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Sample records for bihar flood survivors

  1. Risk of posttraumatic stress disorder and depression in survivors of the floods in Bihar, India

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    Telles Shirley

    2009-08-01

    Full Text Available Background: Following a natural disaster, survivors are vulnerable to develop posttraumatic stress disorder (PTSD and/ or depression. Objectives: (i To screen survivors of the Bihar floods a month after the event to determine their scores in a screening questionnaire for PTSD and/ or depression and (ii to correlate these scores with age and gender. Materials and Methods: One thousand two hundred eighty-nine persons (645 females who had been directly exposed to the floods in Bihar, India, in August 2008 were assessed. The Screening Questionnaire for Disaster Mental Health (SQD was used to screen for PTSD and depression. Statistical Analysis: Separate two-factor ANOVAs were used to compare persons of both sexes and 5 different age groups for PTSD and depression scores. This was followed by post-hoc analysis for multiple comparisons. Results: People over the age of 60 years had significantly higher scores for PTSD and depression compared to all groups (P< 0.05 for all comparisons. Conclusion: Following a natural disaster, older people appear more vulnerable to develop PTSD and depression. This should be taken into account in devising strategies for disaster relief.

  2. Post traumatic stress symptoms and heart rate variability in Bihar flood survivors following yoga: a randomized controlled study

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    Joshi Meesha

    2010-03-01

    Full Text Available Abstract Background An earlier study showed that a week of yoga practice was useful in stress management after a natural calamity. Due to heavy rain and a rift on the banks of the Kosi river, in the state of Bihar in north India, there were floods with loss of life and property. A week of yoga practice was given to the survivors a month after the event and the effect was assessed. Methods Twenty-two volunteers (group average age ± S.D, 31.5 ± 7.5 years; all of them were males were randomly assigned to two groups, yoga and a non-yoga wait-list control group. The yoga group practiced yoga for an hour daily while the control group continued with their routine activities. Both groups' heart rate variability, breath rate, and four symptoms of emotional distress using visual analog scales, were assessed on the first and eighth day of the program. Results There was a significant decrease in sadness in the yoga group (p Conclusions A week of yoga can reduce feelings of sadness and possibly prevent an increase in anxiety in flood survivors a month after the calamity. Trial Registration Clinical Trials Registry of India: CTRI/2009/091/000285

  3. Long-term psychological outcomes of flood survivors of hard-hit areas of the 1998 Dongting Lake flood in China: Prevalence and risk factors

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    Dai, Wenjie; Kaminga, Atipatsa C.; Tan, Hongzhuan; Wang, Jieru; Lai, Zhiwei; Wu, Xin; Liu, Aizhong

    2017-01-01

    Background Although numerous studies have indicated that exposure to natural disasters may increase survivors’ risk of post-traumatic stress disorder (PTSD) and anxiety, studies focusing on the long-term psychological outcomes of flood survivors are limited. Thus, this study aimed to estimate the prevalence of PTSD and anxiety among flood survivors 17 years after the 1998 Dongting Lake flood and to identify the risk factors for PTSD and anxiety. Methods This cross-sectional study was conducted in December 2015, 17 years after the 1998 Dongting Lake flood. Survivors in hard-hit areas of the flood disaster were enrolled in this study using a stratified, systematic random sampling method. Well qualified investigators conducted face-to-face interviews with participants using the PTSD Checklist-Civilian version, the Zung Self-Rating Anxiety Scale, the Chinese version of the Social Support Rating Scale and the Revised Eysenck Personality Questionnaire-Short Scale for Chinese to assess PTSD, anxiety, social support and personality traits, respectively. Logistic regression analyses were used to identify factors associated with PTSD and anxiety. Results A total of 325 participants were recruited in this study, and the prevalence of PTSD and anxiety was 9.5% and 9.2%, respectively. Multivariable logistic regression analyses indicated that female sex, experiencing at least three flood-related stressors, having a low level of social support, and having the trait of emotional instability were risk factors for long-term adverse psychological outcomes among flood survivors after the disaster. Conclusions PTSD and anxiety were common long-term adverse psychological outcomes among flood survivors. Early and effective psychological interventions for flood survivors are needed to prevent the development of PTSD and anxiety in the long run after a flood, especially for individuals who are female, experience at least three flood-related stressors, have a low level of social support

  4. Preparing to manage injury burden of Bihar

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    Vikas Verma

    2015-06-01

    Full Text Available Introduction: Trauma care in Bihar is beset by a number of problems namely lack of funds, one of the highest population densities in the country, far flung flood prone areas that remain inaccessible to healthcare for several months of an year, lack of formal pre-hospital care services and an organized system of trauma care.. EMS services are run by many different organizations such as government, police, fire, hospital or private organizations. There is lack of coordination between these organizations.  First response to the injured is very often provided by the police who tend to transfer the patient to the nearest government health care centre. There is no linkage with hospital trauma services. This paper presents the interim results of a plan developed and being implemented at AIIMS, Patna in collaboration with the government of Bihar and Adams Cowley shock trauma trauma centre, Baltimore, USA. Methods: Participants from the Bihar police and Bihar health services were nominated by the government of Bihar. One hundred fifty one participants were imparted a 3 day training that included basics for managing airway, breathing, circulation, extrication, fractures, and spine injuries. Incident managment, approach to mass casualty and safe transport were also part of the cirriculum. All participants were required to take a pre-test before the training, a post test at the end of the training and another post test after 6 months after the training. Whether participants attended to emergencies before and after the training was also soought.  Paired t tests were used to compare the means of tests. Independent t test was used to compare difference of means in the groups that attended to emergencies in the six months after the training with those that did not attend to emergencies during the 6 months after the training.  Results:One hundred fifty one participants were trained. Of the 151 participants 55 (36.4% belonged to Bihar police and 96 (73

  5. Traditional Children’s Games of Bihar

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    Sarita Sahay

    2013-09-01

    Full Text Available This article aims at exploring how children, particularly in rural areas of Bihar, an economically poor but culturally rich state of India, enjoy their leisure with limited resources available to them. Broken bangles, tamarind seeds, old clothes and even hard covers of old notebooks become sports equipment and a source of enjoyment for them, especially for those who cannot afford buying expensive goods.

  6. Floods

    Science.gov (United States)

    Floods are common in the United States. Weather such as heavy rain, thunderstorms, hurricanes, or tsunamis can ... is breached, or when a dam breaks. Flash floods, which can develop quickly, often have a dangerous ...

  7. Livelihood vulnerability index analysis: An approach to study vulnerability in the context of Bihar

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    Madhuri .

    2014-03-01

    Full Text Available Vulnerability is the capacity to anticipate, cope with, resist and recover from the impact of natural disasters. Floods add to the distressed conditions of the poor and vulnerable people in Bihar. Floods have a different impact on households depending on differences in their livelihood choices. Therefore, in order to identify the variability in vulnerability of affected households, the livelihood vulnerability index (LVI of Hahn, Riederer and Foster was modified according to the context of the study area. The LVI aims to identify sources and forms of vulnerability that are specific to the context in order to design context-specific resilience measures. However, vulnerability and resilience are not interdependent but discrete entities. The study was conducted in the seven blocks of Bhagalpur district in the state of Bihar. Naugachia was found to be the least vulnerable because of better access to basic amenities and livelihood strategies, whilst Kharik was found to be highly vulnerable in respect to other blocks because of high sensitivity and less adaptive strategy. The study also revealed that better access to resources does not necessarily mean that households are adopting resilience measures because of apathetic or indifferent attitudes.

  8. Traditional Medicinal Flora of the District Buxar (Bihar, India)

    OpenAIRE

    Ritesh Singh; Manavendra Kumar Singh; Arvind Singh

    2013-01-01

    Buxar district (Bihar,India) is one of the less floristically studied regions of central Gangetic plain. The district lacks dense forests and its medicinal flora exclusively consists of dicot angiosperms. A total of 84 species belonging to 27 families were reported in this study. Majority of the reported plants were herbs with highest contribution from family Fabaceae (12). The present paper deals with the traditional uses of these plants. Plants and their part thereof were used to treat dise...

  9. Glimpses of women’s lives in rural Bihar: impact of male migration

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    A. Datta (Amrita)

    2011-01-01

    textabstractBihar has a rich history of out-migration from the state which goes back to as early as the 19th Century. However, in the last few decades, migration for work has increased manifold. The sheer scale of out-migration in contemporary Bihar is astounding. At any given point of time, as many

  10. Measles case fatality rate in Bihar, India, 2011-12.

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    Manoj V Murhekar

    Full Text Available BACKGROUND: Updated estimates of measles case fatality rates (CFR are critical for monitoring progress towards measles elimination goals. India accounted for 36% of total measles deaths occurred globally in 2011. We conducted a retrospective cohort study to estimate measles CFR and identify the risk factors for measles death in Bihar-one of the north Indian states historically known for its low vaccination coverage. METHODS: We systematically selected 16 of the 31 laboratory-confirmed measles outbreaks occurring in Bihar during 1 October 2011 to 30 April 2012. All households of the villages/urban localities affected by these outbreaks were visited to identify measles cases and deaths. We calculated CFR and used multivariate analysis to identify risk factors for measles death. RESULTS: The survey found 3670 measles cases and 28 deaths (CFR: 0.78, 95% confidence interval: 0.47-1.30. CFR was higher among under-five children (1.22% and children belonging to scheduled castes/tribes (SC/ST, 1.72%. On multivariate analysis, independent risk factors associated with measles death were age <5 years, SC/ST status and non-administration of vitamin A during illness. Outbreaks with longer interval between the occurrence of first case and notification of the outbreak also had a higher rate of deaths. CONCLUSIONS: Measles CFR in Bihar was low. To further reduce case fatality, health authorities need to ensure that SC/ST are targeted by the immunization programme and that outbreak investigations target for vitamin A treatment of cases in high risk groups such as SC/ST and young children and ensure regular visits by health-workers in affected villages to administer vitamin A to new cases.

  11. Traditional Medicinal Flora of the District Buxar (Bihar, India

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    Ritesh Singh

    2013-07-01

    Full Text Available Buxar district (Bihar,India is one of the less floristically studied regions of central Gangetic plain. The district lacks dense forests and its medicinal flora exclusively consists of dicot angiosperms. A total of 84 species belonging to 27 families were reported in this study. Majority of the reported plants were herbs with highest contribution from family Fabaceae (12. The present paper deals with the traditional uses of these plants. Plants and their part thereof were used to treat diseases such as - malaria, small pox, leprosy, diarrhea, diabetes, rheumatisms, hepatitis A, heart problems, elephantiasis, STDs, asthma, dysentery, in pregnancy complications and against snake and scorpion poisons. Findings will help in conservation and cultivation of these plants.

  12. Food and power in Bihar and Jharkhand. The Political Economy of the Functioning of the Public Distribution System

    NARCIS (Netherlands)

    J.E. Mooij (Jos)

    2003-01-01

    textabstractAbstract Public distribution of foodgrains in India is a national policy, which exists in all States. In some States, however, the public distribution system (PDS) works much better than in other States. The undivided State of Bihar (now the new Bihar and Jharkhand) is one of the States

  13. Family Conflict – The Major Underlying Influence in Suicide Attempts in Northern Bihar, India.

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    Sangeeta Nair

    2015-01-01

    Full Text Available Suicide attempts in North India are generally underreported but have been considered to be rising. The number of admissions due to attempted suicide at Duncan Hospital, North Bihar, rose from 82 in 2007 to 419 in 2011.A structured interview and the WHO (World Health Organization Major (ICD-10 Depression Inventory were completed by 157 suicide-attempt survivors. Immediate relatives were also interviewed. Only 23% of patients came from India; 77% of patients came from Nepal. The highest incidence was in the age group 16-20 years. Females have higher rates in the 21-30 year age group (p=0.012, but after 30 years of age, the number of males becomes higher than the females (p=0.048; 81.5% of the respondents were below the age of 30 years.Pesticide poisoning was the major mode of attempted suicide (94.3%. Using the WHO Major (ICD-10 Depression Inventory, 28 of the participants suffered from depression (17.7%. Ninety people (56.9% admitted to previous thoughts of suicide, and nine (5.7% people had attempted suicide previously.Hindus made up 84.0% of the respondents. Almost 50% of respondents only carried out their religious rituals on an occasional basis or not at all. 70.2% had not completed education beyond primary school, and 49.7% earned less than Rs10,000 per month (US$200. Eighty percent of the participants stated conflicts with family members led to the attempted suicide. Relatives did not expect the attempted suicide in 97.4% of cases. Knowledge of the suicide of a neighbour, friends, or relative influenced 77.0% of the participants to attempt suicide.Efforts to prevent suicide attempts and deaths need to be multifaceted. Banning the most poisonous pesticides and improving poison storage in the community must be encouraged. Prevention, early intervention and treatment all are required in a suicide prevention plan. The lack of psychiatrists necessitates that other professionals and trained non-professionals be utilised in the mental health team

  14. The recurring epidemic of heat stroke in children in Muzaffarpur, Bihar, India

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    Gopal Shankar Sahni

    2013-01-01

    Full Text Available Context: Characterization of heat stroke cases on arrival to hospital may lead to early recognition and improved management. Delay in treatment leading to high rate of mortality and poor outcomes so a high index of clinical suspicion in appropriate setting is warranted. Aims: Recurring seasonal(summer outbreak of heat stroke among children from Muzaffarpur district, Bihar was investigated to describe clinico-epidemiological features. Materials and Methods: A retrospective study involving 50 patients of classic heat stroke admitted to Sri Krishna Medical College and Hospital (SKMCH Muzaffarpur in June 2005 and June 2011 were carried out. These patients had presented with a rectal temperature of more than 40°C and central nervous system disturbance. The patients were treated with standard regimen of management of heat stroke and sponging in ICU after emergency resuscitation. Results: A total of 50 case records were studied of children below12 years of age. Case fatality ratio was 60% .The disease had peak incidence in June. Previously healthy, rural children (mean age-3.78 yr of very low socio-economic background were found most vulnerable. The main presenting feature ware high fever (100%, convulsion (100%, unconsciousness (100%, decebrate rigidity (50%, tachycardia (80%, and tachypnea (80%. No one had splenomegaly. Cerebrospinal fluid (CSF was under high pressure but normal otherwise in all cases. Biochemical investigation reveled hyponatremia (50%, hypokalemia (5%, mild raised SGPT (30%, blood urea (40-50mg/dl (40% with normal creatinine. Smear for malarial parasites were negative. CT scan of head done in 20 cases; 10- showed feature of generalized cerebral edema while rest was normal. ECG showed non-specific ST-T changes and tachyarrhythmia. Moderate to severe residual neurologic deficit was observed in 20% of survivors. Male to female ratio was 1.5:1.No infective organism or its antigen or antibody was found in the any of the samples tested

  15. DBA Survivor

    CERN Document Server

    LaRock, Thomas

    2010-01-01

    DBA Survivor is a book to help new DBAs understand more about the world of database administration. More and more people are moving into the DBA profession, and many are looking for a getting-started guide. Blogs are written about how to be an exceptional DBA and what to do in your first 100 days. This book takes a different approach, injecting some humor into helping you understand how to hit the ground running, and most importantly how to survive as a DBA. And it's not just survival that matters. Author Thomas LaRock wants much more for you than mere survival. He wants you to have excellence

  16. Strategic Plan for Strengthening of Internal Audit in Government of Bihar

    OpenAIRE

    2012-01-01

    The Government of Bihar (GOB) has adopted various reform measures to modernize fiscal and financial management such as passing of the Fiscal Responsibility and Budget Management Act, adoption of Government of India's general financial rules and decentralization of financial powers to respective departments with a view to increasing the pace of expenditure and implementation of plan schemes...

  17. Milk Marketing Chains in Bihar: Implications for Dairy Farmers and Traders

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    Kumar, Anjani

    2010-01-01

    The study has addressed the issues associated with the alternative milk market chains and their implications on dairy farmers and traders. It has been conducted in Bihar, where modern milk market chains especially the milk co-operatives have grown significantly. The study has shown that in spite of growing presence of modern milk supply chains, the traditional milk supply chain is still dominant. The empirical evidence does not appear to support the perceptions of exploitative nature of the t...

  18. Studies on taxonomy and distribution of Acridoidea (Orthoptera of Bihar, India

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    M.K. Usmani

    2012-10-01

    Full Text Available Thirty seven species of locusts and grasshoppers representing 26 genera, four tribes and 12 subfamilies belonging to the families Pyrgomorphidae, Catantopidae and Acrididae are reported from different localities of Bihar. Their distinguishing characters and bio-ecological data are provided along with keys to tribes and subfamilies. This paper comprising of distribution and field observation along with taxonomy of Acridoid fauna is the first of its kind from the state.

  19. Physico-Chemical and Biological Parameters of the Three Rural Ponds of Sasaram of Bihar

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    Jyoti Choudhary

    2014-06-01

    Full Text Available Physico chemical and biological parameters of the three rural pond of Sasaram,Bihar has been studied to see the present condition for its better utilization. The study revealed that parameters are within permissible limit for fish culture and the stocking should be done as per the productivity of the water. As per the BOD estimation the ponds falls under moderately polluted category.

  20. Status of unikersal iodisation of salt programme in the selected districts of Bihar.

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    Kapil, U; Singh, J; Prakash, R; Sunderesan, S; Ramachandran, S; Tandon, M

    1997-01-01

    Iodine Deficiency Disorders (IDD) are a major public health problem in India. However, salt with an iodine content of 15 ppm at the consumer level can meet the human body's iodine requirement. The government of Bihar under the National Iodine Deficiency Disorder Control Program (NIDDCP) has therefore followed a policy of universal salt iodization (USI) since 1976 under which the state's population receives edible salt with a minimum of 15 ppm iodine. Salt samples were collected from 1052 families through schools in 5 districts of western Bihar and analyzed using the standard iodometric titration method to assess the iodine content of salt being consumed. While all samples contained some degree of iodine, 28.5% contained less than the recommended 15 ppm. These results suggest that the government of Bihar has given only low priority to the NIDDCP program and to monitoring the quality of salt through the Prevention of Food Adulteration (PFA) system. However, the iodine content was satisfactory compared to other states largely because all salt was procured only via railway rakes from production centers in Gujarat and Rajasthan.

  1. Optimal Cost of a Solar Photovoltaic System for a Remote House in Bihar

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    Sujit Kumar Jha

    2015-07-01

    Full Text Available Energy plays a vital role for the growth of a country. Solar energy is the most important renewable energy resources that can play vital role in the replacement of fossil resources to generate clean energy. Due to technological developments in solar power technologies, solar energy can be used for cooling, heating, and daily electricity demand of the world and emerged as viable alternative to produce clean energy in future. The paper describes the technological development of PV model, its present status and future opportunities in the context of Bihar, India. The study was carried out in Bihar, global solar radiation data is required for the calculation and assessment of the working principles of PV system installed at remotely located house to provide adequate power backup. The case study has been based on the solar radiation data available in Bihar, India, the cost of a suitable PV model for a house has been computed based on the analysis of power requirement of a houses in a day.

  2. Motherhood among Incest Survivors.

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    Cohen, Tamar

    1995-01-01

    Mothers (n=26) who were incest survivors were compared with 28 mothers with no such history for 7 areas of parenting skills: role-image, objectivity, expectations, rapport, communication, limit-setting, and role-support. Significant differences were found on all seven scales, characterized by a tendency for the incest survivors to be less skillful…

  3. Liquefaction record of the great 1934 earthquake predecessors from the north Bihar alluvial plains of India

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    Rajendran, C. P.; John, Biju; Rajendran, Kusala; Sanwal, Jaishri

    2016-07-01

    The great 1934 Himalayan earthquake of moment magnitude (Mw) 8.1 generated a large zone of ground failure and liquefaction in north Bihar, India, in addition to the earthquakes of 1833 (Mw ~7.7) and 1988 (Mw 6.7) that have also impacted this region. Here, we present the results of paleoliquefaction investigations from four sites in the plains of north Bihar and one in eastern Uttar Pradesh. The liquefaction features generated by successive earthquakes were dated at AD 829-971, 886-1090, 907-1181, 1130-1376, 1112-1572, 1492-1672, 1733-1839, and 1814-1854. One of the liquefaction events dated at AD 829-971, 886-1090, and 907-1181 may correlate with the great earthquake of AD ~1100, recognized in an earlier study from the sections across the frontal thrust in central eastern Nepal. Two late medieval liquefaction episodes of AD 1130-1376 and 1492-1672 were also exposed in our sites. The sedimentary sections also revealed sandblows that can be attributed to the 1833 earthquake, a lesser magnitude event compared to the 1934. Liquefactions triggered by the 1934 and 1988 earthquakes were evident within the topmost level in some sections. The available data lead us to conjecture that a series of temporally close spaced earthquakes of both strong and large types, not including the infrequent great earthquakes like the 1934, have affected the Bihar Plains during the last 1500 years with a combined recurrence interval of 124 ± 63 years.

  4. Social Development Indicators and their Association with Crime: A Case of Bihar, India

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    Rashmi Kumari

    2014-01-01

    Full Text Available This paper analyses the time-series evidence of the effects of changing social development factors on crime for different types of crime. The study area of Bihar, a state in India, has been chosen for the present investigation. The correlation and regression analysis has been performed for establishing the fact that the crime shows relation with the social development factors; specific violent crime, such as murder and robbery, also display sensitivity to the development indicators over time. The paper concludes with a unified interpretation of the time-series data.

  5. Five-Year Field Results and Long-Term Effectiveness of 20 mg/kg Liposomal Amphotericin B (Ambisome) for Visceral Leishmaniasis in Bihar, India

    OpenAIRE

    Sakib Burza; Sinha, Prabhat K.; Raman Mahajan; María Angeles Lima; Gaurab Mitra; Neena Verma; Manica Balasegaram; Pradeep Das

    2014-01-01

    BACKGROUND: Visceral Leishmaniasis (VL; also known as Kala-azar) is an ultimately fatal disease endemic in Bihar. A 2007 observational cohort study in Bihar of 251 patients with VL treated with 20 mg/Kg intravenous liposomal amphotericin B (Ambisome) demonstrated a 98% cure rate at 6-months. Between July 2007 and August 2012, Médecins Sans Frontières (MSF) and the Rajendra Memorial Research Institute (RMRI) implemented a VL treatment project in Bihar, India-an area highly endemic for Leishman...

  6. Estimation of under-reported visceral Leishmaniasis (Vl cases in Bihar: a Bayesian approach

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    A Ranjan

    2013-12-01

    Full Text Available Background: Visceral leishmaniasis (VL is a major health problem in the state of Bihar and adjoining areas in India. In absence of any active surveillance mechanism for the disease, there seems to be gross under-reporting of VL cases. Objective: The objective of this study was to estimate extent of under-reporting of VL cases in Bihar using pooled analysis of published papers. Method: We calculated the pooled common ratio (RRMH based on three studies and combined it with a prior distribution of ratio using inverse-variance weighting method. Bayesian method was used to estimate the posterior distribution of the “under-reporting factor” (ratio of unreported to reported cases. Results: The posterior distribution of ratio of unreported to reported cases yielded a mean of 3.558, with 95% posterior limits of 2.81 and 4.50. Conclusion: Bayesian approach gives evidence to the fact that the total number of VL cases in the state may be nearly more than three times that of currently reported figures. 

  7. The spatial distribution of arsenic contamination in fluvial sediment of the Ganges River: case study from Bihar, India

    NARCIS (Netherlands)

    Donselaar, M.E.; Bhatt, A.G.; Bruining, J.; Bose, N.; Ghosh, A.K.

    2013-01-01

    Shallow aquifers in the Ganges River channel belt (Bihar, India) have high and spatially variable concentrations of arsenic contamination. The arsenic is of geogenic origin. Hydrated iron-arsenic-oxide coatings on quartz and clay minerals occur in the Ganges River deposits. The arsenic is subsequent

  8. Point bars as stratigraphic traps for arsenic contamination in groundwater: Case study of the Ganges River, Bihar, India (abstract)

    NARCIS (Netherlands)

    Donselaar, M.E.; Bhatt, A.G.; Bruining, J.; Bose, N.; Ghosh, A.K.

    2013-01-01

    Arsenic-contaminated groundwater causes a wide-spread, serious health risk affecting millions of people worldwide. Focus of the research is the floodplain of the Ganges River in the State of Bihar (India) where groundwater is the principal source of drinking water and irrigation, and where the level

  9. Who are the cancer survivors?

    DEFF Research Database (Denmark)

    Hovaldt, H. B.; Suppli, N. P.; Olsen, M. H.;

    2015-01-01

    Background: No nationwide studies on social position and prevalence of comorbidity among cancer survivors exist. Methods: We performed a nationwide prevalence study defining persons diagnosed with cancer 1943-2010 and alive on the census date 1 January 2011 as cancer survivors. Comorbidity...... was compared by social position with the non-cancer population. Results: Cancer survivors composed 4% of the Danish population. Somatic comorbidity was more likely among survivors (OR 1.59, 95% CI 1.57-1.60) and associated with higher age, male sex, short education, and living alone among survivors....... Conclusions: Among cancer survivors, comorbidity is common and highly associated with social position....

  10. Phoenix Society for Burn Survivors

    Science.gov (United States)

    ... Medical Professionals Phoenix Society is the leader in connecting the burn recovery community and creating resources for survivors. Since 1977, we have partnered with survivors, families, health care professionals, burn centers, and the fire ...

  11. The economic value of a visceral leishmaniasis vaccine in Bihar state, India.

    Science.gov (United States)

    Lee, Bruce Y; Bacon, Kristina M; Shah, Mirat; Kitchen, Sara Beth; Connor, Diana L; Slayton, Rachel B

    2012-03-01

    Visceral leishmaniasis (VL) is responsible for substantial morbidity and mortality and current available treatments have many limitations. The ability of VL infection to generate life-long immunity offers promise for the development of a VL vaccine. A VL vaccine candidate has recently completed phase I clinical trials. We constructed a computer simulation model to determine the potential economic value of a VL vaccine in the endemic region of Bihar state, India. Results found a potential vaccine to be cost-effective (and in many cases economically dominant, i.e., saving costs and providing health benefits) throughout a wide range of vaccination costs and vaccine efficacies, and VL risks. Overall, our study strongly supports the continued development of a VL vaccine.

  12. Rehabilitating torture survivors

    DEFF Research Database (Denmark)

    Sjölund, Bengt H; Kastrup, Marianne; Montgomery, Edith;

    2009-01-01

    , "Rehabilitating Torture Survivors", was organized by the Rehabilitation and Research Centre for Torture Victims (a rehabilitation clinic and global knowledge and research centre with government support) in collaboration with the Centre for Transcultural Psychiatry at Rigshospitalet in Copenhagen, Denmark...... to rehabilitation, but scientifically rigorous studies of comprehensive rehabilitation programmes for torture survivors are lacking. Therefore, effect studies are urgently warranted. Nevertheless, by combining expertise from different scientific and professional areas, important elements in the problems of torture...... survivors can be addressed from an evidence base generated both from traumatized and non-traumatized patient populations. Thus, trauma-focused cognitive behavioural therapy and/or eye movement desensitization and reprocessing, as well as interdisciplinary pain rehabilitation, should be components...

  13. Long term climatology and trends of heat and cold waves over southern Bihar, India

    Indian Academy of Sciences (India)

    S Sheraz Mahdi; B S Dhekale

    2016-12-01

    The purpose of this paper is to analyse the trends and variability in extreme temperature indices. We examined climatological distribution of heat and cold waves of two important agro-climatic zones (South Bihar Alluvial Zone-IIIA and B), which is part of the middle Indo-Gangetic Basin and comprising 17 densely populated (1108 persons/km²) districts of Bihar state. We used series of daily maximum and minimum temperature data from 1969 to 2013 of seven stations to calculate temperature indices, from which the trend, occurrence, duration and severity of heat and cold waves were estimated. Results revealed that, in a period of 45 years, zone-IIIA and B has experienced 251/182 and 337/140 average number of heat and cold events, respectively. Although the zone-IIIA on average is experiencing ≥8 heat and cold wave days per season, both these high frequency temperature extremes are decreasing at the rate 0.15 and 0.17 per year, respectively, with significance at 95% confidence level. Zone-IIIB on average is experiencing ≤5 heat and cold days per season, but heat waves have been found increasing at the rate 0.11 per year, whereas, a non-significant decreasing rate of 0.04/year was observed in cold waves. The study also inferred that heat waves of the month of May in zone-IIIA and of June in zone-IIIB are more frequent, hotter and longer than other months of hot weather period under study, whereas, the cold waves of month January are more frequent and longer, in both zones.

  14. Long term climatology and trends of heat and cold waves over southern Bihar, India

    Science.gov (United States)

    Mahdi, S. Sheraz; Dhekale, B. S.

    2016-12-01

    The purpose of this paper is to analyse the trends and variability in extreme temperature indices. We examined climatological distribution of heat and cold waves of two important agro-climatic zones (South Bihar Alluvial Zone-IIIA and B), which is part of the middle Indo-Gangetic Basin and comprising 17 densely populated (1108 persons/km 2) districts of Bihar state. We used series of daily maximum and minimum temperature data from 1969 to 2013 of seven stations to calculate temperature indices, from which the trend, occurrence, duration and severity of heat and cold waves were estimated. Results revealed that, in a period of 45 years, zone-IIIA and B has experienced 251/182 and 337/140 average number of heat and cold events, respectively. Although the zone-IIIA on average is experiencing ≥8 heat and cold wave days per season, both these high frequency temperature extremes are decreasing at the rate 0.15 and 0.17 per year, respectively, with significance at 95% confidence level. Zone-IIIB on average is experiencing ≤5 heat and cold days per season, but heat waves have been found increasing at the rate 0.11 per year, whereas, a non-significant decreasing rate of 0.04/year was observed in cold waves. The study also inferred that heat waves of the month of May in zone-IIIA and of June in zone-IIIB are more frequent, hotter and longer than other months of hot weather period under study, whereas, the cold waves of month January are more frequent and longer, in both zones.

  15. Computer tablet-based health technology for strengthening maternal and child tracking in Bihar

    Directory of Open Access Journals (Sweden)

    Preeti Negandhi

    2016-01-01

    Full Text Available Background: UNICEF along with the State Government of Bihar launched a computer tablet-based Mother and Child Tracking System (MCTS in 2014, to capture real-time data online and to minimize the challenges faced with the conventional MCTS. Objective: The article reports the process of implementation of tablet-based MCTS in Bihar. Methods: In-depth interviews with medical officers, program managers, data managers, auxiliary nurse midwives (ANMs, and a monitoring and evaluation specialist were conducted in October 2015 to understand the process of implementation, challenges and possibility for sustainability, and scale-up of the innovation. Results: MCTS innovation was introduced initially in one Primary Health Centre each in Gaya and Purnia districts. The device, supported with Android MCTS software and connected to a dummy server, was given to ANMs. ANMs were trained in its application. The innovation allows real-time data entry, instant uploading, and generation of day-to-day work plans for easy tracking of beneficiaries for providing in-time health-care services. The nonlinking of the dummy server to the national MCTS portal has not lessened the burden of data entry operators, who continue to enter data into the national portal as before. Conclusion: The innovation has been successfully implemented to meet its objective of tracking the beneficiaries. The national database should be linked to the dummy server or visible impact. The model is sustainable if the challenges can be met. Mobile technology offers a tremendous opportunity to strengthen the capacity of frontline workers and clinicians and increase the quality, completeness, and timeliness of delivery of critical health services.

  16. Musculoskeletal problems in stroke survivors.

    Science.gov (United States)

    Kendall, Richard

    2010-01-01

    Musculoskeletal problems in stoke survivors are common reasons for disability and pain. Shoulder pain is present in 24% of stroke survivors among all complications, second only to depression in 26%. Diagnosis and treatment of the various shoulder pain etiologies can significantly improve quality of life in these patients. This article reviews the common etiologies and treatments of shoulder and hip pain in stroke survivors.

  17. Dynamic Flood Vulnerability Mapping with Google Earth Engine

    Science.gov (United States)

    Tellman, B.; Kuhn, C.; Max, S. A.; Sullivan, J.

    2015-12-01

    Satellites capture the rate and character of environmental change from local to global levels, yet integrating these changes into flood exposure models can be cost or time prohibitive. We explore an approach to global flood modeling by leveraging satellite data with computing power in Google Earth Engine to dynamically map flood hazards. Our research harnesses satellite imagery in two main ways: first to generate a globally consistent flood inundation layer and second to dynamically model flood vulnerability. Accurate and relevant hazard maps rely on high quality observation data. Advances in publicly available spatial, spectral, and radar data together with cloud computing allow us to improve existing efforts to develop a comprehensive flood extent database to support model training and calibration. This talk will demonstrate the classification results of algorithms developed in Earth Engine designed to detect flood events by combining observations from MODIS, Landsat 8, and Sentinel-1. Our method to derive flood footprints increases the number, resolution, and precision of spatial observations for flood events both in the US, recorded in the NCDC (National Climatic Data Center) storm events database, and globally, as recorded events from the Colorado Flood Observatory database. This improved dataset can then be used to train machine learning models that relate spatial temporal flood observations to satellite derived spatial temporal predictor variables such as precipitation, antecedent soil moisture, and impervious surface. This modeling approach allows us to rapidly update models with each new flood observation, providing near real time vulnerability maps. We will share the water detection algorithms used with each satellite and discuss flood detection results with examples from Bihar, India and the state of New York. We will also demonstrate how these flood observations are used to train machine learning models and estimate flood exposure. The final stage of

  18. Optimizing insecticide allocation strategies based on houses and livestock shelters for visceral leishmaniasis control in Bihar, India.

    Science.gov (United States)

    Gorahava, Kaushik K; Rosenberger, Jay M; Mubayi, Anuj

    2015-07-01

    Visceral leishmaniasis (VL) is the most deadly form of the leishmaniasis family of diseases, which affects numerous developing countries. The Indian state of Bihar has the highest prevalence and mortality rate of VL in the world. Insecticide spraying is believed to be an effective vector control program for controlling the spread of VL in Bihar; however, it is expensive and less effective if not implemented systematically. This study develops and analyzes a novel optimization model for VL control in Bihar that identifies an optimal (best possible) allocation of chosen insecticide (dichlorodiphenyltrichloroethane [DDT] or deltamethrin) based on the sizes of human and cattle populations in the region. The model maximizes the insecticide-induced sandfly death rate in human and cattle dwellings while staying within the current state budget for VL vector control efforts. The model results suggest that deltamethrin might not be a good replacement for DDT because the insecticide-induced sandfly deaths are 3.72 times more in case of DDT even after 90 days post spray. Different insecticide allocation strategies between the two types of sites (houses and cattle sheds) are suggested based on the state VL-control budget and have a direct implication on VL elimination efforts in a resource-limited region.

  19. Questioning Psychosocial Resilience After Flooding and the Consequences for Disaster Risk Reduction

    DEFF Research Database (Denmark)

    Crabtree, Andrew

    2013-01-01

    may suffer from mental disorders following a PTE, but disagrees that the majority of people are resilient. Furthermore it argues that we should not see PTEs as one event, but as involving a number of stressors and having a variety of consequences. Drawing on fieldwork carried out in Rajni village......, Bihar following the 2008 Kosi River flooding, it documents, 18 months post flood, that flood onset gave rise to symptoms related to Post Traumatic Stress Disorder (primarily re-experiencing). The villagers’ primary concern was livelihood loss which, together with their lack of hope for the future, led...... to symptoms of depression. It argues that mental health issues should be fully integrated into Disaster Risk Reduction plans and policies, which are likely to be included in the Post-2015 Millennium Development Goals. In addition to supporting mental health interventions, the paper suggests that deep socio...

  20. Palaeobiology of Mesoproterozoic Salkhan Limestone, Semri Group, Rohtas, Bihar, India: Systematics and significance

    Indian Academy of Sciences (India)

    Mukund Sharma

    2006-02-01

    Mesoproterozoic (∼1600 Ma old) Salkhan Limestone (Semri Group)of the Vindhyan Supergroup, exposed in Rohtas district of Bihar,India,preserves an abundant and varied ancient microbial assemblage.These microfossils are recorded in three distinctly occurring cherts viz.,bedded chert, stromatolitic chert and cherty stromatolites.27 morphoforms belonging to 14 genera and 21 species have been recognized.Six unnamed forms are also described. The microbial assemblage,almost exclusively composed of the remnants of cyanobacteria,is dominated by entophysalidacean members and short trichomes and can be termed as ‘typical Meso-proterozoic microbiotas ’.The assemblage includes characteristic mat-forming scytonematacean and entophysalidacean cyanobacteria. Eoentophysalis is the dominant organism in the assemblage. Ellipsoidal akinetes of nostocalean cyanobacteria (Archaeollipsoides) and spherical unicells also occur;both are distinct from mat forming assemblage,allochthonous and possibly planktic.Co-occurrence of the microbiotas and precipitates is related to the depositional environment of the Mesoproterozoic tidal flats with high carbonate saturation.

  1. Genetic polymorphism at 15 STR loci among three important subpopulation of Bihar, India.

    Science.gov (United States)

    Ashma, R; Kashyap, V K

    2002-11-05

    Genotype polymorphism studies at 15 highly polymorphic short tandem repeat (STR) loci were carried out in three genetically important minor caste groups (Yadav, Kurmi and Baniya) of Bihar, a eastern state of India to evaluate their significance in human identification and population genetics study. The selected communities practice endogamy. Despite of same geographical area, the physical features of Yadavs and Baniyas resemble North Indian Indo-Caucasoids whereas Kurmis resemble more to Indo-Austroloids. Among the chosen 15 loci, two are penta-nucleotide repeat: Penta-D and Penta-E, and 13 are tetra-nucleotide repeat: vWA D8S1179, TPOX, FGA, D5S818, D13S317, D7S820, D16S539, D3S1358, THO1, CSF1PO, D21S11, D18S51 and are validated for other population of India and world for forensic testing and human population study. Thirteen of these STR loci are present in the combined DNA index system (CODIS) [J. Forensic Sci. 44 (1999) 1277] and world-wide data is available.

  2. A STATISTICAL AND ECONOMIC ANALYSIS OF THE HOTEL INDUSTRY FROM BIHOR AND HAJDÚ-BIHAR COUNTIES IN THE CONTEXT OF THE (EURO REGIONAL DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    BORMA Afrodita

    2014-07-01

    Full Text Available This research has in sight the Bihor – Hajdú-Bihar Euroregion located at the border between Romania (in the north-western part and Hungary (in the east. The research methodology that was used consisted in the statistical data collection in order to gather representative information on the evolution of tourism for the 2008 - 2011, in Bihor – Hajdú-Bihar Euroregion. In the first part of the research is presented an analysis regarding the evolution of the number of tourists within the tourist accommodation establishments in the Bihor – Hajdú-Bihar Euroregion. The analysis is based on the following aspects: the evolution of the number of tourists within the Bihor – Hajdú-Bihar Euroregion is presented; a comparison regarding the number of national tourists registered in the two counties belonging to the Bihor – Hajdú-Bihar Euroregion and finally an analysis based on the number of foreign tourists registered within the two counties belonging to the Bihor – Hajdú-Bihar Euroregion. In the second part of the research, the study continues with the analysis of the activities of the hotel units from Bihor and Hajdú-Bihar starting from the data obtained from the Bihor County Statistics Department, for Bihor County, and from the Debrecen Central Statistics Office, for the Hajdú-Bihar data. The research covers the period from 2008 - 2011, following the indicators regarding: the number of active units, turnover, and employee related expenses, staff and gross investments in tangible assets. This statistical and economic analysis presents on one hand the centralization of the indicators used within a table, (initially, in a rough form and subsequently in a shaped form based on the annual average exchange rates of the leu and forint compared to the euro during 2008-2011 and on the other the evolution of each indicator in chart form. Due to the fact that a part of the analyzed indicators are expressed in the national currency of the two

  3. Rehabilitation interventions for cancer survivors

    DEFF Research Database (Denmark)

    Hansen, Helle Ploug; Tjørnhøj-Thomsen, Tine; Johansen, Christoffer

    2011-01-01

    The present study examines the influence of three contextual parameteres in rehabilitation courses for cancer survivors in Denmark. It is based on ethonographic fieldwork.......The present study examines the influence of three contextual parameteres in rehabilitation courses for cancer survivors in Denmark. It is based on ethonographic fieldwork....

  4. Brain tumor survivors speak out.

    Science.gov (United States)

    Carlson-Green, Bonnie

    2009-01-01

    Although progress has been made in the treatment of childhood brain tumors,work remains to understand the complexities of disease, treatment, and contextual factors that underlie individual differences in outcome. A combination of both an idiographic approach (incorporating observations made by adult survivors of childhood brain tumors) and a nomothetic approach (reviewing the literature for brain tumor survivors as well as childhood cancer survivors) is presented. Six areas of concern are reviewed from both an idiographic and nomothetic perspective, including social/emotional adjustment, insurance, neurocognitive late effects, sexuality and relationships, employment, and where survivors accessed information about their disease and treatment and possible late effects. Guidelines to assist health care professionals working with childhood brain tumor survivors are offered with the goal of improving psychosocial and neurocognitive outcomes in this population.

  5. FINANCIAL PERFORMANCE ANALYSIS BASED ON THE FINANCIAL STATEMENTS FOR THE COMPANIES LOCATED IN THE BIHOR - HAJDU BIHAR EUROREGION

    Directory of Open Access Journals (Sweden)

    Droj Laurentiu

    2012-12-01

    Full Text Available This paper will be later used within the Doctoral thesis: “The Mechanism of Financing Investment Projects by Usage of European Structural Funds”, which is currently under development at the University Babeș Bolyai Cluj Napoca, Faculty of Economics and Business Management, under the coordination of the prof. univ. dr. Ioan Trenca. This paper comes also as a result of the European Funded project PERINPRO “Cross-Border Research Programme - Performance Indicators of the Economic Entities from Bihor-Hajdu Bihar Euroregion”. The goal of the project was to identify of a set of common indicators that characterizes companies in the Bihor-Hajdu Bihar Euroregion and which will be used to analyze the financial health of the economic entities in the Euroregion of Hajdu-Bihar- Bihor. The first chapter of the paper will introduce the research and also will present the literature review and the methodological framework: by establishing a common set of indicators for the financial analysis of the companies located in the Bihor-Hajdu Bihar Euroregion. Seven of these indicators considered to be highly important will also briefly described and defined. Some of these indicators are used for the first time in a trans-national analysis over companies located in the Romanian-Hungarian cross border area. In the second chapter the research will be focused over establishing a common ground for usage of the financial reporting documents as basis for the analysis. Several characteristics which differentiate the financial reporting documents from Romania and Hungary will be identified and measures for correction of the values of the indicators will be proposed. This comparative study can be considered an innovation, as well, in the cross-border area since in the past no other studies of this types were performed between Romania and Hungary. The third chapter will be focused over the application of seven identified common indicators to companies based

  6. Quality of Life in Geriatric Population in a Community Development Block of Kishanganj, Bihar, India

    Directory of Open Access Journals (Sweden)

    Somenath Ghosh

    2017-01-01

    Full Text Available Background: Ageing universally affects individual, family, community and society with reduction in quality of life on chronologic, biological, social, and psychological dimensions. Aim and Objectives: The study was done to assess quality of life in physical, psychological, social and environmental domains among elderly population in relation to sociodemographic character. Material and Methods: A cross-sectional study was conducted among census population of 63 elderly individuals in Chanamana village, a community development block of Potia, Kishanganj, Bihar from 1st June –31st July 2014. By interview technique the quality of life was assessed using World Health Organization Quality of Life-BREF (WHOQOL-BREF questionnaire. Mean score was computed and compared by Z -test and one-way ANOVA using SPSS software, version 19.0. Results: Among the study participants with alike gender distribution, majority (68.25% were in age group of 60-69 years, general caste (69.85%, joint family (84.12% and residing with their children (82.54%. Of them 47.62 percent were illiterates and 42.86 percent were still earning. The mean score in the distinct four domains had no significant difference in genders and age groups. Yet, residing with children and belonging to joint family were noted to be significantly improving the scores in all the four domains. Mean scores were also significantly superior in physical, psychological and environmental domains among persons who were married and had their own income. Conclusion: The study showed the quality of life within diverse domains among elderly population need to be addressed with certain socio-demographic factors (joint family, marital status, own earning and children accompanying the geriatric population.

  7. Rolling out of kangaroo mother care in secondary level facilities in Bihar-Some experiences

    Directory of Open Access Journals (Sweden)

    Sutapa B Neogi

    2016-01-01

    Full Text Available Background: Preterm birth is one of the leading causes of under-five child deaths worldwide and in India. Kangaroo mother care (KMC is a powerful and easy-to-use method to promote health and well-being and reduce morbidity and mortality in preterm/low birth weight (LBW babies. Objective: As the part of the roll-out of India Newborn Action Plan interventions, we implemented KMC in select facilities with an objective to assess the responsiveness of public health system to roll out KMC. Methods: KMC intervention was implemented in two select high priority districts, Gaya and Purnea in Bihar over the duration of 8 months from August 2015 to March 2016. The implementation of intervention was phased out into; situation analysis, implementation of intervention, and interim assessment. KMC model, as envisaged keeping in mind the building blocks of health system, was established in 6 identified health-care facilities. A pretested simple checklist was used to assess the awareness, knowledge, skills, and practice of KMC during baseline situational analysis and interim assessment phases for comparison. Results: The intervention clearly seemed to improve the awareness among auxiliary nurse midwives/nurses about KMC. Improvements were also observed in the availability of infrastructure required for KMC and support logistics like facility for manual expression of breast milk, cups/suitable devices such as paladi cups for feeding small babies and digital weighing scale. Although the recording of information regarding LBW babies and KMC practice improved, still there is scope for much improvement. Conclusion: There is a commitment at the national level to promote KMC in every facility. The present experience shows the possibility of rolling out KMC in secondary level facilities with support from government functionaries.

  8. KNOWLEDGE AND PRACTICES OF SEPTIC ABORTION: A LONGITUDINAL STUDY FROM KISHANGANJ DISTRICT OF BIHAR

    Directory of Open Access Journals (Sweden)

    Kashif

    2014-06-01

    Full Text Available : INTRODUCTION: Unwanted pregnancy places a women at additional risk, if she seeks abortion and safe services are not available. Poverty, ignorance and non-availability of trained personnel are important causes of septic abortion in India. OBJECTIVE: To study the knowledge and practices of septic abortion in women. MATERIALS AND METHODS: A Longitudinal study was conducted in the indoor of obstetrics and gynaecology department of M.G.M. Medical College & L.S.K Hospital, Kishanganj, Bihar from the period of Feb-2014 to April-2014. A total of 100 cases of septic abortion were selected by simple randomization. Informations of these cases about their knowledge and practices of septic abortion was obtained by conducting interview and studied. OBSERVATIONS: Out of the 100cases studied, majority (i.e 60% were having no knowledge of contraceptive devices. Rural women were having lesser knowledge of contraception than urban women. Majority of the cases got the knowledge of contraception through media, like television (20%, radio (25%, stage drama (15%, nautankee (12.5%. Urban population of women had a greater knowledge of MTP Act than rural population. In majority of the cases (i.e 65%, there was a history of dai intervention. Among 100cases studied, in 51cases (i.e 51%, instrumentation was used for procuring the septic abortion. CONCLUSION: Present study shows that poor knowledge of contraception and MTP Act particularly in rural women and conduction of abortion by untrained personnel like dais, quacks, local practitioners are important contributing factors for high incidence of septic abortion in India. So, there is the need to strengthen good quality abortion services.

  9. Spatial variability of groundwater quality of Sabour block, Bhagalpur district (Bihar, India)

    Science.gov (United States)

    Verma, D. K.; Bhunia, Gouri Sankar; Shit, Pravat Kumar; Kumar, S.; Mandal, Jajati; Padbhushan, Rajeev

    2016-01-01

    This paper examines the quality of groundwater of Sabour block, Bhagalpur district of Bihar state, which lies on the southern region of Indo-Gangetic plains in India. Fifty-nine samples from different sources of water in the block have been collected to determine its suitability for drinking and irrigational purposes. From the samples electrical conductivity (EC), pH and concentrations of Calcium (Ca2+), Magnesium (Mg2+), Sodium (Na+), Potassium (K+), carbonate ion (CO{3/2-}), Bicarbonate ion (HCO{3/-}), Chloride ion (Cl-), and Fluoride (F-) were determined. Surface maps of all the groundwater quality parameters have been prepared using radial basis function (RBF) method. RBF model was used to interpolate data points in a group of multi-dimensional space. Root Mean Square Error (RMSE) is employed to scrutinize the best fit of the model to compare the obtained value. The mean value of pH, EC, Ca2+, Mg2+, Na+, K+, HCO3 -, Cl-, and F- are found to be 7.26, 0.69, 38.98, 34.20, 16.92, 1.19, 0.02, and 0.28, respectively. Distribution of calcium concentration is increasing to the eastern part and K+ concentrations raise to the downstream area in the southwestern part. Low pH concentrations (less than 6.71) occur in eastern part of the block. Spatial variations of hardness in Sabour block portraying maximum concentration in the western part and maximum SAR (more than 4.23) were recorded in the southern part. These results are not exceeding for drinking and irrigation uses recommended by World Health Organization. Therefore, the majority of groundwater samples are found to be safe for drinking and irrigation management practices.

  10. AN ASSESSMENT ON THE PREVALENCE OF KALA - AZAR IN MUNICIPAL AREA OF KATIHAR DISTRICT, BIHAR

    Directory of Open Access Journals (Sweden)

    Prawin

    2015-04-01

    Full Text Available INTRODUCTION: Kala - azar is a chronic infectious disease of the reticulo - endothelial system , characterized by irregular fever of long duration , anemia , leucopenia , hepato - spleenomegaly and progressive emaciation . It has major medical , psychological , and financial implications and remains a serious public health problem in Bihar . OBJECTIVES: To find the prevalence of kala - azar and its associated factors & also to formulate preventive measures for the control of this disease . MATERIALS AND METHODS: This was a community based cross - sectional study , conducted in 5 municipal wards of Katihar district , from 1 st Jan . 2014 to 31 st Dec . 2014 . Study population was selected by stratified random sampling method . From each ward families were selected by simple random s ampling . After the collection of data using pre - designed and pre - tested Performa , prevalence of kala - azar in municipal area of Katihar district was studied . RESULTS: Among the total study population of 2095 people , 1089 were males and 1006 females . Maximum number of cases ( 60% in our study was between 20 - 29 years of age group and 80% of them were males . Sixty percent ( 60% of the cases belonged to low socio - economic status and 80% cases occurred in persons living in kutccha houses , where the walls of the r oom were made of mud . In 80% of the cases , distance of the cattle shed from houses was less than 15 meters . CONCLUSION: Young adults are more susceptible to kala - azar and the incidence gradually decline with age . Male preponderance may be due to some pract ices of adult males like sleeping in the cattle sheds or close to cattle sheds . The high incidence of the disease among low socio - economic group may be due to insanitary habits and surroundings which provide excellent breeding grounds and shelter for the sand fly .

  11. Insecticidal effect of plant extracts on Phlebotomus argentipes (Diptera: Psychodidae in Bihar, India

    Directory of Open Access Journals (Sweden)

    Diwakar Singh Dinesh

    2015-01-01

    Full Text Available Background & objectives: Phlebotomus argentipes (Diptera: Psychodidae, the established vector for kala-azar is presently being controlled by indoor residual spray of DDT in kala-azar endemic areas in India. Search for non-hazardous and non-toxic biodegradable active molecules from botanicals may provide cost-effective and eco-friendly alternatives to synthetic insecticides. The present study was aimed at evaluating various plant extracts from endemic and non-endemic areas of Bihar for their insecticidal activity against sandfly to identify the most effective plant extract. Methods: Bio-assay test was conducted with larvae and adult of P. argentipes with different plant extracts collected in distilled water, hexane, ethyl acetate, acetone and methanol. Thin layer chromatography (TLC, column chromatography and high performance liquid chromatography (HPLC were conducted for detection of active molecules. Results: Adults and larvae of sandflies exposed to the aqueous extract of Nicotiana tabacum resulted in 100 per cent mortality. The hexane extract of Clerodendrum infortunatum was found to kill 77 per cent adults but was ineffective against larvae. Bio-assay test of the ninth fraction (hexane extract-methanol phase separated by column chromatography was found to be 63 per cent effective. The purple spot on the TLC of this fraction indicated the presence of a diterpenoid. HPLC of this fraction detected nine compounds with two peaks covering 20.44 and 56.52 per cent areas with retention time of 2.439 and 5.182 min, respectively supporting the TLC results. Interpretation & conclusions: The column separated 9 [th] fraction of C. infortunatum extract was found to be effective in killing 63 per cent of adult P. argentipes. Compounds of this fraction need to be evaluated further for identification and characterization of the active molecule by conducting individual bio-assay tests followed by further fractionation and HPLC. Once the structure of the

  12. Latent infection with Leishmania donovani in highly endemic villages in Bihar, India.

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    Epco Hasker

    Full Text Available INTRODUCTION: Asymptomatic persons infected with the parasites causing visceral leishmaniasis (VL usually outnumber clinically apparent cases by a ratio of 4-10 to 1. We describe patterns of markers of Leishmania donovani infection and clinical VL in relation to age in Bihar, India. METHODS: We selected eleven villages highly endemic for Leishmania donovani. During a 1-year interval we conducted two house to house surveys during which we collected blood samples on filter paper from all consenting individuals aged 2 years and above. Samples were tested for anti-leishmania serology by Direct Agglutination Test (DAT and rK39 ELISA. Data collected during the surveys included information on episodes of clinical VL among study participants. RESULTS: We enrolled 13,163 persons; 6.2% were reactive to DAT and 5.9% to rK39. Agreement between the tests was weak (kappa = 0.30. Among those who were negative on both tests at baseline, 3.6% had converted to sero-positive on either of the two tests one year later. Proportions of sero-positives and sero-converters increased steadily with age. Clinical VL occurred mainly among children and young adults (median age 19 years. DISCUSSION: Although infection with L. donovani is assumed to be permanent, serological markers revert to negative. Most VL cases occur at younger ages, yet we observed a steady increase with age in the frequency of sero-positivity and sero-conversion. Our findings can be explained by a boosting effect upon repeated exposure to the parasite or by intermittent release of parasites in infected subjects from safe target cells. A certain proportion of sero-negative subjects could have been infected but below the threshold of antibody abundance for our serologic testing.

