equation in magnetized plasma with a kappa distributed electron

    International Nuclear Information System (INIS)

    Kumar Samanta, Utpal; Saha, Asit; Chatterjee, Prasanta

    2013-01-01

    Bifurcations of nonlinear propagation of ion acoustic waves (IAWs) in a magnetized plasma whose constituents are cold ions and kappa distributed electron are investigated using a two component plasma model. The standard reductive perturbation technique is used to derive the Zakharov-Kuznetsov (ZK) equation for IAWs. By using the bifurcation theory of planar dynamical systems to this ZK equation, the existence of solitary wave solutions and periodic travelling wave solutions is established. All exact explicit solutions of these travelling waves are determined. The results may have relevance in dense space plasmas

  18. Impact of advice given to travelers concerning the main infectious risks associated with traveling in the tropics.

    Science.gov (United States)

    Lestelle, C; Aymeric, S; Maakaroun-Vermesse, Z; Pouliquen, A; Bernard, L; Chandenier, J; Grammatico-Guillon, L

    2015-06-01

    The prevention of sanitary risks related to traveling in the tropics implies delivering a large amount of information to travelers. The objective of our study was to assess the knowledge acquired by travelers during a pre-travel consultation. A before and after study was conducted among 202 travelers having consulted at the Tours international vaccine center. We used self-administrated questionnaires (score out of 100 marks) concerning diet, hygiene, anti-vectorial prevention (AVP), and sexual-transmitted infections (STI). The scores obtained before and after consultation were compared globally and for each topic. The travelers' global knowledge had improved after consultation (66.1 vs. 75.5%; P traveling compared to humanitarian mission prepared ahead of departure time). The recommendations for diet were less well acquired in travelers > 50 years of age than in those travel consultation improves the travelers' knowledge for the main prevention measures but does not allow them to acquire all required knowledge. Taking into account the travelers' initial knowledge and their ability to learn could improve the impact of the pre-travel consultation. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  19. 8 CFR 217.5 - Electronic System for Travel Authorization.

    Science.gov (United States)

    2010-01-01

    ...) Required elements. ESTA will collect such information as the Secretary deems necessary to issue a travel... changes his or her name; (3) The alien changes his or her gender; (4) The alien's country of citizenship...

  20. Travel Health Advisory Group: a joint travel industry and travel health Special Interest Group promoting healthy travel in Australia.

    Science.gov (United States)

    Leggat, Peter A; Zwar, Nicholas; Hudson, Bernie

    2012-09-01

    The Travel Health Advisory Group (THAG), established in 1997, is a joint initiative between the travel industry and travel health professionals in Australia that aims to promote healthy travel. THAG seeks to promote cooperation in improving the health of travellers between the travel industry and travel medicine professionals and to raise public awareness of the importance of travel health. From 2011, THAG has been a Special Interest Group of The Australasian College of Tropical Medicine and its membership has been active in several areas, including web-based travel health information, travel health promotion, media releases, research and education in Australia. Information is given on the objectives, membership and an overview of the various activities of the group. Copyright © 2012 Elsevier Ltd. All rights reserved.

  1. Health, sustainability and student travel.

    Science.gov (United States)

    Green, Gill; Morris, Jenny; Wade, Margaret

    2012-01-01

    A survey of 246 pre-registration nursing students in a University in the South West of England was carried out to explore the impact of course related travel on the student experience. Results from the survey indicated that students' main mode of transport to practice placements was by car which reflects the rural nature of the South West and the relative paucity of public transport. Long distances that many students travel to their study centre and to placements, and the concurrent financial strain that this creates, impacted negatively on the student experience. Students recognised the need to travel to a place of study and clinical placements and suggestions of minimising the negative impact of travel were offered. These included the increased use of electronic delivery of lectures, attendance at local university premises, the provision of shared transport to placements and placements closer to the student's home. Few students, however, considered the environmental impact of travel. Higher Education Institutions need to address issues of sustainability through promoting student wellbeing and taking steps to reduce greenhouse gas emissions. It is therefore important that student awareness of sustainability related issues is increased as well as focusing on reducing the environmental impact through organisational change. Copyright © 2011 Elsevier Ltd. All rights reserved.

  2. Assessment of Electron Beam Welding in Shipyard Construction,

    Science.gov (United States)

    1985-12-01

    ELECTRON BEAM APPLICATORS QUESTIONNAIRE 1. Applicators Name: McCay Tool & Engr. Co. 2. Address: 1449 West Lark, Fenton , Mo. 3...had very li tt le undercut and requ ired no cosmet ic pass. TESTING AND RESULTS ’re~t ing wi ~ pt-f’)rimev oil spc inens inl t he- fol lowing manner. 1...Penetration Cosmet . c Accelerating Voltage (KV) 75 70 Beam Current (ma) 115 30 Travel Speed (IPM) 8 18 Beam focus (Amps programmed) 4.38 4.70 Gun to Work

  3. What are the health benefits of active travel? A systematic review of trials and cohort studies.

    Directory of Open Access Journals (Sweden)

    Lucinda E Saunders

    Full Text Available BACKGROUND: Increasing active travel (primarily walking and cycling has been widely advocated for reducing obesity levels and achieving other population health benefits. However, the strength of evidence underpinning this strategy is unclear. This study aimed to assess the evidence that active travel has significant health benefits. METHODS: The study design was a systematic review of (i non-randomised and randomised controlled trials, and (ii prospective observational studies examining either (a the effects of interventions to promote active travel or (b the association between active travel and health outcomes. Reports of studies were identified by searching 11 electronic databases, websites, reference lists and papers identified by experts in the field. Prospective observational and intervention studies measuring any health outcome of active travel in the general population were included. Studies of patient groups were excluded. RESULTS: Twenty-four studies from 12 countries were included, of which six were studies conducted with children. Five studies evaluated active travel interventions. Nineteen were prospective cohort studies which did not evaluate the impact of a specific intervention. No studies were identified with obesity as an outcome in adults; one of five prospective cohort studies in children found an association between obesity and active travel. Small positive effects on other health outcomes were found in five intervention studies, but these were all at risk of selection bias. Modest benefits for other health outcomes were identified in five prospective studies. There is suggestive evidence that active travel may have a positive effect on diabetes prevention, which may be an important area for future research. CONCLUSIONS: Active travel may have positive effects on health outcomes, but there is little robust evidence to date of the effectiveness of active transport interventions for reducing obesity. Future evaluations of such

  4. Cartographic Mapping and Travel Burden to Assess and Develop Strategies to Improve Minority Access to National Cancer Clinical Trials

    International Nuclear Information System (INIS)

    Bruner, Deborah Watkins; Pugh, Stephanie L.; Yeager, Katherine A.; Bruner, Jesse; Curran, Walter

    2015-01-01

    Purpose: To assess how accrual to clinical trials is related to US minority population density relative to clinical trial site location and distance traveled to Radiation Therapy Oncology Group (RTOG) clinical trial sites. Methods and Materials: Data included member site address and ZIP codes, patient accrual, and patient race or ethnicity and ZIP code. Geographic Information System maps were developed for overall, Latino, and African American accrual to trials by population density. The Kruskal-Wallis test was used to assess differences in distance traveled by site, type of trial, and race or ethnicity. Results: From 2006 to 2009, 6168 patients enrolled on RTOG trials. The RTOG US site distribution is generally concordant with overall population density. Sites with highest accrual are located throughout the United States and parts of Canada and do not cluster, nor does highest minority accrual cluster in areas of highest US minority population density. Of the 4913 US patients with complete data, patients traveled a median of 11.6 miles to participate in clinical trials. Whites traveled statistically longer distances (12.9 miles; P<.0001) to participate, followed by Latinos (8.22 miles) and African Americans (5.85 miles). Patients were willing to drive longer distances to academic sites than community sites, and there was a trend toward significantly longer median travel for therapeutic versus cancer control or metastatic trials. Conclusions: Location matters, but only to a degree, for minority compared with nonminority participation in clinical trials. Geographic Information System tools help identify gaps in geographic access and travel burden for clinical trials participation. Strategies that emerged using these tools are discussed.

  5. Cartographic Mapping and Travel Burden to Assess and Develop Strategies to Improve Minority Access to National Cancer Clinical Trials

    Science.gov (United States)

    Bruner, Deborah Watkins; Pugh, Stephanie L.; Yeager, Katherine A.; Bruner, Jesse; Curran, Walter

    2015-01-01

    Purpose To assess how accrual to clinical trials is related to U.S. minority population density relative to clinical trial site location and distance traveled to Radiation Therapy Oncology Group (RTOG) clinical trials sites. Methods Data included member site address and zip codes, patient accrual, and patient race/ethnicity and zip code. Geographic Information System (GIS) maps were developed for overall, Latino and African American accrual to trials by population density. The Kruskal-Wallis test was used to assess differences in distance traveled by site, type of trial and race/ethnicity. Results From 2006–2009, 6168 patients enrolled on RTOG trials. RTOG U.S. site distribution is generally concordant with overall population density. Sites with highest accrual are located throughout the U.S. and parts of Canada and do not cluster, nor does highest minority accrual cluster in areas of highest U.S. minority population density. Of the 4913 U.S. patients with complete data, patients traveled a median of 11.6 miles to participate in clinical trials. Whites traveled statistically longer distances (12.9 miles; p<0.0001) to participate followed by Latinos (8.22 miles), and African Americans (5.85 miles). Patients were willing to drive longer distances to academic sites than community sites and there was a trend toward significantly longer median travel for therapeutic vs cancer control or metastatic trials. Conclusions Location matters, but only to a degree, for minority compared to non-minority participation in clinical trials. GIS tools help identify gaps in geographic access and travel burden for clinical trials participation. Strategies that emerged using these tools are discussed. PMID:26281827

  6. Cartographic Mapping and Travel Burden to Assess and Develop Strategies to Improve Minority Access to National Cancer Clinical Trials

    Energy Technology Data Exchange (ETDEWEB)

    Bruner, Deborah Watkins, E-mail: deborah.w.bruner@emory.edu [Emory University, Atlanta, Georgia (United States); Pugh, Stephanie L. [NRG Oncology Statistics and Data Management Center, Philadelphia, Pennsylvania (United States); Yeager, Katherine A.; Bruner, Jesse; Curran, Walter [Emory University, Atlanta, Georgia (United States)

    2015-11-01

    Purpose: To assess how accrual to clinical trials is related to US minority population density relative to clinical trial site location and distance traveled to Radiation Therapy Oncology Group (RTOG) clinical trial sites. Methods and Materials: Data included member site address and ZIP codes, patient accrual, and patient race or ethnicity and ZIP code. Geographic Information System maps were developed for overall, Latino, and African American accrual to trials by population density. The Kruskal-Wallis test was used to assess differences in distance traveled by site, type of trial, and race or ethnicity. Results: From 2006 to 2009, 6168 patients enrolled on RTOG trials. The RTOG US site distribution is generally concordant with overall population density. Sites with highest accrual are located throughout the United States and parts of Canada and do not cluster, nor does highest minority accrual cluster in areas of highest US minority population density. Of the 4913 US patients with complete data, patients traveled a median of 11.6 miles to participate in clinical trials. Whites traveled statistically longer distances (12.9 miles; P<.0001) to participate, followed by Latinos (8.22 miles) and African Americans (5.85 miles). Patients were willing to drive longer distances to academic sites than community sites, and there was a trend toward significantly longer median travel for therapeutic versus cancer control or metastatic trials. Conclusions: Location matters, but only to a degree, for minority compared with nonminority participation in clinical trials. Geographic Information System tools help identify gaps in geographic access and travel burden for clinical trials participation. Strategies that emerged using these tools are discussed.

  7. Cartographic Mapping and Travel Burden to Assess and Develop Strategies to Improve Minority Access to National Cancer Clinical Trials.

    Science.gov (United States)

    Bruner, Deborah Watkins; Pugh, Stephanie L; Yeager, Katherine A; Bruner, Jesse; Curran, Walter

    2015-11-01

    To assess how accrual to clinical trials is related to US minority population density relative to clinical trial site location and distance traveled to Radiation Therapy Oncology Group (RTOG) clinical trial sites. Data included member site address and ZIP codes, patient accrual, and patient race or ethnicity and ZIP code. Geographic Information System maps were developed for overall, Latino, and African American accrual to trials by population density. The Kruskal-Wallis test was used to assess differences in distance traveled by site, type of trial, and race or ethnicity. From 2006 to 2009, 6168 patients enrolled on RTOG trials. The RTOG US site distribution is generally concordant with overall population density. Sites with highest accrual are located throughout the United States and parts of Canada and do not cluster, nor does highest minority accrual cluster in areas of highest US minority population density. Of the 4913 US patients with complete data, patients traveled a median of 11.6 miles to participate in clinical trials. Whites traveled statistically longer distances (12.9 miles; P<.0001) to participate, followed by Latinos (8.22 miles) and African Americans (5.85 miles). Patients were willing to drive longer distances to academic sites than community sites, and there was a trend toward significantly longer median travel for therapeutic versus cancer control or metastatic trials. Location matters, but only to a degree, for minority compared with nonminority participation in clinical trials. Geographic Information System tools help identify gaps in geographic access and travel burden for clinical trials participation. Strategies that emerged using these tools are discussed. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Travel characteristics and health practices among travellers at the travellers' health and vaccination clinic in Singapore.

    Science.gov (United States)

    Lee, Vernon J; Wilder-Smith, Annelies

    2006-10-01

    Singapore has a fast-growing travel industry, but few studies have been done on travel characteristics and travel health practices. This study describes the profile and healthseeking behaviour of travellers attending a travel health clinic in Singapore. A cross-sectional survey was conducted on travellers attending the Traveller's Health and Vaccination Centre (THVC) between September and November 2002 using a standardised questionnaire. Information obtained included individual demographic and medical information, travel patterns, vaccination status and travel health practices. Four hundred and ninetyfive (74%) eligible travellers seen at THVC responded to the questionnaire. Their mean age was 36 years; 77% were professionals, managers, executives, and businessmen, students, and white collar workers. Asia was the main travel destination, and most travelled for leisure and resided in hotels or hostels. The median duration of travel was 16 days. Although >90% had previously travelled overseas, only 20% had previously sought pre-travel advice. Malays were significantly underrepresented (P travel advice compared with Chinese, Indians and Malays. Factors associated with seeking pre-travel advice included travel outside of Asia, especially Africa and South America. Singaporean travellers travel more often to cities rather than rural areas, compared with non-Asian travellers. Asia is the preferred destination, and travel outside of Asia is perceived as more risky and is associated with seeking pre-travel advice and vaccinations. Travel patterns and behaviours need to be taken into account when developing evidence-based travel medicine in Asia.

  9. Reduction of travellers' diarrhoea by WC/rBS oral cholera vaccine in young, high-risk travellers.

    Science.gov (United States)

    Torrell, Josep Ma Ramon; Aumatell, Cristina Masuet; Ramos, Sergi Morchon; Mestre, Laura Gavaldà; Salas, Carme Micheo

    2009-06-19

    A bidirectional cohort study investigates whether pre-travel vaccination with whole cell/recombinant B subunit inactivated, killed oral cholera vaccine reduces the incidence of diarrhoea in young adult travellers to high-risk areas. Risk of travellers' diarrhoea was assessed according to destination and reason for travel in high-risk travellers of a travel clinic in Barcelona, Spain. Those at high-risk between January and December 2005 were advised on water/food safety and hygiene. High-risk travellers between January and December 2006 were additionally vaccinated with WC/rBS oral cholera vaccine. Data regarding diarrhoea were gathered by structured telephone interview or e-mailed questionnaire following the travellers' return. The incidence of diarrhoea in the group vaccinated with WC/rBS oral cholera vaccine (n=321) was 17.4%, compared with 39.7% in the non-vaccinated group (n=337) (adjusted risk ratio 0.40). The first episode was significantly shorter in the vaccinated group (mean 2.3 days) than in the non-vaccinated group (mean 3.8 days) (pyoung, high-risk travellers. Vaccination with the WC/rBS oral cholera vaccine as well as food safety and hygiene advice could offer effective means of reducing the risk of diarrhoea while abroad.

  10. GPS in Travel and Activity Surveys

    DEFF Research Database (Denmark)

    Nielsen, Thomas Alexander Sick; Hovgesen, Henrik Harder

    2004-01-01

    The use of GPS-positioning as a monitoring tool in travel and activity surveys opens up a range of possibilities. Using a personal GPS device, the locations and movements of respondents can be followed over a longer period of time. It will then be possible to analyse how the use of urban spaces...... are embedded in the wider context of activity patterns (work, school etc.). The general pattern of everyday itineraries, including route choice and time spent at different locations ?on the way? can also be analysed. If the personal GPS device is combined with an electronic questionnaire, for example...... area. The paper presents the possibilities in travel and activity surveys with GPS and electronic questionnaires. Demonstrative mapping of test data from passive GPS registration of Copenhagen respondents is presented. The different survey possibilities given a combination of GPS and PDA based...

  11. Pre-travel advice at a crossroad: Medical preparedness of travellers to South and Southeast-Asia - The Hamburg Airport Survey.

    Science.gov (United States)

    Rolling, Thierry; Mühlenpfordt, Melina; Addo, Marylyn M; Cramer, Jakob P; Vinnemeier, Christof D

    Specific travel-related recommendations exist for the prevention or self-treatment of infectious diseases contracted by travellers to the tropics. In the current study, we assessed the medical preparedness per these recommendations, focusing on whether travellers carried antidiarrheal and antimalarial medication with them stratified by type of pre-travel advice. We surveyed travellers departing from Hamburg International Airport to South or Southeast Asia, using a questionnaire on demographic, medical and travel characteristics. 975 travellers were analysed - the majority (817, 83%) being tourists. A large proportion packed any antidiarrheal medication (612, 63%) - most frequently loperamide (440, 72%). Only 176 of 928 (19%) travellers to destinations with low-to medium risk for malaria packed a recommended antimalarial medication. The majority (162, 17%) of them carried antimalarials as stand-by emergency treatment (SBET). 468 (48%) travellers had a pre-travel medical consultation. This lead to higher odds of carrying SBET- with the highest odds associated with a consultation at a travel medicine specialist (OR 7.83 compared to no consultation). Attending a travel medicine specialist was associated with better adherence to current recommendations concerning the carriage of stand-by emergency treatment of malaria. However, the proportion of travellers seeking pre-travel health advice was overall low in our population. Promoting pre-travel consultations may, therefore, lead to higher adherence to the current recommendations in travel medicine. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Prevention of influenza among travellers attending at a UK travel clinic: beliefs and perceptions. A cross-sectional study.

    Science.gov (United States)

    Masuet-Aumatell, Cristina; Toovey, Stephen; Zuckerman, Jane N

    2013-07-01

    Travellers' compliance with measures to prevent influenza through the use of antivirals and influenza vaccine remains very poor despite influenza being one of the commonest travel and vaccine-preventable diseases. A study was undertaken to assess travellers' beliefs, perceptions and intentions to take antivirals for the treatment and prevention of influenza during the H1N1 pandemic. A cross-sectional survey (n = 96) of travellers who attended the Royal Free Travel Health Centre, London, UK was undertaken in September 2009. A self-administered questionnaire was completed by a traveller in advance of their pre-travel health consultation. Logistic regression identified variables independently associated with compliance. Influenza vaccination uptake for the 5 years preceding the study was found to be 20·8%. This was statistically significantly higher for older travellers and those with underlying health conditions (P study identifies some beliefs and perceptions travellers consider with regard to the therapeutic and preventive influenza use of antivirals during the H1N1 pandemic; it underscores the importance of travellers receiving hemisphere appropriate influenza vaccination. The external validity of these study findings requires further corroboration involving other travel clinics and different cohorts of travellers during seasonal activity or outbreaks of influenza. These findings could guide the development of future strategies for the prevention of influenza in travellers. © 2012 John Wiley & Sons Ltd.

  13. Pre-travel advice seeking from GPs by travellers with chronic illness seen at a travel clinic.

    Science.gov (United States)

    Gagneux-Brunon, Amandine; Andrillat, Carole; Fouilloux, Pascale; Daoud, Fatiha; Defontaine, Christiane; Charles, Rodolphe; Lucht, Frédéric; Botelho-Nevers, Elisabeth

    2016-03-01

    Travellers are ageing and frequently report chronic illness. Pre-travel health advice is crucial, particularly in this subgroup, and general practitioners (GPs) are first in line for treatment adjustment before departure. Our aim is to evaluate pre-travel health advice seeking from GPs by travellers with chronic illness seen at a travel clinic. A cross-sectional observational survey using a questionnaire was conducted between August 2013 and July 2014 in travellers attending the travel medicine clinic of a tertiary university hospital in France. During the study, 2019 travellers were included. Mean age was 39.4 years (±18.8). Three hundred and ninety-one (19.4%) travellers reported a history of a chronic illness. Arterial hypertension and diabetes mellitus were the most frequently reported illnesses, affecting, respectively, 168 (8.3%) travellers and 102 (5.1%). Hajj pilgrims were more likely to report a history of chronic illness than other travellers. Only 810 (40.1%) travellers sought pre-travel advice from their GP. Six hundred and fifty-two (40.1%) healthy travellers and 158 (40.5%) travellers reporting chronic illness sought pre-travel advice from their GP (P = 0.96). Travellers with a history of chronic illness do not seek pre-travel health advice from their GP more frequently than healthy travellers. Travel health specialists are generally not the best practitioners to manage the care of underlying medical conditions presenting risks during travel. However, GPs offer continuity and disease management expertise to improve the specificity of pre-travel planning. Thus, ongoing collaboration between the traveller, GP and travel health specialist is likely to yield the best outcomes. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

  14. Roadway network productivity assessment : system-wide analysis under variant travel demand

    Science.gov (United States)

    2008-11-01

    The analysis documented in this report examines the hypothesis that the system-wide productivity of a metropolitan freeway system in peak periods is higher in moderate travel demand conditions than in excessive travel demand conditions. The approach ...

  15. Enquiries to the United Kingdom National Travel Advice Line by healthcare professionals regarding immunocompromised travellers.

    Science.gov (United States)

    Allen, Joanna E; Patel, Dipti

    2016-03-01

    People who travel while immunocompromised are more at risk of serious travel-related infection. Their condition, medications or treatments can contraindicate, decrease the effectiveness of or increase the toxicity of vaccinations or malaria chemoprophylaxis. Therefore, immunocompromised travellers require careful assessment and specialized pre-travel advice. The aims of this study were to investigate enquiries by healthcare professionals (HCPs) to the UK National Travel Health Network and Centre (NaTHNaC) advice line regarding travellers with immunocompromise and to identify their most common concerns. Documentation for all calls taken by advisers at the London office during 2013 was reviewed. Of the 4910 enquiries to the London NaTHNaC advice line, 397 calls concerned immunocompromised travellers (8.1%). The majority of immunocompromised travellers were planning to visit Sub-Saharan Africa (53%) for the purpose of tourism (43%). Sixty-seven percent of enquiries concerned vaccine use, 11% were about malaria chemoprophylaxis, 20% were about both and 2% were for other reasons. Causes of immunocompromise included inflammatory or autoimmune conditions (43%), cancer (18%), splenic dysfunction (13%), immunosuppressive drugs (12%), human immunodeficiency virus (11%), primary immunodeficiency (1%), neutropenia (0.5%) and thymus abnormalities (0.5%). There were frequent enquires to the advice line by UK HCPs regarding immunocompromised travellers. The travellers in this study had a wide range of underlying medical conditions and varying levels of immunocompromise. These enquiries may reflect a lack of clarity in current national guidelines, difficulties in interpreting them or both. Establishing the reasons for these deficiencies as well as the reasons behind UK HCP concerns and lack of confidence requires further investigation. This research has highlighted potential knowledge gaps and will help inform future guidance and educational activities for UK HCPs advising

  16. Pre-Travel Medical Preparation of Business and Occupational Travelers

    Science.gov (United States)

    Khan, Nomana M.; Jentes, Emily S.; Brown, Clive; Han, Pauline; Rao, Sowmya R.; Kozarsky, Phyllis; Hagmann, Stefan H.F.; LaRocque, Regina C.; Ryan, Edward T.

    2016-01-01

    Objectives: The aim of the study was to understand more about pre-travel preparations and itineraries of business and occupational travelers. Methods: De-identified data from 18 Global TravEpiNet clinics from January 2009 to December 2012 were analyzed. Results: Of 23,534 travelers, 61% were non-occupational and 39% occupational. Business travelers were more likely to be men, had short times to departure and shorter trip durations, and commonly refused influenza, meningococcal, and hepatitis B vaccines. Most business travelers indicated that employers suggested the pre-travel health consultation, whereas non-occupational travelers sought consultations because of travel health concerns. Conclusions: Sub-groups of occupational travelers have characteristic profiles, with business travelers being particularly distinct. Employers play a role in encouraging business travelers to seek pre-travel consultations. Such consultations, even if scheduled immediately before travel, can identify vaccination gaps and increase coverage. PMID:26479857

  17. UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study.

    Science.gov (United States)

    Jackson, Cath; Dyson, Lisa; Bedford, Helen; Cheater, Francine M; Condon, Louise; Crocker, Annie; Emslie, Carol; Ireland, Lana; Kemsley, Philippa; Kerr, Susan; Lewis, Helen J; Mytton, Julie; Overend, Karen; Redsell, Sarah; Richardson, Zoe; Shepherd, Christine; Smith, Lesley

    2016-09-01

    the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified by Travellers and service providers as barriers for some. Trustful relationships with health professionals were important and continuity of care was valued. A few English-speaking Travellers described problems of booking and attending for immunisation. Service providers tailored their approach to Travellers, particularly the Roma. Funding cuts, NHS reforms and poor monitoring challenged their work. Five 'top-priority' interventions were agreed across communities and service providers to improve the immunisation among Travellers who are housed or settled on an authorised site: (1) cultural competence training for health professionals and frontline staff; (2) identification of Travellers in health records to tailor support and monitor uptake; (3) provision of a named frontline person in general practitioner practices to provide respectful and supportive service; (4) flexible and diverse systems for booking appointments, recall and reminders; and (5) protected funding for health visitors specialising in Traveller health, including immunisation. No Travellers living on the roadside or on unofficial encampments were interviewed. We should exert caution in generalising to these groups. To include development, implementation and evaluation of a national policy plan (and practice guidance plan) to promote the uptake of immunisation among Traveller communities. Current Controlled Trials ISRCTN20019630 and UK Clinical Research Network Portfolio number 15182. This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 20, No. 72. See the NIHR Journals Library website for further project information.

  18. Measuring Workplace Travel Behaviour: Validity and Reliability of Survey Questions

    Directory of Open Access Journals (Sweden)

    Nicholas A. Petrunoff

    2013-01-01

    Full Text Available Background. The purpose of this study was to assess the (previously untested reliability and validity of survey questions commonly used to assess travel mode and travel time. Methods. Sixty-five respondents from a staff survey of travel behaviour conducted in a south-western Sydney hospital agreed to complete a travel diary for a week, wear an accelerometer over the same period, and twice complete an online travel survey an average of 21 days apart. The agreement in travel modes between the self-reported online survey and travel diary was examined with the kappa statistic. Spearman’s correlation coefficient was used to examine agreement of travel time from home to workplace measured between the self-reported online survey and four-day travel diary. Moderate-to-vigorous physical activity (MVPA time of active and nonactive travellers was compared by t-test. Results. There was substantial agreement between travel modes (K=0.62, P<0.0001 and a moderate correlation for travel time (ρ=0.75, P<0.0001 reported in the travel diary and online survey. There was a high level of agreement for travel mode (K=0.82, P<0.0001 and travel time (ρ=0.83, P<0.0001 between the two travel surveys. Accelerometer data indicated that for active travellers, 16% of the journey-to-work time is MVPA, compared with 6% for car drivers. Active travellers were significantly more active across the whole workday. Conclusions. The survey question “How did you travel to work this week? If you used more than one transport mode specify the one you used for the longest (distance portion of your journey” is reliable over 21 days and agrees well with a travel diary.

  19. Travel Experience in hotels for the MICE Industry

    OpenAIRE

    Gurkina, Anastasija

    2013-01-01

    The following report is a research-oriented bachelor thesis that investigates the travel experience in the business oriented concentrated in MICE Industry. The objective of this thesis was to assess and measure the level of satisfaction of the MICE travellers in hotels, as well as to find out what are the services and aspects of the hotel that influences the most on the travel experience. The MICE travellers due to the purposes of their visit require specific services from the hotel t...

  20. International business travel: impact on families and travellers.

    Science.gov (United States)

    Espino, C M; Sundstrom, S M; Frick, H L; Jacobs, M; Peters, M

    2002-05-01

    Spouses and staff of the World Bank Group (WBG) were questioned about the impact of international business travel on families and travellers. Dependent variables were self reported stress, concern about the health of the traveller, and negative impact on the family. We hypothesised that several travel factors (independent variables) would be associated with these impacts. These travel factors had to do with the frequency, duration, and predictability of travel and its interference with family activities. Survey forms were developed and distributed to all spouses of travelling staff as well as a small sample of operational staff. Kendall's tau b correlation coefficients of response frequencies were computed with the data from scaled items. Written responses to open ended questions were categorised. Response rates for spouses and staff were 24% and 36%, respectively. Half the spouse sample (n=533) and almost 75% of the staff sample (n=102) reported high or very high stress due to business travel. Self reported spouse stress was associated with six out of eight travel factors. Female spouses, those with children, and younger spouses reported greater stress. Self reported staff stress was significantly associated with four out of nine travel factors. Further insight into how business travel affects families and staff (including children's behavioural changes) and how families cope was gained through responses to written questions. The findings support the notion that lengthy and frequent travel and frequent changes in travel dates which affect family plans, all characteristic of WBG missions, negatively affects many spouses and children (particularly young children) and that the strain on families contributes significantly to the stress staff feel about their travel. Policies or management practices that take into consideration family activities and give staff greater leeway in controlling and refusing travel may help relieve stress.

  1. Travel risk behaviours and uptake of pre-travel health preventions by university students in Australia.

    Science.gov (United States)

    Heywood, Anita E; Zhang, Meng; MacIntyre, C Raina; Seale, Holly

    2012-02-17

    Forward planning and preventative measures before travelling can significantly reduce the risk of many vaccine preventable travel-related infectious diseases. Higher education students may be at an increased risk of importing infectious disease as many undertake multiple visits to regions with higher infectious disease endemicity. Little is known about the health behaviours of domestic or international university students, particularly students from low resource countries who travel to high-resource countries for education. This study aimed to assess travel-associated health risks and preventative behaviours in a sample of both domestic and international university students in Australia. In 2010, a 28 item self-administered online survey was distributed to students enrolled at the University of New South Wales, Sydney, Australia. Multiple methods of distributing links to the online survey were utilised. The survey examined the international travel history, travel intentions, infection control behaviours and self-reported vaccination history. A total of 1663 respondents completed the online survey, 22.1% were international students and 83.9% were enrolled at an undergraduate level. Half had travelled internationally in the previous 12 months, with 69% of those travelling only once during that time with no difference in travel from Australia between domestic and international students (p = 0.8). Uptake of pre-travel health advice was low overall with 68% of respondents reporting they had not sought any advice from a health professional prior to their last international trip. Domestic students were more likely to report uptake of a range of preventative travel health measures compared to international students, including diarrhoeal medication, insect repellent, food avoidance and condoms (P students reported low risk perception of travel threats and a low corresponding concern for these threats. Our study highlights the need to educate students about the risk

  2. [Pre-travel advice and patient education of Hungarian travellers].

    Science.gov (United States)

    Lengyel, Ingrid; Felkai, Péter

    2018-03-01

    According to international surveys, over half of the travellers face some kind of health issue when travelling. The overwhelming majority of travel-related illnesses can be prevented with pre-travel medical consultations, but the syllabus and content of the consultation have to match the travel habits and culture of the given society. This publication explores the specificities and travel habits of Hungarian travellers. One hundred participants of a travel exhibition completed a survey about their international travel. As the survey was not representative, the data could only be processed through simple statistical methods. However, since the exhibition was presumably attended by those wishing to travel, the conclusions drawn from the results are worth publishing, since no similar survey in Hungary has been published before. Based on the suitable classification of age groups in travel medicine, 11% of the participants were adolescents / young adults (aged 15-24), 81% adults (25-59) and 8% elderly (60-74). Twenty-eight percent of the participants travel multiple times a year, 40% yearly and 32% of them less frequently; 16% of the adults, 8% of the adolescents and 4% of the elderly age group travel multiple times a year. The travel destinations of Hungarian travellers have remained practically unchanged since a study was conducted 13 years ago: the vast majority (95%) travelled within Europe, 2% to the United States, and 11% of them elsewhere. Since Hungarians do not travel to endemic areas, only 5% consulted their general practitioners (GPs) prior to travelling, and 29% did when they had to be vaccinated. Forty-two percent of those wishing to travel never consult their GPs, even though 29% of them are aware of some chronic illness. Instead, 51% gather their health information from the internet and only 6% from their doctors. By the contradiction between the poor health status of the majority of Hungarian travellers and the negligence of seeking pre-travel advice

  3. Travel risk behaviours and uptake of pre-travel health preventions by university students in Australia

    Directory of Open Access Journals (Sweden)

    Heywood Anita E

    2012-02-01

    Full Text Available Abstract Background Forward planning and preventative measures before travelling can significantly reduce the risk of many vaccine preventable travel-related infectious diseases. Higher education students may be at an increased risk of importing infectious disease as many undertake multiple visits to regions with higher infectious disease endemicity. Little is known about the health behaviours of domestic or international university students, particularly students from low resource countries who travel to high-resource countries for education. This study aimed to assess travel-associated health risks and preventative behaviours in a sample of both domestic and international university students in Australia. Methods In 2010, a 28 item self-administered online survey was distributed to students enrolled at the University of New South Wales, Sydney, Australia. Multiple methods of distributing links to the online survey were utilised. The survey examined the international travel history, travel intentions, infection control behaviours and self-reported vaccination history. Results A total of 1663 respondents completed the online survey, 22.1% were international students and 83.9% were enrolled at an undergraduate level. Half had travelled internationally in the previous 12 months, with 69% of those travelling only once during that time with no difference in travel from Australia between domestic and international students (p = 0.8. Uptake of pre-travel health advice was low overall with 68% of respondents reporting they had not sought any advice from a health professional prior to their last international trip. Domestic students were more likely to report uptake of a range of preventative travel health measures compared to international students, including diarrhoeal medication, insect repellent, food avoidance and condoms (P Conclusions Our study highlights the need to educate students about the risk associated with travel and improve preventative

  4. Preparing for International Travel and Global Medical Care.

    Science.gov (United States)

    Mahadevan, Swaminatha V; Strehlow, Matthew C

    2017-05-01

    Thorough pretravel preparation and medical consultation can mitigate avoidable health and safety risks. A comprehensive pretravel medical consultation should include an individualized risk assessment, immunization review, and discussion of arthropod protective measures, malaria prophylaxis, traveler's diarrhea, and injury prevention. Travel with children and jet lag reduction require additional planning and prevention strategies; travel and evacuation insurance may prove essential when traveling to less resourced countries. Consideration should also be given to other high-risk travel scenarios, including the provision of health care overseas, adventure and extreme sports, water environments and diving, high altitude, and terrorism/unstable political situations. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Can we use digital life-log images to investigate active and sedentary travel behaviour? Results from a pilot study

    Directory of Open Access Journals (Sweden)

    Hodges Steve

    2011-05-01

    Full Text Available Abstract Background Active travel such as walking and cycling has potential to increase physical activity levels in sedentary individuals. Motorised car travel is a sedentary behaviour that contributes to carbon emissions. There have been recent calls for technology that will improve our ability to measure these travel behaviours, and in particular evaluate modes and volumes of active versus sedentary travel. The purpose of this pilot study is to investigate the potential efficacy of a new electronic measurement device, a wearable digital camera called SenseCam, in travel research. Methods Participants (n = 20 were required to wear the SenseCam device for one full day of travel. The device automatically records approximately 3,600 time-stamped, first-person point-of-view images per day, without any action required by the wearer. Participants also completed a self-report travel diary over the same period for comparison, and were interviewed afterwards to assess user burden and experience. Results There were a total of 105 confirmed journeys in this pilot. The new SenseCam device recorded more journeys than the travel diary (99 vs. 94. Although the two measures demonstrated an acceptable correlation for journey duration (r = 0.92, p Conclusions Direct observation of travel behaviour from time-stamped images shows considerable potential in the field of travel research. Journey duration derived from direct observation of travel behaviour from time-stamped images appears to suggest over-reporting of self-reported journey duration.

  6. NIKHEF traveling wave monitor: user guide

    International Nuclear Information System (INIS)

    Sluijk, T.

    1984-01-01

    The NIKHEF Travelling Wave Monitor (TWM) is a sensitive, non intercepting device to measure beam displacement. The measurement is independent of the beam intensity. The TWM consists of a waveguide assembly and separate electronics assembly. Specifications are given, as well as instructions for use. (Auth./G.J.P.)

  7. Knowledge, attitudes, and practices regarding travel health among Muscat International Airport travelers in Oman: Identifying the gaps and addressing the challenges.

    Science.gov (United States)

    Al-Abri, Seif S; Abdel-Hady, Doaa M; Al-Abaidani, Idris S

    2016-06-01

    Although the majority of travel-associated communicable diseases can be prevented, the public health burden of these diseases remains significant. Relatively little is known about how travelers know and perceive the health risks associated with travel and how they utilize preventive measures before and while traveling abroad. This study was conducted to determine the level of the knowledge, attitudes, and practices (KAP) of Muscat International Airport travelers about travel health in order to assess the knowledge gap and the need for travel health services in Oman. A cross-sectional study was conducted over a period of 1week using a self-administered questionnaire. The overall level of knowledge about vaccine-preventable diseases, food safety, and preventive measures against insect bites of the participants was inadequate. The practice concerning preventive travel health measures, such as the use of specific immunizations and antimalarial prophylaxis, was very limited, and influenced by some personal and travel-related factors. The inadequate level of travelers' knowledge and poor utilization of travel medicine services highlights the need for the provisions of specialized travel medicine services at the national level and to develop educational materials promoting the importance of pre-travel health advice. Copyright © 2016 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  8. Adoption of Mobile Commerce in the Air Travel Sector: A Qualitative Survey of Attitudes

    Directory of Open Access Journals (Sweden)

    Evangelos Christou

    2010-01-01

    Full Text Available The study presented in this paper examines the case of the customer adoption of an air travel innovation, namely delivering through mobile telephones electronic tickets as well as boarding passes and other related services for air travel, which may be viewed as an innovation in service delivery. The qualitative study reported here adopted Rogers’ model of perceived innovation attributes and was augmented by Bauer’s framework of perceived risk. Participants in focus groups were categorized according to their attitudes towards buying electronic tickets for air travel through mobile phones. The perceived innovation attributes were identified to be significant determinants of travelers’ adoption decisions and practices. In addition, two more dimensions (compatibility with a person’s values and previous experience with the product category were found to influence travelers’ adoption decisions, stressing the high complexity of the adoption decisions for mobile phone-based air travel service innovations. The findings have practical value for organizations in the air travel sector as well as for Global Distribution Systems (GDSs and traditional travel agents.

  9. Real-time traveler information market assessment white paper.

    Science.gov (United States)

    2010-02-22

    This report takes a multi-modal look at the lay of the land of the real-time traveler information : market in the United States. This includes identification and characterization of the gaps in the : domestic industry with respect to data cover...

  10. NADIM-Travel: A Multiagent Platform for Travel Services Aggregation

    OpenAIRE

    Ben Ameur, Houssein; Bédard, François; Vaucher, Stéphane; Kropf, Peter; Chaib-draaa, Brahim; Gérin-Lajoie, Robert

    2010-01-01

    With the Internet as a growing channel for travel services distribution, sophisticated travel services aggregators are increasingly in demand. A travel services aggregation platform should be able to manage the heterogeneous characteristics of the many existing travel services. It should also be as scalable, robust, and flexible as possible. Using multiagent technology, we designed and implemented a multiagent platform for travel services aggregation called NADIM-Travel. In this platform, a p...

  11. An assessment of travel time for spills management - using HEC-RAS water quality analysis

    Energy Technology Data Exchange (ETDEWEB)

    Disley, Tom; Gharabaghi, Bahram; Perdikaris, John [University of Guelph, Guelph, (Canada); Singh, Amanjot; Dougherty, Jennifer [Credit Valley Conservation Authority, Mississauga, (Canada)

    2010-07-01

    In order to mitigate the detrimental effects that contaminants such as petrochemical and chemical spills may have on the environment it is critical to understand their transport. This paper presented an assessment of travel time for spills management using HEC-RAS water quality analysis on the Credit River Watershed. It is a 1000 km2 area of urban and rural landscapes drained by 90 km of the main Credit River. The study focused on the mixing characteristics of 5 stream reaches in the Credit River watershed. Dye tracing was done under three different flow conditions to obtain a longitudinal dispersion coefficient, which is a necessary parameter for predicting and modelling time concentration curves downstream of a spill. The longitudinal dispersion coefficient was input into the US Army Corp of Engineers, Hydrologic Engineering Centers River Analysis System (HEC RAS) to predict time concentration curves. The HEC RAS model produced average travel time close to those measured in the field after final calibration was completed.

  12. An assessment of travel time for spills management - using HEC-RAS water quality analysis

    International Nuclear Information System (INIS)

    Disley, Tom; Gharabaghi, Bahram; Perdikaris, John; Singh, Amanjot; Dougherty, Jennifer

    2010-01-01

    In order to mitigate the detrimental effects that contaminants such as petrochemical and chemical spills may have on the environment it is critical to understand their transport. This paper presented an assessment of travel time for spills management using HEC-RAS water quality analysis on the Credit River Watershed. It is a 1000 km2 area of urban and rural landscapes drained by 90 km of the main Credit River. The study focused on the mixing characteristics of 5 stream reaches in the Credit River watershed. Dye tracing was done under three different flow conditions to obtain a longitudinal dispersion coefficient, which is a necessary parameter for predicting and modelling time concentration curves downstream of a spill. The longitudinal dispersion coefficient was input into the US Army Corp of Engineers, Hydrologic Engineering Centers River Analysis System (HEC RAS) to predict time concentration curves. The HEC RAS model produced average travel time close to those measured in the field after final calibration was completed.

  13. Business travel and self-rated health, obesity, and cardiovascular disease risk factors.

    Science.gov (United States)

    Richards, Catherine A; Rundle, Andrew G

    2011-04-01

    To assess associations between extent of travel for business and health. Associations between business travel and cardiovascular disease risk factors were assessed using medical record data from 13,057 patients provided by EHE International, Inc. Compared with light travelers (1 to 6 nights per month), nontravelers were more likely to report poor/fair health (odds ratio = 1.58; 95% confidence interval [CI]: 1.33 to 1.87) and the odds ratios increased with increasing travel, reaching 2.61 (95% CI: 1.57 to 4.33) among extensive travelers (>20 nights per month). Compared with light travelers, the odds ratios for obesity were highest among nontravelers (odds ratio = 1.33; 95% CI: 1.18 to 1.50) and extensive travelers (odds ratio = 1.92; 95% CI: 1.25 to 2.94). Although the differences were small, nontravelers and extensive travelers had the highest diastolic blood pressure and lowest high-density lipoprotein cholesterol levels. Poor self-rated health and obesity are associated with extensive business travel.

  14. Travel health attitudes among Turkish business travellers to African countries.

    Science.gov (United States)

    Selcuk, Engin Burak; Kayabas, Uner; Binbasioglu, Hulisi; Otlu, Baris; Bayindir, Yasar; Bozdogan, Bulent; Karatas, Mehmet

    The number of international travellers is increasing worldwide. Although health risks related to international travel are important and generally well-understood, the perception of these risks was unclear among Turkish travellers. We aimed to evaluate the attitudes and health risk awareness of Turkish travellers travelling to African countries. A survey was performed of Turkish travellers bound for Africa from Istanbul International Ataturk Airport in July 2013. A total of 124 travellers were enrolled in the study. Among them, 62.9% had information about their destination but only 11.3% had looked for information on health problems related to travel and their destination. Of all travellers, 53.2% had at least one vaccination before travelling. The most commonly administered vaccine was for typhoid. Among the travellers, 69.3% and 80.6% had "no idea" about yellow fever vaccination and malaria prophylaxis, respectively. A positive correlation was found between a higher level of travellers' education and receiving the recommended vaccination for the destination. Our study revealed significant gaps in the vaccination and chemoprophylaxis uptake of Turkish travellers departing to Africa. An awareness and training program should be developed for travellers, as well as public health workers, to address health risks related to travel. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Characteristics and pre-travel preparation of travelers at a Canadian pediatric tertiary care travel clinic: A retrospective analysis.

    Science.gov (United States)

    Ma, Xiao Wei; Pell, Lisa G; Akseer, Nadia; Khan, Sarah; Lam, Ray E; Louch, Debra; Science, Michelle; Morris, Shaun K

    2016-01-01

    International travelers are susceptible to a wide spectrum of travel related morbidities. Despite rising number of international travelers in Canada, the demographics, risk profiles, and preventative strategies of high-risk traveler groups, including pediatric travelers visiting friends and relatives (VFRs) are not well described. A descriptive analysis was conducted on pre-travel consultations completed between January 2013 and August 2014 at a large pediatric tertiary care center in Toronto, Canada. Data on demographics, travel characteristics, and pre-travel interventions were extracted from 370 pre-travel consultations. Results were compared between all VFR and non-VFR travelers, as well as between children traveling to visit friends and relatives, for vacation, and for education and/or volunteer purposes. Forty-eight percent of consultations were for children travel to visit friends and/or relatives than for other purposes (29% vs 9%, p travel for >28 days than children traveling for vacation (43% vs 1%, p traveling for education/volunteer purposes (43% vs 21%, p = 0.03). Around half of cVFRs traveled to destinations in Asia (51%). The majority stayed with locals, friends and/or relatives (85%), and nearly all traveled to urban destinations (98%). The most prescribed interventions for children were azithromycin (84%), Dukoral (66%), and the hepatitis A vaccine (60%). Atovaquone/proguanil was the most commonly prescribed antimalarial for children. Children that travel to visit friends and relatives represent a unique travel group and may require specific considerations during pre-travel preparations. Our findings can help develop targeted pre-travel strategies for children VFRs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Travellers' profile, travel patterns and vaccine practices--a 10-year prospective study in a Swiss Travel Clinic.

    Science.gov (United States)

    Boubaker, Rim; Meige, Pierrette; Mialet, Catherine; Buffat, Chantal Ngarambe; Uwanyiligira, Mediatrice; Widmer, Francine; Rochat, Jacynthe; Fossati, Annie Hérard; Souvannaraj-Blanchant, Manisinh; Payot, Sylvie; Rochat, Laurence; de Vallière, Serge; Genton, Blaise; D'Acremont, Valérie

    2016-01-01

    The travel clinic in Lausanne serves a catchment area of 700 000 of inhabitants and provides pre- and post-travel consultations. This study describes the profile of attendees before departure, their travel patterns and the travel clinic practices in terms of vaccination over time. We included all pre-travel first consultation data recorded between November 2002 and December 2012 by a custom-made program DIAMM/G. We analysed client profiles, travel characteristics and vaccinations prescribed over time. Sixty-five thousand and forty-six client-trips were recorded. Fifty-one percent clients were female. Mean age was 32 years. In total, 0.1% were aged travellers had pre-existing medical conditions. Forty-six percent were travelling to Africa, 35% to Asia, 20% to Latin America and 1% (each) to Oceania and Europe; 19% visited more than one country. India was the most common destination (9.6% of travellers) followed by Thailand (8.6%) and Kenya (6.4%). Seventy-three percent of travellers were planning to travel for ≤ 4 weeks. The main reasons for travel were tourism (75%) and visiting friends and relatives (18%). Sixteen percent were backpackers. Pre-travel advice were sought a median of 29 days before departure. Ninety-nine percent received vaccine(s). The most frequently administered vaccines were hepatitis A (53%), tetanus-diphtheria (46%), yellow fever (39%), poliomyelitis (38%) and typhoid fever (30%). The profile of travel clinic attendees was younger than the general Swiss population. A significant proportion of travellers received vaccinations that are recommended in the routine national programme. These findings highlight the important role of travel clinics to (i) take care of an age group that has little contact with general practitioners and (ii) update vaccination status. The most commonly prescribed travel-related vaccines were for hepatitis A and yellow fever. The question remains to know whether clients do attend travel clinics because of compulsory

  17. Danish long distance travel A study of Danish travel behaviour and the role of infrequent travel activities

    DEFF Research Database (Denmark)

    Knudsen, Mette Aagaard

    2014-01-01

    , this is problematic. The average travel distance has steadily increased during the latest decades together with the increasing motorisation of daily travel and international aviation. Previously most focus has been on domestic daily travel activities, but globalisation has, together with changes in price structures......), the TU overnight survey, and the Danish Tourism Statistics from the Business and Holiday Survey (HBS). This has enabled focus on infrequent travel activities segmented relative to travel purpose, distance threshold, or travelling with overnight stays. At an overall level the thesis has three main.......g. socio-economic variables. The analysis of Danish travel activities described in the three different travel surveys has outlined detailed information on Danish travel behaviour at an aggregated level during the past two decades. It has above all revealed the significant role of leisure travel. Private...

  18. Transferring 2001 National Household Travel Survey

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Patricia S [ORNL; Reuscher, Tim [ORNL; Schmoyer, Richard L [ORNL; Chin, Shih-Miao [ORNL

    2007-05-01

    Policy makers rely on transportation statistics, including data on personal travel behavior, to formulate strategic transportation policies, and to improve the safety and efficiency of the U.S. transportation system. Data on personal travel trends are needed to examine the reliability, efficiency, capacity, and flexibility of the Nation's transportation system to meet current demands and to accommodate future demand. These data are also needed to assess the feasibility and efficiency of alternative congestion-mitigating technologies (e.g., high-speed rail, magnetically levitated trains, and intelligent vehicle and highway systems); to evaluate the merits of alternative transportation investment programs; and to assess the energy-use and air-quality impacts of various policies. To address these data needs, the U.S. Department of Transportation (USDOT) initiated an effort in 1969 to collect detailed data on personal travel. The 1969 survey was the first Nationwide Personal Transportation Survey (NPTS). The survey was conducted again in 1977, 1983, 1990, 1995, and 2001. Data on daily travel were collected in 1969, 1977, 1983, 1990 and 1995. In 2001, the survey was renamed the National Household Travel Survey (NHTS) and it collected both daily and long-distance trips. The 2001 survey was sponsored by three USDOT agencies: Federal Highway Administration (FHWA), Bureau of Transportation Statistics (BTS), and National Highway Traffic Safety Administration (NHTSA). The primary objective of the survey was to collect trip-based data on the nature and characteristics of personal travel so that the relationships between the characteristics of personal travel and the demographics of the traveler can be established. Commercial and institutional travel were not part of the survey. Due to the survey's design, data in the NHTS survey series were not recommended for estimating travel statistics for categories smaller than the combination of Census division (e.g., New

  19. Malaria: prevention in travellers.

    Science.gov (United States)

    Croft, Ashley M

    2010-07-12

    Malaria transmission occurs most frequently in environments with humidity greater than 60% and ambient temperature of 25 °C to 30 °C. Risks increase with longer visits and depend on activity. Infection can follow a single mosquito bite. Incubation is usually 10 to 14 days but can be up to 18 months depending on the strain of parasite. We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of non-drug preventive interventions in non-pregnant adult travellers? What are the effects of drug prophylaxis in non-pregnant adult travellers? What are the effects of antimalaria vaccines in adult and child travellers? What are the effects of antimalaria interventions in child travellers, pregnant travellers, and in airline pilots? We searched: Medline, Embase, The Cochrane Library, and other important databases up to November 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). We found 79 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. In this systematic review we present information relating to the effectiveness and safety of the following interventions: aerosol insecticides, amodiaquine, air conditioning and electric fans, atovaquone-proguanil, biological control measures, chloroquine (alone or with proguanil), diethyltoluamide (DEET), dietary supplementation, doxycycline, electronic mosquito repellents, full-length and light-coloured clothing, insecticide-treated clothing/nets, mefloquine, mosquito coils and vapourising mats, primaquine, pyrimethamine-dapsone, pyrimethamine-sulfadoxine, smoke, topical (skin-applied) insect repellents, and vaccines.

