WorldWideScience

Sample records for bihar flood survivors

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

    Directory of Open Access Journals (Sweden)

    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

    Directory of Open Access Journals (Sweden)

    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. Managing flood prone ecosystem for rice production in Bihar plains

    International Nuclear Information System (INIS)

    A large area of the eastern region especially Bihar (0.5 million hectare) faces flood submergence and/or drought every year which creates an unfavorable environment for crop production. In this ecosystem only flood prone rice is grown whose cultivation is entirely different than normal rice crop. Managing the flood prone ecosystem for rice production needs to evaluate the reasons and a comprehensive appropriate technology through research efforts for better rice production under such harsh ecology. An attempt was made to develop a suitable agronomic package for rice cultivation during and after flooding in flood prone plains of Bihar. (author)

  4. Preparing to manage injury burden of Bihar

    Directory of Open Access Journals (Sweden)

    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

    Directory of Open Access Journals (Sweden)

    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

    Directory of Open Access Journals (Sweden)

    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. Flooding

    Science.gov (United States)

    ... security and resilience of drinking water and wastewater infrastructure . Green infrastructure for climate resiliency . During flooding State and local ... or damaged and release their contents into the environment, causing soil, surface water, and groundwater contamination. Learn ...

  9. Sustainable mitigation of arsenic contaminated groundwater in Bihar, India

    NARCIS (Netherlands)

    Ghosh, A.; Borges Freitas, S.C.

    2014-01-01

    The “water surplus” state of Bihar is faced with the serious problem of arsenic contaminated aquifers whose water is used both for drinking and irrigation purposes. A large number of mitigation strategies are being adopted by the authorities, without obtaining the desired results of clean water supp

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

    NARCIS (Netherlands)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  13. Floods and Flash Flooding

    Science.gov (United States)

    Floods and flash flooding Now is the time to determine your area’s flood risk. If you are not sure whether you ... If you are in a floodplain, consider buying flood insurance. Do not drive around barricades. If your ...

  14. 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

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

    Directory of Open Access Journals (Sweden)

    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

  17. Water quality assessment of Ganga river in Bihar Region, India.

    Science.gov (United States)

    Tiwary, R K; Rajak, G P; Abhishek; Mondal, M R

    2005-10-01

    A study was carried out on Ganga river in Bihar region in and around Patna to assess the impact of sewage pollution on the water quality of the river. The drain water samples from the confluence point of outfall drains to the river were collected and studied for key parameters. Parameters such as BOD, COD, TDS, TSS, total and faecal coliform (MPN) were observed high in drain water. The physicochemical analysis of Ganga river shows that the water has high TDS, TSS, BOD, and COD. The coliform bacteria were found to be alarmingly high in the river. Most of the parameters analyzed were found high near the bank in comparison to the water in the middle stream of that station. The XRF analysis of sediments of the Ganga river showed that Si, Fe, Ca, Al and K are the major elements of the Ganga sediment. The study revealed that due to discharge of untreated sewage into the Ganga, the water quality of Ganga has been severely deteriorated and the potable nature of water is being lost.

  18. Water quality assessment of Ganga river in Bihar Region, India.

    Science.gov (United States)

    Tiwary, R K; Rajak, G P; Abhishek; Mondal, M R

    2005-10-01

    A study was carried out on Ganga river in Bihar region in and around Patna to assess the impact of sewage pollution on the water quality of the river. The drain water samples from the confluence point of outfall drains to the river were collected and studied for key parameters. Parameters such as BOD, COD, TDS, TSS, total and faecal coliform (MPN) were observed high in drain water. The physicochemical analysis of Ganga river shows that the water has high TDS, TSS, BOD, and COD. The coliform bacteria were found to be alarmingly high in the river. Most of the parameters analyzed were found high near the bank in comparison to the water in the middle stream of that station. The XRF analysis of sediments of the Ganga river showed that Si, Fe, Ca, Al and K are the major elements of the Ganga sediment. The study revealed that due to discharge of untreated sewage into the Ganga, the water quality of Ganga has been severely deteriorated and the potable nature of water is being lost. PMID:17051921

  19. Flooding and Flood Management

    Science.gov (United States)

    Brooks, K.N.; Fallon, J.D.; Lorenz, D.L.; Stark, J.R.; Menard, Jason; Easter, K.W.; Perry, Jim

    2011-01-01

    Floods result in great human disasters globally and nationally, causing an average of $4 billion of damages each year in the United States. Minnesota has its share of floods and flood damages, and the state has awarded nearly $278 million to local units of government for flood mitigation projects through its Flood Hazard Mitigation Grant Program. Since 1995, flood mitigation in the Red River Valley has exceeded $146 million. Considerable local and state funding has been provided to manage and mitigate problems of excess stormwater in urban areas, flooding of farmlands, and flood damages at road crossings. The cumulative costs involved with floods and flood mitigation in Minnesota are not known precisely, but it is safe to conclude that flood mitigation is a costly business. This chapter begins with a description of floods in Minneosta to provide examples and contrasts across the state. Background material is presented to provide a basic understanding of floods and flood processes, predication, and management and mitigation. Methods of analyzing and characterizing floods are presented because they affect how we respond to flooding and can influence relevant practices. The understanding and perceptions of floods and flooding commonly differ among those who work in flood forecasting, flood protection, or water resource mamnagement and citizens and businesses affected by floods. These differences can become magnified following a major flood, pointing to the need for better understanding of flooding as well as common language to describe flood risks and the uncertainty associated with determining such risks. Expectations of accurate and timely flood forecasts and our ability to control floods do not always match reality. Striving for clarity is important in formulating policies that can help avoid recurring flood damages and costs.

  20. Population dynamics and identification of efficient strains of Azospirillum in maize ecosystems of Bihar (India).

    Science.gov (United States)

    Verma, Rinkee; Chourasia, S K; Jha, M N

    2011-12-01

    Information on inoculum load and diversity of native microbial community is an important prerequisite for crop management of microbial origin. Azospirillum has a proven role in benefiting the maize (Zea mays) crop in terms of nutrient (nitrogen) supply as well as plant growth enhancement. Bihar state has highest average national maize productivity although fertilizer consumption is minimum, indicating richness of Azospirillum both in terms of population and diversity in soils. An experiment was planned to generate basic information on Azospirillum population variation in maize soils under different agricultural practices and soil types of Bihar, to identify suitable agricultural practices supporting the target microorganism and efficient Azospirillum strain(s). No tillage, growing traditional maize cultivar, land use history (diara soil having history of maize cultivation), soil organic carbon (>1%) and intercrop with oat supported prevalence of Azospirillum in maize rhizosphere. Native Azospirillum population varied from 1 million to 1 billion/g soil under diverse agricultural practices and soil types. Such richness, however, does not necessarily mean that artificial inoculation of Azospirillum is not required in Bihar soils as 92% of Azospirillum isolates (50 isolates) were poor in nitrogen-fixing ability and 88% were poor on IAA production. Efficient strains of Azospirillum based on growth (three), acetylene reduction assay (three), IAA production (three), broad range of pH (two) and temperature tolerance were identified. The findings suggested that maize crop in Bihar should be inoculated in universal mode rather than site-specific mode. PMID:22558543

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

    OpenAIRE

    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...

  2. Population dynamics and identification of efficient strains of Azospirillum in maize ecosystems of Bihar (India)

    OpenAIRE

    Verma, Rinkee; Chourasia, S. K.; Jha, M. N.

    2011-01-01

    Information on inoculum load and diversity of native microbial community is an important prerequisite for crop management of microbial origin. Azospirillum has a proven role in benefiting the maize (Zea mays) crop in terms of nutrient (nitrogen) supply as well as plant growth enhancement. Bihar state has highest average national maize productivity although fertilizer consumption is minimum, indicating richness of Azospirillum both in terms of population and diversity in soils. An experiment w...

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

    Directory of Open Access Journals (Sweden)

    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.

  4. Progress and issues in rural electrification in Bihar, India : a preliminary analysis

    OpenAIRE

    Oda, Hisaya

    2012-01-01

    Rural electrification has been an important part of government policy since India gained independence. However, despite the number of electrified villages expanding rapidly in recent years, there are many that still remain un-electrified. This paper addresses the issue of intra-state disparity in access to electricity and examines the determinants of electrification at the village level using data from a survey conducted in rural Bihar, one of the underdeveloped states in India. An econometri...

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

    Directory of Open Access Journals (Sweden)

    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.

  6. Flooding, flood sources and flood defences

    OpenAIRE

    Blanksby, J.R.

    2012-01-01

    The EU Flood Directive defines “flood” as the temporary covering by water of land not normally covered by water. This shall include floods from rivers, mountain torrents, Mediterranean ephemeral water courses, and floods from the sea in coastal areas, and may exclude floods from sewerage systems. The exclusion of floods from sewerage systems is concerned with operational or managerial failures, often in dry weather, but sewer flooding caused by rainfall is not excluded. “Flood risk” is define...

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  9. Motherhood among Incest Survivors.

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

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

    2016-01-01

    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.

  12. Promising Findings from the Frontline Health Worker Team-Based Goals and Incentives Intervention in Bihar

    OpenAIRE

    Dana Rotz; Anu Rangarajan; Evan Borkum Swetha Sridharan; Sukhmani Sethi; Mercy Manoranjini

    2014-01-01

    The Team-Based Goals and Performance-Based Incentives (TBGI) intervention—conceptualized, designed, and implemented by CARE—leverages both the power of incentives and lessons from motivational theory on teamwork and goal-setting. The Bill & Melinda Gates Foundation created the Ananya program in 2011 to address some of the important family health challenges in Bihar, one of India's most populous and poorest states. This issue brief explores the effect of adding the TBGI intervention to the...

  13. Floods in Bangladesh and Northeast India

    Science.gov (United States)

    2002-01-01

    For the past month heavy monsoon rains have led to massive flooding in eastern India, Nepal, and Bangladesh, which have killed over 500 people and left millions homeless. This false-color image acquired on August 5, 2002, by the Moderate Resolution Imaging Spectroradiometer (MODIS) aboard NASA's Terra spacecraft shows the extent of this flooding. In the upper right-hand corner of the image, the swollen Brahmaputra River runs east to west through the Indian state of Assam. Normally, the river and its tributaries would resemble a tangle of thin lines. Moving to the upper left-hand corner, flooding can be seen along the Ganges River in the state of Bihar, India. Both of these rivers flow into Bangladesh along with many others from India and Nepal. Heavy monsoon rains from all across the region have inundated the small country with water this year. Floodwaters have all but covered northeastern Bangladesh, which is usually dry. The Jamuna River, which runs down the center of the country off of the Brahmaputra River, now resembles a narrow lake. Millions of dollars in crops have been destroyed and thousands have been left stranded in their villages or on rafts. Forecasters are warning that flooding could get worse. In the false-color image, land is green, and water is black and dark brown. Clouds appear pink, red and white. Credit: Jacques Descloitres, MODIS Land Rapid Response Team, NASA/GSFC

  14. Pain in cancer survivors.

    Science.gov (United States)

    Brown, Matthew Rd; Ramirez, Juan D; Farquhar-Smith, Paul

    2014-11-01

    Cancer and its treatment exert a heavy psychological and physical toll. Of the myriad symptoms which result, pain is common, encountered in between 30% and 60% of cancer survivors. Pain in cancer survivors is a major and growing problem, impeding the recovery and rehabilitation of patients who have beaten cancer and negatively impacting on cancer patients' quality of life, work prospects and mental health. Persistent pain in cancer survivors remains challenging to treat successfully. Pain can arise both due to the underlying disease and the various treatments the patient has been subjected to. Chemotherapy causes painful chemotherapy-induced peripheral neuropathy (CIPN), radiotherapy can produce late effect radiation toxicity and surgery may lead to the development of persistent post-surgical pain syndromes. This review explores a selection of the common causes of persistent pain in cancer survivors, detailing our current understanding of the pathophysiology and outlining both the clinical manifestations of individual pain states and the treatment options available. PMID:26516548

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

    Directory of Open Access Journals (Sweden)

    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. 

  16. High Arsenic contamination in drinking water Hand-Pumps in Khap Tola, West Champaran, Bihar, India

    Directory of Open Access Journals (Sweden)

    Siddharth eBhatia

    2014-11-01

    Full Text Available This study tests the drinking water supply of a marginalized village community of Khap Tola in the state of Bihar, a state in Northern India. Based on hand pump drinking water sample testing and analysis, we found that there was high levels of arsenic (maximum value being 397 ppb , in excess of the WHO limits of 10ppb. Analysis showed 57% of the samples from private hand-pumps in the shallow aquifer zone of 15-35m have arsenic greater than 200 ppb. Using GIS overlay analysis technique it was calculated that 25% of the residential area in the village is under high risk of arsenic contamination. Further using USEPA guidelines, it was calculated that children age group 5-10 years are under high risk of getting cancer. The Hazard Quotient calculated for 21 children taken for study, indicated that children may have adverse non-carcinogenic health impacts, in the future, with continued exposure. Since the area adds a new arsenic contaminated place in India, further geochemical analysis and health assessment needs to be done in this district of West Champaran in, Bihar.

  17. 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

  18. 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

  19. Who are the cancer survivors?

    DEFF Research Database (Denmark)

    Hovaldt, Hanna Birkbak; 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....

  20. A Flood Detection and Mapping Algorithm Using MODIS Data: Assessment of Extreme Flooding Events in Eastern Ganga Plains (2000-2015)

    Science.gov (United States)

    Sprigg, W. A.; Patel, S.; Prasad, A. K.; Sarkar, B. C.