  13. 20 CFR 234.33 - Survivor annuities.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Survivor annuities. 234.33 Section 234.33... PAYMENTS Annuities Due but Unpaid at Death § 234.33 Survivor annuities. Any survivor annuity which is unpaid at the death of the survivor is paid in the same order and amounts as described in § 234.31(a)...

  14. Cancer survivors' experience of time

    DEFF Research Database (Denmark)

    Rasmussen, Dorte M.; Elverdam, Beth

    2007-01-01

    time and life; (2) awareness of time increases, time is verbalized and reflected; and (3) the informants appropriate time. A diagnosis of cancer, even for a survivor, means a confrontation with death. It means a disruption of continuous clock and calendar time. Survivors appropriate time...... and ethnographic interviews with 23 informants. Ten men and 13 women were interviewed twice: 2 weeks after their stay and 18 months later. FINDINGS: Data were analysed from a culture-analytical perspective. Three main themes regarding the survivors' handling and perception of time were found: (1) cancer disrupts...

  15. Flooding On

    Institute of Scientific and Technical Information of China (English)

    YIN PUMIN

    2010-01-01

    @@ Drenched riverside towns in central and south parts of China were preparing for even worse flooding as water levels in the country's huge rivers surged and rainstorms continued. As of July 27,accumulated precipitation since June 16 in 70 percent of the drainage areas of the Yangtze River had exceeded 50 mm,after three rounds of rainstorms,said Cai Qihua,Deputy Director of the Yangtze River Flood Control and Drought Relief Headquarters.

  16. PREVALENCE OF INTESTINAL PARASITIC INFECTIONS IN PATIENTS ATTENDING A TERTIARY CARE HOSPITAL IN EASTERN BIHAR

    Directory of Open Access Journals (Sweden)

    Randhir

    2014-06-01

    Full Text Available BACKGROUND: Parasitic protozoa and helminths are responsible for some devastating and prevalent diseases of humans. Intestinal parasitic infections are a major health problem in India. While little study has been carried out regarding the problem in India, almost no study on the burden of intestinal infections has been done in Bihar. OBJECTIVE: The objective of the study was to estimate the prevalence of intestinal parasitic infections (IPI in the patients attending outdoor patient department in Katihar Medical College & Hospital. Fecal samples were examined for intestinal parasites by direct microscopy, and by microscopy following modified acid fast staining in HIV infected patients. MATERIAL AND METHODS: This study was carried out from June 2011 to February 2013. The study population consisted of individuals of all age groups, belonging to both the sexes, including children, pregnant woman and elderly individuals. A total of 2780 samples were examined by saline and Lugol’s iodine preparation. The negative samples were examined by formol ether concentration technique. Modified acid fast staining of fecal samples in HIV infected patients was also done. RESULTS: The result showed that the prevalence of parasitic infection was 10.71%. Out of this ,86.6% were single infections, 12.8% were double infections and 0.67% showed triple infections. Ascaris lumbricoides (28.5% and Giardia lamblia (18.5% were the most common intesitinal helminthes and protozoans isolated. A single patient with HIV infection was co-infected with Cryptosporidium parvum. The infected cases were more in the age group between 1-10years, more commonly among the male population. CONCLUSION: The prevalence of the helminthic infections is more than the prevalence of protozoal infections in this geographic region. Clinical microbiologists must follow standard laboratory procedures when screening stool samples so as to improve the chances of finding the parasites. An integrated

  17. Study of Faunal Diversity of Laxmipur Pond at Raxaul Area of Indo-Himalayan Range of Bihar

    Directory of Open Access Journals (Sweden)

    Mandip Kumar Roy

    2014-03-01

    Full Text Available North Bihar exhibits a wide range of wet lands and net of water bodies due to its geographical distribution and climatic condition and has become a good source of income through fish culture and variety of important cultivable crops. The fish collected from water body are represented by 8 orders and 12 families, 18 genera and 23 species. During the entire period of investigation, altogether 32 genera of phytoplankton consisting of chlorophyceae, cyanophyceae, euglenophyceae and bascillariophyceae, etc. In the present study, Zooplankton are represented by 05 genera of 7 copepoda, 06 genera of ostracoda. The density of phytoplankton was found to be higher than Zooplankton. The population of plankton was observed to be low during rainy season.

  18. Combating Floods

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    In summer and autumn of 1998, the river vatleys of the Changjiang, Songhua and Nenjiang rivers were stricken by exceptionally serious floods, As of the, 22nd of August, the flooded areas stretched over 52.4 million acres. More than 223 million people were affected by the flood. 4.97 million houses were ruined, economic losses totaled RMB 166 billion, and most tragically, 3,004 people lost their byes. It was one of the costliest disasters in Chinese history. Millions of People’s Liberation Army soldiers and local people joined hands to battle the floodwaters. Thanks to their unified efforts and tenacious struggle, they successfully withstood the rising, water, resumed production and began to rebuild their homes.

  19. 1. Height, weight and BMI of the teenagers: A Comparative Study of Jharkhand, Bihar, West Bengal and Orissa

    Directory of Open Access Journals (Sweden)

    S. Shome

    2014-04-01

    Full Text Available This paper compares the height, weight and BMI of the 15-19 groups of male and female of four eastern region states of India namely Jharkhand, Bihar, West Bengal and Orissa using Third National Family Health Survey (NFHS-3 data. The sample sizes of Jharkhand, Bihar, West Bengal and Orissa are 176, 236, 375 and 229 for male and 631, 893, 1052 and 829 for female respectively. Data on socio-demographic background of the households like place of residence, social group, education of males and females, and wealth index of the family are taken to see the differential effects of these variables on the teenager's height and weight. It is well recognized that height and weight are interrelated. These are also related with socioeconomic variables. But, does the relation remain same over all teenager's (15-19 years height and weight groups in different eastern region states? The objective of this paper is to find the effect of the socio-economic variables on heights and weights for different groups of persons formed according to the different levels of heights and weights and to see whether there are gender differences in the variation of heights and weights in the four eastern region states. Descriptive studies show a clear positive relation of height and weight with the economic level. In case of BMI, it is the age group which seems to be the most influential factor. The notable feature is that percentages of short height in all the four eastern region states are higher in comparison to India (29.5% in case of male. For underweight, the percentage of West Bengal only is lower than national average. The result is similar in case of short height for the females also and for underweight all eastern region state's female shows higher percentage than national average.

  20. Stroke Survivors Often Struggle with Depression

    Science.gov (United States)

    ... fullstory_160835.html Stroke Survivors Often Struggle With Depression Risk was 8 times higher for those who ... Stroke survivors face an increased risk of developing depression, a new study suggests. In the first three ...

  1. Internet Use and Breast Cancer Survivors

    Science.gov (United States)

    Muhamad, Mazanah; Afshari, Mojgan; Mohamed, Nor Aini

    2011-01-01

    A survey was administered to 400 breast cancer survivors at hospitals and support group meetings in Peninsular Malaysia to explore their level of Internet use and factors related to the Internet use by breast cancer survivors. Findings of this study indicated that about 22.5% of breast cancer survivors used Internet to get information about breast…

  2. 22 CFR 20.5 - Survivor benefits.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Survivor benefits. 20.5 Section 20.5 Foreign Relations DEPARTMENT OF STATE PERSONNEL BENEFITS FOR CERTAIN FORMER SPOUSES § 20.5 Survivor benefits. (a... survivor benefits equal to one of the following; whichever is applicable: (1) 55 percent of the...

  3. 31 CFR 29.344 - Survivor benefits.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Survivor benefits. 29.344 Section 29... Benefit Payments § 29.344 Survivor benefits. (a) The general rule that Federal Benefit Payments are... months of total service at retirement (for elected survivor benefits) or death (for...

  4. 5 CFR 850.202 - Survivor elections.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Survivor elections. 850.202 Section 850... (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Applications for Benefits; Elections § 850.202 Survivor elections. (a) A survivor election under subsection (j) or (k) of section 8339, or under section 8416,...

  5. Flooding On

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Drenched riverside towns in central and south parts of China were preparing for even worse flooding aswater levels in the country’s huge rivers surged and rainstorms continued.As of July 27,accumulated precipitation since June 16 in 70 percent of the drainage

  6. Maternal Health Situation in Bihar and Madhya Pradesh: A Comparative Analysis of State Fact Sheets of National Family Health Survey (NFHS)-3 and 4

    Science.gov (United States)

    Samal, Janmejaya

    2016-01-01

    Introduction Maternal health constitutes the health of women during pregnancy, childbirth and the postpartum period. Bihar and Madhya Pradesh (MP) constitute the Empowered Action Group (EAG) states under National Rural Health Mission (NRHM) and are consistently having poor maternal health indicators. Aim The main objective of this study was to assess the maternal health situation of Bihar and MP based on National Family Health Survey (NFHS-3) and 4 fact sheets. Materials and Methods The study adopted a narrative description in which the NFHS fact sheets (NFHS-3 & 4) of both these states were obtained from appropriate sources and compared for various maternal health indicators. Results and Discussion Albeit progress has been observed from NFHS-3 to NFHS-4 however, the progress is very dismal compared with the progress of other similar Indian states. Relatively MP has shown better progress compared to Bihar. Poor performance is being observed in all the three levels of maternal health; pregnancy {Ante-Natal Care (ANC), Tetanus toxoid (TT) and Iron and Folic Acid (IFA)}, child birth (Institutional delivery by Skilled Birth Attendant (SBA), Caesarean Section (CS) and post partum care (hospital stay and Janani Suraksha Yojna (JSY). The poor performance of both these states in all these indicators requires multipronged approach strong political will, health system strengthening, community mobilization and awareness. Conclusion Given the status of maternal health in India and more especially in states BIMARU (Bihar, Madhya Pradesh, Rajasthan, Uttar Pradesh) and EAG states (Empowered action group), improvement in the performance of maternal health related activities is highly necessary. PMID:27790466

  7. Tsunami flooding

    Science.gov (United States)

    Geist, Eric; Jones, Henry; McBride, Mark; Fedors, Randy

    2013-01-01

    Panel 5 focused on tsunami flooding with an emphasis on Probabilistic Tsunami Hazard Analysis (PTHA) as derived from its counterpart, Probabilistic Seismic Hazard Analysis (PSHA) that determines seismic ground-motion hazards. The Panel reviewed current practices in PTHA and determined the viability of extending the analysis to extreme design probabilities (i.e., 10-4 to 10-6). In addition to earthquake sources for tsunamis, PTHA for extreme events necessitates the inclusion of tsunamis generated by submarine landslides, and treatment of the large attendant uncertainty in source characterization and recurrence rates. Tsunamis can be caused by local and distant earthquakes, landslides, volcanism, and asteroid/meteorite impacts. Coastal flooding caused by storm surges and seiches is covered in Panel 7. Tsunamis directly tied to earthquakes, the similarities with (and path forward offered by) the PSHA approach for PTHA, and especially submarine landslide tsunamis were a particular focus of Panel 5.

  8. THE DEVELOPMENT OF BIHOR – HAJDU-BIHAR COUNTIES BASED ON THEIR NATURAL RESOURCES

    Directory of Open Access Journals (Sweden)

    Negrea Adrian

    2012-07-01

    Full Text Available Situated on the border line between Romania and Hungary, Bihor – Hajdu-Bihar counties are blessed with all natural types of terrain. There are mountains in the West, thermal water almost everywhere, caves and underground rivers that can be exploited for economic use. In this paper, the main subject focuses on developing the counties into an international tourist attraction, based on their natural resources. Being able to extract thermal water that is rich in numerous minerals that the human body can absorb, it can offer these counties an important competitive advantage. With age, comes a great deal of expenses in order to keep your body young. Having this natural resource, Bihor – Hajdu-Bihar counties can project its goals on the development of future spas, which can attract tourists as well as investors. The methodology focuses first on identifying those areas that are rich in these thermal waters. Then, there will be presented a sketch of the ideal tourist profile for this type of activity. Then, based on the ideal tourist profile, there will be a selection of countries were these potential tourists live. If the county desires to adopt this plan, there will be extensive structural modifications on all economical and educational sectors in order to obtain maximum performances. The selection of future potential investors will be crucial for the future activities of the county. If the main objective will be the construction of spas, there will be an increase demand for qualified medical staff. This knowledge can be attained only in medical universities. The courses of a medical university can be followed only by those persons that have a bio-chemistry high school profile. If the investments will be made in this sector, the number of students of the medical university and of local high schools will have to increase exponentially. The tourists that will come will have to benefit from a treatment based on different products. The

  9. Stroke survivors' experiences of rehabilitation

    DEFF Research Database (Denmark)

    Peoples, Hanne; Satink, Ton; Steultjens, Esther

    2011-01-01

    INTRODUCTION: The aim was to obtain the best available knowledge on stroke survivors' experiences of rehabilitation. The increase in demands for accountability in health care and acknowledgement of the importance of client participation in health decisions calls for systematic ways of integrating...... this perspective. METHODS AND MATERIALS: A systematic review of qualitative studies was performed. A literature search in MEDLINE, CINAHL, PsycINFO, and EMBASE was conducted. Suitability for inclusion was based on selected criteria: published qualitative studies written in English from 1990 to 2008 on stroke...... needs, 3) Physical and non-physical needs, 4) Being personally valued and treated with respect, 5) Collaboration with health care professionals and 6) Assuming responsibility and seizing control. DISCUSSION: The synthesis showed that stroke survivors' experiences of rehabilitation reflected individual...

  10. 26 CFR 1.401(a)-20 - Requirements of qualified joint and survivor annuity and qualified preretirement survivor annuity.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 5 2010-04-01 2010-04-01 false Requirements of qualified joint and survivor annuity and qualified preretirement survivor annuity. 1.401(a)-20 Section 1.401(a)-20 Internal Revenue... survivor annuity and qualified preretirement survivor annuity. Q-1: What are the survivor...

  11. The Bihar Pollution Pool as observed from MOPITT (version 4, CALIPSO (version 3 and tropospheric ozone residual data

    Directory of Open Access Journals (Sweden)

    J. Kar

    2010-09-01

    Full Text Available The Bihar pollution pool is a large wintertime increase in pollutants over the eastern parts of the Indo Gangetic basin. We use improved carbon monoxide (CO retrievals from the recent Measurements of Pollution in the Troposphere (MOPITT version 4 data along with the aerosol data from the latest version 3 of the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observations (CALIPSO lidar instrument and the tropospheric ozone residual products from the Total Ozone Mapping Spectrometer (TOMS/Solar Backscattered Ultraviolet (SBUV and Ozone Monitoring Instrument (OMI/Microwave Limb Sounder (MLS database to characterize this pollution pool. The feature is seen primarily in the lower troposphere from about November to February with strong concomitant increase in CO, aerosol optical depth and tropospheric ozone columns. The height resolved aerosol data from CALIPSO confirm the trapping of the pollution pool at the lowest altitudes. The observations indicate that MOPITT can capture this low altitude phenomenon even in winter conditions as indicated by the averaging kernels.

  12. Prevalence ofEdwardsiella tarda in commercially important finfish and shellfish of Bihar and West Bengal, India

    Institute of Scientific and Technical Information of China (English)

    Pankaj Kumar; Harresh Adikesavalu; Thangapalam Jawahar Abraham

    2016-01-01

    Objective:To study the prevalence ofEdwardsiella tarda (E. tarda) in finfish and shellfish of West Bengal and Bihar, India and their antibiogram. Methods:Fish samples were enriched overnight inEdwardsiella ictaluri broth and plated onto Edwardsiella ictaluri agar. Typical colonies were identified conventionally and byVITEK 2 compact system. Antibiogram was done by agar disc diffusion assay. Results:Of the 118 fish samples screened, only 14.41% hadE. tarda. The incidence was marginally high in wild fish (15.30%) than in cultured fish (13.26%). Maximum incidence was in intestine (12.98%) followed by gills (6.60%) and skin (2.38%). AllE. tarda strains were sensitive to ciprofloxacin and exhibited varying degrees of resistance to other antibiotics. Multiple antibiotic resistance was seen in 84.00%–87.50% of theE. tarda strains. Majority of them had high minimal inhibitory concentration values (200µg/mL) for oxytetracycline and gentamycin. Conclusions:The results suggested that considerable proportions of commercially important finfish are carriers of multiple antibiotic resistanceE. tarda. This calls for proper sanitary measures to eliminate this pathogen in fish and fishery products.

  13. Public sector scale–up of zinc and ORS improves coverage in selected districts in Bihar, India

    Directory of Open Access Journals (Sweden)

    Christa L. Fischer Walker

    2015-02-01

    Full Text Available In Bihar, India, a new initiative to enhance diarrhea treatment with zinc and ORS in the public sector was rolled out in selected districts. We conducted an external evaluation to measure changes in diarrhea careseeking and treatment in intervention districts. We conducted baseline and endline household surveys among caregivers of children 2–59 months of age. We calculated summary statistics for household characteristics, knowledge, careseeking and treatments given to children with a diarrhea episode in the last 14 days and built logistic regression models to compare baseline and endline values. Caregivers named a public health center as an appropriate source of care for childhood diarrhea more often at endline (71.3% compared to baseline (38.4% but did not report increased careseeking to public sector providers for the current diarrhea episode. In logistic regression analyses, the odds of receiving zinc, with or without oral rehydration salts (ORS, increased at endline by more than 2.7 as compared to baseline. Children who were taken to the public sector for care were more likely to receive zinc (odds ratio, OR = 3.93 and zinc in addition to ORS (OR = 6.10 compared to children who were not taken to the public sector. Coverage of zinc and ORS can improve with public sector programs targeted at training and increasing product availability, but demand creation may be needed to increase public sector careseeking in areas where the private sector has historically provided much of the care.

  14. Lucky or Unlucky people: Layoff Survivors

    OpenAIRE

    Muhammad Imran Malik; Dr. Mehboob Ahmad

    2011-01-01

    Perceived workloads after downsizing eradicate the commitment and productivity among layoff survivors. Up to some extent provision of work - life balance opportunities can save the situation. The current study is carried out among layoff survivors of the two giant organizations in Pakistan. A cross - sectional study based on a stratified random sample of 450 survivors assisted to test the relationship. In the first step the relationship of perceived work load increase (WLI), commitment of lay...

  15. Five-year field results and long-term effectiveness of 20 mg/kg liposomal amphotericin B (Ambisome for visceral leishmaniasis in Bihar, India.

    Directory of Open Access Journals (Sweden)

    Sakib Burza

    Full Text Available BACKGROUND: Visceral Leishmaniasis (VL; also known as Kala-azar is an ultimately fatal disease endemic in Bihar. A 2007 observational cohort study in Bihar of 251 patients with VL treated with 20 mg/Kg intravenous liposomal amphotericin B (Ambisome demonstrated a 98% cure rate at 6-months. Between July 2007 and August 2012, Médecins Sans Frontières (MSF and the Rajendra Memorial Research Institute (RMRI implemented a VL treatment project in Bihar, India-an area highly endemic for Leishmania donovani-using this regimen as first-line treatment. METHODS AND PRINCIPAL FINDINGS: Intravenous Ambisome 20 mg/kg was administered in four doses of 5 mg/kg over 4-10 days, depending on the severity of disease. Initial clinical cure at discharge was defined as improved symptoms, cessation of fever, and recession of spleen enlargement. This observational retrospective cohort study describes 8749 patients with laboratory-confirmed primary VL treated over a 5-year period: 1396 at primary healthcare centers, 7189 at hospital, and 164 at treatment camps. Initial clinical cure was achieved in 99.3% of patients (8692/8749; 0.3% of patients (26/8749 defaulted from treatment and 0.4% (31/8749 died. Overall, 1.8% of patients (161/8749 were co-infected with HIV and 0.6% (51/8749 with tuberculosis. Treatment was discontinued because of severe allergic reactions in 0.1% of patients (7/8749. Overall, 27 patients (0.3% were readmitted with post Kala-azar dermal leishmaniasis (PKDL. Risk factors for late presentation included female sex, age >15 years and being from a scheduled caste. In 2012, a long-term efficacy survey in the same area of Bihar determined relapse rates of VL after 5 years' intervention with Ambisome. Of 984 immunocompetent patients discharged between September 2010 and December 2011, 827 (84.0% were traced in order to determine their long-term outcomes. Of these, 20 patients (2.4% had relapsed or received further treatment for VL. Of those completing 6

  16. 22 CFR 19.11 - Survivor benefits.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Survivor benefits. 19.11 Section 19.11 Foreign Relations DEPARTMENT OF STATE PERSONNEL BENEFITS FOR SPOUSES AND FORMER SPOUSES OF PARTICIPANTS IN THE FOREIGN SERVICE RETIREMENT AND DISABILITY SYSTEM § 19.11 Survivor benefits....

  17. Marriage and divorce among childhood cancer survivors

    DEFF Research Database (Denmark)

    Koch, Susanne Vinkel; Kejs, Anne Mette Tranberg; Engholm, Gerda

    2011-01-01

    Many childhood cancer survivors have psychosocial late effects. We studied the risks for cohabitation and subsequent separation. Through the Danish Cancer Register, we identified a nationwide, population-based cohort of all 1877 childhood cancer survivors born from 1965 to 1980, and in whom cance...

  18. Incest Survivor Mothers: Protecting the Next Generation.

    Science.gov (United States)

    Kreklewetz, Christine M.; Piotrowski, Caroline C.

    1998-01-01

    A study involving 16 incest-survivor mothers with daughters between the ages of 9-14 found the mothers described themselves as very protective and often overly-protective parents, wanting to parent differently, and better, than they were parented. Many survivors strive to be the "perfect mother" including over-protecting and over-nurturing…

  19. Orthostatic intolerance in survivors of childhood cancer

    NARCIS (Netherlands)

    Terlou, Annelinde; Ruble, Kathy; Stapert, Anne F.; Chang, Ho-Choong; Rowe, Peter C.; Schwartz, Cindy L.

    2007-01-01

    Purpose: To compare the prevalence and severity of orthostatic intolerance in survivors of childhood cancer and in healthy controls, and to correlate results of self-reported measures of health status with orthostatic testing in survivors of childhood cancer. Patient and methods: Thirty-nine survivo

  20. Predictors of recovery from post-traumatic stress disorder after the dongting lake flood in China: a 13–14 year follow-up study

    OpenAIRE

    Dai, Wenjie; Wang, Jieru; KAMINGA, Atipatsa C; Chen, Long; Tan, Hongzhuan; Lai, Zhiwei; Deng, Jing; Liu, Aizhong

    2016-01-01

    Background Floods are some of the most common and destructive natural disasters in the world, potentially leading to both physical injuries and psychological disorders, including post-traumatic stress disorder (PTSD). PTSD can damage functional capacity and interfere with social functioning. However, little is known about recovery from PTSD after floods. This study used 2013–2014 follow-up data on survivors of the 1998 Dongting Lake flood who were diagnosed with PTSD in 2000 to measure the pr...

  1. Arsenic groundwater contamination and its health effects in Patna district (capital of Bihar) in the middle Ganga plain, India.

    Science.gov (United States)

    Chakraborti, Dipankar; Rahman, Mohammad Mahmudur; Ahamed, Sad; Dutta, Rathindra Nath; Pati, Shyamapada; Mukherjee, Subhash Chandra

    2016-06-01

    We investigated the extent and severity of groundwater arsenic (As) contamination in five blocks in Patna district, Bihar, India along with As in biological samples and its health effects such as dermatological, neurological and obstetric outcome in some villages. We collected 1365 hand tube-well water samples and analyzed for As by the flow injection hydride generation atomic absorption spectrometer (FI-HG-AAS). We found 61% and 44% of the tube-wells had As above 10 and 50 μg/l, respectively, with maximum concentration of 1466 μg/l. Our medical team examined 712 villagers and registered 69 (9.7%) with arsenical skin lesions. Arsenical skin lesions were also observed in 9 children of 312 screened. We analyzed 176 biological samples (hair, nail and urine). Out of these, 69 people had arsenical skin lesions and rest without skin lesions. We found 100% of the biological samples had As above the normal levels (concentrations of As in hair, nail and urine of unexposed individuals usually ranges from 20 to 200 μg/kg, 20-500 μg/kg and Arsenical neuropathy was observed in 40.5% of 37 arsenicosis patients with 73.3% prevalence for predominant sensory neuropathy and 26.7% for sensor-motor. Among patients, different clinical and electrophysiological neurological features and abnormal quantitative sensory perception thresholds were also noted. The study also found that As exposed women with severe skin lesions had adversely affected their pregnancies. People including children in the affected areas are in danger. To combat As situation in affected areas, villagers urgently need (a) provision of As-safe water for drinking and cooking, (b) awareness about the danger of As toxicity, and (c) nutritious food.

  2. School Bullying in the Primary School. Report of a Research in Hajdú-Bihar County (Hungary

    Directory of Open Access Journals (Sweden)

    Mariann Buda

    2010-07-01

    Full Text Available Bullying has long been researched in different communities and cultures and has proven to be a phenomenon that seriously endangers individuals and communities as well. Among its consequences are different psychosomatic symptoms, deteriorating study or work performance, depression, suicidal ideation, unhealthy social climate or acts of crime. The present study presents some of the findings of a research carried out in 24 schools of Hajdú-Bihar County in 2008. The 1006 large sample of 5th and 7th grade students (age 11 and 13 answered questions on their bullying-related experiences and attitudes. Data were collected in a questionnaire on types of bullying, prevalence, students’ mood, feeling of well-being and their social environment. Findings show that similarly to results of earlier research a large number of students are involved in bullying. In the sample the most common types are name-calling and ostracism, whereas beating and threatening are less frequent. Correlations with age, gender and academic performance show that the younger age-group is more involved in beating and spreading gossip, girls in relational bullying, and academically weaker students are most often involved in bullying events. Variables of mood, feelings of well-being, social and study climate are analyzed with a focus on studying correlations between feelings and relations within the smaller communities. Victims appear to be in the worst position on all measures, including number of friends, stress, emotions towards school or social climate. However, they show a more positive attitude for studying than bullies or bully-victims.

  3. Survivor

    Directory of Open Access Journals (Sweden)

    Jacques Marblé

    2014-10-01

    Full Text Available Every crime becomes a collectivecrime when indifference is added tohorror. When no help from others ispossible, the question becomes oneof survival, which, in turn, gives riseto the different ways of thinking thesurvivor. The article examines thelatter on the basis of a clinical caseand of various paradigmatic works.

  4. Obstacles, Realities and Opportunities in Human Resources Management in Public Administration Institutions From Bihor County (Romania and Hajdú-Bihar County (Hungary

    Directory of Open Access Journals (Sweden)

    Maria-Madela ABRUDAN

    2015-06-01

    Full Text Available The aim of this paper is to analyze the par-ticularities of human resources management in the public institutions from Bihor County (Ro-mania and Hajdu-Bihar County (Hungary. The comparative dimension of our study is framed in Hofstede’s categories of cultural differences in organizational culture. The data presented is derived from a broader study conducted on the implementation of New Public Management at local public administration institutions in Ro-mania and Hungary. The project entitled ‘Es-tablishment of R&D programmes in the f eld of new public management between economic faculties of higher education in Hajdu-Bihar and Bihor Counties’ (HURO/0901/277/2.2.2 was developed in partnership between Faculties of Economics from the Universities of Oradea and Debrecen. Our results on public human resour-ces provide relevant insight in the processes re-garding personnel in the public institutions in this region and propose solutions for improvement of the observed weaknesses. The employees of the 60 public institutions included in this research consider themselves participants in the decision-al process, yet the evaluation process needs to be reshaped in order to provide a better balance between performances and the rewards system.

  5. 5 CFR 838.711 - Maximum former spouse survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Maximum former spouse survivor annuity... Orders Awarding Former Spouse Survivor Annuities Limitations on Survivor Annuities § 838.711 Maximum former spouse survivor annuity. (a) Under CSRS, payments under a court order may not exceed the...

  6. 20 CFR 225.21 - Survivor Tier I PIA.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Survivor Tier I PIA. 225.21 Section 225.21... INSURANCE AMOUNT DETERMINATIONS PIA's Used in Computing Survivor Annuities and the Amount of the Residual Lump-Sum Payable § 225.21 Survivor Tier I PIA. The Survivor Tier I PIA is used in computing the tier...

  7. 5 CFR 831.645 - Elections between survivor annuities.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Elections between survivor annuities. 831... REGULATIONS (CONTINUED) RETIREMENT Survivor Annuities Eligibility § 831.645 Elections between survivor...” does not include Survivor Benefit Payments from a military retirement system or social...

  8. 5 CFR 831.641 - Division of a survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Division of a survivor annuity. 831.641... REGULATIONS (CONTINUED) RETIREMENT Survivor Annuities Eligibility § 831.641 Division of a survivor annuity. (a... comply with a court order under subpart Q, a survivor annuity may be divided into a combination of...

  9. 5 CFR 837.702 - Offset from supplemental survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Offset from supplemental survivor annuity... survivor annuity. (a) OPM will reduce a supplemental survivor annuity (an annuity under 5 U.S.C. 8341) based on the service of an individual who performed CSRS-Offset service, if the survivor annuitant...

  10. Rape Survivors' Agency within the Legal and Medical Systems

    Science.gov (United States)

    Greeson, Megan R.; Campbell, Rebecca

    2011-01-01

    Many rape survivors seek help from the legal and medical systems post-assault. Previous studies have examined how social system personnel treat survivors, but less attention has been paid to how survivors attempt to shape their interactions with these systems. The purpose of this qualitative study was to examine rape survivors' agency--the active…

  11. Marriage and divorce among childhood cancer survivors.

    Science.gov (United States)

    Koch, Susanne Vinkel; Kejs, Anne Mette Tranberg; Engholm, Gerda; Møller, Henrik; Johansen, Christoffer; Schmiegelow, Kjeld

    2011-10-01

    Many childhood cancer survivors have psychosocial late effects. We studied the risks for cohabitation and subsequent separation. Through the Danish Cancer Register, we identified a nationwide, population-based cohort of all 1877 childhood cancer survivors born from 1965 to 1980, and in whom cancer was diagnosed between 1965 and 1996 before they were 20 years of age. A sex-matched and age-matched population-based control cohort was used for comparison (n=45,449). Demographic and socioeconomic data were obtained from national registers and explored by discrete-time Cox regression analyses. Childhood cancer survivors had a reduced rate of cohabitation [rate ratio (RR) 0.78; 95% confidence interval (CI): 0.73-0.83], owing to lower rates among survivors of both noncentral nervous system (CNS) tumors (RR 0.88; 95% CI: 0.83-0.95) and CNS tumors (RR 0.52; 95% CI: 0.45-0.59). Male CNS tumor survivors had a nonsignificantly lower rate (RR 0.47; 95% CI: 0.38-0.58) than females (RR 0.56; 95% CI: 0.47-0.68). The rates of separation were almost identical to those of controls. In conclusion, the rate of cohabitation was lower for all childhood cancer survivors than for the population-based controls, with the most pronounced reduction among survivors of CNS tumors. Mental deficits after cranial irradiation are likely to be the major risk factor.

  12. STUDI KOMITMEN ORGANISASIONAL: PEKERJA CONTINGENT DAN SURVIVOR

    Directory of Open Access Journals (Sweden)

    Fenika Walani

    2015-08-01

    Full Text Available In recent years, contingent and survivor workers have emerged as a common reality in business activities. Unfortunately, contingent worker has high job insecurity on his employment status. On the other side, downsizing activities can result in decreasing job security of survivor worker. As a consequence, both contingent and survivor workers very potential have low organizational commitment. However, organizations still have an opportunity to give their workers an exclusive treatment for building organizational commitment without ignoring the fact that workers have other commitment foci.

  13. Unemployment among breast cancer survivors

    DEFF Research Database (Denmark)

    Carlsen, Kathrine; Ewertz, Marianne; Dalton, Susanne Oksbjerg

    2014-01-01

    AIM: Though about 20% of working age breast cancer survivors do not return to work after treatment, few studies have addressed risk factors for unemployment. The majority of studies on occupational consequences of breast cancer focus on non-employment, which is a mixture of sickness absence......, unemployment, retirement pensions and other reasons for not working. Unemployment in combination with breast cancer may represent a particular challenge for these women. The aim of the present study is therefore to analyze the risk for unemployment in the years following diagnosis and treatment for breast...... cancer. METHOD: This study included 14,750 women diagnosed with breast cancer in Denmark 2001-2009 identified through a population-based clinical database and linked with information from Danish administrative population based registers for information on labour market affiliation, socio...

  14. Flood Hazard Area

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  15. Flood Control Structures

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  16. South China Flooded

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Vehicles traverse a flooded street in Liuzhou, guangxi zhuang Autonomous Region, on May 19.heavy rainstorms repeatedly struck China this month, triggering floods, mudflows and landslides. hunan, guangdong and Jiangxi provinces and Chongqing Municipality were the worst hit.

  17. Flood Hazard Boundaries

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  18. Base Flood Elevation

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  19. Flood Risk Regional Flood Defences: Technical report

    NARCIS (Netherlands)

    Lendering, K.T.

    2015-01-01

    Historically the Netherlands have always had to deal with the threat of flooding, both from the rivers and the sea as well as from heavy rainfall. The country consists of a large amount of polders, which are low lying areas of land protected from flooding by embankments. These polders require an ext

  20. The Survivor Syndrome: Aftermath of Downsizing.

    Science.gov (United States)

    Appelbaum, Steven H.; Delage, Claude; Labib, Nadia; Gault, George

    1997-01-01

    Downsizing can result in remaining staff developing "survivor syndrome," experiencing low morale, stress, and other psychosocial problems. If downsizing is necessary, precautions include managing perceptions and communications and empowering employees to take career ownership. (SK)

  1. Living as a Thyroid Cancer Survivor

    Science.gov (United States)

    ... Working Thyroid Cancer After Treatment Living as a Thyroid Cancer Survivor For many people with thyroid cancer, treatment ... Cancer Treatments Are No Longer Working More In Thyroid Cancer About Thyroid Cancer Causes, Risk Factors, and Prevention ...

  2. Survivorship conference highlights research for survivor care

    Science.gov (United States)

    More than 400 leading experts in cancer survivorship convened today for a conference, Cancer Survivorship Research: Translating Science to Care, to focus on such current concerns as how obesity might not have the same effects on all cancer survivors, and

  3. Managing chronic pain in survivors of torture

    DEFF Research Database (Denmark)

    Amris, Kirstine; Williams, Amanda C de C

    2015-01-01

    All generalist and specialist clinicians are likely to encounter torture survivors among refugees and asylum seekers. A minority of people survive torture and a smaller minority reach a developed country; those who do tend to be the more resilient and resourceful. They have many health, social...... and welfare problems; persistent pain in the musculoskeletal system is one of the most common. There is little specific evidence on pain in survivors of torture; the guidelines on interdisciplinary specialist management are applicable. Most of the literature on refugee survivors of torture has an exclusive...... focus on psychological disorders, with particularly poor understanding of pain problems. This article summarizes the current status of assessment and treatment of pain problems in the torture survivor....

  4. Utilizing Data from Cancer Patient & Survivor Studies

    Science.gov (United States)

    Utilizing Data from Cancer Patient & Survivor Studies and Understanding the Current State of Knowledge and Developing Future Research Priorities, a 2011 workshop sponsored by the Epidemiology and Genomics Research Program.

  5. Development of the Cancer Survivor Profile

    Science.gov (United States)

    2014-05-09

    Assessment among breast cancer survivors. Oncology 70:190-202 6. Alhola P, Polo-Kantola P. 2007. Sleep deprivation : Impact on cognitive performance ...MEDICAL AND CLINICAL PSYCHOLOGY GRADUATE PROGRAM Name of Student : Briana Todd Date of Examination: May 9, 2014 Time: 9 :00am Place: G252 DECISION OF...million breast cancer survivors in the United States alone and 6.3 internationally (111; 393). The late and long-term effects of cancer and its treatment

  6. Fertility in female childhood cancer survivors

    DEFF Research Database (Denmark)

    De Bruin, Marie L; Van Dulmen-den Broeder, Eline; Van den Berg, Marleen H;

    2009-01-01

    Advances in childhood cancer treatment over the past decades have significantly improved survival, resulting in a rapidly enlarging group of childhood cancer survivors. There is much concern, however, about the effects of treatment on reproductive potential. In women there is evidence that both...... fertility. Hence we will focus on direct effects as well as late fertility-related adverse effects caused by chemotherapy and radiotherapy, and we will conclude with a summary of current options for fertility preservation in female childhood cancer survivors....

  7. Marriage and divorce among childhood cancer survivors

    DEFF Research Database (Denmark)

    Koch, Susanne Vinkel; Kejs, Anne Mette Tranberg; Engholm, Gerda;

    2011-01-01

    Many childhood cancer survivors have psychosocial late effects. We studied the risks for cohabitation and subsequent separation. Through the Danish Cancer Register, we identified a nationwide, population-based cohort of all 1877 childhood cancer survivors born from 1965 to 1980, and in whom cancer...... survivors had a reduced rate of cohabitation [rate ratio (RR) 0.78; 95% confidence interval (CI): 0.73-0.83], owing to lower rates among survivors of both noncentral nervous system (CNS) tumors (RR 0.88; 95% CI: 0.83-0.95) and CNS tumors (RR 0.52; 95% CI: 0.45-0.59). Male CNS tumor survivors had...... a nonsignificantly lower rate (RR 0.47; 95% CI: 0.38-0.58) than females (RR 0.56; 95% CI: 0.47-0.68). The rates of separation were almost identical to those of controls. In conclusion, the rate of cohabitation was lower for all childhood cancer survivors than for the population-based controls, with the most...

  8. Proteomic profiles in acute respiratory distress syndrome differentiates survivors from non-survivors.

    Directory of Open Access Journals (Sweden)

    Maneesh Bhargava

    Full Text Available Acute Respiratory Distress Syndrome (ARDS continues to have a high mortality. Currently, there are no biomarkers that provide reliable prognostic information to guide clinical management or stratify risk among clinical trial participants. The objective of this study was to probe the bronchoalveolar lavage fluid (BALF proteome to identify proteins that differentiate survivors from non-survivors of ARDS. Patients were divided into early-phase (1 to 7 days and late-phase (8 to 35 days groups based on time after initiation of mechanical ventilation for ARDS (Day 1. Isobaric tags for absolute and relative quantitation (iTRAQ with LC MS/MS was performed on pooled BALF enriched for medium and low abundance proteins from early-phase survivors (n = 7, early-phase non-survivors (n = 8, and late-phase survivors (n = 7. Of the 724 proteins identified at a global false discovery rate of 1%, quantitative information was available for 499. In early-phase ARDS, proteins more abundant in survivors mapped to ontologies indicating a coordinated compensatory response to injury and stress. These included coagulation and fibrinolysis; immune system activation; and cation and iron homeostasis. Proteins more abundant in early-phase non-survivors participate in carbohydrate catabolism and collagen synthesis, with no activation of compensatory responses. The compensatory immune activation and ion homeostatic response seen in early-phase survivors transitioned to cell migration and actin filament based processes in late-phase survivors, revealing dynamic changes in the BALF proteome as the lung heals. Early phase proteins differentiating survivors from non-survivors are candidate biomarkers for predicting survival in ARDS.

  9. Flood Impact Modelling and Natural Flood Management

    Science.gov (United States)

    Owen, Gareth; Quinn, Paul; ODonnell, Greg

    2016-04-01

    Local implementation of Natural Flood Management methods are now being proposed in many flood schemes. In principal it offers a cost effective solution to a number of catchment based problem as NFM tackles both flood risk and WFD issues. However within larger catchments there is the issue of which subcatchments to target first and how much NFM to implement. If each catchment has its own configuration of subcatchment and rivers how can the issues of flood synchronisation and strategic investment be addressed? In this study we will show two key aspects to resolving these issues. Firstly, a multi-scale network water level recorder is placed throughout the system to capture the flow concentration and travel time operating in the catchment being studied. The second is a Flood Impact Model (FIM), which is a subcatchment based model that can generate runoff in any location using any hydrological model. The key aspect to the model is that it has a function to represent the impact of NFM in any subcatchment and the ability to route that flood wave to the outfall. This function allows a realistic representation of the synchronisation issues for that catchment. By running the model in interactive mode the user can define an appropriate scheme that minimises or removes the risk of synchornisation and gives confidence that the NFM investment is having a good level of impact downstream in large flood events.

  10. Urban pluvial flood prediction

    DEFF Research Database (Denmark)

    Thorndahl, Søren Liedtke; Nielsen, Jesper Ellerbæk; Jensen, David Getreuer

    2016-01-01

    historically and in real-time. There is a rather untested potential in real-time prediction of urban floods. In this paper radar data observations with different spatial and temporal resolution, radar nowcasts of 0–2 h lead time, and numerical weather models with lead times up to 24 h are used as inputs......Flooding produced by high-intensive local rainfall and drainage system capacity exceedance can have severe impacts in cities. In order to prepare cities for these types of flood events – especially in the future climate – it is valuable to be able to simulate these events numerically both...... to an integrated flood and drainage systems model in order to investigate the relative difference between different inputs in predicting future floods. The system is tested on a small town Lystrup in Denmark, which has been flooded in 2012 and 2014. Results show it is possible to generate detailed flood maps...

  11. Attitudes and practices of auxiliary nurse midwives and accredited social health activists in Uttar Pradesh and Bihar regarding polio immunization in India.

    Science.gov (United States)

    Thacker, Naveen; Choudhury, Panna; Gargano, Lisa M; Weiss, Paul S; Pazol, Karen; Vashishtha, Vipin M; Bahl, Sunil; Jafari, Hamid S; Kumar, Amod; Arora, Manisha; Venczel, Linda; Orenstein, Walter A; Omer, Saad B; Hughes, James M

    2013-08-01

    Although India was removed from the list of polio endemic countries in January 2012, maintaining the focus on polio vaccination is critically important to prevent reintroduction of the virus. In 2009-2010, we conducted a study to assess the attitudes and practices of frontline health workers in India regarding polio immunization in Uttar Pradesh and Bihar. More than 95% of auxiliary nurse midwives (ANMs) and accredited social health activists (ASHAs) agreed that polio supplementary immunization campaigns helped in increasing acceptance of all vaccines. The majority of ANMs (60-70%) and ASHAs (56-71%) believed that polio immunization activities benefitted or greatly benefitted other activities they were carrying out. Less than 5% of ANMs and ASHAs felt they were very likely to face resistance when promoting or administering polio vaccine. This study provides information that may be useful for programs in other countries for polio eradication and in India for measles elimination.

  12. Individual and facility-level determinants of iron and folic acid receipt and adequate consumption among pregnant women in rural Bihar, India.

    Directory of Open Access Journals (Sweden)

    Amanda Wendt

    Full Text Available In Bihar, India, high maternal anemia prevalence and low iron and folic acid supplement (IFA receipt and consumption have continued over time despite universal IFA distribution and counseling during pregnancy.To examine individual and facility-level determinants of IFA receipt and consumption among pregnant women in rural Bihar, India.Using District Level Household Survey (2007-08 data, multilevel modeling was conducted to examine the determinants of two outcomes: IFA receipt (any IFA receipt vs. none and IFA consumption (≥90 days vs. <90 days. Individual-level and facility-level factors were included. Factor analysis was utilized to construct antenatal care (ANC quality and health sub-center (HSC capacity variables.Overall, 37% of women received any IFA during their last pregnancy. Of those, 24% consumed IFA for 90 or more days. Women were more likely to receive any IFA when they received additional ANC services and counseling, and attended ANC earlier and more frequently. Significant interactions were found between ANC quality factors (odds ratio (OR: 0.37, 95% confidence interval (CI: 0.25, 0.56 and between ANC services and ANC timing and frequency (OR: 0.68, 95% CI: 0.56, 0.82. No HSC factors were significantly associated with IFA receipt. Women were more likely to consume IFA for ≥90 days if they attended at least 4 ANC check-ups and received more ANC services. IFA supply at the HSC (OR: 1.37, 95% CI: 1.04, 1.82 was also significantly associated with IFA consumption.Our findings indicate that individual and ANC factors (timing, frequency, and quality play a key role in facilitating IFA receipt and consumption. Although HSC capacity factors were not found to influence our outcomes, significant variation at the facility level indicates unmeasured factors that could be important to address in future interventions.

  13. Survivors of Intimate Partner Violence Speak Out

    Science.gov (United States)

    Battaglia, Tracy A; Finley, Erin; Liebschutz, Jane M

    2003-01-01

    OBJECTIVE To identify characteristics that facilitate trust in the patient-provider relationship among survivors of intimate partner violence (IPV). DESIGN Semistructured, open-ended interviews were conducted to elicit participants' beliefs and attitudes about trust in interactions with health care providers. Using grounded theory methods, the transcripts were analyzed for common themes. A community advisory group, composed of advocates, counselors and IPV survivors, helped interpret themes and interview exerpts. Together, key components of trust were identified. SETTING Eastern Massachusetts. PARTICIPANTS Twenty-seven female survivors of IPV recruited from community-based IPV organizations. MAIN RESULTS Participants' ages ranged from 18 to 56 years, 36% were African American, 32% Hispanic, and 18% white. We identified 5 dimensions of provider behavior that were uniquely important to the development of trust for these IPV survivors: 1) communication about abuse: provider was willing to openly discuss abuse; 2) professional competency: provider asked about abuse when appropriate and was familiar with medical and social histories; 3) practice style: provider was consistently accessible, respected confidentiality, and shared decision making; 4) caring: provider demonstrated personal concern beyond biomedical role through nonjudgmental and compassionate gestures, empowering statements, and persistent, committed behaviors; 5) emotional equality: provider shared personal information and feelings and was perceived by the participant as a friend. CONCLUSIONS These IPV survivors identified dimensions of provider behavior that facilitate trust in their clinical relationship. Strengthening these provider behaviors may increase trust with patients and thus improve disclosure of and referral for IPV. PMID:12911643

  14. Health Management of Breast Cancer Survivors

    Institute of Scientific and Technical Information of China (English)

    Min Li; Juan Chen; Zhendong Chen

    2009-01-01

    Breast cancer is defined as a chronic disease.Increasing amounts of attention have been paid to the health management of breast cancer survivors. An important issue is how to find the most appropriate method of follow-up in order to detect long-term complications of treatment, local recurrence and distant metastasis and to administer appropriate treatment to the survivors with recurrence in a timely fashion. Different oncology organizations have published guidelines for following up breast cancer survivors. However, there are few articles on this issue in China. Using the published follow-up guidelines,we analyzed their main limitations and discussed the content,follow-up interval and economic benefits of following up breast cancer survivors in an effort to provide suggestions to physicians.Based on a large number of clinical trials, we discussed the role of physical examination, mammography, liver echograph, chest radiography, bone scan and so on. We evaluated the effects of the above factors on detection of distant disease, survival time,improvement in quality of life and time to diagnosis of recurrence.The results of follow-up carried out by oncologists and primary health care physicians were compared. We also analyzed the correlation factors for the cost of such follow-up. It appears that follow-up for breast cancer survivors can be carried out effectively by trained primary health care physicians. If anything unusual arises, the patients should be transferred to specialists.

  15. For Stroke Survivors, Exercise Is Good for The Brain

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_163721.html For Stroke Survivors, Exercise Is Good for the Brain: Review ... HealthDay News) -- A structured exercise program can help stroke survivors recover not only physically but mentally as ...

  16. RASOR flood modelling

    Science.gov (United States)

    Beckers, Joost; Buckman, Lora; Bachmann, Daniel; Visser, Martijn; Tollenaar, Daniel; Vatvani, Deepak; Kramer, Nienke; Goorden, Neeltje

    2015-04-01

    Decision making in disaster management requires fast access to reliable and relevant information. We believe that online information and services will become increasingly important in disaster management. Within the EU FP7 project RASOR (Rapid Risk Assessment and Spatialisation of Risk) an online platform is being developed for rapid multi-hazard risk analyses to support disaster management anywhere in the world. The platform will provide access to a plethora of GIS data that are relevant to risk assessment. It will also enable the user to run numerical flood models to simulate historical and newly defined flooding scenarios. The results of these models are maps of flood extent, flood depths and flow velocities. The RASOR platform will enable to overlay historical event flood maps with observations and Earth Observation (EO) imagery to fill in gaps and assess the accuracy of the flood models. New flooding scenarios can be defined by the user and simulated to investigate the potential impact of future floods. A series of flood models have been developed within RASOR for selected case study areas around the globe that are subject to very different flood hazards: • The city of Bandung in Indonesia, which is prone to fluvial flooding induced by heavy rainfall. The flood hazard is exacerbated by land subsidence. • The port of Cilacap on the south coast of Java, subject to tsunami hazard from submarine earthquakes in the Sunda trench. • The area south of city of Rotterdam in the Netherlands, prone to coastal and/or riverine flooding. • The island of Santorini in Greece, which is subject to tsunamis induced by landslides. Flood models have been developed for each of these case studies using mostly EO data, augmented by local data where necessary. Particular use was made of the new TanDEM-X (TerraSAR-X add-on for Digital Elevation Measurement) product from the German Aerospace centre (DLR) and EADS Astrium. The presentation will describe the flood models and the

  17. Cancer survivor identity shared in a social media intervention.

    Science.gov (United States)

    Song, Hayeon; Nam, Yujung; Gould, Jessica; Sanders, W Scott; McLaughlin, Margaret; Fulk, Janet; Meeske, Kathleen A; Ruccione, Kathleen S

    2012-01-01

    This study investigates how cancer survivors construct their identities and the impact on their psychological health, as measured by depression and survivor self-efficacy. Fourteen young adult survivors of pediatric cancer participated in a customized social networking and video blog intervention program, the LIFECommunity, over a 6-month period. Survivors were asked to share their stories on various topics by posting video messages. Those video blog postings, along with survey data collected from participants, were analyzed to see how cancer survivors expressed their identities, and how these identities are associated with survivors' psychosocial outcomes. In survivors who held negative stereotypes about cancer survivors, there was a positive relationship with depression while positive stereotypes had a marginal association with cancer survivor efficacy. Findings indicate that although pediatric cancer survivors often do not publicly discuss a "cancer survivor identity," they do internalize both positive and negative stereotypes about cancer survivorship. It is important for practitioners to be aware of the long-term implications of cancer survivor identity and stereotypes.

  18. 22 CFR 19.11-1 - Kinds of survivor benefits.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Kinds of survivor benefits. 19.11-1 Section 19... PARTICIPANTS IN THE FOREIGN SERVICE RETIREMENT AND DISABILITY SYSTEM § 19.11-1 Kinds of survivor benefits. If a participant or former participant dies in active service or after retirement, regular survivor annuities...

  19. 5 CFR 842.613 - Division of a survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Division of a survivor annuity. 842.613... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Survivor Elections § 842.613 Division of a survivor annuity. (a) The maximum combined total of all current and former spouse...

  20. 5 CFR 843.313 - Elections between survivor annuities.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Elections between survivor annuities. 843... Former Spouse Benefits § 843.313 Elections between survivor annuities. (a) A current spouse annuity... retirement system for Government employees” does not include Survivor Benefit Payments from a...

  1. 31 CFR 29.346 - Reduction for survivor benefits.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Reduction for survivor benefits. 29... Federal Benefit Payments § 29.346 Reduction for survivor benefits. (a) If a retiree designates a base for a survivor annuity that is greater than or equal to the unreduced Federal Benefit Payment,...

  2. 5 CFR 837.603 - Increased survivor benefits.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Increased survivor benefits. 837.603... REGULATIONS (CONTINUED) REEMPLOYMENT OF ANNUITANTS Death Benefits § 837.603 Increased survivor benefits. (a) Supplemental survivor annuity. (1) If an annuitant reemployed subject to the provisions of this part dies...

  3. Participants' Perception of Therapeutic Factors in Groups for Incest Survivors.

    Science.gov (United States)

    Wheeler, Inese; And Others

    1992-01-01

    Investigated member-perceived curative factors in an incest-survivor group, comparing therapeutic factors reported in closed, time-limited incest survivor group to those in Bonney et al.'s open, long-term survivor group and to Yalom's therapy groups. Findings suggest that relative importance of curative factors may be related to group stages.…

  4. The Survivor Master Narrative in Sexual Assault.

    Science.gov (United States)

    Muldoon, Shane D; Taylor, S Caroline; Norma, Caroline

    2016-04-01

    This article is based on data drawn from 90 Victoria Police operational files covering the period 2004-2008. Several thematic responses by sexual assault survivors are described as forming a master narrative of "identity shock." It is argued that the "minor/serious" sexual assault legal distinction is meaningless to survivors and conceals a shared felt experience. It is also argued that sexual assault is fundamentally a "public issue" of betrayal of citizen trust--not just a collection of "private troubles"--and that effective resolutions require more than individualized therapeutic and criminal justice measures.

  5. 26 CFR 1.417(a)(3)-1 - Required explanation of qualified joint and survivor annuity and qualified preretirement survivor...

    Science.gov (United States)

    2010-04-01

    ... survivor annuity and qualified preretirement survivor annuity. 1.417(a)(3)-1 Section 1.417(a)(3)-1 Internal... joint and survivor annuity and qualified preretirement survivor annuity. (a) Written explanation requirement—(1) General rule. A plan meets the survivor annuity requirements of section 401(a)(11) only if...

  6. A comparison study on mental health status between suicide survivors and survivors of accidental deaths in rural China.