  20. Pre-travel preparation practices among business travellers to tropical and subtropical destinations: results from the Athens International Airport Survey.

    Science.gov (United States)

    Pavli, Androula; Silvestros, Chrysovalantis; Patrinos, Stavros; Lymperi, Ioanna; Maltezou, Helena C

    2014-01-01

    The number of business travellers from Greece to tropical and subtropical areas has recently increased. The study aimed to assess travel health preparation practices of business travellers departing to Africa, the Middle East and Asia. A questionnaire-based survey was conducted at Athens International Airport, from 1st of November 2011 to 30th of April 2013. A total of 684 business travellers participated in the study; the majority were men (86.1%), of Greek nationality (95.3%), with tertiary education (90.8%) and employed (98%). Their mean age was 40 years; 62% and 26% of them were 35-49 and 19-34 years of age respectively. 84.8% were travelling alone. Most frequent destinations were the Middle East (46.8%) and sub-Saharan Africa (16%). For 23.5% of the travellers it was their first trip to a tropical or subtropical country. Only 58.8% pursued pre-travel health consultation; vaccination and malaria chemoprophylaxis were administered to 24.7% and 25.7% of the travellers, respectively. Hepatitis A and typhoid vaccination rates were lower than expected (70% and 35%, respectively). Nearly half of the travellers who visited malaria endemic areas did not receive any chemoprophylaxis. Having elementary education level, travelling to the Middle East or North Africa, travelling for less than 1 month duration, and staying in a house or a hotel were associated with a higher probability of not pursuing health consultation. Significant gaps were found in pre-travel health practices of business travellers departing to Africa, the Middle East and Asia. Strategies should be developed in order to improve awareness of business travellers. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. Demographics, health and travel characteristics of international travellers at a pre-travel clinic in Marseille, France.

    Science.gov (United States)

    Aubry, Camille; Gaudart, Jean; Gaillard, Catherine; Delmont, Jean; Parola, Philippe; Brouqui, Philippe; Gautret, Philippe

    2012-09-01

    With the aim to identify at-risk individuals among a cohort of international travellers, 3442 individuals who sought advice at Marseille travel health centre in 2009 were prospectively included. Demographics, travel characteristics, chronic medical conditions, vaccinations and antimalarial chemoprophylaxis were documented. Chronic medical conditions were reported by 11% of individuals, including hypertension (39%), asthma (20%), thyroid disease (15%) and depression (13%). 4% reported taking a daily medication, and psychotropic and cardiovascular medications were the most commonly used. Older travellers (≥60 years) accounted for 10% of the travellers and the prevalence of chronic medical conditions was 27% in this group. Individuals aged 15 years or less accounted for 13% of the travellers. Age, last minute travel (17%) and neurological and psychiatric diseases were the most frequent factors that influenced Yellow fever vaccination and malaria chemoprophylaxis, with more than one tenth of the travellers reporting at least one risk factor for which adjusted advice may be necessary. Migrants visiting their relatives in their origin country accounted for 14% of travellers and 73% of this group travelled with their family including young children. We demonstrate that a significant proportion of travellers are at-risk (43%) because of their travel conditions (VFR), their age, or their health status, and should be targeted for risk reduction strategies. Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. Travel-associated infection presenting in Europe (2008-12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation.

    Science.gov (United States)

    Schlagenhauf, Patricia; Weld, Leisa; Goorhuis, Abraham; Gautret, Philippe; Weber, Rainer; von Sonnenburg, Frank; Lopez-Vélez, Rogelio; Jensenius, Mogens; Cramer, Jakob P; Field, Vanessa K; Odolini, Silvia; Gkrania-Klotsas, Effrossyni; Chappuis, Francois; Malvy, Denis; van Genderen, Perry J J; Mockenhaupt, Frank; Jauréguiberry, Stéphane; Smith, Catherine; Beeching, Nicholas J; Ursing, Johan; Rapp, Christophe; Parola, Philippe; Grobusch, Martin P

    2015-01-01

    Travel is important in the acquisition and dissemination of infection. We aimed to assess European surveillance data for travel-related illness to profile imported infections, track trends, identify risk groups, and assess the usefulness of pre-travel advice. We analysed travel-associated morbidity in ill travellers presenting at EuroTravNet sites during the 5-year period of 2008-12. We calculated proportionate morbidity per 1000 ill travellers and made comparisons over time and between subgroups. We did 5-year trend analyses (2008-12) by testing differences in proportions between subgroups using Pearson's χ(2) test. We assessed the effect of the pre-travel consultation on infection acquisition and outcome by use of proportionate morbidity ratios. The top diagnoses in 32 136 patients, ranked by proportionate morbidity, were malaria and acute diarrhoea, both with high proportionate morbidity (>60). Dengue, giardiasis, and insect bites had high proportionate morbidity (>30) as well. 5-year analyses showed increases in vector borne infections with significant peaks in 2010; examples were increased Plasmodium falciparum malaria (χ(2)=37·57, ptravel consultation was associated with significantly lower proportionate morbidity ratios for P falciparum malaria and also for acute hepatitis and HIV/AIDS. The pattern of travel-related infections presenting in Europe is complex. Trend analyses can inform on emerging infection threats. Pre-travel consultation is associated with reduced malaria proportionate morbidity ratios and less severe illness. These findings support the importance and effectiveness of pre-travel advice on malaria prevention, but cast doubt on the effectiveness of current strategies to prevent travel-related diarrhoea. European Centre for Disease Prevention and Control, University Hospital Institute Méditerranée Infection, US Centers for Disease Control and Prevention, and the International Society of Travel Medicine. Copyright © 2015 Elsevier Ltd

  3. Ocean acoustic tomography - Travel time biases

    Science.gov (United States)

    Spiesberger, J. L.

    1985-01-01

    The travel times of acoustic rays traced through a climatological sound-speed profile are compared with travel times computed through the same profile containing an eddy field. The accuracy of linearizing the relations between the travel time difference and the sound-speed deviation at long ranges is assessed using calculations made for two different eddy fields measured in the eastern Atlantic. Significant nonlinearities are found in some cases, and the relationships of the values of these nonlinearities to the range between source and receiver, to the anomaly size associated with the eddies, and to the positions of the eddies are studied. An analytical model of the nonlinearities is discussed.

  4. Individual traveller health priorities and the pre-travel health consultation.

    Science.gov (United States)

    Flaherty, Gerard T; Chen, Bingling; Avalos, Gloria

    2017-09-01

    The purpose of this study was to examine the principal travel health priorities of travellers. The most frequently selected travel health concerns were accessing medical care abroad, dying abroad, insect bites, malaria, personal safety and travel security threats. The travel health risks of least concern were culture shock, fear of flying, jet lag and sexually transmitted infections. This study is the first to develop a hierarchy of self-declared travel health risk priorities among travellers. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  5. Connected Traveler

    Energy Technology Data Exchange (ETDEWEB)

    2016-06-01

    The Connected Traveler framework seeks to boost the energy efficiency of personal travel and the overall transportation system by maximizing the accuracy of predicted traveler behavior in response to real-time feedback and incentives. It is anticipated that this approach will establish a feedback loop that 'learns' traveler preferences and customizes incentives to meet or exceed energy efficiency targets by empowering individual travelers with information needed to make energy-efficient choices and reducing the complexity required to validate transportation system energy savings. This handout provides an overview of NREL's Connected Traveler project, including graphics, milestones, and contact information.

  6. Travelling-wave-sustained discharges

    International Nuclear Information System (INIS)

    Schlueter, Hans; Shivarova, Antonia

    2007-01-01

    This review is on discharges maintained by travelling waves: new plasma sources, discovered in 1974 and considered as a prototype of the gas discharges according to their definition as nonlinear systems which unify in a self-consistent manner plasmas and fields. In the presentation here of the fluid-plasma models of the diffusion-controlled regime of the travelling-wave-sustained discharges (TWSDs), the basic features of the discharge maintenance-the discharge self-consistency and the electron heating in the high-frequency field-are stressed. Operation of stationary and pulsed discharges, discharge maintenance without and in external magnetic fields as well as discharge production in different gases (argon, helium, helium-argon gas mixtures and hydrogen) are covered. Modulation instability of diffusion-controlled discharges and discharge filamentation at higher gas pressures are also included in the review. Experimental findings which motivate aspects of the reported modelling are pointed out

  7. Detuning effect in a traveling wave type linac

    International Nuclear Information System (INIS)

    Arai, Shigeaki.

    1981-10-01

    Detailed measurement of acceleration characteristics has been performed on a 15 MeV electron linac as the injector of the electron synchrotron at Institute for Nuclear Study, University of Tokyo. Remarkable feature of the results is that the energy gain as well as the energy spread of the output beam, are optimized when the linac is operated with the microwave whose frequency is higher than the resonant frequency of the accelerator waveguide. The difference of this operating frequency from the resonant frequency grows up as the beam intensity is increased, and amounts to 250 KHz when the beam intensity is 350 mA. In order to clarify the mechanism of the phenomena, the interaction of electron beam with the microwave in the accelerator structure of traveling wave type, is examined on the linac and also on a test accelerator structure. For the analysis of the experimental results, the normal mode method which has been used for standing wave cavities, is developed so as to be applied to the accelerator structure of traveling wave type. The results of analysis show that the observed phenomena at INS linac are caused by the resonant frequency shift, detuning, due to the reactive beam loading and this detuning effects are compensated by use of the microwave of higher frequency. Thus the detuning effects are significant even in the traveling wave type linac composed of buncher and regular sections as well as in the standing wave type accelerator structure. (author)

  8. Malaria incidence and prevention among European and North American travellers to Kenya.

    OpenAIRE

    Lobel, H. O.; Phillips-Howard, P. A.; Brandling-Bennett, A. D.; Steffen, R.; Campbell, C. C.; Huong, A. Y.; Were, J. B.; Moser, R.

    1990-01-01

    A longitudinal survey was conducted among travellers departing from Nairobi airport to determine the use of malaria prevention measures and assess the risk for malaria while travelling in Kenya. Among 5489 European and North American travellers, 68 different drug regimens were used for prophylaxis, and 48% of travellers used both regular chemoprophylaxis and more than 1 antimosquito measure during travel; 52% of 3469 travellers who used chemoprophylaxis did so without interruption during thei...

  9. Risk factors and pre-travel healthcare of international travellers attending a Dutch travel clinic: a cross-sectional analysis.

    Science.gov (United States)

    Wieten, Rosanne W; van der Schalie, Maurice; Visser, Benjamin J; Grobusch, Martin P; van Vugt, Michèle

    2014-01-01

    The number of international travellers is currently estimated to exceed one billion annually. To address travel related health risks and facilitate risk reduction strategies, detailed knowledge of travellers' characteristics is important. In this cross-sectional study, data of a 20% sample of travellers visiting the Academic Medical Center (AMC) travel clinic Amsterdam from July 2011 to July 2012 was collected. Itineraries and protection versus exposure rates of preventable infectious diseases were mapped and reported according to STROBE guidelines. 1749 travellers were included. South-Eastern Asia, South-America and West-Africa were most frequently visited. 26.2% of the population had pre-existing medical conditions (often cardiovascular). Young and VFR travellers had a longer median travel time (28 and 30 days) compared to the overall population (21 days). Young adult travellers were relatively often vaccinated against hepatitis B (43.9% vs. 20.5%, p travellers. Pre-travel guidelines were well adhered to. Young adult travellers had high-risk itineraries but were adequately protected. Improvement of hepatitis B and rabies protection would be desirable, specifically for VFRs. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Detuning effect in a traveling wave type linac

    International Nuclear Information System (INIS)

    Arai, S.; Kobayashi, K.; Tojyo, E.; Yoshida, K.

    1979-01-01

    A 15-MeV traveling wave type electron linac is used as the injector for the 1.3-GeV electron synchrotron at the Institute for Nuclear Study, University of Tokyo. The resonant frequency of this accelerator waveguide is 2758.00 MHz at 30 0 C. The performance of the linac,however, is improved when it is operated with a frequency which is higher than the design value by 200 to 400 KHz. It is shown that the detuning due to the beam loading is serious in such an accelerator waveguide in which the buncher and regular sections are combined, and the detuning effect can approximately be compensated by changing the operating frequency. The detuning effect in the traveling wave-type accelerator waveguide was studied both from experimental and theoretical aspects by using a short test waveguide

  11. Substituting telecommunications for travel - Feasible or desirable

    Science.gov (United States)

    Van Vleck, E. M.

    1974-01-01

    This paper reviews recent advances in telecommunications and examines the detailed structure of travel to estimate the feasibility of substituting telecommunications for various travel objectives. The impact of travel is analyzed from a social, economic, energy, and pollution standpoint to assess the desirability of substitution. Perhaps 35-50% of the nation's travel could, in theory, be replaced by very advanced telecommunications (such as a much improved large-screen teleconferencing network), but public resistance would be massive. Much economic dislocation would result since, for example, over 25% of retail sales are travel-related. The energy savings would be modest since only 25% of the nation's energy is consumed by transportation. However, all pollution would be reduced substantially since transportation accounts for 75% of the carbon monoxide, 60% of the hydrocarbon, and 55% of the nitrogen oxide pollution in the nation. Problems related to the implementation of large-scale substitution are discussed.

  12. Simulation of Noise in a Traveling Wave Tube

    Science.gov (United States)

    Verboncoeur, J. P.; Christenson, P. J.; Smith, H. B.

    1999-11-01

    Low frequency noise, manifested as close-in sidebands, has long been a significant limit to the performance of many traveling wave tubes. In this study, we investigate oscillations in the gun region due to the presence of plasma formed by electron-impact ionization of a background gas. The gun region of a coupled-cavity traveling wave tube is modeled using the two-dimensional XOOPIC particle-in-cell Monte Carlo collision code (J. P. Verboncoeur et al. Comput. Phys. Comm.) 87, 199-211 (1995). (available via the web: http://ptsg.eecs.berkeley.edu). The beam is 20.5 kV, 2.8 A, in near-confined flow in a solenoidal magnetic field with peak axial value of 0.263 T. Beam scalloping leads to trapping of plasma generated via electron-impact ionization of a background gas. The trapped plasma periodically leaves the system rapidly, and the density begins regenerating at a slow rate, leading to characteristic sawtooth oscillations. Plasma electrons are observed to exit the system axially about 20 ns before the ions exit primarily radially.

  13. Travel expenses

    OpenAIRE

    Pištěková, Petra

    2014-01-01

    The thesis "Travel expenses" is dedicated to the travel expenses according to Czech legislation. The aim is to describe the travel reimbursement and to analyze the providing of compensation travel expenses on example of the elementary art school Zruč nad Sázavou. The purpose of this analysis is primarily to find an optimal solution to the problem of determining the place of regular workplace for the travel expenses. The theoretical part focuses on the identification and definition of all prin...

  14. Travelers' Health: Rubella

    Science.gov (United States)

    ... Stamaril clinics Disease Directory Resources Resources for Travelers Adventure Travel Animal Safety Blood Clots Bug Bites Evite ... Minute Travel Long-Term Travel Mass Gatherings Medical Tourism Mental Health Motion Sickness Natural Disasters Pregnant Travelers ...

  15. Impact of data source on travel time reliability assessment.

    Science.gov (United States)

    2014-08-01

    Travel time reliability measures are becoming an increasingly important input to the mobility and : congestion management studies. In the case of Maryland State Highway Administration, reliability : measures are key elements in the agencys Annual ...

  16. 77 FR 5252 - Federal Travel Regulation; GSA E-Gov Travel Service (ETS) Transition to E-Gov Travel Service 2...

    Science.gov (United States)

    2012-02-02

    ... Travel Regulation; GSA E-Gov Travel Service (ETS) Transition to E-Gov Travel Service 2 (ETS2) AGENCY..., ETS Program Manager Center for Travel Management (QMCD), Office of Travel and Transportation Services (QMC), at [email protected] or (703) 605-2151. SUPPLEMENTARY INFORMATION: The Federal Travel...

  17. Vaccination knowledge, attitude and practice among Chinese travelers who visit travel clinics in Preparation for international travel.

    Science.gov (United States)

    Zhang, Min; Zhang, Jianming; Hao, Yutong; Fan, ZhengXing; Li, Lei; Li, Yiguang; Ju, Wendong; Zhang, Hong; Liu, Wei; Zhang, Mengzhang; Wu, Di; He, Hongtao

    2016-06-01

    Although international travel has become increasingly more common in main land China, few data are available on vaccination knowledge, attitude and practice (KAP) among Chinese travelers. In each of 14 International Travel Healthcare Centers (ITHCs) situated in mainland China 200 volunteers were recruited for a cross-sectional investigation by questionnaire on KAP related to travel vaccinations. For the evaluation the study subjects were grouped by demographic data, past travel experience, travel destination, duration of stay abroad, purpose of travel. Among the 2,800 Chinese travelers who participated in the study, 67.1% were aware of national and travel vaccination recommendations. The knowledge about vaccine preventable diseases was low. The most common sources (73.4%) of information were requirements by destination countries obtained in connection with the visa application, Chinese companies employing workers/laborers for assignments overseas, and foreign schools. The overall acceptance rate of recommended vaccines was 68.7%, but yellow fever was accepted by 99.8% of the participants when recommended. Among 81.1% respondents who recalled to have received vaccinations in the past, only 25.9% of them brought the old vaccination records with them to their ITHC consultations. The results indicate that increased awareness of the importance of pre-travel vaccination is needed among the travellers in order to improve their KAP. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

  18. Valuation of Travel Time and TravelIer Information

    NARCIS (Netherlands)

    Rietveld, Piet

    2003-01-01

    The value of travel time plays an important role in cost benefit analysis of infrastructureprojects. However, the issue of uncertainty on travel times and the implications this has forestimations of travel time values has received much less attention in the literature. In thispaper we compare

  19. Use of pre-travel vaccine-preventable disease serology as a screening tool to identify patients in need of pre-travel vaccination: a retrospective audit.

    Science.gov (United States)

    Turner, David P; McGuinness, Sarah L; Cohen, Jonathan; Waring, Lynette J; Leder, Karin

    2017-05-01

    Vaccination is a safe and effective public health intervention that not only protects individual travellers from vaccine-preventable diseases (VPDs), but prevents them from becoming a source of disease in their destination and on their return. Obtaining an accurate vaccination history from travellers during a pre-travel review can be difficult; serology may be used to identify patients who are non-immune to specific diseases in order to guide vaccination requirements. Clinically relevant data about the usefulness of serology in this setting are lacking. We performed a retrospective audit of pre-travel VPD serology requested by practitioners of a busy community-based travel clinic. All serological results for measles, mumps, rubella, varicella zoster virus, hepatitis A and B requested over a 5-year period were extracted and analysed. Results were stratified by gender and year of birth and compared using Stata. Four thousand four hundred and fifty-one serological assays from 1445 individual were assessed. Overall, 47% of patients tested had at least one negative serological result. High rates of seropositivity for measles, mumps and rubella were seen in those born prior to 1966 but >10% of travellers born after 1966 lacked serological evidence of protection against these diseases. Hepatitis A and B serological results revealed broadly lower rates of immunity in our community likely reflecting the absence of these vaccines from historical vaccine protocols. Serology can be a useful tool in the identification of non-immune travellers to enable targeted vaccination prior to travel. We recommend that travel health clinicians assess patients' vaccination and infection histories, and strongly consider serology or vaccination where there is doubt about immunity. This will help protect the traveller and prevent importation of disease into destination or home communities. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights

  20. Assessing the value and market attractiveness of the accessible tourism industry in Europe: a focus on major travel and leisure companies

    Directory of Open Access Journals (Sweden)

    James Bowtell

    2015-10-01

    Full Text Available Purpose – The purpose of this paper is to examine the accessible tourism market potential, alongside the implications of operating in the accessible tourism market and an assessment of major travel and leisure company involvement. The research focused on providing a market value forecast using historic data from 2005 and extrapolating this to 2025. An examination of the reasons for and against major travel and leisure company involvement in the accessible tourism market was accompanied by an analysis of managerial perceptions. Design/methodology/approach – The exploration of travel patterns of disabled tourists, in particular spend per head per holiday, was used to measure the value of the demand side of accessible tourism. Semi-structured interviews were carried out with employees of major travel and leisure companies in managerial positions. Findings – The study indicates that the accessible tourism market is a distinct sector, possessing the capacity for extensive future growth, and thus presents major travel providers with a potentially substantial and lucrative market, generating potential revenues of �88.6 billion by 2025. Research limitations/implications – Due to a lack of existing data an assumption had to be made on the evolution of travel spend per head per holiday. However, the formula used, using GDP/Capita growth, is a recognised way of forecasting this kind of data in the travel and leisure industry. Originality/value – This is the first paper to provide an examination of the reasons for and against major travel and leisure company involvement in the accessible tourism market, as well providing a forecast of the market value up to 2025.

  1. International travel patterns and travel risks for stem cell transplant recipients.

    Science.gov (United States)

    Mikati, Tarek; Griffin, Kenneth; Lane, Dakotah; Matasar, Matthew; Shah, Monika K

    2015-01-01

    Stem cell transplantation (SCT) is being increasingly utilized for multiple medical illnesses. However, there is limited knowledge about international travel patterns and travel-related illnesses of stem cell transplant recipients (SCTRs). An observational cross-sectional study was conducted among 979 SCTRs at Memorial Sloan Kettering Cancer Center using a previously standardized and validated questionnaire. International travel post SCT, pre-travel health advice, exposure risks, and travel-related illnesses were queried. A total of 516 SCTRs completed the survey (55% response rate); of these, 40% were allogeneic SCTRs. A total of 229 (44.3%) respondents reported international travel outside the United States and Canada post SCT. The international travel incidence was 32% [95% confidence interval CI 28-36] within 2 years after SCT. Using multivariable Cox regression analysis, variables significantly associated with international travel within first 2 years after SCT were history of international travel prior to SCT [hazard ratio (HR) = 5.3, 95% CI 2.3-12.0], autologous SCT (HR = 2.6, 95% CI 1.6-2.8), foreign birth (HR = 2.3, 95% CI 1.5-3.3), and high income (HR = 2.0, 95% CI 1.8-3.7). During their first trip, 64 travelers (28%) had traveled to destinations that may have required vaccination or malaria chemoprophylaxis. Only 56% reported seeking pre-travel health advice. Of those who traveled, 16 travelers (7%) became ill enough to require medical attention during their first trip after SCT. Ill travelers were more likely to have visited high-risk areas (60 vs 26%, p = 0.005), to have had a longer mean trip duration (24 vs 12 days, p = 0.0002), and to have visited friends and relatives (69 vs 21%, p travel was common among SCTRs within 2 years after SCT and was mainly to low-risk destinations. Although the overall incidence of travel-related illnesses was low, certain subgroups of travelers were at a significantly higher risk. Pre-travel

  2. Assessing segment- and corridor-based travel-time reliability on urban freeways : final report.

    Science.gov (United States)

    2016-09-01

    Travel time and its reliability are intuitive performance measures for freeway traffic operations. The objective of this project was to quantify segment-based and corridor-based travel time reliability measures on urban freeways. To achieve this obje...

  3. Danish long distance travel A study of Danish travel behaviour and the role of infrequent travel activities

    OpenAIRE

    Knudsen, Mette Aagaard; Rich, Jeppe; Nielsen, Otto Anker

    2014-01-01

    Historically there has been a lack of knowledge with respect to long distance travel. Due to the considerable contribution of long distance travel to total travelled kilometres and the related energy consumption from the transport sector and derived impacts on greenhouse emissions, this is problematic. The average travel distance has steadily increased during the latest decades together with the increasing motorisation of daily travel and international aviation. Previously most focus has been...

  4. Travel personae of American pleasure travelers

    DEFF Research Database (Denmark)

    Park, S.; Tussyadiah, Iis; Mazanec, J.A.

    2010-01-01

    Travel style has been shown to be a useful concept for understanding travelers. In this study it is argued that the portfolio of trips (specifically, the portfolio of various trip styles) one takes can be used to describe his/her overall travel persona. Network analysis was used to examine...... personae which, in turn, are related to their choices of places visited and their response to advertising materials. It was concluded that the framework provided by these findings along with new tools on the Internet offer the potential to develop highly personalized communications with existing...

  5. Increasing referral of at-risk travelers to travel health clinics: evaluation of a health promotion intervention targeted to travel agents.

    Science.gov (United States)

    MacDougall, L A; Gyorkos, T W; Leffondré, K; Abrahamowicz, M; Tessier, D; Ward, B J; MacLean, J D

    2001-01-01

    Increases in travel-related illness require new partnerships to ensure travelers are prepared for health risks abroad. The travel agent is one such partner and efforts to encourage travel agents to refer at-risk travelers to travel health clinics may help in reducing travel-attributable morbidity. A health promotion intervention encouraging travel agents to refer at-risk travelers to travel health clinics was evaluated. Information on the knowledge, attitudes, and behaviors of travel agents before and after the intervention was compared using two self-administered questionnaires. The Wilcoxon signed rank test was used to compare the mean difference in overall scores to evaluate the overall impact of the intervention and also subscores for each of the behavioral construct groupings (attitudes, barriers, intent, and subjective norms). Multiple regression techniques were used to evaluate which travel agent characteristics were independently associated with a stronger effect of the intervention. A small improvement in travel agents overall attitudes and beliefs (p =.03) was found, in particular their intention to refer (p =.01). Sixty-five percent of travel agents self-reported an increase in referral behavior; owners or managers of the agency were significantly more likely to do so than other travel agents (OR = 7.25; 95% CI: 1.64 32.06). Older travel agents, those that worked longer hours and those with some past referral experience, had significantly higher post-intervention scores. Travel agents can be willing partners in referral, and agencies should be encouraged to develop specific referral policies. Future research may be directed toward investigating the role of health education in certification curricula, the effectiveness of different types of health promotion interventions, including Internet-facilitated interventions, and the direct impact that such interventions would have on travelers attending travel health clinics.

  6. Evidence-based risk assessment and communication: a new global dengue-risk map for travellers and clinicians.

    Science.gov (United States)

    Jentes, Emily S; Lash, R Ryan; Johansson, Michael A; Sharp, Tyler M; Henry, Ronnie; Brady, Oliver J; Sotir, Mark J; Hay, Simon I; Margolis, Harold S; Brunette, Gary W

    2016-06-01

    International travel can expose travellers to pathogens not commonly found in their countries of residence, like dengue virus. Travellers and the clinicians who advise and treat them have unique needs for understanding the geographic extent of risk for dengue. Specifically, they should assess the need for prevention measures before travel and ensure appropriate treatment of illness post-travel. Previous dengue-risk maps published in the Centers for Disease Control and Prevention's Yellow Book lacked specificity, as there was a binary (risk, no risk) classification. We developed a process to compile evidence, evaluate it and apply more informative risk classifications. We collected more than 839 observations from official reports, ProMED reports and published scientific research for the period 2005-2014. We classified each location as frequent/continuous risk if there was evidence of more than 10 dengue cases in at least three of the previous 10 years. For locations that did not fit this criterion, we classified locations as sporadic/uncertain risk if the location had evidence of at least one locally acquired dengue case during the last 10 years. We used expert opinion in limited instances to augment available data in areas where data were sparse. Initial categorizations classified 134 areas as frequent/continuous and 140 areas as sporadic/uncertain. CDC subject matter experts reviewed all initial frequent/continuous and sporadic/uncertain categorizations and the previously uncategorized areas. From this review, most categorizations stayed the same; however, 11 categorizations changed from the initial determinations. These new risk classifications enable detailed consideration of dengue risk, with clearer meaning and a direct link to the evidence that supports the specific classification. Since many infectious diseases have dynamic risk, strong geographical heterogeneities and varying data quality and availability, using this approach for other diseases can

  7. Human travel and traveling bedbugs.

    Science.gov (United States)

    Delaunay, Pascal

    2012-12-01

    A dramatic increase of reported bedbug (Cimex lectularius and Cimex hemipterus) infestations has been observed worldwide over the past decade. Bedbug infestations have also been detected across a wide range of travel accommodations, regardless of their comfort and hygiene levels. Travelers are increasingly exposed to the risks of bedbug bites, infestation of personal belongings, and subsequent contamination of newly visited accommodations and their homes. We searched Medline publications via the PubMed database. National bedbug recommendations, textbooks, newspapers, and Centers for Disease Control websites were also searched manually. To detect infested sites, avoid or limit bedbug bites, and reduce the risk of contaminating one's belongings and home, bedbug biology and ecology must be understood. A detailed search of their most classic hiding niches is a key to finding adult bedbugs, nymphs, eggs, and feces or traces of blood from crushed bedbugs. Locally, bedbugs move by active displacement to feed (bite) during the night. Bed, mattress, sofa, and/or curtains are the most frequently infested places. If you find bedbugs, change your room or, even better, the hotel. Otherwise, travelers should follow recommendations for avoiding bedbugs and their bites during the night and apply certain simple rules to avoid infesting other sites or their home. Travelers exposed to bedbugs can minimize the risks of bites and infestation of their belongings, and must also do their civic duty to avoid contributing to the subsequent contamination of other hotels and, finally, home. © 2012 International Society of Travel Medicine.

  8. Travel Time to Hospital for Childbirth: Comparing Calculated Versus Reported Travel Times in France.

    Science.gov (United States)

    Pilkington, Hugo; Prunet, Caroline; Blondel, Béatrice; Charreire, Hélène; Combier, Evelyne; Le Vaillant, Marc; Amat-Roze, Jeanne-Marie; Zeitlin, Jennifer

    2018-01-01

    Objectives Timely access to health care is critical in obstetrics. Yet obtaining reliable estimates of travel times to hospital for childbirth poses methodological challenges. We compared two measures of travel time, self-reported and calculated, to assess concordance and to identify determinants of long travel time to hospital for childbirth. Methods Data came from the 2010 French National Perinatal Survey, a national representative sample of births (N = 14 681). We compared both travel time measures by maternal, maternity unit and geographic characteristics in rural, peri-urban and urban areas. Logistic regression models were used to study factors associated with reported and calculated times ≥30 min. Cohen's kappa coefficients were also calculated to estimate the agreement between reported and calculated times according to women's characteristics. Results In urban areas, the proportion of women with travel times ≥30 min was higher when reported rather than calculated times were used (11.0 vs. 3.6%). Longer reported times were associated with non-French nationality [adjusted odds ratio (aOR) 1.3 (95% CI 1.0-1.7)] and inadequate prenatal care [aOR 1.5 (95% CI 1.2-2.0)], but not for calculated times. Concordance between the two measures was higher in peri-urban and rural areas (52.4 vs. 52.3% for rural areas). Delivery in a specialised level 2 or 3 maternity unit was a principal determinant of long reported and measured times in peri-urban and rural areas. Conclusions for Practice The level of agreement between reported and calculated times varies according to geographic context. Poor measurement of travel time in urban areas may mask problems in accessibility.

  9. Have Computer, Will Not Travel: Meeting Electronically.

    Science.gov (United States)

    Kurland, Norman D.

    1983-01-01

    Beginning with two different scenarios depicting a face-to-face conference on the one hand and, on the other, a computer or electronic conference, the author argues the advantages of electronic conferencing and describes some of its uses. (JBM)

  10. HIV and travel.

    Science.gov (United States)

    Schuhwerk, M A; Richens, J; Zuckerman, Jane N

    2006-01-01

    There is a high demand for travel among HIV-positive individual. This demand arises partly from those who have benefited from advances in antiretroviral therapy as well as those with disease progression. The key to a successful and uneventful holiday lies in careful pre-trip planning, yet many patients fail to obtain advice before travelling. Travel advice for HIV patients is becoming increasingly specialized. In addition to advice on common travel-related infectious diseases, HIV-positive travellers are strongly advised to carry information with them and they need specific advice regarding country entry restrictions, HIV inclusive travel insurance, safety of travel vaccinations and highly active antiretroviral therapy-related issues. A wide range of relevant issues for the HIV-positive traveller are discussed in this review and useful websites can be found at the end.

  11. Essential travel medicine

    CERN Document Server

    Zuckerman, Jane N; Leggat, Peter

    2015-01-01

    This 1st edition of Essential Travel Medicine provides an excellent concise introduction to the specialty of Travel Medicine. This core text will enable health care practitioners particularly those new to the clinical practice of Travel Medicine, to gain a fundamental understanding of the diverse and complex issues which can potentially affect the health of the many millions of people who undertake international travel. Jane N Zuckerman is joined by Gary W Brunette from CDC and Peter A Leggat from Australia as Editors. Leading international specialists in their fields have contributed authoritative chapters reflecting current knowledge to facilitate best clinical practice in the different aspects of travel medicine. The aim of Essential Travel Medicine is to provide a comprehensive guide to Travel Medicine as well as a fundamental knowledge base to support international undergraduate and postgraduate specialty training programmes in the discipline of Travel Medicine. The 1st edition of Essential Travel ...

  12. A profile of travelers--an analysis from a large swiss travel clinic.

    Science.gov (United States)

    Bühler, Silja; Rüegg, Rolanda; Steffen, Robert; Hatz, Christoph; Jaeger, Veronika K

    2014-01-01

    Globally, the Swiss have one of the highest proportions of the population traveling to tropical and subtropical countries. Large travel clinics serve an increasing number of customers with specific pre-travel needs including uncommon destinations and preexisting medical conditions. This study aims to identify health characteristics and travel patterns of travelers seeking advice in the largest Swiss travel clinic so that tailored advice can be delivered. A descriptive analysis was performed on pre-travel visits between July 2010 and August 2012 at the Travel Clinic of the Institute of Social and Preventive Medicine, University of Zurich, Switzerland. A total of 22,584 travelers sought pre-travel advice. Tourism was the main reason for travel (17,875, 81.5%), followed by visiting friends and relatives (VFRs; 1,715, 7.8%), traveling for business (1,223, 5.6%), and "other reasons" (ie, volunteer work, pilgrimage, study abroad, and emigration; 1,112, 5.1%). The main travel destination was Thailand. In the VFR group, the highest proportions of traveling children (258, 15.1%) and of pregnant or breastfeeding women (23, 3.9%) were observed. Mental disorders were more prominent in VFRs (93, 5.4%) and in travel for "other reasons" (63, 5.7%). The latter stayed for the longest periods abroad; 272 (24.9%) stayed longer than 6 months. VFR travelers received the highest percentage of yellow fever vaccinations (523, 30.5%); in contrast, rabies (269, 24.2%) and typhoid vaccinations (279, 25.1%) were given more often to the "other travel reasons" group. New insights into the characteristics of a selected and large population of Swiss international travelers results in improved understanding of the special needs of an increasingly diverse population and, thus, in targeted preventive advice and interventions. © 2014 International Society of Travel Medicine.

  13. Traveling wave tube and method of manufacture

    Science.gov (United States)

    Vancil, Bernard K. (Inventor)

    2004-01-01

    A traveling wave tube includes a glass or other insulating envelope having a plurality of substantially parallel glass rods supported therewithin which in turn support an electron gun, a collector and an intermediate slow wave structure. The slow wave structure itself provides electrostatic focussing of a central electron beam thereby eliminating the need for focussing magnetics and materially decreasing the cost of construction as well as enabling miniaturization. The slow wave structure advantageously includes cavities along the electron beam through which the r.f. energy is propagated, or a double, interleaved ring loop structure supported by dielectric fins within a ground plane cylinder disposed coaxially within the glass envelope.

  14. Travelling for treatment; does distance and deprivation affect travel for intensity-modulated radiotherapy in the rural setting for head and neck cancer?

    Science.gov (United States)

    Cosway, B; Douglas, L; Armstrong, N; Robson, A

    2017-06-01

    NHS England has commissioned intensity-modulated radiotherapy for head and neck cancers from Newcastle hospitals for patients in North Cumbria. This study assessed whether travel distances affected the decision to travel to Newcastle (to receive intensity-modulated radiotherapy) or Carlisle (to receive conformal radiotherapy). All patients for whom the multidisciplinary team recommended intensity-modulated radiotherapy between December 2013 and January 2016 were included. Index of multiple deprivation scores and travel distances were calculated. Patients were also asked why they chose their treating centre. Sixty-nine patients were included in this study. There were no significant differences in travel distance (p = 0.53) or index of multiple deprivation scores (p = 0.47) between patients opting for treatment in Carlisle or Newcastle. However, 29 of the 33 patients gave travel distance as their main reason for not travelling for treatment. Quantitatively, travel distance and deprivation does not impact on whether patients accept intensity-modulated radiotherapy. However, patients say distance is a major barrier for access. Future research should explore how to reduce this.

  15. Pre-travel advice, attitudes and hepatitis A and B vaccination rates among travellers from seven countries†

    Science.gov (United States)

    Heywood, Anita E.; Nothdurft, Hans; Tessier, Dominique; Moodley, Melissa; Rombo, Lars; Marano, Cinzia; De Moerlooze, Laurence

    2017-01-01

    Background: Knowledge about the travel-associated risks of hepatitis A and B, and the extent of pre-travel health-advice being sought may vary between countries. Methods: An online survey was undertaken to assess the awareness, advice-seeking behaviour, rates of vaccination against hepatitis A and B and adherence rates in Australia, Finland, Germany, Norway, Sweden, the UK and Canada between August and October 2014. Individuals aged 18–65 years were screened for eligibility based on: travel to hepatitis A and B endemic countries within the past 3 years, awareness of hepatitis A, and/or combined hepatitis A&B vaccines; awareness of their self-reported vaccination status and if vaccinated, vaccination within the last 3 years. Awareness and receipt of the vaccines, sources of advice, reasons for non-vaccination, adherence to recommended doses and the value of immunization reminders were analysed. Results: Of 27 386 screened travellers, 19 817 (72%) were aware of monovalent hepatitis A or combined A&B vaccines. Of these 13 857 (70%) had sought advice from a healthcare provider (HCP) regarding combined hepatitis A&B or monovalent hepatitis A vaccination, and 9328 (67%) were vaccinated. Of 5225 individuals eligible for the main survey (recently vaccinated = 3576; unvaccinated = 1649), 27% (841/3111) and 37% (174/465) of vaccinated travellers had adhered to the 3-dose combined hepatitis A&B or 2-dose monovalent hepatitis A vaccination schedules, respectively. Of travellers partially vaccinated against combined hepatitis A&B or hepatitis A, 84% and 61%, respectively, believed that they had received the recommended number of doses. Conclusions: HCPs remain the main source of pre-travel health advice. The majority of travellers who received monovalent hepatitis A or combined hepatitis A&B vaccines did not complete the recommended course. These findings highlight the need for further training of HCPs and the provision of reminder services to improve traveller

  16. Travelling with HIV

    DEFF Research Database (Denmark)

    Nielsen, Ulla S; Jensen-Fangel, Søren; Pedersen, Gitte

    2014-01-01

    BACKGROUND: We aimed to describe travel patterns, extent of professional pre-travel advice and health problems encountered during travel among HIV-infected individuals. METHODS: During a six-month period a questionnaire was handed out to 2821 adult HIV-infected individuals attending any...... of the eight Danish medical HIV care centers. RESULTS: A total of 763 individuals responded. During the previous two years 49% had travelled outside Europe; 18% had travelled less and 30% were more cautious when choosing travel destination than before the HIV diagnosis. Pre-travel advice was sought by only 38......%, and travel insurance was taken out by 86%. However, 29%/74% did not inform the advisor/the insurance company about their HIV status. Nearly all patients on highly active antiretroviral therapy (HAART) were adherent, but 58% worried about carrying HIV-medicine and 19% tried to hide it. Only 19% experienced...

  17. INTEGRATION OF THE SAP CONCEPT IN THE EMPLOYEE ASSESSMENT OF TRAVEL AGENCIES IN SUCEAVA COUNTY THROUGH MYSTERY SHOPPING TYPE METHODS

    Directory of Open Access Journals (Sweden)

    Cristian Valentin HAPENCIUC

    2014-07-01

    Full Text Available Being on a positive trend and addressing to a market that is less willing to compromise, the tourism industry develops a highly complex content, represented by various organizations and services, having as a main objective meeting the expectations of consumers of tourism services and reporting to the challenges of contemporary dynamics generated by the emergence of new information technologies. To respond effectively to these issues, tourism requires among other things a modern HR management. For travel agencies, human resources are the main asset of the company that serves to implement the entity's objectives. The most important qualities of the travel agent are polite attitude, promptness, sagacity and firmness. However, the ability to display with celerity their own capabilities - intellectual, psycho-motivational and persuasive - represents the quintessence of the travel agent profession. When we refer to these features, in the universal tourism language we talk about SAP concept: Speed, Accuracy, Politeness. Therefore, the major objective of this study aims to assess the employees of travel agencies from Suceava County in terms of SAP components using three different methods of qualitative research: Mystery Shopping, Mystery Calling and Mystery Emailing.

  18. How accessible are coral reefs to people? A global assessment based on travel time.

    Science.gov (United States)

    Maire, Eva; Cinner, Joshua; Velez, Laure; Huchery, Cindy; Mora, Camilo; Dagata, Stephanie; Vigliola, Laurent; Wantiez, Laurent; Kulbicki, Michel; Mouillot, David

    2016-04-01

    The depletion of natural resources has become a major issue in many parts of the world, with the most accessible resources being most at risk. In the terrestrial realm, resource depletion has classically been related to accessibility through road networks. In contrast, in the marine realm, the impact on living resources is often framed into the Malthusian theory of human density around ecosystems. Here, we develop a new framework to estimate the accessibility of global coral reefs using potential travel time from the nearest human settlement or market. We show that 58% of coral reefs are located travel time from the market is a strong predictor of fish biomass on coral reefs. We also highlight a relative deficit of protection on coral reef areas near people, with disproportional protection on reefs far from people. This suggests that conservation efforts are targeting low-conflict reefs or places that may already be receiving de facto protection due to their isolation. Our global assessment of accessibility in the marine realm is a critical step to better understand the interplay between humans and resources. © 2016 John Wiley & Sons Ltd/CNRS.

  19. The New England travel market: changes in generational travel patterns

    Science.gov (United States)

    Rodney B. Warnick

    1995-01-01

    The purpose of this study was to examine and explore the New England domestic travel market trends, from 1979 through 1991 within the context of generations. The existing travel markets, who travel to New England, are changing by age cohorts and specifically within different generations. The New England changes in generational travel patterns do not reflect national...

  20. Self-reported illness among Boston-area international travelers: A prospective study

    Science.gov (United States)

    Chen, Lin H.; Han, Pauline V.; Wilson, Mary E.; Stoney, Rhett J.; Jentes, Emily S.; Benoit, Christine; Ooi, Winnie W.; Barnett, Elizabeth D.; Hamer, Davidson H.

    2017-01-01

    Summary Background The Boston Area Travel Medicine Network surveyed travelers on travel-related health problems. Methods Travelers were recruited 2009–2011 during pre-travel consultation at three clinics. The investigation included pre-travel data, weekly during-travel diaries, and a post-travel questionnaire. We analyzed demographics, trip characteristics, health problems experienced, and assessed the relationship between influenza vaccination, influenza prevention advice, and respiratory symptoms. Results Of 987 enrolled travelers, 628 (64%) completed all surveys, of which 400 (64%) reported health problems during and/or after travel; median trip duration was 12 days. Diarrhea affected the most people during travel (172) while runny/stuffy nose affected the most people after travel (95). Of those with health problems during travel, 25% stopped or altered plans; 1% were hospitalized. After travel, 21% stopped planned activities, 23% sought physician or other health advice; one traveler was hospitalized. Travelers who received influenza vaccination and influenza prevention advice had lower rates of respiratory symptoms than those that received influenza prevention advice alone (18% vs 28%, P = 0.03). Conclusions A large proportion of Boston-area travelers reported health problems despite pre-travel consultation, resulting in inconveniences. The combination of influenza prevention advice and influenza immunization was associated with fewer respiratory symptoms than those who received influenza prevention advice alone. PMID:27687076

  1. Closing the gap in travel medicine: reframing research questions for a new era.

    Science.gov (United States)

    Chen, Lin H; Leder, Karin; Wilson, Mary E

    2017-07-01

    Travel medicine needs are changing. New patterns of travel, including greater travel by individuals from emerging economies with different values in costs, risks and benefits, must be considered. This review aims to (1) highlight selected studies that have been published that address previously identified gaps in knowledge; (2) propose possible ways to consider questions regarding travel medicine practice for travelers from emerging economies, underscoring priorities for research focusing on these important populations; (3) highlight potential deficiencies in relevance of current international guidelines as they pertain to travelers from emerging economies; (4) frame research questions for travelers from emerging economies and (5) consider roles for ISTM in closing the gap. We reviewed past travel medicine research priorities published in 2010 to identify publications that responded to some research questions posed. We also reviewed CDC and WHO recommendations and assessed their applicability to travelers from emerging economies. Recent publications have responded to some research questions, but gaps remain and new questions have emerged. Re-framing of several key research questions is needed for travelers from emerging economies. A new challenge looms for traditional travel medicine fields to identify and attend to knowledge and guideline gaps, particularly to rethink questions regarding travel medicine to make them relevant for travelers from emerging economies. The International Society of Travel Medicine is well positioned to assist emerging economies assess their resources and needs, formulate research priorities and tailor the development of travel medicine into a framework aligned to their requirements. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

  2. EAST: Developing an Electronic Assessment and Storage Tool.

    Science.gov (United States)

    Edwards, Katherine I.; Fernandez, Eugenia; Milionis, Tracey M.; Williamson, David M.

    2002-01-01

    Describes the purpose, development, analysis, prototyping, and features of the Electronic Assessment and Storage Tool (EAST). The Web-based system aids curriculum assessment at Purdue School of Engineering and Technology at Indiana University Purdue University Indianapolis through the ability to easily store artifacts in electronic form, support…

  3. Longitudinal traveling waves bifurcating from Vlasov plasma equilibria

    International Nuclear Information System (INIS)

    Holloway, J.P.

    1989-01-01

    The kinetic equations governing longitudinal motion along a straight magnetic field in a multi-species collisionless plasma are investigated. A necessary condition for the existence of small amplitude spatially periodic equilibria and traveling waves near a given spatially uniform background equilibrium is derived, and the wavelengths which such solutions must approach as their amplitude decreases to zero are discussed. A sufficient condition for the existence of these small amplitude waves is also established. This is accomplished by studying the nonlinear ODE for the potential which arises when the distribution functions are represented in a BGK form; the arbitrary functions of energy that describe the BGK representation are tested as an infinite dimensional set of parameters in a bifurcation theory for the ODE. The positivity and zero current condition in the wave frame of the BGK distribution functions are maintained. The undamped small amplitude nonlinear waves so constructed can be made to satisfy the Vlasov dispersion relation exactly, but in general they need only satisfy it approximately. Numerical calculations reveal that even a thermal equilibrium electron-proton plasma with equal ion and electron temperatures will support undamped traveling waves with phase speeds greater than 1.3 times the electron velocity; the dispersion relation for this case exhibits both Langmuir and ion-acoustic branches as long wavelength limits, and shows how these branches are in fact connected by short wavelength waves of intermediate frequency. In apparent contradiction to the linear theory of Landau, these exact solutions of the kinetic equations do not damp; this contradiction is explained by observing that the linear theory is, in general, fundamentally incapable of describing undamped traveling waves

  4. Leishmaniasis in travelers: a literature review.

    Science.gov (United States)

    Mansueto, Pasquale; Seidita, Aurelio; Vitale, Giustina; Cascio, Antonio

    2014-01-01

    Leishmaniasis is a vector-borne protozoan infection whose clinical spectrum ranges from asymptomatic infection to fatal visceral leishmaniasis. Over the last decades, an increase in imported leishmaniasis cases in developed, non-endemic countries, have been pointed-out from a review of the international literature. Among the possible causes are increasing international tourism, influx of immigrants from endemic regions and military operations. The main area for the acquisition of cutaneous leishmaniasis, especially for adventure travelers on long-term trips in highly-endemic forested areas, is represented from South America, whereas popular Mediterranean destinations are emerging as the main areas to acquire visceral variant. Leishmaniasis should be considered in the diagnostic assessment of patients presenting with a compatible clinical syndrome and a history of travel to an endemic area, even if this occurred several months or years before. Adventure travelers, researchers, military personnel, and other groups of travelers likely to be exposed to sand flies in endemic areas, should receive counseling regarding leishmaniasis and appropriate protective measures. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Travel and disease vector ticks.

    Science.gov (United States)

    McGarry, John W

    2011-03-01

    There are approximately twenty species of hard (ixodid) ticks worldwide that frequently affect human populations, many of which are associated with serious, sometimes fatal disease(s). When a tick travel souvenir is presented in the clinic, the risk must be immediately assessed by identifying the tick in question, ascertaining its disease vector status and determining if there has been the opportunity for the transfer of potential pathogens. This short review on identification of disease vector ticks and aspects of blood feeding and disease transmission includes the results of an examination of 59 specimens removed from UK domestic travellers and international travellers between 2002 and 2010. Sixteen tick species belonging to six genera were recorded and almost all showed evidence of blood feeding, which appears to contradict the view that because of their size, adult ticks are found early and therefore present an insignificant risk. Copyright © 2011 Elsevier Ltd. All rights reserved.

  6. On the relationship between travel time and travel distance of commuters

    NARCIS (Netherlands)

    Rietveld, P.; Zwart, A.P.; Wee, van G.P.; Hoorn, van der T.

    1999-01-01

    This paper gives a detailed empirical analysis of the relationships between different indicators of costs of commuting trips by car: difference as the crow flies, shortest travel time according to route planner, corresponding travel distance, and reported travel time. Reported travel times are

  7. [The profile of Israeli travelers to developing countries: perspectives of a travel clinic].

    Science.gov (United States)

    Stienlauf, Shmuel; Meltzer, Eyal; Leshem, Eyal; Rendi-Wagner, Pamela; Schwartz, Eli

    2010-09-01

    The number of Israeli travelers is increasing, including the number of travelers to developing countries. This study aimed to characterize the profile of Israeli travelers to developing countries. Data regarding demographics, travel destinations, trip duration and the purpose of travel were collected on travelers attending the pre-travel clinic at the Sheba Medical Center during a period of 9 years. Between the dates 1/1/1999 and 31/12/2007, 42,771 travelers presented for consultation at the Sheba Medical Center pre-travel clinic. The average age was 30.8 +/- 13.4 years and 54% of the travelers were males. The female proportion increased from 42% in 1999 to 49% in 2006. There was a steady increase in the number of travelers attending our clinic, except in 2003 (coinciding with the SARS epidemic). Post-army backpackers (20-25 year-old age group) were only 43% of the travelers. Children (60 years) comprised 4.4% and 4.6% of the travelers, respectively. The favorite destinations were Asia (55%), followed by Latin America (27%) and Africa (13%). The distribution of travel destinations varied significantly during the study period. Of note is the sharp decline in travel to Africa following the terrorist attack in Mombassa, Kenya (November 2002). The median trip duration changed during the study period, from 30 to 45 days, between 1999-2004 and 2005-2007 respectively. The majority (87%) of voyagers traveled for pleasure, 6% went for business, and 7% were representatives of governmental organizations. This study found an increasing diversity in the traveler population (more women, more children and older travelers) and more diversity in travel destinations. Disease outbreaks and terrorist attacks had transient negative impacts on the number of travelers.