    2015-12-01

    Flood, a hydrological extreme, is a dominant and frequent phenomena over the eastern Ganga Plains comprising of alluvial plains of Bihar and adjoining Nepal Himalaya. Flood affects major parts of Bihar where Gandak and Koshi are the major tributaries of Ganga River causing inundation during the monsoon season. Due to heavy rainfall in the Eastern Himalaya and adjoining regions, the river discharge increases several folds causing severe flood in plains. Moderate Resolution Imaging Spectroradiometer (MODIS) derived data at 250 m resolution (year 2000-2015) have been used to identify flood water and calculate daily water fraction (water cover) using model adopted from previous studies. During the monsoon season, cloud cover in daily images is found to be extremely high leading to lot of gaps in the form of missing data. To account for missing grid cell values, an adaptive polynomial filter (Savitzky-Golay) have been used to fit the time series of daily data for each grid cell. The missing values in daily images have been filled with calculated values to create daily time series of flood water. Landsat data at 30 m grid resolution have been used to verify flood water detection algorithm used in this study. Time series analysis of satellite derived data reveal a strong spatial and temporal variation in the extent, duration and frequency (inter-annual and intra-annual) of flooding event over the study region. Statistical analysis of IDF (intensity, duration, and frequency) and trend have been carried out to identify regions which show greater flood risk. Reoccurrence interval and length of flooding event in the study region is found to be high compared to other river basins in the western India. Based on the historical occurrence of flood, the study area have been classified into different flood hazard zones where flood mitigation and management need to be prioritized. MODIS based flood monitoring and mapping model used in this study can be used for monitoring and

  1. 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.

  2. PRELIMINARY STUDY ON ICHTHYOFAUNAL DIVERSITY OF SHERSHAH SURI POND, SASARAM, BIHAR

    Directory of Open Access Journals (Sweden)

    PRAMOD KUMAR,

    2011-02-01

    Full Text Available Present paper deals with the fish species richness of the Shershah Suri pond. Ichthyofaunal diversity of aquatic systems reflects their nature and potential. Present work has been conducted on a historical and oldest pond of India (Sasaram, Bihar constructed by Shershah Suri in 1538 AD. There is no documentary record available tilldate regarding its aquatic fauna. In the course of investigation 33 fish species were encountered belonging to 6 different orders and 14 families. Out of the total 33 species recorded from Shershah Suri pond, 14 species belonged to family Cyprinidae, 3 species each to Bagridae and Channidae, 2 species each to Siluridae and Paleomonidae, and 1specie each to Notopteridae, Clariidae, Heteropneustidae, Cobitidae, Nandidae, Belonidae, Tetradontidae, Anabantidae and Mastacembelidae. The pond under consideration has deteriorated considerably. There is important need for future strategies toprotect this water body from further degradation as well as evelopment, conservation and management aspects.

  3. 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

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

    OpenAIRE

    Mariann Buda; Erika Szirmai

    2010-01-01

    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 7...

  5. 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.

  6. Floods and human health: a systematic review.

    Science.gov (United States)

    Alderman, Katarzyna; Turner, Lyle R; Tong, Shilu

    2012-10-15

    Floods are the most common type of disaster globally, responsible for almost 53,000 deaths in the last decade alone (23:1 low- versus high-income countries). This review assessed recent epidemiological evidence on the impacts of floods on human health. Published articles (2004-2011) on the quantitative relationship between floods and health were systematically reviewed. 35 relevant epidemiological studies were identified. Health outcomes were categorized into short- and long-term and were found to depend on the flood characteristics and people's vulnerability. It was found that long-term health effects are currently not well understood. Mortality rates were found to increase by up to 50% in the first year post-flood. After floods, it was found there is an increased risk of disease outbreaks such as hepatitis E, gastrointestinal disease and leptospirosis, particularly in areas with poor hygiene and displaced populations. Psychological distress in survivors (prevalence 8.6% to 53% two years post-flood) can also exacerbate their physical illness. There is a need for effective policies to reduce and prevent flood-related morbidity and mortality. Such steps are contingent upon the improved understanding of potential health impacts of floods. Global trends in urbanization, burden of disease, malnutrition and maternal and child health must be better reflected in flood preparedness and mitigation programs. PMID:22750033

  7. 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.

  8. DIARRHOEA AND MALNUTRITION IN CHILDREN: A STUDY FROM KISHANGANJ DISTRICT, BIHAR

    Directory of Open Access Journals (Sweden)

    Jitendra Bahadur

    2014-04-01

    Full Text Available INTRODUCTION: Diarrhoeal diseases are very important cause of malnutrition in children under five years old. Diarrhoea can lead to malnutrition and malnutrition can predispose to diarrhoea. Each episode of diarrhoea deprives the child of the nutrition necessary for growth. OBJECTIVE: This study was conducted to study the association of diarrhoea and malnutrition in children of one of the rural area of Kishanganj district, Bihar. MATERIALS & METHODS: Target sample size of approximate 3742 children, upto 12 years of age were selected for the study. The survey consisted of 30 clusters and each cluster consists of about 125 children. The association of diarrhoea in children were studied in relation to malnutrition. OBSERVATION: It was observed in our study that the number of children suffering from diarrhoea in each of the nutritional status group, i.e.; Normal, 1st degree, 2nd degree, 3rd degree & 4th degree was 43(5.9%, 79(8.7%, 308(22.3%, 187(28.9% and 31(39.2%, respectively. CONCLUSION: The incidence of diarrhoea was found to be high in children suffering from 3rd and 4th degree of malnutrition. RECOMMENDATION: Strategies should be made to reduce child undernutrition, more effectively, by using experiences gained from successful nutrition programmers. Nutrition education, particularly of the mothers should be made an integral part of health education programs to prevent protein energy malnutrition (PEM, leading to diarrhoea in children

  9. Chemical analysis of groundwater of Nathnagar Block under Bhagalpur District, Bihar (India).

    Science.gov (United States)

    Singh, Amrita; Choudhary, Sunil K

    2011-10-01

    The chemical analysis of groundwater samples from hundred handpumps in five villages of the Nathnagar Block under Bhagalpur District, Bihar, India indicates that the water samples in the area were slightly alkaline and the concentration of total hardness and heavy metal like arsenic were above the drinking water specifications as prescribed by World Health Organization (1999) and ISI (2003); whereas other chemical parameters were well within the permissible limit. The results of the present study suggest that the groundwater sources under investigation were suitable for domestic purposes including drinking except for arsenic. The concentration of arsenic in most of the handpumps analyzed was high, and that might be attributed to the excessive withdrawal of the groundwater and changes in the geo-chemical environment of the Ganga river. Moreover, the Ganga River System itself carries high sediment bed loads which contain several trace elements, including arsenic. Some effective measures like rainwater harvesting and artificial recharge techniques are urgently required and suggested for water quality management in this region. PMID:23505826

  10. 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....

  11. 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

  12. preliminary study of a Water, Hygiene and Ecological Sanitation project in a rural village in Bihar state of India.

    OpenAIRE

    Salimath, Abhilash

    2014-01-01

    There are 2.6 billion people who have no access to "improved sanitation" all over the world, of which 814 million people live in India. As a result of this, people resort to open defecation and this causes serious damage to the people‟s health and also pollutes the surrounding environment. This thesis explores the sanitation situation in a village called Mohaddipur in the Bind Block of Nalanda district in the state of Bihar, India. This SIDA financed project will provide this village with a p...

  13. Influence of Older Generation's Fertility Behaviours on Daughter's Desired Family Size in Bihar, India. VID Working Paper 04/2014

    OpenAIRE

    Kumar, A; Bordone, V.; Muttarak, R.

    2014-01-01

    This paper investigates the associations between preferred family size of married women aged 16-34 in rural Bihar (India) and the fertility behaviours of their biological mother and mother-in-law. This information is based on scheduled interviews of 450 pairs of index women (i.e. women central in our analysis) and their mother-in-laws conducted in 2011. Preferred family size is first measured by Coombs scale, allowing us to capture latent desired number of children, and then categorized into ...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    Dinesh, Diwakar Singh; Kumari, Seema; Pandit, Vibhishan; Kumar, Jainendra; Kumari, Nisha; Kumar, Prahlad; Hassan, Faizan; Kumar, Vijay; Das, Pradeep

    2015-01-01

    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 9th 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 active molecule is

  16. 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.

  17. 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.

  18. 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 .

  19. 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.

  20. 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......AIM: This paper reports a study to explore how cancer survivors talk about, experience and manage time in everyday life. BACKGROUND: There is an increasing interest in specific physical and psychosocial aspects of life after cancer diagnosis and treatment, but hardly any research follows cancer...... survivors over time to explore how perceptions and experiences change. METHODS: An exploratory study was carried out in 2002-2004 with a purposive sample of adults who had experienced various forms of cancer. Data collection included 9 weeks of participant observation at a Cancer Rehabilitation Centre...

  1. Visceral leishmaniasis in Muzaffarpur district, Bihar, India from 1990 to 2008.

    Directory of Open Access Journals (Sweden)

    Paritosh Malaviya

    Full Text Available BACKGROUND: Visceral Leishmaniasis (VL is a vector-borne disease transmitted by Phlebotomus argentipes. To understand the VL seasonality, annual and monthly variations of VL incidence and its relationship to meteorological variables, the numbers of VL cases reported in Muzaffarpur district, Bihar, India from 1990 to 2008 were studied. METHODS: Annual VL incidence per 10,000 and the total number of annual VL cases reported at block Community Health Centres (CHC, Public Hospitals or Non-Governmental Organisations (NGO and the number of VL cases per month from 2000 to 2008 as well as the monthly average of cases for 2000-08, 2000-04 and 2005-08 periods along with the monthly averages of temperature, rainfall and relative humidity were plotted. VL Standardised Incidence Ratios per block were computed for the periods of 1990-1993, 1994-1998, 1999-2004 and 2005-2008 and month wise from 2002 to 2008. A negative binomial regression model was used to evaluate the association between meteorological variables and the number of VL cases per month from 2000 to 2008. RESULTS: A total of 68,358 VL cases were reported in Muzaffarpur district from 1990 to 2008, ranging from 1,2481 in 1992 to 1,161 in 2001. The blocks with the highest number of cases shifted from East (1990-98 to West (1999-2008. Monthly averages of cases ranged from 149 to 309, highest peak in March-April and another one in July. Monthly VL incidence was associated positively to rainfall and negatively to relative humidity and the numbers of VL cases in the previous month. INTERPRETATION: The number of cases reported to the public health sector allowed the describing of the spatial distribution and temporal variations in the Muzaffarpur from 1990 to 2008. However, to assess the actual VL burden, as well as the efficacy of the control measures applied in the district, reporting from private practices and NGOs should be encouraged.

  2. Strategies for resource management to improve agricultural productivity in Bariarpur Tal area of Bihar (India)

    International Nuclear Information System (INIS)

    Water logged Tal area is termed as the stretch of land having bowl shaped depressions inundated in monsoon season due to spill/overflow from rivers or runoff from upstream end. A team of Agricultural Scientists studied and suggested a suitable plan to the Ministry of Agriculture, Government of India for improving the agricultural productivity of 40,000 hectares land lying between Ghoraghat and Bariarpur and Prasando to Khand Bihari in Munger district of Bihar, which lies in eastern India. These lands remain inundated with water from July till January. Tal lands in Bariarpur suffer due to stagnation of water during monsoon period and delay in drainage thereafter. This is a late winter mono-cropped area with very low productivity. Though the fertility status of soil is good, the quantity and quality of produce is poor. The canal network is also not efficient and other parts face drought. It is expected that the Ministry of Agriculture, Government of India will take up the action plan as per the recommendations of expert scientists' team to mitigate the sufferings and misery of the farmers and rural population of the area. The team of scientists had investigated in detail the genesis of the problem and suggested the appropriate management strategies to improve the agricultural production in this area upon the instruction of the Hon'ble Union Agricultural Minister Mr. Nitish Kumar. A reputed Journalist and dedicated Social Worker Mr. Dinesh brought the unbelievable misery of the rural population to the attention of the Agricultural Minister. The sufferings of the farmers of Bariarpur tal area thus cannot be mitigated without the implementation of recommendations suggested in the scientific report. It seems that a financial crunch is coming in the way for such implementation. Ministry of Agriculture, Ministry of Water Resources, State Government, NGOs and Social Organizations should come forward to help the rural population otherwise the ray of hope for a better living

  3. 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

  4. 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.

  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. 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.

  7. 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 ...

  8. Childhood Cancer Survivor Study: An Overview

    Science.gov (United States)

    ... Cancers of Childhood Treatment Childhood Cancer Genomics Research Childhood Cancer Survivor Study: An Overview In 2016, it ... Late Effects of Treatment for Childhood Cancer .) The Childhood Cancer Survivor Study ( CCSS ), funded by the National ...

  9. Why Breast Cancer Survivors Should Exercise

    Science.gov (United States)

    ... fullstory_159781.html Why Breast Cancer Survivors Should Exercise Moderate physical activity can ease stress that impairs ... to memory problems among breast cancer survivors, but exercise can help, according to new research. "We found ...

  10. Unsuccessful prior attempts to terminate pregnancy among women seeking first trimester abortion at registered facilities in Bihar and Jharkhand, India.

    Science.gov (United States)

    Kumar, Rajesh; Zavier, A J Francis; Kalyanwala, Shveta; Jejeebhoy, Shireen J

    2013-03-01

    Many abortion seekers in India attempt to induce abortion on their own, by accessing oral medication/preparations from a chemist without a prescription or from an unauthorized provider, and present at registered facilities if these attempts fail. However, little is known about those whose efforts fail or the ways in which programmes and policies may address the needs of such women. This paper explores the experiences of women whose efforts failed, including their socio-demographic profile, the preparations they used, and the extent to which they experienced serious complications, delayed seeking care from an authorized provider, or delayed abortion until the second trimester of pregnancy. Data come from a larger study assessing the feasibility of the provision of medical abortion by non-physicians; a total of 3394 women who sought medical abortion from selected clinical settings in Bihar and Jharkhand between 2008 and 2010 constitute the sample. Prior to visiting the clinic, nearly a third of these women (31%) had made at least one unsuccessful attempt to terminate the unwanted pregnancy by using a range of oral medications/preparations available over-the-counter in medical shops. Logistic regression analysis suggests that educated women (OR 1.6-1.7), those from urban areas (OR 6.2) and those from Bihar (OR 1.6) were significantly more likely than women with no education, rural women and those from Jharkhand to have used such medication. Also notable is that the average gestational age of women who had made a previous attempt to terminate their pregnancy was almost identical to that of women who had not done so when they presented at the registered facility. These findings may inform policies and programmes that seek to identify and reduce the potential risks associated with unauthorized abortion-seeking practices, and highlight the need to fully inform women, chemists and providers about oral medications, what works and what does not, and how effective medication

  11. 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.