    Science.gov (United States)

    Xu, G; Li, N

    2014-12-01

    Suicide has become a major public health problem worldwide. For every suicide there are six suicide survivors, a term referring to family members or friends of a person who has died by suicide. Within the literature there has been ongoing debate regarding the bereavement process and if it differs in survivors of suicide as opposed to survivors of those who have died from accidental death. There are scarcely any published reports on comparison between these two groups of survivors in China. In this study, we aimed to explore the difference of mental health status between suicide survivors and survivors of accidental deaths in China. We used a cross-sectional study design to collect data of survivors. Consecutive sampling was used and 92 suicide survivors and 64 survivors of accidental deaths were interviewed. The Symptom Checklist-90-Revised was used to assess the survivors' mental health status. After controlling for demographic variables and time interval between death and interview, no significant differences were found on mental health status between these two groups of survivors. Several explanations might account for the lack of differences. Further studies employing qualitative measures and suicide-specific instruments are needed to explore the bereavement of Chinese suicide survivors.

  7. On Flood Alert

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    lina braces fora particularly dangerous flood season in the wake of disastrous rainstorms Aseries of heavy storms since early May led to severe flooding and landslides in south and southwest China,causing heavy casualties and economic losses. Severe convective weather such as downpours,

  8. Examining the Personal Resources of Layoff Survivors

    Science.gov (United States)

    Cotter, Elizabeth W.

    2011-01-01

    This study investigated the process of burnout and engagement in layoff survivors. Job demands (job insecurity and work overload) and resources (social support, optimism, career adaptability, and career management self-efficacy) were examined as predictors of burnout and engagement. The sample consisted of 203 adults currently working at…

  9. Survivors of Downsizing: Helpful and Hindering Experiences

    Science.gov (United States)

    Amundson, Norman E.; Borgen, William A.; Jordan, Sharalyn; Erlebach, Anne C.

    2004-01-01

    Thirty-one downsizing survivors from both the private and public sector were interviewed to determine incidents that either helped or hindered their transition through 1 or more organizational downsizings. A critical incident technique was used to analyze and organize the data around themes that emerged, themes were represented by both positive…

  10. Cartel (In)Stability on "Survivor" Island.

    Science.gov (United States)

    Mixon, Franklin G., Jr.

    2001-01-01

    Illustrates the use of popular culture in business education by examining cartel behavior of contestants in the television show "Survivor." Examples depict incentives to form cartels and to cheat on cartel decisions. Ways to integrate the material into business courses are described. (SK)

  11. Fertility in Female Childhood Cancer Survivors

    NARCIS (Netherlands)

    Bruin, de M.; Broeder, den E.; Berg, van den M.H.; Lambalk, C.B.

    2009-01-01

    Advances in childhood cancer treatment over the past decades have significantly improved survival, resulting in a rapidly enlarging group of childhood cancer survivors. There is much concern, however, about the effects of treatment on reproductive potential. In women there is evidence that both chem

  12. Imminent ovarian failure in childhood cancer survivors

    NARCIS (Netherlands)

    Lantinga, G. M.; Simons, A. H. M.; Kamps, W. A.; Postma, A.

    2006-01-01

    The aim of this study was to investigate reproductive history and the prevalence of imminent ovarian failure (IOF) in female childhood cancer survivors. Reproductive history and ovarian function were evaluated by questionnaires (n = 124) and by measurement of follicle stimulating hormone (FSH) and o

  13. A Spiritual Framework in Incest Survivors Treatment

    Science.gov (United States)

    Beveridge, Kelli; Cheung, Monit

    2004-01-01

    Through an examination of recent incest treatment development, this article emphasizes the theoretical concept of "integration" within the treatment process for female adult incest survivors. Spirituality as a therapeutic foundation is discussed with examples of therapeutic techniques. A case study illustrates the psycho-spiritual process of…

  14. Ebola Survivor and Her Pregnancy Outcome

    Centers for Disease Control (CDC) Podcasts

    2016-12-14

    Dr. Moon Kim, a medical epidemiologist at the Los Angeles County Department of Public Health, discusses an Ebola virus disease survivor and the delivery of her baby.  Created: 12/14/2016 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 12/14/2016.

  15. Child Survivor of War: A Case Study

    Science.gov (United States)

    Roysircar, Gargi

    2004-01-01

    This article examines the history of a Bosnian survivor of war living in the U.S. using the extended case method. Clinical issues related to acculturative stress, posttraumatic stress disorder, and identity are analyzed. Suggested treatment includes existential therapy and its cognitive--behavioral applications, didactic education on trauma,…

  16. Suicide Survivors' Perceptions of the Treating Clinician.

    Science.gov (United States)

    Peterson, Erin M.; Luoma, Jason B.; Dunne, Edward

    2002-01-01

    Examines survivors' attitudes and perceptions of the clinicians who treated their loved one at the time of death. The 71 respondents were relatives or friends of individuals who had died of suicide. Only 11% reported that clinicians attempted to contact them before the death. Discusses implications of findings for clinical practice, legal issues,…

  17. Making the continuum of care work for mothers and infants: Does gender equity matter? Findings from a quasi-experimental study in Bihar, India

    Science.gov (United States)

    McDougal, Lotus; Atmavilas, Yamini; Hay, Katherine; Silverman, Jay G.; Tarigopula, Usha K.; Raj, Anita

    2017-01-01

    Background Improvements in continuum of care (CoC) utilization are needed to address inadequate reductions in neonatal and infant mortality in India and elsewhere. This study examines the effect of Ananya, a health system training and community outreach intervention, on reproductive, maternal and newborn health continuum of care (RMNH CoC) utilization in Bihar, India, and explores whether that effect is moderated by gender equity factors (child marriage, restricted mobility and low decision-making control). Methods A two-armed quasi-experimental design compared districts in Bihar that did/did not implement Ananya. Cross-sections of married women aged 15–49 with a 0–5 month old child were surveyed at baseline and two year follow-up (baseline n = 7191 and follow-up n = 6143; response rates 88.9% and 90.7%, respectively). Difference-in-difference analyses assessed program impact on RMNH CoC co-coverage, defined by 9 health services/behaviors for the index pregnancy (e.g., antenatal care, skin-to-skin care). Three-way interactions assessed gender equity as a moderator of Ananya’s impact. Findings Participants reported low RMNH CoC co-coverage at baseline (on average 3.2 and 3.0 of the 9 RMNH services/behaviors for Ananya and control groups, respectively). The Ananya group showed a significantly greater increase in RMNH CoC co-coverage (.41 services) compared with the control group over time (p<0.001), with the primary drivers being increases in clean cord care, skin-to-skin care and postpartum contraceptive use. Gender equity interaction analyses revealed diminished intervention effects on antenatal care, skilled birth attendance and exclusive breastfeeding for women married as minors. Conclusion Ananya improved RMNH CoC co-coverage among these recent mothers, largely through positive health behavior changes. Child marriage attenuated Ananya’s impact on utilization of key health services and behaviors. Supporting the health system with training and community

  18. Mapping of risk prone areas of kala-azar (Visceral leishmaniasis in parts of Bihar state, India: an RS and GIS approach

    Directory of Open Access Journals (Sweden)

    S. Sudhakar, T. Srinivas, A. Palit, S.K. Karc, S.K. Battacharya

    2006-09-01

    Full Text Available Background & objectives: The kala-azar fever (Visceral leishmaniasis is continuing unabated inIndia for over a century, now being largely confined to the eastern part of India mainly in Bihar stateand to some extent in its bordering states like West Bengal and Uttar Pradesh. Two study sites namelyPatepur block in Vaishali district with high endemicity in northern part and Lohardagga block inLohardagga district with absolute non-endemicity in southern part of Bihar were selected for thestudy with the following objectives : (i to study the macro-ecosystem in relation to distribution ofvector —Phlebotomus argentipes; (ii to identify/map the risk prone areas or villages in a block forquick remedial measures; and (iii to make use of satellite remote sensing and GIS to demonstratethe utility for rapid assessment of landuse/landcover and their relation with the incidence of kalaazarleading to the mapping of risk prone areas.Methods: Indian Remote Sensing (IRS-1D LISS III satellite data for the periods of March andNovember 2000 were analysed in Silicon graphic image processing system using ERDAS software.False color composites (FCC were generated and landuse/landcover was assessed using Maximumlikelihood supervised classification techniques based on ground truth training sets. During the studythe GIS functions are used to quantify the remotely sensed landscape proportions of 5 km2 buffersurrounding each known group of villages of high occurrence of sandflies in endemic and nonendemicstudy sites. Instead of traditional ground based survey methods to vector surveillance, thepresent study used a combination of remote sensing (RS and geographical information system (GISapproach to develop landscape predictors of sandfly abundance—an indicator of human vector contactand as a measure of risk prone areas.Results: Statistical analysis using the remotely sensed landscape variables showed that rural villagessurrounded by higher proportion of transitional

  19. Post Kala-Azar dermal leishmaniasis following treatment with 20 mg/kg liposomal amphotericin B (Ambisome for primary visceral leishmaniasis in Bihar, India.

    Directory of Open Access Journals (Sweden)

    Sakib Burza

    Full Text Available BACKGROUND: The skin disorder Post Kala-Azar Dermal Leishmaniasis (PKDL occurs in up to 10% of patients treated for visceral leishmaniasis (VL in India. The pathogenesis of PKDL is not yet fully understood. Cases have been reported in India following therapy with most available treatments, but rarely in those treated with liposomal amphotericin B (Ambisome. Between July 2007 and August 2012 with the support of the Rajendra Memorial Research Institute (RMRI, Médecins Sans Frontières (MSF supported a VL treatment programme in Bihar, India-an area highly endemic for Leishmania donovani-in which 8749 patients received 20 mg/kg intravenous Ambisome as first-line treatment. This study describes the characteristics of patients who returned to the MSF supported treatment programme with PKDL. METHODS AND PRINCIPAL FINDINGS: Over a 5-year period, Ambisome was administered to 8749 patients with laboratory-confirmed VL (clinical signs, rK39 positive, with/without parasite confirmation in four intravenous doses of 5 mg/kg to a total of 20 mg/kg, with a high initial-cure rate (99.3% and low default rate (0.3%. All patients received health education highlighting the possibility and symptoms of developing PKDL, and advice to return to the MSF programme if these symptoms developed. This is an observational retrospective cohort study of the programme outcomes. Of the 8311 patients completing treatment for their first episode of VL, 24 (0.3% returned passively to the programme complaining of symptoms subsequently confirmed as PKDL, diagnosed from clinical history, appearance consistent with PKDL, and slit-skin smear examination. Of the 24 patients, 89% had macular lesions, with a median time (interquartile range to development of 1.2 (0.8-2.2 years following treatment. Comparison of the demographic and clinical characteristics of the VL patients treated with Ambisome who later developed PKDL, with those of the remaining cohort did not identify any significant

  20. Flood insurance in Canada: implications for flood management and residential vulnerability to flood hazards.

    Science.gov (United States)

    Oulahen, Greg

    2015-03-01

    Insurance coverage of damage caused by overland flooding is currently not available to Canadian homeowners. As flood disaster losses and water damage claims both trend upward, insurers in Canada are considering offering residential flood coverage in order to properly underwrite the risk and extend their business. If private flood insurance is introduced in Canada, it will have implications for the current regime of public flood management and for residential vulnerability to flood hazards. This paper engages many of the competing issues surrounding the privatization of flood risk by addressing questions about whether flood insurance can be an effective tool in limiting exposure to the hazard and how it would exacerbate already unequal vulnerability. A case study investigates willingness to pay for flood insurance among residents in Metro Vancouver and how attitudes about insurance relate to other factors that determine residential vulnerability to flood hazards. Findings indicate that demand for flood insurance is part of a complex, dialectical set of determinants of vulnerability.

  1. Development of flood index by characterisation of flood hydrographs

    Science.gov (United States)

    Bhattacharya, Biswa; Suman, Asadusjjaman

    2015-04-01

    In recent years the world has experienced deaths, large-scale displacement of people, billions of Euros of economic damage, mental stress and ecosystem impacts due to flooding. Global changes (climate change, population and economic growth, and urbanisation) are exacerbating the severity of flooding. The 2010 floods in Pakistan and the 2011 floods in Australia and Thailand demonstrate the need for concerted action in the face of global societal and environmental changes to strengthen resilience against flooding. Due to climatological characteristics there are catchments where flood forecasting may have a relatively limited role and flood event management may have to be trusted upon. For example, in flash flood catchments, which often may be tiny and un-gauged, flood event management often depends on approximate prediction tools such as flash flood guidance (FFG). There are catchments fed largely by flood waters coming from upstream catchments, which are un-gauged or due to data sharing issues in transboundary catchments the flow of information from upstream catchment is limited. Hydrological and hydraulic modelling of these downstream catchments will never be sufficient to provide any required forecasting lead time and alternative tools to support flood event management will be required. In FFG, or similar approaches, the primary motif is to provide guidance by synthesising the historical data. We follow a similar approach to characterise past flood hydrographs to determine a flood index (FI), which varies in space and time with flood magnitude and its propagation. By studying the variation of the index the pockets of high flood risk, requiring attention, can be earmarked beforehand. This approach can be very useful in flood risk management of catchments where information about hydro-meteorological variables is inadequate for any forecasting system. This paper presents the development of FI and its application to several catchments including in Kentucky in the USA

  2. Nogales flood detention study

    Science.gov (United States)

    Norman, Laura M.; Levick, Lainie; Guertin, D. Phillip; Callegary, James; Guadarrama, Jesus Quintanar; Anaya, Claudia Zulema Gil; Prichard, Andrea; Gray, Floyd; Castellanos, Edgar; Tepezano, Edgar; Huth, Hans; Vandervoet, Prescott; Rodriguez, Saul; Nunez, Jose; Atwood, Donald; Granillo, Gilberto Patricio Olivero; Ceballos, Francisco Octavio Gastellum

    2010-01-01

    Flooding in Ambos Nogales often exceeds the capacity of the channel and adjacent land areas, endangering many people. The Nogales Wash is being studied to prevent future flood disasters and detention features are being installed in tributaries of the wash. This paper describes the application of the KINEROS2 model and efforts to understand the capacity of these detention features under various flood and urbanization scenarios. Results depict a reduction in peak flow for the 10-year, 1-hour event based on current land use in tributaries with detention features. However, model results also demonstrate that larger storm events and increasing urbanization will put a strain on the features and limit their effectiveness.

  3. FLOODPLAIN, FLOOD COUNTY, USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Floodplain Mapping/Redelineation study deliverables depict and quantify the flood risks for the study area. The primary risk classifications used are the...

  4. The Terrible Flood

    Institute of Scientific and Technical Information of China (English)

    Dorine; Houston

    1998-01-01

    Dear Xiao Lan. ’Several times a week, no matter which of the major television news networksI turn to, the screen is filled with tragic pictures of flooding along the YangtzeRiver, and I grieve for the suffering people whose lives are being so terriblydisrupted by this disaster. Even more to be grieved is the terrible number of peoplewho have been killed by the floods and their effects.

  5. Ethics of research on survivors of trauma.

    Science.gov (United States)

    Seedat, Soraya; Pienaar, Willem P; Williams, David; Stein, Daniel J

    2004-08-01

    Essential elements of all research include balance of risks and benefits, unbiased selection of research samples, and assurance of the rights of individual participants. This paper highlights some key ethical issues and summarizes recent evidence relating to participation in, and conduct of, trauma-focused studies with special reference to vulnerable populations (eg, women and children, refugees, survivors of human rights violations, and survivors of trauma in the developing world). A concise ethical framework, rather than rigid guidelines (that may not be applicable to all trauma studies), may be a more useful point of reference for investigators and ethics committees or institutional review boards. Despite the increased empiric data available to inform ethical dilemmas regarding trauma research, more cost-burden analysis research in varying trauma populations and careful investigation of factors that contribute to risk and benefit is required.

  6. Appraisal of Phlebotomus argentipes habitat suitability using a remotely sensed index in the kala-azar endemic focus of Bihar, India

    Directory of Open Access Journals (Sweden)

    Shreekant Kesari

    2013-04-01

    Full Text Available Visceral leishmaniasis, or kala-azar, is recognised as a serious emerging public health problem in India. In this study, environmental parameters, such as land surface temperature (LST and renormalised difference vegetation indices (RDVI, were used to delineate the association between environmental variables and Phlebotomus argentipes abundance in a representative endemic region of Bihar, India. The adult P. argentipes were collected between September 2009-February 2010 using the hand-held aspirator technique. The distribution of P. argentipes was analysed with the LST and RDVI of the peak and lean seasons. The association between environmental covariates and P. argentipes density was analysed a multivariate linear regression model. The sandfly density at its maximum in September, whereas the minimum density was recorded in January. The regression model indicated that the season, minimum LST, mean LST and mean RDVI were the best environmental covariates for the P. argentipes distribution. The final model indicated that nearly 74% of the variance of sandfly density could be explained by these environmental covariates. This approach might be useful for mapping and predicting the distribution of P. argentipes, which may help the health agencies that are involved in the kala-azar control programme focus on high-risk areas.

  7. Cyanobacterial diversity shifts induced by butachlor in selected Indian rice fields in Eastern Uttar Pradesh and Western Bihar analyzed with PCR and DGGE.

    Science.gov (United States)

    Kumari, Nidhi; Narayan, Om Prakash; Rai, Lal Chand

    2012-01-01

    The present study examines the effects of 30 mg/kg butachlor on the cyanobacterial diversity of rice fields in Eastern Uttar Pradesh and Western Bihar in India. A total of 40 samples were grouped into three classes [(i) acidic, (ii) neutral, and (iii) alkaline soils], based on physicochemical and principle component analyses. Acidic soils mainly harbored Westillopsis, Trichormus, Anabaenopsis, and unicellular cyanobacteria; whereas Nostoc, Anabaena, Calothrix, Tolypothrix, and Aulosira were found in neutral and alkaline soils. Molecular characterization using 16S rRNA PCR and DGGE revealed the presence of 13 different phylotypes of cyanobacteria in these samples. Butachlor treatment of the soil samples led to the disappearance of 5 and the emergence of 2 additional phylotypes. A total of 40 DGGE bands showed significant reproducible changes upon treatment with butachlor. Phylogenetic analyses divided the phylotypes into five major clusters exhibiting interesting links with soil pH. Aulosira, Anabaena, Trichormus, and Anabaenopsis were sensitive to butachlor treatment, whereas uncultured cyanobacteria, a chroococcalean member, Westillopsis, Nostoc, Calothrix, Tolypothrix, Rivularia, Gloeotrichia, Fischerella, Leptolyngbya, and Cylindrospermum, appeared to be tolerant against butachlor at their native soil pH. Butachlor-induced inhibition of nitrogen fixation was found to be 65% (maximum) and 33% (minimum) in the soil samples of pH 9.23 and 5.20, respectively. In conclusion, low butachlor doses may prove beneficial in paddy fields having a neutral to alkaline soil pH.

  8. Extracting seasonal cropping patterns using multi-temporal vegetation indices from IRS LISS-III data in Muzaffarpur District of Bihar, India

    Directory of Open Access Journals (Sweden)

    Saptarshi Mondal

    2014-12-01

    Full Text Available The advancement in satellite technology in terms of spatial, temporal, spectral and radiometric resolutions leads, successfully, to more specific and intensified research on agriculture. Automatic assessment of spatio-temporal cropping pattern and extent at multi-scale (community level, regional level and global level has been a challenge to researchers. This study aims to develop a semi-automated approach using Indian Remote Sensing (IRS satellite data and associated vegetation indices to extract annual cropping pattern in Muzaffarpur district of Bihar, India at a fine scale (1:50,000. Three vegetation indices (VIs – NDVI, EVI2 and NDSBVI, were calculated using three seasonal (Kharif, Rabi and Zaid IRS Resourcesat 2 LISS-III images. Threshold reference values for vegetation and non-vegetation thematic classes were extracted based on 40 training samples over each of the seasonal VI. Using these estimated value range a decision tree was established to classify three seasonal VI stack images which reveals seven different cropping patterns and plantation. In addition, a digitised reference map was also generated from multi-seasonal LISS-III images to check the accuracy of the semi-automatically extracted VI based classified image. The overall accuracies of 86.08%, 83.1% and 83.3% were achieved between reference map and NDVI, EVI2 and NDSBVI, respectively. Plantation was successfully identified in all cases with 96% (NDVI, 95% (EVI2 and 91% (NDSBVI accuracy.

  9. Seasonal relationship between normalized difference vegetation index and abundance of the Phlebotomus kala-azar vector in an endemic focus in Bihar, India

    Directory of Open Access Journals (Sweden)

    Gouri S. Bhunia

    2012-11-01

    Full Text Available Remote sensing was applied for the collection of spatio-temporal data to increase our understanding of the potential distribution of the kala-azar vector Phlebotomus argentipes in endemic areas of the Vaishali district of Bihar, India. We produced monthly distribution maps of the normalized difference vegetation index (NDVI based on data from the thematic mapper (TM sensor onboard the Landsat-5 satellite. Minimum, maximum and mean NDVI values were computed for each month and compared with the concurrent incidence of kala-azar and the vector density. Maximum and mean NDVI values (R2 = 0.55 and R2 = 0.60, respectively, as well as the season likelihood ratio (X2 = 17.51; P <0.001, were found to be strongly associated with kala-azar, while the correlation with between minimum NDVI values and kala-azar was weak (R2 = 0.25. Additionally, a strong association was found between the mean and maximum NDVI values with seasonal vector abundance (R2 = 0.60 and R2 = 0.55, respectively but there was only a marginal association between minimum NDVI value and the spatial distribution of kala-azar vis-à-vis P. argentipes density.

  10. Flood Bypass Capacity Optimization

    Science.gov (United States)

    Siclari, A.; Hui, R.; Lund, J. R.

    2015-12-01

    Large river flows can damage adjacent flood-prone areas, by exceeding river channel and levee capacities. Particularly large floods are difficult to contain in leveed river banks alone. Flood bypasses often can efficiently reduce flood risks, where excess river flow is diverted over a weir to bypasses, that incur much less damage and cost. Additional benefits of bypasses include ecosystem protection, agriculture, groundwater recharge and recreation. Constructing or expanding an existing bypass costs in land purchase easements, and levee setbacks. Accounting for such benefits and costs, this study develops a simple mathematical model for optimizing flood bypass capacity using benefit-cost and risk analysis. Application to the Yolo Bypass, an existing bypass along the Sacramento River in California, estimates optimal capacity that economically reduces flood damage and increases various benefits, especially for agriculture. Land availability is likely to limit bypass expansion. Compensation for landowners could relax such limitations. Other economic values could affect the optimal results, which are shown by sensitivity analysis on major parameters. By including land geography into the model, location of promising capacity expansions can be identified.

  11. Genetic counseling of the cancer survivor

    Energy Technology Data Exchange (ETDEWEB)

    Mulvihill, J.J.; Byrne, J.

    1989-02-01

    Each year, tens of thousands of persons are diagnosed with cancer, are treated, and become survivors while still in their reproductive years. Their concerns about possible germ-cell damage as a result of life-saving radiation, chemotherapy, or both are plausible, based on evidence from animal models and from somatic cell mutations in human beings. A 40-year follow-up of survivors of the atomic bomb blasts in Japan showed no detectable genetic damage and suggested that the human gonad is more resistant to radiogenic mutation than the laboratory mouse. The pooled results of studying 12 series of offspring of cancer patients showed a 4% rate of major birth defects (similar to that of the general population) and an excess of fetal loss and low birth weight in offspring of women who received abdominal radiotherapy. According to preliminary evaluation of a new National Cancer Institute collaboration with five cancer registries, offspring of survivors of childhood cancers had no more birth defects than expected and, beyond an increase in probably familial cancers in children younger than 5, no overall increase in childhood cancer. Ideally, genetic and reproductive counseling should take place as soon as cancer is diagnosed (before therapy starts) and again when pregnancy is contemplated. 28 references.

  12. Suicide among childhood cancer survivors in Slovenia

    Directory of Open Access Journals (Sweden)

    Mojca Čižek Sajko

    2012-11-01

    Full Text Available Objective. Suicide is one of the causes of late mortality among childhood cancer survivors. The aim of our study was to analyse the risk of suicide among childhood cancer survivors compared with that ofthe general population of Slovenia. Patients and methods. This retrospective study included patients with childhood cancer registeredat the Cancer Registry of Slovenia between 1978-2008, with an observation period of 1978-2010. Childhood cancer patients and controlsubjects from the general population of Slovenia were matched by sex,year and age at the beginning of follow-up and time of follow-up inyears. Data on the general population of Slovenia were obtained fromthe Statistical Office of the Republic of Slovenia. Results. A total of 1647 patients were recorded in the Cancer Registry as having cancerduring childhood, with 3 patients committing suicide. All three weremale. Their age at diagnosis of cancer was 12, 13 and 2 years old; their age at suicide was 19, 32 and 28 years old. The mechanism of death was asphyxiation in all three deaths. The calculation of the expected number of suicides in the group of individuals with childhood cancer from the general Slovene population revealed the number of 3.16persons. Conclusion. The comparison of the observed and expectedprobability showed that there was no statistically significant difference in the suicide rate between childhood cancer survivors and the general population of Slovenia.

  13. THE PREVENTION PROGRAMS OF PHYSICAL REHABILITATION FOR CHERNOBYL DISASTER SURVIVORS

    Directory of Open Access Journals (Sweden)

    Korobeynikov G.V.

    2013-01-01

    Full Text Available The purpose of the study: approbation of the prevention program of physical rehabilitation for Chernobyl disaster survivors in lifestyle aspects. Sixty persons who were disaster survivors and workers of Chernobyl Nuclear Power Plant aged 32-60 have rehabilitation during 21 days. The complex of training prevention programs of physical and psycho-emotional rehabilitation methods was elaborated. The study of efficacy of training prevention programs among Chernobyl disaster survivors. The results showed the improvement of psycho-emotional status and normalization of cardiovascular vegetative regulation after training prevention programs in Chernobyl disasters survivors. The studies show that the preventive programs for Chernobyl disaster survivors in lifestyle aspects had the high effect. This displays the decrease of tempo of aging and the improving of physical and psychological health status of Chernobyl disaster survivors during preventive course.

  14. Falls in Korean Polio Survivors: Incidence, Consequences, and Risk Factors

    OpenAIRE

    Nam, Kiyeun; Lee, Seungyeol; Yang, Eun Joo; Kim, Keewon; Jung, Se Hee; Jang, Soong-Nang; Han, Soo Jeong; Kim, Wan-Ho; Lim, Jae-Young

    2016-01-01

    Falls and fall-related injuries are important issue among polio survivors. The purpose of this study was to determine the incidence of, and consequences and factors associated with falls among Korean polio survivors. A total of 317 polio survivors participated in this study. All participants completed a questionnaire including fall history, symptoms related to post-polio syndrome and other information through a telephone interview. Among them, 80 participants visited our clinic for additional...

  15. Process theology's relevance for older survivors of domestic violence.

    Science.gov (United States)

    Bowland, Sharon

    2011-01-01

    Pastoral work with survivors of domestic violence may reveal theological struggles. Understandings of scripture that reinforce a sense of powerlessness and alienation from God may contribute to an impaired relationship and limit resources for healing. One framework for re-imaging a relationship with God is process theology. This framework was applied to a case study for one survivor. The application resulted in a line of inquiry that may assist survivors in their healing process.

  16. Life satisfaction in adult survivors of childhood brain tumors.

    Science.gov (United States)

    Crom, Deborah B; Li, Zhenghong; Brinkman, Tara M; Hudson, Melissa M; Armstrong, Gregory T; Neglia, Joseph; Ness, Kirsten K

    2014-01-01

    Adult survivors of childhood brain tumors experience multiple, significant, lifelong deficits as a consequence of their malignancy and therapy. Current survivorship literature documents the substantial impact such impairments have on survivors' physical health and quality of life. Psychosocial reports detail educational, cognitive, and emotional limitations characterizing survivors as especially fragile, often incompetent, and unreliable in evaluating their circumstances. Anecdotal data suggest some survivors report life experiences similar to those of healthy controls. The aim of our investigation was to determine whether life satisfaction in adult survivors of childhood brain tumors differs from that of healthy controls and to identify potential predictors of life satisfaction in survivors. This cross-sectional study compared 78 brain tumor survivors with population-based matched controls. Chi-square tests, t tests, and linear regression models were used to investigate patterns of life satisfaction and identify potential correlates. Results indicated that life satisfaction of adult survivors of childhood brain tumors was similar to that of healthy controls. Survivors' general health expectations emerged as the primary correlate of life satisfaction. Understanding life satisfaction as an important variable will optimize the design of strategies to enhance participation in follow-up care, reduce suffering, and optimize quality of life in this vulnerable population.

  17. Flood Risk Analysis and Flood Potential Losses Assessment

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    The heavy floods in the Taihu Basin showed increasing trend in recent years. In thiswork, a typical area in the northern Taihu Basin was selected for flood risk analysis and potentialflood losses assessment. Human activities have strong impact on the study area' s flood situation (asaffected by the polders built, deforestation, population increase, urbanization, etc. ), and havemade water level higher, flood duration shorter, and flood peaks sharper. Five years of differentflood return periods [(1970), 5 (1962), 10 (1987), 20 (1954), 50 (1991)] were used to cal-culate the potential flood risk area and its losses. The potential flood risk map, economic losses,and flood-impacted population were also calculated. The study's main conclusions are: 1 ) Humanactivities have strongly changed the natural flood situation in the study area, increasing runoff andflooding; 2) The flood risk area is closely related with the precipitation center; 3) Polder construc-tion has successfully protected land from flood, shortened the flood duration, and elevated waterlevel in rivers outside the polders; 4) Economic and social development have caused flood losses toincrease in recent years.

  18. Family doctor-driven follow-up for adult childhood cancer survivors supported by a web-based survivor care plan

    NARCIS (Netherlands)

    Blaauwbroek, R.; Barf, H. A.; Groenier, K. H.; Kremer, L. C.; van der Meer, K.; Tissing, W. J. E.; Postma, A.

    2012-01-01

    To facilitate family doctor-driven follow-up for adult childhood cancer survivors, we developed a survivor care plan (SCP) for adult survivors and their family doctors. The SCP was accessible for survivors and their family doctors on a secure website and as a printed booklet. It included data on dia

  19. Crowdsourcing detailed flood data

    Science.gov (United States)

    Walliman, Nicholas; Ogden, Ray; Amouzad*, Shahrzhad

    2015-04-01

    Over the last decade the average annual loss across the European Union due to flooding has been 4.5bn Euros, but increasingly intense rainfall, as well as population growth, urbanisation and the rising costs of asset replacements, may see this rise to 23bn Euros a year by 2050. Equally disturbing are the profound social costs to individuals, families and communities which in addition to loss of lives include: loss of livelihoods, decreased purchasing and production power, relocation and migration, adverse psychosocial effects, and hindrance of economic growth and development. Flood prediction, management and defence strategies rely on the availability of accurate information and flood modelling. Whilst automated data gathering (by measurement and satellite) of the extent of flooding is already advanced it is least reliable in urban and physically complex geographies where often the need for precise estimation is most acute. Crowdsourced data of actual flood events is a potentially critical component of this allowing improved accuracy in situations and identifying the effects of local landscape and topography where the height of a simple kerb, or discontinuity in a boundary wall can have profound importance. Mobile 'App' based data acquisition using crowdsourcing in critical areas can combine camera records with GPS positional data and time, as well as descriptive data relating to the event. This will automatically produce a dataset, managed in ArcView GIS, with the potential for follow up calls to get more information through structured scripts for each strand. Through this local residents can provide highly detailed information that can be reflected in sophisticated flood protection models and be core to framing urban resilience strategies and optimising the effectiveness of investment. This paper will describe this pioneering approach that will develop flood event data in support of systems that will advance existing approaches such as developed in the in the UK

  20. Woman-centered research on access to safe abortion services and implications for behavioral change communication interventions: a cross-sectional study of women in Bihar and Jharkhand, India

    Directory of Open Access Journals (Sweden)

    Banerjee Sushanta K

    2012-03-01

    Full Text Available Abstract Background Unsafe abortion in India leads to significant morbidity and mortality. Abortion has been legal in India since 1971, and the availability of safe abortion services has increased. However, service availability has not led to a significant reduction in unsafe abortion. This study aimed to understand the gap between safe abortion availability and use of services in Bihar and Jharkhand, India by examining accessibility from the perspective of rural, Indian women. Methods Two-stage stratified random sampling was used to identify and enroll 1411 married women of reproductive age in four rural districts in Bihar and Jharkhand, India. Data were collected on women's socio-demographic characteristics; exposure to mass media and other information sources; and abortion-related knowledge, perceptions and practices. Multiple linear regression models were used to explore the association between knowledge and perceptions about abortion. Results Most women were poor, had never attended school, and had limited exposure to mass media. Instead, they relied on community health workers, family and friends for health information. Women who had knowledge about abortion, such as knowing an abortion method, were more likely to perceive that services are available (β = 0.079; p Conclusions Behavior change communication (BCC interventions, which address negative perceptions by improving community knowledge about abortion and support local availability of safe abortion services, are needed to increase enabling resources for women and improve potential access to services. Implementing BCC interventions is challenging in settings such as Bihar and Jharkhand where women may be difficult to reach directly, but interventions can target individuals in the community to transfer information to the women who need this information most. Interpersonal approaches that engage community leaders and influencers may also counteract negative social norms regarding

  1. Assessing Flood Risk Using Reservoir Flood Control Rules

    Institute of Scientific and Technical Information of China (English)

    Xiang Fu; Yadong Mei; Zhihuai Xiao

    2016-01-01

    The application of conventional flood operation regulation is restricted due to insufficient description of flood control rules for the Pubugou Reservoir in southern China. Based on the require-ments of different flood control objects, this paper proposes to optimize flood control rules with punish-ment mechanism by defining different parameters of flood control rules in response to flood inflow fore-cast and reservoir water level. A genetic algorithm is adopted for solving parameter optimization problem. The failure risk and overflow volume of the downstream insufficient flood control capacity are assessed through the reservoir operation policies. The results show that an optimised regulation can provide better performance than the current flood control rules.

  2. Flood Risk Management In Europe: European flood regulation

    NARCIS (Netherlands)

    Hegger, D.L.T.; Bakker, M.H.; Green, C.; Driessen, Peter; Delvaux, B.; Rijswick, H.F.M.W. van; Suykens, C.; Beyers, J-C.; Deketelaere, K.; Doorn-Hoekveld, W. van; Dieperink, C.

    2013-01-01

    In Europe, water management is moving from flood defense to a risk management approach, which takes both the probability and the potential consequences of flooding into account. In this report, we will look at Directives and (non-)EU- initiatives in place to deal with flood risk in Europe indirectly

  3. Improving Global Flood Forecasting using Satellite Detected Flood Extent

    NARCIS (Netherlands)

    Revilla Romero, B.

    2016-01-01

    Flooding is a natural global phenomenon but in many cases is exacerbated by human activity. Although flooding generally affects humans in a negative way, bringing death, suffering, and economic impacts, it also has potentially beneficial effects. Early flood warning and forecasting systems, as well

  4. 2013 FEMA Flood Control Structures

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  5. National Flood Hazard Layer (NFHL)

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The National Flood Hazard Layer (NFHL) is a compilation of GIS data that comprises a nationwide digital Flood Insurance Rate Map. The GIS data and services are...

  6. Base Flood Elevation (BFE) Lines

    Data.gov (United States)

    Department of Homeland Security — The Base Flood Elevation (BFE) table is required for any digital data where BFE lines will be shown on the corresponding Flood Insurance Rate Map (FIRM). Normally if...

  7. 2013 FEMA Flood Hazard Boundaries

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  8. FEMA DFIRM Base Flood Elevations

    Data.gov (United States)

    Minnesota Department of Natural Resources — The Base Flood Elevation (BFE) table is required for any digital data where BFE lines will be shown on the corresponding Flood Insurance Rate Map (FIRM). Normally,...

  9. 2013 FEMA Base Flood Elevation

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  10. FEMA DFIRM Flood Hazard Areas

    Data.gov (United States)

    Minnesota Department of Natural Resources — FEMA flood hazard delineations are used by the Federal Emergency Management Agency (FEMA) to designate the Special Flood Hazard Area (SFHA) and for insurance rating...

  11. FEMA 100 year Flood Data

    Data.gov (United States)

    California Department of Resources — The Q3 Flood Data product is a digital representation of certain features of FEMA's Flood Insurance Rate Map (FIRM) product, intended for use with desktop mapping...

  12. FEMA Q3 Flood Data

    Data.gov (United States)

    Kansas Data Access and Support Center — The Q3 Flood Data are derived from the Flood Insurance Rate Maps (FIRMS) published by the Federal Emergency Management Agency (FEMA). The file is georeferenced to...

  13. The Global Flood Model

    Science.gov (United States)

    Williams, P.; Huddelston, M.; Michel, G.; Thompson, S.; Heynert, K.; Pickering, C.; Abbott Donnelly, I.; Fewtrell, T.; Galy, H.; Sperna Weiland, F.; Winsemius, H.; Weerts, A.; Nixon, S.; Davies, P.; Schiferli, D.

    2012-04-01

    Recently, a Global Flood Model (GFM) initiative has been proposed by Willis, UK Met Office, Esri, Deltares and IBM. The idea is to create a global community platform that enables better understanding of the complexities of flood risk assessment to better support the decisions, education and communication needed to mitigate flood risk. The GFM will provide tools for assessing the risk of floods, for devising mitigation strategies such as land-use changes and infrastructure improvements, and for enabling effective pre- and post-flood event response. The GFM combines humanitarian and commercial motives. It will benefit: - The public, seeking to preserve personal safety and property; - State and local governments, seeking to safeguard economic activity, and improve resilience; - NGOs, similarly seeking to respond proactively to flood events; - The insurance sector, seeking to understand and price flood risk; - Large corporations, seeking to protect global operations and supply chains. The GFM is an integrated and transparent set of modules, each composed of models and data. For each module, there are two core elements: a live "reference version" (a worked example) and a framework of specifications, which will allow development of alternative versions. In the future, users will be able to work with the reference version or substitute their own models and data. If these meet the specification for the relevant module, they will interoperate with the rest of the GFM. Some "crowd-sourced" modules could even be accredited and published to the wider GFM community. Our intent is to build on existing public, private and academic work, improve local adoption, and stimulate the development of multiple - but compatible - alternatives, so strengthening mankind's ability to manage flood impacts. The GFM is being developed and managed by a non-profit organization created for the purpose. The business model will be inspired from open source software (eg Linux): - for non-profit usage

  14. Prevalence and risk factors for depressive reaction among resident survivors after the tsunami following the Great East Japan Earthquake, March 11, 2011.

    Directory of Open Access Journals (Sweden)

    Chieko Matsubara

    Full Text Available The Great East Japan Earthquake caused a gigantic tsunami which devastated coastal areas of northern Japan on 11 March 2011. Despite the large number of 'resident survivors' who continued to reside in their damaged houses on the second or upper floors, research on the mental health of these individuals has been limited. This study explored the prevalence of depressive reaction and risk factors for depressive reaction among these resident survivors.A cross-sectional household health support needs screening was conducted for resident survivors in Higashi-Matsushima city, Miyagi prefecture, two to four months after the tsunami. The health interview that was conducted including mental status, assessed by the Patient Health Questionnaire-2 (PHQ-2.Of 5,454 respondents, 8.1% had depressive reaction. After adjustment by the number of weeks from the tsunami and the mortality rate at each respondent's place of residence, depressive reaction was significantly associated with house flooding below or above the ground floor (odds ratios of 1.92, 2.36, respectively, the unavailability of gas supply (odds ratio, 1.67, being female (odds ratio, 1.47, middle aged or elderly (odds ratios of 2.41, 2.42, respectively, regular intake of psychotropic medicine(s since before the tsunami (odds ratio, 2.53 and the presence of one to five or more than six cohabiters (odds ratios of 0.61, 0.52, respectively.The results suggest a considerable psychological burden (depressive reaction following the tsunami among resident survivors. Special supports for families with psychiatric problems need to be considered among resident survivors. Restoration of lifeline utilities and the strengthening of social ties of persons living alone may help prevent depressive reaction among resident survivors after a tsunami.

  15. Multivariate pluvial flood damage models

    Energy Technology Data Exchange (ETDEWEB)

    Van Ootegem, Luc [HIVA — University of Louvain (Belgium); SHERPPA — Ghent University (Belgium); Verhofstadt, Elsy [SHERPPA — Ghent University (Belgium); Van Herck, Kristine; Creten, Tom [HIVA — University of Louvain (Belgium)

    2015-09-15

    Depth–damage-functions, relating the monetary flood damage to the depth of the inundation, are commonly used in the case of fluvial floods (floods caused by a river overflowing). We construct four multivariate damage models for pluvial floods (caused by extreme rainfall) by differentiating on the one hand between ground floor floods and basement floods and on the other hand between damage to residential buildings and damage to housing contents. We do not only take into account the effect of flood-depth on damage, but also incorporate the effects of non-hazard indicators (building characteristics, behavioural indicators and socio-economic variables). By using a Tobit-estimation technique on identified victims of pluvial floods in Flanders (Belgium), we take into account the effect of cases of reported zero damage. Our results show that the flood depth is an important predictor of damage, but with a diverging impact between ground floor floods and basement floods. Also non-hazard indicators are important. For example being aware of the risk just before the water enters the building reduces content damage considerably, underlining the importance of warning systems and policy in this case of pluvial floods. - Highlights: • Prediction of damage of pluvial floods using also non-hazard information • We include ‘no damage cases’ using a Tobit model. • The damage of flood depth is stronger for ground floor than for basement floods. • Non-hazard indicators are especially important for content damage. • Potential gain of policies that increase awareness of flood risks.

  16. Helping survivors to adjust after cancer.

    Science.gov (United States)

    Harmer, Victoria

    The concept of "cancer survivorship" has received considerable attention over the past three years as increasing numbers of people live with and beyond cancer. Previously, attention may have focused more on treatments for cancer and the likelihood of their success. In recent years, interest has moved to the after-effects of treatment, and how people can return to their lives while recovering. This article discusses the various ways in which cancer and its treatment may affect survivors, and how nurses, in both hospital and the community, can help them to adjust and recover.

  17. Arsenic and other elements in drinking water and dietary components from the middle Gangetic plain of Bihar, India: Health risk index.

    Science.gov (United States)

    Kumar, Manoj; Rahman, Mohammad Mahmudur; Ramanathan, A L; Naidu, Ravi

    2016-01-01

    This study investigates the level of contamination and health risk assessment for arsenic (As) and other elements in drinking water, vegetables and other food components in two blocks (Mohiuddinagar and Mohanpur) from the Samastipur district, Bihar, India. Groundwater (80%) samples exceeded the World Health Organization (WHO) guideline value (10μg/L) of As while Mn exceeded the previous WHO limit of 400μg/L in 28% samples. The estimated daily intake of As, Cd, Co, Cr, Cu, Mn, Ni, Pb and Zn from drinking water and food components were 169, 19, 26, 882, 4645, 14582, 474, 1449 and 12,955μg, respectively (estimated exposure 3.70, 0.41, 0.57, 19.61, 103.22, 324.05, 10.53, 32.21 and 287.90μg per kg bw, respectively). Twelve of 15 cooked rice contained high As concentration compared to uncooked rice. Water contributes (67%) considerable As to daily exposure followed by rice and vegetables. Whereas food is the major contributor of other elements to the dietary exposure. Correlation and principal component analysis (PCA) indicated natural source for As but for other elements, presence of diffused anthropogenic activities were responsible. The chronic daily intake (CDI) and health risk index (HRI) were also estimated from the generated data. The HRI were >1 for As in drinking water, vegetables and rice, for Mn in drinking water, vegetables, rice and wheat, for Pb in rice and wheat indicated the potential health risk to the local population. An assessment of As and other elements of other food components should be conducted to understand the actual health hazards caused by ingestion of food in people residing in the middle Gangetic plain.

  18. KNOWLEDGE, ATTITUDE AND PRACTICES OF NOURISHING MOTHERS ABOUT BREAST FEEDING, ATTENDING URBAN HEALTH CENTRE: A CROSS - SECTIONAL STUDY FROM KISHANGANJ, BIHAR

    Directory of Open Access Journals (Sweden)

    Laxman

    2014-02-01

    Full Text Available BACKGROUND : Breast feeding is almost universal , but there are many barriers for proper breast feeding practices. Despite the well - recognized importance of exclusive breast feeding (EBF , this practice is not widespread i n the developing countries like India. This is mainly due to lack of understanding and poor adherence of mothers to EBF practices for the first 6 months postpartum. Also , the knowledge and practices of early breast feeding are suboptimal among mothers. OBJ ECTIVE : To know knowledge , attitude and practices of nourishing rural mothers about breast feeding and their association with demographic variables. MATERIALS AND METHODS : The study was a cross - sectional study , performed in M.G.M.M.C. & L.S.K Hospital , Kishanganj , Bihar , between December - 2013 to January - 2014. A total of 129 nourishing mothers of children between 0 - 2 years of age were selected. Breast feeding knowledge of the mothers was evaluated by giving them a printed structured questionnaire containi ng different types of questions regarding breast feeding. RESULT : Among 129 nourishing mothers , 100% knew that mother’s milk is the best food for the baby. 71.3% of the mothers were having knowledge that breast feeding should be started within ½ hr. of bir th. 86.8% of the mothers were having knowledge that EBF should be given upto 6 months. CONCLUSION : This study showed a lack of understanding of the importance of breast feeding and poor adherence to EBF for the first 6 months of baby’s life. A lot of gap i s present between literate and illiterate mothers in breast feeding practices , which need to be changed

  19. A Model Psychoeducational Group for Survivors of Organizational Downsizing.

    Science.gov (United States)

    Foley, Pamela F.; Smith, John E.

    1999-01-01

    Describes a one-day psychoeducational group for survivors of a recent organizational downsizing. Principal goal of the group is to prevent "Layoff Survivor Syndrome" through instruction and group exercises designed to normalize common responses and increase awareness of positive coping strategies. Provides descriptions of group…

  20. Early myocardial deformation abnormalities in breast cancer survivors

    NARCIS (Netherlands)

    Bulten, B.F.; Mavinkurve-Groothuis, A.M.C.; Geus-Oei, L.F. de; Haan, A.F.J. de; Korte, C.L. de; Bellersen, L.; Laarhoven, H.W.M. van; Kapusta, L.

    2014-01-01

    To evaluate the role of 2D myocardial strain (rate) imaging in the detection of early subclinical cardiotoxicity in breast cancer survivors treated with an anthracycline-based chemotherapeutic regimen. 57 adult breast cancer survivors were analyzed 1 year after therapy. All patients underwent biomar

  1. Adult Adjustment of Survivors of Institutional Child Abuse in Ireland

    Science.gov (United States)

    Carr, Alan; Dooley, Barbara; Fitzpatrick, Mark; Flanagan, Edel; Flanagan-Howard, Roisin; Tierney, Kevin; White, Megan; Daly, Margaret; Egan, Jonathan

    2010-01-01

    Objective: To document the adult adjustment of survivors of childhood institutional abuse. Method: Two hundred and forty-seven adult survivors of institutional abuse with a mean age of 60 were interviewed with a protocol that included the Childhood Trauma Questionnaire, modules from the Structured Clinical Interview for Axis I Disorders of DSM IV…

  2. Female Intimate Partner Violence Survivors' Experiences with Accessing Resources

    Science.gov (United States)

    McLeod, Amy L.; Hays, Danica G.; Chang, Catherine Y.

    2010-01-01

    This phenomenological study investigates the types of personal and community resources that female intimate partner violence (IPV) survivors used when leaving an abusive male partner. Three African American and 2 European American IPV survivors, ages 24 to 38 years, described positive and negative experiences with social support, personal…

  3. Optimal strategies for flood prevention

    NARCIS (Netherlands)

    Eijgenraam, Carel; Brekelmans, Ruud; den Hertog, Dick; Roos, C.

    2016-01-01

    Flood prevention policy is of major importance to the Netherlands since a large part of the country is below sea level and high water levels in rivers may also cause floods. In this paper we propose a dike height optimization model to determine economically efficient flood protection standards. We i

  4. The epidemiology of long- and short-term cancer survivors

    DEFF Research Database (Denmark)

    Jarlbæk, Lene; Christensen, Linda; Bruera, Eduardo;

    2014-01-01

    Introduction. In this study, we present data from a population-based cohort of incident cancer patients separated in long- and short-term survivors. Our aim was to procure denominators for use in the planning of rehabilitation and palliative care programs. Material and methods. A registry......-linkage cohort study. All cancer patients, diagnosed from 1993 to 2003 from a 470 000 large population, were followed individually from diagnosis to death or until 31 December 2008. Long-term survivors lived five years or more after the time of the cancer diagnosis (TOCD). Short-term survivors died less than...... five years after TOCD. Results. The cohort comprised 24 162 incident cancer patients with 41% long-term survivors (N = 9813). Seventy percent of the cohort was 60 + years at TOCD. The 14 349 short-term survivors' median survival was 0.6 year, and 78% died less than two years after TOCD. A 12 years...

  5. Older breast cancer survivors' views and preferences for physical activity.

    Science.gov (United States)

    Whitehead, Sarah; Lavelle, Katrina

    2009-07-01

    Evidence suggests that physical activity improves quality of life and physical functioning among breast cancer patients and survivors. However, previous studies have tended to focus on younger patients, despite higher incidence and lower survival among older breast cancer survivors. In this study we explored physical activity preferences of older breast cancer survivors to inform the development of future targeted interventions. Twenty-nine female breast cancer survivors (1 to 5 years postdiagnosis) aged 59 to 86 (mean 66.54, SD 6.50) took part in either a semistructured interview or a focus group exploring physical activity patterns, motivators, facilitators, barriers, and preferences. The main factors influencing physical activity were body image, weight issues, vitality, mood, and the desire to carry on as normal. Preference was expressed for activities that were gentle, tailored to age and cancer-related abilities, holistic, involving other older breast cancer survivors, and with an instructor who was knowledgeable about both breast cancer and aging.

  6. Rethinking the relationship between flood risk perception and flood management.

    Science.gov (United States)

    Birkholz, S; Muro, M; Jeffrey, P; Smith, H M

    2014-04-15

    Although flood risk perceptions and their concomitant motivations for behaviour have long been recognised as significant features of community resilience in the face of flooding events, there has, for some time now, been a poorly appreciated fissure in the accompanying literature. Specifically, rationalist and constructivist paradigms in the broader domain of risk perception provide different (though not always conflicting) contexts for interpreting evidence and developing theory. This contribution reviews the major constructs that have been applied to understanding flood risk perceptions and contextualises these within broader conceptual developments around risk perception theory and contemporary thinking around flood risk management. We argue that there is a need to re-examine and re-invigorate flood risk perception research, in a manner that is comprehensively underpinned by more constructivist thinking around flood risk management as well as by developments in broader risk perception research. We draw attention to an historical over-emphasis on the cognitive perceptions of those at risk to the detriment of a richer understanding of a wider range of flood risk perceptions such as those of policy-makers or of tax-payers who live outside flood affected areas as well as the linkages between these perspectives and protective measures such as state-supported flood insurance schemes. Conclusions challenge existing understandings of the relationship between risk perception and flood management, particularly where the latter relates to communication strategies and the extent to which those at risk from flooding feel responsible for taking protective actions.

  7. Fast Flooding over Manhattan

    CERN Document Server

    Clementi, Andrea; Silvestri, Riccardo

    2010-01-01

    We consider a Mobile Ad-hoc NETwork (MANET) formed by n agents that move at speed V according to the Manhattan Random-Way Point model over a square region of side length L. The resulting stationary (agent) spatial probability distribution is far to be uniform: the average density over the "central zone" is asymptotically higher than that over the "suburb". Agents exchange data iff they are at distance at most R within each other. We study the flooding time of this MANET: the number of time steps required to broadcast a message from one source agent to all agents of the network in the stationary phase. We prove the first asymptotical upper bound on the flooding time. This bound holds with high probability, it is a decreasing function of R and V, and it is tight for a wide and relevant range of the network parameters (i.e. L, R and V). A consequence of our result is that flooding over the sparse and highly-disconnected suburb can be as fast as flooding over the dense and connected central zone. Rather surprisin...

  8. On Flood Alert

    Institute of Scientific and Technical Information of China (English)

    LI LI

    2010-01-01

    @@ Aseries of heavy storms since early May led to severe flooding and landslides in south and southwest China,causing heaw casualties and economic losses.Severe convective weather such as downpours,gusts,hail and thunderstorms attacked these areas over a week from May 5.