  8. The influence of travel decisions on the carbon dioxide emissions of transport

    International Nuclear Information System (INIS)

    Norava, M.

    2001-01-01

    During the recent years the reduction of the energy consumption and carbon dioxide emissions of transport have been essential objectives in transport policy. At the moment, technical means to reduce carbon dioxide emissions have been emphasized and the research has focused on the technical innovations. However, there are also substantial possibilities to reduce energy consumption by influencing the individual travel decisions and behaviour. This study is focused on the individual travel behaviour and how it can be influenced. Travel behaviour is studied by dividing the individual travel decisions into separate categories and assessing the possibilities of influence within each category. The study concentrates on daily travel choices, because the daily mobility is the most important factor in the total emissions. The travel decisions have divided into trip production, destination choice, mode choice, choice of the starting point of the trip, route choice and the choice of the driving style and car use habits. The trip production and mode choice are the most significant decisions, when energy consumption and carbon dioxide emissions are concerned. For example, the amount of shopping trip and leisure trip mileage can be reduced by approximately 10 % by extending the trip chains. This reduction would decrease the carbon dioxide emissions of passenger car traffic by 6 %. Extending of the trip chains demands to some extent more detailed planning of the daily mobility, but does not limit the travel need. The attitudes towards mobility, car use habits and the travel behaviour were studied in an influence assessment study of 42 respondents from Helsinki Region and Tampere Region. The influence assessment study consisted of attitude survey and travel diary survey. After the first inquiries the respondents received information about motoring, car use habits, public transport, environment, walking and cycling. In addition, the respondents were offered a possibility to

  9. Contact Frequency, Travel Time, and Travel Costs for Patients with Rheumatoid Arthritis

    OpenAIRE

    Sørensen, Jan; Linde, Louise; Hetland, Merete Lund

    2014-01-01

    Objectives. To investigate travel time, and travel cost related to contacts with health care providers for patients with rheumatoid arthritis (RA) during a three-month period. Methods. Patient-reported travel time and travel cost were obtained from 2847 patients with RA. Eleven outpatient clinics across Denmark recruited patients to the study. Data collected included frequency, travel time and travel costs for contacts at rheumatology outpatient clinics, other outpatient clinics, general prac...

  10. Challenges to providing pre-travel care for travellers visiting friends and relatives: an audit of a specialist travel medicine clinic.

    Science.gov (United States)

    Rowe, Kate; Chaves, Nadia; Leder, Karin

    2017-09-01

    Travellers visiting friends and relatives (VFRs) often have complex pre-travel needs. We identified the characteristics, destinations, vaccinations and pre-travel advice provided to VFRs and compared these with non-VFR travellers. The significant differences we found suggest that future research should focus on improving the uptake of recommended interventions in VFR travellers. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  11. An Activity-Based Assessment of the Potential Impacts of Plug-In Hybrid Electric Vehicles on Energy and Emissions Using One-Day Travel Data

    OpenAIRE

    Recker, W. W.; Kang, J. E.

    2010-01-01

    With the success of Hybrid Electric Vehicles (HEVs) in the automobile market, Plug-In Hybrid Electric Vehicles (PHEVs) are emerging as the next evolution of this attractive alternative. PHEV market penetration is expected to lead to lower gasoline consumption and less emission. The main objective of this research is to assess PHEVs’ energy profile impacts based on simulation of vehicles used in activity and travel patterns drawn from the 2000-2001 California Statewide Household Travel Survey....

  12. Travel characteristics and risk-taking attitudes in youths traveling to nonindustrialized countries.

    Science.gov (United States)

    Han, Pauline; Balaban, Victor; Marano, Cinzia

    2010-01-01

    International travel to developing countries is increasing with rising levels of disposable income; this trend is seen in both adults and children. Risk-taking attitude is fundamental to research on the prevention of risky health behaviors, which can be an indicator of the likelihood of experiencing illness or injury during travel. The aim of this study is to investigate whether risk-taking attitudes of youths are associated with travel characteristics and likelihood of experiencing illness or injury while traveling to nonindustrialized countries. Data were analyzed from the 2008 YouthStyles survey, an annual mail survey gathering demographics and health knowledge, attitudes, and practices of individuals from 9 through 18 years of age. Travelers were defined as respondents who reported traveling in the last 12 months to a destination other than the United States, Canada, Europe, Japan, Australia, or New Zealand. Risk-taking attitude was measured by using a four-item Brief Sensation-Seeking Scale. All p values ≤ 0.05 were considered significant. Of 1,704 respondents, 131 (7.7%) traveled in the last 12 months. Females and those with higher household income were more likely to travel (odds ratio = 1.6,1.1). Of those who traveled, 16.7% reported seeking pretravel medical care, with most visiting a family doctor for that care (84.0%). However, one-fifth of respondents reported illness and injury during travel; of these, 83.3% traveled with their parents. Males and older youths had higher mean sensation-seeking scores. Further, travelers had a higher mean sensation-seeking score than nontravelers. Those who did not seek pretravel medical care also had higher mean sensation-seeking scores (p = 0.1, not significant). Our results show an association between risk-taking attitudes and youth travel behavior. However, adult supervision during travel and parental directives prior to travel should be taken into consideration. Communication messages should emphasize the

  13. Fellow travellers: Working memory and mental time travel in rodents.

    Science.gov (United States)

    Dere, Ekrem; Dere, Dorothea; de Souza Silva, Maria Angelica; Huston, Joseph P; Zlomuzica, Armin

    2017-03-19

    The impairment of mental time travel is a severe cognitive symptom in patients with brain lesions and a number of neuropsychiatric disorders. Whether animals are also able to mentally travel in time both forward and backward is still a matter of debate. In this regard, we have proposed a continuum of mental time travel abilities across different animal species, with humans being the species with the ability to perform most sophisticated forms of mental time travel. In this review and perspective article, we delineate a novel approach to understand the evolution, characteristics and function of human and animal mental time travel. Furthermore, we propose a novel approach to measure mental time travel in rodents in a comprehensive manner using a test battery composed of well-validated and easy applicable tests. Copyright © 2017. Published by Elsevier B.V.

  14. Compliance with malaria chemoprophylaxis and preventative measures against mosquito bites among Dutch travellers

    NARCIS (Netherlands)

    Cobelens, F. G.; Leentvaar-Kuijpers, A.

    1997-01-01

    Self-reported compliance with a malaria chemoprophylaxis regimen of proguanil (PG) plus chloroquine (CQ) was assessed in a cohort of 547 Dutch travellers who visited a single travel clinic when travelling to various areas endemic for falciparum malaria. 503 (92%) had taken PG/CQ prophylaxis, but

  15. The Concept of Travel Medicine and the Actual Situation of Travel-Related Illnesses.

    Science.gov (United States)

    Tunalı, Varol; Turgay, Nevin

    2017-06-01

    Travel medicine defines all diseases and medical situations that are related to travel. Travel medicine comprises infectious diseases, traumas, altitude sickness, sun burns, embolisms, jet lag, and many more travel-related situations. With the increasing possibility and ease of travel, the number of people who have travelled internationally has exceeded 1.13 billion in 2014, and the revenues of international travel have exceeded 1.25 trillion dollars. With every passing day, international travels are shifting toward the developing countries and to more exotic regions of the world, and travelers tend to be more adventurous and daring, thereby increasing risky behaviors during travels. Traveling plays an important role in transmitting infections such as Zika virus infection, Ebola, avian flu, severe acute respiratory syndrome, Chikungunya, and dengue fever and is the principal reason for the epidemics of these types of infections on a global scale. With this background, we suggest that travel medicine is an important but "neglected" medical discipline as the discipline of Parasitology itself like most parasitic diseases.

  16. The Direct Digital Modulation of Traveling Wave Tubes

    Science.gov (United States)

    Radhamohan, Ranjan S.

    2004-01-01

    Traveling wave tube (TWT) technology, first described by Rudolf Kompfner in the early 1940s, has been a key component of space missions from the earliest communication satellites in the 1960s to the Cassini probe today. TWTs are essentially signal amplifiers that have the special capability of operating at microwave frequencies. The microwave frequency range, which spans from approximately 500 MHz to 300 GHz, is shared by many technologies including cellular phones, satellite television, space communication, and radar. TWT devices are superior in reliability, weight, and efficiency to solid-state amplifiers at the high power and frequency levels required for most space missions. TWTs have three main components -an electron gun, slow wave structure, and collector. The electron gun generates an electron beam that moves along the length of the tube axis, inside of the slow wave circuit. At the same time, the inputted signal is slowed by its travel through the coils of the helical slow wave circuit. The interaction of the electron beam and this slowed signal produces a transfer of kinetic energy to the signal, and in turn, amplification. At the end of its travel, the spent electron beam moves into the collector where its remaining energy is dissipated as heat or harnessed for reuse. TWTs can easily produce gains in the tens of decibels, numbers that are suitable for space missions. To date, however, TWTs have typically operated at fixed levels of gain. This gain is determined by various, unchanging, physical factors of the tube. Traditionally, to achieve varying gain, an input signal s amplitude has had to first be modulated by a separate device before being fed into the TWT. This is not always desirable, as significant distortion can occur in certain situations. My mentor, Mr. Dale Force, has proposed an innovative solution to this problem called direct digital modulation . The testing and implementation of this solution is the focus of my summer internship. The

  17. Contact frequency, travel time, and travel costs for patients with rheumatoid arthritis

    DEFF Research Database (Denmark)

    Sørensen, Jan; Linde, Louise; Hetland, Merete Lund

    2014-01-01

    Objectives. To investigate travel time, and travel cost related to contacts with health care providers for patients with rheumatoid arthritis (RA) during a three-month period. Methods. Patient-reported travel time and travel cost were obtained from 2847 patients with RA. Eleven outpatient clinics...... across Denmark recruited patients to the study. Data collected included frequency, travel time and travel costs for contacts at rheumatology outpatient clinics, other outpatient clinics, general practitioners, privately practicing medical specialists, inpatient hospitals and accident and emergency...... and 13 € on travelling per contact, corresponding to a total of 4.6 hours and 56 € during the 3-month period. There was great variation in patient travel time and costs, but no statistically significant associations were found with clinical and sociodemographic characteristics. Conclusion. The results...

  18. Contact frequency, travel time, and travel costs for patients with rheumatoid arthritis.

    Science.gov (United States)

    Sørensen, Jan; Linde, Louise; Hetland, Merete Lund

    2014-01-01

    Objectives. To investigate travel time, and travel cost related to contacts with health care providers for patients with rheumatoid arthritis (RA) during a three-month period. Methods. Patient-reported travel time and travel cost were obtained from 2847 patients with RA. Eleven outpatient clinics across Denmark recruited patients to the study. Data collected included frequency, travel time and travel costs for contacts at rheumatology outpatient clinics, other outpatient clinics, general practitioners, privately practicing medical specialists, inpatient hospitals and accident and emergency departments. Results. Over a 3-month period, patients with RA had on average 4.4 (sd 5.7) contacts with health care providers, of which 2.8 (sd 4.0) contacts were with rheumatology outpatient clinics. Private car and public travel were the most frequent modes of travel. The average patient spent 63 minutes and 13 € on travelling per contact, corresponding to a total of 4.6 hours and 56 € during the 3-month period. There was great variation in patient travel time and costs, but no statistically significant associations were found with clinical and sociodemographic characteristics. Conclusion. The results show that patients with RA spend private time and costs on travelling when they seek treatment. These findings are particularly important when analyzing social costs associated with RA.

  19. Risk of potentially rabid animal exposure among foreign travelers in Southeast Asia.

    Directory of Open Access Journals (Sweden)

    Watcharapong Piyaphanee

    Full Text Available BACKGROUND: Each year millions of travelers visit Southeast Asia where rabies is still prevalent. This study aimed to assess the risk of rabies exposure, i.e., by being bitten or licked by an animal, among travelers in Southeast Asia. The secondary objective was to assess their attitudes and practices related to rabies. METHODOLOGY/PRINCIPAL FINDINGS: Foreign travelers departing to the destination outside Southeast Asia were invited to fill out the study questionnaire in the departure hall of Bangkok International Airport. They were asked about their demographic profile, travel characteristics, pre-travel health preparations, their possible exposure and their practices related to rabies during this trip. From June 2010 to February 2011, 7,681 completed questionnaires were collected. Sixty-two percent of the travelers were male, and the median age was 32 years. 34.0% of the participants were from Western/Central Europe, while 32.1% were from East Asia. Up to 59.3% had sought health information before this trip. Travel clinics were the source of information for 23.6% of travelers. Overall, only 11.6% of the participants had completed their rabies pre-exposure prophylaxis, and 15.3% had received only 1-2 shots, while 73.1% had not been vaccinated at all. In this study, the risk of being bitten was 1.11 per 100 travelers per month and the risk of being licked was 3.12 per 100 travelers per month. Among those who were bitten, only 37.1% went to the hospital to get post exposure treatment. Travelers with East Asian nationalities and longer duration of stay were significantly related to higher risk of animal exposure. Reason for travel was not related to the risk of animal exposure. CONCLUSIONS: Travelers were at risk of being exposed to potentially rabid animals while traveling in Southeast Asia. Many were inadequately informed and unprepared for this life-threatening risk. Rabies prevention advice should be included in every pre-travel visit.

  20. Validation of a multimodal travel simulator with travel information provision

    NARCIS (Netherlands)

    Chorus, C.G.; Molin, E.J.E.; Arentze, T.A.; Hoogendoorn, S.P.; Timmermans, H.J.P.; Wee, van G.P.

    2007-01-01

    This paper presents a computer based travel simulator for collecting data concerning the use of next-generation ATIS and their effects on traveler decision making in a multimodal travel environment. The tool distinguishes itself by presenting a completely abstract multimodal transport network, where

  1. Do British travel agents provide adequate health advice for travellers?

    Science.gov (United States)

    Lawlor, D A; Burke, J; Bouskill, E; Conn, G; Edwards, P; Gillespie, D

    2000-01-01

    Travel-related illness is a burden for primary care, with more than two million travellers consulting a general practitioner each year. The annual cost of travel-related illness in the United Kingdom is 11 million Pounds. Travel agents are in a unique position to influence this burden as the most common and most serious problems are preventable with simple advice and/or immunisation. This study, using covert researchers, suggests this potential is not being fully utilised. PMID:10954940

  2. The Role of Hypertext in Consumer Decision Making. The Case of Travel Destination Choice

    Directory of Open Access Journals (Sweden)

    Raúl Valdez Munoz

    2012-01-01

    Full Text Available Travel is one of the most popular items people tend to be comfortable with purchasing over the Internet. Hypertext is a form of electronic text composed of blocks of words (or images linked electronically by multiple paths, chains, or trails. This study explores the importance of hypertext in the travel destination choice from websites. Results show that hypertext links containing images of destinations, informative texts, and search tools are the three most important features utilized by tourist website browsers. This study aims to offer insights into new areas for further research on tourism websites design, application and evaluation.

  3. International Travelers' Sociodemographic, Health, and Travel Characteristics: An Italian Study.

    Science.gov (United States)

    Troiano, Gianmarco; Mercone, Astrid; Bagnoli, Alessandra; Nante, Nicola

    Approximately the 8% of travelers requires medical care, with the diagnosis of a vaccine-preventable disease. The aim of our study was to analyze the socio-demographic, health and travel characteristics of the Italian international travelers. We conducted a cross sectional study from January 2015 to June 2016, at the Travel Medicine Clinic of Siena, asking the doctor to interview patients who attended the Clinic, recording socio-demographic and travel information, malaria prophylaxis, vaccinations. The data were organized in a database and processed by software Stata®. We collected 419 questionnaires. Patients chose 71 countries for their travels; the favorite destinations were: India (6.31%), Thailand (6.31%), and Brazil (5.10%). The mean length of stay was 36.17 days. Italians, students, and freelancers tended to stay abroad for a longer time (mean: 36.4 days, 59.87 days and 64.16 days respectively). 33.17% of our sample used drugs for malaria chemoprophylaxis: 71.9% of them used Atovaquone/Proguanil (Malarone®), 26.6% used Mefloquine (Lariam®), 1.5% other drugs. The vaccinations that travelers mostly got in our study were to prevent hepatitis A (n = 264), the typhoid fever (n = 187), the Tetanus + Diphtheria + Pertussis (n = 165), the Yellow fever (n = 118) and the cholera (n = 78). Twenty-eight (6.68%) refused some recommended vaccinations. The vaccines mostly refused were for Typhoid fever (n = 20), hepatitis a (n = 9), and cholera (n = 9). Our results demonstrated that Italian international travelers are at-risk because of their poor vaccinations adherence. This implies that pre-travel counseling is fundamental to increase the knowledge of the risks and the compliance of future travelers. Copyright © 2016 Icahn School of Medicine at Mount Sinai. Published by Elsevier Inc. All rights reserved.

  4. Travellers' diarrhoea.

    Science.gov (United States)

    Ericsson, Charles D

    2003-02-01

    Risk of travellers' diarrhoea is about 7% in developed countries and 20-50% in the developing world. Options for prevention include education and chemoprophylaxis. Vaccination is a promising but incomplete option. Achieving behaviour modification of food and water choices among tourists is difficult. Bismuth subsalicylate (BSS)-containing compounds are about 62% effective in the prevention of travellers' diarrhoea. Antibiotics are about 84% effective in preventing travellers' diarrhoea. Routine prophylaxis of travellers' diarrhoea, especially with antibiotics, should be discouraged. Oral rehydration is generally important in the treatment of diarrhoea, but travellers' diarrhoea is only infrequently dehydrating in adults. The addition of oral rehydration solutions confers no additional benefit to loperamide in the treatment of travellers' diarrhoea in adults. Presently, the most active of the antibiotics routinely available for treatment are members of the fluoroquinolone group. Antibiotics that are not absorbed such as aztreonam and a rifampicin-like agent, rifaximin, are both effective. The latter might become a therapy of choice once it is routinely available, due to predictably less adverse reactions with a non-absorbed antibiotic. Preliminary results with azithromycin look very promising. Less severe disease can be treated with a variety of non-antibiotic agents (e.g. BSS-containing compounds, loperamide and a calmodulin inhibitor, zaldaride). The combination of an antibiotic and loperamide is superior to treatment with either agent alone in a several studies and is arguably the treatment of choice for distressing travellers' diarrhoea.

  5. THE DECISION MAKING OF BUSINESS TRAVELLERS IN SELECTING ONLINE TRAVEL PORTALS FOR TRAVEL BOOKING: AN EMPIRICAL STUDY OF DELHI NATIONAL CAPITAL REGION, INDIA

    Directory of Open Access Journals (Sweden)

    Bivek DATTA

    2018-05-01

    Full Text Available The purpose of this paper is to understand the decision making pattern of the Business Travellers in Delhi National Capital Region in India while booking their trips through Online Travel Portals. The study revolves around purchase decision pattern of Business Travellers by investigating their travel decision making style in selecting online travel portals for their trip booking. The authors have adopted the quantitative methodology to achieve the objective of the study. The study is confined purely to the Business Travellers who book their travel through online travel portals. The data was collected through a structured questionnaire. 300 Business Travellers were interviewed at the departure lounge of Indira Gandhi International Airport, New Delhi, India out of which 150 questionnaires were incomplete in many respects and could not be used and only 150 questionnaires were usable resulting in the response rate of 50%. The Analytical Hierarchy process method was adopted to analyze the relative weights assigned by Business Travellers. The present study identifies through literature review the nine fundamental values of internet purchase i.e. product quality, cost, time to receive the product, convenience, time spent, confidentiality, shopping enjoyment, security and environmental impact. The research findings indicate that business travellers value confidentiality, security and product quality the most while choosing the Online Travel Portal to book their trip. The study is primarily centered on the consumer typology approach to study the decision making patterns of business travellers whereas there are other variables such as lifestyle, personality, attitude which can also be investigated. The study is only restricted to Business Travellers decision making pattern pertaining to their travel booking whereas a study can also be undertaken on leisure travellers decision making pattern. The study is restricted to only Delhi National Capital Region

  6. The Tourist Itinerary Travel Loop: historical and contemporary travel characteristics

    OpenAIRE

    Lundgren, Jan O.

    2012-01-01

    In today’s tourist travel, the travel loop represents a very popular itinerary design, although the circumstances under which it is applied, as well as its geographic scale, often differ from the grandiose loop designs of centuries past. During the past couple of decades, a popular kind of new travel has emerged, the cruise-ship travel phenomenon, which often is arranged as quite an extensive itinerary loop. . However, the cruises can also be transoceanic, even global, with the tourist flying...

  7. Meningococcal vaccination for international travellers from Greece visiting developing countries.

    Science.gov (United States)

    Pavli, Androula; Katerelos, Panagiotis; Smeti, Paraskevi; Maltezou, Helena C

    2016-01-01

    Meningococcal meningitis is a serious disease. Travel-associated infection for the general traveller is low; however regular epidemics in indigenous population, particularly in sub-Saharan Africa are responsible for significant morbidity and mortality. Our aim was to assess meningococcal vaccination for international travellers from Greece. A prospective questionnaire-based study was conducted during 2009-2013. A total of 5283 travellers were studied (median age: 39.2 years); Meningococcal tetravalent vaccine (A,C,W135,Y) was delivered to 1150 (21.8%) of them. Of those who travelled to the Middle East and sub-Saharan Africa, 73.1% and 21.2% received meningococcal vaccine, respectively. Of those travellers who travelled to sub-Saharan Africa from November to June and from July to October, 22.1% and 20.6% were vaccinated with meningococcal vaccine, respectively. Of all travellers who travelled for travelled for recreation, and 13.8% of those who travelled for work. Of travellers who stayed in urban, in rural, and in urban and rural areas, 32%, 11.6% and 12.7% were vaccinated, respectively. Meningococcal vaccine was delivered to 29.2%, 21.1%, 19.4% and 5.1% of those who stayed in hotels, at local people's home, in camps, and on ships, respectively. The association of meningococcal vaccine administration with the destination, duration and purpose of travel, area of stay and type of accommodation was statistically significant. There is a need to improve meningococcal vaccine recommendations for travellers from Greece, particularly for high risk populations, such as VFRs, business travellers and those visiting sub-Saharan Africa especially during the dry season. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Contact Frequency, Travel Time, and Travel Costs for Patients with Rheumatoid Arthritis

    Directory of Open Access Journals (Sweden)

    Jan Sørensen

    2014-01-01

    Full Text Available Objectives. To investigate travel time, and travel cost related to contacts with health care providers for patients with rheumatoid arthritis (RA during a three-month period. Methods. Patient-reported travel time and travel cost were obtained from 2847 patients with RA. Eleven outpatient clinics across Denmark recruited patients to the study. Data collected included frequency, travel time and travel costs for contacts at rheumatology outpatient clinics, other outpatient clinics, general practitioners, privately practicing medical specialists, inpatient hospitals and accident and emergency departments. Results. Over a 3-month period, patients with RA had on average 4.4 (sd 5.7 contacts with health care providers, of which 2.8 (sd 4.0 contacts were with rheumatology outpatient clinics. Private car and public travel were the most frequent modes of travel. The average patient spent 63 minutes and 13 € on travelling per contact, corresponding to a total of 4.6 hours and 56 € during the 3-month period. There was great variation in patient travel time and costs, but no statistically significant associations were found with clinical and sociodemographic characteristics. Conclusion. The results show that patients with RA spend private time and costs on travelling when they seek treatment. These findings are particularly important when analyzing social costs associated with RA.

  9. On the relationship between travel time and travel distance in the Netherlands

    NARCIS (Netherlands)

    Rietveld, P.; Zwart, B.; van Wee, B.; van der Hoorn, A.I.J.M.

    1999-01-01

    This paper gives a detailed empirical analysis of the relationships between different indicators of costs of commuting trips by car: difference as the crow flies, shortest travel time according to route planner, corresponding travel distance, and reported travel time. Reported travel times are

  10. Trends and characteristics among HIV-infected and diabetic travelers seeking pre-travel advice.

    Science.gov (United States)

    Elfrink, Floor; van den Hoek, Anneke; Sonder, Gerard J B

    2014-01-01

    The number of individuals with a chronic disease increases. Better treatment options have improved chronic patients' quality of life, likely increasing their motivation for travel. This may have resulted in a change in the number of HIV-infected travelers and/or travelers with Diabetes Mellitus (DM) visiting our travel clinic. We retrospectively analyzed the database of the travel clinic of the Public Health Service Amsterdam, between January 2001 and December 2011 and examined the records for patients with these conditions. Of the 25,000 travelers who consult our clinic annually, the proportion of travelers with HIV or DM has increased significantly. A total of 564 HIV-infected travelers visited our clinic. The mean age was 41 years, 86% were male, 43% visited a yellow fever endemic country and 46.5% had a CD4 count Travelers with low CD4 counts traveled significantly more often to visit friends or relatives. A total of 3704 diabetics visited our clinic. The mean age was 55 years, 52% were male, 27% visited a yellow fever endemic country and 36% were insulin-dependent. Insulin-dependent diabetics traveled more often for work than non-insulin-dependent diabetics. Adequately trained and qualified travel health professionals and up-to-date guidelines for travelers with chronic diseases are of increasing importance. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Travelers' health problems and behavior: prospective study with post-travel follow-up.

    Science.gov (United States)

    Vilkman, Katri; Pakkanen, Sari H; Lääveri, Tinja; Siikamäki, Heli; Kantele, Anu

    2016-07-13

    The annual number of international tourist arrivals has recently exceeded one billion, yet surprisingly few studies have characterized travelers' behavior, illness, and risk factors in a prospective setting. Particularly scarce are surveys of data spanning travel, return, and follow-up of the same cohort. This study examines behavior and illness among travelers while abroad, after return home, and at follow-up. Patterns of behavior connected to type of travel and illness are characterized so as to identify risk factors and provide background data for pre-travel advice. Volunteers to this prospective cohort study were recruited at visits to a travel clinic prior to departure. Data on the subjects' health and behavior were collected by questionnaires before and after journeys and over a three-week follow-up. In addition, the subjects were asked to fill in health diaries while traveling. The final study population consisted of 460 subjects, 79 % of whom reported illness during travel or on arrival: 69 % had travelers' diarrhea (TD), 17 % skin problems, 17 % fever, 12 % vomiting, 8 % respiratory tract infection, 4 % urinary tract infection, 2 % ear infection, 4 % gastrointestinal complaints other than TD or vomiting, and 4 % other symptoms. Of all subjects, 10 % consulted a doctor and 0.7 % were hospitalized; 18 % took antimicrobials, with TD as the most common indication (64 %). Ongoing symptoms were reported by 25 % of all travelers upon return home. During the three-week follow-up (return rate 51 %), 32 % of respondents developed new-onset symptoms, 20 % visited a doctor and 1.7 % were hospitalized. Factors predisposing to health problems were identified by multivariable analysis: certain regions (Southern Asia, South-Eastern Asia, and Eastern Africa), female gender, young age, and long travel duration. Despite proper preventive measures like vaccinations, malaria prophylaxis, and travel advice, the majority of our subjects fell ill during or

  12. Electronic Monitoring Systems to Assess Urinary Incontinence: A Health Technology Assessment.

    Science.gov (United States)

    2018-01-01

    Urinary incontinence is involuntary leakage of urine and can affect people of all ages. Incidence rises as people age, often because of reduced mobility or conditions affecting the nervous system, such as dementia and stroke. Urinary incontinence can be a distressing condition and can harm a person's physical, financial, social, and emotional well-being. People with urinary incontinence are susceptible to skin irritation, pressure sores, and urinary tract infections. Urinary incontinence is also associated with an increased risk of falls in older adults.This health technology assessment examined the effectiveness of, budget impact of, and patient values and preferences about electronic monitoring systems to assess urinary incontinence for residents of long-term care homes or geriatric hospital inpatients with complex conditions. A clinical evidence review of the published clinical literature was conducted to June 9, 2017. Critical appraisal of the clinical evidence included assessment of risk of bias and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group criteria to reflect the certainty of the evidence.We calculated the funding required for an electronic urinary incontinence monitoring system in the first year of implementation (when facilities would buy the systems) and in subsequent years.We interviewed six people with urinary incontinence and two caregivers, who described ways urinary incontinence affected daily life. We included one observational study in the clinical review. Most of the 31 participants in the observational study were female (78%) and required high levels of care, primarily because of cognitive impairment. The quality of evidence for all outcomes was very low owing to potential risk of bias and indirectness. We are consequently uncertain about how electronic monitoring systems affect management of urinary incontinence.For patients living in long-term care homes who are eligible for the technology, we

  13. 78 FR 73702 - Federal Travel Regulation (FTR); Telework Travel Expenses Test Programs

    Science.gov (United States)

    2013-12-09

    ...; Docket Number 2013-0012, Sequence 1] RIN 3090-AJ23 Federal Travel Regulation (FTR); Telework Travel...). ACTION: Final rule. SUMMARY: GSA is amending the Federal Travel Regulation (FTR) to incorporate the Telework Enhancement Act of 2010, which establishes and authorizes telework travel expenses test programs...

  14. International travel and vaccinations.

    OpenAIRE

    Rizvon, M K; Qazi, S; Ward, L A

    1999-01-01

    With the increase in global travel, no disease is beyond the reach of any population. Traveling patients should be advised to follow food and water precautions and encouraged to receive the recommended immunizations. Travel medicine plays a vital role not only in limiting the morbidity of travel-related illnesses but also in limiting the spread of diseases. This article addresses the common issues related to travel, reviews the care of the immunocompromised traveler, and updates the available...

  15. Risk factors and pre-travel healthcare of international travellers attending a Dutch travel clinic: a cross-sectional analysis

    NARCIS (Netherlands)

    Wieten, Rosanne W.; van der Schalie, Maurice; Visser, Benjamin J.; Grobusch, Martin P.; van Vugt, Michèle

    2014-01-01

    The number of international travellers is currently estimated to exceed one billion annually. To address travel related health risks and facilitate risk reduction strategies, detailed knowledge of travellers' characteristics is important. In this cross-sectional study, data of a 20% sample of

  16. Comparison of methods for measuring travel time at Florida freeways and arterials.

    Science.gov (United States)

    2014-07-01

    Travel time is an important performance measure used to assess the traffic operational quality of various types of highway : facilities. Previous research funded by the Florida Department of Transportation (FDOT) on travel time reliability developed,...

  17. Danish travel activities: do we travel more and longer – and to what extent?

    DEFF Research Database (Denmark)

    Knudsen, Mette Aagaard

    Two separate Danish National travel surveys are analysed to outline the amount and extent of national and international travelling during the latest 15-20 years; the national travel survey (TU) describes mainly national daily travel activities, whereas the holiday and business travel survey...... describes national and international travel activities including overnight stay(s). When sampling only respondents with trips above 100 kilometres, they only accounts for around 2% of all daily travel activities, however, this share appears to increase and suggest in general that we do travel longer....... But due to this limited share of trips, the overall impacts of longer distance travelling vanish when considering all daily travel activities. Especially as about 95% of all daily travel destinations range less than 50 kilometres away and in total induce an average trip length of 20 kilometres. If focus...

  18. Travel agents and the prevention of health problems among travelers in Québec.

    Science.gov (United States)

    Provost, Sylvie; Gaulin, Colette; Piquet-Gauthier, Blandine; Emmanuelli, Julien; Venne, Sylvie; Dion, Réjean; Grenier, Jean-Luc; Dessau, Jean-Claude; Dubuc, Martine

    2002-01-01

    Among the factors influencing travelers to seek preventive health advice before departure, the travel agent's recommendation plays an important role. The objective of our study was to document the practices and needs of travel agents in Québec (Canada) in relation to the prevention of health problems among travelers. In June 2000, a cross-sectional descriptive survey was carried out among travel agents from all travel agencies in Québec. One agent per agency was asked to answer our questions. Data were collected using a 32-item telephone questionnaire. Altogether, 708 travel agents from the 948 agencies contacted answered our questionnaire (participation rate: 75%). Most respondents (81%) believed that the travel agent has a role to play in the prevention of health problems among travelers, especially to recommend that travelers consult a travel clinic before departure. Although over 80% of the agents interviewed mentioned recommending a visit to a travel clinic before an organized tour to Thailand or a backpacking trip in Mexico, less than half said they make the same recommendation for a stay in a seaside resort in Mexico. The majority of respondents were acquainted with the services offered in travel health clinics, and these clinics were the source of travel health information most often mentioned by travel agents. However, nearly 60% of the agents questioned had never personally consulted a travel clinic. When asked about the best way to receive information about travelers' health, more than 40% of respondents favoured receiving information newsletters from public health departments regularly whereas 28% preferred the Internet. Despite the limits of this study, our results should help the public health network better target its interventions aimed to inform travel agents on prevention of health problems among travelers.

  19. The elderly, the young and the pregnant traveler -- A retrospective data analysis from a large Swiss Travel Center with a special focus on malaria prophylaxis and yellow fever vaccination.

    Science.gov (United States)

    Jaeger, Veronika K; Tschudi, Nadine; Rüegg, Rolanda; Hatz, Christoph; Bühler, Silja

    2015-01-01

    Vulnerable individuals such as elderly, children/adolescents and pregnant/breastfeeding women increasingly travel overseas. We describe the travel and vaccination patterns of these groups at the largest Travel Clinic in Switzerland especially focusing on travel to yellow fever and malaria-endemic countries, and yellow fever vaccination (YFV) and malaria medications. An analysis of pre-travel visits between 2010 and 2012 at the Travel Clinic of the University of Zurich, was performed assessing differences between the elderly, young and middle-aged travelers as well as between pregnant/breastfeeding and other female travelers. Overall, the vulnerable groups did not differ from other travelers regarding their travel patterns. YFV was the most often administered vaccine to elderly travelers; half of them received it for the first time. More than 30% of children/adolescents received YFV, but no child below six months was vaccinated. 80% of young travelers and a similar percentage of pregnant women went to malaria-endemic regions. Twenty-five pregnant/breastfeeding women traveled to YF endemic areas. Travel patterns of vulnerable travelers are comparable to those of other travelers. In view of the limited data on malaria medications and precautions against YFV during pregnancy and at the extreme ages of life, giving travel advice to these groups is challenging. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Modeling traveling-wave Thomson scattering using PIConGPU

    Energy Technology Data Exchange (ETDEWEB)

    Debus, Alexander; Schramm, Ulrich; Cowan, Thomas; Bussmann, Michael [Helmholtz-Zentrum Dresden-Rossendorf, Dresden (Germany); Steiniger, Klaus; Pausch, Richard; Huebl, Axel [Helmholtz-Zentrum Dresden-Rossendorf, Dresden (Germany); Technische Universitaet Dresden (Germany)

    2016-07-01

    Traveling-wave Thomson scattering (TWTS) laser pulses are pulse-front tilted and dispersion corrected beams that enable all-optical free-electron lasers (OFELs) up to the hard X-ray range. Electrons in such a side-scattering geometry experience the TWTS laser field as a continuous plane wave over centimeter to meter interaction lengths. After briefly discussing which OFEL scenarios are currently numerically accessible, we detail implementation and tests of TWTS beams within PIConGPU (3D-PIC code) and show how numerical dispersion and boundary effects are kept under control.

  1. A simple data fusion method for instantaneous travel time estimation

    NARCIS (Netherlands)

    Do, Michael; Pueboobpaphan, R.; Miska, Marc; Kuwahara, Masao; van Arem, Bart; Viegas, J.M.; Macario, R.

    2010-01-01

    Travel time is one of the most understandable parameters to describe traffic condition and an important input to many intelligent transportation systems applications. Direct measurement from Electronic Toll Collection (ETC) system is promising but the data arrives too late, only after the vehicles

  2. Travel characteristics and yellow fever vaccine usage among US Global TravEpiNet travelers visiting countries with risk of yellow fever virus transmission, 2009-2011.

    Science.gov (United States)

    Jentes, Emily S; Han, Pauline; Gershman, Mark D; Rao, Sowmya R; LaRocque, Regina C; Staples, J Erin; Ryan, Edward T

    2013-05-01

    Yellow fever (YF) vaccine-associated serious adverse events and changing YF epidemiology have challenged healthcare providers to vaccinate only travelers whose risk of YF during travel is greater than their risk of adverse events. We describe the travel characteristics and YF vaccine use among US travelers visiting Global TravEpiNet clinics from January of 2009 to March of 2011. Of 16,660 travelers, 5,588 (34%) had itineraries to areas with risk of YF virus transmission. Of those travelers visiting one country with YF risk (N = 4,517), 71% were vaccinated at the visit, and 20% were presumed to be immune from prior vaccination. However, travelers visiting friends and relatives (odds ratio [OR] = 2.57, 95% confidence interval [95% CI] = 1.27-5.22) or going to Nigeria (OR = 3.01, 95% CI = 1.37-6.62) were significantly more likely to decline vaccination. To optimize YF vaccine use, clinicians should discuss an individual's risk-benefit assessment of vaccination and close knowledge gaps regarding vaccine use among at-risk populations.

  3. Application of Life Cycle Assessment on Electronic Waste Management: A Review

    Science.gov (United States)

    Xue, Mianqiang; Xu, Zhenming

    2017-04-01

    Electronic waste is a rich source of both valuable materials and toxic substances. Management of electronic waste is one of the biggest challenges of current worldwide concern. As an effective and prevailing environmental management tool, life cycle assessment can evaluate the environmental performance of electronic waste management activities. Quite a few scientific literatures reporting life cycle assessment of electronic waste management with significant outcomes have been recently published. This paper reviewed the trends, characteristics, research gaps, and challenges of these studies providing detailed information for practitioners involved in electronic waste management. The results showed that life cycle assessment studies were most carried out in Europe, followed by Asia and North America. The research subject of the studies mainly includes monitors, waste printed circuit boards, mobile phones, computers, printers, batteries, toys, dishwashers, and light-emitting diodes. CML was the most widely used life cycle impact assessment method in life cycle assessment studies on electronic waste management, followed by EI99. Furthermore, 40% of the reviewed studies combined with other environmental tools, including life cycle cost, material flow analysis, multi-criteria decision analysis, emergy analysis, and hazard assessment which came to more comprehensive conclusions from different aspects. The research gaps and challenges including uneven distribution of life cycle assessment studies, life cycle impact assessment methods selection, comparison of the results, and uncertainty of the life cycle assessment studies were examined. Although life cycle assessment of electronic waste management facing challenges, their results will play more and more important role in electronic waste management practices.

  4. Inter-temporal variation in the travel time and travel cost parameters of transport models

    OpenAIRE

    Börjesson, Maria

    2012-01-01

    The parameters for travel time and travel cost are central in travel demand forecasting models. Since valuation of infrastructure investments requires prediction of travel demand for future evaluation years, inter-temporal variation of the travel time and travel cost parameters is a key issue in forecasting. Using two identical stated choice experiments conducted among Swedish drivers with an interval of 13 years, 1994 and 2007, this paper estimates the inter-temporal variation in travel time...

  5. The quantified self during travel: mapping health in a prospective cohort of travellers.

    Science.gov (United States)

    Farnham, Andrea; Furrer, Reinhard; Blanke, Ulf; Stone, Emily; Hatz, Christoph; Puhan, Milo A

    2017-09-01

    Travel medicine research has remained relatively unchanged in the face of rapid expansion of international travel and is unlikely to meet health challenges beyond infectious diseases. Our aim was to identify the range of health outcomes during travel using real-time monitoring and daily reporting of health behaviours and outcomes and identify traveller subgroups who may benefit from more targeted advice before and during travel. We recruited a prospective cohort of travellers ≥ 18 years and planning travel to Thailand for travel clinics in Zurich and Basel (Switzerland). Participants answered demographic, clinical and risk behaviour questionnaires pre-travel and a daily health questionnaire each day during travel using a smartphone application. Environmental and location data were collected passively by GPS. Classification trees were used to identify predictors of health behaviour and outcomes during travel. Non-infectious disease events were relatively common, with 22.7% (17 out of 75 travellers) experiencing an accident, 40.0% ( n  = 30) a wound or cut and 14.7% ( n  = 11) a bite or lick from an animal. Mental health associated events were widely reported, with 80.0% ( n  = 60) reporting lethargy, 34.7% ( n  = 26) anxiety and 34.7% ( n  = 26) feeling tense or irritable. Classification trees identified age, trip length, previous travel experience and having experienced a sports injury in the past year as the most important discriminatory variables for health threats. Our study offers a revolutionary look at an almost real-time timeline of health events and behaviours during travel using mHealth technology. Non-infectious disease related health issues were common in this cohort, despite being largely unaddressed in traditional travel medicine research and suggest a substantial potential for improving evidence-based travel medicine advice. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights

  6. Comparison of the effect of annular and solid electron beams on linear and nonlinear traveling wave tube

    Directory of Open Access Journals (Sweden)

    F. Sheykhe

    Full Text Available The present paper, compares the effect of the annular and solid electron beam on the efficiency of linear and nonlinear TWTs. To do this, first we introduce four different geometric structure of the beam-helix. Then, we calculate the output power of each structure, in linear and nonlinear modes, at different frequencies using the numerical solution of the mathematical equations of the multi-frequency Eulerian model. Now, plot the output power in terms of distance for each structure at different frequencies and compare them. In a linear tube, the effect of annular beams on the output power is better than the solid beam, while this affects the frequency in nonlinear tubes. It is shown that in linear regime the power increase linearly with frequency but for nonlinear regimes is nonlinear. Keywords: Annular beam, Solid beam, Circuit power, Nonlinear, Traveling wave tube, Helix

  7. Travel health prevention.

    Science.gov (United States)

    Korzeniewski, Krzysztof

    All around the world there has been a rapid growth in the number of international travels. According to the World Tourism Organisation the number of international tourist arrivals reached 1,235 billion in 2016 and continues to grow at a high rate. This has been much due to the development of air transport (including low-cost airlines), increasingly common economic migration, a growing number of travellers visiting friends and relatives, and an increase in medical tourism. With tropical destinations becoming increasingly popular among travellers, doctors have seen a rising number of patients who seek medical advice on health risks prevalent in hot countries and health prevention measures to be taken in tropical destinations, especially where sanitation is poor. The risk for developing a medical condition while staying abroad depends on a variety of factors, including the traveller's general health condition, health prevention measures taken before or during travel (vaccinations, antimalarial chemoprophylaxis, health precautions during air, road and sea travel, proper acclimatisation, prevention of heat injuries, protection against local flora and fauna, personal hygiene, water, food and feeding hygiene), as well as the prevalence of health risk factors in a given location. Health prevention is a precondition for safe travel and maintaining good physical health; in the era of a rapid growth in international tourism it has become of key importance for all travellers.

  8. Towards More Responsible Business Travel : Green Travel Guide for Business Travellers

    OpenAIRE

    Aila, Anu

    2010-01-01

    The purpose of this research type thesis is to find ways how to develop sustainability in business travel. The target is increase the level of understanding and knowledge to respect natural environment and local cultures and find the right channels and ways to raise the knowledge. The study has been done to raise the awareness how business travel can be more sustainable. This thesis analyzes sustainable tourism based on the economic, environmental, and socio-cultural considerations. Green...

  9. An overview of travel-associated central nervous system infectious diseases: risk assessment, general considerations and future directions.

    Science.gov (United States)

    Izadi, Morteza; Is'haqi, Arman; Is'haqi, Mohammad Ali; Jonaidi Jafari, Nematollah; Rahamaty, Fatemeh; Banki, Abdolali

    2014-08-01

    Nervous system infections are among the most important diseases in travellers. Healthy travellers might be exposed to infectious agents of central nervous system, which may require in-patient care. Progressive course is not uncommon in this family of disorders and requires swift diagnosis. An overview of the available evidence in the field is, therefore, urgent to pave the way to increase the awareness of travel-medicine practitioners and highlights dark areas for future research. In November 2013, data were collected from PubMed, Scopus, and Web of Knowledge (1980 to 2013) including books, reviews, and peer-reviewed literature. Works pertained to pre-travel care, interventions, vaccinations related neurological infections were retrieved. Here we provide information on pre-travel care, vaccination, chronic nervous system disorders, and post-travel complications. Recommendations with regard to knowledge gaps, and state-of-the-art research are made. Given an increasing number of international travellers, novel dynamic ways are available for physicians to monitor spread of central nervous system infections. Newer research has made great progresses in developing newer medications, detecting the spread of infections and the public awareness. Despite an ongoing scientific discussion in the field of travel medicine, further research is required for vaccine development, state-of-the-art laboratory tests, and genetic engineering of vectors.

  10. Characteristics of electron-ion whistlers and their application to ionospheric probing

    International Nuclear Information System (INIS)

    Singh, S.N.; Tiwari, S.; Tolpadi, S.K.

    1976-01-01

    In this communication the effect of ion temperature on the propagation of electron-ion whistlers in the ionosphere is investigated. A general expression including the effect of ion temperature is derived for the group travel time for the electron-ion whistler as it travels from the base of the ionosphere to the satellite. A study of the dependence of the group travel time for the proton whislters. Further, from the expression for the group travel time including the effect of the ion temperature in conjunction with the generalized dispersion relation a relation for the cyclotron damping rate (both temporal and spatial) has been obtained. A detailed study if the cyclotron damping rate with travel time and ion temperature leads to the conclusion that the observed amplitude cutoff characteristics for the proton whistler can be explained on the basis of the mechanism of cyclotron damping. It is also shown that the knowledge of the group travel time of an electron-ion whistler can be used to estimate the ion temperature at the satellite

  11. Integrable, oblique travelling waves in quasi-charge-neutral two-fluid plasmas

    Directory of Open Access Journals (Sweden)

    G. M. Webb

    2008-02-01

    Full Text Available A Hamiltonian description of oblique travelling waves in a two-fluid, charge-neutral, electron-proton plasma reveals that the transverse momentum equations for the electron and proton fluids are exactly integrable in cases where the total transverse momentum flux integrals, Py(d and Pz(d, are both zero in the de Hoffman Teller (dHT frame. In this frame, the transverse electric fields are zero, which simplifies the transverse momentum equations for the two fluids. The integrable travelling waves for the case Py(d=Pz(d=0, are investigated based on the Hamiltonian trajectories in phase space, and also on the longitudinal structure equation for the common longitudinal fluid velocity component ux of the electron and proton fluids. Numerical examples of a variety of travelling waves in a cold plasma, including oscillitons, are used to illustrate the physics. The transverse, electron and proton velocity components ujy and ujz (j=e, p of the waves exhibit complex, rosette type patterns over several periods for ux. The role of separatrices in the phase space, the rotational integral and the longitudinal structure equation on the different wave forms are discussed.

  12. Travel risk behaviors as a determinants of receiving pre-travel health consultation and prevention.

    Science.gov (United States)

    Shady, Ibrahim; Gaafer, Mohammed; Bassiony, Lamiaa

    2015-01-01

    An estimated 30-60 % of travelers experience an illness while traveling. The incidence of travel-related illness can be reduced by preventive measures such as those provided by the Traveler Health Clinic (THC) in Kuwait. The present study is an analytical comparative study between groups of travelers visiting the THC during the study period (May 2009 - December 2010) and an age- and gender-matched control group of non-visitors (800 people). Both groups completed a modified pre-departure questionnaire. Bivariate analysis revealed that Kuwaitis (68.2 %), those traveling for work (25.3 %) or leisure (59.5 %), those living in camps (20.4 %) or hotels (64.0 %), and those with knowledge of the THC from the media (28.1 %) or other sources (57.3 %), were more likely to be associated with a high frequency of visits to the THC ( p  travelers heading to Africa (47 %) and South America (10 %) visited the THC more than did others ( P  travel, duration of stay, and choice of travel destination are independent predictors of receiving pre-travel consultation from the THC. Nationality, purpose of travel, length of stay, and travel destination are predictors for receiving a pre-travel consultation from the THC.

  13. 25 CFR 700.533 - Restrictions affecting travel and travel expense reimbursement.

    Science.gov (United States)

    2010-04-01

    ... having or seeking business with the Commission. (d) Commission employees traveling on official business, as well as employees traveling on personal business, may not accept the use of private airplanes... official business, provided administrative procedures have been followed in making the travel arrangements. ...

  14. Freeway travel speed calculation model based on ETC transaction data.

    Science.gov (United States)

    Weng, Jiancheng; Yuan, Rongliang; Wang, Ru; Wang, Chang

    2014-01-01

    Real-time traffic flow operation condition of freeway gradually becomes the critical information for the freeway users and managers. In fact, electronic toll collection (ETC) transaction data effectively records operational information of vehicles on freeway, which provides a new method to estimate the travel speed of freeway. First, the paper analyzed the structure of ETC transaction data and presented the data preprocess procedure. Then, a dual-level travel speed calculation model was established under different levels of sample sizes. In order to ensure a sufficient sample size, ETC data of different enter-leave toll plazas pairs which contain more than one road segment were used to calculate the travel speed of every road segment. The reduction coefficient α and reliable weight θ for sample vehicle speed were introduced in the model. Finally, the model was verified by the special designed field experiments which were conducted on several freeways in Beijing at different time periods. The experiments results demonstrated that the average relative error was about 6.5% which means that the freeway travel speed could be estimated by the proposed model accurately. The proposed model is helpful to promote the level of the freeway operation monitoring and the freeway management, as well as to provide useful information for the freeway travelers.

  15. Current sustaining by RF travelling field in a collisional toroidal plasma

    International Nuclear Information System (INIS)

    Fukuda, Masaji; Matsuura, Kiyokata

    1978-01-01

    The relation between the current generated by RF travelling field and the absorbed power is studied in a collisional toroidal plasma, parameters being phase velocity and filling gap pressure or electron collision frequency. It is observed at a low magnetic field that the current is proportional to the plasma conductivity and an effective electromotive force, which is a new concept introduced on the basis of fluid model; the electromotive force is proportional to the absorbed RF power and inversely proportional to the plasma density and the phase velocity of the travelling field. (author)

  16. Current sustaining by RF travelling field in a collisional toroidal plasma

    International Nuclear Information System (INIS)

    Fukuda, Masaji; Matsuura, Kiyokata.

    1977-06-01

    The relation between the current generation by RF travelling field and the accompanied power absorption is studied in a collisional toroidal plasma, parameters being phase velocity and filling gas pressure or electron collision frequency. It is observed at a low magnetic field that the current is proportional to the plasma conductivity and an effective electromotive force, which is a new concept introduced on the basis of fluid model; the electromotive force is proportional to the absorbed RF power and inversely proportional to the plasma density and the phase velocity of the travelling field. (auth.)