  12. 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,...

  13. 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…

  14. Integrated Flood Management in Urban Flooding

    Directory of Open Access Journals (Sweden)

    V R Sawant

    2013-08-01

    Full Text Available Flood Hazards are most common and destructives of all natural disaster. The study has major objectives of evaluating flood risk mitigation strategies in Mumbai, which has suffered perennial flooding and needs establishment of coastal management zoning authority, Land use zoning , legislation Building codes, flood fore casting and warning system. Flood insurance based on concept of Vulnerability index, Standards of preparedness and Integrated Water Resource management techniques presented in this paper.

  15. 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

  16. Floods and flood management in Pakistan

    Science.gov (United States)

    Tariq, Muhammad Atiq Ur Rehman; van de Giesen, Nick

    Flooding is the most devastating natural hazard in Pakistan and the recent flooding has demonstrated its severeness. Floods are common throughout the country. However, their characteristics differ from region to region. Flooding behavior of the major basins and flood management at the national level are investigated in this article. Monsoon rainfalls are the main source of floods in the Indus Basin, while Mediterranean Waves and Cyclones, which are generated over the Arabian Sea, induce flooding in the Kharan Basin and the Makran Coastal Area. Fluvial floods in the Indus Basin have caused major economic losses. Pakistan’s government has spent vast resources on relief operations and flood works since the country came into existence in 1947. A number of provincial and federal acts, ordinances, accords, and treaties shape the national flood policy. Institutional setup for flood hazard and crisis management has evolved over the years. Nevertheless, data show no major reduction in the flood-to-damage ratio. The inter-linkage of structural and non-structural measures and their combined efficiency must be analyzed and optimized for more effective flood management.

  17. 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

  18. 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...... 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...... 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...

  19. Floods, flood control, and bottomland vegetation

    Science.gov (United States)

    Friedman, Jonathan M.; Auble, Gregor T.

    2000-01-01

    Bottomland plant communities are typically dominated by the effects of floods. Floods create the surfaces on which plants become established, transport seeds and nutrients, and remove establish plants. Floods provide a moisture subsidy that allows development of bottomland forests in arid regions and produce anoxic soils, which can control bottomland plant distribution in humid regions. Repeated flooding produces a mosaic of patches of different age, sediment texture, and inundation duration; this mosaic fosters high species richness.

  20. Implementing the Exercise Guidelines for Cancer Survivors

    OpenAIRE

    WOLIN, KATHLEEN Y.; Schwartz, Anna L; Matthews, Charles E.; Courneya, Kerry S.; Schmitz, Kathryn H.

    2012-01-01

    In 2009, the American College of Sports Medicine convened an expert roundtable to issue guidelines on exercise for cancer survivors. This multidisciplinary group evaluated the strength of the evidence for the safety and benefits of exercise as a therapeutic intervention for survivors. The panel concluded that exercise is safe and offers myriad benefits for survivors including improvements in physical function, strength, fatigue, quality of life (QOL), and possibly recurrence and survival. Rec...

  1. 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.

  2. 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.

  3. 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 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. PMID:27011321

  4. Geophysical exploration for coal-bearing Gondwana basins in the states of West Bengal and Bihar in northeast India

    Energy Technology Data Exchange (ETDEWEB)

    Saha, S.N.; Roy, A.K.; Brahman, C.V.; Sastry, C.B.K.; De, M.K.

    1992-10-01

    The states of West Bengal and Bihar in northeast India are known to bear 'A' grade coal seams within Gondwana basins. An alluvium-covered area to the north of the Ajay river was considered to be prospective for the exploration of coal. Gravity and magnetic surveys were mainly carried out over an area of 1900 km[sup 2] with resistivity soundings taken at selected places. Gondwana sediments lying over basement subbasins are prospective areas for the exploration of coal. The gravity survey interpreted an 8-km wide and 20-km long depression known as the Pachami basin. This basin was drilled at several places and thick 'A' grade coal seams were intersected. The gravity survey broadly outlined the Pachami basin and several other basement depressions through gravity low contour closures. A forward modelling of a profile across the Pachami basin indicated a maximum depth of about 1.3 km to the basement at its deepest part. The magnetic map was vitiated through the presence of fluctuating high amplitude and high wavenumber anomalies due to a thick blanket of trap lying above the Gondwana sediments. Selected resistivity soundings could approximately interpret the shallow-basement depths, and the thickness and depths of the overlying trap.

  5. Flooding and Schools

    Science.gov (United States)

    National Clearinghouse for Educational Facilities, 2011

    2011-01-01

    According to the Federal Emergency Management Agency, flooding is the nation's most common natural disaster. Some floods develop slowly during an extended period of rain or in a warming trend following a heavy snow. Flash floods can occur quickly, without any visible sign of rain. Catastrophic floods are associated with burst dams and levees,…

  6. Flood risk management

    OpenAIRE

    Blanksby, J.R.

    2012-01-01

    The EU Flood Directive requires member states to develop flood risk management plans by 22nd December 2015. Along the way, member states are required to carry out preliminary flood risk assessments by 22nd December 2011, and detailed flood risk and hazard maps by 22nd December 2013. Following these initial submissions, the assessments, maps and plans will be reviewed and updated in six yearly cycles. Many countries have already carried out preliminary assessments and produced flood risk and h...

  7. 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

  8. Income in Adult Survivors of Childhood Cancer

    Science.gov (United States)

    Wengenroth, Laura; Sommer, Grit; Schindler, Matthias; Spycher, Ben D.; von der Weid, Nicolas X.; Stutz-Grunder, Eveline; Michel, Gisela; Kuehni, Claudia E.

    2016-01-01

    Introduction Little is known about the impact of childhood cancer on the personal income of survivors. We compared income between survivors and siblings, and determined factors associated with income. Methods As part of the Swiss Childhood Cancer Survivor Study (SCCSS), a questionnaire was sent to survivors, aged ≥18 years, registered in the Swiss Childhood Cancer Registry (SCCR), diagnosed at age 4’500 CHF), even after we adjusted for socio-demographic and educational factors (OR = 0.46, p<0.001). Older age, male sex, personal and parental education, and number of working hours were associated with high income. Survivors of leukemia (OR = 0.40, p<0.001), lymphoma (OR = 0.63, p = 0.040), CNS tumors (OR = 0.22, p<0.001), bone tumors (OR = 0.24, p = 0.003) had a lower income than siblings. Survivors who had cranial irradiation, had a lower income than survivors who had no cranial irradiation (OR = 0.48, p = 0.006). Discussion Even after adjusting for socio-demographic characteristics, education and working hours, survivors of various diagnostic groups have lower incomes than siblings. Further research needs to identify the underlying causes. PMID:27213682

  9. 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...

  10. 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…

  11. Neuropsychological Functioning in Survivors of Childhood Leukemia.

    Science.gov (United States)

    Reeb, Roger N.; Regan, Judith M.

    1998-01-01

    Examined neuropsychological functioning of survivors of acute lymphoblastic leukemia who underwent central-nervous-system prophylactic treatment. Findings replicated past research in showing survivors perform poorly on visual-motor integration tasks and develop a Nonverbal Learning Disability. Findings offer recommendations for future research and…

  12. Treating Survivors of War Trauma and Torture.

    Science.gov (United States)

    Hanscom, Karen L.

    2001-01-01

    Proposes a mental health treatment model for survivors of torture and war trauma, presenting principles underlying such treatment and a developmental view of such abuse. Describes a Guatemalan project that uses the model to train village women to treat survivors in their communities and a U.S. torture treatment program that treats survivors…

  13. 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

  14. 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) Type of benefits. A former spouse who meets the eligibility requirements of § 20.3 is entitled...

  15. 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....

  16. Endocrinopathies in Survivors of Childhood Neoplasia

    Directory of Open Access Journals (Sweden)

    NICOLE S BARNES

    2014-09-01

    Full Text Available Advancements in cancer treatments have increased the number of childhood cancer survivors. Endocrinopathies are common complications following cancer therapy and may occur decades later. The objective of the review is to address the main endocrine abnormalities detected in childhood cancer survivors including disorders of the hypothalamic-pituitary axis, thyroid, puberty, gonads, bone, body composition, and glucose metabolism.

  17. Dialectical tensions in stroke survivor relationships.

    Science.gov (United States)

    Brann, Maria; Himes, Kimberly Leezer; Dillow, Megan R; Weber, Keith

    2010-06-01

    Stroke is an unpredictable and life-altering medical occurrence that causes immediate change in survivors' relationships. This study unearthed dialectical tensions expressed by spouses of stroke survivors and examined how those dialectical tensions compare to those experienced by stroke survivors themselves. Sixteen spouses of stroke survivors participated in interviews, and four tensions ultimately emerged: self-orientation-partner-orientation, realism-idealism, uncertainty-acceptance, and emotional release-emotional reservation. Three dialectical tensions (i.e., uncertainty-acceptance, realism-idealism, self-orientation-partner-orientation) were similar to those communicated by stroke survivors. Recognizing dialectical tensions experienced and shared can open communication lines and ultimately improve the health of individuals and their relationships. PMID:20512714

  18. Dietary changes among cancer survivors.

    Science.gov (United States)

    Maskarinec, G; Murphy, S; Shumay, D M; Kakai, H

    2001-03-01

    Given the limited scientific knowledge about dietary factors that affect cancer recurrence, dietary guidelines for cancer survivors are similar to general recommendations on healthy eating. This study explored the patterns of and motivation for, dietary changes among cancer patients. We conducted in-person interviews with 143 cancer survivors who were chosen from a mail survey on complementary and alternative medicine among cancer patients. We applied qualitative analysis using the software package NUD*IST to sort and code the transcribed interviews. The majority of dietary changes reported by 69 cancer patients agreed with current nutritional recommendations, such as decreasing meat and fat intake and increasing the consumption of vegetables and fruits. However, many diet changers also reported the intake of herbal and vitamin supplements, many with unproven effects. The major themes for changing diet were hopes that nutrition would increase well-being, maintain health and prevent cancer recurrence and beliefs that foods that cause or prevent cancer should be avoided and increased, respectively. Many cancer patients use non-scientific reasons when deciding on dietary changes and supplement use. Increasing communication with health care providers may prevent the use of extreme diets, unproven and possibly harmful supplements and reduce exaggerated hopes related to the benefits of a particular dietary regimen. PMID:11827263

  19. Groundwater flood or groundwater-induced flood?

    OpenAIRE

    Robins, N.S.; Finch, J. W.

    2012-01-01

    A number of ‘groundwater flood’ events have been recorded over the Chalk aquifer in southern England since the 1994 occurrence at Chichester, Sussex. Reporting of this event and subsequent groundwater floods indicates that there are two types of groundwater flood event. Type 1 is the true groundwater flood in which the water table elevation rises above the ground elevation, and Type 2 occurs when intense groundwater discharge via bourne springs and highly permeable shallow horizons discharges...

  20. Incidence of visceral leishmaniasis in the Vaishali district of Bihar, India: spatial patterns and role of inland water bodies

    Directory of Open Access Journals (Sweden)

    Gouri Sankar Bhunia

    2011-05-01

    Full Text Available The role of the distribution of inland water bodies with respect to the transmission of visceral leishmaniasis (VL and its dominant vector, Phlebotomous argentipes, has been studied at the regional scale in Bihar, eastern India. The Landsat TM sensor multispectral scanning radiometer, with a spatial resolution of 30 m in the visible, reflective-infrared and shortwave- infrared (SWIR bands, was used to identify water bodies using the normalized differential pond index (NDPI calculated as follows: (Green – SWIR I/(Green + SWIR I. Nearest neighbour and grid square statistics were used to delineate spatial patterns and distribution of the sandfly vector and the disease it transmits. The female P. argentipes sandfly was found to be associated with the distance from open water and particularly abundant near non-perennial river banks (68.4%; P <0.001, while its association with rivers was focused further away from the water source (X2 = 26.3; P <0.001. The results also reveal that the distribution of VL is clustered around non-perennial riverbanks, while the pattern is slightly random around the perennial river banks. The grid square technique illustrate that the spatial distribution of the disease has a much stronger correlation with lower density of open waters surfaces as well as with sandfly densities (X2 = 26.0; P <0.001. The results of our study suggest that inland water presence poses a risk for VL by offering suitable breeding sites for P. argentipes, a fact that should be taken into account when attempting to control disease transmission.

  1. 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.

  2. Arsenic contamination of groundwater and its induced health effects in Shahpur block, Bhojpur district, Bihar state, India: risk evaluation.