  9. Flooding on Elbe River

    Science.gov (United States)

    2002-01-01

    Heavy rains in Central Europe over the past few weeks have led to some of the worst flooding the region has witnessed in more than a century. The floods have killed more than 100 people in Germany, Russia, Austria, Hungary, and the Czech Republic and have led to as much as $20 billion in damage. This false-color image of the Elbe River and its tributaries was taken on August 20, 2002, by the Moderate Resolution Imaging Spectroradiometer (MODIS), flying aboard NASA's Terra satellite. The floodwaters that inundated Dresden, Germany, earlier this week have moved north. As can be seen, the river resembles a fairly large lake in the center of the image just south of the town of Wittenberg. Flooding was also bad further downriver in the towns of Maqgdeburge and Hitzacker. Roughly 20,000 people were evacuated from their homes in northern Germany. Fifty thousand troops, border police, and technical assistance workers were called in to combat the floods along with 100,000 volunteers. The floodwaters are not expected to badly affect Hamburg, which sits on the mouth of the river on the North Sea. Credit:Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

  10. ANUITAS LAST SURVIVOR UNTUK KASUS TIGA ORANG TERTANGGUNG

    Directory of Open Access Journals (Sweden)

    D. P. Sari

    2016-11-01

    Full Text Available Pada asuransi multiple life, terdapat dua istilah berdasarkan status kematian dari kumpulan tertanggung yaitu joint life dan last survivor. Perbedaan status multiple life ini pada asuransi adalah waktu pemberian uang pertanggungannya. Suatu status dikatakan joint life jika pemberian uang pertanggungan dilakukan pada saat orang pertama meninggal dan status dikatakan life survivor jika pemberian uang pertanggungan dilakukan pada saat semuanya telah meninggal. Untuk mendapatkan uang pertanggungan, tertanggung haruslah membayarkan sejumlah premi. Jika ingin mengkonversikan premi tunggal menjadi premi berkala diperlukan anuitas. Untuk kasus asuransi last survivor kita akan menggunakan anuitas last survivor. Hasil akhir dari proses penelitian penulis akan menghasilkan rumusan matematika nilai sekarang anuitas awal dan anuitas akhir  untuk kasus dua orang dan tiga orang pada status last survivor.In multiple life insurance, there are two terms based on the status of the death of the insured is a collection of joint life and last survivor. The difference is in the status of multiple life insurance is the timing of cash coverage. A status is said to be a joint life insurance money if provision was made during the first die and life survivor status if the provision of insurance money made at the time are all dead. To get the sum insured, the insured must pay a premium. If you want to convert into a single premium be regular premium, annuity required. For the last survivor insurance cases we will use the last survivor annuity. The end result of the research process will generate mathematical formulas of present value due annuity and immediate annuity for the case of two and three people in the last survivor status.

  11. Bone density in survivors of childhood cancer.

    Science.gov (United States)

    Mulder, Jean E; Bilezikian, John P

    2004-01-01

    Advances in combination chemotherapy, radiation therapy, surgery, and bone marrow transplantation have resulted in markedly improved survival rates for many children with cancer. Advancements in therapy, however, have led to new concerns, namely long-term consequences of effective treatments. Young adult and adult survivors of childhood cancer are at risk for a number of disorders related to therapy. Specifically, the young adult who has survived cancer, attendant treatments, and their complications is at risk for factors that can lead to suboptimal acquisition of peak bone mass. These factors include chronic illness, nutritional deficiencies, limited physical activity, and treatment with glucocorticoids, multiagent chemotherapy, and radiation. The long-term adverse effects of these therapies on endocrine systems, especially sex steroid and growth hormone deficiencies, are additional risk factors for some patients. After a brief review of the processes associated with acquisition of peak bone mass in the young adult, this article examines the impact of cancer and cancer therapy on bone mineral density in survivors of childhood cancer.

  12. Psychological Adjustment in Breast Cancer Survivors.

    Science.gov (United States)

    Stanton, Annette L; Bower, Julienne E

    2015-01-01

    Women living with a diagnosis of breast cancer constitute more than 20 % of the cancer survivor population in the United States. Research on trajectories of psychological adjustment in women recently diagnosed with breast suggests that the largest proportion of women evidences relatively low psychological distress either from the point of diagnosis or after a period of recovery. Substantial heterogeneity exists, however, and some women are at risk for lingering depression, anxiety, fear of cancer recurrence and other long-term psychological effects. Most women diagnosed with breast cancer also report a number of benefits that arise from their experience of cancer. Longitudinal studies have illuminated risk and protective factors for psychological adjustment in breast cancer survivors, which we describe in this chapter. Effective psychosocial interventions, as evidenced in randomized controlled trials, also are available for bolstering breast cancer-related adjustment. We offer directions for research to deepen the understanding of biological, psychological, and social contributors to positive adjustment in the context of breast cancer, as well as suggestions for the development of optimally efficient evidence-based psychosocial interventions for women living with the disease.

  13. Male infertility in long-term survivors of pediatric cancer: A report from the Childhood Cancer Survivor Study

    Science.gov (United States)

    Wasilewski-Masker, K; Seidel, K D; Leisenring, W; Mertens, A C; Shnorhavorian, M; Ritenour, C W; Stovall, M; Green, D M; Sklar, C A; Armstrong, G T; Robison, L L; Meacham, L R

    2014-01-01

    Purpose The purpose of this study was to assess the prevalence of male infertility and treatment-related risk factors in childhood cancer survivors. Methods Within the Childhood Cancer Survivor Study, 1622 survivors and 274 siblings completed the Male Health Questionnaire. The analysis was restricted to survivors (938/1622; 57.8%) and siblings (174/274; 63.5%) who tried to become pregnant. Relative risks (RR) and 95% confidence intervals (CI) for the prevalence of self-reported infertility were calculated using generalized linear models for demographic variables and treatment-related factors to account for correlation among survivors and siblings of the same family. All statistical tests were two-sided. Results Among those who provided self-report data, the prevalence of infertility was 46.0% in survivors versus 17.5% in siblings (RR=2.64, 95% CI 1.88-3.70, p < 0.001). Of survivors who met the definition for infertility, 37% had reported at least one pregnancy with a female partner that resulted in a live birth. In a multivariable analysis, risk factors for infertility included an alkylating agent dose score (AAD) ≥ 3 (RR= 2.13, 95% CI 1.69-2.68 for AAD ≥ 3 versus AAD<3), surgical excision of any organ of the genital tract (RR=1.63, 95% CI 1.20-2.21), testicular radiation ≥ 4Gy (RR=1.99, 95% CI 1.52-2.61), and exposure to bleomycin (RR=1.55, 95% CI 1.20-2.01). Conclusion Many survivors who experience infertility father their own children suggesting episodes of both fertility and infertility. This and the novel association of infertility with bleomycin warrant further investigation. Implications for Cancer Survivors Though infertility is common, male survivors reporting infertility often father their own children. Bleomycin may pose some fertility risk. PMID:24711092

  14. Flood marks of the 1813 flood in the Central Europe

    Science.gov (United States)

    Miklanek, Pavol; Pekárová, Pavla; Halmová, Dana; Pramuk, Branislav; Bačová Mitková, Veronika

    2014-05-01

    In August 2013, 200 years have passed since the greatest and most destructive floods known in the Slovak river basins. The flood affected almost the entire territory of Slovakia, northeastern Moravia, south of Poland. River basins of Váh (Orava, Kysuca), Poprad, Nitra, Hron, Torysa, Hornád, upper and middle Vistula, Odra have been most affected. The aim of this paper is to map the flood marks documenting this catastrophic flood in Slovakia. Flood marks and registrations on the 1813 flood in the Váh river basin are characterized by great diversity and are written in Bernolák modification of Slovak, in Latin, German and Hungarian. Their descriptions are stored in municipal chronicles and Slovak and Hungarian state archives. The flood in 1813 devastated the entire Váh valley, as well as its tributaries. Following flood marks were known in the Vah river basin: Dolná Lehota village in the Orava river basin, historical map from 1817 covering the Sučany village and showing three different cross-sections of the Váh river during the 1813 flood, flood mark in the city of Trenčín, Flood mark in the gate of the Brunovce mansion, cross preserved at the old linden tree at Drahovce, and some records in written documents, e.g. Cifer village. The second part of the study deals with flood marks mapping in the Hron, Hnilec and Poprad River basins, and Vistula River basin in Krakow. On the basis of literary documents and the actual measurement, we summarize the peak flow rates achieved during the floods in 1813 in the profile Hron: Banská Bystrica. According to recent situation the 1813 flood peak was approximately by 1.22 m higher, than the flood in 1974. Also in the Poprad basin is the August 1813 flood referred as the most devastating flood in last 400 years. The position of the flood mark is known, but the building was unfortunately removed later. The water level in 1813 was much higher than the water level during the recent flood in June 2010. In Cracow the water level

  15. Risk perception, experience, and objective risk: a cross-national study with European emergency survivors.

    Science.gov (United States)

    Knuth, Daniela; Kehl, Doris; Hulse, Lynn; Schmidt, Silke

    2014-07-01

    Understanding public risk perceptions and their underlying processes is important in order to learn more about the way people interpret and respond to hazardous emergency events. Direct experience with an involuntary hazard has been found to heighten the perceived risk of experiencing the same hazard and its consequences in the future, but it remains unclear if cross-over effects are possible (i.e., experience with one hazard influencing perceived risk for other hazards also). Furthermore, the impact of objective risk and country of residence on perceived risk is not well understood. As part of the BeSeCu (Behavior, Security, and Culture) Project, a sample of 1,045 survivors of emergencies from seven European countries (i.e., Germany, the Czech Republic, Poland, Sweden, Spain, Turkey, and Italy) was drawn. Results revealed heightened perceived risk for emergency events (i.e., domestic and public fires, earthquakes, floods, and terrorist attacks) when the event had been experienced previously plus some evidence of cross-over effects, although these effects were not so strong. The largest country differences in perceived risk were observed for earthquakes, but this effect was significantly reduced by taking into account the objective earthquake risk. For fires, floods, terrorist attacks, and traffic accidents, only small country differences in perceived risk were found. Further studies including a larger number of countries are welcomed.

  16. Citizen involvement in flood risk governance: flood groups and networks

    Directory of Open Access Journals (Sweden)

    Twigger-Ross Clare

    2016-01-01

    Full Text Available Over the past decade has been a policy shift withinUK flood risk management towards localism with an emphasis on communities taking ownership of flood risk. There is also an increased focus on resilience and, more specifically, on community resilience to flooding. This paper draws on research carried out for UK Department for Environment Food and Rural Affairs to evaluate the Flood Resilience Community Pathfinder (FRCP scheme in England. Resilience is conceptualised as multidimensional and linked to exisiting capacities within a community. Creating resilience to flooding is an ongoing process of adaptation, learning from past events and preparing for future risks. This paper focusses on the development of formal and informal institutions to support improved flood risk management: institutional resilience capacity. It includes new institutions: e.g. flood groups, as well as activities that help to build inter- and intra- institutional resilience capacity e.g. community flood planning. The pathfinder scheme consisted of 13 projects across England led by local authorities aimed at developing community resilience to flood risk between 2013 – 2015. This paper discusses the nature and structure of flood groups, the process of their development, and the extent of their linkages with formal institutions, drawing out the barriers and facilitators to developing institutional resilience at the local level.

  17. 78 FR 64021 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Survivor's...

    Science.gov (United States)

    2013-10-25

    ...; Survivor's Form for Benefits Under the Black Lung Benefits Act ACTION: Notice. SUMMARY: The Department of... collection request (ICR) titled, ``Survivor's Form for Benefits under the Black Lung Benefits Act,'' to the... INFORMATION: A survivor of a deceased miner files the ``Survivor's Form for Benefits under the Black...

  18. 22 CFR 19.11-8 - Required elections between survivor benefits.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Required elections between survivor benefits... elections between survivor benefits. (a) Bar against concurrent payment under this Act and Workers' Compensation Act. Except as stated below, survivor annuities and survivors' compensation for work...

  19. 5 CFR 831.651 - Commencing and terminating dates of survivor annuities.

    Science.gov (United States)

    2010-01-01

    ... survivor annuities. 831.651 Section 831.651 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Survivor Annuities Payment of Survivor Annuities § 831.651 Commencing and terminating dates of survivor annuities. (a) Except as provided in paragraph...

  20. 20 CFR 228.22 - Entitlement to more than one survivor annuity.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Entitlement to more than one survivor annuity... RETIREMENT ACT COMPUTATION OF SURVIVOR ANNUITIES The Tier I Annuity Component § 228.22 Entitlement to more than one survivor annuity. If an individual is entitled to more than one survivor annuity, only...

  1. Spirituality expressed by caregivers of stroke survivors.

    Science.gov (United States)

    Pierce, Linda L; Steiner, Victoria; Havens, Heidi; Tormoehlen, Karen

    2008-08-01

    Thirty-six caregivers of stroke survivors who are new to that role participate in a Web-based support and education intervention over the course of a year. The authors use a secondary analysis of a total of 2,148 e-mail messages that these caregivers posted to the intervention's discussion group. Rigorous content analysis is used to analyze the narrative data coded to spirituality (n = 230 e-mails). Four themes emerge and are drawn to Friedemann's (1995) framework of systemic organization: (a) feeling the presence of a greater power, (b) practicing rituals, (c) being one with nature, and (d) interacting with family and friends. Spirituality gives these caregivers hope and sustenance, but it also helps them express themselves more fully during a difficult time of change. The e-mail discussion data presented here highlight the importance of increased awareness of addressing spirituality in nurse-client encounters and designing interventions to support the caregivers.

  2. Survivor from asphyxiation due to helium inhalation

    Directory of Open Access Journals (Sweden)

    Massimiliano Etteri

    2016-06-01

    Full Text Available In this rare case report we describe a 27- year-old white man survived to suicide by asphyxiation using the so-called suicide bag (or exit bag filled with helium supplied through a plastic tube. He had no previous psychiatric or organic illnesses. At the time of presentation to our Emergency Department he was awake and reported severe dyspnea with a clinical pattern of acute respiratory failure. Imaging studies showed pulmonary edema and the patient was treated with non-invasive ventilation in Intensive Care Unit. After 15 days the patient was discharged from hospital in optimal conditions. These rare cases of survivor might suggest the possible causes of death from inhaling helium.

  3. Atmospheric Rivers, Floods, and Flash Floods in California

    Science.gov (United States)

    Skelly, Klint T.

    Atmospheric Rivers (ARs) are long (>2000 km), narrow (<1000 km) corridors of enhanced vertically integrated water vapor (IWV) and enhanced IWV transport (IVT). The landfall of ARs along the U.S. West Coast have been linked to extreme precipitation and flooding/flash flooding in regions of complex topography. The objective of this study is to investigate the relationship between a 10 water-year (2005-2014) climatology of floods, flash floods, and landfalling ARs. The ARs in this study are defined using IVT following the Rutz et al. (2013) methodology, whereas floods and flash floods are identified by the National Centers for Environmental Information (NCEI) Storm Events Database. The results of this study indicate that landfalling ARs are present on a majority of days that there are floods in northern California. Landfalling ARs are predominantly present on a majority of days that there are flash flood reports during the cold-season (November-March); however, the North American monsoon is present on days that there are flash flood reports during the warm-season (April-October). Two exemplary case studies are provided to illustrate the hydrologic impact of landfalling ARs. The first case study illustrated a flood event that occurred in associated with three landfalling ARs that produced 800 mm in regions over the Russian River watershed in northern California and the second case study illustrated a flash flood event that occurred in association with a landfalling AR that produced ˜225 mm of precipitation in regions over the Santa Ynez xii watershed in which produced a flash flood over the southern portions of Santa Barbara County in southern California.

  4. STUDY OF PREVALENCE OF DIABETES MELLITUS TYPE-2 AND IMPAIRED GLUCOSE TOLERANCE AMONG ADULTS IN A RURAL AREA OF KATIHAR, BIHAR

    Directory of Open Access Journals (Sweden)

    Sazid Hussain

    2016-07-01

    Full Text Available The prevalence of type-2 diabetes mellitus is increasing globally particularly in developing countries. Previously, diabetes mellitus type-2 was disease of middle aged and elderly, but recently it is affecting younger age group including adolescents especially in the high risk population. OBJECTIVES 1. To determine the prevalence of diabetes mellitus type-2 in a rural population of age 30 years and above, 2. To determine the prevalence of Impaired Glucose Tolerance in a rural population of age 30 year and above, and 3. To study the association of various risk factors with diabetes mellitus type-2 and Impaired Glucose Tolerance. METHODOLOGY A community-based cross-sectional study was carried out in population 30 years and above at Chanpi village in the district of Katihar in Bihar during the study period of 1st January to 31st December 2014. This was a community-based study in which all persons aged 30 years or more living in this village were eligible for participation. After taking early morning fasting sample, the study subjects were given 75 gm of anhydrous glucose in 200 mL of water to drink in 5 minutes and blood samples were collected exactly after 2 hours to estimate oral glucose tolerance. Samples were tested in the laboratory on the same day. RESULTS Total sample size in this study was 916 and out of this 31 were found to have type-2 diabetes mellitus and 75 were Impaired Glucose Tolerance (IGT. Distribution of type 2 diabetes among non-vegetarians was found to be 77.42% and 85.33% in IGT. 54.84% males and 45.16% females were found to be type-2 diabetes mellitus and almost same percentage of males and females were found in IGT. Distribution of DM-2 according to literacy level was found to be 29.03%, 41.94%, 19.35%, 6.45%, 3.23% are illiterate, just literate, primary, secondary, higher secondary school person respectively. CONCLUSIONS This study shows that the prevalence of diabetes and IGT is high in the subjects having sedentary

  5. Risk factors for visceral leishmaniasis relapse in immunocompetent patients following treatment with 20 mg/kg liposomal amphotericin B (Ambisome in Bihar, India.

    Directory of Open Access Journals (Sweden)

    Sakib Burza

    Full Text Available BACKGROUND: A proportion of all immunocompetent patients treated for visceral leishmaniasis (VL are known to relapse; however, the risk factors for relapse are not well understood. With the support of the Rajendra Memorial Research Institute (RMRI, Médecins Sans Frontières (MSF implemented a program in Bihar, India, using intravenous liposomal amphotericin B (Ambisome as a first-line treatment for VL. The aim of this study was to identify risk factors for VL relapse by examining the characteristics of immunocompetent patients who relapsed following this regimen. METHODS AND PRINCIPAL FINDINGS: This is an observational retrospective cohort study of all VL patients treated by the MSF program from July 2007 to August 2012. Intravenous Ambisome was administered to 8749 patients with VL in four doses of 5 mg/kg (for a total dose of 20 mg/kg over 4-10 days, depending on the severity of disease. Out of 8588 patients not known to be HIV-positive, 8537 (99.4% were discharged as initial cures, 24 (0.3% defaulted, and 27 (0.3% died during or immediately after treatment. In total, 1.4% (n = 119 of the initial cured patients re-attended the programme with parasitologically confirmed VL relapse, with a median time to relapse of 10.1 months. Male sex, age <5 years and ≥45 years, a decrease in spleen size at time of discharge of ≤0.5 cm/day, and a shorter duration of symptoms prior to seeking treatment were significantly associated with relapse. Spleen size at admission, hemoglobin level, nutritional status, and previous history of relapse were not associated with relapse. CONCLUSIONS: This is the largest cohort of VL patients treated with Ambisome worldwide. The risk factors for relapse included male sex, age <5 and ≥45 years, a smaller decrease in splenomegaly at discharge, and a shorter duration of symptoms prior to seeking treatment. The majority of relapses in this cohort occurred 6-12 months following treatment, suggesting that a 1-year follow

  6. Leishmania donovani: assessment of leishmanicidal effects of herbal extracts obtained from plants in the visceral leishmaniasis endemic area of Bihar, India.

    Science.gov (United States)

    Singh, Shubhankar K; Bimal, Sanjiva; Narayan, Shyam; Jee, Chandrawati; Bimal, Devla; Das, P; Bimal, Raageeva

    2011-02-01

    One obstacle faced in the effective control of visceral leishmaniasis (VL) is the limited number of available treatment options. Furthermore, control efforts have been hindered further by the emergence of Leishmania resistance to many of the available drugs. In this study, we investigated the anti-leishmanial properties of 30 medicinally important plants from the VL endemic area of Bihar, India and compared them to two available anti-leishmanial drugs (sodium antimony gluconate and amphotericin B) and two plant lectins (phytohemagglutinin and concanavalin A) on Leishmania donovani promastigotes in vitro at 24 and 48 h after initiation of culture. We identified eight plant extracts in addition to phytohemagglutinin and amphotericin B that significantly inhibited the growth of promastigotes (p Agave americana, Azadirachta indica, Eclipta alba and Piper longum) of the eight plant extracts that induced significant promastigotes killing (p = 0.00098). Effect-based dose finding analysis revealed that the threshold concentration of A. americana required to eliminate L. donovani after 24h was 0.05 mg/ml. A. indica and P. longum plant extracts eliminated L. donovani promastigotes after 48 h at concentrations of 0.1 and 0.5mg/ml, respectively. E. alba eliminated the promastigotes at a concentration of 0.5mg/ml within 24h. The axenic amastigote killing response was 1.90-, 2.52- and 1.3-fold higher than the promastigote killing response with A. indica, A. americana and E. alba plant extracts, respectively. A. americana and A. indica, respectively, led to approximate 2.5- and 1.3-fold declines in mitochondrial dehydrogenase activity compared with control. E. alba stimulation resulted in an up-regulation of dehydrogenase activity (p = 0.00329). The CSA from P. longum was found to be least cytotoxic; the observed difference in mitochondrial activity was insignificant (p = 0.16314). Further studies may reveal the pharmacological significance of many of the plants with anti

  7. Risk of thyroid cancer in survivors of childhood cancer: results from the British Childhood Cancer Survivor Study.

    Science.gov (United States)

    Taylor, Aliki J; Croft, Adam P; Palace, Aimee M; Winter, David L; Reulen, Raoul C; Stiller, Charles A; Stevens, Michael C G; Hawkins, Mike M

    2009-11-15

    Second primary neoplasms (SPNs) are a recognised late effect of treatment for childhood cancer. Thyroid SPNs can develop after exposure to low-dose radiation, due to the radio-sensitivity of the thyroid gland. The British Childhood Cancer Survivor Study (BCCSS) was set up to directly monitor the late effects of treatment, including risk of SPNs, in childhood cancer survivors and includes 17,980 5-year survivors. We carried out a cohort analysis to determine the risk of thyroid SPNs in the BCCSS, and estimated risk using standardised incidence ratios (SIRs), relative risk (RR) using multivariate Poisson regression and cumulative incidence curves. There were 340,202 person years at risk subsequent to a 5-year survival, median follow-up 17.4 years per survivor. We identified 50 thyroid SPNs including 31 (62%) papillary carcinomas, 15 (30%) follicular carcinomas and 4 (8%) other types. 88% of thyroid SPNs developed after exposure to radiotherapy in or around the thyroid gland. SIR overall was 18.0 (95% confidence interval 13.4-23.8). Risk of thyroid cancer was highest after Hodgkin's disease: RR 3.3 (1.1-10.1) and Non Hodgkin's Lymphoma: RR 3.4 (1.1-10.7) relative to leukaemia (RR 1.0) (p Survivors treated with radiotherapy in childhood had a RR of 4.6 (1.4-15.1) relative to survivors not treated with radiotherapy (RR 1.0), p = 0003. In conclusion, the risk of thyroid cancer in childhood cancer survivors is relatively high in this cohort of childhood cancer survivors. These results will be of use in counselling survivors of childhood cancer exposed to radiation in or around the thyroid area.

  8. Recent advances in flood forecasting and flood risk assessment

    Directory of Open Access Journals (Sweden)

    G. Arduino

    2005-01-01

    Full Text Available Recent large floods in Europe have led to increased interest in research and development of flood forecasting systems. Some of these events have been provoked by some of the wettest rainfall periods on record which has led to speculation that such extremes are attributable in some measure to anthropogenic global warming and represent the beginning of a period of higher flood frequency. Whilst current trends in extreme event statistics will be difficult to discern, conclusively, there has been a substantial increase in the frequency of high floods in the 20th century for basins greater than 2x105 km2. There is also increasing that anthropogenic forcing of climate change may lead to an increased probability of extreme precipitation and, hence, of flooding. There is, therefore, major emphasis on the improvement of operational flood forecasting systems in Europe, with significant European Community spending on research and development on prototype forecasting systems and flood risk management projects. This Special Issue synthesises the most relevant scientific and technological results presented at the International Conference on Flood Forecasting in Europe held in Rotterdam from 3-5 March 2003. During that meeting 150 scientists, forecasters and stakeholders from four continents assembled to present their work and current operational best practice and to discuss future directions of scientific and technological efforts in flood prediction and prevention. The papers presented at the conference fall into seven themes, as follows.

  9. For Heart Attack Survivors, a Risk of Suicide?

    Science.gov (United States)

    ... html For Heart Attack Survivors, a Risk of Suicide? Study findings underscore importance of depression screening, researcher ... may face a higher-than-normal risk of suicide, a new study suggests. Researchers in Taiwan found ...

  10. Some Melanoma Survivors Still Seek Out the Sun

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_163887.html Some Melanoma Survivors Still Seek Out the Sun 1 in ... Even after surviving the potentially deadly skin cancer melanoma, some people continue to go out in the ...

  11. Cancer survivors' rehabilitation needs in a primary health care context

    DEFF Research Database (Denmark)

    Mikkelsen, Thorbjørn; Søndergaard, Jens; Sokolowski, Ineta;

    2009-01-01

    BACKGROUND: Studies of cancer survivors' rehabilitation needs have mostly addressed specific areas of needs, e.g. physical aspects and/or rehabilitation needs in relation to specific cancer types. OBJECTIVE: To assess cancer survivors' perceived need for physical and psychosocial rehabilitation......, whether these needs have been presented to and discussed with their GP. METHODS: A survey among a cohort of cancer survivors approximately 15 months after diagnosis. The questionnaire consisted of an ad hoc questionnaire on rehabilitation needs and the two validated questionnaires, the SF-12...... and the Research and Treatment of Cancer quality of life questionnaire, the QLQ C-30 version 3. RESULTS: Among 534 eligible patients, we received 353 (66.1%) answers. Two-thirds of the cancer survivors had discussed physical rehabilitation needs with their GPs. Many (51%) feared cancer relapse, but they rarely...

  12. Quality of Life in Younger Leukemia and Lymphoma Survivors

    Science.gov (United States)

    2011-08-23

    Anxiety Disorder; Cancer Survivor; Fatigue; Leukemia; Long-term Effects Secondary to Cancer Therapy in Adults; Lymphoma; Lymphoproliferative Disorder; Pain; Psychosocial Effects of Cancer and Its Treatment; Small Intestine Cancer

  13. Early Brain Stimulation May Help Stroke Survivors Recover Language Function

    Science.gov (United States)

    ... survivors with several types of aphasia at the rehabilitation hospital Rehanova and the Max-Planck-Institute for neurological research in Cologne, Germany. Thirteen received transcranial magnetic stimulation (TMS) and 11 got sham stimulation. The TMS ...

  14. The Right Balance: Helping Cancer Survivors Achieve a Healthy Weight

    Science.gov (United States)

    An article about interventions that aim to help survivors maintain a healthy weight to reduce the risk of cancer recurrence and death and decrease the likelihood of chronic and late effects of cancer treatment.

  15. Most Adult Survivors of Childhood Cancers Enjoy Good Sexual Health

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_163439.html Most Adult Survivors of Childhood Cancers Enjoy Good Sexual ... toxic treatments were tied to later issues, but most rated sex lives as positive To use the ...

  16. What Breast Cancer Survivors Need to Know about Osteoporosis

    Science.gov (United States)

    ... What Breast Cancer Survivors Need to Know About Osteoporosis Publication available in: PDF (81 KB) Related Resources ... Management Strategies Resources For Your Information Facts About Osteoporosis Osteoporosis is a condition in which the bones ...

  17. What Prostate Cancer Survivors Need to Know about Osteoporosis

    Science.gov (United States)

    ... What Prostate Cancer Survivors Need to Know About Osteoporosis Publication available in: PDF (86 KB) Related Resources ... Management Strategies Resources For Your Information Facts About Osteoporosis Osteoporosis is a condition in which bones become ...

  18. "To All Stroke Survivors - Never, Ever Give Up"

    Science.gov (United States)

    ... of this page please turn Javascript on. Feature: Stroke Rehabilitation "To All Stroke Survivors – Never, Ever Give Up." Past Issues / Spring ... have for other Americans who are recovering from strokes and other serious health challenges? What about their ...

  19. Flood Risk and Flood hazard maps - Visualisation of hydrological risks

    Energy Technology Data Exchange (ETDEWEB)

    Spachinger, Karl; Dorner, Wolfgang; Metzka, Rudolf [University of Applied Sciences Deggendorf (Germany); Serrhini, Kamal [Universite de Technologie de Compiegne, Genie des Systemes Urbains, France, and Universite Francois Rabelais, Unite Mixte de Recherche, Tours (France); Fuchs, Sven [Institute of Mountain Risk Engineering, University of Natural Resources and Applied Life Sciences, Vienna (Austria)], E-mail: karl.spachinger@fhd.edu

    2008-11-01

    Hydrological models are an important basis of flood forecasting and early warning systems. They provide significant data on hydrological risks. In combination with other modelling techniques, such as hydrodynamic models, they can be used to assess the extent and impact of hydrological events. The new European Flood Directive forces all member states to evaluate flood risk on a catchment scale, to compile maps of flood hazard and flood risk for prone areas, and to inform on a local level about these risks. Flood hazard and flood risk maps are important tools to communicate flood risk to different target groups. They provide compiled information to relevant public bodies such as water management authorities, municipalities, or civil protection agencies, but also to the broader public. For almost each section of a river basin, run-off and water levels can be defined based on the likelihood of annual recurrence, using a combination of hydrological and hydrodynamic models, supplemented by an analysis of historical records and mappings. In combination with data related to the vulnerability of a region risk maps can be derived. The project RISKCATCH addressed these issues of hydrological risk and vulnerability assessment focusing on the flood risk management process. Flood hazard maps and flood risk maps were compiled for Austrian and German test sites taking into account existing national and international guidelines. These maps were evaluated by eye-tracking using experimental graphic semiology. Sets of small-scale as well as large-scale risk maps were presented to test persons in order to (1) study reading behaviour as well as understanding and (2) deduce the most attractive components that are essential for target-oriented risk communication. A cognitive survey asking for negative and positive aspects and complexity of each single map complemented the experimental graphic semiology. The results indicate how risk maps can be improved to fit the needs of different user

  20. GIS Support for Flood Rescue

    DEFF Research Database (Denmark)

    Liang, Gengsheng; Mioc, Darka; Anton, François

    2007-01-01

    developed an adaptive web-based transportation network application using Oracle technology. Moreover, the geographic relationships between the road network and flood areas are taken into account. The overlay between the road network and flood polygons is computed on the fly. This application allows users...... to retrieve the shortest and safest route in Fredericton road network during flood event. It enables users to make a timely decision for flood rescue. We are using Oracle Spatial to deal with emergency situations that can be applied to other constrained network applications as well....

  1. Flood resilience urban territories. Flood resilience urban territories.

    Science.gov (United States)

    Beraud, Hélène; Barroca, Bruno; Hubert, Gilles

    2010-05-01

    The flood's impact during the last twenty years on French territory reveals our lack of preparation towards large-extended floods which might cause the stopping of companies' activity, services, or lead to housing unavailability during several months. New Orleans' case has to exemplify us: four years after the disaster, the city still couldn't get back its dynamism. In France, more than 300 towns are flood-exposed. While these towns are the mainspring of territory's development, it is likely that the majority of them couldn't get up quickly after a large-extended flood. Therefore, to understand and improve the urban territory's resilience facing floods is a real stake for territory's development. Urban technical networks supply, unify and irrigate all urban territories' constituents. Characterizing their flood resilience can be interesting to understand better urban resilience. In this context, waste management during and after floods is completely crucial. During a flood, the waste management network can become dysfunctional (roads cut, waste storage installations or waste treatment flooded). How can the mayor respect his obligation to guarantee salubrity and security in his city? In post flood the question is even more problematic. The waste management network presents a real stake for territory's restart. After a flood, building materials, lopped-of branches, furniture, business stocks, farm stocks, mud, rubbles, animal cadavers are wet, mixed, even polluted by hydrocarbons or toxic substances. The waste's volume can be significant. Sanitary and environmental risks can be crucial. In view of this situation, waste's management in post crisis period raises a real problem. What to make of this waste? How to collect it? Where to stock it? How to process it? Who is responsible? Answering these questions is all the more strategic since this waste is the mark of disaster. Thus, cleaning will be the first population's and local actor's reflex in order to forget the

  2. Application of flood index in monitoring Flood-plain ecosystems (by the example of the Middle Ob flood-plain)

    OpenAIRE

    Bolotnov, V. P.

    2007-01-01

    The concept of regional hydroecological monitoring has been developed for the flood-plain of the Middle Ob. Its object is to control the state of flood-plain ecosystem productivity for organization of scientific, regional-adopted and ecologically regulated nature management. For this purpose hydroecological zoning of flood-plain territory performed, the most representative stations of water-gauge observations for each flood-plain zone organized, the scheme of flood-plain flooding was prepared...

  3. Childhood cancer survivor care: development of the Passport for Care.

    Science.gov (United States)

    Poplack, David G; Fordis, Michael; Landier, Wendy; Bhatia, Smita; Hudson, Melissa M; Horowitz, Marc E

    2014-12-01

    Survivors of childhood cancer are at risk of long-term adverse effects and late effects of the disease and/or its treatment. In response to national recommendations to improve evidence-based follow-up care, a web-based support system for clinical decision making, the Passport for Care (PFC), was developed for use at the point of care to produce screening recommendations individualized to the survivor. To date, the PFC has been implemented in over half of the nearly 200 clinics affiliated with the Children's Oncology Group across the USA. Most clinician users report that the PFC has been integrated into clinic workflows, and that it fosters improved conversations with survivors about the potential late effects a survivor might experience and about the screening and/or behavioural interventions recommended to improve health status. Furthermore, clinicians using the PFC have indicated that they adhered more closely to follow-up care guidelines. Perspectives on the challenges encountered and lessons learned during the development and deployment of the PFC are reviewed and contrasted with other nationwide approaches to the provision of guidance on survivor follow-up care; furthermore, the implications for the care of childhood cancer survivors are discussed.

  4. Probabilistic Flood Defence Assessment Tools

    Directory of Open Access Journals (Sweden)

    Slomp Robert

    2016-01-01

    Full Text Available The WTI2017 project is responsible for the development of flood defence assessment tools for the 3600 km of Dutch primary flood defences, dikes/levees, dunes and hydraulic structures. These tools are necessary, as per January 1st 2017, the new flood risk management policy for the Netherlands will be implemented. Then, the seven decades old design practice (maximum water level methodology of 1958 and two decades old safety standards (and maximum hydraulic load methodology of 1996 will formally be replaced by a more risked based approach for the national policy in flood risk management. The formal flood defence assessment is an important part of this new policy, especially for flood defence managers, since national and regional funding for reinforcement is based on this assessment. This new flood defence policy is based on a maximum allowable probability of flooding. For this, a maximum acceptable individual risk was determined at 1/100 000 per year, this is the probability of life loss of for every protected area in the Netherlands. Safety standards of flood defences were then determined based on this acceptable individual risk. The results were adjusted based on information from cost -benefit analysis, societal risk and large scale societal disruption due to the failure of critical infrastructure e.g. power stations. The resulting riskbased flood defence safety standards range from a 300 to a 100 000 year return period for failure. Two policy studies, WV21 (Safety from floods in the 21st century and VNK-2 (the National Flood Risk in 2010 provided the essential information to determine the new risk based safety standards for flood defences. The WTI2017 project will provide the safety assessment tools based on these new standards and is thus an essential element for the implementation of this policy change. A major issue to be tackled was the development of user-friendly tools, as the new assessment is to be carried out by personnel of the

  5. Temporal clustering of floods in Germany: Do flood-rich and flood-poor periods exist?

    Science.gov (United States)

    Merz, Bruno; Nguyen, Viet Dung; Vorogushyn, Sergiy

    2016-10-01

    The repeated occurrence of exceptional floods within a few years, such as the Rhine floods in 1993 and 1995 and the Elbe and Danube floods in 2002 and 2013, suggests that floods in Central Europe may be organized in flood-rich and flood-poor periods. This hypothesis is studied by testing the significance of temporal clustering in flood occurrence (peak-over-threshold) time series for 68 catchments across Germany for the period 1932-2005. To assess the robustness of the results, different methods are used: Firstly, the index of dispersion, which quantifies the departure from a homogeneous Poisson process, is investigated. Further, the time-variation of the flood occurrence rate is derived by non-parametric kernel implementation and the significance of clustering is evaluated via parametric and non-parametric tests. Although the methods give consistent overall results, the specific results differ considerably. Hence, we recommend applying different methods when investigating flood clustering. For flood estimation and risk management, it is of relevance to understand whether clustering changes with flood severity and time scale. To this end, clustering is assessed for different thresholds and time scales. It is found that the majority of catchments show temporal clustering at the 5% significance level for low thresholds and time scales of one to a few years. However, clustering decreases substantially with increasing threshold and time scale. We hypothesize that flood clustering in Germany is mainly caused by catchment memory effects along with intra- to inter-annual climate variability, and that decadal climate variability plays a minor role.

  6. Towards Interactive Flood Governance: changing approaches in Dutch flood policy

    NARCIS (Netherlands)

    J.A. van Ast (Jacko)

    2013-01-01

    markdownabstract__Abstract__ In the course of history, flooding of rivers and the sea brought misery to humanity. Low lying delta’s of large rivers like Bangladesh, New Orleans, the Nile delta or the Netherlands belong to the most vulnerable for flood disasters. Since ancient times people pondered

  7. FLOOD AND FLOOD CONTROL OF THE YELLOW RIVER

    Institute of Scientific and Technical Information of China (English)

    Wenxue LI; Huirang WANG; Yunqi SU; Naiqian JIANG; Yuanfeng ZHANG

    2002-01-01

    The Yellow River is the cradle of China. It had long been the center of politics, economics and culture of China in history. Large coverage flood disaster occurred frequently in the Yellow River basin and the losses were often heavy. Thus, the Yellow River is also considered as the serious hidden danger of China. Since the founding of new China, structural and non-structural systems of flood control have been established basically. Tremendous successes have been made on flood control. Into the 21century, flood control standard of the Lower Yellow River has been increased significantly with the operation of the Xiaolangdi Reservoir. However, problems of the Yellow River are complicated and the tasks for solving these problems are arduous. Particularly, the sedimentation problem can't be solved completely in the near future. The situation of "suspended river" and threat of flood will long exist.Therefore, supported by rapid social and economical development of the nation and relied on advanced technology, the flood control system shall be perfected. Meantime, study of the Yellow River shall be enhanced in order to better understand the flood, get with it and use it thus to reduce flood disaster.

  8. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE - MO 2010 Springfield FEMA Base Flood Elevations (SHP)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This polyline layer indicates the approximate effective FEMA Base Flood Elevations (BFE) associated with the corresponding Special Flood Hazard Area (SFHA). Each...

  9. Elephant Butte Special Flood Hazard Areas (SFHA)

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This vector dataset depicts the 1% annual flood boundary (otherwise known as special flood hazard area or 100 year flood boundary) for its specified area. The data...

  10. Sierra County Special Flood Hazard Areas (SFHA)

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This vector dataset depicts the 1% annual flood boundary (otherwise known as special flood hazard area or 100 year flood boundary) for its specified area. The data...

  11. Estancia Special Flood Hazard Areas (SFHA)

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This vector dataset depicts the 1% annual flood boundary (otherwise known as special flood hazard area or 100 year flood boundary) for its specified area. The data...

  12. The Aqueduct Global Flood Analyzer

    Science.gov (United States)

    Iceland, Charles

    2015-04-01

    As population growth and economic growth take place, and as climate change accelerates, many regions across the globe are finding themselves increasingly vulnerable to flooding. A recent OECD study of the exposure of the world's large port cities to coastal flooding found that 40 million people were exposed to a 1 in 100 year coastal flood event in 2005, and the total value of exposed assets was about US 3,000 billion, or 5% of global GDP. By the 2070s, those numbers were estimated to increase to 150 million people and US 35,000 billion, or roughly 9% of projected global GDP. Impoverished people in developing countries are particularly at risk because they often live in flood-prone areas and lack the resources to respond. WRI and its Dutch partners - Deltares, IVM-VU University Amsterdam, Utrecht University, and PBL Netherlands Environmental Assessment Agency - are in the initial stages of developing a robust set of river flood and coastal storm surge risk measures that show the extent of flooding under a variety of scenarios (both current and future), together with the projected human and economic impacts of these flood scenarios. These flood risk data and information will be accessible via an online, easy-to-use Aqueduct Global Flood Analyzer. We will also investigate the viability, benefits, and costs of a wide array of flood risk reduction measures that could be implemented in a variety of geographic and socio-economic settings. Together, the activities we propose have the potential for saving hundreds of thousands of lives and strengthening the resiliency and security of many millions more, especially those who are most vulnerable. Mr. Iceland will present Version 1.0 of the Aqueduct Global Flood Analyzer and provide a preview of additional elements of the Analyzer to be released in the coming years.

  13. Flood Risk, Flood Mitigation, and Location Choice: Evaluating the National Flood Insurance Program's Community Rating System.

    Science.gov (United States)

    Fan, Qin; Davlasheridze, Meri

    2016-06-01

    Climate change is expected to worsen the negative effects of natural disasters like floods. The negative impacts, however, can be mitigated by individuals' adjustments through migration and relocation behaviors. Previous literature has identified flood risk as one significant driver in relocation decisions, but no prior study examines the effect of the National Flood Insurance Program's voluntary program-the Community Rating System (CRS)-on residential location choice. This article fills this gap and tests the hypothesis that flood risk and the CRS-creditable flood control activities affect residential location choices. We employ a two-stage sorting model to empirically estimate the effects. In the first stage, individuals' risk perception and preference heterogeneity for the CRS activities are considered, while mean effects of flood risk and the CRS activities are estimated in the second stage. We then estimate heterogeneous marginal willingness to pay (WTP) for the CRS activities by category. Results show that age, ethnicity and race, educational attainment, and prior exposure to risk explain risk perception. We find significant values for the CRS-creditable mitigation activities, which provides empirical evidence for the benefits associated with the program. The marginal WTP for an additional credit point earned for public information activities, including hazard disclosure, is found to be the highest. Results also suggest that water amenities dominate flood risk. Thus, high amenity values may increase exposure to flood risk, and flood mitigation projects should be strategized in coastal regions accordingly.

  14. Geomorphological factors of flash floods

    Science.gov (United States)

    Kuznetsova, Yulia

    2016-04-01

    Growing anthropogenic load, rise of extreme meteorological events frequency and total precipitation depth often lead to increasing danger of catastrophic fluvial processes worldwide. Flash floods are one of the most dangerous and less understood types of them. Difficulties of their study are mainly related to short duration of single events, remoteness and hard access to origin areas. Most detailed researches of flash floods focus on hydrological parameters of the flow itself and its meteorological factors. At the same time, importance of the basin geological and geomorphological structure for flash floods generation and the role they play in global sediment redistribution is yet poorly understood. However, understanding and quantitative assessment of these features is a real basis for a complete concept of factors, characteristics and dynamics of flash floods. This work is a review of published data on flash floods, and focuses on the geomorphological factors of the phenomenon. We consider both individual roles and interactions between different geomorphological features (the whole basin parameters, characteristics of the single slopes and valley bottom). Special attention is paid to critical values of certain factors. This approach also highlights the gaps or less studied factors of flash floods. Finally, all data is organized into a complex diagram that may be used for flash floods modeling. This also may help to reach a new level of flash flood predictions and risk assessment.

  15. Extreme flooding tolerance in Rorippa

    NARCIS (Netherlands)

    Akman, M.; Bhikharie, A.; Mustroph, A.; Sasidharan, Rashmi

    2014-01-01

    Low oxygen stress imposed by floods creates a strong selection force shaping plant ecosystems in flood-prone areas. Plants inhabiting these environments adopt various adaptations and survival strategies to cope with increasing water depths. Two Rorippa species, R. sylvestris and R. amphibia that gro

  16. Twenty-year survivors of kidney transplantation.

    LENUS (Irish Health Repository)

    Traynor, C

    2012-12-01

    There have been few studies of patients with renal allografts functioning for more than 20 years. We sought to identify clinical factors associated with ultra long-term (>20 year) renal allograft survival and to describe the clinical features of these patients. We performed a retrospective analysis of the Irish Renal Transplant Database and included 1174 transplants in 1002 patients. There were 255 (21.74%) patients with graft function for 20 years or more. Multivariate analysis identified recipient age (HR 1.01, CI 1.01-1.02), gender (male HR 1.25, CI 1.08-1.45), acute rejection (HR 1.26, CI 1.09-1.45) and transplant type (living related donor vs. deceased donor) (HR 0.52, CI 0.40-0.66) as significantly associated with long-term graft loss. Median serum creatinine was 115 μmol\\/L. The 5-year graft survival in 20-year survivors was 74.7%. The mean age at death was 62.7 years (±10.6). The most common causes of death were cardiovascular disease and malignancy. The two major causes of graft loss were death (with function) and interstitial fibrosis\\/tubular atrophy. Comorbidities included skin cancer (36.1%), coronary heart disease (17.3%) and other malignancies (14.5%). This study identifies factors associated with long-term allograft survival and a high rate of morbidity and early mortality in long-term transplant recipients.

  17. Fertility in female survivors of Hodgkin's lymphoma

    Directory of Open Access Journals (Sweden)

    Irene Biasoli

    2012-01-01

    Full Text Available Currently, Hodgkin's lymphoma is one of the most curable types of cancer. Patients are often young and so the long-term morbidities of treatment have become of increasing concern. Among these, infertility is one of the most challenging consequences for patients in reproductive age. Premature ovarian failure in premenopausal women is a serious long-term sequel of the toxicity of chemotherapy. The main consequence of this syndrome is infertility, but women also present other symptoms related to estrogen deprivation. Different rates of impaired gonadal function are reported, depending on the patient's age, stage of disease, dose and intensity of chemotherapy and the use of radiation therapy. The most established strategy in female infertility is cryopreservation of embryos after in vitro fertilization. Additionally, the use of oral contraceptives or gonadotropinreleasing hormone analogs (GnRH-a during treatment is under study. This review will provide a general overview of the main studies conducted to evaluate the infertility rate among female Hodgkin's lymphoma survivors and risk factors associated to treatment, different end-point definitions for evaluating fertility and also a brief description of the available strategies for fertility preservation.

  18. A lifelong journey of moving beyond wartime trauma for survivors from Hiroshima and Pearl Harbor.

    Science.gov (United States)

    Liehr, Patricia; Nishimura, Chie; Ito, Mio; Wands, Lisa Marie; Takahashi, Ryutaro

    2011-01-01

    This study examines 51 stories of health, shared by people who survived the wartime trauma of Hiroshima and Pearl Harbor, seeking to identify turning points that moved participants along over their lifetime. The central turning point for Hiroshima survivors was "becoming Hibabusha (A-bomb survivor)" and for Pearl Harbor survivors was "honoring the memory and setting it aside." Wartime trauma was permanently integrated into survivors' histories, surfacing steadily over decades for Hiroshima survivors and intermittently over decades for Pearl Harbor survivors. Regardless of experience or nationality, participants moved through wartime trauma by connecting with others, pursuing personal and global peace.

  19. Developing a Malaysia flood model

    Science.gov (United States)

    Haseldine, Lucy; Baxter, Stephen; Wheeler, Phil; Thomson, Tina

    2014-05-01

    Faced with growing exposures in Malaysia, insurers have a need for models to help them assess their exposure to flood losses. The need for an improved management of flood risks has been further highlighted by the 2011 floods in Thailand and recent events in Malaysia. The increasing demand for loss accumulation tools in Malaysia has lead to the development of the first nationwide probabilistic Malaysia flood model, which we present here. The model is multi-peril, including river flooding for thousands of kilometres of river and rainfall-driven surface water flooding in major cities, which may cause losses equivalent to river flood in some high-density urban areas. The underlying hazard maps are based on a 30m digital surface model (DSM) and 1D/2D hydraulic modelling in JFlow and RFlow. Key mitigation schemes such as the SMART tunnel and drainage capacities are also considered in the model. The probabilistic element of the model is driven by a stochastic event set based on rainfall data, hence enabling per-event and annual figures to be calculated for a specific insurance portfolio and a range of return periods. Losses are estimated via depth-damage vulnerability functions which link the insured damage to water depths for different property types in Malaysia. The model provides a unique insight into Malaysian flood risk profiles and provides insurers with return period estimates of flood damage and loss to property portfolios through loss exceedance curve outputs. It has been successfully validated against historic flood events in Malaysia and is now being successfully used by insurance companies in the Malaysian market to obtain reinsurance cover.

  20. Quality of life of adult retinoblastoma survivors in the Netherlands

    Directory of Open Access Journals (Sweden)

    Cohen-Kettenis Peggy T

    2007-06-01

    Full Text Available Abstract Background To assess the quality of life (QoL and predictors thereof in Dutch adult hereditary and non-hereditary retinoblastoma (RB survivors. Methods In this population-based cross-sectional study, a generic QoL questionnaire (SF-36 and a disease-specific interview were administered to 87 adult RB survivors aged 18 to 35 years. Their QoL data were compared with those of a Dutch healthy reference group. Among the RB hereditary/non-hereditary survivors, the QoL was compared and predictors for QoL were identified by linear multiple regression analyses. Results As a group, RB survivors scored significantly lower than the reference group on the SF-36 subscale 'mental health' (t = -27, df = 86, p Conclusion In this exploratory study, it appears that the group of adult RB survivors experience a relatively good overall but slightly decreased QoL compared with the reference group. However, they report more problems with regard to their mental health (anxiety, feelings of depression, and loss of control. Hereditary RB survivors differ significantly from non-hereditary RB survivors only in 'general health'. Bullying in childhood and subjective experience of impairment are the main predictors of a worse QoL. In order to prevent worsening of QoL, or perhaps to improve it, clinicians should make an inventory of these issues at an early stage. We recommend further research to assess the specific psychological factors that may lead to mental health problems in this population.

  1. Flash Flooding and 'Muddy Floods' on Arable Land

    Science.gov (United States)

    Boardman, J.

    2012-04-01

    Flash flooding is often associated with upland, grazed catchments. It does, however, occur in lowland arable-dominated areas. In southern England, notable examples have occurred at Rottingdean (Brighton) in 1987, at Faringdon (Oxfordshire) in 1993 and at Breaky Bottom vineyard (near Brighton) in 1987 and 2000. All resulted in damage to nearby property. Runoff was largely from recently cultivated ground. The characteristics of such floods are: Rapid runoff from bare soil surfaces. Saturated excess overland flow is likely in the early parts of storms but high intensity rainfall on loamy soils results in crusting and Hortonian overland flow; High rates of erosion; Sediment transport to downvalley sites causing property damage ('muddy flooding'). Muddy floods are known from several areas of Europe e.g. Belgium, northern France, South Limburg (Netherlands) and Slovakia (Boardman et al 2006). In other areas they occur but have gone unreported or are classified under different terms. The necessary conditions for occurrence are areas of arable land which is bare at times of the year when there is a risk of storms. For muddy floods to cause damage (and hence be reported), vulnerable property must lie downstream from such areas of arable land. In some areas the incidence of muddy floods relates to autumn and early winter rainfall and winter cereal crops (e.g. southern England). In continental Europe, flooding is more common in summer and is associated with convectional storms and land uses including sugar beet, maize and potatoes. Predictions of increased numbers of high-intensity storms with future climate change, suggest that arable areas will continue to generate both flash floods and muddy floods.

  2. Improving Gas Flooding Efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Reid Grigg; Robert Svec; Zheng Zeng; Alexander Mikhalin; Yi Lin; Guoqiang Yin; Solomon Ampir; Rashid Kassim

    2008-03-31

    This study focuses on laboratory studies with related analytical and numerical models, as well as work with operators for field tests to enhance our understanding of and capabilities for more efficient enhanced oil recovery (EOR). Much of the work has been performed at reservoir conditions. This includes a bubble chamber and several core flood apparatus developed or modified to measure interfacial tension (IFT), critical micelle concentration (CMC), foam durability, surfactant sorption at reservoir conditions, and pressure and temperature effects on foam systems.Carbon dioxide and N{sub 2} systems have been considered, under both miscible and immiscible conditions. The injection of CO2 into brine-saturated sandstone and carbonate core results in brine saturation reduction in the range of 62 to 82% brine in the tests presented in this paper. In each test, over 90% of the reduction occurred with less than 0.5 PV of CO{sub 2} injected, with very little additional brine production after 0.5 PV of CO{sub 2} injected. Adsorption of all considered surfactant is a significant problem. Most of the effect is reversible, but the amount required for foaming is large in terms of volume and cost for all considered surfactants. Some foams increase resistance to the value beyond what is practical in the reservoir. Sandstone, limestone, and dolomite core samples were tested. Dissolution of reservoir rock and/or cement, especially carbonates, under acid conditions of CO2 injection is a potential problem in CO2 injection into geological formations. Another potential change in reservoir injectivity and productivity will be the precipitation of dissolved carbonates as the brine flows and pressure decreases. The results of this report provide methods for determining surfactant sorption and can be used to aid in the determination of surfactant requirements for reservoir use in a CO{sub 2}-foam flood for mobility control. It also provides data to be used to determine rock permeability

  3. Flood hazard and management: a UK perspective.

    Science.gov (United States)

    Wheater, Howard S

    2006-08-15

    This paper discusses whether flood hazard in the UK is increasing and considers issues of flood risk management. Urban development is known to increase fluvial flood frequency, hence design measures are routinely implemented to minimize the impact. Studies suggest that historical effects, while potentially large at small scale, are not significant for large river basins. Storm water flooding within the urban environment is an area where flood hazard is inadequately defined; new methods are needed to assess and manage flood risk. Development on flood plains has led to major capital expenditure on flood protection, but government is attempting to strengthen the planning role of the environmental regulator to prevent this. Rural land use management has intensified significantly over the past 30 years, leading to concerns that flood risk has increased, at least at local scale; the implications for catchment-scale flooding are unclear. New research is addressing this issue, and more broadly, the role of land management in reducing flood risk. Climate change impacts on flooding and current guidelines for UK practice are reviewed. Large uncertainties remain, not least for the occurrence of extreme precipitation, but precautionary guidance is in place. Finally, current levels of flood protection are discussed. Reassessment of flood hazard has led to targets for increased flood protection, but despite important developments to communicate flood risk to the public, much remains to be done to increase public awareness of flood hazard.

  4. Somerset County Flood Information System

    Science.gov (United States)

    Hoppe, Heidi L.