  17. Pretravel health advice among international travelers visiting Cuzco, Peru.

    Science.gov (United States)

    Cabada, Miguel M; Maldonado, Fernando; Quispe, Wanda; Serrano, Edson; Mozo, Karen; Gonzales, Elsa; Seas, Carlos; Verdonck, Kristien; Echevarria, Juan I; Gotuzzo, Eduardo

    2005-01-01

    Cuzco, a Peruvian city of historical interest located 3,326 m above sea level, is a frequent destination for tourists. We conducted a descriptive study to assess the extent and sources of pretravel health advice received by international travelers before their arrival to Cuzco. Data were collected as part of a health survey among travelers. Between August and November 2002, travelers between 15 and 65 years old were invited to fill out a questionnaire in the departing area of Cuzco's international airport. A total of 5,988 travelers participated. The mean age was 35.4 years (SD 11.4 yr); 50.6% were female and 50.8% were single. Tourism was the reason for traveling in 90.2% of the participants, and 89.3% of them were traveling with companions. Pretravel health information was received by 93.6%. The median number of information sources was two, with books (41.5%), travel medicine clinics (38.8%), the Internet (23.3%), and general practitioners (22.7%) as the main sources. Most frequently received recommendations were about safe food and water consumption (85%), use of insect repellents (66.0%), sunburn protection (64.4%), and condom use (22%). Only 16.5% took medication to prevent altitude sickness, and 14.2% took medication to prevent traveler's diarrhea. Variables independently associated with receiving pretravel health information from a health care professional were female gender, country of residence other than the United States, length of stay in Cuzco > 7 days, length of stay in other Peruvian cities > 7 days, tourism as the main reason for visiting Cuzco, traveling with companions, and consulting of more than one source of information. Most travelers arriving to Cuzco had received pretravel health information, and the majority obtained it from more than one source. Recommendations addressed for specific health risks, such as altitude sickness prophylaxis, were received by few travelers.

  18. Travel Characteristics and Yellow Fever Vaccine Usage Among US Global TravEpiNet Travelers Visiting Countries with Risk of Yellow Fever Virus Transmission, 2009–2011

    Science.gov (United States)

    Jentes, Emily S.; Han, Pauline; Gershman, Mark D.; Rao, Sowmya R.; LaRocque, Regina C.; Staples, J. Erin; Ryan, Edward T.

    2013-01-01

    Yellow fever (YF) vaccine-associated serious adverse events and changing YF epidemiology have challenged healthcare providers to vaccinate only travelers whose risk of YF during travel is greater than their risk of adverse events. We describe the travel characteristics and YF vaccine use among US travelers visiting Global TravEpiNet clinics from January of 2009 to March of 2011. Of 16,660 travelers, 5,588 (34%) had itineraries to areas with risk of YF virus transmission. Of those travelers visiting one country with YF risk (N = 4,517), 71% were vaccinated at the visit, and 20% were presumed to be immune from prior vaccination. However, travelers visiting friends and relatives (odds ratio [OR] = 2.57, 95% confidence interval [95% CI] = 1.27–5.22) or going to Nigeria (OR = 3.01, 95% CI = 1.37–6.62) were significantly more likely to decline vaccination. To optimize YF vaccine use, clinicians should discuss an individual's risk–benefit assessment of vaccination and close knowledge gaps regarding vaccine use among at-risk populations. PMID:23458961

  19. Projected Zika Virus Importation and Subsequent Ongoing Transmission after Travel to the 2016 Olympic and Paralympic Games - Country-Specific Assessment, July 2016.

    Science.gov (United States)

    Grills, Ardath; Morrison, Stephanie; Nelson, Bradley; Miniota, Jennifer; Watts, Alexander; Cetron, Martin S

    2016-07-22

    Zika virus belongs to the genus Flavivirus of the family Flaviviridae; it is transmitted to humans primarily through the bite of an infected Aedes species mosquito (e.g., Ae. aegypti and Ae. albopictus) (1). Zika virus has been identified as a cause of congenital microcephaly and other serious brain defects (2). As of June 30, 2016, CDC had issued travel notices for 49 countries and U.S. territories across much of the Western hemisphere (3), including Brazil, where the 2016 Olympic and Paralympic Games (Games of the XXXI Olympiad, also known as Rio 2016; Games) will be hosted in Rio de Janeiro in August and September 2016. During the Games, mosquito-borne Zika virus transmission is expected to be low because August and September are winter months in Brazil, when cooler and drier weather typically reduces mosquito populations (4). CDC conducted a risk assessment to predict those countries susceptible to ongoing Zika virus transmission resulting from introduction by a single traveler to the Games. Whereas all countries are at risk for travel-associated importation of Zika virus, CDC estimated that 19 countries currently not reporting Zika outbreaks have the environmental conditions and population susceptibility to sustain mosquito-borne transmission of Zika virus if a case were imported from infection at the Games. For 15 of these 19 countries, travel to Rio de Janeiro during the Games is not estimated to increase substantially the level of risk above that incurred by the usual aviation travel baseline for these countries. The remaining four countries, Chad, Djibouti, Eritrea, and Yemen, are unique in that they do not have a substantial number of travelers to any country with local Zika virus transmission, except for anticipated travel to the Games. These four countries will be represented by a projected, combined total of 19 athletes (plus a projected delegation of about 60 persons), a tiny fraction of the 350,000-500,000 visitors expected at the Games.* Overall

  20. Travelling or not?

    DEFF Research Database (Denmark)

    Helles, Rasmus; Lai, Signe Sophus

    2017-01-01

    -12) travelling to multiple countries on several continents. The article shows that there are systematic differences in terms of formal characteristics, themes, and characters’ communicative style between the series that travel and the series that do not. Especially, the analysis finds that the presence of strong...... female lead characters is systematically linked to the positive travel patterns of the series, and that this cuts across different genres of series. The analysis also finds that series, which have explicitly low production values and simple narrative structure, systematically travels poorer....

  1. Surveillance for travel-related disease--GeoSentinel Surveillance System, United States, 1997-2011.

    Science.gov (United States)

    Harvey, Kira; Esposito, Douglas H; Han, Pauline; Kozarsky, Phyllis; Freedman, David O; Plier, D Adam; Sotir, Mark J

    2013-07-19

    In 2012, the number of international tourist arrivals worldwide was projected to reach a new high of 1 billion arrivals, a 48% increase from 674 million arrivals in 2000. International travel also is increasing among U.S. residents. In 2009, U.S. residents made approximately 61 million trips outside the country, a 5% increase from 1999. Travel-related morbidity can occur during or after travel. Worldwide, 8% of travelers from industrialized to developing countries report becoming ill enough to seek health care during or after travel. Travelers have contributed to the global spread of infectious diseases, including novel and emerging pathogens. Therefore, surveillance of travel-related morbidity is an essential component of global public health surveillance and will be of greater importance as international travel increases worldwide. September 1997-December 2011. GeoSentinel is a clinic-based global surveillance system that tracks infectious diseases and other adverse health outcomes in returned travelers, foreign visitors, and immigrants. GeoSentinel comprises 54 travel/tropical medicine clinics worldwide that electronically submit demographic, travel, and clinical diagnosis data for all patients evaluated for an illness or other health condition that is presumed to be related to international travel. Clinical information is collected by physicians with expertise or experience in travel/tropical medicine. Data collected at all sites are entered electronically into a database, which is housed at and maintained by CDC. The GeoSentinel network membership program comprises 235 additional clinics in 40 countries on six continents. Although these network members do not report surveillance data systematically, they can report unusual or concerning diagnoses in travelers and might be asked to perform enhanced surveillance in response to specific health events or concerns. During September 1997-December 2011, data were collected on 141,789 patients with confirmed or

  2. Mapping travelling convection vortex events with respect to energetic particle boundaries

    DEFF Research Database (Denmark)

    Moretto, T.; Yahnin, A.

    1998-01-01

    Thirteen events of high-latitude ionospheric travelling convection vortices during very quiet conditions were identified in the Greenland magnetometer data during 1990 and 1991. The latitudes of the vortex centres for these events are compared to the energetic electron trapping boundaries...

  3. Effect of Rainfall on Travel Time and Accuracy of Travel Time prediction with rainfall

    OpenAIRE

    CHUNG, E; EL-FAOUZI, NE; KUWAHARA, M

    2007-01-01

    Travel time is an important parameter to report to travelers. From the user's perspective, accurate predictions and an estimate of their precision are more beneficial than the current travel time since conditions may change significantly before a traveler completes the journey. Past researches have developed travel time prediction models without considering accidents and rain. Normally accident and Rain may cause to increase travel time. Therefore, it may be interesting to consider Rain and a...

  4. Educating international students about tuberculosis and infections associated with travel to visit friends and relatives (VFR-travel).

    Science.gov (United States)

    Gibney, Katherine B; Brass, Amanda; Hume, Sam C; Leder, Karin

    2014-01-01

    International students in Victoria, Australia, originate from over 140 different countries. They are over-represented in disease notifications for tuberculosis and travel-associated infections, including enteric fever, hepatitis A, and malaria. We describe a public health initiative aimed to increase awareness of these illnesses among international students and their support staff. We identified key agencies including student support advisors, medical practitioners, health insurers, and government and professional organisations. We developed health education materials targeting international students regarding tuberculosis and travel-related infections to be disseminated via a number of different media, including electronic and printed materials. We sought informal feedback from personnel in all interested agencies regarding the materials developed, their willingness to deliver these materials to international students, and their preferred media for disseminating these materials. Education institutions with dedicated international student support staff and on-campus health clinics were more easily engaged to provide feedback and disseminate the health education materials than institutions without such dedicated personnel. Response to contacting off-campus medical practices was poor. Delivery of educational materials via electronic and social media was preferred over face-to-face education. It is feasible to provide health education messages targeting international students for dissemination via appropriately-staffed educational institutions. This initiative could be expanded in terms of age-group, geographic range, and health issues to be targeted. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Business Model Development for travel agency : Case company - Goh Travel Korea

    OpenAIRE

    Manuilova, Mariia

    2016-01-01

    Millions of tourists visit South Korea every year to experience the culture and a different life style. Moreover, due to economic development, the country has become popular as a study and work destination. As the tourism market is growing, there are many opportunities for travel agencies to find niches in the market. The purpose of this study is to develop a business model for Goh travel Korea – a travel agency for foreign low budget travelers around Korea, to make it more efficient and incr...

  6. Topic Map for Authentic Travel

    OpenAIRE

    Wandsvik, Atle; Zare, Mehdi

    2007-01-01

    E-business is a new trend in Internet use. Authentic travel is an approach to travel and travel business which helps the traveler experience what is authentic in the travel destination. But how can the traveler find those small authentic spots and organize them together to compose a vacation? E-business techniques, combined withTopic Maps, can help.

  7. Long distance travel ‘today’

    DEFF Research Database (Denmark)

    Christensen, Linda

    2014-01-01

    This paper presents an overview of the Dane’s long distance travel. It is a part of the Drivers and Limits project about long distance travel. Long distance travel is in the project defined as infrequent travel with overnight stay. Danes 15-85 years-old travel in average 5.5 long distance travel...... per year og which a third is for international destinations, a third is for domestic second homes and a third are other domestic trips. However, 87% of the kilometres are for international destinations and only 4% are for domestic second homes. Travel activity is very uneven distributed with only half...... of the population having had a journey during the last three month. At the other hand 60% have travelled internationally during the last year and only 2% have never travelled abroad. The paper presents among other things how the travel activity is distributed on travel purpose and mode and how the mode choice...

  8. Secondary-electron-emission losses in multistage depressed collectors and traveling-wave-tube efficiency improvements with carbon collector electrode surfaces

    Science.gov (United States)

    Ramins, P.; Ebihara, B. T.

    1986-01-01

    Secondary-electron-emission losses in multistage depressed collectors (MDC's) and their effects on overall traveling-wave-tube (TWT) efficiency were investigated. Two representative TWT's and several computer-modeled MDC's were used. The experimental techniques provide the measurement of both the TWT overall and the collector efficiencies. The TWT-MDC performance was optimized and measured over a wide range of operating conditions, with geometrically identical collectors, which utilized different electrode surface materials. Comparisons of the performance of copper electrodes to that of various forms of carbon, including pyrolytic and iisotropic graphites, were stressed. The results indicate that: (1) a significant improvement in the TWT overall efficiency was obtained in all cases by the use of carbon, rather than copper electrodes, and (2) that the extent of this efficiency enhancement depended on the characteristics of the TWT, the TWT operating point, the MDC design, and collector voltages. Ion textured graphite was found to be particularly effective in minimizing the secondary-electron-emission losses. Experimental and analytical results, however, indicate that it is at least as important to provide a maximum amount of electrostatic suppression of secondary electrons by proper MDC design. Such suppression, which is obtained by ensuring that a substantial suppressing electric field exists over the regions of the electrodes where most of the current is incident, was found to be very effective. Experimental results indicate that, with proper MDC design and the use of electrode surfaces with low secondary-electron yield, degradation of the collector efficiency can be limited to a few percent.

  9. Pre-Travel Health Preparation of Pediatric International Travelers: Analysis From the Global TravEpiNet Consortium.

    Science.gov (United States)

    Hagmann, Stefan; LaRocque, Regina C; Rao, Sowmya R; Jentes, Emily S; Sotir, Mark J; Brunette, Gary; Ryan, Edward T

    2013-12-01

    Children frequently travel internationally. Health-related data on such children are limited. We sought to investigate the demographics, health characteristics, and preventive interventions of outbound US international pediatric travelers. We analyzed data from 32 099 travelers presenting for pre-travel healthcare at the Global TravEpiNet (GTEN), a national consortium of 19 travel clinics, from January 1, 2009 to June 6, 2012. A total of 3332 (10%) of all GTEN travelers were children (traveled mostly for leisure (36%) or to visit friends or relatives (VFR) (36%). Most popular destination regions were Africa (41%), Southeast Asia (16%), Central America (16%), and the Caribbean (16%). Compared with children traveling for leisure, VFR children were more likely to present travel consultation (44% vs 28%), intended to travel for 28 days or longer (70% vs 22%), and to travel to Africa (62% vs 32%). Nearly half of the pediatric travelers (46%) received at least 1 routine vaccine, and most (83%) received at least 1 travel-related vaccine. Parents or guardians of one third of the children (30%) refused at least 1 recommended travel-related vaccine. Most pediatric travelers visiting a malaria-endemic country (72%) received a prescription for malaria chemoprophylaxis. Ten percent of travelers seeking pre-travel healthcare at GTEN sites are children. VFR-travel, pre-travel consultation close to time of departure, and refusal of recommended vaccines may place children at risk for travel-associated illness. Strategies to engage pediatric travelers in timely, pre-travel care and improve acceptance of pre-travel healthcare interventions are needed. © The Author 2013. Published by Oxford University Press on behalf of the Pediatric Infectious Diseases Society. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  10. Knowledge, attitudes, and practices of US practitioners who provide pre-travel advice.

    Science.gov (United States)

    Kogelman, Laura; Barnett, Elizabeth D; Chen, Lin H; Quinn, Emily; Yanni, Emad; Wilson, Mary E; Benoit, Christine; Karchmer, Adolf W; Ooi, Winnie W; Jentes, Emily S; Hamer, Davidson H

    2014-01-01

    As international travel increases, many health care professionals are being asked to provide pre-travel advice. We designed an anonymous web-based survey to assess the extent to which primary care providers (PCPs) provide travel medicine advice and how their understanding and delivery of itinerary-specific advice and management compare with that of travel medicine specialists. We surveyed randomly selected US PCPs registered in the Pri-Med Institute (now pmiCME) database and US travel medicine specialists from the International Society of Travel Medicine (ISTM), American Society of Tropical Medicine and Hygiene (ASTMH), and Centers for Disease Control and Prevention (CDC) yellow fever (YF) vaccine provider mailing lists. SAS software (SAS Institute, Cary, NC, USA) was used for all analyses. Of 14,932 e-mails sent to valid e-mail addresses, 902 yielded complete or partially completed surveys (6.0% response rate). Eighty percent of respondents personally provided pre-travel advice (95% of travel medicine specialists versus 73% of PCPs). About two thirds of PCPs (68%) providing pre-travel consultations saw travelers per year whereas 30% of travel medicine specialists saw travelers per year. More travel medicine specialists (59%) than PCPs (18%) saw >500 travelers per year. Familiarity with travel-specific vaccines (YF, Japanese encephalitis) and provision of written educational materials increased as volume of travelers increased. Familiarity with antimalarial side effects and malaria resistance patterns, and knowledge scores based on brief pre-travel scenarios were higher in travel medicine specialists, ASTMH or ISTM certificate holders, and respondents who saw more pre-travel patients. Many PCP survey participants provided pre-travel advice, but most saw few travelers. Volume of travelers and holding an ASTMH or ISTM certificate had the greatest influence on knowledge of travel medicine and provision of appropriate advice and recommendations. Creating easily

  11. DOD TRAVEL IMPROPER PAYMENTS: Fiscal Year 2006 Reporting Was Incomplete and Planned Improvement Efforts Face Challenges

    National Research Council Canada - National Science Library

    WIlliams, McCoy

    2007-01-01

    ... was incomplete because it understated the full extent of travel improper payments. The DOD travel payment data used to assess the program s risk of significant improper payments only included payments processed by the Defense Travel System (DTS...

  12. Travel Overview

    Science.gov (United States)

    Search the Division of Finance site DOF State of Alaska Finance Home Content Area Accounting Charge Cards Top Department of Administration logo Alaska Department of Administration Division of Finance Search You are here Administration / Finance / Travel Travel The Department of Administration administers the

  13. Pre-travel care for immunocompromised and chronically ill travellers: A retrospective study

    NARCIS (Netherlands)

    van Aalst, Mariëlle; Verhoeven, Roos; Omar, Freshta; Stijnis, Cornelis; van Vugt, Michèle; de Bree, Godelieve J.; Goorhuis, Abraham; Grobusch, Martin P.

    2017-01-01

    Background: Immunocompromised and chronically ill travellers (ICCITs) are susceptible to travel related diseases. In ICCITs, pre-travel care regarding vaccinations and prophylactics is complex. We evaluated the protection level by preventive measures in ICCITs by analysing rates of vaccination

  14. Travel-associated disease among US residents visiting US GeoSentinel clinics after return from international travel.

    Science.gov (United States)

    Hagmann, Stefan H F; Han, Pauline V; Stauffer, William M; Miller, Andy O; Connor, Bradley A; Hale, DeVon C; Coyle, Christina M; Cahill, John D; Marano, Cinzia; Esposito, Douglas H; Kozarsky, Phyllis E

    2014-12-01

    US residents make 60 million international trips annually. Family practice providers need to be aware of travel-associated diseases affecting this growing mobile population. To describe demographics, travel characteristics and clinical diagnoses of US residents who present ill after international travel. Descriptive analysis of travel-associated morbidity and mortality among US travellers seeking care at 1 of the 22 US practices and clinics participating in the GeoSentinel Global Surveillance Network from January 2000 to December 2012. Of the 9624 ill US travellers included in the analysis, 3656 (38%) were tourist travellers, 2379 (25%) missionary/volunteer/research/aid workers (MVRA), 1580 (16%) travellers visiting friends and relatives (VFRs), 1394 (15%) business travellers and 593 (6%) student travellers. Median (interquartile range) travel duration was 20 days (10-60 days). Pre-travel advice was sought by 45%. Hospitalization was required by 7%. Compared with other groups of travellers, ill MVRA travellers returned from longer trips (median duration 61 days), while VFR travellers disproportionately required higher rates of inpatient care (24%) and less frequently had received pre-travel medical advice (20%). Illnesses of the gastrointestinal tract were the most common (58%), followed by systemic febrile illnesses (18%) and dermatologic disorders (17%). Three deaths were reported. Diagnoses varied according to the purpose of travel and region of exposure. Returning ill US international travellers present with a broad spectrum of travel-associated diseases. Destination and reason for travel may help primary health care providers to generate an accurate differential diagnosis for the most common disorders and for those that may be life-threatening. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  15. Incidence, risk factors and treatment of diarrhoea among Dutch travellers: reasons not to routinely prescribe antibiotics

    NARCIS (Netherlands)

    Belderok, S.M.; van den Hoek, A.; Kint, J.A.; van der Loeff, M.F.S.; Sonder, G.J.B.

    2011-01-01

    Background: Travellers' diarrhoea (TD) is the most common infectious disease among travellers. In the Netherlands, stand-by or prophylactic antibiotics are not routinely prescribed to travellers. This study prospectively assessed the incidence rate, risk factors, and treatment of TD among

  16. Incidence, risk factors and treatment of diarrhoea among Dutch travellers: reasons not to routinely prescribe antibiotics

    NARCIS (Netherlands)

    Belderok, Sanne-Meike; van den Hoek, Anneke; Kint, Joan A.; Schim van der Loeff, Maarten F.; Sonder, Gerard Jb

    2011-01-01

    Travellers' diarrhoea (TD) is the most common infectious disease among travellers. In the Netherlands, stand-by or prophylactic antibiotics are not routinely prescribed to travellers. This study prospectively assessed the incidence rate, risk factors, and treatment of TD among immunocompetent

  17. The New England travel market: generational travel patterns, 1979 to 1996

    Science.gov (United States)

    Rod Warnick

    2002-01-01

    Generations of travelers who select New England as a primary destination are examined over time from the years of 1979 through 1996 and the analysis serves to update an earlier review of generational travel patterns of the region (Warnick, 1994). Changes in travel patterns are noted by overall adjusted annual change rates by demographic and geographic regions of...

  18. Travel Daily China Travel Innovation Summit to Be Held in Beijing

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Guangzhou,China,April 7th- TravelDaily (www.traveldaily.cn), China’s leading online publisher and event organizer with emphasis on trends in the distribution,marketing and technology of the travel and tourism industries,today announced it will partner with PhoCusWright to host the 2009 China Travel Innovation Summit in Beijing from May 12 to 13,2009.

  19. Travel Behavior Change in Older Travelers: Understanding Critical Reactions to Incidents Encountered in Public Transport.

    Science.gov (United States)

    Sundling, Catherine

    2015-11-18

    Accessibility of travel may be better understood if psychological factors underlying change in travel behavior are known. This paper examines older (65+) travelers' motives for changing their travel behavior. These changes are grounded in critical incidents earlier encountered in public-transport travel. A scientific framework is developed based on cognitive and behavioral theory. In 29 individual interviews, travelers' critical reactions (i.e., cognitive, emotional, and/or behavioral) to 77 critical incidents were examined. By applying critical incident technique (CIT), five reaction themes were identified that had generated travel-behavior change: firm restrictions, unpredictability, unfair treatment, complicated trips, and earlier adverse experiences. To improve older travelers' access to public transport, key findings were: (a) service must be designed so as to strengthen the feeling of being in control throughout the journey; (b) extended personal service would increase predictability in the travel chain and decrease travel complexity; consequently, (c) when designing new services and making effective accessibility interventions, policy makers should consider and utilize underlying psychological factors that could direct traveler behavior.

  20. The Infl uence of Electronic-Word-of-Mouth on Travel Intentionamong Foreign Students in Malaysia: Does Gender ReallyMatter?

    OpenAIRE

    Krishnapillai, Gengeswari; Ying, Kwok See

    2017-01-01

    As an attractive educational hub within this region, Malaysia currently accommodates an enormous number of foreign students. These students are known for their inclination towards tour and travel activities during their spare time. In view of the potential contribution of foreign students’ travel activities towards the nation, this study attempts to examine the tour behaviour among foreign students in Malaysia. This study specifically focuses on the foreign students’ travel intention and poss...

  1. Effectiveness of travel restrictions in the rapid containment of human influenza: a systematic review

    Science.gov (United States)

    Mateus, Ana LP; Otete, Harmony E; Beck, Charles R; Dolan, Gayle P; Nguyen-Van-Tam, Jonathan S

    2014-01-01

    Abstract Objective To assess the effectiveness of internal and international travel restrictions in the rapid containment of influenza. Methods We conducted a systematic review according to the requirements of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Health-care databases and grey literature were searched and screened for records published before May 2014. Data extraction and assessments of risk of bias were undertaken by two researchers independently. Results were synthesized in a narrative form. Findings The overall risk of bias in the 23 included studies was low to moderate. Internal travel restrictions and international border restrictions delayed the spread of influenza epidemics by one week and two months, respectively. International travel restrictions delayed the spread and peak of epidemics by periods varying between a few days and four months. Travel restrictions reduced the incidence of new cases by less than 3%. Impact was reduced when restrictions were implemented more than six weeks after the notification of epidemics or when the level of transmissibility was high. Travel restrictions would have minimal impact in urban centres with dense populations and travel networks. We found no evidence that travel restrictions would contain influenza within a defined geographical area. Conclusion Extensive travel restrictions may delay the dissemination of influenza but cannot prevent it. The evidence does not support travel restrictions as an isolated intervention for the rapid containment of influenza. Travel restrictions would make an extremely limited contribution to any policy for rapid containment of influenza at source during the first emergence of a pandemic virus. PMID:25552771

  2. THE DECISION MAKING OF BUSINESS TRAVELLERS IN SELECTING ONLINE TRAVEL PORTALS FOR TRAVEL BOOKING: AN EMPIRICAL STUDY OF DELHI NATIONAL CAPITAL REGION, INDIA

    OpenAIRE

    Bivek DATTA; Manohar SAJNANI; Joby THOMAS

    2018-01-01

    The purpose of this paper is to understand the decision making pattern of the Business Travellers in Delhi National Capital Region in India while booking their trips through Online Travel Portals. The study revolves around purchase decision pattern of Business Travellers by investigating their travel decision making style in selecting online travel portals for their trip booking. The authors have adopted the quantitative methodology to achieve the objective of the study. The study is confi...

  3. Travel Behavior Change in Older Travelers: Understanding Critical Reactions to Incidents Encountered in Public Transport

    OpenAIRE

    Sundling, Catherine

    2015-01-01

    Accessibility of travel may be better understood if psychological factors underlying change in travel behavior are known. This paper examines older (65+) travelers? motives for changing their travel behavior. These changes are grounded in critical incidents earlier encountered in public-transport travel. A scientific framework is developed based on cognitive and behavioral theory. In 29 individual interviews, travelers? critical reactions (i.e., cognitive, emotional, and/or behavioral) to 77 ...

  4. You, too, can be an international medical traveler: Reading medical travel guidebooks

    NARCIS (Netherlands)

    Ormond, M.E.; Sothern, M.

    2012-01-01

    Drawing on literature on self-help and travel guide writing, this paper interrogates five international medical travel guidebooks aimed at encouraging American and British audiences to travel abroad to purchase medical care. These guidebooks articulate a three-step self-help “program” to produce a

  5. Valuing travel time variability: Characteristics of the travel time distribution on an urban road

    DEFF Research Database (Denmark)

    Fosgerau, Mogens; Fukuda, Daisuke

    2012-01-01

    This paper provides a detailed empirical investigation of the distribution of travel times on an urban road for valuation of travel time variability. Our investigation is premised on the use of a theoretical model with a number of desirable properties. The definition of the value of travel time...... variability depends on certain properties of the distribution of random travel times that require empirical verification. Applying a range of nonparametric statistical techniques to data giving minute-by-minute travel times for a congested urban road over a period of five months, we show that the standardized...... travel time is roughly independent of the time of day as required by the theory. Except for the extreme right tail, a stable distribution seems to fit the data well. The travel time distributions on consecutive links seem to share a common stability parameter such that the travel time distribution...

  6. Telemedicine for health issues while abroad: interest and willingness to pay among travellers prior to departure.

    Science.gov (United States)

    Rochat, Laurence; Genton, Blaise

    2018-01-01

    Telemedicine is emerging as a useful tool to provide expert medical advice to individuals facing health issues while travelling in remote areas. Before embarking on the development of a telemedicine system, we conducted a survey to assess the needs and expectations of travellers for such a service, and evaluate opinions about the importance of various travel criteria that may determine the contract of such insurance. (i) To assess whether a telemedicine service is considered useful by travellers, (ii) to investigate which telecommunication medium is preferred, (iii) to determine which subgroup of travellers would be most interested in this service and (iv) to estimate the amount of money travellers would be willing to pay for a telemedicine service. Travellers coming to our clinic for pre-travel advice were given a questionnaire to be filled in before consultation. The questionnaire focused on demographics, travel details, health status, interest and willingness to pay for a telemedicine service. Among 307 returned questionnaires, 59% of travellers were interested in a telemedicine service. Email was the preferred communication medium for 63%, mobile phone for 46% and video calls for 31% individuals (multiple answers). Travellers aged ≥60 years and those with an immunocompromising condition tended to be more interested in telemedicine (respectively OR = 1.65; 95% CI: 0.75-3.62 and OR = 3.56; 95% CI: 0.41-30.95). The 99% of travellers were willing to pay for such a service. Median price was 50 USD (IQR: 30-50 USD). There was no correlation between travel duration and amount to be paid. Among individuals consulting for pre-travel advice at a specialized clinic, there is considerable interest in telemedicine, particularly among older and immunocompromised travellers. Based on these data, a pilot system using email communication to help travellers confronted with health issues while abroad was developed and implemented in our travel clinic.

  7. Travel intermediaries and responsibility for compliance with EU travel law : A scattered legal picture

    NARCIS (Netherlands)

    de Vries, Anne

    Travel intermediaries, commonly known as travel agencies, are important and well-known actors in the travel sector and online travel agencies such as Expedia, Booking.com and AirBnB are booming. Although intermediaries obviously bring clear benefits for contracting parties, they also complicate the

  8. Understanding medical travel from a source country perspective: a cross sectional study of the experiences of medical travelers from the Maldives.

    Science.gov (United States)

    Suzana, Mariyam; Walls, Helen; Smith, Richard; Hanefeld, Johanna

    2018-06-19

    The resolution adopted in 2006 by the World Health Organization on international trade and health urges Member States to understand the implications of international trade and trade agreements for health and to address any challenges arising through policies and regulations. The government of Maldives is an importer of health services (with outgoing medical travelers), through offering a comprehensive universal health care package for its people that includes subsidized treatment abroad for services unavailable in the country. By the end of the first year of the scheme approximately US$11.6 m had been spent by the government of Maldives to treat patients abroad. In this study, affordability, continuity and quality of this care were assessed from the perspective of the medical traveler to provide recommendations for safer and more cost effective medical travel policy. Despite universal health care, a substantial proportion of Maldivian travelers have not accessed the government subsidy, and a third reported not having sufficient funds for the treatment episode abroad. Among the five most visited hospitals in this study, none were JCI accredited at the time of the study period and only three from India had undergone the National Accreditation Board for Hospitals (NABH) in India. Satisfaction with treatment received was high amongst travelers but concern for the continuity of care was very high, and more than a third of the patients had experienced complications arising from the treatment overseas. Source countries can use their bargaining power in the trade of health services to offer a more comprehensive package for medical travelers. Source countries with largely public funded health systems need to ensure that medical travel is truly affordable and universal, with measures for quality control such as the use of accredited foreign hospitals to make it safer and to impose measures that ensure the continuity of care for travelers.

  9. Representation of Central Asia and Traveling Self in Vambery’s Travels in Central Asia

    Directory of Open Access Journals (Sweden)

    Ahmad Gholi

    2016-03-01

    Full Text Available In the course of the nineteenth century Arminius Vambery, an anglophile travel writer, in the guise of a mendicant dervish with a group of Tartar pilgrims departs to secluded and sealed Central Asia. After six months travel in the Khanates of Central Asia, he undertakes a journey to England where he offers his observations to the Royal Geographical Society and publishes his travelogue, Travel in Central Asia. Despite its literary merits and connection with British imperialism, the travelogue has not been scrutinized separately by the scholars of travel writing. To fill the gap, this article by drawing on the theories of post-structuralism: Orientalism and Postcolonialism, endeavors to unveil the political agenda behind the travel writer’s representation of his travelees, destination, and his own traveling self. Additionally, it argues that the travel writer in dialogue with other Western travel writers to deterritorialize his traversed region or justify the prospective presence of Britain in Central Asia, represents his journey destination as the locus of barbarity, a region under the grip of despotic rulers, as well as an area with frozen time, while to exhibit his Eurocentrism, he portrays his traveling subject as the a suffering hero and a benign traveler.

  10. Travelers' Health: HIV Infection

    Science.gov (United States)

    ... Last-Minute Travel Long-Term Travel Mass Gatherings Medical Tourism Mental Health Motion Sickness Natural Disasters Pregnant Travelers ... for purposes of medical treatment (see Chapter 2, Medical Tourism ), the blood and blood products used in the ...

  11. Intercity Travel Demand Analysis Model

    OpenAIRE

    Ming Lu; Hai Zhu; Xia Luo; Lei Lei

    2014-01-01

    It is well known that intercity travel is an important component of travel demand which belongs to short distance corridor travel. The conventional four-step method is no longer suitable for short distance corridor travel demand analysis for the time spent on urban traffic has a great impact on traveler's main mode choice. To solve this problem, the author studied the existing intercity travel demand analysis model, then improved it based on the study, and finally established a combined model...

  12. Road pricing as an impetus for environment-friendly travel behavior : Results from a stated adaptation experiment

    NARCIS (Netherlands)

    Janssens, D.; Cools, M.; Moons, E.; Wets, G.; Arentze, Theo A.; Timmermans, Harry J P

    2009-01-01

    An important policy instrument for governments to modify travel behavior and manage the increasing travel demand is the introduction of a congestion pricing system. In this study, the influence of a detailed classification of activities is examined to assess likely traveler response to congestion

  13. Randomised controlled trial of site specific advice on school travel patterns.

    Science.gov (United States)

    Rowland, D; DiGuiseppi, C; Gross, M; Afolabi, E; Roberts, I

    2003-01-01

    To evaluate the effect of site specific advice from a school travel coordinator on school travel patterns. Cluster randomised controlled trial of children attending 21 primary schools in the London boroughs of Camden and Islington. A post-intervention survey measured the proportion of children walking, cycling, or using public transport for travel to school, and the proportion of parents/carers very or quite worried about traffic and abduction. The proportion of schools that developed and implemented travel plans was assessed. One year post-intervention, nine of 11 intervention schools and none of 10 control schools had travel plans. Proportions of children walking, cycling, or using public transport on the school journey were similar in intervention and control schools. The proportion of parents who were very or quite worried about traffic danger was similar in the intervention (85%) and control groups (87%). However, after adjusting for baseline and other potential confounding factors we could not exclude the possibility of a modest reduction in parental concern about traffic danger as a result of the intervention. Having a school travel coordinator increased the production of school travel plans but there was no evidence that this changed travel patterns or reduced parental fears. Given the uncertainty about effectiveness, the policy of providing school travel coordinators should only be implemented within the context of a randomised controlled trial.

  14. Travel opinion leaders and seekers

    DEFF Research Database (Denmark)

    Yoo, Kyung-Hyan; Gretzel, Ulrike; Zach, Florian

    2011-01-01

    While opinion leadership has been recognized as important in tourism, there has been very little empirical research investigating the phenomenon. Given new developments in social media technologies, it is especially important to understand whether travel opinion leadership and seeking are drivers...... of specific social media perceptions and behaviours. Based on an online survey of US online travellers, this paper seeks to identify travel opinion leaders and seekers and their characteristics. Further, the research conducted investigated linkages between travel opinion leadership/seeking and travel social...... media use. The findings suggest that travel opinion leadership and seeking are distinct but connected. Both opinion leaders and seekers are technology savvy, young, educated, involved in travel planning and engaged in social media use for travel. What distinguishes opinion leaders is their greater...

  15. Travel experience ecosystem model : building travel agencies’ business resilience in Portugal

    OpenAIRE

    Salvado, Josefina

    2011-01-01

    The Portuguese tourism distribution recognizes in the digital economy drivers - based on e-business, collaborative networks and information exchange - an incentive to productivity and rendibility, leading to sustainable competitive advantages. Travel agencies live currently in a Darwinian business-oriented environment, where only resilient entrepreneurs are able to survive. This framing allows the genesis of a new theoretical archetype of travel agencies, the “TEEM - Travel Exp...

  16. Measuring the impact of efficient household travel decisions on potential travel time savings and accessibility gains

    Energy Technology Data Exchange (ETDEWEB)

    Recker, W.W.; McNally, M.G. [University of California, Irvine (United States). Institute of Transportation Studies, Department of Civil and Environmental Engineering; Chen, C. [Ming-Chuan University, Taiwan (China). Department of Tourism Industry

    2001-07-01

    Using the conceptual framework of time-space geography, this paper incorporates both spatio-temporal constraints and household interaction effects into a meaningful measure of the potential of a household to interact with the built environment. Within this context, personal accessibility is described as a measure of the potential ability of individuals within a household not only to reach activity opportunities, but to do so with sufficient time available for participation in those activities, subject to the spatio-temporal constraints imposed by their daily obligations and transportation supply environment. The incorporation of activity-based concepts in the measurement of accessibility as a product of travel time savings not only explicitly acknowledges a temporal dimension in assessing the potential for spatial interaction but also expands the applicability of accessibility consideration to such real-world policy options as the promotion of ride-sharing and trip chaining behaviors. An empirical application of the model system provides an indication of the potential of activity-based modeling approaches to assess the bounds on achievable improvements in accessibility and travel time based on daily household activity patterns. It also provides an assessment of roles for trip chaining and ride-sharing as potentially effective methods to facilitate transportation policy objectives. (author)

  17. The Connected Traveler

    Energy Technology Data Exchange (ETDEWEB)

    Young, Stanley

    2017-04-24

    The Connected Traveler project is a multi-disciplinary undertaking that seeks to validate potential for transformative transportation system energy savings by incentivizing energy efficient travel behavior.

  18. Entry and exit screening of airline travellers during the A(H1N1) 2009 pandemic: a retrospective evaluation.

    Science.gov (United States)

    Khan, Kamran; Eckhardt, Rose; Brownstein, John S; Naqvi, Raza; Hu, Wei; Kossowsky, David; Scales, David; Arino, Julien; MacDonald, Michael; Wang, Jun; Sears, Jennifer; Cetron, Martin S

    2013-05-01

    To evaluate the screening measures that would have been required to assess all travellers at risk of transporting A(H1N1)pdm09 out of Mexico by air at the start of the 2009 pandemic. Data from flight itineraries for travellers who flew from Mexico were used to estimate the number of international airports where health screening measures would have been needed, and the number of travellers who would have had to be screened, to assess all air travellers who could have transported the H1N1 influenza virus out of Mexico during the initial stages of the 2009 A(H1N1) pandemic. Exit screening at 36 airports in Mexico, or entry screening of travellers arriving on direct flights from Mexico at 82 airports in 26 other countries, would have resulted in the assessment of all air travellers at risk of transporting A(H1N1)pdm09 out of Mexico at the start of the pandemic. Entry screening of 116 travellers arriving from Mexico by direct or connecting flights would have been necessary for every one traveller at risk of transporting A(H1N1)pdm09. Screening at just eight airports would have resulted in the assessment of 90% of all air travellers at risk of transporting A(H1N1)pdm09 out of Mexico in the early stages of the pandemic. During the earliest stages of the A(H1N1) pandemic, most public health benefits potentially attainable through the screening of air travellers could have been achieved by screening travellers at only eight airports.

  19. Traveling-wave photodetector

    Science.gov (United States)

    Hietala, V.M.; Vawter, G.A.

    1993-12-14

    The traveling-wave photodetector of the present invention combines an absorptive optical waveguide and an electrical transmission line, in which optical absorption in the waveguide results in a photocurrent at the electrodes of the electrical transmission line. The optical waveguide and electrical transmission line of the electrically distributed traveling-wave photodetector are designed to achieve matched velocities between the light in the optical waveguide and electrical signal generated on the transmission line. This velocity synchronization provides the traveling-wave photodetector with a large electrical bandwidth and a high quantum efficiency, because of the effective extended volume for optical absorption. The traveling-wave photodetector also provides large power dissipation, because of its large physical size. 4 figures.

  20. Travel Characteristics and Commuting Pattern of Lagos Metropolis Residents: an Assessment

    Directory of Open Access Journals (Sweden)

    OSOBA, Samson Babatunde

    2015-06-01

    Full Text Available Urban travel is not solely the function of travel, but also on people’s participation in activities and how these were done. This study utilized 2,500 households’ samples in Lagos metropolis. The questionnaire about intra-city trip patterns was administered in direct proportion to the population size of each Local Government Areas (LGAs. Systematic sampling technique was used to select every tenth building on the identified streets. lt is observed that more than 95% of residents depends on roads, while less than 5% depends on Rail and Ferry. Work and business trips characterized the weekdays, while social, shopping and recreation trips dominate the weekends. This situation leads to too many vehicular traffic on the roads during the peak periods, leading to congestion and loss of valuable man-hours. Transportation planners in Lagos need to develop alternative intra-city transportation systems.

  1. Traveling wave laser system

    International Nuclear Information System (INIS)

    Gregg, D.W.; Kidder, R.E.; Biehl, A.T.

    1975-01-01

    The invention broadly involves a method and means for generating a traveling wave laser pulse and is basically analogous to a single pass light amplifier system. However, the invention provides a traveling wave laser pulse of almost unlimited energy content, wherein a gain medium is pumped in a traveling wave mode, the traveling wave moving at essentially the velocity of light to generate an amplifying region or zone which moves through the medium at the velocity of light in the presence of directed stimulating radiation, thereby generating a traveling coherent, directed radiation pulse moving with the amplification zone through the gain medium. (U.S.)

  2. Dynamic behavior of ion acoustic waves in electron-positron-ion magnetoplasmas with superthermal electrons and positrons

    Science.gov (United States)

    Saha, Asit; Pal, Nikhil; Chatterjee, Prasanta

    2014-10-01

    The dynamic behavior of ion acoustic waves in electron-positron-ion magnetoplasmas with superthermal electrons and positrons has been investigated in the framework of perturbed and non-perturbed Kadomtsev-Petviashili (KP) equations. Applying the reductive perturbation technique, we have derived the KP equation in electron-positron-ion magnetoplasma with kappa distributed electrons and positrons. Bifurcations of ion acoustic traveling waves of the KP equation are presented. Using the bifurcation theory of planar dynamical systems, the existence of the solitary wave solutions and the periodic traveling wave solutions has been established. Two exact solutions of these waves have been derived depending on the system parameters. Then, using the Hirota's direct method, we have obtained two-soliton and three-soliton solutions of the KP equation. The effect of the spectral index κ on propagations of the two-soliton and the three-soliton has been shown. Considering an external periodic perturbation, we have presented the quasi periodic behavior of ion acoustic waves in electron-positron-ion magnetoplasmas.

  3. Dynamic behavior of ion acoustic waves in electron-positron-ion magnetoplasmas with superthermal electrons and positrons

    Energy Technology Data Exchange (ETDEWEB)

    Saha, Asit, E-mail: asit-saha123@rediffmail.com, E-mail: prasantachatterjee1@rediffmail.com [Department of Mathematics, Sikkim Manipal Institute of Technology, Majitar, Rangpo, East-Sikkim 737136 (India); Department of Mathematics, Siksha Bhavana, Visva Bharati University, Santiniketan-731235 (India); Pal, Nikhil; Chatterjee, Prasanta, E-mail: asit-saha123@rediffmail.com, E-mail: prasantachatterjee1@rediffmail.com [Department of Mathematics, Siksha Bhavana, Visva Bharati University, Santiniketan-731235 (India)

    2014-10-15

    The dynamic behavior of ion acoustic waves in electron-positron-ion magnetoplasmas with superthermal electrons and positrons has been investigated in the framework of perturbed and non-perturbed Kadomtsev-Petviashili (KP) equations. Applying the reductive perturbation technique, we have derived the KP equation in electron-positron-ion magnetoplasma with kappa distributed electrons and positrons. Bifurcations of ion acoustic traveling waves of the KP equation are presented. Using the bifurcation theory of planar dynamical systems, the existence of the solitary wave solutions and the periodic traveling wave solutions has been established. Two exact solutions of these waves have been derived depending on the system parameters. Then, using the Hirota's direct method, we have obtained two-soliton and three-soliton solutions of the KP equation. The effect of the spectral index κ on propagations of the two-soliton and the three-soliton has been shown. Considering an external periodic perturbation, we have presented the quasi periodic behavior of ion acoustic waves in electron-positron-ion magnetoplasmas.

  4. 2001 New York State NHTS: Travel Patterns of Special Populations

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Patricia S [ORNL; Reuscher, Tim [ORNL

    2010-03-01

    Policymakers rely on transportation statistics, including data on personal travel behavior, to formulate strategic transportation policies, and to improve the safety and efficiency of the U.S. transportation system. Data on personal travel trends are needed to examine the reliability, efficiency, capacity, and flexibility of the Nation's transportation system to meet current demands and accommodate future demands; to assess the feasibility and efficiency of alternative congestion-alleviating technologies (e.g., high-speed rail, magnetically levitated trains, intelligent vehicle and highway systems); to evaluate the merits of alternative transportation investment programs; and to assess the energy-use and air-quality impacts of various policies. To address these data needs, the U.S. Department of Transportation (USDOT) initiated an effort in 1969 to collect detailed data on personal travel. The 1969 survey was the first Nationwide Personal Transportation Survey (NPTS). The survey was conducted again in 1977, 1983, 1990, 1995, and 2001. Data on daily travel were collected in 1969, 1977, 1983, 1990 and 1995. Longer-distance travel was collected in 1977 and 1995. The 2001 National Household Travel Survey (NHTS) collected both daily and longer-distance trips in one survey. The 2001 survey was sponsored by three USDOT agencies: Federal Highway Administration (FHWA), Bureau of Transportation Statistics (BTS), and National Highway Traffic Safety Administration (NHTSA). The primary objective of the survey was to collect trip-based data on the nature and characteristics of personal travel so that the relationships between the characteristics of personal travel and the demographics of the traveler can be established. Commercial and institutional travel was not part of the survey. New York State participated in the 2001 NHTS by procuring additional 12,000 sample households. These additional sample households allowed New York State to address transportation planning issues

  5. Mind your travel ! Motivation, time use, and intent : Three factors of travel to be investigated

    OpenAIRE

    PAPON , Francis; Meissonnier , Joël

    2013-01-01

    The objective is to investigate the drivers of travel demand beyond the need to travel to destination; travellers may engage a trip for the sake of it, at least to some extent: travel includes a share of 'primary utility'. The paper focuses on two types of data and analysis: the primary utility of travel questions passed in the last French national travel survey, and eight dimensions of a trip proposed from a sociological analysis. The paper mixes these approaches and correlate survey answ...

  6. A travel clinic in your office: grow your practice and protect international travelers.

    Science.gov (United States)

    Kirsch, Michael

    2009-01-01

    Medical practices today face economic challenges from declining reimbursements and rising overhead costs. Physicians need to develop new income sources to invigorate their practices and remain viable. Travel medicine-advising and immunizing international travelers-is a rapidly growing specialty in the United States that generates substantial cash reimbursements and professional satisfaction. Travel Clinics of America, a physician-operated company, specializes in helping physicians to incorporate travel medicine into their existing practices.

  7. Health hazards of international travel.

    Science.gov (United States)

    Cossar, J H; Reid, D

    1989-01-01

    The growth of travel and the increasing numbers of those affected by travel-related illnesses, some of a serious nature, will cause this subject to demand the attention of the medical profession, the travel trade, travellers themselves and the health authorities of countries receiving tourists. Provision of appropriate advice for the traveller is a shared responsibility, best channelled mainly through travel agencies; it can moreover be shown to be cost-beneficial. Continued monitoring of illness in travellers and provision of information systems geared to this problem and its prevention are fully justified. They should be based on traditional channels of communication and currently-available modern technology, and be readily accessible to medical and related workers. Increased collaboration between medical workers, health educators and those involved in the travel trade would be a positive and useful contribution towards the reduction of illness and discomfort among travellers and the associated expense incurred by the various national health services concerned. There are clearly economic benefits from the development of international tourism, but these have to be balanced in countries accepting tourists by attention to the prevention of illnesses associated with travel.

  8. Travel medicine and mHealth technology: a study using smartphones to collect health data during travel.

    Science.gov (United States)

    Farnham, Andrea; Blanke, Ulf; Stone, Emily; Puhan, Milo A; Hatz, Christoph

    2016-06-01

    mHealth methodology such as smartphone applications offers new opportunities to capture the full range of health risks during travel in real time. Our study aims to widen the scope of travel health research in tropical and subtropical destinations by using a smartphone application to collect detailed information on health behaviours, clinical symptoms, accidents and environmental factors during travel. We enrolled travel clinic clients in Zurich and Basel ≥18 years of age travelling to Thailand for travel. Participants were equipped with a smartphone and an application that (1) actively administers a daily self-report questionnaire on the health risks, behaviours and symptoms the traveller encountered, and (2) passively collects information on the traveller's location and environmental conditions by transformation of raw GPS data. A prospective cohort of 101 travellers planning travel to Thailand between January and June 2015 was recruited. Of the 101 enrolled travellers, 75 (74.3%) answered at least one questionnaire during travel, 10 (9.9%) had technical difficulties and 16 (15.8%) dropped out. Those who completed questionnaires were a median of 27.0 years old (range 18-57). Travellers filled out a median of 12.0 questionnaires during their trip (range 1-30), corresponding to a median completion rate of 85.0% days of travel. The typical example of a healthy female traveller shows that many and diverse health issues arise during a trip that clusters on certain days. The rich data on behaviour and local environment may be used to explain the occurrence and clustering of health issues. Use of a smartphone app to collect health information is technically feasible and acceptable amongst a traveller population, minimizes recall bias and greatly increases the quality and quantity of data collected during travel. mHealth technology shows great potential for innovation in travel medicine. © International Society of Travel Medicine, 2016. All rights reserved

  9. Knowledge Representation in Travelling Texts

    DEFF Research Database (Denmark)

    Mousten, Birthe; Locmele, Gunta

    2014-01-01

    Today, information travels fast. Texts travel, too. In a corporate context, the question is how to manage which knowledge elements should travel to a new language area or market and in which form? The decision to let knowledge elements travel or not travel highly depends on the limitation...... and the purpose of the text in a new context as well as on predefined parameters for text travel. For texts used in marketing and in technology, the question is whether culture-bound knowledge representation should be domesticated or kept as foreign elements, or should be mirrored or moulded—or should not travel...... at all! When should semantic and pragmatic elements in a text be replaced and by which other elements? The empirical basis of our work is marketing and technical texts in English, which travel into the Latvian and Danish markets, respectively....

  10. 76 FR 43236 - Federal Travel Regulation (FTR): Temporary Duty (TDY) Travel Allowances: Notice of Public Meeting

    Science.gov (United States)

    2011-07-20

    ...; Sequence 5] Federal Travel Regulation (FTR): Temporary Duty (TDY) Travel Allowances: Notice of Public... public meeting. SUMMARY: The General Services Administration (GSA) is revising the Federal Travel Regulation (FTR) in an effort to streamline travel policies, increase travel efficiency and effectiveness...

  11. Travel determinants and multi-scale transferability of national activity patterns to local populations

    Energy Technology Data Exchange (ETDEWEB)

    Henson, Kriste M [Los Alamos National Laboratory; Gou; ias, Konstadinos G [UCSB

    2010-11-30

    The ability to transfer national travel patterns to a local population is of interest when attempting to model megaregions or areas that exceed metropolitan planning organization (MPO) boundaries. At the core of this research are questions about the connection between travel behavior and land use, urban form, and accessibility. As a part of this process, a group of land use variables have been identified to define activity and travel patterns for individuals and households. The 2001 National Household Travel Survey (NHTS) participants are divided into categories comprised of a set of latent cluster models representing persons, travel, and land use. These are compared to two sets of cluster models constructed for two local travel surveys. Comparison of means statistical tests are used to assess differences among sociodemographic groups residing in localities with similar land uses. The results show that the NHTS and the local surveys share mean population activity and travel characteristics. However, these similarities mask behavioral heterogeneity that are shown when distributions of activity and travel behavior are examined. Therefore, data from a national household travel survey cannot be used to model local population travel characteristics if the goal to model the actual distributions and not mean travel behavior characteristics.