    Science.gov (United States)

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

    2016-05-01

    The objective of this study was to determine the magnitude of groundwater arsenic contamination in Shahpur block of Bhojpur district, Bihar state, India and its health effects such as dermal, neurological, obstetric effects, and cancer risk. The School of Environmental Studies (SOES) collected 4704 tube-well water samples from all 88 villages of Shahpur, which were analyzed for arsenic. We found 40.3 and 21.1 % of the tube-wells had arsenic above 10 and 50 μg/l, respectively, with maximum concentration of 1805 μg/l. The study shows that 75,000, 39,000, and 10,000 people could be exposed to arsenic-contaminated water greater than 10, 50, and 300 μg/l, respectively. Our medical team examined 1422 villagers from Shahpur and registered 161 (prevalence rate, 11.3 %) with arsenical skin lesions. Arsenical skin lesions were also observed in 29 children of 525 screened. We analyzed 579 biological samples (hair, nail, and urine) from Shahpur and found that 82, 89, and 91 % of hair, nail, and urine, respectively, had arsenic above the normal levels, indicating many people in the study area are sub-clinically affected. Arsenical neuropathy was observed in 48 % of 102 arsenicosis patients. The study also found that arsenic exposed women with severe skin lesions had adversely affected their pregnancies. The carcinogenic and non-carcinogenic risks were also estimated based on the generated data. Safe drinking water supply is urgently required to combat arsenic situation in affected villages of Shahpur. PMID:26838039

  3. 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.

  4. 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…

  5. 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...

  6. EmergencyFlood_DFIRMT

    Data.gov (United States)

    Vermont Center for Geographic Information — The Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk information and supporting data used to develop the risk data. The primary risk...

  7. Repairing Your Flooded Home

    Science.gov (United States)

    ... offer reduced prices, but be wary of “flood sales” that are sell- ing flood damaged items. Some insurance companies and lenders may let you delay your monthly payments. Sometimes banks will make lower interest loans available for reconstruction. ...

  8. 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.

  9. 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...

  10. 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...

  11. 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

  12. 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.

  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. 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...

  15. Marriage and divorce among childhood cancer survivors

    DEFF Research Database (Denmark)

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

    2011-01-01

    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...

  16. Managing chronic pain in survivors of torture.

    Science.gov (United States)

    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. PMID:25537694

  17. 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

  18. U.S. Cancer Survivors Living Longer

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_159674.html U.S. Cancer Survivors Living Longer Likelihood of other chronic ... conditions that will burden the health care system, U.S. government health officials report. "Increasingly, we are seeing ...

  19. 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.

  20. Sexuality of child sexual abuse survivors

    OpenAIRE

    Cantón-Cortés, David

    2015-01-01

    The aim of this research was to analyse the possible differences in sexuality among female survivors of sexual abuse during childhood or adolescence and non-survivors of the same age, family structure and parental educational level. In order to assess sexual desire, sexual arousal, orgasmic ability, and negative sexual affect, the “Brief Sexual Functioning Questionnaire” (BSFQ; Meston, Rellini & Heiman 2006) was employed. An additional question was used to assess anxiety, fear, and disgust...

  1. Healing Rituals for Survivors of Rape

    OpenAIRE

    Colleen Galambos

    2001-01-01

    Therapeutic rituals focus on clinical healing within different contexts and client populations. This article explores the use of therapeutic ritual at individual and collective levels to help survivors of rape to heal. This technique is applied to both levels through a discussion of two rituals developed for rape survivors. Results of a study that examined participant comments about a collective ritual for healing are discussed. Findings indicate that participants attend the ritual to be supp...

  2. Survey of acaricides resistance status of Rhipiciphalus (Boophilus) microplus collected from selected places of Bihar, an eastern state of India.

    Science.gov (United States)

    Ghosh, Srikant; Kumar, Rinesh; Nagar, Gaurav; Kumar, Sachin; Sharma, Anil Kumar; Srivastava, Aman; Kumar, Suman; Ajith Kumar, K G; Saravanan, B C

    2015-07-01

    Monitoring acaricide resistance in field ticks and use of suitable managemental practices are essential for controlling tick populations infesting animals. In the present study, the acaricide resistance status in Rhipicephalus (Boophilus) microplus ticks infesting cattle and buffaloes of five districts located in the eastern Indian state, Bihar were characterized using three data sets (AIT, Biochemical assays and gene sequences). Adult immersion test (AIT) was adopted using seven field isolates and their resistance factor (RF) was determined. Six isolates (DNP, MUZ, BEG, VSH, DRB and SUL) were found resistant to both deltamethrin and diazinon and except VSH all were resistant to cypermethrin. One isolate (PTN) was susceptible with a RF below 1.5. To understand the possible mode of resistance development, targeted enzymes and gene sequences of the para sodium channel and achetylcholinesterase 2 (AChE2) were analyzed. The esterase, monooxygenase and glutathione-S-transferase (GST) activity of reference susceptible IVRI-I line was determined as 2.47 ± 0.007 nmol/min/mg protein, 0.089 ± 0.0016 nmol/mg of protein and 0.0439 ± 0.0003 nmol/mg/min respectively, which increased significantly in the resistant field isolates. However, except esterases, the fold increase of monooxygenase (1.14-2.27 times) and GST (0.82-1.53 times) activities were not very high. A cytosine (C) to adenine (A) nucleotide substitution (CTC to ATC) at position 190 in domain II S4-5 linker region was detected only in one isolate (SUL) having RF of 34.9 and in the reference deltamethrin resistant line (IVRI-IV). However, the T2134A mutation was not detected in domain IIIS6 transmembrane segment of resistant isolates and also in reference IVRI-IV line despite of varying degree of resistance. The flumethrin specific G215T and the recently identified T170C mutations were also absent in domain II sequences under study. Four novel amino acid substitutions in AChE2 gene of field isolates and in

  3. 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.

  4. Glaucoma in atomic bomb survivors.

    Science.gov (United States)

    Kiuchi, Yoshiaki; Yokoyama, Tomoko; Takamatsu, Michiya; Tsuiki, Eiko; Uematsu, Masafumi; Kinoshita, Hirofumi; Kumagami, Takeshi; Kitaoka, Takashi; Minamoto, Atsushi; Neriishi, Kazuo; Nakashima, Eiji; Khattree, Ravindra; Hida, Ayumi; Fujiwara, Saeko; Akahoshi, Masazumi

    2013-10-01

    Radiation has been associated with increases in noncancerous diseases. An effect of low-dose radiation on the prevalence of clinically detected glaucoma has not been previously reported. We therefore investigated the prevalence of glaucoma in A-bomb survivors and its possible association with radiation dose. A total of 1,589 people who participated in the clinical examination program for A-bomb survivors at the Radiation Effects Research Foundation (RERF) between October 2006 and September 2008 and who had reconstructed radiation doses, were recruited into this cross-sectional screening study. The prevalence of glaucoma and its dose-response relationship to A-bomb radiation were measured. Each subject underwent an initial screening consisting of an interview and ophthalmological examination. Questionable cases with any indication of ocular disease, including glaucoma, were referred to local hospitals for more comprehensive evaluation. A diagnosis of glaucoma was made based on specific optic disc appearance, perimetric results and other ocular findings. Of 1,589 eligible people, we detected 284 (17.9%) cases of glaucoma overall, including 36 (2.3%) cases of primary open-angle glaucoma with intraocular pressure levels greater than 21 mmHg, 226 (14.2%) cases of normal-tension glaucoma and 25 (1.6%) cases of primary angle-closure glaucoma. Seven glaucoma risk factors were examined as potential confounders but only two needed to be included in the final model. Binary regression using a generalized estimating equation method, with adjustment for gender, age, city, cataract surgery or diabetes mellitus, revealed an odds ratio at 1 Gy of 1.31 (95% confidence interval 1.11-1.53, P = 0.001) in the case of normal-tension glaucoma, but no association for other types of glaucoma. The prevalence of normal-tension glaucoma may increase with A-bomb radiation dose, but uncertainties associated with nonparticipation (59% participation) suggest caution in the interpretation of these

  5. Cardiovascular disease mortality of A-bomb survivors and the healthy survivor selection effect.

    Science.gov (United States)

    Schöllnberger, H; Ozasa, K; Neff, F; Kaiser, J C

    2015-09-01

    The latest A-bomb survivor data for cardiovascular diseases are analysed to investigate whether in the first years after the bombings the baseline rates of proximal survivors were markedly different compared with those of the distal survivors. This phenomenon relates to a healthy survivor selection effect. This question is important for the decision whether to include or exclude the early years of follow-up when analysing the biological effects from acute low and high dose exposures following the nuclear weapons explosions in Hiroshima and Nagasaki. The present study shows that for cerebrovascular diseases and heart diseases the baseline rates are not significantly different in the first two decades of follow-up. Thus, for these two detrimental health outcomes, there is no need to exclude distal survivors and the first decades of follow-up time when investigating the shapes of the related dose-responses. PMID:25948837

  6. 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

  7. 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.

  8. 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.

  9. 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. PMID:26721902

  10. Healing Rituals for Survivors of Rape

    Directory of Open Access Journals (Sweden)

    Colleen Galambos

    2001-05-01

    Full Text Available Therapeutic rituals focus on clinical healing within different contexts and client populations. This article explores the use of therapeutic ritual at individual and collective levels to help survivors of rape to heal. This technique is applied to both levels through a discussion of two rituals developed for rape survivors. Results of a study that examined participant comments about a collective ritual for healing are discussed. Findings indicate that participants attend the ritual to be supportive of others and to be supported themselves. Family members attend to obtain information about rape. This article explores practice implications from a service planning and implementation perspective.

  11. 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,

  12. Discover Floods Educators Guide

    Science.gov (United States)

    Project WET Foundation, 2009

    2009-01-01

    Now available as a Download! This valuable resource helps educators teach students about both the risks and benefits of flooding through a series of engaging, hands-on activities. Acknowledging the different roles that floods play in both natural and urban communities, the book helps young people gain a global understanding of this common--and…

  13. 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... Fund. (b) A current spouse is entitled to a current spouse annuity based on an election under §...

  14. 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.…

  15. 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. PMID:22472482

  16. 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.

  17. Insurance flood maps

    International Nuclear Information System (INIS)

    Dear Client, in half an hour you will be hit by a flood, please get ready. Your insurance company. Such a phone call or SMS could only mean two things: drunk friends or an insurance company using a flood map. In the second case, the best thing to do on receiving such a message is to act quickly. The advantage of flood maps do not necessarily have to start at the moment a flood becomes an immediate threat. The primary role of flood maps is to allow for a fairer calculation of insurance rates. Insurance companies can save on re-insurance costs as if the risk level is predictable re-insurance companies may offer better rates. The three largest insurance companies: Allianz - Slovenska poistovna, Kooperativa and Ceska poistovna Slovensko have begun introducing flood maps. These three companies control about 75% of the market. And if competition does not force other market participants to adopt the same approach, re-insurance companies certainly will. They will charge more for a less specifically defined risk level. So far insurance companies have not encountered this pressure, re-insurance companies are helping them set up the flood maps and in the coming years flood maps will become a common tool. Then the pressure will be there: if a insurance company uses a different calculation method, the final price may differ greatly from the competition's. If the price is higher, the company will lose clients and if the price is much lower, the risk has probably not been calculated correctly and the insurance company may suffer substantial losses in the event of a major flood. In short, the investment of several million Sk in a flood map is essential

  18. Long-term adverse outcomes in survivors of childhood bone sarcoma: the British Childhood Cancer Survivor Study

    OpenAIRE

    Fidler, M M; Frobisher, C; Guha, J; K. Wong; Kelly, J; Winter, D. L.; Sugden, E; Duncan, R.; Whelan, J; Reulen, R C; Hawkins, M. M.

    2015-01-01

    Background: With improved survival, more bone sarcoma survivors are approaching middle age making it crucial to investigate the late effects of their cancer and its treatment. We investigated the long-term risks of adverse outcomes among 5-year bone sarcoma survivors within the British Childhood Cancer Survivor Study. Methods: Cause-specific mortality and risk of subsequent primary neoplasms (SPNs) were investigated for 664 bone sarcoma survivors. Use of health services, health and marital st...

  19. Distillation Column Flooding Predictor

    Energy Technology Data Exchange (ETDEWEB)

    George E. Dzyacky

    2010-11-23

    The Flooding Predictor™ is a patented advanced control technology proven in research at the Separations Research Program, University of Texas at Austin, to increase distillation column throughput by over 6%, while also increasing energy efficiency by 10%. The research was conducted under a U. S. Department of Energy Cooperative Agreement awarded to George Dzyacky of 2ndpoint, LLC. The Flooding Predictor™ works by detecting the incipient flood point and controlling the column closer to its actual hydraulic limit than historical practices have allowed. Further, the technology uses existing column instrumentation, meaning no additional refining infrastructure is required. Refiners often push distillation columns to maximize throughput, improve separation, or simply to achieve day-to-day optimization. Attempting to achieve such operating objectives is a tricky undertaking that can result in flooding. Operators and advanced control strategies alike rely on the conventional use of delta-pressure instrumentation to approximate the column’s approach to flood. But column delta-pressure is more an inference of the column’s approach to flood than it is an actual measurement of it. As a consequence, delta pressure limits are established conservatively in order to operate in a regime where the column is never expected to flood. As a result, there is much “left on the table” when operating in such a regime, i.e. the capacity difference between controlling the column to an upper delta-pressure limit and controlling it to the actual hydraulic limit. The Flooding Predictor™, an innovative pattern recognition technology, controls columns at their actual hydraulic limit, which research shows leads to a throughput increase of over 6%. Controlling closer to the hydraulic limit also permits operation in a sweet spot of increased energy-efficiency. In this region of increased column loading, the Flooding Predictor is able to exploit the benefits of higher liquid

  20. Survivors Versus Non-Survivors Postburn: Differences In Inflammatory and Hypermetabolic Trajectories

    Science.gov (United States)

    Jeschke, Marc G.; Gauglitz, Gerd G.; Finnerty, Celeste C.; Kraft, Robert; Mlcak, Ronald P.; Herndon, David N.