    2007-01-01

    The timely warning of a flood is crucial to the protection of lives and property. One has only to recall the floods of August 2, 1973, September 16 and 17, 1999, and April 16, 2007, in Somerset County, New Jersey, in which lives were lost and major property damage occurred, to realize how costly, especially in terms of human life, an unexpected flood can be. Accurate forecasts and warnings cannot be made, however, without detailed information about precipitation and streamflow in the drainage basin. Since the mid 1960's, the National Weather Service (NWS) has been able to forecast flooding on larger streams in Somerset County, such as the Raritan and Millstone Rivers. Flooding on smaller streams in urban areas was more difficult to predict. In response to this problem the NWS, in cooperation with the Green Brook Flood Control Commission, installed a precipitation gage in North Plainfield, and two flash-flood alarms, one on Green Brook at Seeley Mills and one on Stony Brook at Watchung, in the early 1970's. In 1978, New Jersey's first countywide flood-warning system was installed by the U.S. Geological Survey (USGS) in Somerset County. This system consisted of a network of eight stage and discharge gages equipped with precipitation gages linked by telephone telemetry and eight auxiliary precipitation gages. The gages were installed throughout the county to collect precipitation and runoff data that could be used to improve flood-monitoring capabilities and flood-frequency estimates. Recognizing the need for more detailed hydrologic information for Somerset County, the USGS, in cooperation with Somerset County, designed and installed the Somerset County Flood Information System (SCFIS) in 1990. This system is part of a statewide network of stream gages, precipitation gages, weather stations, and tide gages that collect data in real time. The data provided by the SCFIS improve the flood forecasting ability of the NWS and aid Somerset County and municipal agencies in

  5. Lateral Flooding Associated to Wave Flood Generation on River Surface

    Science.gov (United States)

    Ramírez-Núñez, C.; Parrot, J.-F.

    2016-06-01

    This research provides a wave flood simulation using a high resolution LiDAR Digital Terrain Model. The simulation is based on the generation of waves of different amplitudes that modify the river level in such a way that water invades the adjacent areas. The proposed algorithm firstly reconstitutes the original river surface of the studied river section and then defines the percentage of water loss when the wave floods move downstream. This procedure was applied to a gently slope area in the lower basin of Coatzacoalcos river, Veracruz (Mexico) defining the successive areas where lateral flooding occurs on its downstream movement.

  6. Radiation, Atherosclerotic Risk Factors, and Stroke Risk in Survivors of Pediatric Cancer: A Report From the Childhood Cancer Survivor Study

    Energy Technology Data Exchange (ETDEWEB)

    Mueller, Sabine, E-mail: muellers@neuropeds.ucsf.edu [Department of Neurology, Pediatrics and Neurosurgery, University of California, San Francisco, San Francisco, California (United States); Fullerton, Heather J. [Department of Neurology and Pediatrics, University of California, San Francisco, San Francisco, California (United States); Stratton, Kayla; Leisenring, Wendy [Fred Hutchinson Cancer Research Center, Seattle, Washington (United States); Weathers, Rita E.; Stovall, Marilyn [Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Armstrong, Gregory T. [St. Jude Children' s Research Hospital, Memphis, Tennessee (United States); Goldsby, Robert E. [Department of Pediatrics, University of California, San Francisco, San Francisco, California (United States); Packer, Roger J. [Children' s National Medical Center, Washington, District of Columbia (United States); Sklar, Charles A. [Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Bowers, Daniel C. [University of Texas Southwestern Medical School, Dallas, Texas (United States); Robison, Leslie L.; Krull, Kevin R. [St. Jude Children' s Research Hospital, Memphis, Tennessee (United States)

    2013-07-15

    Purpose: To test the hypotheses that (1) the increased risk of stroke conferred by childhood cranial radiation therapy (CRT) persists into adulthood; and (2) atherosclerotic risk factors further increase the stroke risk in cancer survivors. Methods and Materials: The Childhood Cancer Survivor Study is a multi-institutional retrospective cohort study of 14,358 5-year survivors of childhood cancer and 4023 randomly selected sibling controls with longitudinal follow-up. Age-adjusted incidence rates of self-reported late-occurring (≥5 years after diagnosis) first stroke were calculated. Multivariable Cox proportional hazards models were used to identify independent stroke predictors. Results: During a mean follow-up of 23.3 years, 292 survivors reported a late-occurring stroke. The age-adjusted stroke rate per 100,000 person-years was 77 (95% confidence interval [CI] 62-96), compared with 9.3 (95% CI 4-23) for siblings. Treatment with CRT increased stroke risk in a dose-dependent manner: hazard ratio 5.9 (95% CI 3.5-9.9) for 30-49 Gy CRT and 11.0 (7.4-17.0) for 50+ Gy CRT. The cumulative stroke incidence in survivors treated with 50+ Gy CRT was 1.1% (95% CI 0.4-1.8%) at 10 years after diagnosis and 12% (95% CI 8.9-15.0%) at 30 years. Hypertension increased stroke hazard by 4-fold (95% CI 2.8-5.5) and in black survivors by 16-fold (95% CI 6.9-36.6). Conclusion: Young adult pediatric cancer survivors have an increased stroke risk that is associated with CRT in a dose-dependent manner. Atherosclerotic risk factors enhanced this risk and should be treated aggressively.

  7. Increased risk of antidepressant use in childhood cancer survivors

    DEFF Research Database (Denmark)

    Lund, Lasse Wegener; Winther, J F; Cederkvist, L;

    2015-01-01

    AIM: Childhood cancer survivors are at risk of both somatic and mental late effects, but large population-based studies of depression are lacking. METHODS: Risk of antidepressant use was evaluated in a population-based cohort of 5452 Danish children treated for cancer in 1975-2009 by linkage...... survivors were at increased risk of having antidepressants prescribed (HR, 1.4; 95% confidence interval (CI), 1.3-1.5). The excess absolute risk of antidepressant use was 2.5 per 1000 person-years (95% CI, 1.7-3.3), equivalent to an excess of 2.5 survivors for every 100 survivors followed for 10years....... Increased HRs of 30-50% were seen for survivors of cancers of all main groups (haematological malignancies, central nervous system (CNS) and solid tumors); the highest risk was among children treated with haematopoietic stem cell transplantation (HR, 1.9; 95% CI, 1.2-3.1). Our data suggested that the risk...

  8. Survivor Perspectives on IPV Perpetrator Interventions: A Systematic Narrative Review.

    Science.gov (United States)

    McGinn, Tony; Taylor, Brian; McColgan, Mary; Lagdon, Susan

    2016-07-01

    More effective work with perpetrators of intimate partner violence (IPV) can be built upon a better understanding of how and why they change their behavior. This article presents a systematic narrative review of female IPV survivor perspectives on the changes brought about by IPV perpetrator programs. Fourteen databases and web search engines were searched and 16 articles reporting relevant qualitative findings were identified. Survivors often reported some level of positive change through their partner's engagement with a program, but the sustainability of this change is unclear and there was also some negative feedback. From the survivors' perspective, key barriers to perpetrator change include alcohol dependency, mental health challenges, relationship dynamics, and their family of origin. Mechanisms by which perpetrators are held to account, namely, survivor validation and judicial measures, were seen as central to the change process. Survivors perceived changes in perpetrator behavior (the use of conflict interruption techniques and new communication skills) and changes in perpetrators' belief systems (adopting new perspectives). Changes in belief systems were associated with more complete desistence from violence and would appear more difficult to effect. The review highlights the complexity in this field, which is discussed by the authors with reference to practice, policy, and research.

  9. Media participation and mental health in terrorist attack survivors.

    Science.gov (United States)

    Thoresen, Siri; Jensen, Tine K; Dyb, Grete

    2014-12-01

    Terrorism and disasters receive massive media attention, and victims are often approached by reporters. Not much is known about how terror and disaster victims perceive the contact with media and whether such experiences influence mental health. In this study, we describe how positive and negative experiences with media relate to posttraumatic stress (PTS) reactions among survivors of the 2011 Utøya Island terrorist attack in Norway. Face-to-face interviews were conducted with 285 survivors (47.0% female and 53.0% male) 14-15 months after the terrorist attack. Most survivors were approached by reporters (94%), and participated in media interviews (88%). The majority of survivors evaluated their media contact and participation as positive, and media participation was unrelated to PTS reactions. Survivors who found media participation distressing had more PTS reactions (quite distressing: B = 0.440, extremely distressing: B = 0.611, p = .004 in adjusted model). Perceiving media participation as distressing was slightly associated with lower levels of social support (r = -.16, p = .013), and regretting media participation was slightly associated with feeling let down (r = .18, p = .004). Reporters should take care when interviewing victims, and clinicians should be aware of media exposure as a potential additional strain on victims.

  10. Evaluation of the Quality of Life in Adult Cancer Survivors (QLACS scale for long-term cancer survivors in a sample of breast cancer survivors

    Directory of Open Access Journals (Sweden)

    Foley Kristie

    2006-12-01

    Full Text Available Abstract Background This paper evaluates psychometric properties of a recently developed measure focusing on the health-related quality of life (HRQL of long-term cancer survivors, the Quality of Life in Adult Survivors scale (QLACS, in a sample of breast cancer survivors. This represents an important area of study, given the large number of breast cancer patients surviving many years post diagnosis. Methods Analyses are based on an 8-year follow-up of a sample of breast cancer survivors who participated in an earlier study conducted in 1995. Participants were re-contacted in 2003 and those who were reachable and agreed to participate (n = 94 were surveyed using a variety of measures including the QLACS. Additional follow-up surveys were conducted 2 weeks and one year later. Psychometric tests of the QLACS included test-retest reliability, concurrent and retrospective validity, and responsiveness. Results The QLACS domain and summary scores showed good test-retest reliability (all test-retest correlations were above .7 and high internal consistency. The Generic Summary Score showed convergent validity with other measures designed to assess generic HRQL. The Cancer-Specific Summary score exhibited divergent validity with generic HRQL measures, but not a cancer-related specific measure. The QLACS Cancer-Specific Summary Score demonstrated satisfactory predictive validity for factors that were previously shown to be correlated with HRQL. The QLACS generally demonstrated a high level of responsiveness to life changes. Conclusion The QLACS may serve as a useful measure for assessing HRQL among long-term breast cancer survivors that are not otherwise captured by generic measures or those specifically designed for newly diagnosed patients.

  11. Thyroid Malignancies in Survivors of Hodgkin Lymphoma

    Energy Technology Data Exchange (ETDEWEB)

    Michaelson, Evan M. [Department of Radiation Oncology, Brigham and Women' s Hospital, Dana-Farber Cancer Institute, and the Children' s Hospital, Boston, Massachusetts (United States); Chen, Yu-Hui [Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts (United States); Silver, Barbara; Tishler, Roy B.; Marcus, Karen J. [Department of Radiation Oncology, Brigham and Women' s Hospital, Dana-Farber Cancer Institute, and the Children' s Hospital, Boston, Massachusetts (United States); Stevenson, Mary Ann [Department of Radiation Oncology, Beth Israel Deaconess Medical Center, Boston, Massachusetts (United States); Ng, Andrea K., E-mail: ang@lroc.harvard.edu [Department of Radiation Oncology, Brigham and Women' s Hospital, Dana-Farber Cancer Institute, and the Children' s Hospital, Boston, Massachusetts (United States)

    2014-03-01

    Purpose: To quantify the incidence of thyroid cancer after Hodgkin lymphoma (HL) and determine disease characteristics, risk factors, and treatment outcomes. Methods and Materials: Thyroid cancer cases were retrospectively identified from a multi-institutional database of 1981 HL patients treated between 1969 and 2008. Thyroid cancer risk factors were evaluated by a Poisson regression model. Results: With a median follow-up duration of 14.3 years (range, 0-41.2 years), 28 patients (1.4%) developed a thyroid malignancy. The overall incidence rate (expressed as the number of cases per 10,000 person-years) and 10-year cumulative incidence of thyroid cancer were 9.6 and 0.26%, respectively. There were no observed cases of thyroid malignancy in patients who received neck irradiation for HL after age 35 years. Age <20 years at HL diagnosis and female sex were significantly associated with thyroid cancer. The incidence rates of females aged <20 at HL diagnosis in the first 10 years, ≥10 years, ≥15 years, and ≥20 years after treatment were 5, 31, 61, and 75 cases per 10,000 person-years of follow-up, respectively. At a median follow-up of 3.5 years after the thyroid cancer diagnosis, 26 patients (93%) were alive without disease, 1 (4%) was alive with metastatic disease, and 1 (4%) died of metastatic disease, at 6 and 3.6 years after the thyroid cancer diagnosis, respectively. Conclusions: Although HL survivors have an increased risk for thyroid cancer, the overall incidence is low. Routine thyroid cancer screening may benefit females treated at a young age and ≥10 years from HL treatment owing to their higher risk, which increases over time.

  12. From flood management systems to flood resilient systems: integration of flood resilient technologies

    Science.gov (United States)

    Salagnac, J.-L.; Diez, J.; Tourbier, J.

    2012-04-01

    Flooding has always been a major risk world-wide. Humans chose to live and develop settlements close to water (rivers, seas) due to the resources water brings, i.e. food, energy, capacity to economically transport persons and goods, and recreation. However, the risk from flooding, including pluvial flooding, often offsets these huge advantages. Floods sometimes have terrible consequences from both a human and economic point of view. The permanence and growth of urban areas in flood-prone zones despite these risks is a clear indication of the choices of concerned human groups. The observed growing concentration of population along the sea shore, the increase of urban population worldwide, the exponential growth of the world population and possibly climate change are factors that confirm flood will remain a major issue for the next decades. Flood management systems are designed and implemented to cope with such situations. In spite of frequent events, lessons look to be difficult to draw out and progresses are rather slow. The list of potential triggers to improve flood management systems is nevertheless well established: information, education, awareness raising, alert, prevention, protection, feedback from events, ... Many disciplines are concerned which cover a wide range of soft and hard sciences. A huge amount of both printed and electronic literature is available. Regulations are abundant. In spite of all these potentially favourable elements, similar questions spring up after each new significant event: • Was the event forecast precise enough? • Was the alert system efficient? • Why were buildings built in identified flood prone areas? • Why did the concerned population not follow instructions? • Why did the dike break? • What should we do to avoid it happens again? • What about damages evaluation, wastes and debris evacuation, infrastructures and buildings repair, activity recovery, temporary relocation of inhabitants, health concerns, insurance

  13. Long-term prognosis for transplant-free survivors of paracetamol-induced acute liver failure

    DEFF Research Database (Denmark)

    Jepsen, P; Schmidt, L E; Larsen, F S

    2010-01-01

    The prognosis for transplant-free survivors of paracetamol-induced acute liver failure remains unknown.......The prognosis for transplant-free survivors of paracetamol-induced acute liver failure remains unknown....

  14. Local Flood Action Groups: Governance And Resilience

    NARCIS (Netherlands)

    Forrest, Steven; Trell, Elen-Maarja; Woltjer, Johan; Macoun, Milan; Maier, Karel

    2015-01-01

    A diverse range of citizen groups focusing on flood risk management have been identified in several European countries. The paper discusses the role of flood action (citizen) groups in the context of flood resilience and will do this by analysing the UK and its diverse range of flood groups. These c

  15. Safety in the Chemical Laboratory: Flood Control.

    Science.gov (United States)

    Pollard, Bruce D.

    1983-01-01

    Describes events leading to a flood in the Wehr Chemistry Laboratory at Marquette University, discussing steps taken to minimize damage upon discovery. Analyzes the problem of flooding in the chemical laboratory and outlines seven steps of flood control: prevention; minimization; early detection; stopping the flood; evaluation; clean-up; and…

  16. Adaptive flood risk management in urban areas

    NARCIS (Netherlands)

    Mees, H.L.P.; Driessen, P.P.J.; Runhaar, H.A.C.

    2012-01-01

    In recent times a shift has occurred from traditional flood management focused on the prevention of flooding (reduction of the probability) only, to more adaptive strategies focused on the reduction of the impacts of floods as a means to improve the resilience of occupied flood plains to increased r

  17. Treatment Summaries and Follow-Up Care Instructions for Cancer Survivors: Improving Survivor Self-Efficacy and Health Care Utilization

    Science.gov (United States)

    Kvale, Elizabeth A.; Rocque, Gabrielle B.; Demark-Wahnefried, Wendy; Martin, Michelle Y.; Jackson, Bradford E.; Meneses, Karen; Partridge, Edward E.; Pisu, Maria

    2016-01-01

    Background. Treatment summaries and follow-up care plan information should be provided to cancer survivors. This study examines the association of receiving summaries and care plans with cancer survivor self-efficacy for chronic illness management, and whether self-efficacy was associated with health care utilization. Methods. Four hundred forty-one cancer survivors (≥2 years from diagnosis and had completed treatment) ≥65 years old from 12 cancer centers across 5 states completed telephone surveys. Survivors responded to three questions about receiving a written treatment summary, written follow-up plan, and an explanation of follow-up care plans. Respondents completed the Stanford Chronic Illness Management Self-Efficacy Scale and reported emergency room visits and hospitalizations in the past year. Three multiple linear regression models estimated the association of written treatment summary, written follow-up care plan, and verbal explanation of follow-up plan with total self-efficacy score. Log-binomial models estimated the association of self-efficacy scores with emergency room visits and hospitalizations (yes/no). Results. Among survivors, 40% and 35% received a written treatment summary and follow-up care plan, respectively. Seventy-nine percent received an explanation of follow-up care plans. Receiving a verbal explanation of follow-up care instructions was significantly associated with higher self-efficacy scores (β = 0.72, p = .009). Higher self-efficacy scores were significantly associated with lower prevalence ratios of emergency room visits (prevalence ratio, 0.92; 95% confidence interval, 0.88–0.97) and hospitalizations (prevalence ratio, 0.94; 95% confidence interval, 0.89–0.99). Conclusion. Explanation of the follow-up care plan, beyond the written component, enhances survivor self-efficacy for managing cancer as a chronic condition—an important mediator for improving health care utilization outcomes. Implications for Practice: Older

  18. A Framework for Flood Risk Analysis and Benefit Assessment of Flood Control Measures in Urban Areas.

    Science.gov (United States)

    Li, Chaochao; Cheng, Xiaotao; Li, Na; Du, Xiaohe; Yu, Qian; Kan, Guangyuan

    2016-08-05

    Flood risk analysis is more complex in urban areas than that in rural areas because of their closely packed buildings, different kinds of land uses, and large number of flood control works and drainage systems. The purpose of this paper is to propose a practical framework for flood risk analysis and benefit assessment of flood control measures in urban areas. Based on the concept of disaster risk triangle (hazard, vulnerability and exposure), a comprehensive analysis method and a general procedure were proposed for urban flood risk analysis. Urban Flood Simulation Model (UFSM) and Urban Flood Damage Assessment Model (UFDAM) were integrated to estimate the flood risk in the Pudong flood protection area (Shanghai, China). S-shaped functions were adopted to represent flood return period and damage (R-D) curves. The study results show that flood control works could significantly reduce the flood risk within the 66-year flood return period and the flood risk was reduced by 15.59%. However, the flood risk was only reduced by 7.06% when the flood return period exceeded 66-years. Hence, it is difficult to meet the increasing demands for flood control solely relying on structural measures. The R-D function is suitable to describe the changes of flood control capacity. This frame work can assess the flood risk reduction due to flood control measures, and provide crucial information for strategy development and planning adaptation.

  19. Flood damage, vulnerability and risk perception - challenges for flood damage research

    OpenAIRE

    2005-01-01

    The current state-of-the-art in flood damage analysis mainly focuses on the economic evaluation of tangible flood effects. It is contended in this discussion paper that important economic, social and ecological aspects of flood-related vulnerabilities are neglected. It is a challenge for flood research to develop a wider perspective for flood damage evaluation.

  20. Adherence to Guidelines for Cancer Survivors and Health-Related Quality of Life among Korean Breast Cancer Survivors.

    Science.gov (United States)

    Song, Sihan; Hwang, Eunkyung; Moon, Hyeong-Gon; Noh, Dong-Young; Lee, Jung Eun

    2015-12-01

    There is limited evidence on the association between adherence to guidelines for cancer survivors and health-related quality of life (HRQoL). In a cross-sectional study of Korean breast cancer survivors, we examined whether adherence to the guidelines of the American Cancer Society (ACS) and World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) for cancer survivors was related to levels of HRQoL, assessed by the Korean version of Core 30 (C30) and Breast cancer module 23 (BR23) of the European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire (EORTC-QLQ). We included a total of 160 women aged 21 to 79 years who had been diagnosed with breast cancer according to American Joint Committee on Cancer (AJCC) stages I to III and had breast cancer surgery at least six months before the interview. Increasing adherence to ACS guidelines was associated with higher scores of social functioning (p for trend = 0.05), whereas increasing adherence to WCRF/AICR recommendations was associated with higher scores of arm symptoms (p for trend = 0.01). These associations were limited to those with stage II or III cancer. Diet may be an important factor in relation to quality of life among Korean breast cancer survivors, however our findings warrant further prospective studies to evaluate whether healthy diet improves survivors' quality of life.

  1. Urban flood risk assessment using sewer flooding databases.

    Science.gov (United States)

    Caradot, Nicolas; Granger, Damien; Chapgier, Jean; Cherqui, Frédéric; Chocat, Bernard

    2011-01-01

    Sustainable water management is a global challenge for the 21st century. One key aspect remains protection against urban flooding. The main objective is to ensure or maintain an adequate level of service for all inhabitants. However, level of service is still difficult to assess and the high-risk locations difficult to identify. In this article, we propose a methodology, which (i) allows water managers to measure the service provided by the urban drainage system with regard to protection against urban flooding; and (ii) helps stakeholders to determine effective strategies for improving the service provided. One key aspect of this work is to use a database of sewer flood event records to assess flood risk. Our methodology helps urban water managers to assess the risk of sewer flooding; this approach does not seek to predict flooding but rather to inform decision makers on the current level of risk and on actions which need to be taken to reduce the risk. This work is based on a comprehensive definition of risk, including territorial vulnerability and perceptions of urban water stakeholders. This paper presents the results and the methodological contributions from implementing the methodology on two case studies: the cities of Lyon and Mulhouse.

  2. Sexual Assault in Bisexual and Heterosexual Women Survivors.

    Science.gov (United States)

    Sigurvinsdottir, Rannveig; Ullman, Sarah E

    Social support is related to sexual minority status and negative psychological impact among sexual assault survivors. We compared bisexual and heterosexual survivors on how different types of social support are connected to symptoms of posttraumatic stress disorder (PTSD) and depression. A community sample of bisexual and heterosexual (N = 905) women sexual assault survivors completed three annual surveys. Heterosexual women reported greater perceived social support and fewer negative reactions to disclosure of sexual assault than bisexual women, but there were no differences in frequency of social contact. Perceived social support and frequency of social contact were related to fewer psychological symptoms of PTSD and depression for all women. Heterosexual women had fewer psychological symptoms than bisexual women. Finally, perceived social support mediated the relationship of sexual orientation with depressive symptoms but not with PTSD symptoms. These findings suggest that social support and sexual orientation may explain women's post-assault adjustment.

  3. Cardiovascular Disease in Survivors of Adolescent and Young Adult Cancer

    DEFF Research Database (Denmark)

    Rugbjerg, Kathrine; Mellemkjaer, Lene; Boice, John D

    2014-01-01

    BACKGROUND: Cardiovascular disease has emerged as a serious late effect in survivors of adolescent and young adult cancer, but risk has not been quantified comprehensively in a population-based setting. METHODS: In the Danish Cancer Registry, we identified 43153 1-year survivors of cancer diagnosed...... at ages 15 to 39 years (1943-2009) and alive in 1977; from the Danish Civil Registration System, we randomly selected a comparison cohort of the same age and sex. Subjects were linked to the Danish Patient Register, and observed numbers of first hospitalizations for cardiovascular disease (International......-sided. RESULTS: During follow-up, 10591 survivors (24.5%) were discharged from the hospital with cardiovascular disease, whereas 8124 were expected (RR = 1.30; 95% confidence interval [CI)] = 1.28 to 1.33; P cardiovascular disease per 100000...

  4. Social work with trauma survivors: collaboration with interpreters.

    Science.gov (United States)

    Berthold, S Megan; Fischman, Yael

    2014-04-01

    Scant attention has been given to the emotional plight, lack of training, and stressful working conditions of interpreters serving survivors of severe human-perpetrated trauma from different parts of the world. This article addresses the critical need for effective collaboration between social workers and interpreters when the provider and survivor do not speak the same language. The careful selection of interpreters; the training, support, and promotion of self-care of interpreters; the training needs for social workers related to their work with interpreters; and the impact of secondary trauma and organizational support on the work of social workers and interpreters are explored. Proposed curriculum components for training interpreters and the importance of therapy and ongoing supervision for interpreters are highlighted. It is essential to prepare interpreters and social workers for the various challenges they will face in their collaborative efforts to serve survivors of severe human-perpetrated trauma, and organizational support is vital to the success of this work.

  5. Social Participation after Stroke: One-Year Follow-Up of Stroke Survivors in Nigeria

    OpenAIRE

    Grace O. Vincent-Onabajo

    2013-01-01

    Background. Stroke may negatively affect social participation in survivors. Aims. This study assessed the pattern of social participation in a sample of Nigerian stroke survivors across the first 12 months after stroke. Methods. Stroke survivors were consecutively recruited while on admission at a tertiary health institution. The London handicap scale was used to assess social participation at 1, 3, 6, 9, and 12 months at the homes of the stroke survivors. Overall and domain-specific patterns...

  6. Military and Veterans’ Benefits: Analysis of VA Compensation Levels for Survivors of Veterans and Servicemembers

    Science.gov (United States)

    2009-11-01

    pensions , and life insurance. Lastly, GAO interviewed officials from VA and groups representing veterans, servicemembers, and their survivors. GAO is...in our analysis other sources of income survivors may receive, such as Social Security, private pensions , or life insurance. For additional context...with survivors receiving a percentage of the employee’s calculated retirement annuity .31 FERS offers similar survivor benefits, but the maximum is 50

  7. Flood Resilient Systems and their Application for Flood Resilient Planning

    Science.gov (United States)

    Manojlovic, N.; Gabalda, V.; Antanaskovic, D.; Gershovich, I.; Pasche, E.

    2012-04-01

    Following the paradigm shift in flood management from traditional to more integrated approaches, and considering the uncertainties of future development due to drivers such as climate change, one of the main emerging tasks of flood managers becomes the development of (flood) resilient cities. It can be achieved by application of non-structural - flood resilience measures, summarised in the 4As: assistance, alleviation, awareness and avoidance (FIAC, 2007). As a part of this strategy, the key aspect of development of resilient cities - resilient built environment can be reached by efficient application of Flood Resilience Technology (FReT) and its meaningful combination into flood resilient systems (FRS). FRS are given as [an interconnecting network of FReT which facilitates resilience (including both restorative and adaptive capacity) to flooding, addressing physical and social systems and considering different flood typologies] (SMARTeST, http://www.floodresilience.eu/). Applying the system approach (e.g. Zevenbergen, 2008), FRS can be developed at different scales from the building to the city level. Still, a matter of research is a method to define and systematise different FRS crossing those scales. Further, the decision on which resilient system is to be applied for the given conditions and given scale is a complex task, calling for utilisation of decision support tools. This process of decision-making should follow the steps of flood risk assessment (1) and development of a flood resilience plan (2) (Manojlovic et al, 2009). The key problem in (2) is how to match the input parameters that describe physical&social system and flood typology to the appropriate flood resilient system. Additionally, an open issue is how to integrate the advances in FReT and findings on its efficiency into decision support tools. This paper presents a way to define, systematise and make decisions on FRS at different scales of an urban system developed within the 7th FP Project

  8. Pregnancy-Associated Cardiomyopathy in Survivors of Childhood Cancer

    Science.gov (United States)

    Hines, Melissa R.; Mulrooney, Daniel A.; Hudson, Melissa M.; Ness, Kirsten K.; Green, Daniel M.; Howard, Scott C.; Krasin, Matthew; Metzger, Monika L.

    2015-01-01

    Purpose Current information regarding pregnancy-associated cardiomyopathy among women treated for childhood cancer is insufficient to appropriately guide counseling and patient management. This study aims to characterize its prevalence within a large cohort of females exposed to cardiotoxic therapy. Methods Retrospective cohort study of female cancer survivors treated at St. Jude Children’s Research Hospital between 1963 and 2006, at least 5 years from diagnosis, ≥ 13 years old at last follow-up, and with at least one successful pregnancy. Pregnancy-associated cardiomyopathy was defined as shortening fraction < 28% or ejection fraction < 50% or treatment for cardiomyopathy during or up to 5 months after completion of pregnancy. Results Among 847 female cancer survivors with 1554 completed pregnancies only 3 (0.3%) developed pregnancy-associated cardiomyopathy, 40 developed non-pregnancy-associated cardiomyopathy either 5 months post-partum (n=14), or prior to pregnancy (n=26). Among those with cardiomyopathy prior to pregnancy (n=26), cardiac function deteriorated during pregnancy in 8 patients (3 patients with normalization of cardiac function prior to pregnancy, 3 with persistently abnormal cardiac function, and 2 for whom resolution of cardiomyopathy was unknown prior to pregnancy). Patients that developed cardiomyopathy recevied a higher median dose of anthracyclines compared to those that did not (321 mg/m2 versus 164 mg/m2; p< 0.01). Conclusions Pregnancy-associated cardiomyopathy in childhood cancer survivors is rare. Implications for cancer survivors Most female childhood cancer survivors will have no cardiac complications during or after childbirth, however those with a history of cardiotoxic therapies should be followed carefully during pregnancy particularly those with a history of anthracycline exposures and if they had documented previous or current subclinical or symptomatic cardiomyopathy. Female childhood cancer survivors with a history of

  9. Flood Fighting Products Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — A wave research basin at the ERDC Coastal and Hydraulics Laboratory has been modified specifically for testing of temporary, barrier-type, flood fighting products....

  10. FEMA Flood Insurance Studies Inventory

    Data.gov (United States)

    Kansas Data Access and Support Center — This digital data set provides an inventory of Federal Emergency Management Agency (FEMA) Flood Insurance Studies (FIS) that have been conducted for communities and...

  11. How to develop a clinic for sudden cardiac arrest survivors and families of non-survivors.

    Science.gov (United States)

    Abrams, Dominic J

    2017-01-01

    The investigation of the aetiology of sudden cardiac arrest or death in a young person combines features of a traditional clinical medical examination with those of forensic medicine. Nuances of the immediate peri-event history, when available, can be paramount. New genetic tools have greatly improved the yield of such investigations, but they must be carefully interpreted by genetic specialists. The approach to surviving patients, their family members, and to family members of non-survivors is best achieved in a structured programme that includes all appropriate specialists and support personnel. As an example, this may include all appropriate paediatric and internal medicine specialists, a geneticist, a genetic counsellor, a clinical psychologist, nurse specialist(s), and a programme coordinator. This family-centred strategy affords the patient, if surviving, and all family members the necessary emotional and medical support while at the same time providing the necessary diagnostic and therapeutic approaches.

  12. Suicide Survivors' Mental Health and Grief Reactions: A Systematic Review of Controlled Studies

    Science.gov (United States)

    Sveen, Carl-Aksel; Walby, Fredrik A.

    2008-01-01

    There has been a debate over several decades whether suicide survivors experience more severe mental health consequences and grief reactions than those who have been bereaved through other causes of death. This is the first systematic review of suicide survivors' reactions compared with survivors after other modes of death. Studies were identified…

  13. 5 CFR 838.912 - Specifying an award of a former spouse survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... survivor annuity. 838.912 Section 838.912 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT... in Court Orders Awarding Former Spouse Survivor Annuities Identification of Benefits § 838.912 Specifying an award of a former spouse survivor annuity. (a) To satisfy the requirements of §...

  14. 5 CFR 831.684 - Second chance elections to provide survivor benefits.

    Science.gov (United States)

    2010-01-01

    ... survivor benefits. 831.684 Section 831.684 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Survivor Annuities Regulations Pertaining to Noncodified Statutes § 831.684 Second chance elections to provide survivor benefits. (a) A married retiree...

  15. 22 CFR 19.11-2 - Regular survivor annuity for a former spouse.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Regular survivor annuity for a former spouse... survivor annuity for a former spouse. (a) Divorce prior to retirement. If a participant or former... share of such a principal's maximum regular survivor annuity (based on service performed prior to...

  16. 5 CFR 838.734 - Payment of lump-sum awards by survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Payment of lump-sum awards by survivor... Orders Awarding Former Spouse Survivor Annuities Payment Procedures § 838.734 Payment of lump-sum awards by survivor annuity. OPM will not honor court orders awarding lump-sum payments (other than the...

  17. 5 CFR 838.933 - Payment of the cost of a former spouse survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... survivor annuity. 838.933 Section 838.933 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT... in Court Orders Awarding Former Spouse Survivor Annuities Miscellaneous Provisions § 838.933 Payment of the cost of a former spouse survivor annuity. (a) A court order that unequivocally awards a...

  18. 20 CFR 216.93 - Entitlement to more than one survivor annuity.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Entitlement to more than one survivor annuity. 216.93 Section 216.93 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD... than one survivor annuity. If an individual is entitled to more than one survivor annuity, only...

  19. 20 CFR 225.25 - RR Earnings PIA used in survivor annuities.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false RR Earnings PIA used in survivor annuities... RETIREMENT ACT PRIMARY INSURANCE AMOUNT DETERMINATIONS PIA's Used in Computing Survivor Annuities and the Amount of the Residual Lump-Sum Payable § 225.25 RR Earnings PIA used in survivor annuities. The...

  20. 5 CFR 831.1006 - Offset from disability or survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Offset from disability or survivor... survivor annuity. (a) OPM will reduce the disability annuity (an annuity under 5 U.S.C. 8337) of an... has been provided. (c) OPM will reduce a survivor annuity (an annuity under 5 U.S.C. 8341) based...

  1. 20 CFR 216.92 - Entitlement as a spouse or divorced spouse and as a survivor.

    Science.gov (United States)

    2010-04-01

    ... and as a survivor. 216.92 Section 216.92 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS....92 Entitlement as a spouse or divorced spouse and as a survivor. If an individual is entitled to both a spouse or divorced spouse and survivor annuity, only the larger annuity will be paid. However,...

  2. 5 CFR 843.304 - Commencing and terminating dates of survivor annuities.

    Science.gov (United States)

    2010-01-01

    ... survivor annuities. 843.304 Section 843.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT... EMPLOYEE REFUNDS Current and Former Spouse Benefits § 843.304 Commencing and terminating dates of survivor... may be restored under § 843.305. (d) A survivor annuity accrues on a daily basis, one-thirtieth of...

  3. 5 CFR 838.931 - Court orders that provide temporary awards of former spouse survivor annuities.

    Science.gov (United States)

    2010-01-01

    ... awards of former spouse survivor annuities. 838.931 Section 838.931 Administrative Personnel OFFICE OF... BENEFITS Terminology Used in Court Orders Awarding Former Spouse Survivor Annuities Miscellaneous Provisions § 838.931 Court orders that provide temporary awards of former spouse survivor annuities....

  4. 26 CFR 1.401(a)-11 - Qualified joint and survivor annuities.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 5 2010-04-01 2010-04-01 false Qualified joint and survivor annuities. 1.401(a...)-11 Qualified joint and survivor annuities. (a) General rule—(1) Required provisions. A trust, to... a qualified joint and survivor annuity (as defined in paragraph (b)(2) of this section) with...

  5. 20 CFR 228.21 - Entitlement as a spouse or divorced spouse and as a survivor.

    Science.gov (United States)

    2010-04-01

    ... and as a survivor. 228.21 Section 228.21 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD RETIREMENT ACT COMPUTATION OF SURVIVOR ANNUITIES The Tier I Annuity Component § 228.21 Entitlement as a spouse or divorced spouse and as a survivor. If an individual is entitled to...

  6. 20 CFR 30.101 - In general, how is a survivor's claim filed?

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false In general, how is a survivor's claim filed... Benefits Under Eeoicpa § 30.101 In general, how is a survivor's claim filed? (a) A survivor of an employee... writing. Form EE-2 should be used for this purpose, but any written communication that requests...

  7. 20 CFR 225.24 - SS Earnings PIA used in survivor annuities.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false SS Earnings PIA used in survivor annuities... RETIREMENT ACT PRIMARY INSURANCE AMOUNT DETERMINATIONS PIA's Used in Computing Survivor Annuities and the Amount of the Residual Lump-Sum Payable § 225.24 SS Earnings PIA used in survivor annuities. The...

  8. 20 CFR 225.22 - Employee RIB PIA used in survivor annuities.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Employee RIB PIA used in survivor annuities... RETIREMENT ACT PRIMARY INSURANCE AMOUNT DETERMINATIONS PIA's Used in Computing Survivor Annuities and the Amount of the Residual Lump-Sum Payable § 225.22 Employee RIB PIA used in survivor annuities....

  9. 20 CFR 216.91 - Entitlement as an employee and spouse, divorced spouse, or survivor.

    Science.gov (United States)

    2010-04-01

    ..., divorced spouse, or survivor. 216.91 Section 216.91 Employees' Benefits RAILROAD RETIREMENT BOARD... § 216.91 Entitlement as an employee and spouse, divorced spouse, or survivor. (a) General. If an individual is entitled to an annuity as a spouse, divorced spouse or survivor, and is also entitled to...

  10. 5 CFR 838.921 - Determining the amount of a former spouse survivor annuity.

    Science.gov (United States)

    2010-01-01

    ... survivor annuity. 838.921 Section 838.921 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT... in Court Orders Awarding Former Spouse Survivor Annuities Computation of Benefit § 838.921 Determining the amount of a former spouse survivor annuity. (a) A court order that contains no...

  11. Exercise Preference Patterns, Resources, and Environment among Rural Breast Cancer Survivors

    Science.gov (United States)

    Rogers, Laura Q.; Markwell, Stephen J.; Courneya, Kerry S.; McAuley, Edward; Verhulst, Steven

    2009-01-01

    Context: Rural breast cancer survivors may be at increased risk for inadequate exercise participation. Purpose: To determine for rural breast cancer survivors: (1) exercise preference "patterns," (2) exercise resources and associated factors, and (3) exercise environment. Methods: A mail survey was sent to rural breast cancer survivors identified…

  12. Factors Related to Willingness to Help Survivors of Intimate Partner Violence

    Science.gov (United States)

    Beeble, Marisa L.; Post, Lori A.; Bybee, Deborah; Sullivan, Cris M.

    2008-01-01

    Although researchers have found that survivors of intimate partner violence seek support from a multitude of sources, ranging from professionals to informal support networks, little is known about the extent to which community members reach out to help survivors. This study explored the type of support provided to survivors and various factors…

  13. Rising incidence of breast cancer among female cancer survivors: implications for surveillance.

    NARCIS (Netherlands)

    I. Soerjomataram (Isabelle); W.J. Louwman; L.E.M. Duijm (Lucien); J.W.W. Coebergh (Jan Willem)

    2009-01-01

    textabstractThe number of female cancer survivors has been rising rapidly. We assessed the occurrence of breast cancer in these survivors over time. We computed incidence of primary breast cancer in two cohorts of female cancer survivors with a first diagnosis of cancer at ages 30+ in the periods 19

  14. Child Sexual Abuse Survivors with Dissociative Amnesia: What's the Difference?

    Science.gov (United States)

    Wolf, Molly R.; Nochajski, Thomas H.

    2013-01-01

    Although the issue of dissociative amnesia in adult survivors of child sexual abuse has been contentious, many research studies have shown that there is a subset of child sexual abuse survivors who have forgotten their abuse and later remembered it. Child sexual abuse survivors with dissociative amnesia histories have different formative and…

  15. Risk for unemployment of cancer survivors: A Danish cohort study

    DEFF Research Database (Denmark)

    Carlsen, Kathrine; Dalton, Susanne Oksbjerg; Diderichsen, Finn;

    2008-01-01

    AIM: To investigate whether cancer survivors are at an increased risk for unemployment after cancer. MATERIALS AND METHODS: A cohort of 65,510 patients who were part of the workforce in the year before diagnosis and a random sample of 316,925 age and gender-matched controls were followed for up...... to 20 years in a longitudinal register-based cohort study. Demographic, socioeconomic and health-related information were obtained through Danish administrative registers. RESULTS: Cancer survivors had a small but significantly increased risk for unemployment following cancer. Stratified analyses showed...

  16. Elk River Watershed - Flood Study

    Science.gov (United States)

    Barnes, C. C.; Byrne, J. M.; MacDonald, R. J.; Lewis, D.

    2014-12-01

    Flooding has the potential to cause significant impacts to economic activities as well as to disrupt or displace populations. Changing climate regimes such as extreme precipitation events increase flood vulnerability and put additional stresses on infrastructure. Potential flooding from just under 100 (2009 NPRI Reviewed Facility Data Release, Environment Canada) toxic tailings ponds located in Canada increase risk to human safety and the environment. One such geotechnical failure spilt billions of litres of toxic tailings into the Fraser River watershed, British Columbia, when a tailings pond dam breach occurred in August 2014. Damaged and washed out roadways cut access to essential services as seen by the extensive floods that occurred in Saskatchewan and Manitoba in July 2014, and in Southern Alberta in 2013. Recovery efforts from events such as these can be lengthy, and have substantial social and economic impacts both in loss of revenue and cost of repair. The objective of this study is to investigate existing conditions in the Elk River watershed and model potential future hydrological changes that can increase flood risk hazards. By analyzing existing hydrology, meteorology, land cover, land use, economic, and settlement patterns a baseline is established for existing conditions in the Elk River watershed. Coupling the Generate Earth Systems Science (GENESYS) high-resolution spatial hydrometeorological model with flood hazard analysis methodology, high-resolution flood vulnerability base line maps are created using historical climate conditions. Further work in 2015 will examine possible impacts for a range of climate change and land use change scenarios to define changes to future flood risk and vulnerability.

  17. Burden of morbidity in 10+ year survivors of hematopoietic cell transplantation: report from the bone marrow transplantation survivor study.

    Science.gov (United States)

    Sun, Can-Lan; Kersey, John H; Francisco, Liton; Armenian, Saro H; Baker, K Scott; Weisdorf, Daniel J; Forman, Stephen J; Bhatia, Smita

    2013-07-01

    Long-term morbidity after hematopoietic cell transplantation (HCT) is unknown. The risk of physical and psychological health in 324 patients who had survived 10 or more years after HCT and a sibling comparison group (n = 309) was evaluated. Using the Common Terminology Criteria for Adverse Events, the 15-year cumulative incidence of severe/life-threatening/fatal conditions was 41% (95% confidence interval, 34% to 48%). HCT survivors were 5.7 times as likely to develop a severe/life-threatening condition (P survivors returned to the transplantation center for their cancer-related care. The burden of long-term physical and emotional morbidity borne by survivors remains substantial, even beyond 10 years after HCT; however, specialized health care is underused. Patients, families, and healthcare providers need to be made aware of the high burden, so they can plan for post-HCT care, even many years after HCT.

  18. Cyber Surveillance for Flood Disasters

    Directory of Open Access Journals (Sweden)

    Shi-Wei Lo

    2015-01-01

    Full Text Available Regional heavy rainfall is usually caused by the influence of extreme weather conditions. Instant heavy rainfall often results in the flooding of rivers and the neighboring low-lying areas, which is responsible for a large number of casualties and considerable property loss. The existing precipitation forecast systems mostly focus on the analysis and forecast of large-scale areas but do not provide precise instant automatic monitoring and alert feedback for individual river areas and sections. Therefore, in this paper, we propose an easy method to automatically monitor the flood object of a specific area, based on the currently widely used remote cyber surveillance systems and image processing methods, in order to obtain instant flooding and waterlogging event feedback. The intrusion detection mode of these surveillance systems is used in this study, wherein a flood is considered a possible invasion object. Through the detection and verification of flood objects, automatic flood risk-level monitoring of specific individual river segments, as well as the automatic urban inundation detection, has become possible. The proposed method can better meet the practical needs of disaster prevention than the method of large-area forecasting. It also has several other advantages, such as flexibility in location selection, no requirement of a standard water-level ruler, and a relatively large field of view, when compared with the traditional water-level measurements using video screens. The results can offer prompt reference for appropriate disaster warning actions in small areas, making them more accurate and effective.

  19. Scales of Natural Flood Management

    Science.gov (United States)

    Nicholson, Alex; Quinn, Paul; Owen, Gareth; Hetherington, David; Piedra Lara, Miguel; O'Donnell, Greg

    2016-04-01

    The scientific field of Natural flood Management (NFM) is receiving much attention and is now widely seen as a valid solution to sustainably manage flood risk whilst offering significant multiple benefits. However, few examples exist looking at NFM on a large scale (>10km2). Well-implemented NFM has the effect of restoring more natural catchment hydrological and sedimentological processes, which in turn can have significant flood risk and WFD benefits for catchment waterbodies. These catchment scale improvements in-turn allow more 'natural' processes to be returned to rivers and streams, creating a more resilient system. Although certain NFM interventions may appear distant and disconnected from main stem waterbodies, they will undoubtedly be contributing to WFD at the catchment waterbody scale. This paper offers examples of NFM, and explains how they can be maximised through practical design across many scales (from feature up to the whole catchment). New tools to assist in the selection of measures and their location, and to appreciate firstly, the flooding benefit at the local catchment scale and then show a Flood Impact Model that can best reflect the impacts of local changes further downstream. The tools will be discussed in the context of our most recent experiences on NFM projects including river catchments in the north east of England and in Scotland. This work has encouraged a more integrated approach to flood management planning that can use both traditional and novel NFM strategies in an effective and convincing way.

  20. FLOODING ATTACK AWARE SECURE AODV

    Directory of Open Access Journals (Sweden)

    S. Madhavi

    2013-01-01

    Full Text Available Providing security in a Mobile Ad hoc Network (MANET is a challenging task due to its inherent nature. Flooding is a type of Denial of Service (DoS attack in MANET. Intentional flooding may lead to disturbances in the networking operation. This kind of attack consumes battery power, storage space and bandwidth. Flooding the excessive number of packets may degrade the performance of the network. This study considers hello flooding attack. As the hello packets are continuously flooded by the malicious node, the neighbor node is not able to process other packets. The functioning of the legitimate node is diverted and destroys the networking operation. Absence of hello packet during the periodical hello interval may lead to wrong assumption that the neighbor node has moved away. So one of the intermediate neighbor nodes sends Route Error (RERR message and the source node reinitiates the route discovery process. In a random fashion the hello interval values are changed and convey this information to other nodes in the network in a secured manner. This study identifies and prevents the flooding attack. This methodology considers the performance parameters such as packet delivery ratio, delay and throughput. This algorithm is implemented in Secure AODV and tested in ad hoc environment. The result of the proposed algorithm decreases the control overhead by 2%.

  1. Extreme flooding tolerance in Rorippa.

    Science.gov (United States)

    Akman, Melis; Bhikharie, Amit; Mustroph, Angelika; Sasidharan, Rashmi

    2014-01-01

    Low oxygen stress imposed by floods creates a strong selection force shaping plant ecosystems in flood-prone areas. Plants inhabiting these environments adopt various adaptations and survival strategies to cope with increasing water depths. Two Rorippa species, R. sylvestris and R. amphibia that grow in naturally flooded areas, have high submergence tolerance achieved by the so-called quiescence and escape strategies, respectively. In order to dissect the molecular mechanisms involved in these strategies, we investigated submergence-induced changes in gene expression in flooded roots of Rorippa species. There was a higher induction of glycolysis and fermentation genes and faster carbohydrate reduction in R. amphibia, indicating a higher demand for energy potentially leading to faster mortality by starvation. Moreover, R. sylvestris showed induction of genes improving submergence tolerance, potentially enhancing survival in prolonged floods. Additionally, we compared transcript profiles of these 2 tolerant species to relatively intolerant Arabidopsis and found that only Rorippa species induced various inorganic pyrophosphate dependent genes, alternatives to ATP demanding pathways, thereby conserving energy, and potentially explaining the difference in flooding survival between Rorippa and Arabidopsis.

  2. Flooding Effect on Earth Walls

    Directory of Open Access Journals (Sweden)

    Meysam Banimahd

    2010-12-01

    Full Text Available Earth building is a sustainable, environmentally friendly and economical method of construction that has been used worldwide for many centuries. For the past three decades, earth has seen a revival as a building material for a modern construction method due to its benefits in terms of low carbon content, low cost and energy involved during construction, as well as the fact that it is a sustainable technology of building. Climate change is influencing precipitation levels and patterns around the world, and as a consequence, flood risk is increasing rapidly. When flooding occurs, earth buildings are exposed to water by submersion, causing an increase in the degree of saturation of the earth structures and therefore a decrease of the suction between particles. This study investigated the effect of cycles of flooding (consecutive events of flooding followed by dry periods on earth walls. A series of characterization tests were carried out to obtain the physical and mechanical properties of the studied earth material. In a second stage, Flooding Simulation Tests (FST were performed to explore the earth walls’ response to repeated flooding events. The results obtained for the tested earth wall/samples with reinforced material (straw reveal hydraulic hysteresis when wall/samples are subject to cycles of wetting and drying.

  3. Beyond Flood Hazard Maps: Detailed Flood Characterization with Remote Sensing, GIS and 2d Modelling

    Science.gov (United States)

    Santillan, J. R.; Marqueso, J. T.; Makinano-Santillan, M.; Serviano, J. L.

    2016-09-01

    Flooding is considered to be one of the most destructive among many natural disasters such that understanding floods and assessing the risks associated to it are becoming more important nowadays. In the Philippines, Remote Sensing (RS) and Geographic Information System (GIS) are two main technologies used in the nationwide modelling and mapping of flood hazards. Although the currently available high resolution flood hazard maps have become very valuable, their use for flood preparedness and mitigation can be maximized by enhancing the layers of information these maps portrays. In this paper, we present an approach based on RS, GIS and two-dimensional (2D) flood modelling to generate new flood layers (in addition to the usual flood depths and hazard layers) that are also very useful in flood disaster management such as flood arrival times, flood velocities, flood duration, flood recession times, and the percentage within a given flood event period a particular location is inundated. The availability of these new layers of flood information are crucial for better decision making before, during, and after occurrence of a flood disaster. The generation of these new flood characteristic layers is illustrated using the Cabadbaran River Basin in Mindanao, Philippines as case study area. It is envisioned that these detailed maps can be considered as additional inputs in flood disaster risk reduction and management in the Philippines.

  4. BEYOND FLOOD HAZARD MAPS: DETAILED FLOOD CHARACTERIZATION WITH REMOTE SENSING, GIS AND 2D MODELLING

    Directory of Open Access Journals (Sweden)

    J. R. Santillan

    2016-09-01

    Full Text Available Flooding is considered to be one of the most destructive among many natural disasters such that understanding floods and assessing the risks associated to it are becoming more important nowadays. In the Philippines, Remote Sensing (RS and Geographic Information System (GIS are two main technologies used in the nationwide modelling and mapping of flood hazards. Although the currently available high resolution flood hazard maps have become very valuable, their use for flood preparedness and mitigation can be maximized by enhancing the layers of information these maps portrays. In this paper, we present an approach based on RS, GIS and two-dimensional (2D flood modelling to generate new flood layers (in addition to the usual flood depths and hazard layers that are also very useful in flood disaster management such as flood arrival times, flood velocities, flood duration, flood recession times, and the percentage within a given flood event period a particular location is inundated. The availability of these new layers of flood information are crucial for better decision making before, during, and after occurrence of a flood disaster. The generation of these new flood characteristic layers is illustrated using the Cabadbaran River Basin in Mindanao, Philippines as case study area. It is envisioned that these detailed maps can be considered as additional inputs in flood disaster risk reduction and management in the Philippines.

  5. A controlled, randomized nonblinded clinical trial to assess the efficacy of amphotericin B deoxycholate as compared to pentamidine for the treatment of antimony unresponsive visceral leishmaniasis cases in Bihar, India

    Directory of Open Access Journals (Sweden)

    Vidya N

    2008-12-01

    Full Text Available Vidya Nand Rabi Das1, Niyamat Ali Siddiqui2, Krishna Pandey3, Vijay Pratap Singh2, Roshan K Topno4, Dharmendra Singh5, Rakesh Bihari Verma2, Alok Ranjan2, Prabhat Kumar Sinha1, Pradeep Das61Department of Clinical Medicine, Rajendra Memorial Research Institute of Medical Sciences, Indian Council of Medical Research, Patna, Bihar, India; 2Department of Biostatistics; 3Department of Clinical Medicine; 4Department of Epidemiology; 5Department of Molecular Biology; 6Director and Institutional Head, Rajendra Memorial Research Institute of Medical Sciences, Indian Council of Medical Research, Patna, Bihar, IndiaBackground: There is significant variation in Amphotericin B (AMB efficacy and relapses in antimony unresponsive visceral leishmaniasis (VL cases over a period of time (10–15 years. Keeping in mind the above mentioned view this study was undertaken with an objective to assess the magnitude of cure and relapse rates of AMB in the treatment of antimony unresponsive VL cases.Methods: In a controlled, randomized nonblinded clinical trial, we evaluated the cure and relapse rate of Amphotericin B deoxycholate as compared to pentamidine. A total of 82 sodium stibogluconate (SSG unresponsive and parasitologically confirmed VL cases were included in this study and randomized into two groups, test (Amphotericin B and control (Pentamidine. Both the groups were treated with recommended dosages (as per World Health Organization guidelines of respective medicines. All the patients were followed up on 1st, 2nd, and 6th month after end of treatment.Results: Apparent cure rate in the Amphotericin B group was found to be 95% (39/41 compared with 83% (34/41 in the Pentamidine group, which shows significant statistical difference (p = 0.05. The ultimate cure rate was found 92% (38/41 in the Amphotericin B group compared to 73% (30/41 in the Pentamidine group, which shows a significant statistical difference (Yates corrected chi-square = 4.42, p = 0.04. Similarly

  6. Evidence for trends in UK flooding.

    Science.gov (United States)

    Robson, Alice J

    2002-07-15

    Recent major flooding in the UK has raised concern that climate change is causing increases in flood frequency and flood magnitude. This paper considers whether UK flood data provide evidence of increasing trends in fluvial floods. The analysis examines both local and national flood series and investigates the effect of climate variability on trend detection. The results suggest that there have been trends towards more protracted high flows over the last 30-50 years, but that this could be accounted for as part of climatic variation rather than climate change. There is no statistical evidence of a long-term trend in flooding over the last 80-120 years. Thus, although climate change could be influencing floods, direct analysis of flood records does not yet provide proof.