  12. Travel, infection and immunity

    OpenAIRE

    Soonawala, Darius

    2016-01-01

    Preface: The content of this thesis is based on research that was conducted at the travel and vaccination clinic at Leiden University Medical Centre (LUMC). This clinic provides pre-travel care to the general population, and to special groups of travellers, such as patients who use immunosuppressants or who have chronic diseases. The clinic is closely connected to the department of Infectious Diseases at LUMC. The setting of a travel clinic within an academic medical hospital, provides unique...

  13. Exploring disagreement prevention and resolution in travel decision-making of young Chinese travellers

    OpenAIRE

    Song, Hanqun; Sparks, Beverley; Wang, Ying

    2017-01-01

    The young Chinese travel market is becoming increasingly significant in domestic and international tourism. However, there is limited research on the market. This study examines the decision-making processes of young Chinese travellers, with a particular interest in disagreement prevention and resolution. On the basis of interviews with 25 young Chinese travellers, this study found that while a small number of travellers did not perceive any disagreement, or did not voice their disagreement, ...

  14. Visualizations of Travel Time Performance Based on Vehicle Reidentification Data

    Energy Technology Data Exchange (ETDEWEB)

    Young, Stanley Ernest [National Renewable Energy Lab, 15013 Denver West Parkway, Golden, CO 80401; Sharifi, Elham [Center for Advanced Transportation Technology, University of Maryland, College Park, Technology Ventures Building, Suite 2200, 5000 College Avenue, College Park, MD 20742; Day, Christopher M. [Joint Transportation Research Program, Purdue University, 550 Stadium Mall Drive, West Lafayette, IN 47906; Bullock, Darcy M. [Lyles School of Civil Engineering, Purdue University, 550 Stadium Mall Drive, West Lafayette, IN 47906

    2017-01-01

    This paper provides a visual reference of the breadth of arterial performance phenomena based on travel time measures obtained from reidentification technology that has proliferated in the past 5 years. These graphical performance measures are revealed through overlay charts and statistical distribution as revealed through cumulative frequency diagrams (CFDs). With overlays of vehicle travel times from multiple days, dominant traffic patterns over a 24-h period are reinforced and reveal the traffic behavior induced primarily by the operation of traffic control at signalized intersections. A cumulative distribution function in the statistical literature provides a method for comparing traffic patterns from various time frames or locations in a compact visual format that provides intuitive feedback on arterial performance. The CFD may be accumulated hourly, by peak periods, or by time periods specific to signal timing plans that are in effect. Combined, overlay charts and CFDs provide visual tools with which to assess the quality and consistency of traffic movement for various periods throughout the day efficiently, without sacrificing detail, which is a typical byproduct of numeric-based performance measures. These methods are particularly effective for comparing before-and-after median travel times, as well as changes in interquartile range, to assess travel time reliability.

  15. Uncertain travel times and activity schedules under conditions of space-time constraints and invariant choice heuristics

    NARCIS (Netherlands)

    Rasouli, S.; Timmermans, H.J.P.

    2014-01-01

    The aim of this paper is to assess the impact of uncertain travel times as reflected in travel time variability on the outcomes of individuals’ activity–travel scheduling decisions, assuming they are faced with fixed space–time constraints and apply the set of decision rules that they have developed

  16. Travel Characteristics and Pretravel Health Care Among Pregnant or Breastfeeding U.S. Women Preparing for International Travel.

    Science.gov (United States)

    Hagmann, Stefan H F; Rao, Sowmya R; LaRocque, Regina C; Erskine, Stefanie; Jentes, Emily S; Walker, Allison T; Barnett, Elizabeth D; Chen, Lin H; Hamer, Davidson H; Ryan, Edward T

    2017-12-01

    To study characteristics and preventive interventions of adult pregnant and breastfeeding travelers seeking pretravel health care in the United States. This cross-sectional study analyzed data (2009-2014) of pregnant and breastfeeding travelers seen at U.S. travel clinics participating in Global TravEpiNet. Nonpregnant, nonbreastfeeding adult female travelers of childbearing age were used for comparison. We evaluated the prescription of malaria chemoprophylaxis and antibiotics for this population as well as the administration of three travel-related vaccines: hepatitis A, typhoid, and yellow fever. We also evaluated use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis and influenza vaccines, because these are widely recommended in pregnancy. Of 21,138 female travelers of childbearing age in Global TravEpiNet, 170 (0.8%) were pregnant and 139 (0.7%) were breastfeeding. Many traveled to destinations endemic for mosquito-borne illnesses, including malaria (pregnant: 95%; breastfeeding: 94%), dengue (pregnant: 87%; breastfeeding: 81%), or yellow fever (pregnant: 35%; breastfeeding: 50%). Compared with nonpregnant, nonbreastfeeding adult female travelers, eligible pregnant travelers were less likely to be vaccinated against hepatitis A (28% compared with 51%, Ptravelers did not receive influenza vaccination. Yellow fever vaccine was occasionally provided to pregnant and breastfeeding travelers traveling to countries entirely endemic for yellow fever (6 [20%] of 30 pregnant travelers and 18 [46%] of 39 breastfeeding travelers). Half of pregnant travelers and two thirds of breastfeeding travelers preparing to travel to malaria-holoendemic countries received a prescription for malaria prophylaxis. Most pregnant and breastfeeding travelers seen for pretravel health consultations traveled to destinations with high risk for vector-borne or other travel-related diseases. Destination-specific preventive interventions were frequently underused.

  17. The value of travel time variance

    DEFF Research Database (Denmark)

    Fosgerau, Mogens; Engelson, Leonid

    2011-01-01

    This paper considers the value of travel time variability under scheduling preferences that are defined in terms of linearly time varying utility rates associated with being at the origin and at the destination. The main result is a simple expression for the value of travel time variability...... that does not depend on the shape of the travel time distribution. The related measure of travel time variability is the variance of travel time. These conclusions apply equally to travellers who can freely choose departure time and to travellers who use a scheduled service with fixed headway. Depending...... on parameters, travellers may be risk averse or risk seeking and the value of travel time may increase or decrease in the mean travel time....

  18. Pierce gain analysis for a sheet beam in a rippled waveguide traveling-wave tube

    International Nuclear Information System (INIS)

    Carlsten, Bruce E.

    2001-01-01

    A Pierce-type mode analysis is presented for a planar electron beam in a rippled planar waveguide. This analysis describes the gain of a traveling-wave tube consisting of that geometry. The dispersion relation is given by the determinant of a matrix based on the coupling of different free-space modes through the boundary conditions. For the case of high-frequency, low-power amplifiers, the dispersion relation reduces to a simple cubic expression for the Compton regime, leading to three roots analogous to the Pierce solution of a standard traveling-wave tube. The analysis shows that this type of traveling-wave tube is capable of very high gain at extremely high frequencies

  19. 76 FR 46216 - Federal Travel Regulation (FTR): Temporary Duty (TDY) Travel Allowances: Notice of Public Meeting...

    Science.gov (United States)

    2011-08-02

    ...; Sequence 5] Federal Travel Regulation (FTR): Temporary Duty (TDY) Travel Allowances: Notice of Public... and the general public in an effort to streamline travel policies, incorporated travel efficiency and.... Flynn, Deputy Director, Office of Travel, Transportation & Asset Management. [FR Doc. 2011-19482 Filed 8...

  20. Costs of travel time uncertainty and benefits of travel time information: Conceptual model and numerical examples

    NARCIS (Netherlands)

    Ettema, D.F.; Timmermans, H.J.P.

    2006-01-01

    A negative effect of congestion that tends to be overlooked is travel time uncertainty. Travel time uncertainty causes scheduling costs due to early or late arrival. The negative effects of travel time uncertainty can be reduced by providing travellers with travel time information, which improves

  1. Traveler information services in rural tourism areas : appendix B, qualitative interviews and focus groups

    Science.gov (United States)

    2000-06-30

    This report documents results from surveys which were conducted for qualitatively assessing the use of traveler information services in rural areas. The focus of the surveys was to identify those factors which influence travel planning and thus impro...

  2. Traveling wave laser system

    International Nuclear Information System (INIS)

    Gregg, D.W.; Kidder, R.E.; Biehl, A.T.

    1975-01-01

    A method is described for generating a traveling wave laser pulse of almost unlimited energy content wherein a gain medium is pumped into a traveling wave mode, the traveling wave moving at essentially the velocity of light to generate an amplifying region or zone which moves through the medium at the velocity of light in the presence of directed stimulating radiation, thereby generating a traveling coherent, directed radiation pulse moving with the amplification zone through the gain medium. (U.S.)

  3. Travel, infection and immunity

    NARCIS (Netherlands)

    Soonawala, Darius

    2016-01-01

    Preface: The content of this thesis is based on research that was conducted at the travel and vaccination clinic at Leiden University Medical Centre (LUMC). This clinic provides pre-travel care to the general population, and to special groups of travellers, such as patients who use

  4. Modelling urban travel times

    NARCIS (Netherlands)

    Zheng, F.

    2011-01-01

    Urban travel times are intrinsically uncertain due to a lot of stochastic characteristics of traffic, especially at signalized intersections. A single travel time does not have much meaning and is not informative to drivers or traffic managers. The range of travel times is large such that certain

  5. Patient awareness of need for hepatitis a vaccination (prophylaxis) before international travel.

    Science.gov (United States)

    Liu, Stephen J; Sharapov, Umid; Klevens, Monina

    2015-01-01

    Although hepatitis A virus (HAV) infection is preventable through vaccination, cases associated with international travel continue to occur. The purpose of this study was to examine the frequency of international travel and countries visited among persons infected with HAV and assess reasons why travelers had not received hepatitis A vaccine before traveling. Using data from sentinel surveillance for HAV infection in seven US counties during 1996 to 2006, we examined the role of international travel in hepatitis A incidence and the reasons for patients not being vaccinated. Of 2,002 hepatitis A patients for whom travel history was available, 300 (15%) reported traveling outside of the United States. Compared to non-travelers, travelers were more likely to be female [odds ratio (OR) = 1.74 (95% confidence interval [95% CI], 1.35, 2.24)], aged 0 to 17 years [OR = 3.30 (1.83, 5.94)], Hispanic [OR = 3.69 (2.81, 4.86)], Asian [OR = 2.00 (1.06, 3.77)], and were less likely to be black non-Hispanic [OR = 0.30 (0.11, 0.82)]. The majority, 189 (61.6%), had traveled to Mexico. The most common reason for not getting pre-travel vaccination was "Didn't know I could [or should] get shots" [100/154 (65%)]. Low awareness of HAV vaccination was the predominant reason for not being protected before travel. Different modes of traveler education could improve prevention of hepatitis A. To highlight the risk of infection before traveling to endemic countries including Mexico, travel and consulate websites could list reminders of vaccine recommendations. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

  6. Travelers' Health: Trypanosomiasis, American (Chagas Disease)

    Science.gov (United States)

    ... Stamaril clinics Disease Directory Resources Resources for Travelers Adventure Travel Animal Safety Blood Clots Bug Bites Evite ... Minute Travel Long-Term Travel Mass Gatherings Medical Tourism Mental Health Motion Sickness Natural Disasters Pregnant Travelers ...

  7. TRAVEL AND HOME LEAVE

    CERN Multimedia

    Human Resources Division

    2002-01-01

    Administrative procedures for : Travel to the home station and home leave (hl) Additional travel to the home station (at) Travel to the home station and home leave for family reasons (hlf) As part of the process of simplifying administrative procedures, HR and AS Divisions have devised a new, virtually automatic procedure for payment of travel expenses to the home station. The changes are aimed at rationalising administrative procedures and not at reducing benefits. The conditions of eligibility are unchanged. The new procedure, which will be operational with effect from 1st June 2002, will greatly simplify the administrative processing of claims for travel expenses and the recording of home leaves. Currently, requests for payment are introduced manually into the Advances and Claims system (AVCL) by divisional secretariats. All travel to the home station starting prior to 1st June 2002 will be processed according to the existing system whereas that starting on 1st June and after will be processed accordi...

  8. Residential self-selection and travel : The relationship between travel-related attitudes, built environment characteristics and travel behaviour

    NARCIS (Netherlands)

    Bohte, W.

    2010-01-01

    Most Western national governments aim to influence individual travel patterns – at least to some degree – through spatial planning in residential areas. Nevertheless, the extent to which the characteristics of the built environment influence travel behaviour remains the subject of some debate among

  9. Writing Travel in the Anthropocene

    DEFF Research Database (Denmark)

    Graulund, Rune

    2016-01-01

    the Anthropocene - which is to say an age in which nowhere, not the furthest reachest of the stratosphere nor the lowest point in the marine abyss, are untouched by the activities and detritus of humankind. The essay will give a short overview of the manner in which the notion of 'travel' has been contested......Travel writing critics have proclaimed the end of travel since at least the beginning of the 20th Century. Yet the global age of the 21st century presents us with a range a problems that challenge the notion of travel in manners that neither travellers, travel writers, nor travel writing critics...... could have imagined just a century ago. Globalisation and increased mobility, whether it is that of the privileged few who can travel on holiday on jet airplanes, or that of the immigrant labourer seeking employment by crossing borders on foot, have meant millions (if not indeed billions) are constantly...

  10. Acquisition of extended spectrum β-lactamases during travel abroad-A qualitative study among Swedish travellers examining their knowledge, risk assessment, and behaviour.

    Science.gov (United States)

    Wiklund, Susanne; Fagerberg, Ingegerd; Örtqvist, Åke; Broliden, Kristina; Tammelin, Ann

    2016-01-01

    Travel to foreign countries involves the risk of becoming a carrier of antibiotic-resistant bacteria, especially when the destination is a country with a high prevalence of this type of bacteria. The aim of this study was to learn about the knowledge of antibiotic resistance, and the behaviour and risk-taking among travellers, who had become carriers of extended spectrum beta-lactamases (ESBL)-producing bacteria during travel to a high-prevalence country. A modified version of grounded theory was used to analyse 15 open interviews. The analysis resulted in a core category: A need for knowledge to avoid risk-taking . Before the journey, the participants did not perceive there to be any risk of becoming a carrier of antibiotic- resistant bacteria. The low level of knowledge of antibiotic-resistant bacteria and transmission routes influenced their behaviour and risk-taking during their journey, resulting in them exposing themselves to risk situations. After their trip, the majority did not believe that their personal risk behaviour could have caused them to become carriers of ESBL. The participants' lack of knowledge of antibiotic-resistant bacteria resulted in unconscious risk-taking during their journey, which may have resulted in becoming carriers of ESBL-producing bacteria.

  11. Electron energy-loss spectroscopy

    International Nuclear Information System (INIS)

    Egerton, R.

    1997-01-01

    As part of the commemorative series of articles to mark the hundredth anniversary of the discovery of the electron, this article discusses electron energy-loss spectroscopy. The physical and chemical properties of materials can be studied by considering the energy that electrons use as they travel through a solid, often in conjunction with other analytical techniques. The technique is often combined with electron diffraction and high-resolution imaging and can be used to provide elemental identification down to the atomic scale. (UK)

  12. Information impact on quality of travel choices: analysis of data from a multimodal travel simulator

    NARCIS (Netherlands)

    Chorus, C.G.; Arentze, T.A.; Timmermans, H.J.P.; Silva, da A.N.R.; Souza, de L.C.L.

    2007-01-01

    This paper investigates the impact of travel information on the quality of travel choices. It distinguishes itself from earlier studies on this topic by empirically investigating the impact of a variety of travel information types on the quality of observed multimodal travel choices. Choice quality

  13. Drug use, travel and HIV risk.

    Science.gov (United States)

    Lee, D; Bell, D C; Hinojosa, M

    2002-08-01

    A study was conducted to examine the travel experiences of a community sample of 160 drug users and 44 non-users recruited as part of a study of HIV risk. Of the sample, 47% (96/204) reported intercity travel in the previous ten years. Results showed that men were more likely to travel than women, Anglos more than minorities, and young persons more than old. When travellers testing HIV-seropositive (n = 13) were compared with seronegative travellers, HIV-positive travellers reported more sex while travelling than HIV-negative persons, but virtually all of the difference reported involved sex with condoms. There were no significant differences in sex risk behaviours while travelling between drug users and non-drug users, or in sex risk behaviors between drug injectors and non-injectors. Travellers had fewer injection partners while travelling than they had while at home. There was also a significant difference in number of sex partners with whom a condom was not used, with fewer sex partners while travelling.

  14. Carlson Wagonlit Travel

    CERN Multimedia

    Carlson Wagonlit Travel

    2005-01-01

    Dear customers, On 3 January we informed you that the airlines had decided to cease paying commission to travel agencies in Switzerland. This measure has since been progressively introduced, with rare exceptions. Consequently, in agreement with CERN, we are obliged to apply new transaction fees for private travel, with immediate effect. Carlson Wagonlit Travel (CWT) offers: A personalized, professional and competent consultancy service To seek the most economical and best solution adapted to your needs Neutrality in comparing prices and benefits Additional information concerning e.g. visa regulations, insurance, vaccinations, etc. Support in the event of problems We draw your attention to the fact that, in spite of the increase, these prices remain very competitive on today's market. Thank you for your trust and understanding. Yours truly, Carlson Wagonlit Travel CERN agency

  15. Hepatitis B vaccination in travelers

    NARCIS (Netherlands)

    Sonder, Gerard J. B.

    2008-01-01

    An increasing number of travelers travel to hepatitis B-endemic countries. In travel medicine, vaccinations should be advised according to risks. The actual incidence of hepatitis B infection in short-term tourists is very low and probably not higher than it is for people who do not travel. There is

  16. Trends and characteristics among HIV-infected and diabetic travelers seeking pre-travel advice

    NARCIS (Netherlands)

    Elfrink, Floor; van den Hoek, Anneke; Sonder, Gerard J. B.

    2014-01-01

    The number of individuals with a chronic disease increases. Better treatment options have improved chronic patients' quality of life, likely increasing their motivation for travel. This may have resulted in a change in the number of HIV-infected travelers and/or travelers with Diabetes Mellitus (DM)

  17. Effectiveness of pre-travel consultation in the prevention of travel-related diseases: a retrospective cohort study.

    Science.gov (United States)

    Tafuri, Silvio; Guerra, Rocco; Gallone, Maria Serena; Cappelli, Maria Giovanna; Lanotte, Serafina; Quarto, Michele; Germinario, Cinzia

    2014-01-01

    This study aims to evaluate the effectiveness of pre-travel counselling carried out in Travel Clinics. This is a retrospective cohort. Three hundred international travellers were enrolled; 150 people were from users of Bari Travel Clinic, 150 were users of a travel agency. Enrolled subjects were interviewed using a questionnaire. The average age of the enrolled subjects was 37.5 ± 13.9, without statistically significant differences between the two groups. 86% of cases and 19.3% of the controls reported the use of anti-malaria prophylaxis (p Travel Clinic users, 6% reported diarrhoea and these figures were 27% in the control group (p study demonstrated the effectiveness of pre-travel counselling; in the future, new studies must investigate the cost-effectiveness of pre-travel prevention measures.

  18. Risk factors for infections in international travelers: an analysis of travel-related notifiable communicable diseases.

    Science.gov (United States)

    Baer, Atar; Libassi, Lisa; Lloyd, Jennifer K; Benoliel, Eileen; Brucker, Rachel; Jones, Megan Q; Kwan-Gett, Tao Sheng; McKeirnan, Shelly; Pecha, Monica; Rietberg, Krista; Serafin, Lauri; Walkinshaw, Lina P; Duchin, Jeffrey S

    2014-01-01

    We sought to describe travel-related illness among our residents and gain insight into targeting pre-travel health advice to prevent travel-related illness. A supplemental travel questionnaire was developed and administered for cases with a legally notifiable communicable disease reported in 2011-2012, who spent at least part of their exposure period outside the United States. Among 451 cases meeting the eligibility criteria, 259 were interviewed. Forty four percent reported receiving pre-travel advice. Two-thirds adhered fully with risk behavior recommendations; 94% followed immunization recommendations partially or fully; and 84% adhered fully with malaria prophylaxis recommendations. The primary reasons for not obtaining pre-travel advice were being unaware of the need (47.5%), or believing they already knew what to do (34.5%). Adults (OR = 2.8, 95% CI = 1.4-5.5), males (OR = 1.8, 95% CI = 1.1-3.0), those born outside the United States (OR = 2.0, 95% CI = 1.1-3.7), and those with planning time under two weeks (OR = 4.8, 95% CI = 1.5-15.9) or travel duration less than 7 days (OR = 7.9, 95% CI = 3.0-20.9) were more likely to travel without seeking pre-travel advice. The majority of cases reported not receiving pre-travel advice. Understanding the predictors of failure to receive pre-travel advice may help target public health prevention efforts. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Quantifying the association between obesity, automobile travel, and caloric intake.

    Science.gov (United States)

    Behzad, Banafsheh; King, Douglas M; Jacobson, Sheldon H

    2013-02-01

    The objective of this study is to assess the association between average adult body mass index (BMI), automobile travel, and caloric intake in the US in order to predict future trends of adult obesity. Annual BMI data (1984-2010) from the Behavioral Risk Factor Surveillance System (BRFSS), vehicle miles traveled data (1970-2009) from the Federal Highway Administration, licensed drivers data (1970-2009) from the Federal Highway Administration, and adult average daily caloric intake data (1970-2009) from the US Department of Agriculture were collected. A statistical model is proposed to capture multicollinearity across the independent variables. The proposed statistical model provides an estimate of changes in the average adult BMI associated with changes in automobile travel and caloric intake. According to this model, reducing daily automobile travel by one mile per driver would be associated with a 0.21 kg/m(2) reduction in the national average BMI after six years. Reducing daily caloric intake by 100 calories per person would be associated with a 0.16 kg/m(2) reduction in the national average BMI after three years. Making small changes in travel or diet choices may lead to comparable obesity interventions, implying that travel-based interventions may be as effective as dietary interventions. Copyright © 2012 Elsevier Inc. All rights reserved.

  20. Travel style is a major risk factor for diarrhoea in India: a prospective cohort study.

    Science.gov (United States)

    Schindler, V M; Jaeger, V K; Held, L; Hatz, C; Bühler, S

    2015-07-01

    Although some studies suggested specific foods/beverages as risk factors for travellers' diarrhoea (TD), details of transmission remain unclear. We assessed the influence of travel style (luxury/middle-class versus backpacking) on TD risk. TD attack rates were compared in a prospective study among travellers to India at the University of Zurich's Travel Clinic. Information on consumption of foods/beverages was collected. Seventy-one luxury/middle-class travellers and 21 backpackers completed the study; overall 37% suffered from TD (62% backpackers, 30% luxury/middle-class travellers, OR 4.43, p 0.022). Travel style rather than the consumption of specific foods/beverages appears to be a risk factor for TD development. Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  1. Knowledge, attitudes, and practices evaluation about travel medicine in international travelers and medical students in Chile.

    Science.gov (United States)

    Guerrero-Lillo, Lisette; Medrano-Díaz, Jorge; Pérez, Carmen; Chacón, Rodrigo; Silva-Urra, Juan; Rodriguez-Morales, Alfonso J

    2009-01-01

    Because information about travel medicine in Chile is lacking, a knowledge, attitudes, and practices evaluation in international travelers and medical students was done. The travelers and medical students did not know the travel medicine and sanitary conditions of their destinations, although they perceived travel-associated health risks, but <10% had any vaccination and 5% got sick during international trips.

  2. Traveling and Asthma

    Science.gov (United States)

    ... Videos for Educators Search English Español Traveling and Asthma KidsHealth / For Kids / Traveling and Asthma Print en ... pack it, too. How Can I Avoid My Asthma Triggers? Staying at a hotel Ask for a ...

  3. New York Household Travel Patterns: A Comparison Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Patricia S [ORNL; Reuscher, Tim [ORNL

    2007-05-01

    In 1969, the U. S. Department of Transportation began collecting detailed data on personal travel to address various transportation planning issues. These issues range from assessing transportation investment programs to developing new technologies to alleviate congestion. This 1969 survey was the birth of the Nationwide Personal Transportation Survey (NPTS). The survey was conducted again in 1977, 1983, 1990 and 1995. Longer-distance travel was collected in 1977 and 1995. In 2001, the survey was renamed to the National Household Travel Survey (NHTS) and collected both daily and longer-distance trips in one survey. In addition to the number of sample households that the national NPTS/NHTS survey allotted to New York State (NYS), the state procured an additional sample of households in both the 1995 and 2001 surveys. In the 1995 survey, NYS procured an addition sample of more than 9,000 households, increasing the final NY NPTS sample size to a total of 11,004 households. Again in 2001, NYS procured 12,000 additional sample households, increasing the final New York NHTS sample size to a total of 13,423 households with usable data. These additional sample households allowed NYS to address transportation planning issues pertinent to geographic areas significantly smaller than for what the national NPTS and NHTS data are intended. Specifically, these larger sample sizes enable detailed analysis of twelve individual Metropolitan Planning Organizations (MPOs). Furthermore, they allowed NYS to address trends in travel behavior over time. In this report, travel data for the entire NYS were compared to those of the rest of the country with respect to personal travel behavior and key travel determinants. The influence of New York City (NYC) data on the comparisons of the state of New York to the rest of the country was also examined. Moreover, the analysis examined the relationship between population density and travel patterns, and the similarities and differences among New

  4. Cost-effectiveness of electronic training in domestic violence risk assessment: ODARA 101.

    Science.gov (United States)

    Hilton, N Zoe; Ham, Elke

    2015-03-01

    The need for domestic violence training has increased with the development of evidence-based risk assessment tools, which must be scored correctly for valid application. Emerging research indicates that training in domestic violence risk assessment can increase scoring accuracy, but despite the increasing popularity of electronic training, it is not yet known whether it can be an effective method of risk assessment training. In the present study, 87 assessors from various professions had training in the Ontario Domestic Assault Risk Assessment either face-to-face or using an electronic training program. The two conditions were equally effective, as measured by performance on a post-training skill acquisition test. Completion rates were 100% for face-to-face and 86% for electronic training, an improvement over a previously evaluated manual-only condition. The estimated per-trainee cost of electronic training was one third that of face-to-face training and expected to decrease. More rigorous evaluations of electronic training for risk assessment are recommended. © The Author(s) 2014.

  5. Travelling Concepts

    DEFF Research Database (Denmark)

    Simonsen, Karen-Margrethe

    2013-01-01

    Review of "Travelling Concepts, Metaphors, and Narratives: Literary and Cultural Studies in an Age of Interdisciplinary Research" ed. by Sibylle Baumgarten, Beatrice Michaelis and Ansagar Nünning, Trier; Wissenschaftlicher Verlag Trier, 2012......Review of "Travelling Concepts, Metaphors, and Narratives: Literary and Cultural Studies in an Age of Interdisciplinary Research" ed. by Sibylle Baumgarten, Beatrice Michaelis and Ansagar Nünning, Trier; Wissenschaftlicher Verlag Trier, 2012...

  6. Environmental hazards in Nepal: altitude illness, environmental exposures, injuries, and bites in travelers and expatriates.

    Science.gov (United States)

    Boggild, Andrea K; Costiniuk, Cecilia; Kain, Kevin C; Pandey, Prativa

    2007-01-01

    Adventure travel necessarily places travelers at risk of environmental hazards. We assessed the burden of "environmental" hazards among a cohort of travelers and expatriates presenting to a large travel clinic in Nepal. Data on travelers and expatriates seen at the Canadian International Water and Energy Consultants (CIWEC) clinic in Kathmandu were prospectively collected and entered into the GeoSentinel Surveillance Network database. Data on individuals receiving predefined diagnoses related to environmental hazards were extracted and analyzed. Of 10,499 travelers and 4,854 expatriates in the database, 2,160 were diagnosed with 2,533 environment-related illnesses. Injuries were common among both travelers and expatriates [N= 788 (6.1%) and 328 (4.9%), respectively], while altitude illness was seen almost exclusively in travelers [N= 611 (4.7%) vs N= 8 (0.1%)]. Factors independently associated with environmental diagnoses include male gender (p tourism (p educational impact in others.

  7. electron energy-loss spectroscopy

    International Nuclear Information System (INIS)

    Egerton, R.

    1997-01-01

    As part of a commemorative series of articles to mark the hundredth anniversary of the discovery of the electron, this article describes the use of electron energy-loss spectroscopy. The physical and chemical properties of materials can be studied by considering the energy that electrons use as they travel through a solid, often in conjunction with other analytical techniques. The technique is often combined with electron diffraction and high-resolution imaging and can be used to provide elemental identification down to the atomic scale. 6 figs

  8. Examining the Relationship between Online Travel Agency Information and Traveler Destination Transaction Decisions

    Science.gov (United States)

    Yerby, Dennis

    2012-01-01

    The purpose of this quantitative study was to examine the role that available Online Travel Agency (OTA) destination information may have on a traveler's perceptions and intent in transaction decisions with that respective OTA. Specifically, this research examined a pleasure traveler's transaction perceptions and intentions with an OTA…

  9. Travel Agent Course Outline.

    Science.gov (United States)

    British Columbia Dept. of Education, Victoria.

    Written for college entry-level travel agent training courses, this course outline can also be used for inservice training programs offered by travel agencies. The outline provides information on the work of a travel agent and gives clear statements on what learners must be able to do by the end of their training. Material is divided into eight…

  10. Travel time variability and rational inattention

    DEFF Research Database (Denmark)

    Fosgerau, Mogens; Jiang, Gege

    2017-01-01

    This paper sets up a rational inattention model for the choice of departure time for a traveler facing random travel time. The traveler chooses how much information to acquire about the travel time out-come before choosing departure time. This reduces the cost of travel time variability compared...

  11. Monitoring Travel Time Reliability on Freeways

    NARCIS (Netherlands)

    Tu, Huizhao

    2008-01-01

    Travel time and travel time reliability are important attributes of a trip. The current measures of reliability have in common that in general they all relate to the variability of travel times. However, travel time reliability does not only rely on variability but also on the stability of travel

  12. Travel Behavior Change in Older Travelers: Understanding Critical Reactions to Incidents Encountered in Public Transport

    Directory of Open Access Journals (Sweden)

    Catherine Sundling

    2015-11-01

    Full Text Available Accessibility of travel may be better understood if psychological factors underlying change in travel behavior are known. This paper examines older (65+ travelers’ motives for changing their travel behavior. These changes are grounded in critical incidents earlier encountered in public-transport travel. A scientific framework is developed based on cognitive and behavioral theory. In 29 individual interviews, travelers’ critical reactions (i.e., cognitive, emotional, and/or behavioral to 77 critical incidents were examined. By applying critical incident technique (CIT, five reaction themes were identified that had generated travel-behavior change: firm restrictions, unpredictability, unfair treatment, complicated trips, and earlier adverse experiences. To improve older travelers’ access to public transport, key findings were: (a service must be designed so as to strengthen the feeling of being in control throughout the journey; (b extended personal service would increase predictability in the travel chain and decrease travel complexity; consequently, (c when designing new services and making effective accessibility interventions, policy makers should consider and utilize underlying psychological factors that could direct traveler behavior.

  13. Travel Behavior Change in Older Travelers: Understanding Critical Reactions to Incidents Encountered in Public Transport

    Science.gov (United States)

    Sundling, Catherine

    2015-01-01

    Accessibility of travel may be better understood if psychological factors underlying change in travel behavior are known. This paper examines older (65+) travelers’ motives for changing their travel behavior. These changes are grounded in critical incidents earlier encountered in public-transport travel. A scientific framework is developed based on cognitive and behavioral theory. In 29 individual interviews, travelers’ critical reactions (i.e., cognitive, emotional, and/or behavioral) to 77 critical incidents were examined. By applying critical incident technique (CIT), five reaction themes were identified that had generated travel-behavior change: firm restrictions, unpredictability, unfair treatment, complicated trips, and earlier adverse experiences. To improve older travelers’ access to public transport, key findings were: (a) service must be designed so as to strengthen the feeling of being in control throughout the journey; (b) extended personal service would increase predictability in the travel chain and decrease travel complexity; consequently, (c) when designing new services and making effective accessibility interventions, policy makers should consider and utilize underlying psychological factors that could direct traveler behavior. PMID:26593935

  14. Assessment and refinement of real-time travel time algorithms for use in practice : final report, October 2008.

    Science.gov (United States)

    2008-10-01

    The FHWA has strongly encouraged transportation departments to display travel times on their Dynamic Message Signs (DMS). The Oregon : Department of Transportation (ODOT) currently displays travel time estimates on three DMSs in the Portland metropol...

  15. Time-use and well-being impacts of travel-to-work and travel-for-work

    OpenAIRE

    Wheatley, D; Bickerton, C

    2016-01-01

    This article contributes to understanding of the complex patterns of travel-to-work and travel-for-work which \\ud increasingly characterize highly skilled employment, using 2015 data from a UK Midlands study comprising an online survey and follow-up interviews. Travel-to-work essentially lengthens the working day, and is difficult to use productively, especially when commuting by car. Travel-for-work, by contrast, results in intense schedules \\ud especially when requiring overnight stays. Own...

  16. Traveling Exhibitions as Sites for Informal Learning: Assessing Different Strategies with Field Trips to Traveling Exhibitions at Non-Museum Sites

    Science.gov (United States)

    Harker, Richard J. W.; Badger, James

    2015-01-01

    This study investigated the use of different pedagogical techniques to create an intellectually engaging experience for middle school students who visited a traveling exhibition from the United States Holocaust Memorial Museum at a non-museum host site: the University of North Georgia Dahlonega's Library and Technology Center. The findings of this…

  17. 49 CFR 229.55 - Piston travel.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Piston travel. 229.55 Section 229.55... Piston travel. (a) Brake cylinder piston travel shall be sufficient to provide brake shoe clearance when... piston travel may not exceed 11/2 inches less than the total possible piston travel. The total possible...

  18. Emerging infectious disease outbreaks: estimating disease risk in Australian blood donors travelling overseas.

    Science.gov (United States)

    Coghlan, A; Hoad, V C; Seed, C R; Flower, R Lp; Harley, R J; Herbert, D; Faddy, H M

    2018-01-01

    International travel assists spread of infectious pathogens. Australians regularly travel to South-eastern Asia and the isles of the South Pacific, where they may become infected with infectious agents, such as dengue (DENV), chikungunya (CHIKV) and Zika (ZIKV) viruses that pose a potential risk to transfusion safety. In Australia, donors are temporarily restricted from donating for fresh component manufacture following travel to many countries, including those in this study. We aimed to estimate the unmitigated transfusion-transmission (TT) risk from donors travelling internationally to areas affected by emerging infectious diseases. We used the European Up-Front Risk Assessment Tool, with travel and notification data, to estimate the TT risk from donors travelling to areas affected by disease outbreaks: Fiji (DENV), Bali (DENV), Phuket (DENV), Indonesia (CHIKV) and French Polynesia (ZIKV). We predict minimal risk from travel, with the annual unmitigated risk of an infected component being released varying from 1 in 1·43 million to disease outbreak areas to source plasma collection provides a simple and effective risk management approach. © 2017 International Society of Blood Transfusion.

  19. Trends in Automobile Travel, Motor Vehicle Fatalities, and Physical Activity: 2003-2015.

    Science.gov (United States)

    McDonald, Noreen C

    2017-05-01

    Annual per-capita automobile travel declined by 600 miles from 2003 to 2014 with decreases greatest among young adults. This article tests whether the decline has been accompanied by public health co-benefits of increased physical activity and decreased motor vehicle fatalities. Minutes of auto travel and physical activity derived from active travel, sports, and exercise were obtained from the American Time Use Survey. Fatalities were measured using the Fatality Analysis Reporting System. Longitudinal change was assessed for adults aged 20-59 years by age group and sex. Significance of changes was assessed by absolute differences and unadjusted and adjusted linear trends. Analyses were conducted in 2016. Daily auto travel decreased by 9.2 minutes from 2003 to 2014 for all ages (ptravel showed only modest declines across age groups and, for men aged 20-29 years, varied from 10.9 (95% CI=10.0, 11.7) in 2003 to 9.7 (95% CI=8.7, 10.8) in 2014. Reduced motor vehicle fatalities are a public health co-benefit of decreased driving, especially for male millennials. Despite suggestions to the contrary, individuals did not switch from cars to active modes nor spend more time in sports and exercise. Maintenance of the safety benefits requires additional attention to road safety efforts, particularly as auto travel increases. Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  20. Analytical theory of frequency-multiplying gyro-traveling-wave-tubes

    International Nuclear Information System (INIS)

    Nusinovich, G.S.; Chen, W.; Granatstein, V.L.

    2001-01-01

    The theory is developed which describes analytically the gain and bandwidth in frequency-multiplying gyro-traveling-wave-tubes. In this theory the input waveguide is considered in the small-signal approximation. Then, in the drift region separating the input and output waveguides, the electron ballistic bunching evolves which causes the appearance in the electron current density of the harmonics of the signal frequency. The excitation of the output waveguide by one of these harmonics is considered in a specified current approximation. This makes the analytical study of a large-signal operation possible. The theory is illustrated by using it to analyze the performance of an existing experimental tube

  1. Travel and biologic therapy: travel-related infection risk, vaccine response and recommendations.

    Science.gov (United States)

    Hall, Victoria; Johnson, Douglas; Torresi, Joseph

    2018-01-01

    Biologic therapy has revolutionized the management of refractory chronic autoimmune and auto-inflammatory disease, as well as several malignancies, providing rapid symptomatic relief and/or disease remission. Patients receiving biologic therapies have an improved quality of life, facilitating travel to exotic destinations and potentially placing them at risk of a range of infections. For each biologic agent, we review associated travel-related infection risk and expected travel vaccine response and effectiveness. A PUBMED search [vaccination OR vaccine] AND/OR ['specific vaccine'] AND/OR [immunology OR immune response OR response] AND [biologic OR biological OR biologic agent] was performed. A review of the literature was performed in order to develop recommendations on vaccination for patients in receipt of biologic therapy travelling to high-risk travel destinations. There is a paucity of literature in this area, however, it is apparent that travel-related infection risk is increased in patients on biologic therapy and when illness occurs they are at a higher risk of complication and hospitalization. Patients in receipt of biologic agents are deemed as having a high level of immunosuppression-live vaccines, including the yellow fever vaccine, are contraindicated. Inactivated vaccines are considered safe; however, vaccine response can be attenuated by the patient's biologic therapy, thereby resulting in reduced vaccine effectiveness and protection. Best practice requires a collaborative approach between the patient's primary healthcare physician, relevant specialist and travel medicine expert, who should all be familiar with the immunosuppressive and immunomodulatory effects resulting from the biologic therapies. Timing of vaccines should be carefully planned, and if possible, vaccination provided well before established immunosuppression.

  2. Electron pulse shaping in the FELIX RF accelerator

    International Nuclear Information System (INIS)

    Weits, H.H.; Geer, C.A.J. van der; Oepts, D.; Meer, A.F.G. van der

    1999-01-01

    The FELIX free-electron laser uses short pulses of relativistic electrons produced by an RF accelerator. The design target for the duration of these electron bunches was around 3 ps. In experiments we observed that the bunches emit coherently enhanced spontaneous emission (CSE) when they travel through an undulator. It was demonstrated that the power level of the CSE critically depends on the settings of the accelerator. In this article we seek to explain these observations by studying the length and shape of the electron bunches as a function of the settings of the accelerator. A particle-tracking model was used to simulate the acceleration and transport processes. These include bunch compression in a 14-cell travelling wave buncher cavity, acceleration in a travelling wave linear accelerator, and passage through a (dispersive) chicane structure. The effect of the phase setting of the RF accelerating field with respect to the arrival time of the electron bunch in each accelerator structure was studied. The parameter range of the simulations is related to that of an actual free-electron laser experiment using these bunches. We find that, for specific settings of the accelerating system, electron pulses with a length of 350 μm FWHM (1 ps) are produced. The charge in the bunch rises steeply within a distance of 25 μm. This bunch shape explains the high level of coherently enhanced spontaneous emission observed in the FELIX laser. (author)

  3. Design of hybrid electron linac with standing wave buncher and traveling wave structure

    International Nuclear Information System (INIS)

    Kutsaev, S.V.; Sobenin, N.P.; Smirnov, A.Yu.; Kamenschikov, D.S.; Gusarova, M.A.; Nikolskiy, K.I.; Zavadtsev, A.A.; Lalayan, M.V.

    2011-01-01

    A disk-loaded waveguide (DLW) is the most common structure for compact linear accelerators working in a traveling wave (TW) regime. Among its advantages are high shunt impedance and manufacturing simplicity. The other popular structure is an on-axis coupled bi-periodical accelerating structure (BAS) that works in standing wave (SW) regime. Both the standing and the traveling wave regimes have their own advantages and disadvantages. The design of the hybrid accelerator with SW buncher and TW accelerating section presented in this paper unites the advantages of both regimes. For example, the buncher in the hybrid accelerator is shorter than in a pure TW accelerator, and it requires no solenoid; this structure is more technologically convenient as it does not require a circulator. The other way to combine the advantages of DLW and BAS is to design a magnetic coupled disk-loaded waveguide (DLW-M). This paper also presents the results of a survey study that analyzed the electrodynamical parameters of such a structure and compared them with those of DLW. The experimental data is also presented. Higher order modes, multipacting discharge and thermal simulations show that DLW-M structure is more preferable to classical DLW.

  4. Travel time data collection handbook

    Science.gov (United States)

    1998-03-01

    This Travel Time Data Collection Handbook provides guidance to transportation : professionals and practitioners for the collection, reduction, and presentation : of travel time data. The handbook should be a useful reference for designing : travel ti...

  5. Complexity in the validation of ground-water travel time in fractured flow and transport systems

    International Nuclear Information System (INIS)

    Davies, P.B; Hunter, R.L.; Pickens, J.F.

    1991-02-01

    Ground-water travel time is a widely used concept in site assessment for radioactive waste disposal. While ground-water travel time was originally conceived to provide a simple performance measure for evaluating repository sites, its definition in many flow and transport environments is ambiguous. The US Department of Energy siting guidelines (10 CFR 960) define ground-water travel time as the time required for a unit volume of water to travel between two locations, calculated by dividing travel-path length by the quotient of average ground-water flux and effective porosity. Defining a meaningful effective porosity in a fractured porous material is a significant problem. Although the Waste Isolation Pilot Plant (WIPP) is not subject to specific requirements for ground-water travel time, travel times have been computed under a variety of model assumptions. Recently completed model analyses for WIPP illustrate the difficulties in applying a ground-water travel-time performance measure to flow and transport in fractured, fully saturated flow systems. 12 refs., 4 figs

  6. The value of travel time variance

    OpenAIRE

    Fosgerau, Mogens; Engelson, Leonid

    2010-01-01

    This paper considers the value of travel time variability under scheduling preferences that are de�fined in terms of linearly time-varying utility rates associated with being at the origin and at the destination. The main result is a simple expression for the value of travel time variability that does not depend on the shape of the travel time distribution. The related measure of travel time variability is the variance of travel time. These conclusions apply equally to travellers who can free...

  7. The Travel Agency Website – Factor for Business Success

    Directory of Open Access Journals (Sweden)

    Băltescu Codruța Adina

    2017-01-01

    Full Text Available E-commerce is a constant of contemporary life. The online purchase of tourist products is a complex and delicate process, and in this respect, the website has a decisive role. The way the website is designed, the information provided and the functional characteristics can make a difference between an ordinary and a successful travel agency. This article provides an analysis of the websites of the best known travel agencies in Brașov County. The evaluation highlight that, in terms of product, non-product and reservation features, the analyzed websites meet the desired characteristics. But as concerning payment, functionality and customer relationship management features, these elements are poorly highlighted. This assessment suggests the preference of travel agencies to address to local inhabitants, thus demonstrating their propensity on the outgoing component of the intermediary activities they carry out.

  8. Population-Level Exposure to Particulate Air Pollution during Active Travel: Planning for Low-Exposure, Health-Promoting Cities.

    Science.gov (United States)

    Hankey, Steve; Lindsey, Greg; Marshall, Julian D

    2017-04-01

    Providing infrastructure and land uses to encourage active travel (i.e., bicycling and walking) are promising strategies for designing health-promoting cities. Population-level exposure to air pollution during active travel is understudied. Our goals were a ) to investigate population-level patterns in exposure during active travel, based on spatial estimates of bicycle traffic, pedestrian traffic, and particulate concentrations; and b ) to assess how those exposure patterns are associated with the built environment. We employed facility-demand models (active travel) and land use regression models (particulate concentrations) to estimate block-level ( n = 13,604) exposure during rush-hour (1600-1800 hours) in Minneapolis, Minnesota. We used the model-derived estimates to identify land use patterns and characteristics of the street network that are health promoting. We also assessed how exposure is correlated with indicators of health disparities (e.g., household income, proportion of nonwhite residents). Our work uses population-level rates of active travel (i.e., traffic flows) rather than the probability of walking or biking (i.e., "walkability" or "bikeability") to assess exposure. Active travel often occurs on high-traffic streets or near activity centers where particulate concentrations are highest (i.e., 20-42% of active travel occurs on blocks with high population-level exposure). Only 2-3% of blocks (3-8% of total active travel) are "sweet spots" (i.e., high active travel, low particulate concentrations); sweet spots are located a ) near but slightly removed from the city-center or b ) on off-street trails. We identified 1,721 blocks (~ 20% of local roads) where shifting active travel from high-traffic roads to adjacent low-traffic roads would reduce exposure by ~ 15%. Active travel is correlated with population density, land use mix, open space, and retail area; particulate concentrations were mostly unchanged with land use. Public health officials and

  9. Electron pulse shaping in the FELIX RF accelerator

    NARCIS (Netherlands)

    Weits, H. H.; van der Geer, C. A. J.; Oepts, D.; van der Meer, A. F. G.

    1999-01-01

    The FELIX free-electron laser uses short pulses of relativistic electrons produced by an RF accelerator. The design target for the duration of these electron bunches was around 3 ps. In experiments we observed that the bunches emit coherently enhanced spontaneous emission (CSE) when they travel

  10. Self-diagnosis of malaria by travelers and expatriates: assessment of malaria rapid diagnostic tests available on the internet.

    Science.gov (United States)

    Maltha, Jessica; Gillet, Philippe; Heutmekers, Marloes; Bottieau, Emmanuel; Van Gompel, Alfons; Jacobs, Jan

    2013-01-01

    In the past malaria rapid diagnostic tests (RDTs) for self-diagnosis by travelers were considered suboptimal due to poor performance. Nowadays RDTs for self-diagnosis are marketed and available through the internet. The present study assessed RDT products marketed for self-diagnosis for diagnostic accuracy and quality of labeling, content and instructions for use (IFU). Diagnostic accuracy of eight RDT products was assessed with a panel of stored whole blood samples comprising the four Plasmodium species (n = 90) as well as Plasmodium negative samples (n = 10). IFUs were assessed for quality of description of procedure and interpretation and for lay-out and readability level. Errors in packaging and content were recorded. Two products gave false-positive test lines in 70% and 80% of Plasmodium negative samples, precluding their use. Of the remaining products, 4/6 had good to excellent sensitivity for the diagnosis of Plasmodium falciparum (98.2%-100.0%) and Plasmodium vivax (93.3%-100.0%). Sensitivity for Plasmodium ovale and Plasmodium malariae diagnosis was poor (6.7%-80.0%). All but one product yielded false-positive test lines after reading beyond the recommended reading time. Problems with labeling (not specifying target antigens (n = 3), and content (desiccant with no humidity indicator (n = 6)) were observed. IFUs had major shortcomings in description of test procedure and interpretation, poor readability and lay-out and user-unfriendly typography. Strategic issues (e.g. the need for repeat testing and reasons for false-negative tests) were not addressed in any of the IFUs. Diagnostic accuracy of RDTs for self-diagnosis was variable, with only 4/8 RDT products being reliable for the diagnosis of P. falciparum and P. vivax, and none for P. ovale and P. malariae. RDTs for self-diagnosis need improvements in IFUs (content and user-friendliness), labeling and content before they can be considered for self-diagnosis by the traveler.

  11. Business travel and sustainability. Part III. In: Handbook of Sustainable Travel: People, Society, and Transportation Systems

    OpenAIRE

    AGUILERA, Anne

    2013-01-01

    Business travel has been relatively neglected in strategies to promote sustainable travel. A two-stage approach is taken beginning by showing how sustainability of business travel is relevant not only environmentally, but also from an economic and social perspective. On the one hand, this form of travel helps to generate jobs in numerous business sectors, not only in transportation. On the other hand, the social dimension cannot be ignored either, since business travel is often a source of fa...

  12. Traveling interface modulations and anisotropic front propagation in ammonia oxidation over Rh(110)

    Energy Technology Data Exchange (ETDEWEB)

    Rafti, Matías [Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas (INIFTA), Fac. Cs. Exactas, Universidad Nacional de La Plata, 64 y Diag. 113 (1900), La Plata (Argentina); Institut für Physikalische Chemie und Elektrochemie, Leibniz-Universität Hannover, Callinstr. 3-3a, D-30167 Hannover (Germany); Borkenhagen, Benjamin; Lilienkamp, Gerhard [Institut für Energieforschung und Physikalische Technologien, Technische Universität Clausthal, Leibnizstr. 4, 38678 Clausthal-Zellerfeld (Germany); Lovis, Florian; Smolinsky, Tim; Imbihl, Ronald, E-mail: imbihl@pci.uni-hannvover.de [Institut für Physikalische Chemie und Elektrochemie, Leibniz-Universität Hannover, Callinstr. 3-3a, D-30167 Hannover (Germany)

    2015-11-14

    The bistable NH{sub 3} + O{sub 2} reaction over a Rh(110) surface was explored in the pressure range 10{sup −6}–10{sup −3} mbar and in the temperature range 300–900 K using photoemission electron microscopy and low energy electron microscopy as spatially resolving methods. We observed a history dependent anisotropy in front propagation, traveling interface modulations, transitions with secondary reaction fronts, and stationary island structures.

  13. Travellers and influenza: risks and prevention.

    Science.gov (United States)

    Goeijenbier, M; van Genderen, P; Ward, B J; Wilder-Smith, A; Steffen, R; Osterhaus, A D M E

    2017-01-01

    Influenza viruses are among the major causes of serious human respiratory tract infection worldwide. In line with the high disease burden attributable to influenza, these viruses play an important, but often neglected, role in travel medicine. Guidelines and recommendations regarding prevention and management of influenza in travellers are scarce. Of special interest for travel medicine are risk populations and also circumstances that facilitate influenza virus transmission and spread, like travel by airplane or cruise ship and mass gatherings. We conducted a PUBMED/MEDLINE search for a combination of the MeSH terms Influenza virus, travel, mass gathering, large scale events and cruise ship. In addition we gathered guidelines and recommendations from selected countries and regarding influenza prevention and management in travellers. By reviewing these search results in the light of published knowledge in the fields of influenza prevention and management, we present best practice advice for the prevention and management of influenza in travel medicine. Seasonal influenza is among the most prevalent infectious diseases in travellers. Known host-associated risk factors include extremes of age and being immune-compromised, while the most relevant environmental factors are associated with holiday cruises and mass gatherings. Pre-travel advice should address influenza and its prevention for travellers, whenever appropriate on the basis of the epidemiological situation concerned. Preventative measures should be strongly recommended for travellers at high-risk for developing complications. In addition, seasonal influenza vaccination should be considered for any traveller wishing to reduce the risk of incapacitation, particularly cruise ship crew and passengers, as well as those participating in mass gatherings. Besides advice concerning preventive measures and vaccination, advice on the use of antivirals may be considered for some travellers. © International Society of

  14. Cloud-based design of high average power traveling wave linacs

    Science.gov (United States)

    Kutsaev, S. V.; Eidelman, Y.; Bruhwiler, D. L.; Moeller, P.; Nagler, R.; Barbe Welzel, J.