    2013-01-01

    Objective To evaluate whether a panel of common biomedical markers can be utilized as trajectories to determine survival in pediatric burn patients. Summary Background Data Despite major advances in clinical care, of the more than 1 million people burned in the United States each year, more than 4,500 die as a result of their burn injuries. The ability to predict patient outcome or anticipate clinical trajectories using plasma protein expression would allow personalization of clinical care to optimize the potential for patient survival. Methods Two-hundred thirty severely burned children with burns exceeding 30% of the total body surface, requiring at least one surgical procedure were enrolled in this prospective cohort study. Demographics, clinical outcomes, as well as inflammatory and acute-phase responses (serum cytokines, hormones, and proteins) were determined at admission and at 11 time points for up to 180 days postburn. Statistical analysis was performed using a one-way ANOVA, Student’s t-test, Chi-square, and Mann-Whitney tests where appropriate. Results Survivors and non-survivors exhibited profound differences in critical markers of inflammation and metabolism at each time point. Non-survivors had significantly higher serum levels of IL-6, IL-8, granulocyte colony-stimulating factor, monocyte chemoattractant protein-1, c-reactive protein, glucose, insulin, blood urea nitrogen, creatinine, and bilirubin (p<0.05). Furthermore, non-survivors exhibited a vastly increased hypermetabolic response that was associated with increases in organ dysfunction and sepsis when compared with survivors (p<0.05). Conclusions Non-survivors have different trajectories in inflammatory, metabolic, and acute phase responses allowing differentiation of non-survivors from survivors and now possibly allowing novel predictive models to improve and personalize burn outcomes. PMID:23579577

  1. Primary Care of the Prostate Cancer Survivor.

    Science.gov (United States)

    Noonan, Erika M; Farrell, Timothy W

    2016-05-01

    This summary of the American Cancer Society Prostate Cancer Survivorship Care Guidelines targets primary care physicians who coordinate care of prostate cancer survivors with subspecialists. Prostate cancer survivors should undergo prostate-specific antigen screening every six to 12 months and digital rectal examination annually. Surveillance of patients who choose watchful waiting for their prostate cancer should be conducted by a subspecialist. Any hematuria or rectal bleeding must be thoroughly evaluated. Prostate cancer survivors should be screened regularly for urinary incontinence and sexual dysfunction. Patients with predominant urge incontinence symptoms, which can occur after surgical and radiation treatments, may benefit from an anticholinergic agent. If there is difficulty with bladder emptying, a trial of an alpha blocker may be considered. A phosphodiesterase type 5 inhibitor can effectively treat sexual dysfunction following treatment for prostate cancer. Osteoporosis screening should occur before initiation of androgen deprivation therapy, and patients treated with androgen deprivation therapy should be monitored for anemia, metabolic syndrome, and vasomotor symptoms. Healthy lifestyle choices should be encouraged, including weight management, regular physical activity, proper nutrition, and smoking cessation. Primary care physicians should be vigilant for psychosocial distress, including depression, among prostate cancer survivors, as well as the potential impact of this distress on patients' family members and partners. PMID:27175954

  2. 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,…

  3. 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…

  4. 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…

  5. Tonic immobility among survivors of sexual assault.

    Science.gov (United States)

    TeBockhorst, Sunda Friedman; O'Halloran, Mary Sean; Nyline, Blair N

    2015-03-01

    While tonic immobility (TI) is a phenomenon well known and documented in the animal world, far less is known about its manifestation in humans. Available literature demonstrates that TI is significantly associated with less hopeful prognoses when compared with survivors who did not experience TI (Fiszman et al., 2008; Heidt et al., 2005). If survivors who experience TI are at increased risk for "depression, anxiety, posttraumatic stress disorder (PTSD), and peritraumatic dissociation" (Heidt et al., 2005, p. 1166) and respond more poorly "to standard pharmacological treatment for PTSD" (Fiszman et al., 2008, p. 196), the implications for treatment are significant, suggesting that TI "should be routinely assessed in traumatized patients" (Fiszman et al., 2008, p. 193). Literature indicates that "TI is thought to be particularly relevant to survivors of rape and other sexual assault" and that "sexual assault is a trauma that appears to entail virtually all of the salient elements associated with the induction of TI in nonhuman animals, namely, fear, contact, and restraint" (Marx et al., 2008, p. 79). Describing the phenomenon as it is experienced by survivors is especially important because the ability to accurately understand and describe the nature of the phenomenon is the first step toward accurately identifying, diagnosing, and treating the sequelae of such a response. This study examines the experience of TI from the perspective of 7 women who survived a sexual assault accompanied by tonic immobility using qualitative phenomenological methodology, and yields a description of the core defining themes of the experience of TI. PMID:25793694

  6. 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 29.344 Money and Finance: Treasury Office of the Secretary of the Treasury FEDERAL BENEFIT PAYMENTS UNDER CERTAIN DISTRICT OF COLUMBIA RETIREMENT PROGRAMS Split Benefits Calculation of the Amount of...

  7. Childhood cancer survivors: cardiac disease & social outcomes

    NARCIS (Netherlands)

    E.A.M. Feijen

    2015-01-01

    The thesis is divided in two parts; Cardiac health problems and healthcare consumption & social outcomes in CCS. The general aims of part 1 creates optimal conditions for the evaluation of cardiac events in 5-year childhood cancer survivors, evaluation of the long term risk of cardiac events, and to

  8. 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,…

  9. Fertility treatment in male cancer survivors.

    Science.gov (United States)

    Schmidt, Kirsten Louise Tryde; Carlsen, Elisabeth; Andersen, Anders Nyboe

    2007-08-01

    The present study reviews the use of assisted reproductive technology in male cancer survivors and their partners. As antineoplastic treatment with chemotherapy or radiation therapy, has the potential of inducing impairment of spermatogenesis through damage of the germinal epithelium, many male cancer survivors experience difficulties in impregnating their partners after treatment. The impairment can be temporary or permanent. While many cancer survivors regain spermatogenesis months to years after treatment, some become infertile with a-, oligo- or azoospermia. An option to secure the fertility potential of young cancer patients is to cryopreserve semen before cancer treatment for later use. A desired pregnancy may be obtained in couples where the husband has a history of cancer, using assisted reproductive technology with either fresh or cryopreserved/thawed semen. Successful outcomes have been obtained with intrauterine insemination (IUI) as well as in vitro fertilization (IVF) with or without the use of intracytoplasmic sperm injection (ICSI). In conclusion, male cancer survivors and their partners who have failed to obtain a pregnancy naturally within a reasonable time frame after end of treatment should be referred to a fertility clinic. PMID:17573855

  10. Estrogen therapy in gynecological cancer survivors.

    Science.gov (United States)

    Guidozzi, F

    2013-12-01

    Treatment of gynecological cancer has significant impact on a woman's quality of life because it commonly includes removal of the uterus and ovaries, both being the core of a woman's femininity, whilst irradiation and chemotherapy, be they as primary therapy or when indicated as postoperative adjuvant therapy, will lead to ablation of ovarian function if the ovaries had not been removed. This will lead to an acute onset of menopausal symptoms, which may be more debilitating than those occurring as a result of natural aging, and of which hot flushes, night sweats, insomnia, mood swings, vaginal dryness, decreased libido, malaise and a general feeling of apathy are the most common. About 25% of gynecological cancers will occur in pre- and perimenopausal women, a large percentage of whom will become menopausal as a result of their treatment. There are also the gynecological cancer survivors who are not rendered menopausal as a result of the treatment strategy but who will become menopausal because of natural aging. Concern among the medical attendants of these women is whether use of estrogen therapy or estrogen and progestogens for their menopausal symptoms will reactivate tumor deposits and therefore increase the rate of recurrence and, as a result, decrease overall survival among these women. Yet the data that are available do not support this concern. There are eight retrospective studies and only one randomized study that have analyzed outcome in endometrial cancer survivors who used hormone therapy after their surgery, whilst, among ovarian cancer survivors, there are four retrospective studies and one randomized study. The studies do suffer from small numbers and, although the studies pertaining to endometrial cancer analyze mostly women with early-stage disease, a number of the studies in both the endometrial and ovarian cancer survivors do have a sizeable follow-up. These studies seem to support that estrogen therapy after the treatment for gynecological

  11. 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.

  12. 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.

  13. 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

  14. Flood Damage Mitigation in Utah

    OpenAIRE

    James, L. Douglas; Larson, Dean T.; Hoggan, Daniel H.; Glover, Terrence L.

    1980-01-01

    Utah is subjected to flash flooding in mountain canyons, mudflows and shallow water flooding on lowlands at the canyon outlets, storm water flooding after thunderstorms in urban areas, and prolonged periods of inundation in certain lowland areas during snowmelt periods. In response to these problems, individuals are making private land use and flood proofing decisions, larger communities have storm water collectio...

  15. 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...

  16. Flood-proof motors

    International Nuclear Information System (INIS)

    Even before the Fukushima event occurred some German nuclear power plants (NPP) have considered flooding scenarios. As a result of one of these studies, AREVA performed an upgrade project in NPP Isar 1 with flood-proof motors as a replacement of existing air-cooled low-voltage and high-voltage motors of the emergency cooling chain. After the Fukushima event, in which the cooling chains failed, the topic flood-proof equipment gets more and more into focus. This compact will introduce different kinds of flood-proof electrical motors which are currently installed or planned for installation into NPPs over the world. Moreover the process of qualification, as it was performed during the project in NPP Isar 1, will be shown. (orig.)

  17. Flood Resilient Technological Products

    Science.gov (United States)

    Diez Gonzalez, J. J.; Monnot, J. V.; Marquez Paniagua, P.; Pámpanas, P.; Paz Abuín, S.; Prendes, P.; Videra, O.; U. P. M. Smartest Team

    2012-04-01

    As a consequence of the paradigm shift of the EU water policy (Directive 2007/60/EC, EC 2003) from defense to living with flood, floods shall be faced in the future through resilient solutions, seeking to improve the permanence of flood protection, and getting thus beyond traditional temporary and human-relying solutions. But the fact is that nowadays "Flood Resilient (FRe) Building Technological Products" is an undefined concept, and concerned FRe solutions cannot be even easily identified. "FRe Building Technological materials" is a wide term involving a wide and heterogeneous range of solutions. There is an interest in offering an identification and classification of the referred products, since it will be useful for stakeholders and populations at flood risk for adopting the most adequate protections when facing floods. Thus, a previous schematic classification would enable us at least to identify most of them and to figure out autonomous FRe Technological Products categories subject all of them to intense industrial innovative processes. The flood resilience enhancement of a given element requires providing it enough water-repelling capacity, and different flood resilient solutions can be sorted out: barriers, waterproofing and anticorrosive. Barriers are palliative solutions that can be obtained either from traditional materials, or from technological ones, offering their very low weight and high maneuverability. Belonging barriers and waterproofing systems to industrial branches clearly different, from a conceptual point of view, waterproofing material may complement barriers, and even be considered as autonomous barriers in some cases. Actually, they do not only complement barriers by their application to barriers' singular weak points, like anchors, joints, but on the other hand, waterproofing systems can be applied to enhance the flood resilience of new building, as preventive measure. Anticorrosive systems do belong to a clearly different category

  18. FLOODING ATTACK AWARE SECURE AODV

    OpenAIRE

    Madhavi, S; K. Duraiswamy

    2013-01-01

    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 ...

  19. 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.

  20. 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.

  1. A Methodology For Flood Vulnerability Analysis In Complex Flood Scenarios

    Science.gov (United States)

    Figueiredo, R.; Martina, M. L. V.; Dottori, F.

    2015-12-01

    Nowadays, flood risk management is gaining importance in order to mitigate and prevent flood disasters, and consequently the analysis of flood vulnerability is becoming a key research topic. In this paper, we propose a methodology for large-scale analysis of flood vulnerability. The methodology is based on a GIS-based index, which considers local topography, terrain roughness and basic information about the flood scenario to reproduce the diffusive behaviour of floodplain flow. The methodology synthetizes the spatial distribution of index values into maps and curves, used to represent the vulnerability in the area of interest. Its application allows for considering different levels of complexity of flood scenarios, from localized flood defence failures to complex hazard scenarios involving river reaches. The components of the methodology are applied and tested in two floodplain areas in Northern Italy recently affected by floods. The results show that the methodology can provide an original and valuable insight of flood vulnerability variables and processes.

  2. Care of the Adult Hodgkin Lymphoma Survivor

    OpenAIRE

    Thompson, Carrie A.; Mauck, Karen; Havyer, Rachel; Bhagra, Anjali; Kalsi, Henna; Hayes, Sharonne N.

    2011-01-01

    Of those individuals diagnosed with Hodgkin lymphoma, 85% will survive and may be affected by residual effects of their cancer and its therapy (chemotherapy, radiation therapy, stem cell transplantation). Hodgkin lymphoma survivors are at risk of developing secondary malignancies, cardiovascular disease, pulmonary disease, thyroid disease, infertility, premature menopause, chronic fatigue, and psychosocial issues. These conditions usually have a long latency and therefore present years or dec...

  3. Survivors of Organizational Change: A Resource Perspective

    OpenAIRE

    Yu-Chin Lee; Pei-Chuan Mao

    2015-01-01

    The failure rate of organizational change and studies regarding personal turmoil resulting from organizational change indicate that even employees survive layoff, merger, or any forms of changes, they still develop symptoms of distress, cynicism, and work withdrawal. In this paper, we propose a conceptual model based on the conservation of resources theory to examine the effect of organizational change on survivors¡¯ organizational identification and well-being. Moreover, we suggest that orga...

  4. 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.

  5. Genetic counseling of the cancer survivor

    International Nuclear Information System (INIS)

    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

  6. 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.

  7. 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.

  8. 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.

  9. 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

  10. 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.