  7. Downsizing and social cohesion: the case of downsizing survivors.

    Science.gov (United States)

    Campbell, Richard; Pepper, Lewis

    2006-01-01

    Organizational downsizing was a pervasive feature of the U.S. economy during the 1980s and 1990s. A long-standing public health literature recognizes that unemployment and job loss may adversely affect health, but there has been little attention to date on the impact of downsizing upon those who survive job cuts and continue to work in downsized firms. Drawing on research with survivors of downsizing carried out by the U.S. Department of Energy, this article identifies a variety of social and psychological consequences of downsizing that fundamentally destabilize the work environment and work experience for remaining employees. Evidence from this research suggests that the work climate of the post-downsizing environment is laden with suspicion and conflict, and that survivors show feelings of demoralization, sadness, anxiety, and disorientation. A critical factor influencing these responses, we argue, is not downsizing - which is the exposure faced by those who lose their jobs - but the loss of social cohesion that downsizing ultimately represents to survivors. We conclude that addressing the trauma of downsizing for survivors will require providing employees with more genuine opportunities to participate in workplace governance.

  8. Late cardiovascular and neurological complications in Hodgkin lymphoma survivors

    NARCIS (Netherlands)

    van Leeuwen-Segarceanu, E.M.

    2013-01-01

    This thesis focuses on the early detection of cardiovascular and neurological abnormalities in Hodgkin Lymphoma Survivors (HLS) in a population of 82 patients and 40 controls and in a cross-sectional setting. Several screening test were performed for the assessment of these late effects of treatment

  9. Increasing Breast Cancer Surveillance among African American Breast Cancer Survivors

    Science.gov (United States)

    2005-07-01

    Madam , The project entitled INCREASING BREAST CANCER SURVEILLANCE AMONG AFRICAN AMERICAN BREAST CANCER SURVIVORS includes activities involving human...B b- d § fr. Thomisonwill Work e .y .With’Dra) Vdldf naTir, W and y Bo • rganif Janidorf on data a"_`l- ssi reatihfiutfor pres~entatidns and publi

  10. Adult Attachment and Longterm Effects in Survivors of Incest.

    Science.gov (United States)

    Alexander, Pamela C.; Anderson, Catherine L.; Brand, Bethany; Schaeffer, Cindy M.; Grelling, Barbara Z.; Kretz, Lisa

    1998-01-01

    Ninety-two adult female incest survivors were interviewed and completed measures of current functioning. Hierarchical regression analyses suggested that adult attachment behavior was significantly associated with personality structure, depression, and distress; and abuse severity was associated with posttraumatic stress disorder symptoms and…

  11. Friends of Survivors: The Community Impact of Unwanted Sexual Experiences

    Science.gov (United States)

    Banyard, Victoria L.; Moynihan, Mary M.; Walsh, Wendy A.; Cohn, Ellen S.; Ward, Sally

    2010-01-01

    Since sexual assault survivors are most likely to disclose their experiences to a friend; prevention efforts increasingly focus on friends as informal helpers. The current study examined friends' perceptions of the disclosure experience. Undergraduates (N = 1,241) at the University of New Hampshire completed a shortened version of the Ahrens and…

  12. Informal Caregiver Burden among Survivors of Prolonged Mechanical Ventilation

    OpenAIRE

    Van Pelt, David C.; Milbrandt, Eric B; Qin, Li; Weissfeld, Lisa A.; Rotondi, Armando J.; Schulz, Richard; Chelluri, Lakshmipathi; Angus, Derek C.; Michael R. Pinsky

    2006-01-01

    Rationale: Although caregiver burden is well described in chronic illness, few studies have examined burden among caregivers of survivors of critical illness. In existing studies, it is unclear whether the observed burden is a consequence of critical illness or of preexisting patient illness.

  13. Determinants of increased primary health care use in cancer survivors.

    NARCIS (Netherlands)

    Heins, M.; Schellevis, F.; Rijken, M.; Hoek, L. van der; Korevaar, J.

    2012-01-01

    Purpose: The number of cancer survivors is increasing, and patients with cancer often experience long-lasting consequences of cancer and its treatment. Because of the variety of health problems and high prevalence of comorbidity, primary care physicians (PCPs) seem obvious candidates to take care of

  14. Psychometric Properties of the Fatigue Severity Scale in Polio Survivors

    Science.gov (United States)

    Burger, Helena; Franchignoni, Franco; Puzic, Natasa; Giordano, Andrea

    2010-01-01

    The objective of this study was to evaluate by means of classical test theory and Rasch analysis the scaling characteristics and psychometric properties of the Fatigue Severity Scale (FSS) in polio survivors. A questionnaire, consisting of five general questions (sex, age, age at time of acute polio, sequelae of polio, and new symptoms), the FSS,…

  15. Endocrine disorders in childhood cancer survivors: More answers, more questions

    NARCIS (Netherlands)

    Clement, S.C.

    2016-01-01

    Treatment of pediatric malignancies has advanced substantially over the past several decades, resulting in a rapidly growing group of long-term childhood cancer survivors (CCS). Improved survival leads to an increasing number of individuals who may be at increased risk of substantial morbidity and e

  16. Empowerment of cancer survivors through information technology: an integrative review

    NARCIS (Netherlands)

    Groen, W.G.; Kuijpers, W.; Oldenburg, H.S.A.; Wouters, M.W.J.M.; Aaronson, N.K.; van Harten, W.H.

    2015-01-01

    Background: Patient empowerment may be an effective approach to strengthen the role of cancer survivors and to reduce the burden on health care. However, it is not well conceptualized, notably in oncology. Furthermore, it is unclear to what extent information technology (IT) services can contribute

  17. Empowerment of Cancer Survivors Through Information Technology: An Integrative Review

    NARCIS (Netherlands)

    Groen, Wim G.; Kuijpers, Wilma; Oldenburg, Hester S.A.; Wouters, Michel W.J.M.; Aaronson, Neil K.; Harten, van Wim H.

    2015-01-01

    Background: Patient empowerment may be an effective approach to strengthen the role of cancer survivors and to reduce the burden on health care. However, it is not well conceptualized, notably in oncology. Furthermore, it is unclear to what extent information technology (IT) services can contribute

  18. Sibling Incest: Reports from Forty-One Survivors

    Science.gov (United States)

    Carlson, Bonnie E.; Maciol, Katherine; Schneider, Joanne

    2006-01-01

    An exploratory study was conducted with a convenience sample of 41 adult survivors of sibling incest using a retrospective survey design. Participants were interviewed about their childhood sexual experiences with a sibling. Most participants reported vaginal or oral intercourse and coercive experiences. Half of the sample reported sexual…

  19. Parenting Difficulties among Adult Survivors of Father-Daughter Incest.

    Science.gov (United States)

    Cole, Pamela M.; And Others

    1992-01-01

    This study examined the self-reported parenting experience and practices of women who were either incest victims of their fathers as children (n=20), whose fathers were alcoholic but not sexually abusive (n=25), or who had no known risk in childhood (n=39). Incest survivors reported less confidence and sense of control as parents. (Author/DB)

  20. Attributes of Spirituality Described by Survivors of Sexual Violence

    Science.gov (United States)

    Knapik, Gregory P.; Martsolf, Donna S.; Draucker, Claire B.; Strickland, Karen D.

    2010-01-01

    This study focuses on what aspects of attributes of spirituality as defined by Martsolf and Mickley (1998) are most salient for female and male survivors of sexual violence. Content analysis of secondary narrative data, provided by 50 participants in a study of women's and men's responses to sexual violence, was coded to the five attributes of…

  1. Exercise for Breast Cancer Survivors: Research Evidence and Clinical Guidelines.

    Science.gov (United States)

    Courneya, Kerry S.; Mackey, John R.; McKenzie, Donald C.

    2002-01-01

    Exercise can significantly benefit breast cancer survivors during and after treatment. Moderate intensity aerobic exercise as well as resistance training are important. Psychological health is optimized by enjoyable exercise that develops new skills, incorporates social interaction, and occurs in a stimulating environment. Several conditions…

  2. "Survivor" Math: Using Pop Culture to Enhance Learning Mathematics

    Science.gov (United States)

    Burks, Robert

    2011-01-01

    This article describes a modification of the popular TV game show, "Survivor," as conducted in an undergraduate first semester mathematics precalculus course. The objective of this game is a group-based competitive drill and practice activity to help students prepare and review for the fundamental concepts exam. The results of this activity…

  3. Use of mental health services among disaster survivors: predisposing factors.

    NARCIS (Netherlands)

    Ouden, D.J. den; Velden, P.G. van der; Grievink, L.; Morren, M.; Dirkzwager, A.J.E.; Yzermans, C.J.

    2007-01-01

    BACKGROUND: Given the high prevalence of mental health problems after disasters it is important to study health services utilization. This study examines predictors for mental health services (MHS) utilization among survivors of a man-made disaster in the Netherlands (May 2000). METHODS: Electronic

  4. Attitudes toward Death in Adolescent Offspring of Holocaust Survivors.

    Science.gov (United States)

    Schneider, Stanley

    1978-01-01

    This article describes three American adolescents in an Israeli residential treatment program. Biographical data, diagnostic categories, projective test responses, relationships with parents, and some examples of dreams are presented. A final section analyzes some underlying concepts: survivor guilt, repressed aggression, and isolation of affect.…

  5. Knowledge of Stroke Risk Factors among Stroke Survivors in Nigeria

    Directory of Open Access Journals (Sweden)

    Grace Vincent-Onabajo

    2016-01-01

    Full Text Available Background. Knowledge of stroke risk factors is expected to reduce the incidence of stroke—whether first-ever or recurrent. This study examined knowledge of stroke risk factors and its determinants among stroke survivors. Methods. A cross-sectional survey of consenting stroke survivors at two physiotherapy facilities in Nigeria was carried out. Sociodemographic and clinical data were obtained and knowledge of stroke risk factors (defined as the ability to mention at least one correct risk factor was assessed using open-ended questionnaire. Data were treated with descriptive statistics and logistic regression analysis. Results. Sixty-nine stroke survivors (male = 72.5%; mean ± SD age = 49.7±10.6 years participated in the study. Thirty-four (49.4% participants had knowledge of stroke risk factors. Only educational level was significantly associated with knowledge and participants with tertiary educational qualification were about 48 times (odds ratio = 48.5; CI = 7.6–309.8; P<0.0001 more likely to be knowledgeable than those with no education. Conclusion. Less than half of the participants had knowledge of stroke risk factors. Participants with tertiary education were significantly more knowledgeable than those with lower educational qualifications. Effective means of educating stroke survivors on stroke risk factors should be identified and adopted.

  6. Determinants of newly diagnosed comorbidities among breast cancer survivors

    NARCIS (Netherlands)

    Obi, N.; Gornyk, D.; Heinz, J.; Vrieling, A.; Seibold, P.; Chang-Claude, J.; Flesch-Janys, D.

    2014-01-01

    PURPOSE: Comorbid conditions have become increasingly relevant for breast cancer care given the large numbers of long-term survivors. Our aim was to identify potential determinants associated with the development of comorbidities after breast cancer. METHODS: Self-reported comorbidities and lifestyl

  7. Evaluation of a Spiritually Focused Intervention with Older Trauma Survivors

    Science.gov (United States)

    Bowland, Sharon; Edmond, Tonya; Fallot, Roger D.

    2012-01-01

    This study evaluated the effectiveness of an 11-session, spiritually focused group intervention with older women survivors (age 55 years and older) of interpersonal trauma (child abuse, sexual assault, or domestic violence) in reducing trauma-related depressive symptoms, posttraumatic stress, and anxiety. Forty-three community-dwelling women…

  8. Endothelial damage in long-term survivors of childhood cancer

    NARCIS (Netherlands)

    Brouwer, Cornelia A J; Postma, Aleida; Hooimeijer, H Louise H; Smit, Andries J; Vonk, Judith M; van Roon, A. M.; van den Berg, Maarten P; Dolsma, W.; Lefrandt, Johan; Bink - Boelkens, Margaretha; Zwart, Nynke; de Vries, Elisabeth G. E.; Tissing, Wim J E; Gietema, Jourik A

    2013-01-01

    PURPOSE: To evaluate the presence of vascular damage in long-term childhood cancer survivors (CCS) and sibling controls, and to evaluate the association between vascular damage parameters and cancer treatment and influence of cardiovascular risk factors. PATIENTS AND METHODS: Vascular assessment was

  9. 5 CFR 831.664 - Post-retirement survivor election deposits that were partially paid before October 1, 1993.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Post-retirement survivor election... OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Survivor Annuities Survivor Election Deposits § 831.664 Post-retirement survivor election deposits that...

  10. BIO - SOCIAL DETERMINANTS OF MOTHERS OF LBW BABIES AND ASSOCIATION OF THEIR HEALTH KNOWLEDGE REGARDING LOW BIRTH WEIGHT BABIES : A COMMUNITY BASED STUDY IN AN URBAN SLUM (DILAWARGANJ NEAR MGM MEDICAL COLLEGE, KISHANGANJ, BIHAR

    Directory of Open Access Journals (Sweden)

    Shubhaditya

    2015-09-01

    Full Text Available BACKGROUND: Low birth weight (LBW is a major public health problem in developing countries including India. The epidemiological observations depicted that infants weighing lesser than 2500 g are approximately 20 times more likely to die than heavier babies, closely associated with the fetal and neonatal mortality and morbid ity. The present study was undertaken with the objectives to find out the relevant socio - demographic and biological determinants of Low Birth Weight babies and t o assess the degree of association between impact of health education and Low birth weight babi es. METHODS: A community based cross sectional study was conducted from May - August 2013 in Dilawarganj, an urban slum, the field practice area of Department of Community Medicine, MGM Medical College, Kishanganj, Bihar. Study population comprised of wome n in 3 rd trimester of pregnancy belonged to DILAWARGANJ urban slum area. 100 mothers of low birth weight and normal birth weight babies at urban slum of Kishanganj (Among them 33 mothers had delivered LBW babies & 67 mothers had delivered normal babies were selected and interviewed through house to house survey with the help of a pre - designed, pre - tested and semi - structured questionnaire. RESULTS: Among the socio - demographic factors that have been considered in the present study, it was observed that 51 .5% mothers belong to age group 20 – 29, 84.8% mothers from Muslim community, 66.67% mothers were illiterate, 69.7% mothers were multipara,75.76% mothers reside in a nuclear family 60.6% mothers were engaged in agricultural fields66.67% belong to lower and poor socio - economic group. It was also observed that 84.85% mothers do not consumes extra meals, 81.82% do not take adequate rest & sleep, 93.9% mothers take less than 100 IFA tablets, 69.7% mothers attend less than 3 ANC, 84.85% mothers practice exclusiv e breast feeding and 78.8% mother give vaccines to their babies. CONCLUSION: The study of LBW baby in

  11. A BACTERIOLOGICAL STUDY AMONG PATIENTS BELOW FIVE YEARS OF AGE SUFFERING FROM DIARRHOEA AND GASTROENTERITIS WITH SPECIAL REFERENCE TO THE RESPONSIBLE SEROTYPES OF ESCHERICHIA COLI AT A TERTIARY HEALTHCARE HOSPITAL IN EASTERN BIHAR

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    Sweta

    2014-10-01

    Full Text Available INTRODUCTION: Diarrhoea is defined as passage of loose, liquid or watery stools. In the developing countries, diarrhoea remains a wet season disease with bacteria playing a greater role. The agents responsible for infantile diarrhoea may be bacteria, viruses, parasites, malnutrition and drugs. Infectious agents that cause diarrhoeal disease are usually spread by the fecal-oral route. Escherichia coli (E. coli is a gram-negative bacillus that may be found in the normal intestinal flora of humans and animals, but can also be an important cause of enteric illness. Our present study is an attempt to fulfil this vacuum and investigate the most common pathogens causing these diseases amongst patients in and around a tertiary care hospital of eastern Bihar, with special reference to the serotypes of Escherichia coli. MATERIAL AND METHODS: Samples were collected from both male and female patients below five years of age, admitted to the Pediatrics Department, with complains of diarrhoea and gastroenteritis. Samples were processed, identified and antibiotic sensitivity was done as per standard protocol. Serotyping of E. coli isolates was carried out using antisera as per manufacturer’s instructions. RESULTS: Different diarrhoeagenic strains of E. coli showed that the maximum numbers of strains were EPEC, followed by DAEC. EAEC and ETEC accounted for only a small percentage of strains. Upon Serotyping the different E. coli isolates from patients with diarrhoea, the results showed that the Serotype O26, O111 and O55 were the predominant serotypes of EPEC. Among the ETEC strains only 2 serotypes were seen viz. O6 and O15. Serotype O44 and O125 were the only two serotypes of EAEC seen. Among the DAEC, the only serotype was O1. The antibiotic susceptibility pattern of various isolates shows maximum resistance against ampicillin followed by cefixime. Strains were significantly sensitive to amikacin, gentamicin and ofloxacin. CONCLUSION: Our result shows high

  12. Flood risks and willingness to purchase flood insurance.

    Science.gov (United States)

    Karlinger, M.R.; Attanasi, E.D.

    1980-01-01

    Computer simulation experiments were conducted to determine the effects of alternative sources of uncertainty on the willingness to pay for flood insurance. Two alternative insurance protection schemes were investigated: coinsurance and fixed coverage. The question investigated is to what extent does the insurance scheme influence how purchasers respond to risks? Floods were assumed to be log normally distributed and the effects on the purchase of insurance of uncertainties in the parameters of the distribution were explored using response surface analysis. Results indicate that fixed coverage insurance provisions shift most of the uncertainty in the physical parameters governing natural disaster occurrences away from the insuree and onto the insurer. The results also show that the form of the damage function has little effect on the demand for flood insurance.- Authors

  13. Suboptimal Vitamin D levels among adult survivors of childhood cancers

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    Denise A. Rokitka

    2016-07-01

    Full Text Available Purpose: Vitamin D plays an important role in many bodily systems, with increasing evidence suggesting its importance for the prevention of chronic diseases and cancer. The identification of vitamin D levels in childhood cancer survivors becomes, therefore, particularly relevant, given that optimizing levels may contribute to the prevention of secondary malignancies and chronic diseases.Methods: A cross - sectional analysis of serum 25 - hydroxyvitamin D levels among adult survivors of childhood cancers living in New York State and surrounding areas (n = 139 was performed. Independent variables included gender, race/ethnicity, cancer site, year of diagnosis, past medical and surgical history, prior radiation therapy; prior chemotherapy, age at diagnosis, age at last clinic visit, year of last clinic visit, height, weight, body mass index, and vitamin D supplementation.Results: Overall, 34% of survivors were vitamin D deficient (< 20 ng/ml, 39% were classified as insufficient (20 - 29 ng/ml and 27% (≥ 30 ng/ml were classified as having sufficient levels. Despite vitamin D supplementation among 41 patients, 68.3% continued to have insufficient or deficient levels. Participants with a BMI > 25 demonstrated lower levels of vitamin D (p < 0.05. Vitamin D levels did not vary by age group, race, ethnicity, diagnosis, or years since diagnosis.Conclusion: Given the growing awareness of the role of vitamin D and the documented late effects of treatment for childhood cancers, the high prevalence of vitamin D deficiency within the childhood cancer survivor population is of concern. Vitamin D represents an important target for surveillance and intervention to help improve long - term outcomes of childhood cancer survivors.

  14. Appropriateness of cardiovascular care in elderly adult cancer survivors.

    Science.gov (United States)

    Cheung, Winson Y; Levin, Raisa; Setoguchi, Soko

    2013-01-01

    Research suggests that the quality of non-cancer-related care among cancer survivors (CS) is suboptimal. Secondary disease prevention is an important component of survivorship care that has not been previously evaluated. Our aims were (1) to assess the utilization of and adherence to medications and treatments for the secondary prevention of myocardial infarction (MI) in CS versus non-cancer patients (NCP) and (2) to compare temporal trends in cardiovascular care between these two patient cohorts. Linking data from Medicare, pharmacy assistance programs, and cancer registries, we calculated the percentage of individuals receiving preventive medications (statins, β-blockers, angiotensin-converting enzyme inhibitors) and revascularization interventions (angioplasty, stent, bypass surgery) within 90 days after acute MI in CS and propensity score-matched NCP. We assessed trends over time and determined predictors of appropriate preventive care using modified Poisson regression. We identified 1,119 CS and 7,886 NCP. Compared to NCP, more survivors received statins (38 vs. 31 %) and β-blockers (67 vs. 59 %), but fewer underwent bypass surgery (1.5 vs. 2.8 %) after MI. From 1997 to 2004, both survivors and NCP were increasingly prescribed medications to prevent future coronary events. Over the same time period, receipt of bypass surgery was significantly lower among survivors. Co-morbidities, such as depression and lung disease, and demographic factors, such as advanced age and female, were associated with underuse of preventive care among survivors when compared to NCP. Use of preventive medications and procedures has generally improved, but uptake of bypass surgery among CS still lags behind NCP.

  15. Uncertainty in flood risk mapping

    Science.gov (United States)

    Gonçalves, Luisa M. S.; Fonte, Cidália C.; Gomes, Ricardo

    2014-05-01

    A flood refers to a sharp increase of water level or volume in rivers and seas caused by sudden rainstorms or melting ice due to natural factors. In this paper, the flooding of riverside urban areas caused by sudden rainstorms will be studied. In this context, flooding occurs when the water runs above the level of the minor river bed and enters the major river bed. The level of the major bed determines the magnitude and risk of the flooding. The prediction of the flooding extent is usually deterministic, and corresponds to the expected limit of the flooded area. However, there are many sources of uncertainty in the process of obtaining these limits, which influence the obtained flood maps used for watershed management or as instruments for territorial and emergency planning. In addition, small variations in the delineation of the flooded area can be translated into erroneous risk prediction. Therefore, maps that reflect the uncertainty associated with the flood modeling process have started to be developed, associating a degree of likelihood with the boundaries of the flooded areas. In this paper an approach is presented that enables the influence of the parameters uncertainty to be evaluated, dependent on the type of Land Cover Map (LCM) and Digital Elevation Model (DEM), on the estimated values of the peak flow and the delineation of flooded areas (different peak flows correspond to different flood areas). The approach requires modeling the DEM uncertainty and its propagation to the catchment delineation. The results obtained in this step enable a catchment with fuzzy geographical extent to be generated, where a degree of possibility of belonging to the basin is assigned to each elementary spatial unit. Since the fuzzy basin may be considered as a fuzzy set, the fuzzy area of the basin may be computed, generating a fuzzy number. The catchment peak flow is then evaluated using fuzzy arithmetic. With this methodology a fuzzy number is obtained for the peak flow

  16. King Tide floods in Tuvalu

    Science.gov (United States)

    Lin, C.-C.; Ho, C.-R.; Cheng, Y.-H.

    2013-05-01

    The spatial and temporal distributions of sea level rise present regional floods in some certain areas. The low-lying island countries are obviously the spots affected severely. Tuvalu, an atoll island country located in the south-west Pacific Ocean, is suffering the devastating effects of losing life, property, and intending migration caused by floods. They blame the regional flooding to King Tide, a term used but not clearly identified by Pacific islanders. In this study, we clarify what King Tide is first. By the tide gauge and topography data, we estimated the reasonable value of 3.2 m as the threshold of King Tide. This definition also fits to the statement by National Oceanic and Atmospheric Administration (NOAA) of King Tide occurring once or twice a year. In addition, We cross validate the 19 yr data of tide gauge and satellite altimeter (1993-2012), the correlation coefficient indicates King Tide phenomenon is considerable connected to warm water mass. The 28 King Tide events revealed the fact that flooding can be referenced against spring tide levels, so can it be turned up by warm water mass. The warm water mass pushes up sea level; once spring tide, storm surge, or other climate variability overlaps it, the rising sea level might overflow and so has been called "King Tide" for the floods in Tuvalu. This study provides more understanding of the signals of King Tide and an island country case study of regional sea level rise.

  17. Antioxidant enzyme polymorphisms and neuropsychological outcomes in medulloblastoma survivors: a report from the Childhood Cancer Survivor Study.

    Science.gov (United States)

    Brackett, Julienne; Krull, Kevin R; Scheurer, Michael E; Liu, Wei; Srivastava, Deo Kumar; Stovall, Marilyn; Merchant, Thomas E; Packer, Roger J; Robison, Leslie L; Okcu, M Fatih

    2012-08-01

    Psychological or neurocognitive impairment is often seen in medulloblastoma survivors after craniospinal radiation; however, significant variability in outcomes exists. This study investigated the role of antioxidant enzyme polymorphisms in moderating this outcome and hypothesized that patients who had polymorphisms associated with lower antioxidant enzyme function would have a higher occurrence of impairment. From the Childhood Cancer Survivor Study (CCSS) cohort, 109 medulloblastoma survivors and 143 siblings were identified who completed the CCSS Neurocognitive Questionnaire (NCQ) and the Brief Symptom Inventory-18 (BSI-18) and who provided buccal DNA samples. Real-time polymerase chain reaction (PCR) allelic discrimination was used for SOD2 (rs4880), GPX1 (rs1050450), and GSTP1 (rs1695 and rs1138272) genotyping and PCR for GSTM1 and GSTT1 gene deletions. Outcomes on NCQ and BSI-18 subscale scores were examined in association with genotypes and clinical factors, including age at diagnosis, sex, and radiation dose, using univariate and multivariate analysis of variance. Patients survivors across multiple domains, suggesting that this genotype may predispose patients for increased emotional late effects.

  18. Final height and body mass index among adult survivors of childhood brain cancer: childhood cancer survivor study.

    Science.gov (United States)

    Gurney, James G; Ness, Kirsten K; Stovall, Marilyn; Wolden, Suzanne; Punyko, Judy A; Neglia, Joseph P; Mertens, Ann C; Packer, Roger J; Robison, Leslie L; Sklar, Charles A

    2003-10-01

    The objectives of this study were 1) to compare final height and body mass index (BMI) between adult survivors of childhood brain cancer and age- and sex-matched population norms, 2) to quantify the effects of treatment- and cancer-related factors on the risk of final height below the 10th percentile (adult short stature) or having a BMI of 30 kg/m(2) or more (obesity). Treatment records were abstracted and surveys completed by 921 adults aged 20-45 yr who were treated for brain cancer as children and were participants in the multicenter Childhood Cancer Survivor Study. Nearly 40% of childhood brain cancer survivors were below the 10th percentile for height. The strongest risk factors for adult short stature were young age at diagnosis and radiation treatment involving the hypothalamic-pituitary axis (HPA). The multivariate odds ratio for adult short stature among those 4 yr of age or younger at diagnosis, relative to ages 10-20 yr, was 5.67 (95% confidence interval, 3.6-8.9). HPA radiation exposure increased the risk of adult short stature in a dose-response fashion (trend test, P obesity. Except for patients treated with surgery only, survivors of childhood brain cancer are at very high risk for adult short stature, and this risk increases with radiation dose involving the HPA. We did not find a corresponding elevated risk for obesity.

  19. Adherence to Guidelines for Cancer Survivors and Health-Related Quality of Life among Korean Breast Cancer Survivors

    Directory of Open Access Journals (Sweden)

    Sihan Song

    2015-12-01

    Full Text Available There is limited evidence on the association between adherence to guidelines for cancer survivors and health-related quality of life (HRQoL. In a cross-sectional study of Korean breast cancer survivors, we examined whether adherence to the guidelines of the American Cancer Society (ACS and World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR for cancer survivors was related to levels of HRQoL, assessed by the Korean version of Core 30 (C30 and Breast cancer module 23 (BR23 of the European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire (EORTC-QLQ. We included a total of 160 women aged 21 to 79 years who had been diagnosed with breast cancer according to American Joint Committee on Cancer (AJCC stages I to III and had breast cancer surgery at least six months before the interview. Increasing adherence to ACS guidelines was associated with higher scores of social functioning (p for trend = 0.05, whereas increasing adherence to WCRF/AICR recommendations was associated with higher scores of arm symptoms (p for trend = 0.01. These associations were limited to those with stage II or III cancer. Diet may be an important factor in relation to quality of life among Korean breast cancer survivors, however our findings warrant further prospective studies to evaluate whether healthy diet improves survivors’ quality of life.

  20. Long-term health-related outcomes in survivors of childhood cancer treated with HSCT versus conventional therapy: a report from the Bone Marrow Transplant Survivor Study (BMTSS) and Childhood Cancer Survivor Study (CCSS).

    Science.gov (United States)

    Armenian, Saro H; Sun, Can-Lan; Kawashima, Toana; Arora, Mukta; Leisenring, Wendy; Sklar, Charles A; Baker, K Scott; Francisco, Liton; Teh, Jennifer Berano; Mills, George; Wong, F Lennie; Rosenthal, Joseph; Diller, Lisa R; Hudson, Melissa M; Oeffinger, Kevin C; Forman, Stephen J; Robison, Leslie L; Bhatia, Smita

    2011-08-04

    HSCT is being increasingly offered as a curative option for children with hematologic malignancies. Although survival has improved, the long-term morbidity ascribed to the HSCT procedure is not known. We compared the risk of chronic health conditions and adverse health among children with cancer treated with HSCT with survivors treated conventionally, as well as with sibling controls. HSCT survivors were drawn from BMTSS (N = 145), whereas conventionally treated survivors (N = 7207) and siblings (N = 4020) were drawn from CCSS. Self-reported chronic conditions were graded with CTCAEv3.0. Fifty-nine percent of HSCT survivors reported ≥ 2 conditions, and 25.5% reported severe/life-threatening conditions. HSCT survivors were more likely than sibling controls to have severe/life-threatening (relative risk [RR] = 8.1, P survivors, BMTSS survivors demonstrated significantly elevated risks (severe/life-threatening conditions: RR = 3.9, P survivors carry a significantly greater burden of morbidity not only compared with noncancer populations but also compared with conventionally treated cancer patients, providing evidence for close monitoring of this high-risk population.

  1. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE - MO 2014 Springfield FEMA Base Flood Elevations (SHP)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This polyline layer indicates the approximate effective FEMA Base Flood Elevation (BFE) associated with the corresponding Special Flood Hazard Area (SFHA). Each line...

  2. Groundwater flood hazards in lowland karst terrains

    Science.gov (United States)

    Naughton, Owen; McCormack, Ted

    2016-04-01

    The spatial and temporal complexity of flooding in karst terrains pose unique flood risk management challenges. Lowland karst landscapes can be particularly susceptible to groundwater flooding due to a combination of limited drainage capacity, shallow depth to groundwater and a high level of groundwater-surface water interactions. Historically the worst groundwater flooding to have occurred in the Rep. of Ireland has been centred on the Gort Lowlands, a karst catchment on the western coast of Ireland. Numerous notable flood events have been recorded throughout the 20th century, but flooding during the winters of 2009 and 2015 were the most severe on record, inundating an area in excess of 20km2 and causing widespread and prolonged disruption and damage to property and infrastructure. Effective flood risk management requires an understanding of the recharge, storage and transport mechanisms during flood conditions, but is often hampered by a lack of adequate data. Using information gathered from the 2009 and 2015 events, the main hydrological and geomorphological factors which influence flooding in this complex lowland karst groundwater system under are elucidated. Observed flood mechanisms included backwater flooding of sinks, overland flow caused by the overtopping of sink depressions, high water levels in turlough basins, and surface ponding in local epikarst watersheds. While targeted small-scale flood measures can locally reduce the flood risk associated with some mechanisms, they also have the potential to exacerbate flooding down-catchment and must be assessed in the context of overall catchment hydrology. This study addresses the need to improve our understanding of groundwater flooding in karst terrains, in order to ensure efficient flood prevention and mitigation in future and thus help achieve the aims of the EU Floods Directive.

  3. 2011 floods of the central United States

    Science.gov (United States)

    ,

    2013-01-01

    The Central United States experienced record-setting flooding during 2011, with floods that extended from headwater streams in the Rocky Mountains, to transboundary rivers in the upper Midwest and Northern Plains, to the deep and wide sand-bedded lower Mississippi River. The U.S. Geological Survey (USGS), as part of its mission, collected extensive information during and in the aftermath of the 2011 floods to support scientific analysis of the origins and consequences of extreme floods. The information collected for the 2011 floods, combined with decades of past data, enables scientists and engineers from the USGS to provide syntheses and scientific analyses to inform emergency managers, planners, and policy makers about life-safety, economic, and environmental-health issues surrounding flood hazards for the 2011 floods and future floods like it. USGS data, information, and scientific analyses provide context and understanding of the effect of floods on complex societal issues such as ecosystem and human health, flood-plain management, climate-change adaptation, economic security, and the associated policies enacted for mitigation. Among the largest societal questions is "How do we balance agricultural, economic, life-safety, and environmental needs in and along our rivers?" To address this issue, many scientific questions have to be answered including the following: * How do the 2011 weather and flood conditions compare to the past weather and flood conditions and what can we reasonably expect in the future for flood magnitudes?

  4. Collecting data for quantitative research on pluvial flooding

    NARCIS (Netherlands)

    Spekkers, M.H.; Ten Veldhuis, J.A.E.; Clemens, F.H.L.R.

    2011-01-01

    Urban pluvial flood management requires detailed spatial and temporal information on flood characteristics and damaging consequences. There is lack of quantitative field data on pluvial flooding resulting in large uncertainties in urban flood model calculations and ensuing decisions for investments

  5. Spatial and seasonal responses of precipitation in the Ganges and Brahmaputra river basins to ENSO and Indian Ocean dipole modes: implications for flooding and drought

    Directory of Open Access Journals (Sweden)

    M. S. Pervez

    2014-02-01

    Full Text Available We evaluated the spatial and temporal responses of precipitation in the basins as modulated by the El Niño Southern Oscillation (ENSO and Indian Ocean (IO dipole modes using observed precipitation records at 43 stations across the Ganges and Brahmaputra basins from 1982 to 2010. Daily observed precipitation records were extracted from Global Surface Summary of the Day dataset and spatial and monthly anomalies were computed. The anomalies were averaged for the years influenced by climate modes combinations. Occurrences of El Niño alone significantly reduced (60% and 88% of baseline in the Ganges and Brahmaputra basins, respectively precipitation during the monsoon months in the northwestern and central Ganges basin and across the Brahmaputra basin. In contrast, co-occurrence of La Niña and a positive IO dipole mode significantly enhanced (135% and 160% of baseline, respectively precipitation across both basins. During the co-occurrence of neutral phases in both climate modes (occurring 13 out of 28 yr, precipitation remained below average to average in the agriculturally extensive areas of Haryana, Uttar Pradesh, Bihar, eastern Nepal, and the Rajshahi district in Bangladesh in the Ganges basin and northern Bangladesh, Meghalaya, Assam, and Arunachal Pradesh in the Brahmaputra basin. This pattern implies that a regular water deficit is likely in these areas with implications for the agriculture sector due to its reliance on consistent rainfall for successful production. Major flooding and drought occurred as a consequence of the interactive effects of the ENSO and IO dipole modes, with the sole exception of extreme precipitation and flooding during El Niño events. This observational analysis will facilitate well informed decision making in minimizing natural hazard risks and climate impacts on agriculture, and supports development of strategies ensuring optimized use of water resources in best management practice under changing climate.

  6. Flood mapping with remote sensing and hydrochemistry: A new method to distinguish the origin of flood water during floods

    NARCIS (Netherlands)

    Chormanski, J.; Okruszko, T.; Ignar, S.; Batelaan, O.; Rebel, K.T.; Wassen, M.J.

    2011-01-01

    River flooding is important for the ecological functioning of river floodplains. It is implicitly assumed that in many river floodplains during floods, river water is spreading all over the floodplain. We hypothesize that during flood events a spatial distribution of water types exists, which is cor

  7. Flooding in Thailand: flee, fight or float

    Directory of Open Access Journals (Sweden)

    Wan S Sophonpanich

    2012-12-01

    Full Text Available The severity of recent flooding in Thailand and the probability of future flooding have triggered a re-assessment of coping mechanisms employed by both the Thai population and the government.

  8. Flood-frequency characteristics of Wisconsin streams

    Science.gov (United States)

    Krug, W.R.; Conger, D.H.; Gebert, W.A.

    1993-01-01

    Flood-frequency characteristics for 269 gaged sites on Wisconsin streams are presented for recurrence intervals of 2 to 100 years. Annual flood peaks for the period of record for each gaged site are included.

  9. Sept 2013 NFHL Flood Hazard Areas

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  10. Flood Insurance Rate Map, Scott County, USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk information and supporting data used to develop the risk data. The primary risk...

  11. DIGITAL FLOOD INSURANCE RATE MAP DATABASE, , USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk Information And supporting data used to develop the risk data. The primary risk;...

  12. Sept 2013 NFHL Flood Control Structures

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  13. Sept 2013 NFHL Flood Hazard Boundaries

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  14. Sept 2013 NFHL Flood Risk Project Areas

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  15. DIGITAL FLOOD INSURANCE RATE MAP DATABASE,

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk Information And supporting data used to develop the risk data. The primary risk;...

  16. Multilevel integrated flood management aproach

    Science.gov (United States)

    Brilly, Mitja; Rusjan, Simon

    2013-04-01

    The optimal solution for complex flood management is integrated approach. Word »integration« used very often when we try to put something together, but should distinguish full multiple integrated approach of integration by parts when we put together and analyse only two variables. In doing so, we lost complexity of the phenomenon. Otherwise if we try to put together all variables we should take so much effort and time and we never finish the job properly. Solution is in multiple integration captures the essential factors, which are different on a case-by-case (Brilly, 2000). Physical planning is one of most important activity in which flood management should be integrated. The physical planning is crucial for vulnerability and its future development and on other hand our structural measures must be incorporate in space and will very often dominated in. The best solution is if space development derived on same time with development of structural measures. There are good examples with such approach (Vienna, Belgrade, Zagreb, and Ljubljana). Problems stared when we try incorporating flood management in already urbanised area or we would like to decrease risk to some lower level. Looking to practice we learn that middle Ages practices were much better than to day. There is also »disaster by design« when hazard increased as consequence of upstream development or in stream construction or remediation. In such situation we have risk on areas well protected in the past. Good preparation is essential for integration otherwise we just lost time what is essential for decision making and development. We should develop clear picture about physical characteristics of phenomena and possible solutions. We should develop not only the flood maps; we should know how fast phenomena could develop, in hour, day or more. Do we need to analyse ground water - surface water relations, we would like to protected area that was later flooded by ground water. Do we need to take care about

  17. A rainfall design method for spatial flood risk assessment: considering multiple flood sources

    Science.gov (United States)

    Jiang, X.; Tatano, H.

    2015-08-01

    Information about the spatial distribution of flood risk is important for integrated urban flood risk management. Focusing on urban areas, spatial flood risk assessment must reflect all risk information derived from multiple flood sources: rivers, drainage, coastal flooding etc. that may affect the area. However, conventional flood risk assessment deals with each flood source independently, which leads to an underestimation of flood risk in the floodplain. Even in floodplains that have no risk from coastal flooding, flooding from river channels and inundation caused by insufficient drainage capacity should be considered simultaneously. For integrated flood risk management, it is necessary to establish a methodology to estimate flood risk distribution across a floodplain. In this paper, a rainfall design method for spatial flood risk assessment, which considers the joint effects of multiple flood sources, is proposed. The concept of critical rainfall duration determined by the concentration time of flooding is introduced to connect response characteristics of different flood sources with rainfall. A copula method is then adopted to capture the correlation of rainfall amount with different critical rainfall durations. Rainfall events are designed taking advantage of the copula structure of correlation and marginal distribution of rainfall amounts within different critical rainfall durations. A case study in the Otsu River Basin, Osaka prefecture, Japan was conducted to demonstrate this methodology.

  18. A rainfall design method for spatial flood risk assessment: considering multiple flood sources

    Directory of Open Access Journals (Sweden)

    X. Jiang

    2015-08-01

    Full Text Available Information about the spatial distribution of flood risk is important for integrated urban flood risk management. Focusing on urban areas, spatial flood risk assessment must reflect all risk information derived from multiple flood sources: rivers, drainage, coastal flooding etc. that may affect the area. However, conventional flood risk assessment deals with each flood source independently, which leads to an underestimation of flood risk in the floodplain. Even in floodplains that have no risk from coastal flooding, flooding from river channels and inundation caused by insufficient drainage capacity should be considered simultaneously. For integrated flood risk management, it is necessary to establish a methodology to estimate flood risk distribution across a floodplain. In this paper, a rainfall design method for spatial flood risk assessment, which considers the joint effects of multiple flood sources, is proposed. The concept of critical rainfall duration determined by the concentration time of flooding is introduced to connect response characteristics of different flood sources with rainfall. A copula method is then adopted to capture the correlation of rainfall amount with different critical rainfall durations. Rainfall events are designed taking advantage of the copula structure of correlation and marginal distribution of rainfall amounts within different critical rainfall durations. A case study in the Otsu River Basin, Osaka prefecture, Japan was conducted to demonstrate this methodology.

  19. Learning about Flood Risk: Comparing the Web-Based and Physical Flood-Walk Learning Environments

    Science.gov (United States)

    Chang Rundgren, Shu-Nu; Nyberg, Lars; Evers, Mariele; Alexandersson, Jan

    2015-01-01

    Numerous of sustainable development related challenges are emerging today, e.g. flooding problems. Our group has developed "the flood walk" project since 2010 to convey flood risk knowledge in an authentic context. Considering the limitation of time and space to educate people the flood risk knowledge, we tried to transform the physical…

  20. Field note from Pakistan floods: Preventing future flood disasters

    Directory of Open Access Journals (Sweden)

    Marcus Oxley

    2011-04-01

    Full Text Available Unusually heavy monsoon rains in Northern Pakistan have caused disproportionate levels of extreme flooding and unprecedented flood losses across the entire Indus River basin. Extensive land use changes and environmental degradation in the uplands and lowlands of the river basin together with the construction of a “built environment” out of balance with the functioning, capacities, scale and limits of the local ecosystems have exposed millions of people to an increased risk of extreme #ooding. The catastrophic nature of the August #ooding provides a unique opportunity to fundamentally change Pakistan’s current socio-economic development path by incorporating disaster risk reduction and climate change measures into the post-disaster recovery process to rebuild a safer, more resilient nation. In January 2005 one hundred and sixty-eight nations adopted the Hyogo Framework for Action (HFA2005-2015 to bring about a “substantial reduction in disaster losses” by 2015. Despite this global initiative a series of major disasters, including the recent flooding in Pakistan, all indicate that we are not on track to achieve the substantial reduction of disaster losses. The following fieldnote considers what can be done to accelerate progress towards implementation of the Hyogo Framework, drawing on insights and lessons learnt from the August flooding to understand how Pakistan and neighbouring countries can prevent a repeat of such catastrophic disasters in future years.

  1. Adverse psychological outcomes in long-term survivors of hematopoietic cell transplantation: a report from the Bone Marrow Transplant Survivor Study (BMTSS).

    Science.gov (United States)

    Sun, Can-Lan; Francisco, Liton; Baker, K Scott; Weisdorf, Daniel J; Forman, Stephen J; Bhatia, Smita

    2011-10-27

    Little information exists regarding long-term psychological health of hematopoietic cell transplantation (HCT) survivors. Using resources offered by the Bone Marrow Transplant Survivor Study (BMTSS), we evaluated adverse psychological outcomes in 1065 long-term HCT survivors and a healthy comparison group composed of siblings. Psychological health status was evaluated using the Brief Symptom Inventory-18. Twenty-two percent of the HCT survivors reported adverse psychological outcomes, compared with 8% of the siblings. Exposure to prednisone was associated with psychological distress across all domains (anxiety, depression, and somatic distress). Fifteen percent of the HCT survivors reported somatic distress, representing an almost 3-fold higher risk comparing to siblings. Among survivors, in addition to low annual household income and self-reported poor health, having severe/life-threatening conditions and presence of active chronic GVHD were associated with a 2-fold increased risk for somatic distress. Seven percent of the HCT survivors expressed suicidal ideation; patients with higher scores on depression subscale were most vulnerable. This study demonstrates that somatic distress is the biggest challenge faced by survivors long after HCT. These results identify vulnerable subpopulations and provide patients, families, and healthcare providers with necessary information to plan for post-HCT needs many years after HCT.

  2. Perceptions of Childhood Sexual Abuse Survivors: Development and Initial Validation of a New Scale to Measure Stereotypes of Adult Survivors of Childhood Sexual Abuse

    Science.gov (United States)

    Zafar, Sadia; Ross, Erin C.

    2013-01-01

    The Childhood Sexual Abuse Stereotypes Scale was developed to assess stereotypes of adult survivors of childhood sexual abuse. Scale items were derived from two studies that elicited cultural and personal beliefs about, and emotions experienced towards adult childhood sexual abuse survivors among university undergraduates. Two scales, Emotions and…

  3. Flood Risk Management in the People’s Republic of China: Learning to Live with Flood Risk

    OpenAIRE

    Asian Development Bank

    2012-01-01

    This publication presents a shift in the People’s Republic of China from flood control depending on structural measures to integrated flood management using both structural and non-structural measures. The core of the new concept of integrated flood management is flood risk management. Flood risk management is based on an analysis of flood hazard, exposure to flood hazard, and vulnerability of people and property to danger. It is recommended that people learn to live with flood risks, gaining...

  4. Flood forecasting using artificial neural networks

    NARCIS (Netherlands)

    Varoonchotikul, P.

    2003-01-01

    Flood disasters continue to occur In many countries around the world and cause tremendous casualtles and properties damage. To mitigate the effects of floods, both structural and non-structural measures can be employed, such as dykes, channelisatlon, flood proofing of properties, land-use regulation

  5. Flood Progression Modelling and Impact Analysis

    DEFF Research Database (Denmark)

    Mioc, Darka; Anton, François; Nickerson, B.

    People living in the lower valley of the St. John River, New Brunswick, Canada, frequently experience flooding when the river overflows its banks during spring ice melt and rain. To better prepare the population of New Brunswick for extreme flooding, we developed a new flood prediction model...

  6. The European Flood Risk Directive and Ethics

    NARCIS (Netherlands)

    Mostert, E.; Doorn, N.

    2012-01-01

    The European Flood risk directive (2007/60/EC) requires EU Member States to review their system of flood risk management. In doing so, they will have to face ethical issues inherent in flood risk management. This paper discusses three such issues, using examples from the Netherlands. These issues ar

  7. Economic optimisation of flood risk management projects

    NARCIS (Netherlands)

    Tsimopoulou, V.

    2015-01-01

    The Netherlands has developed a flood risk management policy based on an economic rationale. After the flood disaster of 1953, when a large area of the south-western part of the country was flooded and more than 1800 people lost their lives, the so-called Delta Committee was installed, whose main pu

  8. Tangible and Intangible Flood damage evaluation

    Directory of Open Access Journals (Sweden)

    Frongia Sara

    2016-01-01

    Full Text Available Flooding and flash floods that cause significant economic and social damage have been widely studied in the last few decades. The European Commission Flood Directive 2007/60 Flood Risk Management Plans require the assessment of potential damage to give an appreciation of the magnitude of the consequences of a flood event and so help stakeholders to use a cost benefit approach to planning flood mitigation measures. This paper evaluates the direct tangible flood damage applying the JRC water depth-damage functions for the European territory to estimate the potential economic damage. Intangible damage is evaluated with the Life Safety Model (LSM to study the dynamic interactions among people, vehicles, buildings and the flood wave. LSM assesses potential flood damage and allows the development of a Flood Evacuation Plan in case of an emergency, underlining the evacuation routes adopted by people and vehicles. This enables emergency managers to avoid evacuation bottleneck problems and identify areas of potential high mortality. The impact of changes such as road network improvements, the location of safe havens and timing of flood warnings can be assessed in terms of potential loss of life. The developed methodology has been applied on the Sardinian Flood Risk Management Plan pilot basin, the Coghinas river lowland basin.

  9. The August 1975 Flood over Central China

    Science.gov (United States)

    Yang, Long; Smith, James; Liu, Maofeng; Baeck, MaryLynn

    2016-04-01

    The August 1975 flood in Central China was one of the most destructive floods in history, resulting in 26 000 fatalities, leaving about 10 million people with insufficient shelter, and producing long-lasting famine and disease. Extreme rainfall responsible for this flood event was associated with typhoon Nina during 5-7 August 1975. Despite the prominence of the August 1975 flood, analyses of the storms producing the flood and the resulting flood are sparse. Even fewer attempts were made from the perspective of numerical simulations. We examine details of extreme rainfall for the August 1975 flood based on downscaling simulations using the Weather Research and Forecasting (WRF) model driven by 20th Century Reanalysis fields. We further placed key hydrometeorological features for the flood event in a climatological context through the analyses of the 20th Century Reanalysis fields. Results indicate interrelated roles of multiple mesoscale ingredients for deep, moist convection in producing extreme rainfall for the August 1975 flood, superimposed over an anomalous synoptic environment. Attribution analyses on the source of water vapor for this flood event will be conducted based on a Lagrangian parcel tracking algorithm LAGRANTO. Analytical framework developed in this study aims to explore utilization of hydrometeorological approach in flood-control engineering designs by providing details on key elements of flood-producing storms.

  10. Resilience to flooding: Draft building code

    NARCIS (Netherlands)

    Clarkson, J.D.; Braun, K.; Desoto-Duncan, A.; Forsyth, G.; De Gijt, J.G.; Huber, N.P.; Miller, D.; Rigo, P.; Sullivan, D.

    2013-01-01

    A significant issue associated Flood Defence Systems (FDS) is the difficulty of predicting how these structures will behave when inevitably they have been loaded beyond their designed capacity by a flood. The flood can cause these structures to fail catastrophically with loss of life and substantial

  11. 5 CFR 847.912 - If an employee who elects to credit NAFI service under subpart H of this part elects a survivor...

    Science.gov (United States)

    2010-01-01

    ... service under subpart H of this part elects a survivor annuity will the monthly survivor annuity rate be... elects to credit NAFI service under subpart H of this part elects a survivor annuity will the monthly survivor annuity rate be subject to reduction? (a) The monthly survivor annuity benefit of an employee...

  12. Flood Risk and Asset Management

    Science.gov (United States)

    2012-09-01

    Neal J, Villanueva I, Wright N et al. (2011) How much physical complexity is needed to model flood inundation? Hydrological Processes 26, http...unpublished’’. 14: Neal J, Villanueva I, Wright N et al. (2011) – include publication details as well as DOI. 15: Romanowicz R and Beven K (2003

  13. Procedural justice and layoff survivors' commitment: a quantitative review.

    Science.gov (United States)

    Grubb, W Lee

    2006-10-01

    Layoffs are common in today's organizations. Most studies that have examined the correlation between procedural justice and the organizational commitment of layoff survivors have yielded positive correlations, but the magnitude of the correlations varies widely. This study is the first to estimate the population correlation and to identify the primary sources that cause variation in the correlation across studies. The results indicated that justice and commitment correlations can always be expected to be positive. Based on a total sample size of 9080 individuals, the estimated mean population correlation was .34. Variation was primarily explained by attributes of the justice measure where multiple items scales and scales composed of both interactional and procedural justice items yielded higher correlations than single item measures. Therefore, it is important that employers recognize the substantial assuaging affect that procedural and interactional justice can have on survivors' organizational commitment.

  14. Cancer survivors' experience of exercise-based cancer rehabilitation

    DEFF Research Database (Denmark)

    Midtgaard, Julie; Hammer, Nanna Maria; Andersen, Christina

    2015-01-01

    BACKGROUND: Evidence for the safety and benefits of exercise training as a therapeutic and rehabilitative intervention for cancer survivors is accumulating. However, whereas the evidence for the efficacy of exercise training has been established in several meta-analyses, synthesis of qualitative......, age 28-76 years) exclusively reporting experiences of participation in structured, supervised exercise training resulted in nine themes condensed into three categories: 1) emergence of continuity; 2) preservation of health; and 3) reclaiming the body reflecting the benefits of exercise...... research is lacking. In order to extend healthcare professionals' understanding of the meaningfulness of exercise in cancer survivorship care, this paper aims to identify, appraise and synthesize qualitative studies on cancer survivors' experience of participation in exercise-based rehabilitation. MATERIAL...

  15. Immediate psycho-social support for disaster survivors

    DEFF Research Database (Denmark)

    Berliner, Peter; Navarro Gongóra, José; Espaillat, Vanessa

    2011-01-01

    The article describes how psychosocial support in the immediate and mid-term disaster response for Haitian earthquake survivors in hospitals in the Dominican Republic could ameliorate some of the suffering and prevent the crisis from becoming crystallized into symptoms and complex grief. The supp......The article describes how psychosocial support in the immediate and mid-term disaster response for Haitian earthquake survivors in hospitals in the Dominican Republic could ameliorate some of the suffering and prevent the crisis from becoming crystallized into symptoms and complex grief....... The support was centered on (1) providing information; (2) facilitating social regulation of emotions; (3) supporting a social support network for the patient; (4) focusing coping efforts; and (5) normalization of reactions. Finally it is described how the crisis made values of caring, compassion...