    2017-12-01

    The design of industrial high average power traveling wave linacs must accurately consider some specific effects. For example, acceleration of high current beam reduces power flow in the accelerating waveguide. Space charge may influence the stability of longitudinal or transverse beam dynamics. Accurate treatment of beam loading is central to the design of high-power TW accelerators, and it is especially difficult to model in the meter-scale region where the electrons are nonrelativistic. Currently, there are two types of available codes: tracking codes (e.g. PARMELA or ASTRA) that cannot solve self-consistent problems, and particle-in-cell codes (e.g. Magic 3D or CST Particle Studio) that can model the physics correctly but are very time-consuming and resource-demanding. Hellweg is a special tool for quick and accurate electron dynamics simulation in traveling wave accelerating structures. The underlying theory of this software is based on the differential equations of motion. The effects considered in this code include beam loading, space charge forces, and external magnetic fields. We present the current capabilities of the code, provide benchmarking results, and discuss future plans. We also describe the browser-based GUI for executing Hellweg in the cloud.

  15. The impact of travel time on geographic distribution of dialysis patients.

    Science.gov (United States)

    Kashima, Saori; Matsumoto, Masatoshi; Ogawa, Takahiko; Eboshida, Akira; Takeuchi, Keisuke

    2012-01-01

    The geographic disparity of prevalence rates among dialysis patients is unclear. We evaluate the association between travel time to dialysis facilities and prevalence rates of dialysis patients living in 1,867 census areas of Hiroshima, Japan. Furthermore, we study the effects of geographic features (mainland or island) on the prevalence rates and assess if these effects modify the association between travel time and prevalence. The study subjects were all 7,374 people that were certified as the "renal disabled" by local governments in 2011. The travel time from each patient to the nearest available dialysis facility was calculated by incorporating both travel time and the capacity of all 98 facilities. The effect of travel time on the age- and sex-adjusted standard prevalence rate (SPR) and 95% confidence intervals (CIs) at each census area was evaluated in two-level Poisson regression models with 1,867 census areas (level 1) nested within 35 towns or cities (level 2). The results were adjusted for area-based parameters of socioeconomic status, urbanity, and land type. Furthermore, the SPR of dialysis patients was calculated in each specific subgroup of population for travel time, land type, and combination of land type and travel time. In the regression analysis, SPR decreased by 5.2% (95% CI: -7.9--2.3) per 10-min increase in travel time even after adjusting for potential confounders. The effect of travel time on prevalence was different in the mainland and island groups. There was no travel time-dependent SPR disparity on the islands. The SPR among remote residents (>30 min from facilities) in the mainland was lower (0.77, 95% CI: 0.71-0.85) than that of closer residents (≤ 30 min; 0.95, 95% CI: 0.92-0.97). The prevalence of dialysis patients was lower among remote residents. Geographic difficulties for commuting seem to decrease the prevalence rate.

  16. Post-travel screening of asymptomatic long-term travelers to the tropics for intestinal parasites using molecular diagnostics.

    Science.gov (United States)

    Soonawala, Darius; van Lieshout, Lisette; den Boer, Marion A M; Claas, Eric C J; Verweij, Jaco J; Godkewitsch, André; Ratering, Marchel; Visser, Leo G

    2014-05-01

    The incidence of asymptomatic travel-related parasitic infection is uncertain. Previous studies did not distinguish new incident infections, from past infections. Regardless of symptoms, we performed multiplex real-time polymerase chain reaction on pre- and post-travel stool samples of Dutch long-term travelers to the (sub)tropics. Serological screening for Schistosoma spp. was only performed in travelers to sub-Saharan Africa. In total, 679 travelers were included in the study. The follow-up rate was 82% (556 of 679). Participants' median travel duration was 12 weeks. There was one incident infection with Strongyloides stercoralis; there were none with Entamoeba histolytica, 4 with Cryptosporidium spp. (1%), and 22 with Giardia lamblia (4%). Nine of 146 travelers (6%) seroconverted for Schistosoma spp. Routine screening of stool samples for parasitic infection is not indicated for asymptomatic people, who travel to the (sub)tropics for up to 3 months. Screening for Schistosoma spp. should be offered to travelers with fresh-water contact in endemic regions.

  17. Fecal-orally transmitted diseases among travelers are decreasing due to better hygienic standards at travel destination.

    Science.gov (United States)

    Baaten, Gijs G; Sonder, Gerard J B; Van Der Loeff, Maarten F Schim; Coutinho, Roel A; Van Den Hoek, Anneke

    2010-01-01

    To evaluate whether changes in attack rates of fecal-orally transmitted diseases among travelers are related to changes in pretravel vaccination practices or better hygienic standards at travel destination. National surveillance data on all laboratory-confirmed cases of travel-related hepatitis A, shigellosis, and typhoid fever diagnosed in the Netherlands from 1995 to 2006 were matched with the number of Dutch travelers to developing countries to calculate region-specific annual attack rates. Trends in attack rates of non-vaccine-preventable shigellosis were compared with those of vaccine-preventable hepatitis A and typhoid fever. Trends were also compared with three markers for hygienic standards of the local population at travel destinations, drawn from the United Nations Development Programme database: the human development index, the sanitation index, and the water source index. Attack rates among Dutch travelers to developing regions declined for hepatitis A, shigellosis, and typhoid fever. Region-specific trends in attack rates of shigellosis resembled trends of hepatitis A and typhoid fever. Declining attack rates of the three fecal-orally transmitted diseases correlated with improvements in socioeconomic, sanitary, and water supply conditions of the local population at travel destination. These findings suggest that improved hygienic standards at travel destination strongly contributed to the overall decline in attack rates of fecal-orally transmitted diseases among visiting travelers. © 2010 International Society of Travel Medicine.

  18. 41 CFR 301-75.204 - May we use Government contractor-issued travelers checks to pay for the interviewee's travel...

    Science.gov (United States)

    2010-07-01

    ... contractor-issued travelers checks to pay for the interviewee's travel expenses? 301-75.204 Section 301-75.204 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 75-PRE-EMPLOYMENT INTERVIEW TRAVEL Obtaining Travel Services...

  19. Assessment of printability for printed electronics patterns by measuring geometric dimensions and defining assessment parameters

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Sung Woong [Dept. of Robotics Engineering, Daegu Gyeongbuk Institute of Science and Technology (DGIST), Daegu (Korea, Republic of); Kim, Cheol; Kim, Chung Hwan [Chungnam National University, Daejeon (Korea, Republic of)

    2016-12-15

    The printability of patterns for printed electronic devices determines the performance, yield rate, and reliability of the devices; therefore, it should be assessed quantitatively. In this paper, parameters for printability assessment of printed patterns for width, pinholes, and edge waviness are suggested. For quantitative printability assessment, printability grades for each parameter are proposed according to the parameter values. As examples of printability assessment, printed line patterns and mesh patterns obtained using roll-to-roll gravure printing are used. Both single-line patterns and mesh patterns show different levels of printability, even in samples obtained using the same printing equipment and conditions. Therefore, for reliable assessment, it is necessary to assess the printability of the patterns by enlarging the sampling area and increasing the number of samples. We can predict the performance of printed electronic devices by assessing the printability of the patterns that constitute them.

  20. Assessment of printability for printed electronics patterns by measuring geometric dimensions and defining assessment parameters

    International Nuclear Information System (INIS)

    Jeon, Sung Woong; Kim, Cheol; Kim, Chung Hwan

    2016-01-01

    The printability of patterns for printed electronic devices determines the performance, yield rate, and reliability of the devices; therefore, it should be assessed quantitatively. In this paper, parameters for printability assessment of printed patterns for width, pinholes, and edge waviness are suggested. For quantitative printability assessment, printability grades for each parameter are proposed according to the parameter values. As examples of printability assessment, printed line patterns and mesh patterns obtained using roll-to-roll gravure printing are used. Both single-line patterns and mesh patterns show different levels of printability, even in samples obtained using the same printing equipment and conditions. Therefore, for reliable assessment, it is necessary to assess the printability of the patterns by enlarging the sampling area and increasing the number of samples. We can predict the performance of printed electronic devices by assessing the printability of the patterns that constitute them

  1. Travel-related acquisition of diarrhoeagenic bacteria, enteral viruses and parasites in a prospective cohort of 98 Dutch travellers.

    Science.gov (United States)

    van Hattem, Jarne M; Arcilla, Maris S; Grobusch, Martin P; Bart, Aldert; Bootsma, Martin C; van Genderen, Perry J; van Gool, Tom; Goorhuis, Abraham; van Hellemond, Jaap J; Molenkamp, Richard; Molhoek, Nicky; Oude Lashof, Astrid M; Stobberingh, Ellen E; de Wever, Bob; Verbrugh, Henri A; Melles, Damian C; Penders, John; Schultsz, Constance; de Jong, Menno D

    2017-09-01

    Limited prospective data are available on the acquisition of viral, bacterial and parasitic diarrhoeagenic agents by healthy individuals during travel. To determine the frequency of travel associated acquisition of 19 pathogens in 98 intercontinental travellers, qPCR was used to detect 8 viral pathogens, 6 bacterial enteric pathogens and 5 parasite species in faecal samples collected immediately before and after travel. We found high pre-travel carriage rates of Blastocystis spp. and Dientamoeba fragilis of 32% and 19% respectively. Pre-travel prevalences of all other tested pathogens were below 3%. Blastocystis spp. (10%), Plesiomonas shigelloides (7%), D. fragilis (6%) and Shigella spp. (5%) were the most frequently acquired pathogens and acquisition of enteral viruses and hepatitis E virus in this relatively small group of travellers was rare or non-existent. Our findings suggest that the role of viruses as the cause of persisting traveller's diarrhoea is limited and bacterial pathogens are more likely as a cause of traveller's diarrhoea. The substantial proportion of travellers carrying Blastocystis spp. and D. fragilis before travel warrants cautious interpretation of positive samples in returning travellers with gastrointestinal complaints. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. The Development of Independent Travel in China in the Future and Travel Agents’ Coping Strategies

    OpenAIRE

    Pan, Yulu

    2010-01-01

    Abstract The purpose of this research is to understand the general trend of independent travel in China from tourists’ perspectives and what strategies travel agents should adopt to cope with the increased independent travel. This project is based on both primary research and secondary research. Quantitative and qualitative data are collected and analyzed for deeply exploration about independent travel in order to understand tourists’ attitudes, expectations and perspectives. By this w...

  3. Safe travels? HIV transmission among Britons travelling abroad.

    Science.gov (United States)

    Rice, B; Gilbart, V L; Lawrence, J; Smith, R; Kall, M; Delpech, V

    2012-05-01

    The aim of the study was to identify and describe the characteristics of persons born in the UK who acquire HIV infection abroad. Analyses using case reports and follow-up data from the national HIV database held at the Health Protection Agency were performed. Fifteen per cent (2066 of 13 891) of UK-born adults diagnosed in England, Wales and Northern Ireland between 2002 and 2010 acquired HIV infection abroad. Thailand (534), the USA (117) and South Africa (108) were the countries most commonly reported. As compared with UK-born adults acquiring HIV infection in the UK, those acquiring HIV infection abroad were significantly (P sex with a commercial sex worker (5.6% vs. 1%, respectively). Among men infected in Thailand, 11% reported sex with a commercial sex worker. A substantial number of UK-born adults are acquiring HIV infection in countries with generalized HIV epidemics, and in common holiday destinations. Of particular concern is the high proportion of men infected reporting sex with a commercial sex worker. We recommend HIV prevention and testing efforts be extended to include travellers abroad, and that sexual health advice be provided routinely in travel health consultations and in occupational health travel advice packs, particularly to those travelling to high HIV prevalence areas and destinations for sex tourism. Safer sex messages should include an awareness of the potential detrimental health and social impacts of the sex industry. © 2012 British HIV Association.

  4. Common Health Risks, Required Precautions of Travelers and their Customs Towards the Use of Travel Medicine Services.

    Science.gov (United States)

    Roupa, Zoe; Zikos, Dimitrios; Vasilopoulos, Aristides; Diomidous, Marianna

    2012-01-01

    There is an increasing number of people who travel around the world. Every traveler is exposed to nearly all infectious risks which may occur during his travel time. Some of the main risk factors can be water quality, temperature and high humidity and the exposure to multi-resistant microorganisms. To tackle the upcoming problem there is an imperative need to develop a new branch of medicine with the name of travel medicine. A consultation prior to departure for an upcoming trip is required, focusing to a personalized healthcare plan, based on international scientific protocols and epidemiological studies.Travelers must acquire essential information about the prevailing hygiene conditions and climatic differentiations that occur in the region. Additionally there are several health risks upon the arrival at destination. A scheduled visit to a health professional is necessary, especially in the case of travelers suffering from chronic diseases or those taking medication, while vaccination is considered essential for specific destination countries. Healthcare professionals should be able to inform travelers and evaluate their needs. According to research studies on notion and attitudes travelers' specific risks, only few of them are well-informed during a trip. While most studies indicate that travelers have some kind of pre travel medical consultation, not all of them proceed to the required vaccinations and medications. Travelling for business or leisure around the world may be unhealthy. The importance of proper preparation prior to the travel requires to be adequately informed by specialized healthcare professionals, and to receive appropriate vaccinations and medications, when required. The results of the review of notions and attitudes of travelers during the trip indicate not only the need for further development of the branch of travel medicine but especially the need for the expansion and the availability of health services.

  5. International travel in the immunocompromised patient: a cross-sectional survey of travel advice in 254 consecutive patients.

    Science.gov (United States)

    Bialy, C; Horne, K; Dendle, C; Kanellis, J; Littlejohn, G; Ratnam, I; Woolley, I

    2015-06-01

    Our primary aim was to determine the rate of overseas travel in immunocompromised individuals attending appropriate clinics at an Australian tertiary care hospital. We also aimed to characterise health-seeking behaviour prior to travel and investigated sources of pre-travel advice, compared travel patterns and activities between three specific immunosuppressed groups, and examined pre-immunosuppression patient serology. We implemented a cross-sectional survey of patients between February and August 2012. This survey was implemented among three outpatient populations at Monash Medical Centre, an Australian tertiary care hospital. We recruited 254 immunosuppressed adults from three patient populations: human immunodeficiency virus-positive individuals, renal transplant patients and rheumatology patients requiring immunosuppressive therapy. No clinical intervention was performed. In the 10 years preceding the survey, 153 (60.2%) participants reported international travel. Of these, 105 (68.6%) were immunosuppressed at the time of travel. These patients were 47.6% male and 60% Australian born. Forty per cent were visiting friends and relatives as part of their travel. Fifty-four per cent of those immunocompromised at the time of travel were going to high-risk destinations. Pathology files indicated that serological screening was frequently not performed prior to immunosuppression in the renal transplant and rheumatology groups. Immunocompromised patients often travel to high-risk destinations with limited or inadequate pre-travel preparations. Doctors caring for the immunocompromised should be aware of travel risks, suitable vaccination protocols and when to refer to specialist travel clinics. © 2015 Royal Australasian College of Physicians.

  6. Thermal analysis of gyrotron traveling-wave tube collector

    International Nuclear Information System (INIS)

    Zheng Zhiqing; Luo Yong; Jiang Wei; Tang Yong

    2013-01-01

    In order to solve cooling problem of the gyrotron traveling-wave tube(TWT) collector and guarantee the gyrotron TWT's reliability and stability, the electron trajectories in the gyrotron TWT are simulated using CST electron simulation software. Thermal analysis of the collector with finite element software ANSYS is performed. The ways of applying boundary that affects the distribution of collector temperature are compared. The influence of the water temperature and flow rate on collector temperature distribution under actual heat fluxes (boundary condition) is researched. The size and number of collector fins are optimized, and a relatively perfect structure is obtained finally. The result estimated by simulation is consistent with the experiment and proves that the model and method employed in this work are suitable. (authors)

  7. Season and weather effects on travel-related mood and travel satisfaction

    NARCIS (Netherlands)

    Ettema, Dick; Friman, Margareta; Olsson, Lars E.; Gärling, Tommy

    2017-01-01

    This study examines the effects of season and weather on mood (valence and activation) and travel satisfaction (measured by the Satisfaction with Travel Scale). Analyses are presented of 562 time-sampled morning commutes to work made by 363 randomly sampled people in three different Swedish cities

  8. Pre-travel advice concerning vector-borne diseases received by travelers prior to visiting Cuzco, Peru.

    Science.gov (United States)

    Mejia, Christian R; Centeno, Emperatriz; Cruz, Briggitte; Cvetkovic-Vega, Aleksandar; Delgado, Edison; Rodriguez-Morales, Alfonso J

    2016-01-01

    Peru is an increasingly popular tourist destination that poses a risk to travelers due to endemic vector-borne diseases (VBDs). The objective of our study was to determine which factors are associated with receiving pre-travel advice (PTA) for VBDs among travelers visiting Cuzco, Peru. A cross-sectional secondary analysis based on data from a survey among travelers departing Cuzco at Alejandro Velazco Astete International Airport during the period January-March 2012 was conducted. From the 1819 travelers included in the original study, 1717 were included in secondary data analysis. Of these participants, 42.2% received PTA and 2.9% were informed about vector-borne diseases, including yellow fever (1.8%), malaria (1.6%) and dengue fever (0.1%). Receiving information on VBDs was associated with visiting areas endemic to yellow fever and dengue fever in Peru. The only disease travelers received specific recommendations for before visiting an endemic area for was yellow fever. Only 1 in 30 tourists received information on VBD prevention; few of those who traveled to an endemic area were warned about specific risks for infectious diseases prior to their trip. These important findings show that most tourists who travel to Peru do not receive PTA for the prevention of infectious and VBD, which can affect not only the travelers but their countries of origin as well. Copyright © 2015 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  9. Immunocompromised Travelers: Demographic Characteristics, Travel Destinations, and Pretravel Health Care from the U.S. Global TravEpiNet Consortium.

    Science.gov (United States)

    Schwartz, Brian S; Rosen, Jessica; Han, Pauline V; Hynes, Noreen A; Hagmann, Stefan H; Rao, Sowmya R; Jentes, Emily S; Ryan, Edward T; LaRocque, Regina C

    2015-11-01

    An increasing number of immunocompromised individuals are pursuing international travel, and a better understanding of their international travel patterns and pretravel health care is needed. We evaluated the clinical features, itineraries, and pretravel health care of 486 immunocompromised international travelers seen at Global TravEpiNet sites from January 2009 to June 2012. We used bivariate analyses and logistic regressions using random intercept models to compare demographic and travel characteristics, vaccines administered, and medications prescribed for immunocompromised travelers versus 30,702 immunocompetent travelers. Immunocompromised travelers pursued itineraries that were largely similar to those of immunocompetent travelers, with nearly one-third of such travelers visiting countries with low human development indices. Biological agents, including tumor necrosis factor blockers, were commonly used immunosuppressive medications among immunocompromised travelers. A strong collaboration between travel-medicine specialists, primary care doctors, and specialist physicians is needed to prepare immunocompromised people for international travel. Incorporating routine questioning and planning regarding travel into the primary care visits of immunocompromised people may be useful. © The American Society of Tropical Medicine and Hygiene.

  10. Network structure and travel time perception.

    Science.gov (United States)

    Parthasarathi, Pavithra; Levinson, David; Hochmair, Hartwig

    2013-01-01

    The purpose of this research is to test the systematic variation in the perception of travel time among travelers and relate the variation to the underlying street network structure. Travel survey data from the Twin Cities metropolitan area (which includes the cities of Minneapolis and St. Paul) is used for the analysis. Travelers are classified into two groups based on the ratio of perceived and estimated commute travel time. The measures of network structure are estimated using the street network along the identified commute route. T-test comparisons are conducted to identify statistically significant differences in estimated network measures between the two traveler groups. The combined effect of these estimated network measures on travel time is then analyzed using regression models. The results from the t-test and regression analyses confirm the influence of the underlying network structure on the perception of travel time.

  11. Mapping Femininity as Self-reflection Strategy in Lady Mary Wortley Montagu’s Travel Letters

    OpenAIRE

    Amelia Precup

    2017-01-01

    The present paper participates in the discussion about the differences between masculine and feminine modes of travel in terms of interests, perception, and representation, by exploring the Letters of the Right Honourable Lady M--y W--y M--e Written during Her Travels in Europe, Asia and Africa, by Lady Mary Wortley Montagu. As a traveller, Lady Mary engaged in the contemplation of cultural landscapes: she attempted to understand the social logic of the communities she met and to assess the c...

  12. Travels in Architectural History

    Directory of Open Access Journals (Sweden)

    Davide Deriu

    2016-11-01

    Full Text Available Travel is a powerful force in shaping the perception of the modern world and plays an ever-growing role within architectural and urban cultures. Inextricably linked to political and ideological issues, travel redefines places and landscapes through new transport infrastructures and buildings. Architecture, in turn, is reconstructed through visual and textual narratives produced by scores of modern travellers — including writers and artists along with architects themselves. In the age of the camera, travel is bound up with new kinds of imaginaries; private records and recollections often mingle with official, stereotyped views, as the value of architectural heritage increasingly rests on the mechanical reproduction of its images. Whilst students often learn about architectural history through image collections, the place of the journey in the formation of the architect itself shifts. No longer a lone and passionate antiquarian or an itinerant designer, the modern architect eagerly hops on buses, trains, and planes in pursuit of personal as well as professional interests. Increasingly built on a presumption of mobility, architectural culture integrates travel into cultural debates and design experiments. By addressing such issues from a variety of perspectives, this collection, a special 'Architectural Histories' issue on travel, prompts us to rethink the mobile conditions in which architecture has historically been produced and received.

  13. Morbidity among Israeli paediatric travellers.

    Science.gov (United States)

    Rabinowicz, Shira; Schwartz, Eli

    2017-09-01

    International travel, particularly to developing countries, is becoming increasingly common among the Israeli population, including an increase in the number of travelling children. Since children are a distinct travellers' population, data about their post-travel morbidity are needed. A retrospective study which examined all children (0-19 years old) who presented to our centre after international travel from 1999 to 2015. About 314 children were seen. The mean age was 10 years (SD ± 5.8). Most of the patients (80.6%) were tourists, and the rest were expatriates. The main destinations visited were South-Asia (46.5%), Sub-Saharan Africa (33.4%), Latin-America (7%) and Europe (6.4%). Overall, the most common diagnoses were gastrointestinal (GI) (mainly chronic) disorders (30.6%), followed by febrile diseases (26.4%), among which 18.1% of patients were diagnosed with dengue fever and 12% with malaria. Dermatologic conditions accounted for 25.2%. Additional diagnoses were schistosomiasis (6.4%) and neuropsychiatric symptoms (2.2%). A substantial part, 10.8%, had eosinophilia, either symptomatic or asymptomatic. Travellers to Asia, compared to travellers to Africa, presented more commonly with GI illness (OR 2.02, 95% confidence interval 1.13-3.61), and dermatologic conditions (OR 1.94, 95% confidence interval 1.05-3.61). Morbidity was associated with a variety of transmission modes, such as food-borne illnesses (30.9%), bite and sting wounds (10.2%), mosquito-borne infections (8%), freshwater contact (6.7%) and tick-borne infections (2.2%). The main conditions seen in paediatric returning travellers were GI, febrile and dermatologic illnesses, some may be rare in their country of origin. Targeting care for the suspected pathogens based on updated knowledge of epidemiology and thorough travel history is essential. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

  14. Travel mode choice and travel satisfaction : bridging the gap between decision utility and experienced utility

    OpenAIRE

    De Vos, Jonas; Mokhtarian, Patricia L; Schwanen, Tim; Van Acker, Veronique; Witlox, Frank

    2016-01-01

    Over the past decades research on travel mode choice has evolved from work that is informed by utility theory, examining the effects of objective determinants, to studies incorporating more subjective variables such as habits and attitudes. Recently, the way people perceive their travel has been analyzed with transportation-oriented scales of subjective wellbeing, and particularly the satisfaction with travel scale. However, studies analyzing the link between travel mode choice (i.e., decisio...

  15. A travel mode comparison of commuters' exposures to air pollutants in Barcelona

    Science.gov (United States)

    de Nazelle, Audrey; Fruin, Scott; Westerdahl, Dane; Martinez, David; Ripoll, Anna; Kubesch, Nadine; Nieuwenhuijsen, Mark

    2012-11-01

    Daily commutes may contribute disproportionately to overall daily inhalations of urban air contaminants. Understanding factors that explain variability of exposures during travel, and especially differences across transportation modes, is essential to accurately assess health impacts of traffic emissions and to develop effective mitigating measures. We evaluated exposures and inhaled doses of air pollution and assessed factors that contributed to their variability in different travel modes in Barcelona. Black carbon (BC), ultrafine particles (UFP), carbon monoxide (CO), fine particle mass (PM2.5) and carbon dioxide (CO2) were measured and compared across walk, bike, bus, and car modes for a total of 172 trips made on two different round trip routes. On average, the car mode experienced highest concentrations for all contaminants. In pairwise t-tests between concurrent mode runs, statistically significant differences were found for cars compared to walking and biking. Car-to-walk or car-to-bike concentration ratios ranged from 1.3 for CO2 to 25 for CO and were 2-3 for PM2.5, BC, and UFP. In multivariate analyses, travel mode explained the greatest variability in travel exposures, from 8% for PM2.5 to 70% for CO. Different modal patterns emerged when estimating daily inhaled dose, with active commuters' two to three times greater total inhalation volume during travel producing about equal UFP and BC daily inhaled doses to car commuters and 33-50% higher UFP and BC doses compared to bus commuters. These findings, however, are specific to the bike and pedestrian lanes in this study being immediately adjacent to the roadways measured. Dedicated bike or pedestrian routes away from traffic would lead to lower active travel doses.

  16. Travel/Travelers and Parasitic Diseases

    Science.gov (United States)

    ... of the world and specific country. Many infectious diseases transmitted in food and water can also be acquired directly through the fecal-oral route. Parasitic Illnesses That Can Be Acquired During Travel* From Contaminated Food and Water More ... filariasis African sleeping sickness Onchoceriasis *This list ...

  17. Maldives : Electronic Government Procurement Readiness Assessment and Roadmap

    OpenAIRE

    World Bank

    2007-01-01

    The assessment focuses on the degree of readiness of Government of The Maldives's (GoTM's) current public procurement environment for making a transition from traditional paper-based, manual methods of procurement transaction processing and communication to electronic government procurement (e-GP). The e-GP Assessment was discussed individually with informed respondents in the public and p...

  18. Nonlinear time-dependent simulation of helix traveling wave tubes

    International Nuclear Information System (INIS)

    Peng Wei-Feng; Yang Zhong-Hai; Hu Yu-Lu; Li Jian-Qing; Lu Qi-Ru; Li Bin

    2011-01-01

    A one-dimensional nonlinear time-dependent theory for helix traveling wave tubes is studied. A generalized electromagnetic field is applied to the expression of the radio frequency field. To simulate the variations of the high frequency structure, such as the pitch taper and the effect of harmonics, the spatial average over a wavelength is substituted by a time average over a wave period in the equation of the radio frequency field. Under this assumption, the space charge field of the electron beam can be treated by a space charge wave model along with the space charge coefficient. The effects of the radio frequency and the space charge fields on the electrons are presented by the equations of the electron energy and the electron phase. The time-dependent simulation is compared with the frequency-domain simulation for a helix TWT, which validates the availability of this theory. (interdisciplinary physics and related areas of science and technology)

  19. Calculation of groundwater travel time

    International Nuclear Information System (INIS)

    Arnett, R.C.; Sagar, B.; Baca, R.G.

    1984-12-01

    Pre-waste-emplacement groundwater travel time is one indicator of the isolation capability of the geologic system surrounding a repository. Two distinct modeling approaches exist for prediction of groundwater flow paths and travel times from the repository location to the designated accessible environment boundary. These two approaches are: (1) the deterministic approach which calculates a single value prediction of groundwater travel time based on average values for input parameters and (2) the stochastic approach which yields a distribution of possible groundwater travel times as a function of the nature and magnitude of uncertainties in the model inputs. The purposes of this report are to (1) document the theoretical (i.e., mathematical) basis used to calculate groundwater pathlines and travel times in a basalt system, (2) outline limitations and ranges of applicability of the deterministic modeling approach, and (3) explain the motivation for the use of the stochastic modeling approach currently being used to predict groundwater pathlines and travel times for the Hanford Site. Example calculations of groundwater travel times are presented to highlight and compare the differences between the deterministic and stochastic modeling approaches. 28 refs

  20. Future Trends in Business Travel Decision Making

    Science.gov (United States)

    Mason, Keith J.

    2002-01-01

    This research surveys twenty large companies and their travellers to identify and evaluate the effects of pressures on the business travel market in the future. The influence of the following areas on the decision making process are addressed: (1) Corporate travel policies and increasing professionalism in corporate purchasing; (2) The development of global strategic airline alliances; (3) The emergence of low cost airlines on short haul markets; and (4) The development of internet based booking tools and travel agency IT. The survey shows differences in views between travel managers, and travellers with regard to corporate travel policies. While travel managers see policy rules, travellers interpret these as guidelines, indicating travel managers will need to take further actions to exercise true control of travel budgets. The data shows that companies are more likely to prescribe a class of airline ticket, than the choice of airline itself. Corporate hierarchical bias in travel policies is still common both for short and particularly long haul flying. Other findings show that while travel managers believe that their companies are likely to sign global deals with strategic airline groups within a five year period in a bid to consolidating spending, they also believe that nearly a third of short haul flying will be taken with low cost carriers, indicating further penetration in this business travel market by these carriers. The paper also provides other predictions about the business travel market, based on the survey findings.

  1. Travelers' Health: Water Disinfection for Travelers

    Science.gov (United States)

    ... Safety Road Safety - 8 Steps MERS Health Advisory poster MERS Pictogram CDC Guide for Healthy Travel Website ... compressed carbon, or large-pore hollow-fiber filter elements are sufficient to remove bacteria and protozoan cysts ...

  2. 75 FR 24434 - Federal Travel Regulation (FTR); Transportation in Conjunction With Official Travel and Relocation

    Science.gov (United States)

    2010-05-05

    ...-0010, sequence 1] RIN 3090-AJ02 Federal Travel Regulation (FTR); Transportation in Conjunction With Official Travel and Relocation AGENCY: Office of Governmentwide Policy, General Services Administration (GSA). ACTION: Final rule. SUMMARY: This final rule amends the Federal Travel Regulation (FTR), by...

  3. A process model of voluntary travel behavior modification and effects of Travel Feedback Programs (TFPs)

    OpenAIRE

    Taniguchi, Ayako

    2007-01-01

    This study tested an integrated process model of travel behavior modification. We used a model that combined the theory of planned behavior (TPB), norm activation theory (NAT), a theory of implementation intention, and theories of habit. To test the integrated model, we used panel data (n = 208) obtained before and after travel feedback programs (TFPs); the TFP is a communication program aimed at voluntary travel behavior modification, from automobile use to non-auto means of travel such as p...

  4. End to End Travel

    Data.gov (United States)

    US Agency for International Development — E2 Solutions is a web based end-to-end travel management tool that includes paperless travel authorization and voucher document submissions, document approval...

  5. Valuation of travel time savings for intercity travel: The Madrid-Barcelona corridor

    DEFF Research Database (Denmark)

    Roman, Concepcion; Carlos Martin, Juan; Espino, Raquel

    2014-01-01

    We derive values of travel time savings (VOT) for the Madrid-Barcelona corridor, linking the two largest cities in Spain, based on the estimation of discrete choice models among the main public transport services in the corridor: air transport, high speed rail (HSR) and bus. The new HSR alternative...... (which started to operate in February 2008) competes directly with one of the densest airline domestic markets in the world, and its introduction produced substantial improvements in level of service, achieving reductions in travel time of more than 50% over the conventional train. A specifically...... to provide useful information to quantify users' benefits during the lifespan of a given project. We found, as expected, that HSR and air transport users exhibit substantially higher values for saving travel time than bus travellers. Also as expected, savings of waiting time are more valued than savings...

  6. Electron wind in strong wave guide fields

    Science.gov (United States)

    Krienen, F.

    1985-03-01

    The X-ray activity observed near highly powered waveguide structures is usually caused by local electric discharges originating from discontinuities such as couplers, tuners or bends. In traveling waves electrons move in the direction of the power flow. Seed electrons can multipactor in a traveling wave, the moving charge pattern is different from the multipactor in a resonant structure and is self-extinguishing. The charge density in the wave guide will modify impedance and propagation constant of the wave guide. The radiation level inside the output wave guide of the SLAC, 50 MW, S-band, klystron is estimated. Possible contributions of radiation to window failure are discussed.

  7. Intercity Travel Demand Analysis Model

    Directory of Open Access Journals (Sweden)

    Ming Lu

    2014-01-01

    Full Text Available It is well known that intercity travel is an important component of travel demand which belongs to short distance corridor travel. The conventional four-step method is no longer suitable for short distance corridor travel demand analysis for the time spent on urban traffic has a great impact on traveler's main mode choice. To solve this problem, the author studied the existing intercity travel demand analysis model, then improved it based on the study, and finally established a combined model of main mode choice and access mode choice. At last, an integrated multilevel nested logit model structure system was built. The model system includes trip generation, destination choice, and mode-route choice based on multinomial logit model, and it achieved linkage and feedback of each part through logsum variable. This model was applied in Shenzhen intercity railway passenger demand forecast in 2010 as a case study. As a result, the forecast results were consistent with the actuality. The model's correctness and feasibility were verified.

  8. Complexity in the validation of ground-water travel time in fractured flow and transport systems

    International Nuclear Information System (INIS)

    Davies, P.B.; Hunter, R.L.; Pickens, J.F.

    1991-01-01

    Ground-water travel time is a widely used concept in site assessment for radioactive waste disposal. While ground-water travel time was originally conceived to provide a simple performance measure for evaluating repository sites, its definition in many flow and transport environments is ambiguous. The U.S. Department of Energy siting guidelines (10 CFR 960) define ground-water travel time as the time required for a unit volume of water to travel between two locations, calculated by dividing travel-path length by the quotient of average ground-water flux and effective porosity. Defining a meaningful effective porosity in a fractured porous material is a significant problem. Although the Waste Isolation Pilot Plant (WIPP) is not subject to specific requirements for ground-water travel time, travel times have been computed under a variety of model assumptions. Recently completed model analyses for WIPP illustrate the difficulties in applying a ground-water travel-time performance measure to flow and transport in fractured, fully saturated flow systems. Computer code used: SWIFT II (flow and transport code). 4 figs., 12 refs

  9. FORMS OF YOUTH TRAVEL

    OpenAIRE

    Moisã Claudia Olimpia; Moisã Claudia Olimpia

    2011-01-01

    Taking into account the suite of motivation that youth has when practicing tourism, it can be said that the youth travel takes highly diverse forms. These forms are educational tourism, volunteer programs and “work and travel”, cultural exchanges or sports tourism and adventure travel. In this article, we identified and analyzed in detail the main forms of youth travel both internationally and in Romania. We also illustrated for each form of tourism the specific tourism products targeting you...

  10. Individual single-site travel cost model for Czech paradise geopark

    Directory of Open Access Journals (Sweden)

    Jan Špaček

    2013-01-01

    Full Text Available Geotourism is a new phenomenon, which has emerged in the tourism literature during the past two decades, and whose meaning suffered from global census. Geotourism is still a new discipline and relatively little has been written about its demand side, demonstrated by a lack of studies in the literature This article studies the recreational value of geotourism areas, and focuses on the first geopark in the Czech Republic, namely the Czech Paradise Geopark. To assess the recreational value the travel cost method is applied, specifically the individual travel cost model. The necessary research data was gathered through intensive tourist surveys conducted in the study area. Data gathered in the respondents’ survey served to determine the consumer surplus as a measure of recreational value and to develop the single site travel cost model. The dependent variable in the conducted model is the number of visits in the area and among the independent variables, studied age, education, travel cost, family status, economic activity and income. The results were subsequently compared to findings in the available literature, research works and case studies.

  11. Travel and transport

    DEFF Research Database (Denmark)

    Bill, Jan; Roesdahl, Else

    2007-01-01

    On the interrelationship between travel, transport and society; on land transport, sea and river transport, and on winter transport;  on the related technologies and their developments......On the interrelationship between travel, transport and society; on land transport, sea and river transport, and on winter transport;  on the related technologies and their developments...

  12. 41 CFR 301-70.904 - Must travelers whom we carry on Government aircraft be authorized to travel?

    Science.gov (United States)

    2010-07-01

    ... flight in which they are also traveling (i.e., being transported from point to point) are considered... carry on Government aircraft be authorized to travel? 301-70.904 Section 301-70.904 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY...

  13. Travelers' diarrhea.

    Science.gov (United States)

    Barrett-Connor, E

    1973-03-01

    On the average, one-fourth of North Americans visiting developing countries experience a self-limited diarrheal illness that interferes with holiday or business activities. Recent work suggests that these episodes are caused by a small inoculum of enteropathogenic Escherichia coli which are common in the country visited and rare in the country of origin. Neither antimicrobial treatment nor anti-diarrheal agents have proven benefit once the illness has begun. Despite its frequent use, iodochlorhydroxyquin has not been shown in double blind studies to be effective as a preventive agent, and may be dangerous. The status of furazolidone for prevention of tourist diarrhea is questionable. Both neomycin sulfate and phythalylsulfathiazole have demonstrated efficacy as chemoprophylactics in Mexico. However, their use should be restricted to limited types of travel and travelers. General admonitions concerning avoidance of certain ingestibles are recommended; despite questionable value in preventing travelers' diarrhea such precautions may prevent more serious gastrointestinal illness.

  14. 8 CFR 1244.15 - Travel abroad.

    Science.gov (United States)

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Travel abroad. 1244.15 Section 1244.15... REGULATIONS TEMPORARY PROTECTED STATUS FOR NATIONALS OF DESIGNATED STATES § 1244.15 Travel abroad. (a) After... Status shall not constitute permission to travel abroad. Permission to travel may be granted by the...

  15. 49 CFR 230.76 - Piston travel.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Piston travel. 230.76 Section 230.76... Tenders Brake and Signal Equipment § 230.76 Piston travel. (a) Minimum piston travel. The minimum piston travel shall be sufficient to provide proper brake shoe clearance when the brakes are released. (b...

  16. Pilot Ionosonde Network for Identification of Traveling Ionospheric Disturbances

    Science.gov (United States)

    Reinisch, Bodo; Galkin, Ivan; Belehaki, Anna; Paznukhov, Vadym; Huang, Xueqin; Altadill, David; Buresova, Dalia; Mielich, Jens; Verhulst, Tobias; Stankov, Stanimir; Blanch, Estefania; Kouba, Daniel; Hamel, Ryan; Kozlov, Alexander; Tsagouri, Ioanna; Mouzakis, Angelos; Messerotti, Mauro; Parkinson, Murray; Ishii, Mamoru

    2018-03-01

    Traveling ionospheric disturbances (TIDs) are the ionospheric signatures of atmospheric gravity waves. Their identification and tracking is important because the TIDs affect all services that rely on predictable ionospheric radio wave propagation. Although various techniques have been proposed to measure TID characteristics, their real-time implementation still has several difficulties. In this contribution, we present a new technique, based on the analysis of oblique Digisonde-to-Digisonde "skymap" observations, to directly identify TIDs and specify the TID wave parameters based on the measurement of angle of arrival, Doppler frequency, and time of flight of ionospherically reflected high-frequency radio pulses. The technique has been implemented for the first time for the Network for TID Exploration project with data streaming from the network of European Digisonde DPS4D observatories. The performance is demonstrated during a period of moderate auroral activity, assessing its consistency with independent measurements such as data from auroral magnetometers and electron density perturbations from Digisondes and Global Navigation Satellite System stations. Given that the different types of measurements used for this assessment were not made at exactly the same time and location, and that there was insufficient coverage in the area between the atmospheric gravity wave sources and the measurement locations, we can only consider our interpretation as plausible and indicative for the reliability of the extracted TID characteristics. In the framework of the new TechTIDE project (European Commission H2020), a retrospective analysis of the Network for TID Exploration results in comparison with those extracted from Global Navigation Satellite System total electron content-based methodologies is currently being attempted, and the results will be the objective of a follow-up paper.

  17. 8 CFR 244.15 - Travel abroad.

    Science.gov (United States)

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Travel abroad. 244.15 Section 244.15 Aliens... NATIONALS OF DESIGNATED STATES § 244.15 Travel abroad. (a) After the grant of Temporary Protected Status... to travel abroad. Permission to travel may be granted by the director pursuant to the Service's...

  18. Schistosomiasis in european travelers and migrants

    DEFF Research Database (Denmark)

    Lingscheid, Tilman; Kurth, Florian; Clerinx, Jan

    2017-01-01

    Schistosomiasis remains one of the most prevalent parasitic diseases worldwide and the infection is frequently found in travelers and migrants. The European Network for Tropical Medicine and Travel Health conducted a sentinel surveillance study on imported schistosomiasis between 1997 and 2010...... or antigen testing. Schistosomiasis remains a frequent infection in travelers and migrants to Europe. Travelers should be made aware of the risk of schistosomiasis infection when traveling to sub-Saharan Africa. Posttravel consultations particularly for returning expatriates are useful given the high...

  19. Accurate estimation of indoor travel times

    DEFF Research Database (Denmark)

    Prentow, Thor Siiger; Blunck, Henrik; Stisen, Allan

    2014-01-01

    The ability to accurately estimate indoor travel times is crucial for enabling improvements within application areas such as indoor navigation, logistics for mobile workers, and facility management. In this paper, we study the challenges inherent in indoor travel time estimation, and we propose...... the InTraTime method for accurately estimating indoor travel times via mining of historical and real-time indoor position traces. The method learns during operation both travel routes, travel times and their respective likelihood---both for routes traveled as well as for sub-routes thereof. InTraTime...... allows to specify temporal and other query parameters, such as time-of-day, day-of-week or the identity of the traveling individual. As input the method is designed to take generic position traces and is thus interoperable with a variety of indoor positioning systems. The method's advantages include...

  20. Pre-travel advice: an overview.

    Science.gov (United States)

    Sanford, Christopher

    2002-12-01

    The message of the pre-travel provider is necessarily paradoxic. First the provider lists a score of causes of illness and premature demise, and then states, "But it sounds like a great trip and I think you'll have fun." Pre-travel providers need to walk a fine line: they must encourage patients to be cautious but not paranoid, optimistic but realistic. This discussion is complicated further by the fact that risk reduction is not the only consideration; if it were, practitioners would advise patients to remain in the developed world and foray from their homes only to visit health clubs and the fruit-and-vegetable section of grocery stores. A tacit assumption in travel medicine is that some degree of acceptance of heightened risk is tolerated for the benefit of improved quality of life offered by travel abroad. The amount of risk that is reasonable to accept for a given benefit in quality of life yielded by travel cannot be quantified, however. Providers must render judgments on what is "reasonable" and what is not, and this complex decision is based on equal parts medical knowledge and intuition. At one extreme, mountaineers in Nepal have been found to have a 2.4% mortality rate per expedition [83,84]. The travel provider might make the reasonable decision to counsel these travelers to avoid that activity. These travelers most likely will ignore that advice, at which point the provider must endeavor to reduce risk to the extent possible. Other situations in which the provider should advise a change in itinerary or activities include counseling parents who plan to take an infant to high altitude or a pregnant woman who plans to scuba dive. If travelers remain cloistered in their hotel rooms, eating all meals from room service and watching CNN, then it could be suggested that they are overly risk-adverse and might consider foraying out of the hotel, despite the potential associated increased risks to health. Conversely, if travelers find themselves on motorcycles

  1. CARLSON WAGONLIT TRAVEL

    CERN Document Server

    CARLSON WAGONLIT TRAVEL

    2004-01-01

    CARLSON WAGONLIT TRAVEL informs you that our agency will be closed from 17 December 2004 at 16:30 until 3 January 2005 at 8:30. For all URGENT MATTERS you can contact our CARLSON WAGONLIT TRAVEL branch at WHO (Mr Pierre Plumettaz), phone: 022 788 10 65 We wish you already a Merry Christmas and a Happy New Year!

  2. Traveling with Food Allergies

    Science.gov (United States)

    ... on traveling and dining out at restaurants with food allergies. Travel Tips for the U.S. and Other Countries Get information about medications and food labeling practices in select countries. Spam Control Text: ...

  3. Incidence, risk factors and treatment of diarrhoea among Dutch travellers: reasons not to routinely prescribe antibiotics

    Directory of Open Access Journals (Sweden)

    Belderok Sanne-Meike

    2011-10-01

    Full Text Available Abstract Background Travellers' diarrhoea (TD is the most common infectious disease among travellers. In the Netherlands, stand-by or prophylactic antibiotics are not routinely prescribed to travellers. This study prospectively assessed the incidence rate, risk factors, and treatment of TD among immunocompetent travellers. Methods Persons who attended the travel clinic of the Public Health Service Amsterdam in 2006-2007 before short-term travel to tropical and subtropical countries were invited to answer a questionnaire regarding sociodemographics and travel purpose; they were also asked to keep a daily structured travel diary, recording their itinerary, symptoms, and self-medication or consultation with a doctor. Diarrhoea episodes containing blood or mucous were considered severe. Results Of 1202 travellers, the median age was 38 years, and the median travel duration 3 weeks. Of all episodes, 96% were mild. The median duration of TD was 2 days and significantly shorter in subsequent episodes compared to first episodes (p Conclusions TD is common among travellers, but the overall course is mild, not requiring treatment. The incidence rates for first and second episodes are comparable. Female sex is a risk factor for the first episode, as well as subsequent ones. Prescription antibiotics are not needed in short-term healthy travellers.

  4. Space-Qualified Traveling-Wave Tube

    Science.gov (United States)

    Wilson, Jeffrey D.; Krawczyk, Richard; Simons, Rainee N.; Williams, Wallace D.; Robbins, Neal R.; Dibb, Daniel R.; Menninger, William L.; Zhai, Xiaoling; Benton, Robert T.

    2010-01-01

    The L-3 Communications Electron Technologies, Inc. Model 999HA traveling-wave tube (TWT), was developed for use as a high-power microwave amplifier for high-rate transmission of data and video signals from deep space to Earth (see figure). The 999HA is a successor to the 999H a non-space qualified TWT described in High-Power, High-Efficiency Ka-Band Traveling-Wave Tube (LEW-17900-1), NASA Tech Briefs, Vol. 31, No. 2 (February 2007), page 32. Operating in the 31.8-to-32.3 GHz frequency band, the 999HA has been shown to generate 252 W of continuous- wave output power at 62 percent overall power efficiency a 75-percent increase in output power over the 999H. The mass of the 999HA is 35 percent less than that of the 999H. Moreover, taking account of the elimination of a Faraday cage that is necessary for operation of the 999H but is obviated by a redesign of high-voltage feed-throughs for the 999HA, the overall reduction in mass becomes 57 percent with an 82 percent reduction in volume. Through a series of rigorous tests, the 999HA has been qualified for operation aboard spacecraft with a lifetime exceeding seven years. Offspring of the 999HA will fly on the Kepler and Lunar Reconnaissance Orbiter missions.

  5. Ferruleless coupled-cavity traveling-wave tube cold-test characteristics simulated with micro-SOS

    Science.gov (United States)

    Schroeder, Dana L.; Wilson, Jeffrey D.

    1993-01-01

    The three-dimensional, electromagnetic circuit analysis code, Micro-SOS, can be used to reduce expensive and time consuming experimental 'cold-testing' of traveling-wave tube (TWT) circuits. The frequency-phase dispersion and beam interaction impedance characteristics of a ferruleless coupled-cavity traveling-wave tube slow-wave circuit were simulated using the code. Computer results agree closely with experimental data. Variations in the cavity geometry dimensions of period length and gap-to-period ratio were modeled. These variations can be used in velocity taper designs to reduce the radiofrequency (RF) phase velocity in synchronism with the decelerating electron beam. Such circuit designs can result in enhanced TWT power and efficiency.

  6. Travelers' Health: Leishmaniasis, Visceral

    Science.gov (United States)

    ... such as the United States reflects travel and immigration patterns. VL is uncommon in US travelers and ... whqlibdoc.who.int/trs/WHO_TRS_949_eng.pdf . Chapter 3 - Leishmaniasis, Cutaneous Chapter 3 - Leptospirosis File ...

  7. Additive measures of travel time variability

    DEFF Research Database (Denmark)

    Engelson, Leonid; Fosgerau, Mogens

    2011-01-01

    This paper derives a measure of travel time variability for travellers equipped with scheduling preferences defined in terms of time-varying utility rates, and who choose departure time optimally. The corresponding value of travel time variability is a constant that depends only on preference...... parameters. The measure is unique in being additive with respect to independent parts of a trip. It has the variance of travel time as a special case. Extension is provided to the case of travellers who use a scheduled service with fixed headway....

  8. Valuation of travel time for international long-distance travel - results from the Fehmarn Belt stated choice experiment

    DEFF Research Database (Denmark)

    Mabit, Stefan Lindhard; Rich, Jeppe; Burge, Peter

    2013-01-01

    of travel time savings (VTTS). The final model, which was formulated as a nested logit model and included Box–Cox transformed travel time and cost attributes, revealed several interesting findings. Firstly, we found damping effects in both cost and time – most strongly in cost. Secondly, we found...... significant interactions among travel cost and time, and journey characteristics, such as distance and duration. This had direct impact on the VTTS, which was shown to decrease with distance and duration. Thirdly, we found that air travel implies a higher average VTTS, which is to be expected but rarely......The geographical scope of travel varies from short distances in urban areas to long distances across cities and countries. While urban travel has been widely analysed in the literature, travel over longer distances and particularly across countries, has received much less attention. While this may...

  9. Traveling Safely with Medicines

    Science.gov (United States)

    ... Medications Safely My Medicine List How to Administer Traveling Safely with Medicines Planes, trains, cars – even boats ... your trip, ask your pharmacist about how to travel safely with your medicines. Make sure that you ...

  10. A-Level Revision Guide: Travel and Tourism

    Science.gov (United States)

    Thirlaway, Joanne; Duckett, Ian

    2007-01-01

    A-levels in Travel and Tourism are unitised qualifications that should take a minimum of two years to achieve. Successful completion of year one results in the candidate achieving a qualification in its own right: an AS level. This AS level will be deemed a single or a double award depending on how many units have been assessed. A single award…

  11. Use of preventive measures for air travel-related venous thrombosis in professionals who attend medical conferences

    NARCIS (Netherlands)

    Kuipers, S.; Cannegieter, S. C.; Middeldorp, S.; Rosendaal, F. R.; Büller, H. R.