  11. The metabolic syndrome and body composition in childhood cancer survivors

    OpenAIRE

    Jae Hoon Chung; Ki Woong Sung; Keon hee Yoo; Soo Hyun Lee; Sung-Yoon Cho; Se-Hwa Kim; Sung Won Park; Su Jin Kim; Young Bae Sohn; Hong Hoe Koo; Dong-Kyu Jin

    2011-01-01

    Purpose : Long-term survivors of childhood cancer appear to have an increased risk for the metabolic syndrome, subsequent type 2 diabetes and cardiovascular disease in adulthood compared to healthy children. The purpose of this study was to investigate the frequency of the metabolic syndrome and associated factors in childhood cancer survivors at a single center in Korea. Methods : We performed a retrospective review of medical records of 98 childhood cancer survivors who were diagnosed and c...

  12. Flooding in Bangladesh under global warming and future flood defence

    Energy Technology Data Exchange (ETDEWEB)

    Mirza, M.M.Q. [Toronto Univ., ON (Canada). Inst. for Environmental Studies

    2000-07-01

    Bangladesh is very vulnerable to flooding due to its unique location in the Ganges, Brahmaputra and Meghna (GBM) basins and their hydrological characteristics. On average, annually floods inundate 21 percent area of the country and in exceptional cases, this may exceed 60 per cent. Global warming, due to the enhanced greenhouse effect, is likely to have significant effects on the hydrology and water resources of the GBM basins that might ultimately lead to more serious floods in Bangladesh. Use of climate change scenarios from four General Circulation Models in hydrological models demonstrates substantial increases in peak discharges in the GBM rivers. Therefore, Bangladesh may well experience a larger flooded area and a longer flooding period. The simulated results further indicate that more land could be deeply flooded under future climate change. Bangladesh needs a shift in flood management policy paradigm in the context of global warming in order to reduce increased flood hazards. (orig.)

  13. 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.

  14. Nutritional status and physical activity of childhood leukemia survivors

    Directory of Open Access Journals (Sweden)

    Conny Tanjung

    2014-03-01

    Full Text Available Background Acute lymphoblastic leukemia (ALL, the most common malignancy of childhood, has an overall cure rate of approximately 80%. Long-term survivors of childhood ALL are at increased risk for obesity and physical inactivity that may lead to the development of diabetes, dyslipidemia, metabolic syndrome, as well as cardiovascular diseases, and related mortality in the years following treatment. Objective To evaluate the physical activity and the propensity for developing obesity longer term in ALL survivors. Methods This retrospective cohort study included all ALL survivors from Pantai Indah Kapuk (PIK Hospital. We assessed their physical activity and nutritional status at the first time of ALL diagnosis and at the time of interview. Results Subjects were 15 ALL survivors aged 7 to 24 years. The median follow up time was 6.4 years (range 3 to 10 years. Only 2 out of 15 survivors were overweight and none were obese. All survivors led a sedentary lifestyle. Most female subjects had increased BMI, though most were not overweight/obese. Steroid therapy in the induction phase did not increase the risk of developing obesity in ALL survivors. Conclusion Long-term survivors of childhood ALL do not meet physical activity recommendations according to the CDC (Centers for Disease Control. However, steroid therapy do not seem to lead to overweight/obesity in ALL survivors

  15. 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.

  16. 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

  17. 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

  18. Exploitation of Documented Historical Floods for Achieving Better Flood Defense

    Directory of Open Access Journals (Sweden)

    Slobodan Kolaković

    2016-01-01

    Full Text Available Establishing Base Flood Elevation for a stream network corresponding to a big catchment is feasible by interdisciplinary approach, involving stochastic hydrology, river hydraulics, and computer aided simulations. A numerical model calibrated by historical floods has been exploited in this study. The short presentation of the catchment of the Tisza River in this paper is followed by the overview of historical floods which hit the region in the documented period of 130 years. Several well documented historical floods provided opportunity for the calibration of the chosen numerical model. Once established, the model could be used for investigation of different extreme flood scenarios and to establish the Base Flood Elevation. The calibration has shown that the coefficient of friction in case of the Tisza River is dependent both on the actual water level and on the preceding flood events. The effect of flood plain maintenance as well as the activation of six potential detention ponds on flood mitigation has been examined. Furthermore, the expected maximum water levels have also been determined for the case if the ever observed biggest 1888 flood hit the region again. The investigated cases of flood superposition highlighted the impact of tributary Maros on flood mitigation along the Tisza River.

  19. 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

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

    OpenAIRE

    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

    2011-01-01

    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 standardi...

  1. 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...

  2. 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...

  3. 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,...

  4. 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...

  5. 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...

  6. 2013 FEMA 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...

  7. 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...

  8. 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...

  9. 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...

  10. 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.

  11. GIS Support for Flood Rescue

    DEFF Research Database (Denmark)

    Liang, Gengsheng; Mioc, Darka; Anton, François

    2007-01-01

    Under flood events, the ground traffic is blocked in and around the flooded area due to damages to roads and bridges. The traditional transportation network may not always help people to make a right decision for evacuation. In order to provide dynamic road information needed for flood rescue, we...

  12. After the Flood

    Science.gov (United States)

    Stanistreet, Paul

    2007-01-01

    When floodwater swept through the McVities biscuit factory in Carlisle in January 2005 few were confident that it would reopen. The factory, in the Caldewgate area of the city, was one of the first casualties of the flood, as water, nine feet deep in places, coursed trough the food preparation areas, destroying equipment and covering everything in…

  13. The balanced survivor average causal effect.

    Science.gov (United States)

    Greene, Tom; Joffe, Marshall; Hu, Bo; Li, Liang; Boucher, Ken

    2013-01-01

    Statistical analysis of longitudinal outcomes is often complicated by the absence of observable values in patients who die prior to their scheduled measurement. In such cases, the longitudinal data are said to be "truncated by death" to emphasize that the longitudinal measurements are not simply missing, but are undefined after death. Recently, the truncation by death problem has been investigated using the framework of principal stratification to define the target estimand as the survivor average causal effect (SACE), which in the context of a two-group randomized clinical trial is the mean difference in the longitudinal outcome between the treatment and control groups for the principal stratum of always-survivors. The SACE is not identified without untestable assumptions. These assumptions have often been formulated in terms of a monotonicity constraint requiring that the treatment does not reduce survival in any patient, in conjunction with assumed values for mean differences in the longitudinal outcome between certain principal strata. In this paper, we introduce an alternative estimand, the balanced-SACE, which is defined as the average causal effect on the longitudinal outcome in a particular subset of the always-survivors that is balanced with respect to the potential survival times under the treatment and control. We propose a simple estimator of the balanced-SACE that compares the longitudinal outcomes between equivalent fractions of the longest surviving patients between the treatment and control groups and does not require a monotonicity assumption. We provide expressions for the large sample bias of the estimator, along with sensitivity analyses and strategies to minimize this bias. We consider statistical inference under a bootstrap resampling procedure. PMID:23658214

  14. Risk of cancer among atomic bomb survivors.

    Science.gov (United States)

    Shimizu, Y; Kato, H; Schull, W J

    1991-12-01

    This report describes the risk of cancer and in particular cancers other than leukemia among the survivors of the atomic bombing of Hiroshima and Nagasaki. Attention focuses primarily on the risk of death from cancer among individuals in the Life Span Study sample of the Radiation Effect Research Foundation in the period 1950-1985 based on the recently revised dosimetry, termed the DS86 doses. Mortality from malignant tumors is increased among A-bomb survivors as a late effect of A-bomb radiation. Besides the well-known increase of leukemia, there also has been demonstrated increase of cancer of the lung, breast, esophagus, stomach, colon, ovary, urinary bladder, thyroid, and of multiple myeloma, but no increase has yet been observed in mortality from cancer of the rectum, gallbladder, pancreas, prostate and uterus, and of malignant lymphoma. The pattern of appearance over time of radiation-induced cancer other than leukemia differs from that of leukemia. In general, radiation-induced solid cancer begins to appear after attaining the age at which the cancer is normally prone to develop (so-called cancer age), and continues to increase proportionately with the increase in mortality of the control group as it ages. Sensitivity to radiation, in terms of cancer induction, is higher for persons who were young at the time of the bomb (ATB) in general than for those who were older ATB. Furthermore, susceptibility to radiation-induced cancer tends to be higher in pre- than in post-natally exposed survivors (at least those exposed as adults). Other radiation effect modifiers and the shape of the dose response curve will also be discussed. PMID:1823367

  15. 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.

  16. Patient Education Among Stroke Survivor Patients

    OpenAIRE

    Martin, Ruth

    2014-01-01

    Stroke is one of the most serious health problems in the world, cited as being the second leading cause of death. After stroke, there is a greater risk of suffering second and further subsequent stroke-events. Given the heavy burden of disease present by stroke, there is a great need to improve patient education for stroke survivors, who are at an increased risk of another cerebrovascular accident. The purpose of this thesis is to develop the quality of patient education in nursing care o...

  17. 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

    chemotherapy and radiotherapy may have an adverse effect on ovarian function, ovarian reserve and uterine function, clinically leading to sub-fertility, infertility, premature menopause and/or adverse pregnancy outcomes. Here we will first address normal female fertility and methods to detect decreased...... 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....

  18. 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... spouse annuity based on an election under § 842.612 only upon electing this current spouse...

  19. 5 CFR 847.704 - Maximum survivor annuity election.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Maximum survivor annuity election. 847... REGULATIONS (CONTINUED) ELECTIONS OF RETIREMENT COVERAGE BY CURRENT AND FORMER EMPLOYEES OF NONAPPROPRIATED... survivor annuity election. The amount of the employee's benefit after reduction for any deficiency...

  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. The Psychospiritual Dynamics of Adult Survivors of Abuse.

    Science.gov (United States)

    Lemoncelli, John; Carey, Andrew

    1996-01-01

    Discusses challenges in treating adult survivors of physical, emotional, and sexual abuse, and how the relationship with God can either psychologically promote healing or maintain an abusive cycle. Argues that clinicians must understand the dynamic bonding process between abuser and survivor and how this relationship is typically transferred to…

  2. Why Rape Survivors Participate in the Criminal Justice System

    Science.gov (United States)

    Patterson, Debra; Campbell, Rebecca

    2010-01-01

    After a rape, survivors may seek help from multiple community organizations including the criminal justice system (CJS). Research has found that few survivors report their assaults to the police and of those who do report, many withdraw their participation during the investigation. However, relatively little is known about the factors that lead…

  3. Health Information Needs of Childhood Cancer Survivors and Their Family

    NARCIS (Netherlands)

    S.L. Knijnenburg; L.C. Kremer; C. Bos; K.I. Braam; M.W.M. Jaspers

    2010-01-01

    Background. Knowledge about past disease, treatment, and possible late effects has previously been shown to be low in survivors of childhood cancer and their relatives. This study investigated the information needs of childhood cancer survivors and their parents and explored possible determinants fo

  4. 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.

  5. 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.

  6. 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

  7. Fatality rates of the M w ~8.2, 1934, Bihar-Nepal earthquake and comparison with the April 2015 Gorkha earthquake

    Science.gov (United States)

    Sapkota, Soma Nath; Bollinger, Laurent; Perrier, Frédéric

    2016-03-01

    Large Himalayan earthquakes expose rapidly growing populations of millions of people to high levels of seismic hazards, in particular in northeast India and Nepal. Calibrating vulnerability models specific to this region of the world is therefore crucial to the development of reliable mitigation measures. Here, we reevaluate the >15,700 casualties (8500 in Nepal and 7200 in India) from the M w ~8.2, 1934, Bihar-Nepal earthquake and calculate the fatality rates for this earthquake using an estimation of the population derived from two census held in 1921 and 1942. Values reach 0.7-1 % in the epicentral region, located in eastern Nepal, and 2-5 % in the urban areas of the Kathmandu valley. Assuming a constant vulnerability, we obtain, if the same earthquake would have repeated in 2011, fatalities of 33,000 in Nepal and 50,000 in India. Fast-growing population in India indeed must unavoidably lead to increased levels of casualty compared with Nepal, where the population growth is smaller. Aside from that probably robust fact, extrapolations have to be taken with great caution. Among other effects, building and life vulnerability could depend on population concentration and evolution of construction methods. Indeed, fatalities of the April 25, 2015, M w 7.8 Gorkha earthquake indicated on average a reduction in building vulnerability in urban areas, while rural areas remained highly vulnerable. While effective scaling laws, function of the building stock, seem to describe these differences adequately, vulnerability in the case of an M w >8.2 earthquake remains largely unknown. Further research should be carried out urgently so that better prevention strategies can be implemented and building codes reevaluated on, adequately combining detailed ancient and modern data.

  8. 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.

  9. Second-generation Holocaust survivors: Psychological, theological, and moral challenges.

    Science.gov (United States)

    Juni, Samuel

    2016-01-01

    Drawing from trauma theory, psychodynamic conceptualization, developmental psychology, clinical data, and personal experience, this article portrays a life haunted by tragedy predating its victims. Healthy child development is outlined, with particular attention to socialization and theological perspectives. Key characteristics of trauma are delineated, highlighting the nuances of trauma that are most harmful. As is the case with general trauma, Holocaust survivors are described as evincing survivor's guilt and paranoia in response to their experiences. Divergent disorders resulting from the Holocaust are described for 1st-generation and 2nd-generation survivors, respectively. Primary trauma responses and pervasive attitudes of survivors are shown to have harmful ramifications on their children's personality and worldview as well as on their interpersonal and theistic object relations. These limitations translate into problems in the adult lives of second generation survivors. PMID:26178616

  10. 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

  11. Multiple myeloma among atomic bomb survivors

    International Nuclear Information System (INIS)

    The relationship between multiple myeloma in Hiroshima and Nagasaki and the estimated exposure dose is discussed. From October 1950 to December 1976 multiple myeloma was observed in 22 of 72,802 a-bomb survivors (54,116 in Hiroshima; 18,686 in Nagasaki) who were examined periodically in a life span survey by the Radiation Effects Research Foundation. The incidence per 1,000 was roughly 0.97 in a group exposed to over 100 rad, 0.30 in a group exposed to 1 to 99 rad, and 0.21 in a group exposed to less than 1 rad. There was a statistical difference (p<0.05) in relative risk which standardized city, sex, and age according to the controls exposed to less than 1 rad. An increase in risk in a group exposed to a large dose was marked in survivors aged 20 to 59 at the time of exposure. Multiple myeloma was not observed in those under 20 or over 60 years. An increase in risk in the group exposed to a large dose became marked 15 years after exposure. It is believed that the age factor, in addition to radiation, specifically influenced the occurrence of disease. (Tsunoda, M.)