  16. Measurement of balance function and community participation in stroke survivors.

    Science.gov (United States)

    Ahn, Sinae

    2016-08-01

    [Purpose] This study aimed to investigate the relationship between balance function and community participation in stroke survivors. [Subjects and Methods] Sixty-three patients diagnosed with hemiparetic stroke participated in this study (36 males, 27 females, aged 58.6 ± 15.2 years). The participants were assessed for balance function and their level of participation in the community, using activity card sorting and the Berg Balance Scale. A regression analysis was used to identify the influence of balance function on instrumental activities of daily living and leisure and social activities. [Results] The results of the regression analysis indicated that balance function measured by using the Berg Balance Scale affected community participation of patients with hemiparetic stroke. Participation in instrumental activities of daily living and leisure and social activities was affected by balance function. [Conclusion] This study provides useful information for designing efficient programs and identifying their effectiveness for enhancement of community participation in stroke survivors.

  17. César Vallejo and the shame of the survivor

    Directory of Open Access Journals (Sweden)

    Ana Carolina Cernicchiaro

    2008-07-01

    Full Text Available The present essay proposes to reflect about the César Vallejo poem “El pan nuestro”, as an openness to alterity, reading in his shame a guilt for living, similar to the one that the survivors of the Shoah felt. Once exclusion is a fundamental structure of our culture and Auschwitz and its victims repeat eternally, the shame continuous to hound the survivors. For these, the words failure, of course, since the true witness is the one that can’t give testimony and since the words are unbearable. But is because of that, because they lack, that the poetic word, situated always in a position of rest, can testify, can talk.

  18. Obesity and Metabolic Syndrome Among Adult Survivors of Childhood Leukemia.

    Science.gov (United States)

    Gibson, Todd M; Ehrhardt, Matthew J; Ness, Kirsten K

    2016-04-01

    Treatment-related obesity and the metabolic syndrome in adult survivors of childhood acute lymphoblastic leukemia (ALL) are risk factors for cardiovascular disease. Both conditions often begin during therapy. Preventive measures, including dietary counseling and tailored exercise, should be initiated early in the course of survivorship, with referral to specialists to optimize success. However, among adults who develop obesity or the metabolic syndrome and who do not respond to lifestyle therapy, medical intervention may be indicated to manage underlying pathology, such as growth hormone deficiency, or to mitigate risk factors of cardiovascular disease. Because no specific clinical trials have been done in this population to treat metabolic syndrome or its components, clinicians who follow adult survivors of childhood ALL should use the existing American Heart Association/National Heart Lung and Blood Institute Scientific Statement to guide their approach.

  19. Increased relative risk of myelodysplastic syndrome in atomic bomb survivors

    Energy Technology Data Exchange (ETDEWEB)

    Oda, Kenji [Hiroshima City Hospital (Japan); Kimura, Akiro; Matsuo, Tatsuki; Tomonaga, Masao; Kodama, Kazunori; Mabuchi, Kiyohiko

    1998-12-01

    It was investigated what blood disorders except leukemia increased the relative risk with dose dependency in atomic bomb survivors. Subjects were 217 patients of atomic bomb survivors in Hiroshima and Nagasaki, who had blood disorders except leukemia and died between 1950 and 1990. Their medical records were analyzed and their diagnoses were reevaluated. Sixteen cases were diagnosed as the aplastic anemia and 12 as the myelodysplastic syndrome (MDS). In the aplastic anemia, there was no correlation between the exposure dose and the mortality. In MDS, the excess relative risk (ERR)/bone marrow exposure dose of 1 Sv was very high (13.0). These results supports the hypothesis that MDS would be broken out by the clonal abnormality of the hematopoietic stem cell and radiation exposure could cause the appearance of the abnormal stem cell clone. (K.H.)

  20. Organized Abuse in Adulthood: Survivor and Professional Perspectives.

    Science.gov (United States)

    Salter, Michael

    2017-02-23

    This paper reports on the preliminary findings of a qualitative study of Australian women disclosing organized abuse in adulthood and the mental health professionals who treat them. Drawing on interviews with survivors and mental health professionals, the paper analyses the fraught relationship between mental health and physical safety for adults subject to organized abuse. The therapeutic progress of adult organized abuse victims can be disrupted by ongoing threats, stalking, and group violence, which in turn reinforces the dissociative responses and pathological attachments that render them vulnerable to revictimization. The paper argues that breaking this cycle requires intervention from multiple agencies, and describes the responses of police, medical services, and child protection services to adult organized abuse from the perspective of survivors and mental health practitioners. Highlighting systemic failures but also opportunities, the paper calls for a coordinated response to organized abuse in adulthood, including inter-agency partnerships to support safety and bolster the efficacy of therapeutic interventions.

  1. Psychic loss in adult survivors of father-daughter incest.

    Science.gov (United States)

    Wingerson, N

    1992-08-01

    Studies show that adult survivors of childhood incest comprise a significant percentage of female psychiatric patients. The varied and multidetermined presenting symptomatology of these patients frequently leads to misdiagnosis and treatment interventions that fail to address core issues of the incest experience. One such issue is the child's experience of the psychic loss of a physically present parent that is part of the emotional trauma of incest. The goal of this paper is to discuss psychic loss as a core element of the incest experience, particularly in father-daughter incest, and to describe the conditions of childhood mourning that inhibit successful resolution of this loss. Attention is addressed to the psychoanalytic understanding of mourning as a basis for interventions in the treatment of adult survivors.

  2. Understanding topics and sentiment in an online cancer survivor community.

    Science.gov (United States)

    Portier, Kenneth; Greer, Greta E; Rokach, Lior; Ofek, Nir; Wang, Yafei; Biyani, Prakhar; Yu, Mo; Banerjee, Siddhartha; Zhao, Kang; Mitra, Prasenjit; Yen, John

    2013-12-01

    Online cancer communities help members support one another, provide new perspectives about living with cancer, normalize experiences, and reduce isolation. The American Cancer Society's 166000-member Cancer Survivors Network (CSN) is the largest online peer support community for cancer patients, survivors, and caregivers. Sentiment analysis and topic modeling were applied to CSN breast and colorectal cancer discussion posts from 2005 to 2010 to examine how sentiment change of thread initiators, a measure of social support, varies by discussion topic. The support provided in CSN is highest for medical, lifestyle, and treatment issues. Threads related to 1) treatments and side effects, surgery, mastectomy and reconstruction, and decision making for breast cancer, 2) lung scans, and 3) treatment drugs in colon cancer initiate with high negative sentiment and produce high average sentiment change. Using text mining tools to assess sentiment, sentiment change, and thread topics provides new insights that community managers can use to facilitate member interactions and enhance support outcomes.

  3. Creating an interdisciplinary medical home for survivors of human trafficking.

    Science.gov (United States)

    McNiel, Melinda; Held, Theodore; Busch-Armendariz, Noël

    2014-09-01

    Health care providers play an important role in identifying victims of human trafficking and addressing their unique medical needs. In response to a recently published call to action in Obstetrics & Gynecology, an interdisciplinary medical home has been created in central Texas to serve as a model for delivery of care to survivors of human trafficking that is sensitive to their history of trauma, or "trauma-informed." An overview of the topic is provided along with a description of the stakeholders involved and the steps that were taken to create the clinic. This information is presented with the intention of educating health care providers on the long-term medical needs of survivors and on how they can establish a similar clinic in other parts of the country.

  4. Study on acute burn injury survivors and the associated issues

    Institute of Scientific and Technical Information of China (English)

    Jonathan Bayuo; Pius Agbenorku; Richcane Amankwa

    2016-01-01

    Objective: To explore the phenomenon of surviving burn injury and its associated issues and concerns. Methods: A cross sectional survey approach was utilized to obtain data from one hundred burn survivors who were purposely selected. Descriptive statistics and content analysis were used to analyze data. Results: Findings from the study indicate that burns from flames stood out as a major cause of burns. Physical discomfort/pain, anxiety, needing assistance in meeting self-care needs, financial and social limitations were identified as the major impact of the injury. Furthermore, participants perceived the existence of societal stigma. In addition, hope in God or a spiritual being as well as family support were the two key resources participants relied on to cope effectively. Conclusions: Surviving burn injury is associated with varied physical, social and psy-chological factors and survivors may need professional assistance to fully adjust after discharge.

  5. Quality of life in cancer survivors: an integrative review

    Directory of Open Access Journals (Sweden)

    Bruna Knob Pinto

    2013-09-01

    Full Text Available This study aims at identifying factors related to the quality of life of cancer survivors. The databases PubMed, LILACS and SciELO were used, being quality of life, survival and neoplasms the main keywords entered. Sixty-eight articles were found and ten that approached aspects related to quality of life of cancer survivors were selected. The results analysis was performed in stages. Several factors were identified and grouped into physical (chewing, pain and others, psychological (disease conception, social, financial (high cost of treatment and miscellaneous (age, treatment performance among others. It is believed that the analysis of the different areas that comprise the quality of life of patients can assist health professionals in the implementation of assistance practices that consider the multidimensionality of cancer survival.

  6. Feedback on flood risk management

    Science.gov (United States)

    Moreau, K.; Roumagnac, A.

    2009-09-01

    For several years, as floods were increasing in South of France, local communities felt deprive to assume their mission of protection and information of citizens, and were looking for assistance in flood management. In term of flood disaster, the fact is that physical protection is necessary but inevitably limited. Tools and structures of assistance to anticipation remain slightly developed. To manage repeated crisis, local authorities need to be able to base their policy against flood on prevention, warnings, post-crisis analysis and feedback from former experience. In this objective, after 3 years of test and improvement since 2003, the initiative Predict-Services was developped in South of France: it aims at helping communities and companies to face repeated flood crisis. The principle is to prepare emergency plans, to organize crisis management and reduce risks; to help and assist communities and companies during crisis to activate and adapt their emergency plans with enough of anticipation; and to analyse floods effects and improve emergency plans afterwards. In order to reduce risks, and to keep the benefits of such an initiative, local communities and companies have to maintain the awareness of risk of the citizens and employees. They also have to maintain their safety plans to keep them constantly operational. This is a part of the message relayed. Companies, Local communities, local government authorities and basin stakeholders are the decision makers. Companies and local communities have to involve themselves in the elaboration of safety plans. They are also completely involved in their activation that is their own responsability. This applies to other local government authorities, like districts one's and basin stakeholders, which participle in the financing community safety plans and adminitrative district which are responsible of the transmission of meteorological alert and of rescue actions. In the crossing of the géo-information stemming from the

  7. The case for establishing a Holocaust survivors cohort in Israel

    OpenAIRE

    Fall, Caroline H. D.; Kumaran, Kalyanaraman

    2014-01-01

    In this issue, Keinan-Boker summarises the main studies that have followed up offspring of women exposed to famine during pregnancy and calls for the establishment of a national cohort of Holocaust survivors and their offspring to study inter-generational effects. She suggests that the study would consolidate the fetal origins theory and lead to translational applications to deal with the inter-generational effects of the Holocaust. Barker suggested that alterations in the nutritional supply ...

  8. The mental health state of atomic bomb survivors

    Energy Technology Data Exchange (ETDEWEB)

    Nakane, Yoshibumi; Imamura, Yoshihiro; Yoshitake, Kazuyasu; Honda, Sumihisa; Mine, Mariko; Hatada, Keiko; Tomonaga, Masao [Nagasaki Univ. (Japan). School of Medicine; Tagawa, Masuko

    1997-03-01

    Our department of Neuropsychiatry has clarified the clinical features of several mental disorders and surveyed the causes of those disorders from the psychosocial aspect using the methodology of epidemiological psychiatric approach. Using this previous research experience, we began a long-planned study to examine the mental health state of atomic bomb survivors. Fifty-one years have passed since the atomic bombing, and the survivors must have suffered various psychosocial stresses, other than any direct effect on the central nervous system from exposure to radiation, and it is assumed that victims` mental state has been affected in various ways as a result. The subjects of the survey were 7,670 people who had regular health examinations for atomic bomb survivors during the study period of three years and who consented to participate in the study. Of the total, 226 subjects were selected for a second phase according to the results of the General Health Questionnaire 12-item Version which was used in the first phase of the survey. The results were as follows: 1. The distance from the hypocenter was related to the degree of ill health, and the percentage of people with a high score was greater among those exposed to the atomic bomb in proximity to the hypocenter. 2. 14.6% of the subjects were diagnosed as having some kind of mental disorders according to clinical interviews by trained psychiatrists. These results had not expected prior to the study. On the based of the study, we will try to establish a mental health support system for atomic bomb survivors. (author)

  9. Physical Exercise and Quality of Life in Breast Cancer Survivors

    Directory of Open Access Journals (Sweden)

    Marco VALENTI, Giampiero PORZIO, Federica AIELLI, Lucilla VERNA, Katia CANNITA, Renato MANNO, Francesco MASEDU, Paolo MARCHETTI, Corrado FICORELLA

    2008-01-01

    Full Text Available An important goal for cancer patients is to improve the quality of life (QOL by maximising functions affected by the disease and its therapy. Preliminary research suggests that exercise may be an effective intervention for enhancing QOL in cancer survivors. Research has provided preliminary evidence for the safety, feasibility, and efficacy of exercise training in breast cancer survivors. The aim of this study was to assess the association between physical exercise and quality of life in a population of female breast cancer survivors, followed up from diagnosis to the off-treatment time period, and investigated about their exercise habits in pre-diagnosis. A total of 212 female breast cancer survivors consecutively registered from January 2003 to December 2006 at a Supportive Care Unit in an Italian Oncology Department were enrolled. Exercise behaviour was assessed by the Leisure Score Index (LSI of the Godin Leisure-Time Exercise Questionnaire. Patients were asked to report their average weekly exercise for three cancer-related time periods, i.e. pre-diagnosis, during active treatment and off-treatment. Quality of life was assessed by the Italian version of the WHOQOL-BREF standardised instrument. Statistical analysis indicated significant differences across the cancer-relevant time-periods for all exercise behaviour outcomes: the exercise behaviour was significantly lower during both on- and off- treatment than during prediagnosis; exercise during active treatment was significantly lower than during off-treatment. QOL strongly decreases during active treatment. Significant correlations were found between total exercise on- and off-treatment and all QOL indicators. Strenuous exercise is strongly correlated with QOL. Absent/mild exercise seems to be inversely correlated with a positive perception of disease severity and with quality of life on all axes. Need clearly results for inclusion of physical activity programs in comprehensive

  10. Survivors' Discursive Construction of Organizational Identification after a Downsizing

    DEFF Research Database (Denmark)

    Aggerholm, Helle Kryger; Andersen, Mona Agerholm

    This study examines how surviving employees discursively construct organizational identifications after a downsizing in a large Scandinavian telecommunications company. Further, the analysis reveals which factors in survivors´ discourse are determining for the creation of their organizational...... identifications. Discourse analysis of the interview data indicate four types of employee identification response categories: 1) non-identification caused by indifference, 2) identification fuelled by job identification, consensus as to the downsizing strategy, sense of procedural justice and acceptance...

  11. Fertility, gonadal and sexual function in survivors of testicular cancer

    OpenAIRE

    Huddart, R A; Norman, A.; Moynihan, C; Horwich, A; Parker, C; Nicholls, E; Dearnaley, D. P.

    2005-01-01

    Modern treatments cure most testicular cancer patients, so an important goal is to minimise toxicity. Fertility and sexual functioning are key issues for patients. We have evaluated these outcomes in a cross-sectional study of long-term survivors of testicular cancer. In total, 680 patients treated between 1982 and 1992 completed the EORTC Qly-C-30(qc30) questionnaire, the associated testicular cancer specific module and a general health and fertility questionnaire. Patients have been subdivi...

  12. Psychosomatic status, personality traits, and coping styles of bereaved and non-bereaved survivors of the 2008 Wenchuan Earthquake, China

    Directory of Open Access Journals (Sweden)

    Yanhui eXiang

    2016-03-01

    Full Text Available Objectives: This study examined personality, coping styles, and psychosomatic characteristics and their relationships in bereaved and non-bereaved earthquake survivors. Study design: Cross-sectional surveyMethods: A survey was conducted with a sample of 102 non-bereaved survivors and 79 bereaved survivors from Mianyang, Anyang, and similar districts 2 weeks after Wenchuan earthquake. Survivors completed questionnaires including items about demographics, personality characteristics, coping styles, and psychosomatic status. Results: Bereaved survivors had lower scores for gregariousness, trust, and optimism, but higher scores for depressed mood, loneliness, becoming easily fearful, irritation, and anxiety than non-bereaved survivors. In addition, bereaved participants scored higher for avoiding problems, self-blame, and fantasy coping styles than non-bereaved ones. Personality and coping styles significantly correlated with psychosomatic status in bereaved and non-bereaved survivors. Optimism and openness to feelings personality characteristics, and self-blame, avoiding problems, and rationalization coping styles significantly predicted psychosomatic status of bereaved survivors, while openness to fantasy, optimism, order, and trust personality characteristics, and self-blame and avoiding problems coping styles significantly predicted psychosomatic status of non-bereaved survivors. Conclusion: Earthquake survivors experienced PTSD symptoms and negative emotions. Bereaved survivors experienced more serious PTSD symptoms and negative emotions relative to non-bereaved survivors. Appropriate psychological crisis interventions should be conducted for earthquake survivors, especially bereaved survivors.

  13. Re-authoring life narratives of trauma survivors: Spiritual perspective

    Directory of Open Access Journals (Sweden)

    Charles Manda

    2015-02-01

    Full Text Available Traditionally, the exploration of the impact of trauma on trauma survivors in South Africa has been focused mainly on the bio-psychosocial aspects. The bio-psychosocial approach recognises that trauma affects people biologically, socially and psychologically. In this article, the author explores a holistic understanding of the effects of trauma on people from communities historically affected by political violence in KwaZulu-Natal, South Africa. Using a participatory action research design (PAR as a way of working through trauma, a longitudinal study was conducted in Pietermaritzburg from 2009–2013. At the end of the study, life narratives were documented and published. The textual analysis of these life narratives reveals that, besides the bio-psychosocial effects that research participants experienced during and after the trauma, they also sustained moral and spiritual injuries. Trauma took its toll in their lives emotionally, psychologically, spiritually, morally and in their relationships with themselves, others and God. From these findings, the author argues that the bio-psychosocial approach is incomplete for understanding the holistic effects of trauma on the whole person. Therefore, he recommends the integration of the moral and spiritual aspects of trauma to come up with a holistic model of understanding the effects of trauma on traumatised individuals. The holistic model will enhance the treatment, healing and recovery of trauma survivors. This, in turn, will alleviate the severe disruption of many aspects of psychological functioning and well-being of trauma survivors caused by the effects of trauma.

  14. Salivary Alpha-Amylase Reactivity in Breast Cancer Survivors

    Directory of Open Access Journals (Sweden)

    Cynthia Wan

    2016-03-01

    Full Text Available The two main components of the stress system are the hypothalamic-pituitary-adrenal (HPA and sympathetic-adrenal-medullary (SAM axes. While cortisol has been commonly used as a biomarker of HPA functioning, much less attention has been paid to the role of the SAM in this context. Studies have shown that long-term breast cancer survivors display abnormal reactive cortisol patterns, suggesting a dysregulation of their HPA axis. To fully understand the integrity of the stress response in this population, this paper explored the diurnal and acute alpha-amylase profiles of 22 breast cancer survivors and 26 women with no history of cancer. Results revealed that breast cancer survivors displayed identical but elevated patterns of alpha-amylase concentrations in both diurnal and acute profiles relative to that of healthy women, F (1, 39 = 17.95, p < 0.001 and F (1, 37 = 7.29, p = 0.010, respectively. The average area under the curve for the diurnal and reactive profiles was 631.54 ± 66.94 SEM and 1238.78 ± 111.84 SEM, respectively. This is in sharp contrast to their cortisol results, which showed normal diurnal and blunted acute patterns. The complexity of the stress system necessitates further investigation to understand the synergistic relationship of the HPA and SAM axes.

  15. Quality of life among non-hodgkin lymphoma survivors

    Directory of Open Access Journals (Sweden)

    B. B. Samura

    2015-04-01

    Full Text Available Aim. Little is known about change in quality of life among lymphoma survivors. We examined change over time in quality of life among long-term survivors of non-Hodgkin lymphoma and identified demographic, clinical and psychosocial risk factors for poor outcomes depending on the appearance of cardiovascular events. Methods and results. Fifty three cumulative clinical events occurred in 21 (25.6% patients. Patients who had cardiovascular events reported significantly worse psychological well-being, general health, less vitality and health-related quality of life than patients who had not cardiovascular events. Chemotherapy was associated with quality of lives outcomes. Patients who were not diagnosed with cardiovascular events reported better social well-being than patients who were diagnosed with cardiovascular events. The observed differences in quality of life were significant only when they were measured with the QOL-CS, and not with the SF-36. Conclusion. The general health perceptions and vitality levels of non-Hodgkin lymphoma survivors with cardiovascular events remained significantly lower than those of patients without cardiovascular events.

  16. Coping strategies of long-term cancer survivors.

    Science.gov (United States)

    Halstead, M T; Fernsler, J I

    1994-04-01

    Cancer survival is a stressful experience requiring coping for the maintenance of equilibrium. Lazarus' Theory of Stress and Coping was the framework for this descriptive study of the use and effectiveness of coping strategies as assessed by long-term survivors of cancer. The Jalowiec Coping Scale (JCS) and a subject information sheet (SIS) were mailed to 128 potential subjects, identified by the snowball technique, who survived cancer for > 5 years, were not currently receiving therapy, and were not in a terminal stage of disease. Fifty-nine subjects with a mean survival of 13.03 years correctly completed and returned the questionnaire and were included in data analysis. Respondents were predominantly white (88.1%), female (83.7%), married (72.8%), employed as professionals (57.8%), 41-65 years of age (59.3%), and diagnosed with breast cancer (50.8%). Subjects rated optimistic, supportive, and confrontive strategies as most often used and effective. Length of survival did not result in different choices of strategies. Statistically significant differences were found in coping styles between elderly and middle-aged survivors. Results of this study increase nurses' awareness of effective coping strategies and the importance of assessment of coping in long-term survivors of cancer. The importance of social support, spirituality, and helping others is emphasized.

  17. Media Use and the Cancer Communication Strategies of Cancer Survivors

    Science.gov (United States)

    Yoon, Heesoo; Sohn, Minsung; Jung, Minsoo

    2016-01-01

    Communication related to health not only substantially affects perceptions and behaviors related to health but is also positively associated with the extent of health-information seeking and the practice of preventive behavior. Despite the fact that the number of cancer survivors has increased dramatically, there are few studies of the lack of health information, factors which act as barriers, and the difficulties in follow-up care experienced by cancer survivors. Therefore, we reviewed media utilization and the types of media used by cancer survivors with regard to risk communication and suggested appropriate strategies for cancer communication. According to the results, health communication contributed to health promotion by providing health-related information, consolidating social support factors such as social solidarity and trust, and reducing anxiety. In particular, participatory health communication may establish preventive programs which reflect the needs of communities, expand accessibility to better quality healthcare, and intensify healthy living by reducing health inequalities. Therefore, when people do not have an intention to obtain cancer screening, we need to intervene to change their behavior, norms, and degrees of self-efficacy. The findings of this study may help those involved in building partnerships by assisting in their efforts to understand and communicate with the public.

  18. Atrophic Vaginitis in Breast Cancer Survivors: A Difficult Survivorship Issue

    Directory of Open Access Journals (Sweden)

    Joanne Lester

    2015-03-01

    Full Text Available Management of breast cancer includes systematic therapies including chemotherapy and endocrine therapy can lead to a variety of symptoms that can impair the quality of life of many breast cancer survivors. Atrophic vaginitis, caused by decreased levels of circulating estrogen to urinary and vaginal receptors, is commonly experienced by this group. Chemotherapy induced ovarian failure and endocrine therapies including aromatase inhibitors and selective estrogen receptor modulators can trigger the onset of atrophic vaginitis or exacerbate existing symptoms. Symptoms of atrophic vaginitis include vaginal dryness, dyspareunia, and irritation of genital skin, pruritus, burning, vaginal discharge, and soreness. The diagnosis of atrophic vaginitis is confirmed through patient-reported symptoms and gynecological examination of external structures, introitus, and vaginal mucosa. Lifestyle modifications can be helpful but are usually insufficient to significantly improve symptoms. Non-hormonal vaginal therapies may provide additional relief by increasing vaginal moisture and fluid. Systemic estrogen therapy is contraindicated in breast cancer survivors. Continued investigations of various treatments for atrophic vaginitis are necessary. Local estrogen-based therapies, DHEA, testosterone, and pH-balanced gels continue to be evaluated in ongoing studies. Definitive results are needed pertaining to the safety of topical estrogens in breast cancer survivors.

  19. Cardiac Function in Long-Term Survivors of Childhood Lymphoma

    Directory of Open Access Journals (Sweden)

    Mark K. Friedberg

    2011-01-01

    Full Text Available Objectives. We studied long-term effects of therapy for childhood lymphoma on cardiac function. Design and patients. We prospectively evaluated 45 survivors of childhood lymphoma, using clinical parameters, electrocardiography and echocardiography. Further comparisons were made between lymphoma subgroups and between males and females. Results. Mean age at diagnosis was 9.1 years. Mean followup duration was 10.9 years. The NYHA functional class was I in 43 patients and II in 2 patients. A prolonged QTc interval (>0.44 msec was found in 8 patients. Left ventricular (LV systolic function and compliance were normal (LV shortening fraction 40±5.6%; cardiac index 2.84±1.13 L/min/m2; E/A wave ratio 2.5±1.3; mean ± S.D., LV mass was normal (97±40 grams/m2, mean ± S.D.. Mitral regurgitation was observed in 7/45 patients (16%. Asymptomatic pericardial effusions were found in 3/45 (7% patients. Conclusions. Long-term follow-up shows that most parameters of cardiac function are normal in survivors of childhood lymphoma. This is likely due to relatively low doses of anthracyclines in modern protocol modalities. Abnormalities in mitral valve flow, QTc prolongation and in a small proportion of survivors, and functional capacity necessitate long-term cardiac follow-up of these patients.

  20. Writing Workshop and Emotions in senior Holocaust survivors

    Directory of Open Access Journals (Sweden)

    Diego Borisonik

    2015-07-01

    Full Text Available The goal of this research is to evaluate and describe the kind of emotions that emerge in senior Holocaust survivors over 73 years old at the writing workshop held at Tzedaka Foundation. For this purpose, the goals have been divided into three. Firstly, the description of the emotions the participants claim to feel before, during and after performing their writing task, and at the moment of sharing it with their peers. Secondly, the description of the observed emotions of the participants at the moment of sharing their writing task with their workshop peers. Lastly, the description of the emotions that emerge from the writing itself. In order to carry out this descriptive study, seven Holocaust survivors living in the City of Buenos Aires have been interviewed: one man and six women of Polish, Russian, French, Lithuanian and German nationalities, ranging from 73 to 92 years of age, all part of the above mentioned writing workshop. By the same token, the detached observation of each subject in the workshop and the analysis of the emotions arising from the text have been carried out. The analysis of the resulting data has shown that writing and sharing their writing tasks, whatever the topic or genre, is beneficial and it generates positive emotions in this senior adults’ group, and more specifically, highly traumatic situations’ survivors

  1. Healing pathways: art therapy for American Indian cancer survivors.

    Science.gov (United States)

    Warson, Elizabeth

    2012-04-01

    There is a paucity of research addressing quality of life factors for American Indian and Alaska Native cancer survivors. Complementary forms of therapy, such as art therapy, are beginning to address quality of life factors through the "healing" arts for cancer survivors. The purpose of this mixed methods pilot was to explore the effects of culturally relevant art interventions on stress reduction for American Indian cancer survivors and their family members. Forty-six adult participants attended one of three workshops held within two settlements of the Coharie tribe and one southeastern urban tribal center. The data collected consisted of a pretest and posttest State-Trait Personality Inventory (STPI) and artwork resulting from three directed interventions. The artwork was analyzed using qualitative coding methods; however, the scores from the STPI were inconclusive because the inventory was determined to be culturally biased. While statistical significance was not achieved, the findings from qualitative coding reinforced a native concept of wellness focusing on the complex interaction between mind, body, spirit, and context. This pilot study also demonstrated how a community-driven approach was instrumental in the development of the overall workshop format. An expansion of the pilot study is also presented with preliminary results available in 2012.

  2. Drivers of flood damage on event level

    DEFF Research Database (Denmark)

    Kreibich, H.; Aerts, J. C. J. H.; Apel, H.

    2016-01-01

    Flood risk is dynamic and influenced by many processes related to hazard, exposure and vulnerability. Flood damage increased significantly over the past decades, however, resulting overall economic loss per event is an aggregated indicator and it is difficult to attribute causes to this increasing...... example are the 2002 and 2013 floods in the Elbe and Danube catchments in Germany. The 2002 flood caused the highest economic damage (EUR 11600 million) due to a natural hazard event in Germany. Damage was so high due to extreme flood hazard triggered by extreme precipitation and a high number...

  3. Flood inundation extent in storage cell mode

    Institute of Scientific and Technical Information of China (English)

    G.; Farahi; Saeed; Reza; Khodashenas; B.; Ghahraman; K.; Esmaeeli

    2009-01-01

    An understanding of floodplain processes in general and floodplains flooding in particular are vital issues for river engineers and managers. Insufficient observations of flood inundation extent and the infrequent nature of flood inundation necessitate some sort of predictive tools. In this paper flood inundation extent has been simulated by HEC-RAS software in two storage cell and normal modes and capabilities and limitations of the two models have been determined by comparing simulated and observed flood inundation extent which occurred in the study area on Feb 4th, 2004.

  4. Flood inundation extent in storage cell mode

    Institute of Scientific and Technical Information of China (English)

    G.Farahi; Saeed Reza Khodashenas; B.Ghahraman; K.Esmaeeli

    2009-01-01

    An understanding of floodplaln processes In general and floodplains flooding in particular are vital issues for river engineers and managers.Insufficient observations of flood inundation extent and the infrequent nature of flood inundation necessitate some sort of predictive tools.In this paper flood in-undation extent has been simulated by HEC-RAS software in two storage cell and normal modes and capabilities and limitations of the two models have been determined by comparing simulated and ob-served flood inundation extent which occurred in the study area on Feb 4th, 2004.

  5. The invisible family: a qualitative study of suicide survivors in Taiwan.

    Science.gov (United States)

    Tzeng, Wen-Chii; Su, Pi-Yu; Chiang, Hsien-Hsien; Kuan, Ping-Yin; Lee, Jia-Fu

    2010-03-01

    The purpose of this interpretive phenomenological study is to describe the commonality of the lived experience of suicide survivors and how it influences their family relationships in Taiwan from a sociocultural perspective. Thirteen suicide survivors have participated in this study. Study results reveal that some survivors blame themselves, some blame others, and some are blamed by their family as part of their need to find a reason for the death. Consequently, family members ignore each other and treat each other as if they are invisible. These Chinese suicide survivors, unlike Western survivors, maintain their strained family connections because of strong cultural influences. Therefore, health professionals should acknowledge the experiences of living with an invisible family when supporting Chinese suicide survivors.

  6. Comparing Simple Flood Reservoir Operation Rules

    Directory of Open Access Journals (Sweden)

    James Connaughton

    2014-09-01

    Full Text Available The effectiveness of three simple flood operating rules in reducing the peak flow is compared for four simplified hydrograph shapes. The Minimize Flood Peak rule uses available flood storage capacity to store peak flows from an accurate hydrograph forecast. The less demanding Minimize Flooding Frequency operating rule releases water at or below channel capacity until the flood storage pool is filled and outflows are forced to exceed the channel capacity. The Short Forecast Peak Minimization rule minimizes flood peak over a short foreseeable future with existing flood storage capacity. Four simplified hydrograph shapes (triangular, abrupt wave, flood pulse and broad peak were used. The Minimize Flood Peak rule reduces peak flows better than alternatives, but is often impractical. The Short Forecast Peak Minimization rule reduces peak flows for a wide range of conditions. The Minimize Flood Frequency rule may be more relevant where damages occur abruptly, as in many leveed systems. All rules reduce peak outflow more efficiently for more steeply rising hydrographs. The approach suggests some general insights for flood operations of reservoirs.

  7. Coping with Pluvial Floods by Private Households

    Directory of Open Access Journals (Sweden)

    Viktor Rözer

    2016-07-01

    Full Text Available Pluvial floods have caused severe damage to urban areas in recent years. With a projected increase in extreme precipitation as well as an ongoing urbanization, pluvial flood damage is expected to increase in the future. Therefore, further insights, especially on the adverse consequences of pluvial floods and their mitigation, are needed. To gain more knowledge, empirical damage data from three different pluvial flood events in Germany were collected through computer-aided telephone interviews. Pluvial flood awareness as well as flood experience were found to be low before the respective flood events. The level of private precaution increased considerably after all events, but is mainly focused on measures that are easy to implement. Lower inundation depths, smaller potential losses as compared with fluvial floods, as well as the fact that pluvial flooding may occur everywhere, are expected to cause a shift in damage mitigation from precaution to emergency response. However, an effective implementation of emergency measures was constrained by a low dissemination of early warnings in the study areas. Further improvements of early warning systems including dissemination as well as a rise in pluvial flood preparedness are important to reduce future pluvial flood damage.

  8. Living behind dikes: mimicking flooding experiences.

    Science.gov (United States)

    Zaalberg, Ruud; Midden, Cees J H

    2013-05-01

    Delta areas like the Netherlands are threatened by global climate change. Awareness is, however, rather low. Our research objective was to investigate whether coping responses to flooding risks could be enhanced in a virtual environment (VE). A laboratory experiment was conducted in which participants were exposed to a simulated dike breach and consequent flooding of their virtual residence. We tested the hypothesis that an interactive 3D flood simulation facilitates coping responses compared to noninteractive film and slide simulations. Our results showed that information search, the motivation to evacuate, and the motivation to buy flood insurance increased after exposure to the 3D flood simulation compared to the film and slide simulations. Mediation analyses revealed that some of these presentation mode effects were mediated by a greater sense of being present in the VE. Implications to use high-end flood simulations in a VE to communicate real-world flooding risks and coping responses to threatened residents will be discussed.

  9. Flood risk assessment: concepts, modelling, applications

    Directory of Open Access Journals (Sweden)

    G. Tsakiris

    2014-01-01

    Full Text Available Natural hazards have caused severe consequences to the natural, modified and human systems, in the past. These consequences seem to increase with time due to both higher intensity of the natural phenomena and higher value of elements at risk. Among the water related hazards flood hazards have the most destructive impacts. The paper presents a new systemic paradigm for the assessment of flood hazard and flood risk in the riverine flood prone areas. Special emphasis is given to the urban areas with mild terrain and complicated topography, in which 2-D fully dynamic flood modelling is proposed. Further the EU flood directive is critically reviewed and examples of its implementation are presented. Some critical points in the flood directive implementation are also highlighted.

  10. Can we predict the next urban flood?

    DEFF Research Database (Denmark)

    Thorndahl, Søren; Nielsen, Jesper Ellerbæk; Jensen, David Getreuer;

    2015-01-01

    historically and in real-time. There is a rather untested potential in real-time prediction of urban floods. In this paper radar data observations with different spatial and temporal resolution, radar nowcasts of 0-2 hours leadtime, and numerical weather models with leadtimes up to 24 h are used as inputs......Flooding produced by high-intensive local rainfall and drainage system capacity exceedance can have severe impacts in cities. In order to prepare cities for these types of flood events – especially in the future climate – it is valuable to be able to simulate these events numericallyboth...... to an integrated flood and drainage systems model with the purpose to investigate the potential for predicting future floods. The system is tested on a small town Lystrup in Denmark, which has been recently flooded. Results show that it is possible to generate detailed flood maps in real-time with high resolution...

  11. Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?

    Science.gov (United States)

    Kenzik, Kelly M; Fouad, Mona N.; Pisu, Maria; Martin, Michelle Y.

    2017-01-01

    Purpose This study aimed to 1) describe the proportion of survivors reporting that a physician discussed strategies to improve health and 2) identify which groups are more likely to report these discussions Methods Lung and colorectal cancer (CRC) survivors (>5 years from diagnosis) (n=874) completed questionnaires, including questions on whether in the previous year a physician discussed 1) strategies to improve health, 2) exercise, and 3) diet habits. Chi-square tests and logistic regression models were used to examine whether the likelihood of these discussions varied by demographic and clinical characteristics. Results Approximately 59% reported a physician discussed strategies to improve health and exercise, 44% discussed diet, and 24% reported no discussions. Compared to their counterparts, survivors with lower education were less likely report discussing all three areas, while survivors with diabetes were more likely. Survivors ≥65 were less likely to report discussing strategies to improve health and diet. Males and CRC survivors reported discussing diet more than their female and lung cancer counterparts, respectively Conclusion The frequency of health promotion discussions varies across survivor characteristics. While discussions were more frequently reported by some groups, e.g., survivors with diabetes, or among individuals less likely to engage in healthy behaviors, e.g., males, older and less educated survivors were less likely to have these discussions. Implications for survivors Decreasing physician barriers and activating patients to discuss health promotion especially in the context of clinical care for older survivors and those with low education, is critical to promoting the overall well-being of cancer survivors. PMID:26210659

  12. Trends in adherence to recommended cancer screening: The US population and working cancer survivors

    Directory of Open Access Journals (Sweden)

    Tainya C. Clarke

    2012-12-01

    Full Text Available Introduction: Over the past decade the United States has seen a decrease in advanced cancer diagnoses. There has also been an increase in the number of cancer survivors returning to work. Cancer screening behaviors among survivors may play an important role in their return-to-work process. Adherence to a post-treatment cancer screening protocol increases early detection of secondary tumors and reduces potentially limiting side-effects. We compared screening trends among all cancer survivors, working survivors, and the general population over the last decade.Methods: Trends in adherence to recommended screening were analyzed by site-specific cancer. We used the Healthy People goals as a measure of desired adherence. We selected participants 18+ years from 1997 to 2010 National Health Interview Survey (NHIS for years where detailed cancer screening information was available. Using the recommendations of the American Cancer Society as a guide, we assessed adherence to cancer screening across the decade. There were 174,393 participants. Analyses included 7,528 working cancer survivors representing 3.8 million US workers, and 119,374 adults representing more than 100 million working Americans with no cancer history.Results: The US population met the Healthy People 2010 goal for colorectal screening, but declined in all other recommended cancer screening. Cancer survivors met and maintained the HP2010 goal for all, except cervical cancer screening. Survivors had higher screening rates than the general population. Among survivors, white-collar and service occupations had higher screening rates than blue-collar survivors.Conclusions: Cancer survivors report higher screening rates than the general population. Nevertheless, national screening rates are lower than desired, and disparities exist by cancer history and occupation. Understanding existing disparities, and the impact of cancer screening on survivors is crucial as the number of working survivors

  13. Motivational readiness for physical activity and quality of life in long-term lung cancer survivors

    OpenAIRE

    Clark, Matthew M.; Novotny, Paul J.; Patten, Christi A.; Rausch, Sarah M.; Garces, Yolanda I.; Jatoi, Aminah; Sloan, Jeff A.; Yang, Ping

    2008-01-01

    Little is known about the relationship between motivational readiness for physical activity and quality of life (QOL) in long-term lung cancer survivors. Long-term survivors are considered those who are living 5 years or more following a cancer diagnosis. This project examined the relationship between a self-report measure of motivational readiness for physical activity and QOL in a sample of 272 long-term lung cancer survivors. Participants (54% male, average age 70 years old) completed the ...

  14. 75 FR 7522 - United States Section; Notice of Availability of the Final Environmental Impact Statement, Flood...

    Science.gov (United States)

    2010-02-19

    ... Environmental Impact Statement, Flood Control Improvements and Partial Levee Relocation, Presidio Flood Control... EIS) for flood control improvements to the Presidio Flood Control Project, Presidio, Texas (Presidio... Impact Statement, Flood Control Improvements and Partial Levee Relocation, USIBWC Presidio Flood......

  15. Morbidity and mortality in long-term survivors of Hodgkin lymphoma: a report from the Childhood Cancer Survivor Study.

    Science.gov (United States)

    Castellino, Sharon M; Geiger, Ann M; Mertens, Ann C; Leisenring, Wendy M; Tooze, Janet A; Goodman, Pam; Stovall, Marilyn; Robison, Leslie L; Hudson, Melissa M

    2011-02-10

    The contribution of specific cancer therapies, comorbid medical conditions, and host factors to mortality risk after pediatric Hodgkin lymphoma (HL) is unclear. We assessed leading morbidities, overall and cause-specific mortality, and mortality risks among 2742 survivors of HL in the Childhood Cancer Survivor Study, a multi-institutional retrospective cohort study of survivors diagnosed from 1970 to 1986. Excess absolute risk for leading causes of death and cumulative incidence and standardized incidence ratios of key medical morbidities were calculated. Cox regression models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of risks for overall and cause-specific mortality. Substantial excess absolute risk of mortality per 10,000 person-years was identified: overall 95.5; death due to HL 38.3, second malignant neoplasms 23.9, and cardiovascular disease 13.1. Risks for overall mortality included radiation dose ≥ 3000 rad ( ≥ 30 Gy; supra-diaphragm: HR, 3.8; 95% CI, 1.1-12.6; infradiaphragm + supradiaphragm: HR, 7.8; 95% CI, 2.4-25.1), exposure to anthracycline (HR, 2.6; 95% CI, 1.6-4.3) or alkylating agents (HR, 1.7; 95% CI, 1.2-2.5), non-breast second malignant neoplasm (HR, 2.6; 95% CI 1.4-5.1), or a serious cardiovascular condition (HR, 4.4; 95% CI 2.7-7.3). Excess mortality from second neoplasms and cardiovascular disease vary by sex and persist > 20 years of follow-up in childhood HL survivors.

  16. Risk Factors Associated With Secondary Sarcomas in Childhood Cancer Survivors: A Report From the Childhood Cancer Survivor Study

    Energy Technology Data Exchange (ETDEWEB)

    Henderson, Tara O., E-mail: thenderson@peds.bsd.uchicago.edu [University of Chicago, Chicago, IL (United States); Rajaraman, Preetha [National Cancer Institute, Bethesda, MD (United States); Stovall, Marilyn [M.D. Anderson Cancer Center, University of Texas, Houston, TX (United States); Constine, Louis S. [University of Rochester, Rochester, NY (United States); Olive, Aliza [Drexel University, Philadelphia, PA (United States); Smith, Susan A. [M.D. Anderson Cancer Center, University of Texas, Houston, TX (United States); Mertens, Ann [Emory University, Atlanta, GA (United States); Meadows, Anna [Children' s Hospital of Philadelphia, Philadelphia, PA (United States); Neglia, Joseph P. [University of Minnesota, Minneapolis, MN (United States); Hammond, Sue [Nationwide Children' s Hospital, Columbus, OH (United States); Whitton, John [Fred Hutchinson Cancer Research Center, Seattle, WA (United States); Inskip, Peter D. [National Cancer Institute, Bethesda, MD (United States); Robison, Leslie L. [St. Jude Children' s Research Hospital, Memphis, TN (United States); Diller, Lisa [Dana-Farber Cancer Institute/Children' s Hospital Cancer Center, Boston, MA (United States)

    2012-09-01

    Purpose: Childhood cancer survivors have an increased risk of secondary sarcomas. To better identify those at risk, the relationship between therapeutic dose of chemotherapy and radiation and secondary sarcoma should be quantified. Methods and Materials: We conducted a nested case-control study of secondary sarcomas (105 cases, 422 matched controls) in a cohort of 14,372 childhood cancer survivors. Radiation dose at the second malignant neoplasm (SMN) site and use of chemotherapy were estimated from detailed review of medical records. Odds ratios (ORs) and 95% confidence intervals were estimated by conditional logistic regression. Excess odds ratio (EOR) was modeled as a function of radiation dose, chemotherapy, and host factors. Results: Sarcomas occurred a median of 11.8 years (range, 5.3-31.3 years) from original diagnosis. Any exposure to radiation was associated with increased risk of secondary sarcoma (OR = 4.1, 95% CI = 1.8-9.5). A dose-response relation was observed, with elevated risks at doses between 10 and 29.9 Gy (OR = 15.6, 95% CI = 4.5-53.9), 30-49.9 Gy (OR = 16.0, 95% CI 3.8-67.8) and >50 Gy (OR = 114.1, 95% CI 13.5-964.8). Anthracycline exposure was associated with sarcoma risk (OR = 3.5, 95% CI = 1.6-7.7) adjusting for radiation dose, other chemotherapy, and primary cancer. Adjusting for treatment, survivors with a first diagnosis of Hodgkin lymphoma (OR = 10.7, 95% CI = 3.1-37.4) or primary sarcoma (OR = 8.4, 95% CI = 3.2-22.3) were more likely to develop a sarcoma. Conclusions: Of the risk factors evaluated, radiation exposure was the most important for secondary sarcoma development in childhood cancer survivors; anthracycline chemotherapy exposure was also associated with increased risk.

  17. The case for establishing a Holocaust survivors cohort in Israel.

    Science.gov (United States)

    Fall, Caroline Hd; Kumaran, Kalyanaraman

    2014-01-01

    In this issue, Keinan-Boker summarises the main studies that have followed up offspring of women exposed to famine during pregnancy and calls for the establishment of a national cohort of Holocaust survivors and their offspring to study inter-generational effects. She suggests that the study would consolidate the fetal origins theory and lead to translational applications to deal with the inter-generational effects of the Holocaust. Barker suggested that alterations in the nutritional supply during critical stages of intra-uterine development permanently alter the structure and metabolism of fetal organs which he termed 'fetal programming' (now known as developmental origins of health and disease). The famine studies have played an important role in refining the hypothesis by allowing a 'quasi-experimental' setting that would otherwise have been impossible to recreate. The developmental origins hypothesis provides a framework to link genetic, environmental and social factors across the lifecourse and offers a primordial preventive strategy to prevent non-communicable disease. Although the famine studies have provided valuable information, the results from various studies are inconsistent. It is perhaps unsurprising given the problems with collecting and interpreting data from famine studies. Survival bias and information bias are key issues. With mortality rates being high, survivors may differ significantly from non-survivors in factors which influence disease development. Most of the data is at ecological level; a lack of individual-level data and poor records make it difficult to identify those affected and assess the severity of effect. Confounding is also possible due to the varying periods and degrees of food deprivation, physical punishment and mental stress undergone by famine survivors. Nonetheless, there would be value in setting up a cohort of Holocaust survivors and their offspring and Keinan-Boker correctly argues that they deserve special attention

  18. Use of documentary sources on past flood events for flood risk management and land planning

    Science.gov (United States)

    Cœur, Denis; Lang, Michel

    2008-09-01

    The knowledge of past catastrophic events can improve flood risk mitigation policy, with a better awareness against risk. As such historical information is usually available in Europe for the past five centuries, historians are able to understand how past society dealt with flood risk, and hydrologists can include information on past floods into an adapted probabilistic framework. In France, Flood Risk Mitigation Maps are based either on the largest historical known flood event or on the 100-year flood event if it is greater. Two actions can be suggested in terms of promoting the use of historical information for flood risk management: (1) the development of a regional flood data base, with both historical and current data, in order to get a good feedback on recent events and to improve the flood risk education and awareness; (2) the commitment to keep a persistent/perennial management of a reference network of hydrometeorological observations for climate change studies.

  19. Sobre inundaciones y anegamientos / Reflections on floods and flooding

    Directory of Open Access Journals (Sweden)

    Ferrando A., Francisco J.

    2006-11-01

    Full Text Available Respecto a anegamientos e inundaciones, el autor realiza algunas precisiones conceptuales que afectan la gestión de acciones preventivas, la planificación y el ordenamiento territorial; además se ofrece una sistematización del quehacer sobre las inundaciones./ The author punctualizes the concepts regarding preventive actions and territorial planning. Also the article includes a systematized list of actions related to flood management.

  20. Flooded: an auto-ethnography of the 2011 Bangkok flood

    OpenAIRE

    Erik Cohen

    2012-01-01

    "In this personal account I report my perceptions, experiences, and conduct during the 2011 Bangkok flood, in which my home and neighbourhood have been badly inundated and damaged. Therefore, I draw on auto-ethnography as an increasingly popular, though controversial qualitative methodology in social sciences. Though personal, the account has some broader implications, deriving primarily from the examination of the relationship between my perceptions and conduct in the disaster and my life ex...

  1. Yearly Data for Spoken Language Preferences of Social Security Retirement and Survivor Claimants (2016 Onwards)

    Data.gov (United States)

    Social Security Administration — This data set provides annual volumes for language preferences at the national level of individuals filing claims for Retirement and Survivor benefits from federal...

  2. Japanese Undergraduates' Attitudes Toward Students Survivors of Parental Suicide: A Comparison With Other Stigmatized Deaths.

    Science.gov (United States)

    Yamanaka, Akira

    2015-01-01

    This study investigated Japanese undergraduates' attitudes toward a fellow student whose parent has died by suicide. One hundred thirty-four participants responded to four versions of a brief fictional case describing a male undergraduate whose father had died. These presented fictional cases described the cause of the death as being suicide, cancer, AIDS, or murder. Results indicated that participants had more negative attitudes toward the suicide survivor student than the nonstigmatized death (cancer) survivor. Further, results indicated that participants viewed suicide survivors as more to blame for the death and had a more negative image of them than of the other stigmatized death (AIDS and murder) survivors.

  3. Pubertal development and fertility in survivors of childhood acute myeloid leukemia treated with chemotherapy only

    DEFF Research Database (Denmark)

    Molgaard-Hansen, Lene; Skou, Anne-Sofie; Juul, Anders

    2013-01-01

    More than 60% of children with acute myeloid leukemia (AML) become long-term survivors. Most are cured using chemotherapy without hematopoietic stem cell transplantation (HSCT). We report on pubertal development and compare self-reported parenthood among AML survivors and their siblings.......More than 60% of children with acute myeloid leukemia (AML) become long-term survivors. Most are cured using chemotherapy without hematopoietic stem cell transplantation (HSCT). We report on pubertal development and compare self-reported parenthood among AML survivors and their siblings....

  4. 75 FR 25271 - Office of Refugee Resettlement; Urgent Single Source Grant to Survivors of Torture International...

    Science.gov (United States)

    2010-05-07

    ... for the rehabilitation of victims of torture, including treatment of the physical and psychological... and programmatic expertise to serve the survivors. FOR FURTHER INFORMATION CONTACT: Ronald...

  5. 78 FR 76411 - Agency Information Collection (Residency Verification Report-Veterans and Survivors) Activity...

    Science.gov (United States)

    2013-12-17

    ... guerilla groups receiving service-connected compensation benefits and survivors receiving service connected... or as aliens lawfully admitted for permanent residence. The information is needed to...

  6. Social Security Administration Retirement, Survivors, and Disability Insurance (RSDI) Improper Payments

    Data.gov (United States)

    Social Security Administration — This dataset shows improper payment experience for the Social Security Retirement, Survivors, and Disability Insurance program paid to workers, their dependents, and...

  7. Urban flood simulation based on the SWMM model

    OpenAIRE

    2015-01-01

    China is the nation with the fastest urbanization in the past decades which has caused serious urban flooding. Flood forecasting is regarded as one of the important flood mitigation methods, and is widely used in catchment flood mitigation, but is not widely used in urban flooding mitigation. This paper, employing the SWMM model, one of the widely used urban flood planning and management models, simulates the urban flooding of Dongguan City in the rapidly urbanized southern China. SWMM is fir...

  8. Late effects in survivors of acute leukemia treated with hematopoietic cell transplantation: a report from the Bone Marrow Transplant Survivor Study.

    Science.gov (United States)

    Baker, K S; Ness, K K; Weisdorf, D; Francisco, L; Sun, C-L; Forman, S; Bhatia, S

    2010-12-01

    The Bone Marrow Transplant Survivor Study is a retrospective cohort study in which participants who received hematopoietic cell transplantation (HCT) between 1974 and 1998 and survived for 2 years completed a 255-item questionnaire on late effects occurring after HCT. There were 281 survivors with acute myeloid leukemia (AML) and 120 with acute lymphoblastic leukemia (ALL). Siblings of participants (n=319) were recruited for comparison. Median age at interview was 36.5 years for survivors and 44 years for siblings. Median follow-up after HCT was 8.4 years. Conditioning included total body irradiation in 86% of AML and 100% of ALL subjects. The frequencies of late effects did not differ between ALL and AML survivors. Compared with siblings, survivors had a higher frequency of diabetes, hypothyroidism, osteoporosis, exercise-induced shortness of breath, neurosensory impairments and problems with balance, tremor or weakness. In multivariable analysis, the risk of these outcomes did not differ by diagnosis. Survivors after allogeneic HCT had higher odds of diabetes (odds ratio (OR)=3.9, P=0.04), osteoporosis (OR=3.1, P=0.05), abnormal sense of touch (OR=2.6, P=0.02) and reported their overall health as fair or poor (OR=2.2, P=0.03). Ongoing surveillance for these late effects and appropriate interventions are required to improve the health status of ALL and AML survivors after HCT.

  9. Drivers of flood damage on event level

    Science.gov (United States)

    Kreibich, Heidi

    2016-04-01

    Flood risk is dynamic and influenced by many processes related to hazard, exposure and vulnerability. Flood damage increased significantly over the past decades, however, resulting overall economic loss per event is an aggregated indicator and it is difficult to attribute causes to this increasing trend. Much has been learned about damaging processes during floods at the micro-scale, e.g. building level. However, little is known about the main factors determining the amount of flood damage on event level. Thus, we analyse and compare paired flood events, i.e. consecutive, similar damaging floods that occurred in the same area. In analogy to 'Paired catchment studies' - a well-established method in hydrology to understand how changes in land use affect streamflow - we will investigate how and why resulting flood damage in a region differed between the first and second consecutive flood events. One example are the 2002 and 2013 floods in the Elbe and Danube catchments in Germany. The 2002 flood caused the highest economic damage (EUR 11600 million) due to a natural hazard event in Germany. Damage was so high due to extreme flood hazard triggered by extreme precipitation and a high number of resulting dyke breaches. Additionally, exposure hotspots like the city of Dresden at the Elbe river as well as some smaller municipalities at the river Mulde (e.g. Grimma, Eilenburg, Bitterfeld, Dessau) were severely impacted. However, affected parties and authorities learned from the extreme flood in 2002, and many governmental flood risk programs and initiatives were launched. Considerable improvements since 2002 occurred on many levels that deal with flood risk reduction and disaster response, in particular in 1) increased flood prevention by improved spatial planning, 2) an increased number of property-level mitigation measures, 3) more effective early warning and improved coordination of disaster response and 4) a more targeted maintenance of flood defence systems and their

  10. Real-time flood forecasting

    Science.gov (United States)

    Lai, C.; Tsay, T.-K.; Chien, C.-H.; Wu, I.-L.