    2006-01-01

    BACKGROUND: Lack of guidelines for prevention of air travel-related venous thrombosis may lead to excessive use of potentially dangerous precautions. OBJECTIVES: To assess the use of preventive measures for air travel-related thrombosis in professionals employed in the field of thrombosis and

  12. Estimating Household Travel Energy Consumption in Conjunction with a Travel Demand Forecasting Model

    Energy Technology Data Exchange (ETDEWEB)

    Garikapati, Venu M. [Systems Analysis and Integration Section, National Renewable Energy Laboratory, 15013 Denver West Parkway, Golden, CO 80401; You, Daehyun [Maricopa Association of Governments, 302 North First Avenue, Suite 300, Phoenix, AZ 85003; Zhang, Wenwen [School of City and Regional Planning, Center for Geographic Information Systems, Georgia Institute of Technology, 760 Spring Street, Suite 230, Atlanta, GA 30308; Pendyala, Ram M. [School of Sustainable Engineering and the Built Environment, Arizona State University, 660 South College Avenue, Tempe, AZ 85281; Guhathakurta, Subhrajit [School of City and Regional Planning, Center for Geographic Information Systems, Georgia Institute of Technology, 760 Spring Street, Suite 230, Atlanta, GA 30308; Brown, Marilyn A. [School of Public Policy, 685 Cherry Street, Georgia Institute of Technology, Atlanta, GA 30332; Dilkina, Bistra [School of Computational Science and Engineering, 266 Ferst Drive, Georgia Institute of Technology, Atlanta, GA 30332

    2017-01-01

    This paper presents a methodology for the calculation of the consumption of household travel energy at the level of the traffic analysis zone (TAZ) in conjunction with information that is readily available from a standard four-step travel demand model system. This methodology embeds two algorithms. The first provides a means of allocating non-home-based trips to residential zones that are the source of such trips, whereas the second provides a mechanism for incorporating the effects of household vehicle fleet composition on fuel consumption. The methodology is applied to the greater Atlanta, Georgia, metropolitan region in the United States and is found to offer a robust mechanism for calculating the footprint of household travel energy at the level of the individual TAZ; this mechanism makes possible the study of variations in the energy footprint across space. The travel energy footprint is strongly correlated with the density of the built environment, although socioeconomic differences across TAZs also likely contribute to differences in travel energy footprints. The TAZ-level calculator of the footprint of household travel energy can be used to analyze alternative futures and relate differences in the energy footprint to differences in a number of contributing factors and thus enables the design of urban form, formulation of policy interventions, and implementation of awareness campaigns that may produce more-sustainable patterns of energy consumption.

  13. [Travel medicine for HIV-infected patients].

    Science.gov (United States)

    Rossi, M; Furrer, H

    2001-06-01

    Many HIV-infected persons travel from temperate zones to (sub)tropical destinations. HIV-specific immigration issues, medical resources abroad and problems regarding travelling with multiple medications have to be anticipated. When prescribing immunizations and specific chemoprophylaxis, the stage of immunodeficiency as well as drug interactions with antiretrovirals and medicaments against opportunistic infections have to be taken into account. Live vaccines may be contraindicated. Immunocompromised HIV-infected travellers have a higher risk for serious courses of diseases by enteropathogens. Therefore a good information about food hygiene is important and a prescription of an antibiotic to take in case of severe diarrhea may be indicated. A new antiretroviral combination therapy should not be started immediately before travelling to the tropics. The possibility to continue an established HIV treatment during travel has to be evaluated cautiously. With good pre-travel advice the risk of severe health problems is low for most HIV-infected travellers.

  14. Built environment predictors of active travel to school among rural adolescents.

    Science.gov (United States)

    Dalton, Madeline A; Longacre, Meghan R; Drake, Keith M; Gibson, Lucinda; Adachi-Mejia, Anna M; Swain, Karin; Xie, Haiyi; Owens, Peter M

    2011-03-01

    Most studies of active travel to school (ATS) have been conducted in urban or suburban areas and focused on young children. Little is known about ATS among rural adolescents. To describe adolescent ATS in two predominantly rural states and determine if school neighborhood built environment characteristics (BECs) predict ATS after adjusting for school and individual characteristics. Sixteen BECs were assessed through census data and onsite observations of 45 school neighborhoods in 2007. ATS and individual characteristics were assessed through telephone surveys with 1552 adolescents and their parents between 2007 and 2008. Active travelers were defined as those who walked/cycled to/from school ≥1 day/week. Hierarchic linear modeling was used for analysis, conducted in 2009. Slightly less than half (n=735) of the sample lived within 3 miles of school, of whom 388 (52.8%) were active travelers. ATS frequency varied by season, ranging from a mean of 1.7 (SD=2.0) days/week in the winter to 3.7 (SD=1.6) in the spring. Adolescents who attended schools in highly dense residential neighborhoods with sidewalks were most likely to be active travelers. ATS frequency was greater in school neighborhoods with high residential and intersection densities, on-street parking, food outlets, and taller and continuous buildings with small setbacks. The BECs that support safe travel may be necessary to allow for ATS, whereas ATS frequency among adolescents may be influenced by a wider variety of design characteristics. Additional strategies to promote ATS and physical activity are needed in rural areas because of long commuting distances for many students. Copyright © 2011 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  15. Bayesian Travel Time Inversion adopting Gaussian Process Regression

    Science.gov (United States)

    Mauerberger, S.; Holschneider, M.

    2017-12-01

    A major application in seismology is the determination of seismic velocity models. Travel time measurements are putting an integral constraint on the velocity between source and receiver. We provide insight into travel time inversion from a correlation-based Bayesian point of view. Therefore, the concept of Gaussian process regression is adopted to estimate a velocity model. The non-linear travel time integral is approximated by a 1st order Taylor expansion. A heuristic covariance describes correlations amongst observations and a priori model. That approach enables us to assess a proxy of the Bayesian posterior distribution at ordinary computational costs. No multi dimensional numeric integration nor excessive sampling is necessary. Instead of stacking the data, we suggest to progressively build the posterior distribution. Incorporating only a single evidence at a time accounts for the deficit of linearization. As a result, the most probable model is given by the posterior mean whereas uncertainties are described by the posterior covariance.As a proof of concept, a synthetic purely 1d model is addressed. Therefore a single source accompanied by multiple receivers is considered on top of a model comprising a discontinuity. We consider travel times of both phases - direct and reflected wave - corrupted by noise. Left and right of the interface are assumed independent where the squared exponential kernel serves as covariance.

  16. Experienced travel time prediction for congested freeways

    OpenAIRE

    Yildirimoglu, Mehmet; Geroliminis, Nikolaos

    2013-01-01

    Travel time is an important performance measure for transportation systems, and dissemination of travel time information can help travelers make reliable travel decisions such as route choice or departure time. Since the traffic data collected in real time reflects the past or current conditions on the roadway, a predictive travel time methodology should be used to obtain the information to be disseminated. However, an important part of the literature either uses instantaneous travel time ass...

  17. Skin disorders among travellers returning from tropical and non-tropical countries consulting a travel medicine clinic.

    Science.gov (United States)

    Herbinger, K-H; Siess, C; Nothdurft, H D; von Sonnenburg, F; Löscher, T

    2011-11-01

    To evaluate the causes and risks for imported skin disorders among travellers. Data of 34,162 travellers returning from tropical and non-tropical countries and presenting at the outpatient travel medicine clinic of the University of Munich, Germany, between 1999 and 2009 were analyzed for this study. Of these, 12.2% were diagnosed with skin disorders. Main destinations visited were Asia (40%), Africa (27%) and Latin America (21%). Tourism in the form of adventure travel/backpacking (47%) and package holidays (23%) was the most common purpose of travel. The leading causes of skin disorders were arthropodal (23%), bacterial (22%), helminthic (11%), protozoan (6%), viral (6%), allergic (5%) and fungal (4%). The 10 most frequently diagnosed specific skin diseases associated with specific destinations were insect bites (17%, Southern Europe), cutaneous larva migrans (8%, Asia and Latin America), cutaneous leishmaniasis (2.4%, Mediterranean Region/Middle East), dengue fever (1.5%, Asia), rickettsioses (1.3%, Southern Africa), myiasis (0.8%, Central America), filarioses (0.7%, Africa), tick bites (0.6%, Central/Eastern Europe), schistosomiasis (0.6%, Africa) and tungiasis (0.6%, Africa). Travellers in sub-Saharan Africa had the highest relative risk of acquiring skin disorders. As more than 20% of all skin disorders among returned travellers were caused by arthropods and about 50% by infectious pathogens, pre-travel consultations should include specific prophylaxis and consider the most important risk factor for the travel destination. © 2011 Blackwell Publishing Ltd.

  18. Self-reported infections during international travel and notifiable infections among returning international travellers, Sweden, 2009-2013.

    Directory of Open Access Journals (Sweden)

    Viktor Dahl

    Full Text Available We studied food and water-borne diseases (FWDs, sexually transmitted diseases (STDs, vector-borne diseases (VBDs and diseases vaccinated against in the Swedish childhood vaccination programme among Swedish international travellers, in order to identify countries associated with a high number of infections. We used the national database for notifiable infections to estimate the number of FWDs (campylobacteriosis, salmonellosis, giardiasis, shigellosis, EHEC, Entamoeba histolytica, yersinosis, hepatitis A, paratyphoid fever, typhoid fever, hepatitis E, listeriosis, cholera, STIs (chlamydia, gonorrhoea and acute hepatitis B, VBDs (dengue fever, malaria, West Nile fever, Japanese encephalitis and yellow fever and diseases vaccinated against in the Swedish childhood vaccination programme (pertussis, measles, mumps, rubella, diphtheria acquired abroad 2009-2013. We obtained number and duration of trips to each country from a database that monthly collects travel data from a randomly selected proportion of the Swedish population. We calculated number of infections per country 2009-2013 and incidence/million travel days for the five countries with the highest number of infections. Thailand had the highest number of FWDs (7,697, incidence 191/million travel days, STIs (1,388, incidence 34/million travel days and VBDs (358, incidence 9/million travel days. France had the highest number of cases of diseases vaccinated against in the Swedish childhood vaccination programme (8, 0.4/million travel days. Swedish travellers contracted most infections in Thailand. Special focus should be placed on giving advice to travellers to this destination.

  19. Infectious Risks of Traveling Abroad.

    Science.gov (United States)

    Chen, Lin H; Blair, Barbra M

    2015-08-01

    A popular leisure activity, international travel can be associated with some infections. The most common travel-related illnesses appear to be gastrointestinal, dermatologic, respiratory, and systemic febrile syndromes. The pretravel medical consultation includes immunizations, malaria chemoprophylaxis, self-treatment for traveler's diarrhea, and advice on the prevention of a myriad of other infectious causes including dengue, chikungunya, rickettsiosis, leptospirosis, schistosomiasis, and strongyloidiasis. Travel to locations experiencing outbreaks such as Ebola virus disease, Middle East respiratory syndrome, avian influenza, and chikungunya call for specific alerts on preventive strategies. After travel, evaluation of an ill traveler must explore details of exposure, including destinations visited; activities; ingestion of contaminated food or drinks; contact with vectors, animals, fresh water, or blood and body fluids; and other potential exposures. Knowledge of the geographic distribution of infectious diseases is important in generating the differential diagnoses and testing accordingly. Empiric treatment is sometimes necessary when suspicion of a certain diagnosis is strong and confirmatory tests are delayed or lacking, particularly for infections that are rapidly progressive (for example, malaria) or for which timing of testing is prolonged (such as leptospirosis).

  20. Post-harmonised European National Travel Surveys

    DEFF Research Database (Denmark)

    Christensen, Linda; Sobrino Vázquez, Natalia

    Look-up tables are collected and analysed for 12 European National Travel Surveys (NTS) in a harmonized way covering the age group 13-84 year. Travel behaviour measured as kilometres, time use and trips per traveller is compared. Trips per traveller are very similar over the countries whereas...... of walking trips rather similar with a higher level of cycling in the Netherlands, more public transport in Switzerland, and more air traffic in Sweden. Normally kilometres per respondent / inhabitant is used for national planning purpose and this is very affected by the share of mobile travellers...

  1. Pre-Travel Medical Preparation of Business and Occupational Travelers: An Analysis of the Global TravEpiNet Consortium, 2009 to 2012.

    Science.gov (United States)

    Khan, Nomana M; Jentes, Emily S; Brown, Clive; Han, Pauline; Rao, Sowmya R; Kozarsky, Phyllis; Hagmann, Stefan H F; LaRocque, Regina C; Ryan, Edward T

    2016-01-01

    The aim of the study was to understand more about pre-travel preparations and itineraries of business and occupational travelers. De-identified data from 18 Global TravEpiNet clinics from January 2009 to December 2012 were analyzed. Of 23,534 travelers, 61% were non-occupational and 39% occupational. Business travelers were more likely to be men, had short times to departure and shorter trip durations, and commonly refused influenza, meningococcal, and hepatitis B vaccines. Most business travelers indicated that employers suggested the pre-travel health consultation, whereas non-occupational travelers sought consultations because of travel health concerns. Sub-groups of occupational travelers have characteristic profiles, with business travelers being particularly distinct. Employers play a role in encouraging business travelers to seek pre-travel consultations. Such consultations, even if scheduled immediately before travel, can identify vaccination gaps and increase coverage.

  2. 5 CFR 550.1404 - Creditable travel time.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Creditable travel time. 550.1404 Section... ADMINISTRATION (GENERAL) Compensatory Time Off for Travel § 550.1404 Creditable travel time. (a) General. Subject... off for time in a travel status if— (1) The employee is required to travel away from the official duty...

  3. CARLSON WAGONLIT TRAVEL

    CERN Multimedia

    2006-01-01

    CARLSON WAGONLIT TRAVEL informs you that our agency will be closed from 22 December 2006 at 16:30 until 8 January 2007 at 8:30. For all URGENT MATTERS you can contact our CARLSON WAGONLIT TRAVEL branch at W.H.O. (Mr Pierre Plumettaz), phone: 022 791 55 95. We wish you already a Merry Christmas and a Happy New Year!

  4. Quantifying the impact on navigation performance in visually impaired: Auditory information loss versus information gain enabled through electronic travel aids.

    Directory of Open Access Journals (Sweden)

    Alex Kreilinger

    Full Text Available This study's purpose was to analyze and quantify the impact of auditory information loss versus information gain provided by electronic travel aids (ETAs on navigation performance in people with low vision. Navigation performance of ten subjects (age: 54.9±11.2 years with visual acuities >1.0 LogMAR was assessed via the Graz Mobility Test (GMT. Subjects passed through a maze in three different modalities: 'Normal' with visual and auditory information available, 'Auditory Information Loss' with artificially reduced hearing (leaving only visual information, and 'ETA' with a vibrating ETA based on ultrasonic waves, thereby facilitating visual, auditory, and tactile information. Main performance measures comprised passage time and number of contacts. Additionally, head tracking was used to relate head movements to motion direction. When comparing 'Auditory Information Loss' to 'Normal', subjects needed significantly more time (p<0.001, made more contacts (p<0.001, had higher relative viewing angles (p = 0.002, and a higher percentage of orientation losses (p = 0.011. The only significant difference when comparing 'ETA' to 'Normal' was a reduced number of contacts (p<0.001. Our study provides objective, quantifiable measures of the impact of reduced hearing on the navigation performance in low vision subjects. Significant effects of 'Auditory Information Loss' were found for all measures; for example, passage time increased by 17.4%. These findings show that low vision subjects rely on auditory information for navigation. In contrast, the impact of the ETA was not significant but further analysis of head movements revealed two different coping strategies: half of the subjects used the ETA to increase speed, whereas the other half aimed at avoiding contacts.

  5. Observation of Zero-Dimensional States in a One-Dimensional Electron Interferometer

    NARCIS (Netherlands)

    Wees, B.J. van; Kouwenhoven, L.P.; Harmans, C.J.P.M.; Williamson, J.G.; Timmering, C.E.; Broekaart, M.E.I.; Foxon, C.T.; Harris, J.J.

    1989-01-01

    We have studied the electron transport in a one-dimensional electron interferometer. It consists of a disk-shaped two-dimensional electron gas, to which quantum point contacts are attached. Discrete zero-dimensional states are formed due to constructive interference of electron waves traveling along

  6. Recommended vaccines for international travelers to India.

    Science.gov (United States)

    Verma, Ramesh; Khanna, Pardeep; Chawla, Suraj

    2015-01-01

    India's tourism industry generated 6.6% of the nation's Gross Domestic Product (GDP) during 2012. International travel to India is predicted to grow at an average annual rate of ∼ 8% over the next decade. The number of foreign tourists has increased by 9% to 5.8 million. Approximately 8% of travelers to developing countries require medical care during or after travel; the main diagnoses are vaccine-preventable diseases. Travelers to India can be exposed to various infectious diseases; water-borne, water-related, and zoonotic diseases may be imported to India where the disease is not endemic. The World Health Organization (WHO) emphasizes that all international travelers should be up to date with routine vaccinations. The recommended vaccinations for travelers to India vary according to the traveler's age, immunization history, existing medical conditions, duration, legal requirements for entry into countries being visited, travelers preferences, and values. Travelers should consult with a doctor so that there is sufficient time for completion of optimal vaccination schedules. No matter where traveling, one should be aware of potential exposure to certain organisms that can cause severely illnesses, even death. There is no doubt that vaccines have reduced or virtually eliminated many diseases that killed or severely disabled children and adults just a few generations ago. Thus, travelers must take recommended vaccines per schedule before traveling to India.

  7. Pre-travel health seeking practices of Umrah pilgrims departing from Assiut International Airport, Egypt.

    Science.gov (United States)

    Aziz, Mirette M; Abd El-Megeed, Hosnia S; Abd Ellatif, Mennat Allah M

    2018-04-22

    to assess the health seeking practices and their determinants among Umrah pilgrims departing from Assiut international Airport. We interviewed 300 pilgrims departing from Assiut International Airport while they were in the departure lounge, using a semi-structured questionnaire. Only 60%, 46.3% and 46.3% of Umrah pilgrims believed in importance of pre-travel vaccination, seeking health information, and health examination, respectively. The most frequently practiced pre-travel health related behaviour was getting vaccinated (56.3%), as compared to much lower frequencies of seeking health information (24%) or having a clinical health examination (26.7%). Private clinics, internet and the tourism companies were the main sources of health information of the pilgrims. Positive attitude of pilgrims about health seeking practices, the perception of health risk of travelling to Hajj/Umrah and having a chronic disease were the predictors of pre-travel health practices. Raising awareness among Hajj/Umrah pilgrims about the importance of seeking professional pre-travel health advice and communicating the risk of exposure to travel-related diseases to pilgrims could be important strategies to improve the uptake of preventive measures. Training of general practitioners in the public health sector about the travel health information would promote the travel health services. Copyright © 2018. Published by Elsevier Ltd.

  8. Federal Government Electronic Bulletin Boards: An Assessment with Policy Recommendations.

    Science.gov (United States)

    Bertot, John Carlo; McClure, Charles R.

    1993-01-01

    Identifies and analyzes federal government electronic bulletin boards; assesses the types of information available to users, including costs and technological access issues; discusses federal information policy; and considers the role of federal bulletin boards in accessing and managing electronic government information. (Contains 29 references.)…

  9. U.S. business travel

    Science.gov (United States)

    2003-10-01

    Americans make more than 405 million long-distance business trips per year, : accounting for 16% of all long-distance travel, according to a : preliminary analysis of the National Household Travel Survey (NHTS). : Conducted from 2001 to 2002, the NHT...

  10. Periodic travelling and non-travelling wave solutions of the nonlinear Klein-Gordon equation with imaginary mass

    International Nuclear Information System (INIS)

    Tang Xiaoyan; Shukla, Padma Kant

    2008-01-01

    Exact solutions, including the periodic travelling and non-travelling wave solutions, are presented for the nonlinear Klein-Gordon equation with imaginary mass. Some arbitrary functions are permitted in the periodic non-travelling wave solutions, which contribute to various high dimensional nonlinear structures

  11. Neighborhood walkability and active travel (walking and cycling) in New York City.

    Science.gov (United States)

    Freeman, Lance; Neckerman, Kathryn; Schwartz-Soicher, Ofira; Quinn, James; Richards, Catherine; Bader, Michael D M; Lovasi, Gina; Jack, Darby; Weiss, Christopher; Konty, Kevin; Arno, Peter; Viola, Deborah; Kerker, Bonnie; Rundle, Andrew G

    2013-08-01

    Urban planners have suggested that built environment characteristics can support active travel (walking and cycling) and reduce sedentary behavior. This study assessed whether engagement in active travel is associated with neighborhood walkability measured for zip codes in New York City. Data were analyzed on engagement in active travel and the frequency of walking or biking ten blocks or more in the past month, from 8,064 respondents to the New York City 2003 Community Health Survey (CHS). A neighborhood walkability scale that measures: residential, intersection, and subway stop density; land use mix; and the ratio of retail building floor area to retail land area was calculated for each zip code. Data were analyzed using zero-inflated negative binomial regression incorporating survey sample weights and adjusting for respondents' sociodemographic characteristics. Overall, 44 % of respondents reported no episodes of active travel and among those who reported any episode, the mean number was 43.2 episodes per month. Comparing the 75th to the 25th percentile of zip code walkability, the odds ratio for reporting zero episodes of active travel was 0.71 (95 % CI 0.61, 0.83) and the exponentiated beta coefficient for the count of episodes of active travel was 1.13 (95 % CI 1.06, 1.21). Associations between lower walkability and reporting zero episodes of active travel were significantly stronger for non-Hispanic Whites as compared to non-Hispanic Blacks and to Hispanics and for those living in higher income zip codes. The results suggest that neighborhood walkability is associated with higher engagement in active travel.

  12. Comparative analysis of energy impacts of traditional and partly electronic environmental auditing: learning from the Japanese automotive industry case

    Directory of Open Access Journals (Sweden)

    Charles Mbohwa

    2008-04-01

    Full Text Available This paper does a comparative analysis and assessment of energy impacts of traditional and partly electronic ISO 14001 environmental management system auditing that using videoconferencing systems. The focus is on the Japanese automotive industry. The idea is to quantify the environmental impacts of auditing and resolve the important question on whether or not the use of information and communication technology (ICT in environmental auditing reduces environmental impacts in ISO 14001 environmental management systems. The main results show that there are no clear energy savings or environmental advantages associated with ICT use in environmental auditing for the set system boundary. However electronic auditing is shown to have clear advantages for stated variables within the model, for example when the distance travelled by the auditors by train and by car is less than 75 km and 17 km per day respectively. A comparison of modes of travel by auditors, shows that rail travel offers the most environmental and energy benefits. It is also noted that travel dominates in terms of energy consumption and environmental burdens compared to all other environmental aspects associated with auditing. The study contributes to knowledge in that among other things, it enables researchers to draw parallels from it applicable to other industrial sectors and other countries. Southern African countries can use this methodology in analysing auditing methods with little or no changes in the model used.

  13. Travel Mode Use, Travel Mode Shift and Subjective Well-Being: Overview of Theories, Empirical Findings and Policy Implications

    NARCIS (Netherlands)

    Ettema, D.F.; Friman, M.; Gärling, Tommy; Olsson, Lars

    2016-01-01

    This chapter discusses how travel by different travel modes is related to primarily subjective well-being but also to health or physical well-being. Studies carried out in different geographic contexts consistently show that satisfaction with active travel modes is higher than travel by car and

  14. 38 CFR 60.5 - Travel.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel. 60.5 Section 60.5... TEMPORARY LODGING § 60.5 Travel. As a condition for receiving temporary lodging under this part, a veteran must be required to travel either 50 or more miles, or at least two hours from his or her home to the...

  15. Frequent hepatitis E in the Netherlands without traveling or immunosuppression.

    Science.gov (United States)

    Koot, H; Hogema, B M; Koot, M; Molier, M; Zaaijer, H L

    2015-01-01

    In several Western countries, silent endemic hepatitis E virus (HEV) infection is common among blood donors. Immunocompromised persons may develop chronic hepatitis E, but the relevance of endemic HEV for immunocompetent persons remains largely unknown. We investigated the immune status and travel history in cases of hepatitis E in the Netherlands. Between January 2009 and May 2014, physicians throughout the Netherlands submitted samples from 4067 hepatitis patients to Sanquin Diagnostic Services for HEV antibody testing. For the 144 patients testing positive for HEV IgM and HEV RNA, travel behavior and immune status were assessed. Complete information was obtained for 81 patients. Surprisingly, the majority of patients (52/81, 64%) were immunocompetent and did not travel outside Europe. HEV genotyping was obtained for 47 non-traveling patients, all concerned HEV genotype 3. Our findings suggest that currently in Western countries the impact of hepatitis E for non-traveling, immunocompetent persons is underestimated. Historically cases of hepatitis A, B and C, but not cases of hepatitis E, are notifiable and warrant preventive measures. However, in parts of Western Europe HEV may have become the most important source of viral hepatitis, in immunocompetent and in immunosuppressed persons. Pending measures against the ongoing transmission of HEV genotype 3 in parts of Europe, physicians should consider hepatitis E in dealing with new hepatitis patients. Copyright © 2014 Elsevier B.V. All rights reserved.

  16. Dynamic analysis of holiday travel behavior with integrated multimodal travel information usage : a life-oriented approach

    NARCIS (Netherlands)

    Wang, B.; Shao, C.; Ji, X.

    2017-01-01

    The Integrated Multimodal Travel Information (IMTI) plays an important role in the evolution process of holiday travel behaviour, which is seldom investigated. To fill this gap, this study analyses holiday travel behaviour dynamics with IMTI usage, based on the life-oriented approach. IMTI usage is

  17. Modular Low-Heater-Power Cathode/Electron Gun Assembly for Microwave and Millimeter Wave Traveling Wave Tubes

    Science.gov (United States)

    Wintucky, Edwin G.

    2000-01-01

    A low-cost, low-mass, electrically efficient, modular cathode/electron gun assembly has been developed by FDE Inc. of Beaverton, Oregon, under a Small Business Innovation Research (SBIR) contract with the NASA Glenn Research Center at Lewis Field. This new assembly offers significant improvements in the design and manufacture of microwave and millimeter wave traveling-wave tubes (TWT's) used for radar and communications. It incorporates a novel, low-heater-power, reduced size and mass, high-performance barium dispenser type thermionic cathode and provides for easy integration of the cathode into a large variety of conventional TWT circuits. Among the applications are TWT's for Earth-orbiting communication satellites and for deep space communications, where future missions will require smaller spacecraft, higher data transfer rates (higher frequencies and radiofrequency output power), and greater electrical efficiency. A particularly important TWT application is in the microwave power module (a hybrid microwave/millimeter wave amplifier consisting of a low-noise solid-state driver, a small TWT, and an electronic power conditioner integrated into a single compact package), where electrical efficiency and thermal loading are critical factors and lower cost is needed for successful commercialization. The design and fabrication are based on practices used in producing cathode ray tubes (CRT's), which is one of the most competitive and efficient manufacturing operations in the world today. The approach used in the design and manufacture of thermionic cathodes and electron guns for CRT's has been optimized for fully automated production, standardization of parts, and minimization of costs. It is applicable to the production of similar components for microwave tubes, with the additional benefits of low mass and significantly lower cathode heater power (less than half that of dispenser cathodes presently used in TWT s). Modular cathode/electron gun assembly. The modular

  18. How urban environment affects travel behavior? Integrated Choice and Latent Variable Model for Travel Schedules

    DEFF Research Database (Denmark)

    La Paix, Lissy; Bierlaire, Michel; Cherchi, Elisabetta

    2013-01-01

    The relationship between urban environment and travel behaviour is not a new problem. Neighbourhood characteristics may affect mobility of dwellers in different ways, such as frequency of trips, mode used, structure of the tours, and so on. At the same time, qualitative issues related...... to the individual attitude towards specific behaviour have recently become important in transport modelling contributing to a better understanding of travel demand. Following this research line, in this paper we study the effect of neighbourhood characteristics in the choice of the type of tours performed, but we...... assume that neighbourhood characteristics can also affect the individual propensity to travel and hence the choice of the tours throughout the propensity to travel. Since the propensity to travel is not observed, we employ hybrid choice models to estimate jointly the discrete choice of tours...

  19. Incidence, risk factors and treatment of diarrhoea among Dutch travellers: reasons not to routinely prescribe antibiotics.

    Science.gov (United States)

    Belderok, Sanne-Meike; van den Hoek, Anneke; Kint, Joan A; Schim van der Loeff, Maarten F; Sonder, Gerard Jb

    2011-10-29

    Travellers' diarrhoea (TD) is the most common infectious disease among travellers. In the Netherlands, stand-by or prophylactic antibiotics are not routinely prescribed to travellers. This study prospectively assessed the incidence rate, risk factors, and treatment of TD among immunocompetent travellers. Persons who attended the travel clinic of the Public Health Service Amsterdam in 2006-2007 before short-term travel to tropical and subtropical countries were invited to answer a questionnaire regarding sociodemographics and travel purpose; they were also asked to keep a daily structured travel diary, recording their itinerary, symptoms, and self-medication or consultation with a doctor. Diarrhoea episodes containing blood or mucous were considered severe. Of 1202 travellers, the median age was 38 years, and the median travel duration 3 weeks. Of all episodes, 96% were mild. The median duration of TD was 2 days and significantly shorter in subsequent episodes compared to first episodes (p sex, a Western country of birth, and tourism as the purpose of travel. The lowest risk was in travellers to South America. An independent risk factor for subsequent episodes was female sex. In total, 5% of travellers used antibiotics; of those, 92% had mild diarrhoea, and 53% received antibiotics over the counter. TD is common among travellers, but the overall course is mild, not requiring treatment. The incidence rates for first and second episodes are comparable. Female sex is a risk factor for the first episode, as well as subsequent ones. Prescription antibiotics are not needed in short-term healthy travellers.

  20. Vaccination for the expatriate and long-term traveler.

    Science.gov (United States)

    Shepherd, Suzanne M; Shoff, William H

    2014-06-01

    Duration of travel is an important factor in addressing travel health safety due to cumulative risk of exposure to illness and injury. The diverse group of expatriate and long-term business and leisure travelers present a different spectrum of issues for the travel medicine practitioner to address during consultation than does the short-term traveler, due to changes in travel patterns and activities, lifestyle alterations, and increased interaction with local populations. Immunization provides one safe and reliable method of preventing infectious illness in this group. We review travel patterns and available data on illnesses that they may be exposed to, including the increased risk of certain vaccine-preventable illnesses. We review the pre-travel management of these travelers, particularly the increased risk of certain vaccine-preventable illnesses as it applies to routine vaccines, recommended travel vaccines and required travel vaccines.

  1. Travel Times for Screening Mammography: Impact of Geographic Expansion by a Large Academic Health System.

    Science.gov (United States)

    Rosenkrantz, Andrew B; Liang, Yu; Duszak, Richard; Recht, Michael P

    2017-09-01

    This study aims to assess the impact of off-campus facility expansion by a large academic health system on patient travel times for screening mammography. Screening mammograms performed from 2013 to 2015 and associated patient demographics were identified using the NYU Langone Medical Center Enterprise Data Warehouse. During this time, the system's number of mammography facilities increased from 6 to 19, reflecting expansion beyond Manhattan throughout the New York metropolitan region. Geocoding software was used to estimate driving times from patients' homes to imaging facilities. For 147,566 screening mammograms, the mean estimated patient travel time was 19.9 ± 15.2 minutes. With facility expansion, travel times declined significantly (P travel times between such subgroups. However, travel times to pre-expansion facilities remained stable (initial: 26.8 ± 18.9 minutes, final: 26.7 ± 18.6 minutes). Among women undergoing mammography before and after expansion, travel times were shorter for the postexpansion mammogram in only 6.3%, but this rate varied significantly (all P travel burden and reduce travel time variation among sociodemographic populations. Nonetheless, existing patients strongly tend to return to established facilities despite potentially shorter travel time locations, suggesting strong site loyalty. Variation in travel times likely relates to various factors other than facility proximity. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  2. Value of travel time.

    Science.gov (United States)

    2016-08-01

    Knowingly or not, people generally place economic value on their time. Wage workers are paid a rate per hour, and service providers may charge per hour of their time. In the transportation realm, travelers place a value on their travel time and have ...

  3. U.S. holiday travel

    Science.gov (United States)

    2003-11-01

    The Thanksgiving and Christmas/New Years holiday periods are among the busiest long-distance travel periods of the year. During the 6-day Thanksgiving travel period, the number of long-distance trips (to and from a destination 50 miles or more awa...

  4. Assessment of legibility and completeness of handwritten and electronic prescriptions.

    Science.gov (United States)

    Albarrak, Ahmed I; Al Rashidi, Eman Abdulrahman; Fatani, Rwaa Kamil; Al Ageel, Shoog Ibrahim; Mohammed, Rafiuddin

    2014-12-01

    To assess the legibility and completeness of handwritten prescriptions and compare with electronic prescription system for medication errors. Prospective study. King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia. Handwritten prescriptions were received from clinical units of Medicine Outpatient Department (MOPD), Primary Care Clinic (PCC) and Surgery Outpatient Department (SOPD) whereas electronic prescriptions were collected from the pediatric ward. The handwritten prescription was assessed for completeness by the checklist designed according to the hospital prescription and evaluated for legibility by two pharmacists. The comparison between handwritten and electronic prescription errors was evaluated based on the validated checklist adopted from previous studies. Legibility and completeness of prescriptions. 398 prescriptions (199 handwritten and 199 e-prescriptions) were assessed. About 71 (35.7%) of handwritten and 5 (2.5%) of electronic prescription errors were identified. A significant statistical difference (P prescriptions in omitted dose and omitted route of administration category of error distribution. The rate of completeness in patient identification in handwritten prescriptions was 80.97% in MOPD, 76.36% in PCC and 85.93% in SOPD clinic units. Assessment of medication prescription completeness was 91.48% in MOPD, 88.48% in PCC, and 89.28% in SOPD. This study revealed a high incidence of prescribing errors in handwritten prescriptions. The use of e-prescription system showed a significant decline in the incidence of errors. The legibility of handwritten prescriptions was relatively good whereas the level of completeness was very low.

  5. The reliability of pre-travel history to decide on appropriate counseling and vaccinations: a prospective study.

    Science.gov (United States)

    Rossi, Isabelle A; Genton, Blaise

    2012-01-01

    Although medical and travel plans gathered from pre-travel interviews are used to decide the provision of specific pre-travel health advice and vaccinations, there has been no evaluation of the relevance of this strategy. In a prospective study, we assessed the agreement between pre-travel plans and post-travel history and the effect on advice regarding the administration of vaccines and recommendations for malaria prevention. We included prospectively all consenting adults who had not planned an organized tour. Pre- and post-travel information included questions on destination, itineraries, departure and return dates, access to bottled water, plan of bicycle ride, stays in a rural zone, and close contact with animals. The outcomes measured included: agreement between pre- and post-travel itineraries and activities; and the effect of these differences on pre-travel health recommendations, had the traveler gone to the actual versus intended destinations for actual versus intended duration and activities. Three hundred and sixty-five travelers were included in the survey, where 188 (52%) were males (median age 38 years). In 81(23%) travelers, there was no difference between pre- and post-travel history. Disagreement between pre- and post-travel history were the highest for stays in rural zones or with local people (66% of travelers), close contact with animals (33%), and bicycle riding (21%). According to post-travel history, 125 (35%) travelers would have needed rabies vaccine and 9 (3%) typhoid fever vaccine. Potential overprovision of vaccine was found in travelers. A change in the malaria prescription would have been recommended in 18 (5%) travelers. Pre-travel history does not adequately reflect what travelers do. However, difference between recommendations for the actual versus intended travel plans was only clinically significant for the need for rabies vaccine. Particular attention during pre-travel health counseling should focus on the risk of rabies, the

  6. Radiation of an electron in an electric field. 1

    International Nuclear Information System (INIS)

    Fedosov, N.I.; Flesher, G.I.

    1976-01-01

    The problem of electron radiation in a field of a travelling electric wave is solved by methods of classical electrodynamics. Such a field may serve as a model of a field on the linear accelerator axis. It is shown that the total radiation power, as well as the spectral-angular distribution of the radiation energy of an electron travelling in a longitudinal electric wave coincide with radiation in a stationary uniform electric field with the strength equal to that of the wave at the point where the particle velocity becomes close to the velocity of light [ru

  7. International travel increase and malaria importation in Romania, 2008-2009.

    Science.gov (United States)

    Neghina, Raul; Neghina, Adriana M; Marincu, Iosif; Iacobiciu, Ioan

    2011-09-01

    This report aims to assess the epidemiological characteristics of imported malaria in Romania in the context of international travel increase, and to compare them with the data reported by other European countries. Data on malaria cases were provided by the National Centre for Surveillance and Control of the Communicable Disease, whereas the data regarding international travels to and from Romania were retrieved from the Romanian Statistical Yearbook. The number of Romanian citizens who traveled to Africa in 2007 increased by over 600% as compared to the previous year. During the years 2008-2009, 25 cases of imported malaria were registered in Romania, with no fatalities. All patients were male and most of them (84%) acquired the infection in Africa. Plasmodium falciparum was involved in 68% of cases. The majority of the affected patients (41%) were aged 31 to 40 years. Labor was the main reason for traveling (72%), and 92% of cases took either partial or no chemoprophylaxis. The continuous growth of professional and leisure voyages to malaria-endemic regions may lead to a dramatic increase of imported cases, especially if prophylactic measures are not strictly followed.

  8. Pediatric travel consultation in an integrated clinic.

    Science.gov (United States)

    Christenson , J C; Fischer , P R; Hale , D C; Derrick , D

    2001-01-01

    In May 1997, a pediatric travel service was created within a larger integrated University-County Health Department international travel clinic. The purpose of the service was to further enhance the travel advice and care provided to children and their parents or guardians. The current study was designed to describe the care of children in this setting and to compare the care of children seen in the Pediatric Travel Service with that of children seen by other providers. All pediatric patients (defined as individuals Mexico, South America, and Southeast Asia. When compared to travelers seen in the Regular Clinic, individuals in the Pediatric Travel Service group were more likely to travel for humanitarian work, and for parental work relocation. Persons in the Regular Clinic were more likely to travel to Mexico and Central America. They were also more likely to travel on vacation and for missionary work or study. Hepatitis B and tetanus-diphtheria booster vaccinations were given more frequently to travelers seen in the Regular Clinic. Also, ciprofloxacin and antimotility agents were more commonly prescribed in this group. No differences were noted in the duration of travel or in the time interval between clinic visit and departure. While general travel advice was considered to be similar in both clinic groups, some differences were observed in the frequency of administration of certain vaccines and prescriptions of medications. These differences were likely due to a difference in age in the two study groups. The high volume and success of the clinic suggest that integrated pediatric and adult travel services in a coordinated setting can be effective.

  9. Gibbon travel paths are goal oriented.

    Science.gov (United States)

    Asensio, Norberto; Brockelman, Warren Y; Malaivijitnond, Suchinda; Reichard, Ulrich H

    2011-05-01

    Remembering locations of food resources is critical for animal survival. Gibbons are territorial primates which regularly travel through small and stable home ranges in search of preferred, limited and patchily distributed resources (primarily ripe fruit). They are predicted to profit from an ability to memorize the spatial characteristics of their home range and may increase their foraging efficiency by using a 'cognitive map' either with Euclidean or with topological properties. We collected ranging and feeding data from 11 gibbon groups (Hylobates lar) to test their navigation skills and to better understand gibbons' 'spatial intelligence'. We calculated the locations at which significant travel direction changes occurred using the change-point direction test and found that these locations primarily coincided with preferred fruit sources. Within the limits of biologically realistic visibility distances observed, gibbon travel paths were more efficient in detecting known preferred food sources than a heuristic travel model based on straight travel paths in random directions. Because consecutive travel change-points were far from the gibbons' sight, planned movement between preferred food sources was the most parsimonious explanation for the observed travel patterns. Gibbon travel appears to connect preferred food sources as expected under the assumption of a good mental representation of the most relevant sources in a large-scale space.

  10. Exposure assessment of workers in printed electronics workplace.

    Science.gov (United States)

    Lee, Ji Hyun; Sohn, Eun Kyung; Ahn, Jin Soo; Ahn, Kangho; Kim, Keun Soo; Lee, Jong Hwan; Lee, Taik Min; Yu, Il Je

    2013-07-01

    Printed electronics uses converging technologies, such as printing, fine mechanics, nanotechnology, electronics and other new technologies. Consequently, printed electronics raises additional health and safety concerns to those experienced in the traditional printing industry. This study investigated two printed electronics workplaces based on a walk-through survey and personal and area sampling. All the printed electronics operations were conducted in a cleanroom. No indication of exposure to excess silver nanoparticles or carbon nanotubes (CNTs) was found. While the organic solvents were lower than current occupational exposure limits, there was a lack of engineering controls, such as local exhaust ventilation, correct enclosure and duct connections. There was also an insufficient quantity of personal protective equipment, and some organic solvents not described in the safety data sheets (SDSs) were detected in the air samples. Plus, the cleaning work, a major emissions operation, was not conducted within a hood, and the cleaning waste was not properly disposed of. Therefore, the present exposure assessment results from two printed electronics workplaces suggest that the printed electronics industry needs to take note of the occupational safety and health risks and hazards already established by the traditional printing industry, along with new risks and hazards originating from converging technologies such as nanotechnology.

  11. Travel distance to prenatal care and high blood pressure during pregnancy.

    Science.gov (United States)

    Shi, Lu; MacLeod, Kara E; Zhang, Donglan; Wang, Fan; Chao, Margaret Shin

    2017-02-01

    To assess whether poor geographic accessibility to prenatal care, as indicated by long distance trips to prenatal care, produced high blood pressure (HPB) during pregnancy. Using the 2007 Los Angeles Mommy and Baby Study for women without hypertension prior to pregnancy (n = 3405), we compared self-reported HBP by travel distance to prenatal care controlling for age, race/ethnicity, marital status, education, household income, weight status, and physical activity. Results of the multilevel logistic regression shows traveling more than 50 mi to prenatal care is associated with an increased odds for having HPB during pregnancy (odds ratio [OR] = 2.867, 95% confidence interval [CI] = 1.079,7.613), as compared with a travel distance shorter than 5 mi. Traveling 5-14 mi (OR = 0.917, 95% CI = 0.715-1.176), 15-29 mi (OR = 0.955, 95% CI = 0.634-1.438), or 30-50 mi (OR = 1.101, 95% CI = 0.485-2.499) were not significantly associated with more risk of HBP during pregnancy. To our knowledge, no previous studies have examined the association between poor geographic accessibility to care and the possible harms of travel burdens for pregnant women. Future research that replicates these findings can assist in developing recommendations for pregnant women and health-care accessibility.

  12. Tool geometry, rotation and travel speeds effects on the properties of dissimilar magnesium/aluminum friction stir welded lap joints

    International Nuclear Information System (INIS)

    Mohammadi, J.; Behnamian, Y.; Mostafaei, A.; Gerlich, A.P.

    2015-01-01

    Highlights: • Tool geometry, rotation and travel speeds show great effect on the microstructure stability of FSW joint. • Increasing rotation and travel speeds resulted in increasing the tensile strength and ductility of the joints. • Better intermixing between Al/Mg alloys was obtained by tapered threaded pin. • A mechanical interlocking mechanism proposed for higher ductility and superior tensile properties in FSW joints. - Abstract: Lap joint friction stir welding (FSW) between dissimilar AZ31B and Al 6061 alloys sheets was conducted using various welding parameters including tool geometry, rotation and travel speeds. Tapered threaded pin and tapered pin tools were applied to fabricate FSW joints, using different rotation and travel speeds. Metallurgical investigations including X-ray diffraction pattern (XRD), optical microscopy images (OM), scanning electron microscopy equipped with an energy-dispersive X-ray spectroscopy (SEM–EDS) and electron probe microanalysis (EPMA) were used to characterize joints microstructures made with different welding parameters. Intermetallic phases were detected in the weld zone (WZ). Various microstructures were observed in the stir zone which can be attributed to using different travel and rotation speeds. Mechanical evaluation including lap shear fracture load test and microhardness measurements indicated that by simultaneously increasing the tool rotation and travel speeds, the joint tensile strength and ductility reached a maximum value. Microhardness studies and extracted results from stress–strain curves indicated that mechanical properties were affected by FSW process. Furthermore, phase analyses by XRD indicated the presence of intermetallic compounds in the weld zone. Finally, in the Al/Mg dissimilar weld, fractography studies showed that intermetallic compounds formation in the weld zone had an influence on the failure mode

  13. The practice of travel medicine in Europe.

    Science.gov (United States)

    Schlagenhauf, P; Santos-O'Connor, F; Parola, P

    2010-03-01

    Europe, because of its geographical location, strategic position on trade routes, and colonial past, has a long history of caring for travellers' health. Within Europe, there is great diversity in the practice of travel medicine. Some countries have travel medicine societies and provisions for a periodic distribution of recommendations, but many countries have no national pre-travel guidelines and follow international recommendations such as those provided by the WHO. Providers of travel medicine include tropical medicine specialists, general practice nurses and physicians, specialist 'travel clinics', occupational physicians, and pharmacists. One of the core functions of the European Centre for Disease Prevention and Control-funded network of travel and tropical medicine professionals, EuroTravNet, is to document the status quo of travel medicine in Europe. A three-pronged approach is used, with a real-time online questionnaire, a structured interview with experts in each country, and web searching.

  14. Life cycle assessment of electronic waste treatment

    International Nuclear Information System (INIS)

    Hong, Jinglan; Shi, Wenxiao; Wang, Yutao; Chen, Wei; Li, Xiangzhi

    2015-01-01

    Highlights: • Life cycle assessment of electronic waste recycling is quantified. • Key factors for reducing the overall environmental impact are indentified. • End-life disposal processes provide significant environmental benefits. • Efficiently reduce the improper disposal amount of e-waste is highly needed. • E-waste incineration can generate significant environmental burden. - Abstract: Life cycle assessment was conducted to estimate the environmental impact of electronic waste (e-waste) treatment. E-waste recycling with an end-life disposal scenario is environmentally beneficial because of the low environmental burden generated from human toxicity, terrestrial ecotoxicity, freshwater ecotoxicity, and marine ecotoxicity categories. Landfill and incineration technologies have a lower and higher environmental burden than the e-waste recycling with an end-life disposal scenario, respectively. The key factors in reducing the overall environmental impact of e-waste recycling are optimizing energy consumption efficiency, reducing wastewater and solid waste effluent, increasing proper e-waste treatment amount, avoiding e-waste disposal to landfill and incineration sites, and clearly defining the duties of all stakeholders (e.g., manufacturers, retailers, recycling companies, and consumers)

  15. Life cycle assessment of electronic waste treatment

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Jinglan, E-mail: hongjing@sdu.edu.cn [Shandong Provincial Key Laboratory of Water Pollution Control and Resource Reuse, School of Environmental Science and Engineering, Shandong University, Jinan 250100 (China); Shandong University Climate Change and Health Center, Public Health School, Shandong University, Jinan 250012 (China); Shi, Wenxiao [Shandong Provincial Key Laboratory of Water Pollution Control and Resource Reuse, School of Environmental Science and Engineering, Shandong University, Jinan 250100 (China); Wang, Yutao [School of Life Science, Shandong University, Shanda South Road 27, Jinan 250100 (China); Chen, Wei [Shandong Provincial Key Laboratory of Water Pollution Control and Resource Reuse, School of Environmental Science and Engineering, Shandong University, Jinan 250100 (China); Li, Xiangzhi, E-mail: xiangzhi@sdu.edu.cn [School of Medicine, Shandong University, Jinan 250012 (China)

    2015-04-15

    Highlights: • Life cycle assessment of electronic waste recycling is quantified. • Key factors for reducing the overall environmental impact are indentified. • End-life disposal processes provide significant environmental benefits. • Efficiently reduce the improper disposal amount of e-waste is highly needed. • E-waste incineration can generate significant environmental burden. - Abstract: Life cycle assessment was conducted to estimate the environmental impact of electronic waste (e-waste) treatment. E-waste recycling with an end-life disposal scenario is environmentally beneficial because of the low environmental burden generated from human toxicity, terrestrial ecotoxicity, freshwater ecotoxicity, and marine ecotoxicity categories. Landfill and incineration technologies have a lower and higher environmental burden than the e-waste recycling with an end-life disposal scenario, respectively. The key factors in reducing the overall environmental impact of e-waste recycling are optimizing energy consumption efficiency, reducing wastewater and solid waste effluent, increasing proper e-waste treatment amount, avoiding e-waste disposal to landfill and incineration sites, and clearly defining the duties of all stakeholders (e.g., manufacturers, retailers, recycling companies, and consumers)

  16. Risk of rabies exposure among travellers

    NARCIS (Netherlands)

    Wieten, R. W.; Tawil, S.; van Vugt, M.; Goorhuis, A.; Grobusch, M. P.

    2015-01-01

    In recent years, requests for rabies immunoglobulin have increased at Amsterdam's Academic Medical Center's travel clinic. Travellers who received rabies pre-exposure prophylaxis (PrEP) before travel departure have immunological memory that can quickly be activated by timely booster vaccinations

  17. Monitoring distances travelled by horses using GPS tracking collars.

    Science.gov (United States)

    Hampson, B A; Morton, J M; Mills, P C; Trotter, M G; Lamb, D W; Pollitt, C C

    2010-05-01

    The aims of this work were to (1) develop a low-cost equine movement tracking collar based on readily available components, (2) conduct preliminary studies assessing the effects of both paddock size and internal fence design on the movements of domestic horses, with and without foals at foot, and (3) describe distances moved by mares and their foals. Additional monitoring of free-ranging feral horses was conducted to allow preliminary comparisons with the movement of confined domestic horses. A lightweight global positioning system (GPS) data logger modified from a personal/vehicle tracker and mounted on a collar was used to monitor the movement of domestic horses in a range of paddock sizes and internal fence designs for 6.5-day periods. In the paddocks used (0.8-16 ha), groups of domestic horses exhibited a logarithmic response in mean daily distance travelled as a function of increasing paddock size, tending asymptotically towards approximately 7.5 km/day. The distance moved by newborn foals was similar to their dams, with total distance travelled also dependent on paddock size. Without altering available paddock area, paddock design, with the exception of a spiral design, did not significantly affect mean daily distance travelled. Feral horses (17.9 km/day) travelled substantially greater mean daily distances than domestic horses (7.2 km/day in 16-ha paddock), even when allowing for larger paddock size. Horses kept in stables or small yards and paddocks are quite sedentary in comparison with their feral relatives. For a given paddock area, most designs did not significantly affect mean daily distance travelled.