  12. Unusual MRI Findings in a Polio Survivor.

    Science.gov (United States)

    Sakamoto, Masaaki; Watanabe, Hitoshi; Kubosawa, Hitoshi; Ishii, Takeshi

    2016-01-01

    A 63-year-old male consulted our institution due to worsening of right hip pain for approximately one month. The patient had no apparent functional disorders besides rigidity of the right ankle secondary to childhood poliomyelitis. Plain radiographs demonstrated narrowing of the right hip joint space. Magnetic resonance imaging (MRI) showed unusual findings in the right gluteus medius muscle, suspecting a malignant musculoskeletal tumor. Further examinations clarified acute inflammation caused by Staphylococcus aureus with no atypia. After treatment, serum inflammatory markers normalized and MRI showed homogeneous fat signal intensity in the muscle, which was consistent with poliomyelitis. Total hip arthroplasty was performed due to progression of osteoarthritis. Intraoperative findings showed flaccidity of the gluteus medius muscle, and histological examination of the specimen also was compatible with poliomyelitis. Postoperatively there was no hip instability and the patient has been able to resume his previous physical activity. To our knowledge, this is the first report regarding polio survivors combined with septic arthritis, and sole MRI examination was unable to lead to the diagnosis. The current patient demonstrates the possibility that the involved muscles in poliomyelitis exist even in asymptomatic regions, which will be helpful for accurate diagnosis and life guidance in polio survivors. PMID:27069705

  13. 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.

  14. Colorectal cancer among atomic bomb survivors

    International Nuclear Information System (INIS)

    Studies on autopsied and surgical cases of colorectal cancer in Hiroshima and Nagasaki atomic bomb (A-bomb) survivors have not shown a relationship to radiation. In a recent epidemiologic study made on a fixed population at the Radiation Effects Research Foundation (RERF), the risk of colon cancer was found to increase significantly with increasing radiation dose in both Hiroshima and Nagasaki, and also in both males and females. The dose effect for the cities and sexes combined was especially pronounced for cancer of the sigmoid colon. The effect of radiation was found to vary by age at the time of the bomb (ATB) and the effect was remarkable among those under age 20 ATB. The risk of rectal cancer was not found to increase significantly with radiation and the distribution of histological types for cancer of either the colon or rectum was unrelated to radiation dose. The effect of A-bomb exposure on the postoperative survival rate for colorectal cancer patients was studied. No difference by radiation dose could be demonstrated. In Japan, the incidence of colorectal cancer, and of colon cancer in particular, has been increasing. Therefore, close attention should be paid to changes occuring in A-bomb survivors

  15. Flooding in Central China

    Science.gov (United States)

    2002-01-01

    During the summer of 2002, frequent, heavy rains gave rise to floods and landslides throughout China that have killed over 1,000 people and affected millions. This false-color image of the western Yangtze River and Dongting Lake in central China was acquired on August 21, 2002, by the Moderate-resolution Imaging Spectroradiometer (MODIS), flying aboard NASA's Terra spacecraft. (right) The latest flooding crisis in China centers on Dingtong Lake in the center of the image. Heavy rains have caused it to swell over its banks and swamp lakefront towns in the province of Hunan. As of August 23, 2002, more than 250,000 people have been evacuated, and over one million people have been brought in to fortify the dikes around the lake. Normally the lake would appear much smaller and more defined in the MODIS image. Credit: Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC.

  16. Technology tames midwest floods

    Energy Technology Data Exchange (ETDEWEB)

    1993-12-01

    Millions glued to television sets across the nation watched as record breaking floods on the giant Missouri and Mississippi rivers rampaged through the Midwest. The summer saw heavy, unprecedented storms, pelting unrelenting rainfall on Minnesota, Nebraska, Iowa, Kansas, Illinois, and Missouri. During June and July heavy rains fell 39 out of 54 days. Tributary reservoirs in Kansas, Missouri, and Iowa filled. Tens of thousands of volunteers worked round the clock piling sandbags into makeshift levees. The Missouri and Mississippi, sometimes destroying and washing away everything in their paths, crested at all time highs. The same satellite transmitting technology that let television viewers see storm fronts moving across the Midwest creating the disaster is also responsible for saving untold lives and mitigating flood losses estimated at more than $6 billion in the Missouri River Basin alone. A network of hundreds of automated Satellite Data Collection Platforms (DCPs) interfaced with self-reporting gauges, used to measure such crucial data as rainfall and river levels, to provide fast, reliable realtime weather and flood data.

  17. 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. PMID:24372277

  18. Swiss Re Global Flood Hazard Zones: Know your flood risk

    Science.gov (United States)

    Vinukollu, R. K.; Castaldi, A.; Mehlhorn, J.

    2012-12-01

    Floods, among all natural disasters, have a great damage potential. On a global basis, there is strong evidence of increase in the number of people affected and economic losses due to floods. For example, global insured flood losses have increased by 12% every year since 1970 and this is expected to further increase with growing exposure in the high risk areas close to rivers and coastlines. Recently, the insurance industry has been surprised by the large extent of losses, because most countries lack reliable hazard information. One example has been the 2011 Thailand floods where millions of people were affected and the total economic losses were 30 billion USD. In order to assess the flood risk across different regions and countries, the flood team at Swiss Re based on a Geomorphologic Regression approach, developed in house and patented, produced global maps of flood zones. Input data for the study was obtained from NASA's Shuttle Radar Topographic Mission (SRTM) elevation data, Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) Global Digital Elevation Model (GDEM) and HydroSHEDS. The underlying assumptions of the approach are that naturally flowing rivers shape their channel and flood plain according to basin inherent forces and characteristics and that the flood water extent strongly depends on the shape of the flood plain. On the basis of the catchment characteristics, the model finally calculates the probability of a location to be flooded or not for a defined return period, which in the current study was set to 100 years. The data is produced at a 90-m resolution for latitudes 60S to 60N. This global product is now used in the insurance industry to inspect, inform and/or insure the flood risk across the world.

  19. Telomerase-null survivor screening identifies novel telomere recombination regulators.

    Directory of Open Access Journals (Sweden)

    Yan Hu

    Full Text Available Telomeres are protein-DNA structures found at the ends of linear chromosomes and are crucial for genome integrity. Telomeric DNA length is primarily maintained by the enzyme telomerase. Cells lacking telomerase will undergo senescence when telomeres become critically short. In Saccharomyces cerevisiae, a very small percentage of cells lacking telomerase can remain viable by lengthening telomeres via two distinct homologous recombination pathways. These "survivor" cells are classified as either Type I or Type II, with each class of survivor possessing distinct telomeric DNA structures and genetic requirements. To elucidate the regulatory pathways contributing to survivor generation, we knocked out the telomerase RNA gene TLC1 in 280 telomere-length-maintenance (TLM gene mutants and examined telomere structures in post-senescent survivors. We uncovered new functional roles for 10 genes that affect the emerging ratio of Type I versus Type II survivors and 22 genes that are required for Type II survivor generation. We further verified that Pif1 helicase was required for Type I recombination and that the INO80 chromatin remodeling complex greatly affected the emerging frequency of Type I survivors. Finally, we found the Rad6-mediated ubiquitination pathway and the KEOPS complex were required for Type II recombination. Our data provide an independent line of evidence supporting the idea that these genes play important roles in telomere dynamics.

  20. 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.

  1. Mortality of atomic bomb survivors in Nagasaki

    International Nuclear Information System (INIS)

    We analyzed the risk in 2,743 atomic bomb survivors by using a new dosimetry system. From the database, we selected 2,743 exposed persons and a total of three times 2,743 age-matched controls who were living far from the center of the A-bomb radiation in Nagasaki at the time of the explosion and who were still alive in 1971. The mortalities from all causes for male subjects exposed were slightly lower than, or almost equal to, those of unexposed persons. Death from cancer, however, increased in both sexes after all levels of irradiation except in males exposed to 0.01-0.49 Gy. In males, the risk was showed significant reduction in death from all diseases other than cancer classified according to 0.31-0.40 Gy. (author)

  2. Mortality of atomic bomb survivors in Nagasaki

    Energy Technology Data Exchange (ETDEWEB)

    Mine, Mariko; Honda, Sumihisa; Kondo, Hisayoshi; Yokota, Kenichi; Tomonaga, Masao; Okumura, Yutaka [Atomic Bomb Disease Institute, Nagasaki Univ. School of Medicine, Nagasaki (Japan)

    1999-09-01

    We analyzed the risk in 2,743 atomic bomb survivors by using a new dosimetry system. From the database, we selected 2,743 exposed persons and a total of three times 2,743 age-matched controls who were living far from the center of the A-bomb radiation in Nagasaki at the time of the explosion and who were still alive in 1971. The mortalities from all causes for male subjects exposed were slightly lower than, or almost equal to, those of unexposed persons. Death from cancer, however, increased in both sexes after all levels of irradiation except in males exposed to 0.01-0.49 Gy. In males, the risk was showed significant reduction in death from all diseases other than cancer classified according to 0.31-0.40 Gy. (author)

  3. Aging studies in atomic bomb survivors

    International Nuclear Information System (INIS)

    Although the studies of the effect of ionizing radiation on atomic bomb survivors have not produced any evidence of radiation-induced aging, there have been studies on experimental animals and man which suggest accelerated aging after exposure to ionizing radiation. To determine if certain physiologic functions could be related to exposure to ionizing radiation, a battery of age-related tests was given at the time of the physical examinations at ABCC. Some 11,351 persons were given these non-invasive age-related tests. The results were essentially negative. Until a satisfactory operational definition of biologic or physiologic age is developed, the administration of functional tests as a measure of aging does not seem justified. (author)

  4. Thyroid disorders in atomic-bomb survivors

    International Nuclear Information System (INIS)

    It is known from several studies, including those from RERF that radiation exposure can cause thyroid tumors (Socolow, N Engl J Med. 1963;268:406, Parker, Ann Intern Med. 1974;80:600). Effects of radiation on autoimmune thyroid disease are not well understood. We have conducted thyroid disease screening on a population of 2856 individuals from the Adult Health Study (AHS) cohort of atomic-bomb survivors for the period of 1984-1987. This study, which for logistical reasons involved survivors only from Nagasaki, revealed a statistically significant relationship between radiation dose and prevalence of solid nodules, including cancer, and that of autoimmune hypothyroidism (Nagataki, JAMA. 1994;272:364). Because the previous thyroid study was conducted only in Nagasaki, the new comprehensive thyroid disease screening study has been ongoing in Hiroshima and Nagasaki AHS participants since March 2000. For about 4,000 participants in Hiroshima and Nagasaki AHS cohort, thyroid ultrasonography, aspiration biopsy of nodules, thyroid function test, thyroid autoantibody (thyroid peroxidase antibody and thyroglobulin antibody) test by highly sensitive assay using enzyme linked immunosorbent assay were performed for the diagnosis of thyroid diseases. Analysis of data from the 1874 people examined through July 2001 (915 people from Hiroshima, 959 people from Nagasaki) provides evidence that thyroid cancer increases with radiation dose. The prevalence of positive result for thyroid autoantibody test is increased in the people exposed to relative low dose of radiation (0.01-0.99 Sv). Examination and measurements was completed in February 2003 for all patients. The analysis of these data is providing new and more complete insights into relationships between thyroid diseases and low doses of radiation

  5. Floods: vulnerability, risks and management

    OpenAIRE

    Hildén, Mikael; Dankers, Rutger; Kjeldsen, Thomas; Hannaford, Jamie; Kuhlicke, Christian; Kuusisto, Esko; Makropoulos, Christos; te Linde, Aline; Ludwig, Fulco; Luther, Jochen; Wolters, Henk

    2012-01-01

    Floods are extreme events that can have large impacts on human societies and ecosystems. They arise from a multitude of causes and can have very different consequences depending on regional and local circumstances. Floods are part of the natural hydrological cycle, but adverse impacts arise when water masses inundate infrastructures and land that cannot cope with the excessive water. Major flood disasters in Europe have caused loss of lives and economic loss that amount to billions of euro, b...

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

    Science.gov (United States)

    Spachinger, Karl; Dorner, Wolfgang; Metzka, Rudolf; Serrhini, Kamal; Fuchs, Sven

    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

  7. 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

  8. Amazon flood wave hydraulics

    Science.gov (United States)

    Trigg, Mark A.; Wilson, Matthew D.; Bates, Paul D.; Horritt, Matthew S.; Alsdorf, Douglas E.; Forsberg, Bruce R.; Vega, Maria C.

    2009-07-01

    SummaryA bathymetric survey of 575 km of the central Amazon River and one of its tributaries, the Purus, are combined with gauged data to characterise the Amazon flood wave, and for hydraulic modelling of the main channel for the period June 1995-March 1997 with the LISFLOOD-FP and HEC-RAS hydraulic models. Our investigations show that the Amazon flood wave is subcritical and diffusive in character and, due to shallow bed slopes, backwater conditions control significant reach lengths and are present for low and high water states. Comparison of the different models shows that it is necessary to include at least the diffusion term in any model, and the RMSE error in predicted water elevation at all cross sections introduced by ignoring the acceleration and advection terms is of the order of 0.02-0.03 m. The use of a wide rectangular channel approximation introduces an error of 0.10-0.15 m on the predicted water levels. Reducing the bathymetry to a simple bed slope and with mean cross section only, introduces an error in the order of 0.5 m. These results show that when compared to the mean annual amplitude of the Amazon flood wave of 11-12 m, water levels are relatively insensitive to the bathymetry of the channel model. The implication for remote sensing studies of the central Amazon channel, such as those proposed with the Surface Water and Ocean Topography mission (SWOT), is that even relatively crude assumptions regarding the channel bathymetry will be valid in order to derive discharge from water surface slope of the main channel, as long as the mean channel area is approximately correct.