    2009-01-01

    Researchers at the Hydroinformatic Research and Development Team (HIRDT) of the National Taiwan University undertook a project to create a real time flood forecasting model, with an aim to predict the current in the Tamsui River Basin. The model was designed based on deterministic approach with mathematic modeling of complex phenomenon, and specific parameter values operated to produce a discrete result. The project also devised a rainfall-stage model that relates the rate of rainfall upland directly to the change of the state of river, and is further related to another typhoon-rainfall model. The geographic information system (GIS) data, based on precise contour model of the terrain, estimate the regions that were perilous to flooding. The HIRDT, in response to the project's progress, also devoted their application of a deterministic model to unsteady flow of thermodynamics to help predict river authorities issue timely warnings and take other emergency measures.

  11. Visual Sensing for Urban Flood Monitoring

    Directory of Open Access Journals (Sweden)

    Shi-Wei Lo

    2015-08-01

    Full Text Available With the increasing climatic extremes, the frequency and severity of urban flood events have intensified worldwide. In this study, image-based automated monitoring of flood formation and analyses of water level fluctuation were proposed as value-added intelligent sensing applications to turn a passive monitoring camera into a visual sensor. Combined with the proposed visual sensing method, traditional hydrological monitoring cameras have the ability to sense and analyze the local situation of flood events. This can solve the current problem that image-based flood monitoring heavily relies on continuous manned monitoring. Conventional sensing networks can only offer one-dimensional physical parameters measured by gauge sensors, whereas visual sensors can acquire dynamic image information of monitored sites and provide disaster prevention agencies with actual field information for decision-making to relieve flood hazards. The visual sensing method established in this study provides spatiotemporal information that can be used for automated remote analysis for monitoring urban floods. This paper focuses on the determination of flood formation based on image-processing techniques. The experimental results suggest that the visual sensing approach may be a reliable way for determining the water fluctuation and measuring its elevation and flood intrusion with respect to real-world coordinates. The performance of the proposed method has been confirmed; it has the capability to monitor and analyze the flood status, and therefore, it can serve as an active flood warning system.

  12. Visual Sensing for Urban Flood Monitoring.

    Science.gov (United States)

    Lo, Shi-Wei; Wu, Jyh-Horng; Lin, Fang-Pang; Hsu, Ching-Han

    2015-08-14

    With the increasing climatic extremes, the frequency and severity of urban flood events have intensified worldwide. In this study, image-based automated monitoring of flood formation and analyses of water level fluctuation were proposed as value-added intelligent sensing applications to turn a passive monitoring camera into a visual sensor. Combined with the proposed visual sensing method, traditional hydrological monitoring cameras have the ability to sense and analyze the local situation of flood events. This can solve the current problem that image-based flood monitoring heavily relies on continuous manned monitoring. Conventional sensing networks can only offer one-dimensional physical parameters measured by gauge sensors, whereas visual sensors can acquire dynamic image information of monitored sites and provide disaster prevention agencies with actual field information for decision-making to relieve flood hazards. The visual sensing method established in this study provides spatiotemporal information that can be used for automated remote analysis for monitoring urban floods. This paper focuses on the determination of flood formation based on image-processing techniques. The experimental results suggest that the visual sensing approach may be a reliable way for determining the water fluctuation and measuring its elevation and flood intrusion with respect to real-world coordinates. The performance of the proposed method has been confirmed; it has the capability to monitor and analyze the flood status, and therefore, it can serve as an active flood warning system.

  13. Floods in Brno: history, causes and impacts

    Science.gov (United States)

    Brázdil, R.; Dobrovolný, P.; Halíčková, M.; Macková, J.; Øezníčková, L.; Soukalová, E.; Valášek, H.

    2009-09-01

    Brno is the second largest city in the Czech Republic (cca 400,000 inhabitants), a centre of southern Moravia. It was always endangered by floods occurring on the Svratka River and the Svitava River. Observed floods were related mainly to intense snow-melting (with rains and also ice-damming) in winter/early spring or heavy precipitation in the summer half-year. Historical and recent changes in catchments of the both rivers influencing floods are described (land-use, regulations of rivers, water reservoirs). Basic analysis of floods is presented for the period of systematic hydrological measurements (water stages or discharges) with respect to their severity (expressed by N-year return period) and seasonality of floods for the four hydrological stations in Brno and its surroundings. Examples of selected flood events with analysis of meteorological causes, hydrological course and impacts are presented. The most severe floods occurred in March 1941 and August-September 1938. Information about floods from the instrumental period is extended by flood information derived from different documentary evidence. Long-term chronology of Brno floods (since 1650) combining documentary and instrumental data is presented and discussed in the context of climate variability.

  14. Floods Risk Management in Colombia

    Directory of Open Access Journals (Sweden)

    Leonardo Güiza Suárez

    2013-10-01

    Full Text Available The last rainy season 2010-2011 resulted in Colombia in around 500 casualties and more than 3.6 million of victims. Although this rainfall term accounted for one of the strongest it was not an unprecedented event since for more than fifty years this phenomenon has been taking place in the same Colombian regions producing casualties and victims. This fact makes us to think about the public management by authorities regarding flooding prevention in our country. This article elaborates on this topic explaining the risk management system in case of flooding in Colombia. It shows some national figures of the main ravages brought about by the 2010 2011 rainy seasons. Finally the article analyzes two cases of study of how operational is this public policy in risk management: La Mojana and Canal del Dique regions. It was evident that the state failed in managing the risk management from flooding because despite the important investment, every year the victims, casualties and material damages are increasing steadily.

  15. Flood risk modelling based on tangible and intangible urban flood damage quantification.

    Science.gov (United States)

    ten Veldhuis, J A E; Clemens, F H L R

    2010-01-01

    The usual way to quantify flood damage is by application stage-damage functions. Urban flood incidents in flat areas mostly result in intangible damages like traffic disturbance and inconvenience for pedestrians caused by pools at building entrances, on sidewalks and parking spaces. Stage-damage functions are not well suited to quantify damage for these floods. This paper presents an alternative method to quantify flood damage that uses data from a municipal call centre. The data cover a period of 10 years and contain detailed information on consequences of urban flood incidents. Call data are linked to individual flood incidents and then assigned to specific damage classes. The results are used to draw risk curves for a range of flood incidents of increasing damage severity. Risk curves for aggregated groups of damage classes show that total flood risk related to traffic disturbance is larger than risk of damage to private properties, which in turn is larger than flood risk related to human health. Risk curves for detailed damage classes show how distinctions can be made between flood risks related to many types of occupational use in urban areas. This information can be used to support prioritisation of actions for flood risk reduction. Since call data directly convey how citizens are affected by urban flood incidents, they provide valuable information that complements flood risk analysis based on hydraulic models.

  16. The Association between Provider Practice and Knowledge of ORS and Zinc Supplementation for the Treatment of Childhood Diarrhea in Bihar, Gujarat and Uttar Pradesh, India: A Multi-Site Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Laura M Lamberti

    Full Text Available Programs aimed at reducing the burden of diarrhea among children under-five in low-resource settings typically allocate resources to training community-level health workers, but studies have suggested that provider knowledge does not necessarily translate into adequate practice. A diarrhea management program implemented in Bihar, Gujarat and Uttar Pradesh, India trained private sector rural medical practitioners (RMPs and public sector Accredited Social Health Activists (ASHAs and Anganwadi workers (AWWs in adequate treatment of childhood diarrhea with oral rehydration salts (ORS and zinc. We used cross-sectional program evaluation data to determine the association between observed diarrhea treatment practices and reported knowledge of ORS and zinc among each provider cadre.We conducted principal components analysis on providers' responses to diarrhea treatment questions in order to generate a novel scale assessing ORS/zinc knowledge. We subsequently regressed a binary indicator of whether ORS/zinc was prescribed during direct observation onto the resulting knowledge scores, controlling for other relevant knowledge predictors.There was a positive association between ORS/zinc knowledge score and prescribing ORS and zinc to young children with diarrhea among private sector RMPs (aOR: 2.32; 95% CI: 1.29-4.17 and public sector ASHAs and AWWs (aOR 2.48; 95% CI: 1.90-3.24. Controlling for knowledge score, receipt of training in the preceding 6 months was a good predictor of adequate prescribing in the public but not the private sector. In the public sector, direct access to ORS and zinc supplies was also highly associated with prescribing.To enhance the management of childhood diarrhea in India, programmatic activities should center on increasing knowledge of ORS and zinc among public and private sector providers through biannual trainings but should also focus on ensuring sustained access to an adequate supply chain.

  17. Advances in Remote Sensing of Flooding

    Directory of Open Access Journals (Sweden)

    Yong Wang

    2015-11-01

    Full Text Available With the publication of eight original research articles, four types of advances in the remote sensing of floods are achieved. The uncertainty of modeled outputs using precipitation datasets derived from in situ observations and remote sensors is further understood. With the terrestrial laser scanner and airborne light detection and ranging (LiDAR coupled with high resolution optical and radar imagery, researchers improve accuracy levels in estimating the surface water height, extent, and flow of floods. The unmanned aircraft system (UAS can be the game changer in the acquisition and application of remote sensing data. The UAS may fly everywhere and every time when a flood event occurs. With the development of urban structure maps, the flood risk and possible damage is well assessed. The flood mitigation plans and response activities become effective and efficient using geographic information system (GIS-based urban flood vulnerability and risk maps.

  18. Visualization and Damage Assessment for Flooded Area

    Institute of Scientific and Technical Information of China (English)

    SU Guozhong; YAN Li; LIU Nan; LIU Renyi

    2004-01-01

    A practical method for visualizing flood area and evaluating damage is presented, which consists of two technical approaches: self-programming and adapting commercial GIS platforms. The low-cost and easy-to-use GIS-Based model developed by self-programming can meet current requirements of most local authorities, especially in developing countries. In this model, two cases, non-source flood and source flood, are distinguished and the Seed-spread algorithm suitable for source-flood is discussed; The flood damage is assessed by overlaying the flood area range with thematic maps and other related social and economic data. and all thematic maps are converted to raster format before overlay analysis. Two measures are taken to improve the operation efficiency of speed seed-spread algorithm. The accuracy of the model mainly depends on the resolution and precision of the DEM data, and the accuracy of registering all raster layers and the quality of attribute data.

  19. 7 CFR 650.25 - Flood-plain management.

    Science.gov (United States)

    2010-01-01

    ... flood plain. Department of Housing and Urban Development (HUD) flood insurance maps, other available... 7 Agriculture 6 2010-01-01 2010-01-01 false Flood-plain management. 650.25 Section 650.25... Flood-plain management. Through proper planning, flood plains can be managed to reduce the threat...

  20. 12 CFR 339.7 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Forced placement of flood insurance. 339.7... GENERAL POLICY LOANS IN AREAS HAVING SPECIAL FLOOD HAZARDS § 339.7 Forced placement of flood insurance. If... not covered by flood insurance or is covered by flood insurance in an amount less than the...

  1. 25 CFR 256.24 - Will I need flood insurance?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Will I need flood insurance? 256.24 Section 256.24... Will I need flood insurance? You will need flood insurance if your dwelling is located in an area identified as having special flood hazards under the Flood Disaster Protection Act of 1973 (Pub. L....

  2. 12 CFR 614.4945 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Forced placement of flood insurance. 614.4945... OPERATIONS Flood Insurance Requirements § 614.4945 Forced placement of flood insurance. If a System... not covered by flood insurance or are covered by flood insurance in an amount less than the...

  3. 12 CFR 572.7 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Forced placement of flood insurance. 572.7... HAVING SPECIAL FLOOD HAZARDS § 572.7 Forced placement of flood insurance. If a savings association, or a... not covered by flood insurance or is covered by flood insurance in an amount less than the...

  4. 12 CFR 760.7 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Forced placement of flood insurance. 760.7... LOANS IN AREAS HAVING SPECIAL FLOOD HAZARDS § 760.7 Forced placement of flood insurance. If a credit... not covered by flood insurance, or is covered by flood insurance in an amount less than the...

  5. 44 CFR 78.5 - Flood Mitigation Plan development.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Flood Mitigation Plan..., DEPARTMENT OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION ASSISTANCE § 78.5 Flood Mitigation Plan development. A Flood Mitigation Plan will articulate...

  6. The perceived impact of downsizing and organisational transformation on survivors

    Directory of Open Access Journals (Sweden)

    N. Ndlovu

    2005-10-01

    Full Text Available Change is a way of life and the ability to manage change is a key factor in organisational survival and effectiveness. This article evaluates the ‘survivor syndrome’ and assesses the impact of the process of downsizing and transformation on communication, trust, survivor commitment and loyalty, morale and career advancement opportunities. The study was conducted using a stratified random sample of 361 employees/survivors in a branch of a motor manufacturer that had undergone major transformation. Data was collected using a self-developed questionnaire and analysed using descriptive and inferential statistics. The study generates a framework/model of critical change implementation factors and recommendations that will enable change managers to sense, adjust, respond and implement change timeously so as to gain strategic and competitive advantage. Opsomming Verandering is ’n lewenswyse en die vermoë om te verander is ’n kernaspek in organisasieverandering en -oorlewing. In hierdie artikel word die ‘oorlewingsindroom’ beoordeel en word die impak van die afskalingsproses en transformasie op kommunikasie, vertroue, ‘oorlewende’ toewyding en lojaliteit, moraal en loopbaanvorderingsgeleenthede takseer. Die studie is uitgevoer, met die gebruik van ’n gestratifiseerde ewekansige steekproef van 361 werknemers/’oorlewendes’ in ’n afdeling van ’n motorvervaardiger wat ingrypende transformasie ondergaan het. Data is ingesamel by wyse van ’n selfontwikkelde vraelys en ontleed aan die hand van beskrywende en inferensiële statistiek. Die studie het ’n raamwerk/model van kritieke veranderingsimplementeringsfaktore en aanbevelings gegenereer wat veranderingsbestuurders in staat sal stel om die gewaarwording, aanpassing, reaksie en implementering van verandering tydig te doen sodat strategiese en mededingingsvoordeel behaal kan word.

  7. Sixteen-year follow-up of childhood avalanche survivors

    Science.gov (United States)

    Thordardottir, Edda Bjork; Valdimarsdottir, Unnur Anna; Hansdottir, Ingunn; Hauksdóttir, Arna; Dyregrov, Atle; Shipherd, Jillian C.; Elklit, Ask; Resnick, Heidi; Gudmundsdottir, Berglind

    2016-01-01

    Background Every year a substantial number of children are affected by natural disasters worldwide. However, data are scarce on long-term psychological impact of natural disasters on children's health. Identifying risk factors and outcomes associated with the long-term sequelae of posttraumatic stress disorder (PTSD) can provide a gateway to recovery as well as enhancement of preventive measures. Objective Among childhood avalanche survivors, we aimed to investigate risk factors for PTSD symptoms and the relationship between socioeconomic status (SES) and PTSD symptoms in adulthood. Methods Childhood survivors (aged 2–19 at the time of exposure) of two avalanches were identified through nationwide registers 16 years later. The Posttraumatic Diagnostic Scale was used to assess current PTSD symptoms. One-way ANOVA was used to explore PTSD symptoms by background and trauma-specific factors, as well as associations with current SES. Predictors of PTSD symptoms were examined by multivariable regression analysis. Results Response rate was 66% (108/163). Results from univariate ANOVA analysis revealed that female sex was associated with PTSD symptoms (F=5.96, punemployment and/or disability (F=3.04, p<0.05). In a multivariable regression model, when adjusting for age and sex, lack of social support (t=4.22, p<0.001) and traumatic reactions of caregivers (t=2.49, p<0.05) in the aftermath of the disaster independently predicted PTSD 16 years post-trauma. Conclusions Lingering PTSD symptoms after childhood exposure to a disaster may negatively influence socioeconomic development in adulthood. Strengthening children's support systems post-disaster may prevent the long-term sequelae of symptoms. Highlights of the article PTSD symptoms following avalanche exposure during childhood were associated with poorer socioeconomic status in adulthood. Lack of social support and traumatic reactions of caregivers in the aftermath of avalanches predicted PTSD symptoms among childhood

  8. Complementary Therapy for Cancer Survivors: Integrative Nursing Care

    Directory of Open Access Journals (Sweden)

    Kazuko Onishi

    2016-01-01

    Full Text Available Objective: The number of cancer patients who survive more than 5 years after the completion of their initial treatment is increasing. Oncology nurses must consider the needs of long-term cancer survivors in addition to those of cancer patients undergoing treatment because cancer survivors experience anxiety over several issues, including the risk of recurrence and progression of cancer status and symptom management. Methods: We tried to examine the effect of complementary therapy (CT to reduce anxiety. The experimental study compared an intervention group (5 males and 68 females that underwent four CTs and a control group (5 males and 56 females that received no intervention. The intervention group practiced the CTs in their home for 20 min/day, 2 days/week, for 8 weeks, for a total of 16 times, whereas the control group performed their usual routines. Stress response scale-18 (SRS-18 scores consisting of three subscales (depression-anxiety, temper-anger, and lethargy were compared between the groups and across time within each group. Results: The intervention group reduced depression and anxiety significantly than the control group. Furthermore, the intervention group expressed the following positive feedback: "being able to relax," "being distracted from their worries and anxieties," "being able to sleep," "feeling more in-touch with reality," and "wanting to continue the practice." Conclusions: The study might accurately reflect the perspectives of women with cancer because the majority of the patients were women. Meanwhile, the result suggests that CTs might be useful for long-term cancer survivors who experience anxiety that influence their quality of life.

  9. Impact of Cardiovascular Counseling and Screening in Hodgkin Lymphoma Survivors

    Energy Technology Data Exchange (ETDEWEB)

    Daniëls, Laurien A., E-mail: l.a.daniels@lumc.nl [Department of Clinical Oncology, Leiden University Medical Center, Leiden (Netherlands); Krol, Stijn D.G. [Department of Clinical Oncology, Leiden University Medical Center, Leiden (Netherlands); Graaf, Michiel A. de [Department of Cardiology, Leiden University Medical Center, Leiden (Netherlands); Interuniversity Cardiology Institute of the Netherlands, Utrecht (Netherlands); Scholte, Arthur J.H.A. [Department of Cardiology, Leiden University Medical Center, Leiden (Netherlands); Veer, Mars B. van ' t [Department of Hematology, Leiden University Medical Center, Leiden (Netherlands); Putter, Hein [Department of Medical Statistics and Bio-informatics, Leiden University Medical Center, Leiden (Netherlands); Roos, Albert de [Department of Radiology, Leiden University Medical Center, Leiden (Netherlands); Schalij, Martin J. [Department of Cardiology, Leiden University Medical Center, Leiden (Netherlands); Poll-Franse, Lonneke V. van de [Research Department Comprehensive Cancer Center South, Eindhoven (Netherlands); Center of Research on Psychology in Somatic Diseases, Tilburg University, Tilburg (Netherlands); Creutzberg, Carien L. [Department of Clinical Oncology, Leiden University Medical Center, Leiden (Netherlands)

    2014-09-01

    Purpose: Cardiovascular disease (CVD) is the most common nonmalignant cause of death in Hodgkin lymphoma (HL) survivors, especially after mediastinal irradiation. The role of screening for CVD in HL survivors is unclear, but confrontation with risks of CVD may have a negative influence on health-related quality of life (HRQL). As part of a phase 2 screening study using computed tomography angiography (CTA) among HL survivors, an HRQL analysis was done to evaluate the emotional and practical burden and perceived benefits of screening and the effect of CVD-specific counseling on patient satisfaction. Methods and Materials: Patients who participated in the screening study also took part in the HRQL study. The impact of undergoing screening was evaluated with a 9-item questionnaire, and impact on HRQL with the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire C30, version 3.0. The effect of counseling of CVD on perceived provision of information was evaluated with EORTC INFO-25. All questionnaires were completed at baseline and after screening. Results: Baseline questionnaires were received from 48 participants, and 43 completed questionnaires after screening. Mean age was 47 years, and mean time since diagnosis was 21 years. Of the total, 93% of subjects were content with participating, and 80% did not find the emphasis placed on late effects burdensome, although screening did have a small impact on social functioning and global quality of life. Perceived information on disease, medical tests, and treatment increased significantly after screening (P<.01). Differences were clinically relevant. There were no differences in perceived information between patients with and without screen-detected CVD. Conclusions: Screening was evaluated favorably, whether CTA showed abnormalities or not. Extensive counseling resulted in substantially increased provision of information and improved information satisfaction. Screening by

  10. Body Image in Younger Breast Cancer Survivors: A Systematic Review

    Science.gov (United States)

    Paterson, Carly; Lengacher, Cecile A.; Donovan, Kristine A.; Kip, Kevin E.; Tofthagen, Cindy S.

    2015-01-01

    Background Body image is a complex issue with the potential to impact many aspects of cancer survivorship, particularly for the younger breast cancer survivor. Objective The purpose of this review is to synthesize the current state of the science for body image in younger women with breast cancer. Intervention/Methods Combinations of the terms “body image,” “sexuality intervention,” “women,” “younger women,” and “breast cancer” were searched in the PubMed, PsycInfo, CINAHL, Web of Knowledge and Science Direct databases through January 2014. Inclusion criteria for this review were: 1) original research; 2) published in English from the year 2000 forward; 3) measuring body image as an outcome variable; and 4) results included reporting of age-related outcomes. Results Thirty-six articles met the inclusion criteria. The majority of studies were cross-sectional, with extensive variation in body image assessment tools. Age and treatment type had a significant impact on body image, and poorer body image was related to physical and psychological distress, sex and intimacy, and the partnered relationship among younger women. Only one intervention study found a significant improvement in body image post-intervention. Conclusions Findings suggest body image is a complex post-treatment concern for breast cancer survivors, particularly younger women. The findings of this review are limited by the high level of variation in the methods for assessing body image. Implications for Practice Further research of interventions to address body image concerns following treatment for breast cancer is warranted. Improvement of body image may improve the quality of life of younger breast cancer survivors. PMID:25881807

  11. Psychosocial aspects of survivors of childhood cancer or leukemia.

    Science.gov (United States)

    Massimo, L; Zarri, D; Caprino, D

    2005-12-01

    The majority of childhood cancer patients can expect nowadays to be cured and the percentage is now between 70% and 80%. The number of long-term survivors, off- threatment for at least 5 years, is rising rapidly and is becoming a new population, which needs a special care. It is becoming increasingly important to know how to prevent and treat the physical late effects as well as the psychosocial ones. The oldest among these patients are now in their 40's. How will their old age be like? Are they really cured? The aim of this study is to present a detailed survey of the literature on this topic as well as the authors' personal experience. Several techniques of psychological investigation for this population are highlighted. The semistructured interviews are mostly used for mono-institutional research, while the narrative dialogues are useful for small groups of patients. Questionnaires are usually conducted by epidemiologists for large groups of survivors. Tests are used for specific items such as defense mechanisms, self-esteem, relationships within the family, fear, and panic. The evaluation of the post-traumatic stress disorder is considered and the most important literature data are reported. It is also stressed the need of prevention of any type of psychosocial distress. In conclusion, most of the survivors appear to lead normal adult lives, to have obtained high school degrees, good jobs, and several have families and children. Nevertheless, a small percentage show some psychological or social problems, such as anxiety, depression, fear over the future or over relapse, a second primary, or sterility. The most vulnerable among them are females, people in poor financial conditions, the unemployed and those with poor educations.

  12. LAMINATION METHOD OF FLOOD WADIS AND PROJECTION OF THE LAMINATED FLOOD HYDROGRAPH

    Directory of Open Access Journals (Sweden)

    M. Ladjel

    2016-01-01

    Full Text Available The catastrophic floods in semi-arid areas are often caused by floods storm that occur at any time during the year, including the hot season. The prevention of these floods could be done by the construction of small dam hills. This requires the control of theoretical concepts hydrological sizing, especially the hydrological structure to evacuate floods. We suggest a method to calculate the optimal regulation flow of the flood and also the development of a direct calculation formula of a laminated maximum flow. The analysis of the hydro graph’s analogy at the input and the output of the dam, allow searching the dependencies between their characteristics. knowing the characteristics of the hydrograph flood of the project and the reserved capacity for the amortization of the flood, we can directly determine the laminated maximum flow and project the hydrograph of the laminated flood.

  13. Influence of flood risk characteristics on flood insurance demand: a comparison between Germany and the Netherlands

    Science.gov (United States)

    Seifert, I.; Botzen, W. J. W.; Kreibich, H.; Aerts, J. C. J. H.

    2013-07-01

    The existence of sufficient demand for insurance coverage against infrequent losses is important for the adequate function of insurance markets for natural disaster risks. This study investigates how characteristics of flood risk influence household flood insurance demand based on household surveys undertaken in Germany and the Netherlands. Our analyses confirm the hypothesis that willingness to pay (WTP) for insurance against medium-probability medium-impact flood risk in Germany is higher than WTP for insurance against low-probability high-impact flood risk in the Netherlands. These differences in WTP can be related to differences in flood experience, individual risk perceptions, and the charity hazard. In both countries there is a need to stimulate flood insurance demand if a relevant role of private insurance in flood loss compensation is regarded as desirable, for example, by making flood insurance compulsory or by designing information campaigns.

  14. Flood early warning system: sensors and internet

    OpenAIRE

    Pengel, B.E.; Krzhizhanovskaya, V.V.; Melnikova, N.B.; Shirshov, G.S.; Koelewijn, A.R.; Pyayt, A.L.; Mokhov, I.I.; Chavoshian, A.; Takeuchi,K.

    2013-01-01

    The UrbanFlood early warning system (EWS) is designed to monitor data from very large sensornetworks in flood defences such as embankments, dikes, levees, and dams. The EWS, based on the internet, uses real-time sensor information and Artificial Intelligence (AI) to immediately calculate the probability of dike failure, the ensuing scenarios of dike breaching, predicted flood spreading and escape routes for people from the affected areas. Results are presented on interactive decision support ...

  15. Identification and classification of Serbia's historic floods

    Directory of Open Access Journals (Sweden)

    Prohaska Stevan

    2009-01-01

    Full Text Available River flooding in Serbia is a natural phenomenon which largely exceeds the scope of water management and hydraulic engineering, and has considerable impact on the development of Serbian society. Today, the importance and value of areas threatened by floods are among the key considerations of sustainable development. As a result, flood protection techniques and procedures need to be continually refined and updated, following innovations in the fields of science and technology. Knowledge of high flows is key for sizing hydraulic structures and for gauging the cost-effectiveness and safety of the component structures of flood protection systems. However, sizing of hydraulic structures based on computed high flows does not ensure absolute safety; there is a residual flood risk and a risk of structural failure, if a flood exceeds computed levels. In hydrological practice, such floods are often referred to as historic/loads. The goal of this paper is to present a calculation procedure for the objective identification of historic floods, using long, multiple-year series of data on high flows of natural watercourses in Serbia. At its current stage of development, the calculation procedure is based on maximum annual discharges recorded at key monitoring stations of the Hydro-Meteorological Service of Serbia (HMS Serbia. When applied, the procedure results in the identification of specific historic maximum stages/floods (if any at all gauge sites included in the analysis. The probabilistic theory is then applied to assess the statistical significance of each identified historic flood and to classify the historic flood, as appropriate. At the end of the paper, the results of the applied methodology are shown in tabular and graphic form for various Serbian rivers. All identified historic floods are ranked based on their probability of occurrence (i.e., return period.

  16. Childhood pheochromocytoma in a survivor of central primitive neuroectodermal tumor.

    Science.gov (United States)

    Nakano, Yoshiko; Fujimaru, Rika; Ishii, Keiichi; Sakamoto, Hiroaki; Inoue, Takeshi; Sako, Masahiro; Yamada, Hiroshi

    2013-08-01

    Pheochromocytoma and central nervous system primitive neuroectodermal tumor are both neural crest-derived tumors. The former is usually benign and develops mainly in adulthood and the latter brain tumor mainly occurs in childhood and has a poor prognosis. We report a case of a 15-year-old boy who developed pheochromocytoma after more than 10 years of complete remission of central primitive neuroectodermal tumor. Thus far, there have been no reports of childhood cancer survivors who developed pheochromocytoma. This quite rare occurrence of two tumors in a single patient may imply some unidentified linkage or common genetic background.

  17. Breast cancer fear in African American breast cancer survivors.

    Science.gov (United States)

    Gibson, Lynette M; Thomas, Sheila; Parker, Veronica; Mayo, Rachel; Wetsel, Margaret Ann

    2014-01-01

    The purpose of this study was to describe breast cancer fear according to phase of survivorship, determine whether breast cancer fear levels differed among survivorship phases, and determine the relationship between fear and age in African-American breast cancer survivors. The study utilized secondary data analysis from the study, Inner Resources as Predictors of Psychological Well-Being in AABCS. A new subscale entitled, "Breast Cancer Fear" was adapted from the Psychological Well Being Subscale by Ferrell and Grant. There was no significant difference between fear and phase of survivorship. There was a significant positive relationship between age and fear.

  18. The cancer empowerment questionnaire: psychological empowerment in breast cancer survivors.

    Science.gov (United States)

    van den Berg, Sanne W; van Amstel, Floortje K Ploos; Ottevanger, Petronella B; Gielissen, Marieke F M; Prins, Judith B

    2013-01-01

    New models of cancer care and survivorship ask for empowered patients. But how do we measure that patients can derive strength from themselves (intrapersonal) and their perceived social support (interpersonal)? The 40-item Cancer Empowerment Questionnaire (CEQ) measures psychological empowerment as an individual outcome measure. The CEQ was validated in 140 nonmetastatic female breast cancer survivors (mean 5.5 years postsurgery). Principal component analysis elicited four factors representing intrapersonal (personal strength) and interpersonal (social support, community, health care) aspects of empowerment. The CEQ provides a reliable (Cronbach's α=0.73-0.94) and valid first attempt to operationalize psychological empowerment in cancer care.

  19. Skin Cancer Surveillance Behaviors Among Childhood Cancer Survivors.

    Science.gov (United States)

    Stapleton, Jerod L; Tatum, Kristina L; Devine, Katie A; Stephens, Sue; Masterson, Margaret; Baig, Amna; Hudson, Shawna V; Coups, Elliot J

    2016-03-01

    The risk of developing skin cancer is elevated among childhood cancer survivors (CCS), particularly among those treated with radiation. This survey study examined the skin cancer surveillance behaviors of 94 CCS. Approximately 48% of CCS had ever conducted skin self-examination (SSE) and 31% had ever received a physician skin examination. Rates of physician skin examination were 2.5 times higher among CCS treated with radiation compared to those without radiation. However, rates of SSEs did not differ based on treatment history. These findings highlight the need to promote skin cancer surveillance as an important aspect of CCS survivorship care.

  20. A Framework for Flood Risk Analysis and Benefit Assessment of Flood Control Measures in Urban Areas

    OpenAIRE

    Li, Chaochao; Cheng, Xiaotao; Li, Na; Du, Xiaohe; Yu, Qian; Kan, Guangyuan

    2016-01-01

    Flood risk analysis is more complex in urban areas than that in rural areas because of their closely packed buildings, different kinds of land uses, and large number of flood control works and drainage systems. The purpose of this paper is to propose a practical framework for flood risk analysis and benefit assessment of flood control measures in urban areas. Based on the concept of disaster risk triangle (hazard, vulnerability and exposure), a comprehensive analysis method and a general proc...

  1. Finding Your New Normal: Outcomes of a Wellness-Oriented Psychoeducational Support Group for Cancer Survivors

    Science.gov (United States)

    Shannonhouse, Laura; Myers, Jane; Barden, Sejal; Clarke, Philip; Weimann, Rochelle; Forti, Allison; Moore-Painter, Terry; Knutson, Tami; Porter, Michael

    2014-01-01

    Group interventions have been useful for survivors to overcome the challenges of cancer. This study employed a pre/post, mixed-methods design to explore the influence of an 8-week support group on the holistic wellness of 14 breast cancer survivors. Pairing experiential activities with wellness-centered psychoeducation was viewed positively by…

  2. Body image in cancer survivors : a systematic review of case-control studies

    NARCIS (Netherlands)

    Lehmann, Vicky; Hagedoorn, Mariet; Tuinman, Marrit A.

    2015-01-01

    There is common consensus that cancer and its treatment can impair the body, but combined evidence of the previous literature in cancer survivors is missing. Therefore, we reviewed body image in cancer survivors and focused on case-control studies, in order to draw conclusions as to whether body ima

  3. Group Work with Survivors of the 2004 Asian Tsunami: Reflections of an American-Trained Counselor

    Science.gov (United States)

    Fernando, Delini M.

    2009-01-01

    This article describes a support group for Sri Lankan women survivors of the 2004 Asian Tsunami. The article discusses unique leader challenges in doing group work in a diverse and foreign setting, and presents leader reflections, recommendations, and implications for group workers who may work with disaster survivors.

  4. Relational Challenges and Recovery Processes in Male Survivors of Childhood Sexual Abuse

    Science.gov (United States)

    Kia-Keating, Maryam; Sorsoli, Lynn; Grossman, Frances K.

    2010-01-01

    Male survivors of childhood sexual abuse face challenges resolving sexual victimization experiences with the ideals of masculinity, often experiencing intimacy problems, emotional discomfort, alienation, and anger. Little attention has been paid to how male survivors learn to develop long-term connections, disclose emotions in relationship…

  5. Examining Burnout and Engagement in Layoff Survivors: The Role of Personal Strengths

    Science.gov (United States)

    Cotter, Elizabeth W.; Fouad, Nadya A.

    2013-01-01

    This study investigates burnout and work engagement in layoff survivors. Layoff survivors are defined as individuals who remain working at organizations that have recently had layoffs. Job demands (job insecurity and work overload) and job and personal resources (social support, optimism, career adaptability, and career management self-efficacy)…

  6. Coping with the Murder of a Loved One: Counseling Survivors of Murder Victims in Groups

    Science.gov (United States)

    Miranda, Alexis O.; Molina, Bogusia; MacVane, Sandi L.

    2003-01-01

    The survival of the murder of a loved one is a psychologically taxing process. Survivors of murder victims experience stressors that originate from the exigencies of the interpersonal, situational, and the criminal justice system domains. Group facilitators must be aware of the experiences and the mental health dynamics common to survivors, the…

  7. 26 CFR 11.401(a)-11 - Qualified joint and survivor annuities.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Qualified joint and survivor annuities. 11.401... SECURITY ACT OF 1974 § 11.401(a)-11 Qualified joint and survivor annuities. (a) In general—(1) General rule... provides that these benefits must be paid in a form having the effect of a qualified joint and...

  8. 20 CFR 225.23 - Combined Earnings PIA used in survivor annuities.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Combined Earnings PIA used in survivor... RAILROAD RETIREMENT ACT PRIMARY INSURANCE AMOUNT DETERMINATIONS PIA's Used in Computing Survivor Annuities and the Amount of the Residual Lump-Sum Payable § 225.23 Combined Earnings PIA used in...

  9. 20 CFR 410.456 - Determining origin of pneumoconiosis, including statutory presumption-survivor's claim.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Determining origin of pneumoconiosis, including statutory presumption-survivor's claim. 410.456 Section 410.456 Employees' Benefits SOCIAL..., including statutory presumption—survivor's claim. (a) If a miner was employed for 10 years or more in...

  10. 5 CFR 841.707 - COLA's affecting computation of survivor supplements.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false COLA's affecting computation of survivor supplements. 841.707 Section 841.707 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL... Adjustments § 841.707 COLA's affecting computation of survivor supplements. For purposes of computing...

  11. 5 CFR 841.703 - Increases on basic annuities and survivor annuities.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Increases on basic annuities and survivor... Adjustments § 841.703 Increases on basic annuities and survivor annuities. (a) Except as provided in §§ 841.704, 841.706, and 841.707, and paragraph (e) of this section, COLA's on basic annuities and...

  12. Constructing the meaning of survivor with former pediatric brain tumor patients.

    Science.gov (United States)

    Zwiers, Angela; Campbell, Craig; Evans, Marilyn; Kirkwood, Ken

    2015-01-01

    Although the term survivor is frequently used in cancer discourse, the meaning of survivor and how people identify with this term can be difficult to understand. The purpose of this qualitative study is to explore the meaning of the term survivor from the perspective of young adults who have experienced a pediatric brain tumor (PBT). A constructivist grounded theory was utilized in this study with 6 young adults who had a PBT. This study also used semistructured interviews with participants who also completed reflective journals, which were focused on the survivor concept. Data were analyzed through coding strategies and constant comparative methods. Findings present 4 major themes of process: (a) reviewing the illness experience, (b) qualifying as a survivor, (c) thinking positive, and (d) being changed. These themes are important to consider in the construction, interpretation, and understanding of how the majority of this population do not identify with the current social use of the term survivor. Clearly, there is a need for a clearer understanding of survivor and how it specifically applies to those who have had a PBT. Everyone should remain conscious and consider how a broad, generalizing term such as survivor may influence a person's attitude and advocacy toward their health.

  13. Sequelae and Other Conditions in Ebola Virus Disease Survivors, Sierra Leone, 2015

    Science.gov (United States)

    Vandy, Alren O.; Stretch, Rebecca; Otieno, David; Prajapati, Mukesh; Calderon, Mauricio; Vandi, Mohamed

    2017-01-01

    We rapidly assessed the health of Ebola virus disease (EVD) survivors in Kenema, Sierra Leone, by reviewing medical charts of all patients attending the Survivor Clinic of Kenema Government Hospital. Data were abstracted on signs and symptoms at every attendance. As of November 2015, a total of 621 attendances by 115 survivors with laboratory-confirmed EVD were made to the Survivor Clinic. Most (60.9%) survivors were women. Survivors’ median age was 28 years (range 0.25–70 years). Survivors attended the clinic a median of 5 times (range 1–21 times) each, and the median time from EVD discharge to attendance was 261 days (range 4–504 days). The most commonly reported signs and symptoms among the 621 attendances were headache (63.1%), fever (61.7%), and myalgia (43.3%). Because health needs of EVD survivors are complex, rapid chart reviews at survivor clinics should be repeated regularly to assess the extent of illness and prioritize service delivery. PMID:27983503

  14. Within the Box: Cross-Cultural Art Therapy with Survivors of the Rwanda Genocide

    Science.gov (United States)

    Chu, Valerie

    2010-01-01

    This article discusses the creative making of boxes as a cross-cultural art therapy intervention in Kigali, Rwanda, with survivors of the 1994 Rwandan genocide. The box as an art form is particularly applicable with young adult survivors, given the nature of their prodigious trauma and the possibility of posttraumatic stress disorder, as well as…

  15. Quality of Working Life of cancer survivors : Development and evaluation of a measurement instrument

    NARCIS (Netherlands)

    de Jong, M.

    2016-01-01

    Cancer survivors can experience difficulties in return-to-work or work continuation. Current outcomes in research describing the working life of cancer survivors offer little insight into cancer survivors’ experiences and perceptions of work, that is to say, the Quality of Working Life (QWL) of canc

  16. Relational Factors Associated with Depressive Symptoms among Stroke Survivor-Spouse Dyads

    Science.gov (United States)

    McCarthy, Michael J.; Lyons, Karen S.; Powers, Laurie E.

    2012-01-01

    Depression following stroke is a major problem for survivors and spouses, but few studies have focused on the experiences of couples. This study investigates associations between perceived relationship quality, communication and coping patterns, interpersonal misunderstandings and expectations, and survivors' and spouses' depressive symptoms after…

  17. Physical symptoms that are frequently unexplained among survivors of the Enschede fireworks disaster

    NARCIS (Netherlands)

    Berg, B. van den

    2007-01-01

    Most studies after disasters have focused on mental health problems such as post-traumatic stress disorder (PTSD), depression and anxiety among survivors. Besides mental health problems, survivors may develop physical health symptoms that are frequently unexplained such as headache, fatigue and stom

  18. Hospital contact for mental disorders in survivors of childhood cancer and their siblings in Denmark

    DEFF Research Database (Denmark)

    Lund, Lasse Wegener; Winther, Jeanette; Dalton, Susanne Oksbjerg;

    2013-01-01

    Survivors of childhood cancer are known to be at risk for long-term physical and mental effects. However, little is known about how cancers can affect mental health in the siblings of these patients. We aimed to assess the long-term risks of mental disorders in survivors of childhood cancer and t...

  19. Perceived causes of prostate cancer among prostate cancer survivors in the Netherlands

    NARCIS (Netherlands)

    Kok, D.E.G.; Cremers, R.G.H.M.; Aben, K.K.H.; Oort, van I.M.; Kampman, E.; Kiemeney, L.A.L.M.

    2013-01-01

    Introduction The aim of this study was to evaluate self-reported causes of prostate cancer among prostate cancer survivors in the Netherlands to obtain insight into the common beliefs and perceptions of risk factors for prostate cancer. Materials and methods A total of 956 prostate cancer survivors,

  20. Common Themes in the Experiences of Mother-Daughter Incest Survivors: Implications for Counseling.

    Science.gov (United States)

    Ogilvie, Beverly; Daniluk, Judith

    1995-01-01

    Studied mother-daughter incest. Common themes were extracted from in-depth interviews with survivors of mother-perpetrated sexual abuse, some of which parallel the experience of survivors of other forms of child sexual abuse, and some of which are more specific to mother-daughter incest. Discusses themes and counseling implications. (JBJ)

  1. Body image in cancer survivors : a systematic review of case-control studies

    NARCIS (Netherlands)

    Lehmann, Vicky; Hagedoorn, Mariët; Tuinman, Marrit A

    2014-01-01

    PURPOSE: There is common consensus that cancer and its treatment can impair the body, but combined evidence of the previous literature in cancer survivors is missing. Therefore, we reviewed body image in cancer survivors and focused on case-control studies, in order to draw conclusions as to whether

  2. Interrelated Processes toward Quality of Life in Survivors of Childhood Cancer: A Grounded Theory

    Science.gov (United States)

    Tsonis, Miranda; McDougall, Janette; Mandich, Angela; Irwin, Jennifer

    2012-01-01

    Past research has not adequately addressed the quality of life (QOL) of survivors of childhood cancer. The purpose of this study was to understand how QOL is experienced for individuals who have survived childhood cancer. Specific research questions included: (a) How do childhood cancer survivors define the concept of QOL and (b) What processes do…

  3. Home-making after stroke. : A qualitative study among Dutch stroke survivors

    NARCIS (Netherlands)

    Meijering, Louise; Nanninga, Christa S.; Lettinga, Ant T.

    2016-01-01

    Stroke survivors may suffer from physical limitations as well as cognitive and behavioural difficulties. Many survivors work on their recovery in a rehabilitation clinic with the aim to return to their own home again. Since full recovery is often not feasible, they face the challenge of coming to te

  4. 20 CFR 225.36 - Effect of DRC's on survivor annuities.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Effect of DRC's on survivor annuities. 225.36... PRIMARY INSURANCE AMOUNT DETERMINATIONS Delayed Retirement Credits § 225.36 Effect of DRC's on survivor... surviving divorced spouse annuity. All DRC's, including credits earned in the year of death, can be used...

  5. A Meta-Summary of Qualitative Findings about Professional Services for Survivors of Sexual Violence

    Science.gov (United States)

    Martsolf, Donna S.; Draucker, Claire B.; Cook, Christina B.; Ross, Ratchneewan; Stidham, Andrea Warner; Mweemba, Prudencia

    2010-01-01

    Sexual violence occurs at alarming rates in children and adults. Survivors experience myriad negative health outcomes and legal problems, which place them in need of professional services. A meta-summary was conducted of 31 published qualitative studies on adults' responses to sexual violence, with a focus on survivors' use of professional…

  6. Leininger's Ethnonursing Research Methodology and Studies of Cancer Survivors: A Review.

    Science.gov (United States)

    Farren, Arlene T

    2015-09-01

    The purpose of this article is to present the findings of a literature review regarding the use of Leininger's ethnonursing research methodology (ENRM) in studies addressing adult cancer survivors. It is important to learn about differences and similarities among cancer survivors' experiences so that patient-centered, culturally congruent care can be provided. A review of the literature was conducted using databases such as CINAHL and MEDLINE. Search terms included variations on ENRM and cancer survivors. The results were a small number of published studies that used the ENRM examining breast cancer survivors' perceptions and experiences. A review instrument was developed to estimate study quality based on established criteria. The studies are critiqued in relation to the theory-based methodology, evaluation criteria for qualitative research, and study findings are summarized. The author concludes that although there is a paucity of research using ENRM with adult cancer survivors, the preliminary findings of the included studies contribute to what is known about breast cancer survivors. Implications for research include recommendations to increase the use of ENRM to discover the universal and diverse experiences of care practices in adult cancer survivors and use the evidence to develop patient-centered, culturally congruent, quality care for cancer survivors.

  7. Community-Based Career Counseling for Women Survivors of Intimate Partner Violence: A Collaborative Partnership

    Science.gov (United States)

    Chronister, Krista M.; Harley, Eliza; Aranda, Christina L.; Barr, Leah; Luginbuhl, Paula

    2012-01-01

    Intimate partner violence (IPV) costs women nearly 8 million days of paid work annually. Greater attention to violence survivors' employment and career development can facilitate women escaping abusive relationships and promotes their overall rehabilitation and healing. A first step to increasing attention to survivors' career development includes…

  8. Predictors of adherence to an Iyengar yoga program in breast cancer survivors

    Directory of Open Access Journals (Sweden)

    Amy E Speed-Andrews

    2012-01-01

    Conclusions: Adherence to Iyengar yoga in breast cancer survivors was strongly related to motivational variables from the theory of planned behaviour. Researchers attempting to improve yoga adherence in breast cancer survivors may benefit from targeting the key constructs in the theory of planned behaviour.

  9. Scope of Justice in the Workplace: How Survivors React to Co-Worker Layoffs.

    Science.gov (United States)

    Brockner, Joel

    1990-01-01

    Explores the effects of layoffs on work behavior and attitude of employees not laid off. Study results indicate that survivors become more withdrawn from their jobs if they believe management handled the layoff unfairly, and these tendencies are more evident if layoff victims were included in survivors' scope of justice. (JS)

  10. Survivors' Reactions to Layoffs: We Get By with a Little Help for Our Friends.

    Science.gov (United States)

    Brockner, Joel; And Others

    1987-01-01

    Describes a multimethod approach to investigating survivors' reactions after a job layoff has occurred. The study hypothesized that survivors would exhibit the most negative reactions when they identified with the layoff victims and when they felt these victims had been poorly compensated. Results corroborate this basic justice theory. Includes 18…

  11. Changes in body mass index in long-term childhood cancer survivors

    NARCIS (Netherlands)

    van Santen, HM; Geskus, Ronald B; Raemaekers, Steven; van Trotsenburg, A S Paul; Vulsma, Thomas; van der Pal, Helena J H; Caron, Hubert N; Kremer, Leontien C M

    2015-01-01

    BACKGROUND: Previous studies have reported changes in the body mass index (BMI) with time in childhood cancer survivors (CCSs) during follow-up. The limitations of these studies include that they described only a subgroup of survivors or used questionnaires with self-reported heights and weights. Th

  12. Sexual Abuse Survivors' Perceptions of the Effectiveness of EMDR and Eclectic Therapy

    Science.gov (United States)

    Edmond, Tonya; Sloan, Lacey; McCarty, Dawn

    2004-01-01

    Objective: This article examines survivor perspectives of the effectiveness of two different treatments for trauma symptoms among adult female survivors of childhood sexual abuse--Eye movement Desensitization and Reprocessing (EMDR) and eclectic therapy. Method: Qualitative interviews obtained in the context of a mixed-methods study were conducted…

  13. 75 FR 20893 - National Day of Service and Remembrance for Victims and Survivors of Terrorism, 2010

    Science.gov (United States)

    2010-04-21

    ... and Survivors of Terrorism, 2010 By the President of the United States of America A Proclamation There... Remembrance for Victims and Survivors of Terrorism, we pause to remember victims of terrorism at home and... terrorism and their families, though bound at first by anguish and loss, are united by extraordinary acts...

  14. Health Promotion for Adolescent Childhood Leukemia Survivors: Building on Prevention Science and eHealth

    OpenAIRE

    Elliot, Diane L.; Lindemulder, Susan J; Goldberg, Linn; Stadler, Diane D.; Smith, Jennifer

    2012-01-01

    Teenage survivors of childhood acute lymphoblastic leukemia (ALL) have increased morbidity likely due to their prior multicomponent treatment. Habits established in adolescence can impact individuals’ subsequent adult behaviors. Accordingly, healthy lifestyles, avoiding harmful actions, and appropriate disease surveillance are of heightened importance among teenage survivors. We review the findings from prevention science and their relevance to heath promotion. The capabilities and current us...

  15. Long-term cardiac follow-up in survivors of a malignant bone tumour

    NARCIS (Netherlands)

    Brouwer, C. A. J.; Gietema, J. A.; van den Berg, M. P.; Bink-Boelkens, M. T. E.; Elzenga, N. J.; Haaksma, J.; Kamps, W. A.; Vonk, J. M.; de Vries, E. G. E.; Postma, A.

    2006-01-01

    Background: Longitudinal studies of cardiac function in long-term childhood cancer survivors are scarce and frequently concern a median follow-up shorter than 13 years. Patients and methods: Cardiac assessment was performed in 22 doxorubicin-treated long-term survivors of a malignant bone tumour at

  16. Sexuality and body image in long-term survivors of testicular cancer

    DEFF Research Database (Denmark)

    Rossen, Philip; Pedersen, A F; Zachariae, R

    2012-01-01

    This study explores sexual function and the influence of different treatment modalities on sexual function and body image among long-term survivors of testicular cancer (TCSs).......This study explores sexual function and the influence of different treatment modalities on sexual function and body image among long-term survivors of testicular cancer (TCSs)....

  17. Work ability of survivors of breast, prostate, and testicular cancer in Nordic countries

    DEFF Research Database (Denmark)

    Lindbohm, M-L; Taskila, T; Kuosma, E

    2012-01-01

    Cancer can cause adverse effects on survivors' work ability. We compared the self-assessed work ability of breast, testicular, and prostate cancer survivors to that of people without cancer. We also investigated the association of disease-related and socio-demographic factors and job...

  18. Ebola Virus RNA in Semen from an HIV-Positive Survivor of Ebola

    Science.gov (United States)

    Rogers, Emerson; Baller, April; White, Stephen; Soka, Moses; Choi, Mary J.; Mahmoud, Nuha; Wasunna, Christine; Massaquoi, Moses; Kollie, Jomah; Dweh, Straker; Bemah, Philip; Ladele, Victor; Kpaka, Jonathan; Jawara, Mary; Mugisha, Margaret; Subah, Onyekachi; Faikai, Mylene; Bailey, Jeff A.; Rollin, Pierre; Marston, Barbara; Nyenswah, Tolbert; Gasasira, Alex; Knust, Barbara; Nichol, Stuart; Williams, Desmond

    2017-01-01

    Ebola virus is known to persist in semen of male survivors of Ebola virus disease (EVD). However, maximum duration of, or risk factors for, virus persistence are unknown. We report an EVD survivor with preexisting HIV infection, whose semen was positive for Ebola virus RNA 565 days after recovery from EVD. PMID:28287374

  19. Prolonged use of pancuronium bromide and sensorineural hearing loss in childhood survivors of congenital diaphragmatic hernia.

    Science.gov (United States)

    Cheung, P Y; Tyebkhan, J M; Peliowski, A; Ainsworth, W; Robertson, C M

    1999-08-01

    Sensorineural hearing loss (SNHL) is a significant neurologic morbidity in survivors of neonatal congenital diaphragmatic hernia (CDH), with a reported incidence of up to 60%. In a historical cohort study of 37 neonates with CDH, we investigated the use of pancuronium bromide (PB) and common ototoxic drugs during the neonatal period and their relationship to SNHL in childhood survivors. Survivors with SNHL (n = 23) had significantly higher cumulative dose of PB administered during the neonatal illness than survivors without SNHL (n = 14). The cumulative dose and duration of PB use significantly correlated (r = 0.66-0.81) and independently predicted (adjusted r (2) = 0.42-0.64) the greatest intensity (in decibels) and the widest band (lowest frequency in hertz) loss of SNHL. No differences were identified between survivors with and without SNHL regarding demographic and neonatal characteristics (including oxygenation and ventilation variables and the cumulative dose and duration of therapy with aminoglycosides, vancomycin, and furosemide), although survivors with SNHL had received a modestly higher cumulative dose of ethacrynic acid than survivors without SNHL. Although we show that prolonged administration of PB during the neonatal period is associated with SNHL in childhood survivors of CDH, further multicenter studies are required to investigate the possible etiologies of SNHL in this high-risk population.

  20. Posttraumatic Growth in Youth Survivors of a Disaster: An Arts-Based Research Project

    Science.gov (United States)

    Mohr, Elizabeth

    2014-01-01

    Evidence that posttraumatic growth is a potential outcome in the process of recovery from trauma and natural disaster highlights the importance of social environmental factors that encourage a growth response in survivors. This art-based research project followed up on a group of youth survivors (N = 11) of the 2007 earthquake in the Ica region of…