  18. Hepatitis B Vaccination Status among Japanese Travelers.

    Science.gov (United States)

    Yaita, Kenichiro; Yahara, Koji; Sakai, Yoshiro; Iwahashi, Jun; Masunaga, Kenji; Hamada, Nobuyuki; Watanabe, Hiroshi

    2017-05-08

    This study clarified the characteristics of travelers who received hepatitis B vaccinations. Subjects were 233 Japanese travelers who visited our clinic prior to travel. We summarized the characteristics of the clients and performed two comparative studies: first, we compared a hepatitis B-vaccinated group with an unvaccinated group; second, we compared a group that had completed the hepatitis B vaccine series with a group that did not complete the series. The hepatitis B vaccine was administered to 152 clients. Factors positively associated with the hepatitis B vaccination (after adjusting for age and sex) included the following: travel for business or travel as an accompanying family member; travel to Asia; travel for a duration of a month or more; and, inclusion of the vaccine in a company or organization's payment plan. Meanwhile, factors negatively associated with the vaccination were travel for leisure or education, and travel to North America or Africa. Among 89 record-confirmed cases, only 53 completed 3 doses. The completion rate was negatively associated with the scheduled duration of travel if it was from a month to less than a year (after adjusting for age and sex). The present study provides a basis for promoting vaccination compliance more vigorously among Japanese adults.

  19. Towards improved uptake of malaria chemoprophylaxis among West African travellers: identification of behavioural determinants.

    Science.gov (United States)

    Wieten, Rosanne W; Harting, Janneke; Biemond, Pieter M; Grobusch, Martin P; van Vugt, Michèle

    2013-10-10

    Malaria is a potentially lethal illness for which preventive measures are not optimally used among all travellers. Travellers visiting friends and relatives in their country of origin (VFRs) are known to use chemoprophylaxis less consistently compared to tourist travellers. In this study, factors explaining the low use of chemoprophylaxis were pursued to contribute to improving uptake of preventive measures among VFRs. Following in-depth interviews with Ghanaians living in Amsterdam, a questionnaire was developed to assess which behavioural determinants were related to taking preventive measures. The questionnaire was administered at gates of departing flights from Schiphol International Airport, Amsterdam (the Netherlands) to Kotoka International Airport, Accra (Ghana). In total, 154 questionnaires were eligible for analysis. Chemoprophylaxis had been started by 83 (53.9%) and bought by 93 (60.4%) travellers. Pre-travel advice had been obtained by 104 (67.5%) travellers. Those who attended the pre-travel clinic and those who incorrectly thought they had been vaccinated against malaria were more likely to use preventive measures. Young-, business- and long-term travellers, those who had experienced malaria, and those who thought curing malaria was easier than taking preventive tablets were less likely to use preventive measures. Almost half of the VFRs travelling to West Africa had not started chemoprophylaxis; therefore, there is room for improvement. Risk reduction strategies could aim at improving attendance to travel clinics and focus on young-, business and long term travellers and VFRs who have experienced malaria during consultation. Risk reduction strategies should focus on improving self-efficacy and conceptions of response efficacy, including social environment to aim at creating the positive social context needed.

  20. Towards improved uptake of malaria chemoprophylaxis among West African travellers: identification of behavioural determinants

    Science.gov (United States)

    2013-01-01

    Background Malaria is a potentially lethal illness for which preventive measures are not optimally used among all travellers. Travellers visiting friends and relatives in their country of origin (VFRs) are known to use chemoprophylaxis less consistently compared to tourist travellers. In this study, factors explaining the low use of chemoprophylaxis were pursued to contribute to improving uptake of preventive measures among VFRs. Methods Following in-depth interviews with Ghanaians living in Amsterdam, a questionnaire was developed to assess which behavioural determinants were related to taking preventive measures. The questionnaire was administered at gates of departing flights from Schiphol International Airport, Amsterdam (the Netherlands) to Kotoka International Airport, Accra (Ghana). Results In total, 154 questionnaires were eligible for analysis. Chemoprophylaxis had been started by 83 (53.9%) and bought by 93 (60.4%) travellers. Pre-travel advice had been obtained by 104 (67.5%) travellers. Those who attended the pre-travel clinic and those who incorrectly thought they had been vaccinated against malaria were more likely to use preventive measures. Young-, business- and long-term travellers, those who had experienced malaria, and those who thought curing malaria was easier than taking preventive tablets were less likely to use preventive measures. Conclusion Almost half of the VFRs travelling to West Africa had not started chemoprophylaxis; therefore, there is room for improvement. Risk reduction strategies could aim at improving attendance to travel clinics and focus on young-, business and long term travellers and VFRs who have experienced malaria during consultation. Risk reduction strategies should focus on improving self-efficacy and conceptions of response efficacy, including social environment to aim at creating the positive social context needed. PMID:24107150

  1. Anthropological Invariants in Travel Behavior

    OpenAIRE

    Marchetti, C.

    1994-01-01

    Personal travel appears to be much more under the control of basic instinct than of economic drive. This may be the reason for the systematic mismatch between the results of cost benefit analysis and the actual behavior of travelers. In this paper a list of the basic instincts that drive and contain travelers' behavior has been put together, showing how they mesh with technological progress and economic constraints.

  2. Psychological Aspects of Travel Information Presentation

    NARCIS (Netherlands)

    Dicke-Ogenia, M.

    2012-01-01

    Congestion on road networks causes severe problems in and around large cities. Consequences of congestion include an increase in travel time and travel costs, environmental costs, economic costs, increased energy use and decreased economic growth, reduced travel time reliability, and reduced quality

  3. Modeling the impact of travel information on activity-travel rescheduling decisions under multiple uncertain events: distributed myopic decision heuristics

    NARCIS (Netherlands)

    Sun, Z.; Arentze, T.A.; Timmermans, H.J.P.

    2005-01-01

    Travel information is widely available in different forms through various sources. This wide availability of travel information is believed to influence travellers’ daily activity-travel patterns. To understand and model the impact of travel information on traveller’s decision processes, the authors

  4. A relational approach to analysing leisure travel

    NARCIS (Netherlands)

    Ettema, D.F.; Schwanen, T.

    2012-01-01

    Leisure travel makes up a very significant part of daily travel and therefore needs to be considered in any travel demand management or general land use and transportation policy. Yet, research into leisure mobility has tended to ignore important aspects of leisure travel, such as its joint

  5. 26 CFR 1.162-2 - Traveling expenses.

    Science.gov (United States)

    2010-04-01

    ... traveling expenses as are reasonable and necessary in the conduct of the taxpayer's business and directly... expenses. If the trip is solely on business, the reasonable and necessary traveling expenses, including travel fares, meals and lodging, and expenses incident to travel, are business expenses. For the...

  6. Injecting risk behavior among traveling young injection drug users: travel partner and city characteristics.

    Science.gov (United States)

    Montgomery, Martha E; Fatch, Robin S; Evans, Jennifer L; Yu, Michelle; Davidson, Peter J; Page, Kimberly; Hahn, Judith A

    2013-06-01

    Young injection drug users (IDUs), a highly mobile population, engage in high levels of injecting risk behavior, yet little is understood about how such risk behavior may vary by the characteristics of the cities to which they travel, including the existence of a syringe exchange program (SEP), as well as travel partner characteristics. In 2004-2005, we conducted a 6-month prospective study to investigate the risk behavior of 89 young IDUs as they traveled, with detailed information gathered about 350 city visits. In multivariable analyses, travel to larger urban cities with a population of 500,000-1,000,000 was significantly associated with injecting drugs (adjusted odds ratio (AOR) = 3.71; 95 % confidence interval (CI), 1.56-8.82), ancillary equipment sharing (AES; AOR = 7.05; 95 % CI, 2.25-22.06) and receptive needle sharing (RNS; AOR = 5.73; 95 % CI, 1.11-27.95), as compared with visits to smaller cities with populations below 50,000. Region of the country, and the existence of a SEP within the city visited, were not independently associated with injecting drugs, AES, or RNS during city visits. Traveling with more than one injecting partner was associated with injecting drugs during city visits (AOR = 2.77; 95 % CI, 1.46-5.27), when compared with traveling alone. Additionally, both non-daily and daily/almost daily alcohol use during city visits were associated with AES (AOR = 3.37; 95 % CI, 1.42-7.68; AOR = 3.03; 95 % CI, 1.32-6.97, respectively) as compared with no alcohol consumption. Traveling young IDUs are more likely to inject when traveling with other IDUs and to engage in higher risk injection behavior when they are in large cities. Risk behavior occurring in city visits, including equipment sharing and alcohol consumption, suggests further need for focused interventions to reduce risk for viral infection among this population.

  7. Radiation hazard when we travel?

    International Nuclear Information System (INIS)

    Muhamat Omar

    2003-01-01

    It is apparent that we are all exposed to natural radiation while travelling from one place to another. Air and sea travelers receive the highest and the lowest radiation dose respectively. The doses received by on-land travelers are generally low although some places near the mineral and slag heaps show high radiation levels. With proper management and enforcement, the contribution from these heaps on the roadsides can be easily removed. The other important radiation source is the tunnels built through granite rocks. However, this is more concern to the construction workers rather than to travelers. Thus, the authors are of the opinion that it is worth to look into the radiation exposures to the tunnel construction workers

  8. Does the use of alcohol-based hand gel sanitizer reduce travellers' diarrhea and gastrointestinal upset?: A preliminary survey.

    Science.gov (United States)

    Henriey, Delphine; Delmont, Jean; Gautret, Philippe

    2014-01-01

    Use of alcohol-based hand sanitizer is recommended by the CDC to reduce the risk for travellers' diarrhoea, but its effectiveness has not been assessed. We investigated the potential protective effect of hand sanitizer use on the occurrence of diarrhoea and/or vomiting in 200 international travellers, who were returning home, at an international airport. We also conducted a knowledge, aptitude and practice survey about hand gel use among international travellers consulting for pre-travel advice at a specialized clinic. 200 returning travellers were included of which 32.5% declared having used alcohol-based hand sanitizer during travel. Travellers who used hand sanitizer reported diarrhoea and vomiting significantly less frequently than those who did not (17% vs. 30%, OR = 0.47; 95% CI [0.21-0.97], p = 0.04). A total of 257 travellers consulting for pre-travel advice were included. A majority of travellers knew that hand sanitizer may be used for hand hygiene and had already used hand sanitizer; 72% planned to bring hand sanitizer during their next travel. Use of hand sanitizer is highly acceptable by travellers and is associated with a reduction in the incidence of travellers' diarrhoea and/or vomiting. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. 48 CFR 952.247-70 - Foreign travel.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Foreign travel. 952.247-70... SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.247-70 Foreign travel. As prescribed in 947.7002, insert the following clause: Foreign Travel (JUN 2010) Contractor foreign travel...

  10. Travel-related health risks in moderately and severely immunocompromised patients: a case-control study.

    Science.gov (United States)

    Dekkiche, Souad; de Vallière, Serge; D'Acremont, Valérie; Genton, Blaise

    2016-03-01

    The number of immunocompromised persons travelling to tropical countries is increasing. The hypothesis is that this population is at increased risk of travel-related health problems but there are few data to support it. The objective was to assess the risk of travel-related health problems in immunocompromised persons when compared with the general population of travellers. A retrospective matched case-control study was performed. Cases were moderately or severely immunocompromised persons travelling to tropical countries and controls were non-immunocompromised persons, matched for demographic and travel characteristics. All participants responded to a phone questionnaire, asking them about any health problem they may have encountered while travelling or during the month following their return. The primary outcome was the incidence of a significant clinical event defined as repatriation, hospitalization during the travel or during the month following the return if due to a travel-related health problem and medical consultations during the trip. One hundred and sixteen moderately or severely immunocompromised cases [HIV infection (15), active cancer (25), splenectomized (20), solid organ transplant recipients (4) and use of systemic immunosuppressive medication (52)] and 116 controls were included. Incidence rates of significant clinical events were higher in immunocompromised travellers (9/116, 7.8%) than in controls (2/116, 1.7%) [OR = 4.8 , 95% CI 1.01-22.70; P = 0.048]. Most cases were related to infectious diseases (5/9, 55.5%), others were pulmonary embolism (2/9, 22%), inflammatory disease and trauma (1/9, 11.1% each). There was no significant difference between the two groups regarding common health problems. Moderately and severely immunocompromised travellers are at increased risk of developing a serious health problem during or after a trip in a tropical country. They should be well informed about the specific risks they are particularly prone to

  11. Medical insurance claims associated with international business travel.

    Science.gov (United States)

    Liese, B; Mundt, K A; Dell, L D; Nagy, L; Demure, B

    1997-07-01

    Preliminary investigations of whether 10,884 staff and consultants of the World Bank experience disease due to work related travel. Medical insurance claims filed by 4738 travellers during 1993 were compared with claims of non-travellers. Specific diagnoses obtained from claims were analysed overall (one or more v no missions) and by frequency of international mission (1, 2-3, or > or = 4). Standardised rate of claims ratios (SSRs) for each diagnostic category were obtained by dividing the age adjusted rate of claims for travellers by the age adjusted rate of claims for non-travellers, and were calculated for men and women travellers separately. Overall, rates of insurance claims were 80% higher for men and 18% higher for women travellers than their non-travelling counterparts. Several associations with frequency of travel were found. SRRs for infectious disease were 1.28, 1.54, and 1.97 among men who had completed one, two or three, and four or more missions, and 1.16, 1.28, and 1.61, respectively, among women. The greatest excess related to travel was found for psychological disorders. For men SRRs were 2.11, 3.13, and 3.06 and for women, SRRs were 1.47, 1.96, and 2.59. International business travel may pose health risks beyond exposure to infectious diseases. Because travellers file medical claims at a greater rate than non-travellers, and for many categories of disease, the rate of claims increases with frequency of travel. The reasons for higher rates of claims among travellers are not well understood. Additional research on psychosocial factors, health practices, time zones crossed, and temporal relation between travel and onset of disease is planned.

  12. The Archaeology of Time travel – An introduction

    OpenAIRE

    Petersson, Bodil; Holtorf, Cornelius

    2010-01-01

    This article introduces the concept of Time Travel as a new way to approach the past in our age. The article deals with the question: What role does the past play for people in our time? The time travel discussion focusses on the following themes: Time travel between materality and virtuality; Time travel on the market of experiences; Designing time travel; Evaluating time travel.

  13. 48 CFR 31.205-46 - Travel costs.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Travel costs. 31.205-46....205-46 Travel costs. (a) Costs for transportation, lodging, meals, and incidental expenses. (1) Costs... at the time of travel as set forth in the— (i) Federal Travel Regulation, prescribed by the General...

  14. 38 CFR 21.7103 - Travel expenses.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel expenses. 21.7103...) VOCATIONAL REHABILITATION AND EDUCATION All Volunteer Force Educational Assistance Program (Montgomery GI Bill-Active Duty) Counseling § 21.7103 Travel expenses. (a) Travel for veterans and servicemembers. (1...

  15. Defense Agency Travel Payments at Defense Finance and Accounting Service Indianapolis Center

    National Research Council Canada - National Science Library

    1997-01-01

    The audit objective was to assess the effectiveness of Defense Finance and Accounting Service Indianapolis Center management controls over payments to Defense agency personnel for temporary duty and local travel...

  16. The normalisation of substance abuse among young travellers in Ireland: implications for practice.

    Science.gov (United States)

    Van Hout, Marie Claire; Connor, Sean

    2008-01-01

    This report presents the findings of an exploratory study aimed at assessing the nature and extent of drug use amongst a group of young Travellers (aged twelve to eighteen years) in the South Eastern Region of Ireland. The results are intended to inform the Irish policy debate by providing data on patterns of youth drug use, drug-related risk behaviours, the impact of drug use on the Traveller community and issues regarding access to services. The young Travellers exhibited similar trends to "settled" adolescents with regard to drug use trends and attitudes but reported poor levels of health awareness and knowledge of drug services. The social exclusion of young Travellers puts them at risk of problematic drug use due to issues of poor literacy levels, family crisis, discrimination, poor knowledge of service provision relating to drug education and treatment, and the location of halting sites in areas of high drug usage.

  17. Getting there & away; the role of travel information in recreational travel decisions, with a specific focus on mode and destination choice

    NARCIS (Netherlands)

    Horst, R.S.N. van der

    2006-01-01

    More than half the travellers use travel information and can therefore be used as a policy instrument to affect travel behaviour of individuals. Developing a successful travel information services requires several prerequisites. For recreational travel, transport data on the regional and local roads

  18. Business travelers: vaccination considerations for this population.

    Science.gov (United States)

    Chen, Lin H; Leder, Karin; Wilson, Mary E

    2013-04-01

    Illness in business travelers is associated with reduced productivity on the part of the employee as well as the employer. Immunizations offer a reliable method of preventing infectious diseases for international business travelers. The authors review the travel patterns of business travelers, available data on illnesses they encounter, their potential travel-associated risks for vaccine-preventable diseases and recommendations on immunizations for this population. Routine vaccines (e.g., measles, tetanus and influenza) should be reviewed to assure that they provide current coverage. The combined hepatitis A and hepatitis B vaccine with a rapid schedule offers options for those with time constraints. Other vaccine recommendations for business travelers need to focus on their destinations and activities and underlying health, taking into account the concept of cumulative risk for those with frequent travel, multiple trips or long stays.

  19. Anxiety and health problems related to air travel.

    Science.gov (United States)

    McIntosh, I B; Swanson, V; Power, K G; Raeside, F; Dempster, C

    1998-12-01

    A significant proportion of air travelers experience situational anxiety and physical health problems. Take-off and landing are assumed to be stressful, but anxiety related to other aspects of the air travel process, anxiety coping strategies, and in-flight health problems have not previously been investigated. We aimed to investigate frequency of perceived anxiety at procedural stages of air travel, individual strategies used to reduce such anxiety, and frequency of health problems on short-haul and long-haul flights. A questionnaire measuring the occurrence and frequency of the above was administered to two samples of intending travelers during a 3 month period to: (a) 138 travel agency clients, and (b) 100 individuals attending a hospital travel clinic. Of the 238 respondents, two thirds were women. Take-off and landing were a perceived source of anxiety for about 40% of respondents, flight delays for over 50%, and customs and baggage reclaim for a third of individuals. Most frequent anxiety-reduction methods included alcohol and cigarette use, and distraction or relaxation techniques. Physical health problems related to air travel were common, and there was a strong relationship between such problems and frequency of anxiety. Travel agency clients reported more anxiety but not more physical health symptoms overall than travel clinic clients. Women reported greater air-travel anxiety, and more somatic symptoms than men. Significant numbers of air travelers report perceived anxiety related to aspects of travel, and this is associated with health problems during flights. Airlines and travel companies could institute specific measures, including improved information and communication, to reassure clients and thereby diminish anxiety during stages of air-travel. Medical practitioners and travel agencies should also be aware of the potential stresses of air travel and the need for additional information and advice.

  20. Advice to Travelers

    Science.gov (United States)

    Barrett-Connor, Elizabeth

    1975-01-01

    Travelers, particularly those whose tastes or occupations lead to deviation from the usual tourist routes, are at a small but significant risk of acquiring certain diseases they would be unlikely to encounter had they remained in the continental United States. Many of these infections can be rendered unlikely even for the most adventuresome traveler through the appropriate use of immunization and chemoprophylaxis. Other infections are currently unpreventable and the physician's responsibility lies in their premorbid detection. PMID:1154779

  1. Effect of elevated levels of coagulation factors on the risk of venous thrombosis in long-distance travelers

    NARCIS (Netherlands)

    Kuipers, Saskia; Cannegieter, Suzanne C.; Doggen, Catharina Jacoba Maria; Rosendaal, Frits R.

    2009-01-01

    Risk of venous thrombosis is increased after long-distance travel. Identifying high-risk groups may provide a basis for targeted prevention. We assessed the effect of increased levels of coagulation factors and combinations of risk factors in travelers in a large case-control study. We calculated

  2. Standardized training in nurse model travel clinics.

    Science.gov (United States)

    Sofarelli, Theresa A; Ricks, Jane H; Anand, Rahul; Hale, Devon C

    2011-01-01

    International travel plays a significant role in the emergence and redistribution of major human diseases. The importance of travel medicine clinics for preventing morbidity and mortality has been increasingly appreciated, although few studies have thus far examined the management and staff training strategies that result in successful travel-clinic operations. Here, we describe an example of travel-clinic operation and management coordinated through the University of Utah School of Medicine, Division of Infectious Diseases. This program, which involves eight separate clinics distributed statewide, functions both to provide patient consult and care services, as well as medical provider training and continuing medical education (CME). Initial training, the use of standardized forms and protocols, routine chart reviews and monthly continuing education meetings are the distinguishing attributes of this program. An Infectious Disease team consisting of one medical doctor (MD) and a physician assistant (PA) act as consultants to travel nurses who comprise the majority of clinic staff. Eight clinics distributed throughout the state of Utah serve approximately 6,000 travelers a year. Pre-travel medical services are provided by 11 nurses, including 10 registered nurses (RNs) and 1 licensed practical nurse (LPN). This trained nursing staff receives continuing travel medical education and participate in the training of new providers. All nurses have completed a full training program and 7 of the 11 (64%) of clinic nursing staff serve more than 10 patients a week. Quality assurance measures show that approximately 0.5% of charts reviewed contain a vaccine or prescription error which require patient notification for correction. Using an initial training program, standardized patient intake forms, vaccine and prescription protocols, preprinted prescriptions, and regular CME, highly trained nurses at travel clinics are able to provide standardized pre-travel care to

  3. 5 CFR 551.422 - Time spent traveling.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Time spent traveling. 551.422 Section 551... Activities § 551.422 Time spent traveling. (a) Time spent traveling shall be considered hours of work if: (1... who is permitted to use an alternative mode of transportation, or an employee who travels at a time...

  4. Cybermediation in the Tourism and Travel Industries

    Science.gov (United States)

    Killion, Les

    Travel and tourism are second only to pornography in adopting Internet-based technologies to intermediate between those supplying the total travel experience, and those seeking to satisfy leisure needs by engaging in tourism. From Thomas Cook in the 1800s, traditional ‘travel trade networks’ have provided the components of the travel experience: transport, accommodation and attractions. However, the Internet has encouraged customer self-service, and on-going debate regarding the future of traditional travel trade intermediaries. The intermediation debate suggests the emergence of ‘hybrid’ intermediation systems combining customer self-service with face-to-face customer contacts characteristic of traditional travel agents. A focus group investigation identified profiles and motives of customers using the Internet to make holiday arrangements. Potential cost savings are a primary motivation for customer self-service. Using the Internet for travel and tourism is becoming commonplace among older travellers as well as younger people. In gathering information before making holiday decisions, potential tourists also engage in a Web 2.0 environment where family and friends, not established intermediaries, provide reliable and authentic information via their individual blogs.

  5. Comparison Of Travel Behaviour In 11 European Countries By Use Of Post- Harmonized European National Travel Surveys

    DEFF Research Database (Denmark)

    Christensen, Linda; Hubert, Jean-Paul; Järvi, Tuuli

    2014-01-01

    Travel behaviour comparison among countries has become interesting to understand structural differences in travel behaviour between countries which are important to help developing more sustainable transport policies. To that end, National Travel Surveys (NTS’s) are the most suitable tool. The aim...... of this paper is to compare travel behaviour among 11 European counties using NTS’s. A post-harmonization process is developed to overcome methodological differences between the surveys and to isolate the differences in travel behaviour. Travel behaviour is measured as mileage, time use, and trips per trip...... for Spain to 54 km for Sweden and 52 km for Finland, If only trips shorter than 100 km are included the variation is on par with the variation for time use. The minimum mileage is still made by Spaniards with around 23 km whereas the maximum mileage is made by Belgians with 37 km and by Danes with 35 km per...

  6. 38 CFR 21.7603 - Travel expenses.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel expenses. 21.7603...) VOCATIONAL REHABILITATION AND EDUCATION Educational Assistance for Members of the Selected Reserve Counseling § 21.7603 Travel expenses. The Department of Veterans Affairs will not pay for any costs of travel to...

  7. Environmental Impact of Long Distance Travel

    DEFF Research Database (Denmark)

    Christensen, Linda

    This paper presents an analysis of the CO2 emission resulting from long distance travel by Danes. The emissions are analysed as the Danes’ footprint the whole way from Denmark to the final destination. International travel represents 31% of the Danes’ CO2 emission from passenger travel and the cl...

  8. Environmental Impact of Long Distance Travel

    DEFF Research Database (Denmark)

    Christensen, Linda

    2016-01-01

    This paper presents an analysis of the CO2 emission resulting from long distance travel by Danes. The emissions are analysed as the Danes’ footprint the whole way from Denmark to the final destination. International travel represents 31% of the Danes’ CO2 emission from passenger travel and the cl...

  9. Effectiveness of different approaches to disseminating traveler information on travel time reliability. [supporting datasets

    Science.gov (United States)

    2013-11-30

    Travel time reliability information includes static data about traffic speeds or trip times that capture historic variations from day to day, and it can help individuals understand the level of variation in traffic. Unlike real-time travel time infor...

  10. Educating as travelling. A travel in and around the classroom with Bernd Stiegler

    Directory of Open Access Journals (Sweden)

    Facundo Giuliano

    2015-07-01

    Full Text Available Cómo referenciar este artículoGiuliano, F., & Pozzo, V. L. (2015. Educating as travelling. A travel in and around the classroom with Bernd Stiegler. Foro de Educación, 13(19, 427-454. doi: http://dx.doi.org/10.14516/fde.2015.013.019.019

  11. The role of location of food consumption in the prevention of travelers' diarrhea in Mexico.

    Science.gov (United States)

    Ericsson, C D; Pickering, L K; Sullivan, P; DuPont, H L

    1980-11-01

    The location of food consumption was recorded daily for 3 wk by 130 United States summer students newly arrived in Guadalajara, Jalisco, Mexico, as part of an assessment of bismuth subsalicylate vs. placebo in the irevention of travelers' diarrhea. Eating at locations other than homes and apartments (P travelers' diarrhea, even among persons taking bismuth subsalicylate as a preventive measure.

  12. Risk factors for psychological stress among international business travellers.

    Science.gov (United States)

    Striker, J; Luippold, R S; Nagy, L; Liese, B; Bigelow, C; Mundt, K A

    1999-04-01

    This study investigated sources of self reported psychological stress among international business travellers at the World Bank, following up on a previous study showing that travellers submitted more insurance claims for psychological disorders. Hypotheses were that work, personal, family, and health concerns, as well as time zone travel, contribute to travel stress. A travel survey was developed from focus groups and consisted of questions about these potential sources of travel stress. Surveys were sent to a random sample of staff, stratified by number of travel missions, age range, and sex. Canonical correlation analyses estimated the association between key survey items on sources of stress and two measures of travel stress. 498 staff completed the survey. More than a third reported high to very high travel stress. Correlations between predictors and travel stress showed that social and emotional concerns (such as impact of travel on family and sense of isolation) contributed the most to such stress, followed by health concerns, and workload upon return from travel. Surprisingly, time zone travel did not contribute to the self reported stress of these travellers. There were few modifiers of stress, although respondents suggested that a day of rest after travel and reduced workloads would help. The current study confirms clinical impressions about several correlates of travel stress. Similar research with travellers in other organisations could help to determine whether the findings from this study are valid and what measures can be taken to reduce the psychological health risks to travellers.

  13. THE RHET ORIC OF TRAVEL: PERSUASION TOOLS IN THE LITHUANIAN TRAVEL LITERATURE

    Directory of Open Access Journals (Sweden)

    Gabrielė Gibavičienė

    2018-04-01

    Full Text Available Rhetoric which in the context of this research is seen not only as a structure of text but also as a structure of thought is presented in the article as a new universal way of researching Lithuanian travel literature discourse. Three popular Lithuanian travel books are chosen for this research – Kelionė į Jeruzalę (Journey to Jerusalem, 1601 by Mikalojus Kristupas Radvila Našlaitėlis, Svečiuose pas 40 tautų (At the Company of 40 Nations, 1935–1936 by Matas Šalčius, and Sapnuoju, kad einu (Dreaming the Path, 2014 by Jokūbas Vilius Tūras. The article presents the research of three persuasion tools ethos, logos and pathos in Lithuanian travel literature and how they are involved in successful communication process. The article reveals exactly how trusting the author and presenting actual traveller’s experience is connected with stimulating audience’s emotions and what part in this process is taken by the journey itself. The article also analyses how the enthymeme is involved in achieving persuasion and how it captures traveller’s views, communication guidelines and common features of different travel texts.

  14. [Viral hepatitis in travellers].

    Science.gov (United States)

    Abreu, Cândida

    2007-01-01

    Considering the geographical asymmetric distribution of viral hepatitis A, B and E, having a much higher prevalence in the less developed world, travellers from developed countries are exposed to a considerable and often underestimated risk of hepatitis infection. In fact a significant percentage of viral hepatitis occurring in developed countries is travel related. This results from globalization and increased mobility from tourism, international work, humanitarian and religious missions or other travel related activities. Several studies published in Europe and North America shown that more than 50% of reported cases of hepatitis A are travel related. On the other hand frequent outbreaks of hepatitis A and E in specific geographic areas raise the risk of infection in these restricted zones and that should be clearly identified. Selected aspects related with the distribution of hepatitis A, B and E are reviewed, particularly the situation in Portugal according to the published studies, as well as relevant clinical manifestations and differential diagnosis of viral hepatitis. Basic prevention rules considering enteric transmitted hepatitis (hepatitis A and hepatitis E) and parenteral transmitted (hepatitis B) are reviewed as well as hepatitis A and B immunoprophylaxis. Common clinical situations and daily practice "pre travel" advice issues are discussed according to WHO/CDC recommendations and the Portuguese National Vaccination Program. Implications from near future availability of a hepatitis E vaccine, a currently in phase 2 trial, are highlighted. Potential indications for travellers to endemic countries like India, Nepal and some regions of China, where up to 30% of sporadic cases of acute viral hepatitis are caused by hepatitis E virus, are considered. Continued epidemiological surveillance for viral hepatitis is essential to recognize and control possible outbreaks, but also to identify new viral hepatitis agents that may emerge as important global health

  15. Advanced traveler information services in rural tourism areas : Branson Travel and Recreational Information Program (Missouri) and Interstate 40 Traveler and Tourist Information System (Arizona)

    Science.gov (United States)

    2000-06-30

    The Branson Travel and Recreational Information Program (Branson TRIP) in Branson, Missouri, and the I-40 Traveler and Tourist Information System (I-40 TTIS) in northern Arizona are field operational tests (FOTs) being conducted through partnerships ...

  16. Hepatitis A and travel amongst Nova Scotia postsecondary students: evidence for a targeted vs. universal immunization strategy.

    Science.gov (United States)

    Matheson, Katherine; Halperin, Beth; McNeil, Shelly; Langley, Joanne M; Mackinnon-Cameron, Donna; Halperin, Scott A

    2010-11-29

    Canadian guidelines recommend hepatitis A virus (HAV) vaccination for high-risk persons, such as travelers to HAV-endemic areas. The US CDC advocates universal immunization. To explore whether a universal strategy for HAV immunization rather than the Canadian targeted approach for travelers is justified by measuring compliance of postsecondary students with Canadian guidelines. A cross-sectional study using an electronic survey method elicited HAV risk factors, immunization history, disease status, and factors affecting immunization status from postsecondary students. Seropositivity was determined by measuring HAV antibodies in saliva from a convenience sample of survey participants within each study group. Statistical analysis used Fisher's exact test and logistic regression. We received 2279 completed surveys (10.6% response) and 235 saliva samples (58.7% response). A total of 1380 (60.6%) participants had traveled to HAV-endemic regions and 1851 (81.2%) were planning to do so within the next 5 years. Less than half who traveled to HAV-endemic areas reported a history of HAV vaccination (48.0%). HAV seropositivity rates were higher amongst those who traveled to (63.6%) or were planning to travel to (55.0%) HAV-endemic areas than those who had never traveled or had no plans to travel to such areas (17.4%). Only 8.9% of unvaccinated students were seropositive (5.3% of Canadian-born students). Amongst unvaccinated, seropositive students, there was a nonsignificant trend for higher seropositivity in those who had previously traveled to HAV-endemic areas (14.7%) than those who had not traveled abroad (4.4%), suggesting an exposure to HAV during travel. Nearly all (96.5%) unvaccinated students, who were willing to be vaccinated based on current knowledge or if their doctor recommended it, indicated a willingness to receive vaccine if it were provided free of charge. Current Canadian guidelines for HAV vaccination are not being followed within the postsecondary student

  17. 32 CFR 726.6 - Travel orders.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Travel orders. 726.6 Section 726.6 National... MENTALLY INCOMPETENT MEMBERS OF THE NAVAL SERVICE § 726.6 Travel orders. The Chief of Naval Personnel or the Deputy Commandant, Manpower & Reserve Affairs, may issue travel orders to a member to appear...

  18. 5 CFR 630.207 - Travel time.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Travel time. 630.207 Section 630.207... and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title 5, United States Code, is inclusive of the time necessarily...

  19. Post-infectious sequelae of travelers' diarrhea.

    Science.gov (United States)

    Connor, Bradley A; Riddle, Mark S

    2013-01-01

    Travelers' diarrhea (TD) has generally been considered a self-limited disorder which resolves more quickly with expeditious and appropriate antibiotic therapy given bacteria are the most frequently identified cause. However, epidemiological, clinical, and basic science evidence identifying a number of chronic health conditions related to these infections has recently emerged which challenges this current paradigm. These include serious and potentially disabling enteric and extra-intestinal long-term complications. Among these are rheumatologic, neurologic, gastrointestinal, renal, and endocrine disorders. This review aims to examine and summarize the current literature pertaining to three of these post-infectious disorders: reactive arthritis, Guillain-Barré syndrome, and post-infectious irritable bowel syndrome and the relationship of these conditions to diarrhea associated with travel as well as to diarrhea associated with gastroenteritis which may not be specifically travel related but relevant by shared microbial pathogens. It is hoped this review will allow clinicians who see travelers to be aware of these post-infectious sequelae thus adding to our body of knowledge in travel medicine. Data for this article were identified by searches of PubMed and MEDLINE, and references from relevant articles using search terms "travelers' diarrhea" "reactive arthritis" "Guillain-Barré syndrome" "Post-Infectious Irritable Bowel Syndrome." Abstracts were included when related to previously published work. A review of the published literature reveals that potential consequences of travelers' diarrhea may extend beyond the acute illness and these post-infectious complications may be more common than currently recognized. In addition since TD is such a common occurrence it would be helpful to be able to identify those who might be at greater risk of post-infectious sequelae in order to target more aggressive prophylactic or therapeutic approaches to such individuals. It is

  20. Mempertahankan Eksistensi Traditional Travel Agency Dalam Menghadapi Ancaman Online Travel Agency

    OpenAIRE

    Anjastantri, Windya; Dewantara, Rizki Yudhi

    2017-01-01

    Online travel agencies, with their own financial capability, not only making them daring to take the initial risk by investing on great magnitude of promotions, but also dare to lower the price extremely below the normal principle that others could not compete to it, which later becomes threat to the existence of traditional travel agencies that clearly not capable of providing the same benefit due to enormous operational cost. Therefore, competitive strategies are needed to maintain the exis...

  1. [Accidents in travellers - the hidden epidemic].

    Science.gov (United States)

    Walz, Alexander; Hatz, Christoph

    2013-06-01

    The risk of malaria and other communicable diseases is well addressed in pre-travel advice. Accidents are usually less discussed. Thus, we aimed at assessing accident figures for the Swiss population, based on data of the register from 2004 to 2008 of the largest Swiss accident insurance organization (SUVA). More than 139'000 accidents over 5 years showed that 65 % of the accidents overseas are injuries, and 24 % are caused by poisoning or harm by cold, heat or air pressure. Most accidents happened during leisure activities or sports. More than one third of the non-lethal and more than 50 % of the fatal accidents happened in Asia. More than three-quarters of non-lethal accidents take place in people between 25 and 54 years. One out of 74 insured persons has an accident abroad per year. Despite of many analysis short-comings of the data set with regard to overseas travel, the figures document the underestimated burden of disease caused by accidents abroad and should affect the given pre-health advice.

  2. Dynamic Travel Time Prediction Models for Buses Using Only GPS Data

    Directory of Open Access Journals (Sweden)

    Wei Fan

    2015-01-01

    Full Text Available Providing real-time and accurate travel time information of transit vehicles can be very helpful as it assists passengers in planning their trips to minimize waiting times. The purpose of this research is to develop and compare dynamic travel time prediction models which can provide accurate prediction of bus travel time in order to give real-time information at a given downstream bus stop using only global positioning system (GPS data. Historical Average (HA, Kalman Filtering (KF and Artificial Neural Network (ANN models are considered and developed in this paper. A case has been studied by making use of the three models. Promising results are obtained from the case study, indicating that the models can be used to implement an Advanced Public Transport System. The implementation of this system could assist transit operators in improving the reliability of bus services, thus attracting more travelers to transit vehicles and helping relieve congestion. The performances of the three models were assessed and compared with each other under two criteria: overall prediction accuracy and robustness. It was shown that the ANN outperformed the other two models in both aspects. In conclusion, it is shown that bus travel time information can be reasonably provided using only arrival and departure time information at stops even in the absence of traffic-stream data.

  3. 41 CFR 301-52.14 - What must I do with any travel advance outstanding at the time I submit my travel claim?

    Science.gov (United States)

    2010-07-01

    ... travel advance outstanding at the time I submit my travel claim? 301-52.14 Section 301-52.14 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES... § 301-52.14 What must I do with any travel advance outstanding at the time I submit my travel claim? You...

  4. Globalising Assessment: An Ethnography of Literacy Assessment, Camels and Fast Food in the Mongolian Gobi

    Science.gov (United States)

    Maddox, Bryan

    2014-01-01

    What happens when standardised literacy assessments travel globally? The paper presents an ethnographic account of adult literacy assessment events in rural Mongolia. It examines the dynamics of literacy assessment in terms of the movement and re-contextualisation of test items as they travel globally and are received locally by Mongolian…

  5. RP and SP Data-Based Travel Time Reliabiality Analysis

    OpenAIRE

    Lu, Ming

    2013-01-01

    Travel time is considered to be the key criterion when making travel related decisions. As the travel decisions are made in a dynamic environment, the travel time also changes according to the real-time operations of the transport system. More and more evidence proves that travellers are not only interested in the expected travel time but also in travel time reliability. Especially for trips that are made regularly, reliability is valued more than travel time itself. This dissertation focuses...

  6. Active travel to work and cardiovascular risk factors in the United Kingdom.

    Science.gov (United States)

    Laverty, Anthony A; Mindell, Jennifer S; Webb, Elizabeth A; Millett, Christopher

    2013-09-01

    Increasing active travel (walking, cycling, public transport) is increasingly seen as integral to strategies to raise physical activity levels. This study examined (1) sociodemographic correlates of active travel to work and (2) associations between active travel and cardiovascular risk factors in the United Kingdom (UK). Data come from Understanding Society, a nationally representative survey of UK residents in 2009/2011, analyzed in 2012. Multinomial logistic regression assessed associations between sociodemographic factors and mode of transport to work. Linear and logistic regression was used to examine associations between mode of travel and overweight/obesity, and having hypertension or diabetes. A total of 69% of participants traveled to work using private transport, with public transport, walking, and cycling used by 16%, 12%, and 3%, respectively. Use of any active travel was more likely in participants living in London. Black participants were more likely to walk (AOR=1.41, 95% CI=1.08, 1.84) or take public transport (AOR=2.34, 95% CI=1.88, 2.90) to work than whites. Using public transport, walking, or cycling to work was associated with a lower likelihood of being overweight (AOR=0.80, 95% CI=0.54, 0.88 for walking). Walking or cycling was associated with a lower likelihood of having diabetes, and walking was associated with a lower likelihood of having hypertension than private transport (AOR=0.83, 95% CI=0.71, 0.97). There are wide variations in the mode of travel to work across regions and sociodemographic groups in the UK. The protective association between active travel and cardiovascular risk demonstrated in this nationally representative study adds to growing evidence that concerted policy focus in this area may benefit population health. Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  7. 38 CFR 21.9585 - Travel expenses.

    Science.gov (United States)

    2010-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Post-9/11 GI Bill Counseling § 21.9585 Travel expenses. VA will not pay for any costs of travel to and from the place of counseling regardless of whether the individual... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Travel expenses. 21.9585...

  8. Risk factors for psychological stress among international business travellers

    Science.gov (United States)

    Striker, J.; Luippold, R. S.; Nagy, L.; Liese, B.; Bigelow, C.; Mundt, K. A.

    1999-01-01

    OBJECTIVES: This study investigated sources of self reported psychological stress among international business travellers at the World Bank, following up on a previous study showing that travellers submitted more insurance claims for psychological disorders. Hypotheses were that work, personal, family, and health concerns, as well as time zone travel, contribute to travel stress. METHODS: A travel survey was developed from focus groups and consisted of questions about these potential sources of travel stress. Surveys were sent to a random sample of staff, stratified by number of travel missions, age range, and sex. Canonical correlation analyses estimated the association between key survey items on sources of stress and two measures of travel stress. RESULTS: 498 staff completed the survey. More than a third reported high to very high travel stress. Correlations between predictors and travel stress showed that social and emotional concerns (such as impact of travel on family and sense of isolation) contributed the most to such stress, followed by health concerns, and workload upon return from travel. Surprisingly, time zone travel did not contribute to the self reported stress of these travellers. There were few modifiers of stress, although respondents suggested that a day of rest after travel and reduced workloads would help. CONCLUSIONS: The current study confirms clinical impressions about several correlates of travel stress. Similar research with travellers in other organisations could help to determine whether the findings from this study are valid and what measures can be taken to reduce the psychological health risks to travellers.   PMID:10450241

  9. Assisted reproductive travel: UK patient trajectories.

    Science.gov (United States)

    Hudson, Nicky; Culley, Lorraine

    2011-11-01

    Media reporting of 'fertility tourism' tends to portray those who travel as a cohesive group, marked by their desperation and/or selfishness and propensity towards morally questionable behaviour. However, to date little has been known about the profile of those leaving the UK for treatment. This paper discusses the first UK-based study of patient assisted reproduction travel that was designed to explore individual travel trajectories. It is argued that existing ways of conceptualizing cross-border reproductive care as 'fertility or reproductive tourism' are in danger of essentializing what the data suggest are diverse, complex and often ambiguous motivations for reproductive travel. The concept of seriality is used to suggest that, whilst 'reproductive tourists' share some characteristics, they also differ in significant ways. This paper argues that, through an examination of the personal landscapes of fertility travel, the diverse processes involved in reproductive travel can be better understood and policymakers can be assisted to avoid what might be regarded as simplistic responses to cross-border reproductive care. Copyright © 2011 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  10. Carlson Wagonlit Travel

    CERN Document Server

    2006-01-01

    Carlson Wagonlit Travel wishes to remind you of the following conditions concerning travel to the USA. Passport conditions Since 26 October 2004, nationals of the countries covered by the US Visa Waiver Programme have been required to present a valid machine-readable passport when entering the United States. Failing this, they require a valid US non-immigrant visa in addition to their passport. Passports issued after 25 October 2005 must also bear a digital photograph. Passports issued after 25 October 2006 must contain biometric data to allow visa-free entry to the US. Advanced Passenger Information System (APIS) form Since 4 October 2005, all non-US citizens travelling to the USA have been required to complete the APIS form before departure and present it when they check in. This new procedure will certainly increase the time it takes to check in. We therefore advise passengers to present themselves at the respective check-in desk in good time. The APIS form can be downloaded from our homepage: w...

  11. Incorporating space-time constraints and activity-travel time profiles in a multi-state supernetwork approach to individual activity-travel scheduling

    NARCIS (Netherlands)

    Liao, F.; Arentze, T.A.; Timmermans, H.J.P.

    2013-01-01

    Activity-travel scheduling is at the core of many activity-based models that predict short-term effects of travel information systems and travel demand management. Multi-state supernetworks have been advanced to represent in an integral fashion the multi-dimensional nature of activity-travel

  12. Investigating Unsaturated Zone Travel Times with Tritium and Stable Isotopes

    Science.gov (United States)

    Visser, A.; Thaw, M.; Van der Velde, Y.

    2017-12-01

    Travel times in the unsaturated zone are notoriously difficult to assess. Travel time tracers relying on the conservative transport of dissolved (noble) gases (tritium-helium, CFCs or SF6) are not applicable. Large water volume requirements of other cosmogenic radioactive isotopes (sulfur-35, sodium-22) preclude application in the unsaturated zone. Prior investigations have relied on models, introduced tracers, profiles of stable isotopes or tritium, or a combination of these techniques. Significant unsaturated zone travel times (UZTT) complicate the interpretation of stream water travel time tracers by ranked StorAge Selection (rSAS) functions. Close examination of rSAS functions in a sloping soil lysimeter[1] show the effect of the UZTT on the shape of the rSAS cumulative distribution function. We studied the UZTT at the Southern Sierra Critical Zone Observatory (SS-CZO) using profiles of tritium and stable isotopes (18O and 2H) in the unsaturated zone, supported by soil water content data. Tritium analyses require 100-500 mL of soil water and therefore large soil samples (1-5L), and elaborate laboratory procedures (oven drying, degassing and noble gas mass spectrometry). The high seasonal and interannual variability in precipitation of the Mediterranean climate, variable snow pack and high annual ET/P ratios lead to a dynamic hydrology in the deep unsaturated soils and regolith and highly variable travel time distributions. Variability of the tritium concentration in precipitation further complicates direct age estimates. Observed tritium profiles (>3 m deep) are interpreted in terms of advective and dispersive vertical transport of the input variability and radioactive decay of tritium. Significant unsaturated zone travel times corroborate previously observed low activities of short-lived cosmogenic radioactive nuclides in stream water. Under these conditions, incorporating the UZTT is critical to adequately reconstruct stream water travel time distributions. 1

  13. Supernetwork approach for modeling traveler response to park-and-ride

    NARCIS (Netherlands)

    Liao, F.; Arentze, T.A.; Timmermans, H.J.P.

    2012-01-01

    Park-and-ride has been identified by transport planners as a key element of any sustainability package to promote multimodal trips, improve air quality, and alleviate congestion in urban areas. This paper presents a supernetwork approach that can assess traveler response to park-and-ride in an

  14. International Development Research Centre Governor Travel Policy

    International Development Research Centre (IDRC) Digital Library (Canada)

    André Lavoie

    business. Governors are required to travel to conduct IDRC business, attend ... of Governors, liaise with Centre management, and perform specific representational functions on ..... Travel between Points of Origin and Destination - Air Travel.

  15. The cost of simplifying air travel when modeling disease spread.

    Directory of Open Access Journals (Sweden)

    Justin Lessler

    Full Text Available BACKGROUND: Air travel plays a key role in the spread of many pathogens. Modeling the long distance spread of infectious disease in these cases requires an air travel model. Highly detailed air transportation models can be over determined and computationally problematic. We compared the predictions of a simplified air transport model with those of a model of all routes and assessed the impact of differences on models of infectious disease. METHODOLOGY/PRINCIPAL FINDINGS: Using U.S. ticket data from 2007, we compared a simplified "pipe" model, in which individuals flow in and out of the air transport system based on the number of arrivals and departures from a given airport, to a fully saturated model where all routes are modeled individually. We also compared the pipe model to a "gravity" model where the probability of travel is scaled by physical distance; the gravity model did not differ significantly from the pipe model. The pipe model roughly approximated actual air travel, but tended to overestimate the number of trips between small airports and underestimate travel between major east and west coast airports. For most routes, the maximum number of false (or missed introductions of disease is small (<1 per day but for a few routes this rate is greatly underestimated by the pipe model. CONCLUSIONS/SIGNIFICANCE: If our interest is in large scale regional and national effects of disease, the simplified pipe model may be adequate. If we are interested in specific effects of interventions on particular air routes or the time for the disease to reach a particular location, a more complex point-to-point model will be more accurate. For many problems a hybrid model that independently models some frequently traveled routes may be the best choice. Regardless of the model used, the effect of simplifications and sensitivity to errors in parameter estimation should be analyzed.

  16. Scrutinizing individuals’ leisure-shopping travel decisions to appraise activity-based models of travel demand

    NARCIS (Netherlands)

    D. Kusamastuti (Diana); E. Hannes (Els); D. Janssens (Davy); G. Wets (Geert); B.G.C. Dellaert (Benedict)

    2010-01-01

    textabstractActivity-based models for modeling individuals’ travel demand have come to a new era in addressing individuals’ and households’ travel behavior on a disaggregate level. Quantitative data are mainly used in this domain to enable a realistic representation of individual choices and a true

  17. Pharmacy travel health services: current perspectives and future prospects

    Directory of Open Access Journals (Sweden)

    Houle SKD

    2018-03-01

    Full Text Available Sherilyn KD HouleSchool of Pharmacy, University of Waterloo, Waterloo, ON, CanadaAbstract: Rates of international travel are increasing annually, with particular growth observed in travel to Southeast Asia and to emerging economies. While all patients traveling across geographic regions are recommended to receive a pre-travel consultation to consider their individual risks, many do not, or receive care and recommendations that are not consistent with current evidence-based guidelines. As experts in drug therapy, and given the largely preventive nature of most travel health recommendations, pharmacists are well suited to help address this need. Pharmacists generally possess a high degree of knowledge and confidence with more commonly observed travel health topics in community practice such as travelers’ diarrhea; however, training in more specialized travel health topics such as travel vaccinations and traveling at altitude has generally been lacking from pharmacy curricula. Pharmacists with an interest in providing pre-travel consultations are encouraged to pursue additional training in this specialty and to consider Certificate in Travel Health designation from the International Society of Travel Medicine. Future roles for pharmacists to include the prescribing of medications and vaccines for travel and the in-pharmacy administration of travel vaccinations may improve patient access to pre-travel consultations and recommended preventive measures, improving the health of travelers and potentially reducing the burden of communicable disease worldwide. Pharmacists providing travel care to patients are also reminded to consider noninfectious risks of illness and injury abroad and to counsel patients on strategies to minimize these risks in addition to providing drug and vaccine recommendations.Keywords: pharmacist, community pharmacy, travel, vaccination

  18. 78 FR 70274 - United States Travel and Tourism Advisory Board: Meeting of the United States Travel and Tourism...

    Science.gov (United States)

    2013-11-25

    ... DEPARTMENT OF COMMERCE International Trade Administration United States Travel and Tourism Advisory Board: Meeting of the United States Travel and Tourism Advisory Board AGENCY: International Trade... the schedule and agenda for an open meeting of the United States Travel and Tourism Advisory Board...

  19. 78 FR 3398 - United States Travel and Tourism Advisory Board: Meeting of the United States Travel and Tourism...

    Science.gov (United States)

    2013-01-16

    ... DEPARTMENT OF COMMERCE International Trade Administration United States Travel and Tourism Advisory Board: Meeting of the United States Travel and Tourism Advisory Board AGENCY: International Trade... the schedule and agenda for an open meeting of the United States Travel and Tourism Advisory Board...

  20. Travel-related acquisition of diarrhoeagenic bacteria, enteral viruses and parasites in a prospective cohort of 98 Dutch travellers

    NARCIS (Netherlands)

    van Hattem, Jarne M.; Arcilla, Maris S.; Grobusch, Martin Peter; Bart, Aldert; Bootsma, Martin C; van Genderen, Perry J J; van Gool, Tom; Goorhuis, Abraham; van Hellemond, Jaap J.; Molenkamp, Richard; Molhoek, Nicky; Oude Lashof, Astrid M L; Stobberingh, Ellen E; de Wever, Bob; Verbrugh, Henri A; Melles, Damian C.; Penders, John; Schultsz, Constance; de Jong, Menno D

    BACKGROUND: Limited prospective data are available on the acquisition of viral, bacterial and parasitic diarrhoeagenic agents by healthy individuals during travel. METHODS: To determine the frequency of travel associated acquisition of 19 pathogens in 98 intercontinental travellers, qPCR was used to