  9. 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...

  10. Risk Zone Modelling and Early Warning System for Visceral Leishmaniasis Kala-Azar Disease in Bihar, India Using Remote Sensing and GIS

    Science.gov (United States)

    Jeyaram, A.; Kesari, S.; Bajpai, A.; Bhunia, G. S.; Krishna Murthy, Y. V. N.

    2012-07-01

    Visceral Leishmaniasis (VL) commonly known as Kala-azar is one of the most neglected tropical disease affecting approximately 200 million poorest populations 'at risk in 109 districts of three endemic countries namely Bangladesh, India and Nepal at different levels. This tropical disease is caused by the protozoan parasite Leishmania donovani and transmitted by female Phlebotomus argentipes sand flies. The analysis of disease dynamics indicate the periodicity at seasonal and inter-annual temporal scale which forms the basis for development of advanced early warning system. Study area of highly endemic Vaishali district, Bihar, India has been taken for model development. A Systematic study of geo-environmental parameters derived from satellite data in conjunction with ground intelligence enabled modelling of infectious disease and risk villages. High resolution Indian satellites data of IRS LISS IV (multi-spectral) and Cartosat-1 (Pan) have been used for studying environmentally risk parameters viz. peri-domestic vegetation, dwelling condition, wetland ecosystem, cropping pattern, Normalised Difference Vegetation Index (NDVI), detailed land use etc towards risk assessment. Univariate analysis of the relationship between vector density and various land cover categories and climatic variables suggested that all the variables are significantly correlated. Using the significantly correlated variables with vector density, a seasonal multivariate regression model has been carried out incorporating geo-environmental parameters, climate variables and seasonal time series disease parameters. Linear and non-linear models have been applied for periodicity and interannual temporal scale to predict Man-hour-density (MHD) and 'out-of-fit' data set used for validating the model with reasonable accuracy. To improve the MHD predictive approach, fuzzy model has also been incorporated in GIS environment combining spatial geo-environmental and climatic variables using fuzzy membership

  11. 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

  12. Flooding in Central Siberia

    Science.gov (United States)

    2002-01-01

    A mixture of snowmelt and ice jams in late May and June of this year caused the Taz River (left) and the Yenisey River (right) in central Siberia to overflow their banks. The flooding can be seen in this image taken on June 11, 2002, by the MODIS (Moderate Resolution Imaging Spectroradiometer) instrument aboard the Terra satellite. Normally, the rivers would resemble thin black lines in MODIS imagery. In the false-color images sage green and rusty orange is land, and water is black. Clouds are white and pink. Credit: Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

  13. 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.

  14. 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

  15. 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.

  16. Smoking Behaviors Among Cancer Survivors: An Observational Clinical Study

    OpenAIRE

    Burke, Lola; Miller, Lesley-Ann; Saad, Ayman; Abraham, Jame

    2009-01-01

    Studies have shown that smoking can adversely affect the outcomes of different modalities of cancer treatment. This study looks at smoking behaviors among cancer survivors to collect necessary information to create successful smoking cessation interventions.

  17. Caregiver perspectives of memory and behavior changes in stroke survivors.

    Science.gov (United States)

    Clark, Patricia C; Dunbar, Sandra B; Aycock, Dawn M; Courtney, Elizabeth; Wolf, Steven L

    2006-01-01

    Post-stroke memory and behavior changes (MBC) are associated with negative outcomes for stroke survivors and caregivers. This article describes the types of MBC that occur most frequently and caregivers' responses to these behaviors. Data were obtained through in-person interviews and administration of questionnaires to 132 caregivers of first-time stroke survivors 3-9 months after stroke. MBC were measured with a modified version of a Memory and Behavior Problems checklist. On average, caregivers reported 7.7 +/- 3.6 (range 0-17) behaviors. Common stroke survivor MBC included appearing sad or depressed, interrupting the caregiver, and being restless or agitated. These MBC were distressing to caregivers. Caregivers may not recognize some MBC as potential symptoms of depression. In addition, caregiver misunderstanding of the amount of control survivors may have over some behaviors has implications for rehabilitation and caregivers' responses to these changes. PMID:16422042

  18. Mindfulness Meditation Seems to Soothe Breast Cancer Survivors

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_159172.html Mindfulness Meditation Seems to Soothe Breast Cancer Survivors Six- ... 2, 2016 THURSDAY, June 2, 2016 (HealthDay News) -- Mindfulness meditation seems to help breast cancer patients better ...

  19. 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...

  20. 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

  1. 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.

  2. Stem Cells May Offer New Hope to Stroke Survivors

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_159163.html Stem Cells May Offer New Hope to Stroke Survivors Experimental ... HealthDay News) -- Preliminary research suggests that injecting adult stems cells directly into the brain may give stroke patients ...

  3. 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 to the...... National Prescription Drug Database, which worldwide is the oldest nationwide registry of prescription medication. Hazard ratios (HRs) for antidepressant use were estimated in a Cox proportional hazards model stratified on sex, with population comparisons as referents. RESULTS: Overall, childhood cancer...... 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...

  4. 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. PMID:26552993

  5. 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.

  6. 77 FR 46104 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2012-08-02

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  7. 77 FR 76501 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2012-12-28

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  8. 78 FR 58334 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2013-09-23

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  9. 78 FR 43906 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2013-07-22

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  10. 78 FR 58338 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2013-09-23

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  11. 78 FR 28888 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2013-05-16

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  12. 77 FR 44650 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2012-07-30

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  13. 77 FR 44651 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2012-07-30

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  14. 78 FR 43907 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2013-07-22

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  15. 77 FR 27076 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2012-05-08

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  16. 78 FR 48888 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2013-08-12

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  17. 78 FR 28891 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2013-05-16

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  18. 78 FR 77481 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2013-12-23

    ... SECURITY Federal Emergency Management Agency ; Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  19. 77 FR 67016 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2012-11-08

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  20. 77 FR 40627 - Proposed Flood Hazard Determinations

    Science.gov (United States)

    2012-07-10

    ... SECURITY Federal Emergency Management Agency Proposed Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Notice. SUMMARY: Comments are requested on proposed flood hazard..., Special Flood Hazard Area (SFHA) boundary or zone designation, or regulatory floodway on the...

  1. 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...

  2. 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...

  3. Williamsburg 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...

  4. Mindfulness as an Intervention for Breast Cancer Survivors.

    Science.gov (United States)

    Kiely, Deirdre; Schwartz, Shira

    2016-08-01

    Breast cancer survivors often turn to complementary health approaches (CHAs) to address the effects of treatment. Mindfulness-based stress reduction (MBSR) is a type of CHA that uses attentional and meditative exercises to minimize stress and increase awareness of the present. This article aims to determine whether adequate evidence-based research with uniform methodologies and outcomes to support MBSR as an intervention for breast cancer survivors exists. PMID:27441505

  5. Factors That Predict Persistent Smoking of Cancer Survivors

    OpenAIRE

    Kim, Hyoeun; Kim, Mi-Hyun; Park, Yong-Soon; Shin, Jin Young; Song, Yun-Mi

    2015-01-01

    We conducted this cross-sectional study to elucidate factors that predict persistent smoking of the Korean cancer survivors. The subjects were 130 adult (≥19 yr old) cancer survivors who were smokers at the diagnosis of cancer and have participated in the Korean National Health and Nutrition Examination Surveys conducted from 2007 to 2011. We categorized them into the persistent smokers and the quitters, according to change in smoking status between the time of cancer diagnosis and the time o...

  6. Flood Frequency Analysis of Main Nara Valley

    OpenAIRE

    Manohar Lal; Bakhshal Khan Lashari; Khalifa Qasim Laghari

    2011-01-01

    This paper deals with the flood of 2007 and its frequency analysis at MNY (Main Nara Valley), and generally describe flood of 2010 in Sindh Pakistan. Heavy monsoon rain and cyclones cause the flood conditions in Sindh. The damages happened to the infrastructure of the MNVD from RD (Reduced Distance) 0-100 and the ecological impacts of the flood on the local region of Taluka Johi, District Dadu. For flood risk assessment and its description, knowledge of extreme flood events and...

  7. Floods in the Saguenay

    International Nuclear Information System (INIS)

    Footage of a natural disaster that occurred between July 20 and 25 1996, in the Saguenay region of Quebec was documented. A heavy downpour of rain raised the water level of the Kenogami Lake reservoir beyond its capacity. This created huge pressure on its dam that upset the fragile balance between nature and rock. The dam raptured, resulting in a flood of previously unseen proportions. The Riviere au Sable in Jonquiere became an overwhelming body of water. The video showed how the shores of the river were eroded and how apartment buildings were engulfed by the torrent of water. A newly constructed electricity power plant had to be decommissioned, roads were washed away and entire neighborhoods were devastated. The devastation suffered by the cities of Chicoutimi, Jonquiere, Ville de la Baie, Ferland-Boileau, and L'Anse St-Jean was recorded. Thousands of victims of the disaster were evacuated with the help of the Canadian Armed Forces. Some of the work of reconstruction, begun even before the total retreat of the flood, involved restoration of roads, bridges and communication networks, was also shown

  8. 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.

  9. Reframing floods: proposals and politics

    NARCIS (Netherlands)

    Wesselink, A.; Warner, J.F.

    2010-01-01

    The aim of this special volume is to critically examine the various ways in which floods and flood management are framed in current policies, especially the “space for rivers” policies that have been adopted in many countries of Western Europe. The articles in this volume discuss different aspects o

  10. Journal of Flood Risk Management

    OpenAIRE

    Nedjeljko Frančula

    2011-01-01

    The Journal of Flood Risk Management is dedicated to knowledge exchange in all fields related to flood risk. It is intended to hydrologists, meteorologists, geographers, geomorphologists, conservators, civil engineers, sociologists, etc. The journal was initiated by Chartered Institution of Water and Environmental Management and Wiley-Blackwell. It has been published in four volumes per year since 2008.

  11. 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.

  12. 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.

  13. 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

  14. 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.

  15. Health risks of atomic bomb survivors

    International Nuclear Information System (INIS)

    At the Atomic Bomb Casualty Commission and its successor organization, the Radiation Effects Research Foundation, mortality and morbidity surveys have been continually carried out on about 1,800 persons exposed in utero to the atomic bombings of Hiroshima and Nagasaki. Although the effect of radiation exposure was marked enough to permit observation of a dose-response relationship in the 30 known cases of severe mental retardation among the in utero-exposed, the association between in utero exposure and cancer risk is still uncertain. Based on data for all cancers from 1950 through 1984 for the in utero-exposed, the excess risk per 10,000 person-year-Gy was 6.57 and the relative risk at 1 Gy was 3.77. For the recent years 1985-89, there was no evident excess of cancer risk. During the remaining lifetime, it seems unlikely that any great excess of leukemia will appear. As for the risk of solid tumors, further follow up is in progress. The 1950-89 findings for cancer risk among the in utero-exposed will be compared with cancer risk among A-bomb survivors who were less than 10 years old at the time of the bombings. (author)

  16. Breast cancer in atomic bomb survivors

    International Nuclear Information System (INIS)

    Thirty eight years after the atomic bombings, studies of the Radiation Effects Research Foundation (RERF) on the extended Life Span Study (LSS) sample have continued to provide important information on radiation carcinogenesis. The third breast cancer survey among this sample revealed 564 cases during the period 1950-80, of which 412 were reviewed microscopically. The following statements reflect the conclusions from the current investigation; 1) the relationship between radiation dose and breast cancer incidence was consistent with linearity and did not differ markedly between the Hiroshima and Nagasaki survivors, 2) a dose-related breast cancer risk was observed among women who were in their first decade of life at the time of exposure, 3) the relative risk of radiationinduced breast cancer decreased with increasing age at exposure, 4) the pattern over time of age-specific breast cancer incidence is similar for exposed and control women (that is, exposed women have more breast cancer than control women but the excess risk closely follows normal risk as expressed by age-specific population rates), and 5) radiation-induced breast cancer appears to be morphologically similar to other breast cancer

  17. Breast cancer among atomic bomb survivors

    International Nuclear Information System (INIS)

    Three hundred and sixty cases of breast cancer were collected from among the 63,000 female members of the RERF extended Life Span Study sample which includes atomic bomb exposed women and controls of Hiroshima and Nagasaki. The relationship of these breast cancer cases to A-bomb radiation was sought, and in studying 5-year survival, the following conclusions were obtained concerning its relationship to histopathological findings: 1) The prognosis of the 50+ rad high dose group is the best, followed by the nonexposed group and the low dose group; 2) The apparently better survival may be due, at least in part, to the fact that this group is heavily weighted in favor of those who were younger at the time of the bomb; 3) There is no specificity of the histologic type of breast cancer in the survivors by dose; 4) Nor, is any significant difference observed in the distribution of tumor size and histological grade; 5) Cellular reaction is significantly marked at the stroma of carcinoma tissue in the high dose group; 6) Immune reaction is considered to be strong at the affected site of breast cancer in the high dose group and this can be regarded as a finding suggestive of good prognosis; 7) Further extended studies are therefore warranted. (author)

  18. 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.

  19. Atomic bomb survivor data: utilization and analysis

    International Nuclear Information System (INIS)

    There were several motivations for organizing the SIMS Conference reported in this monograph. Risk assessment and its methods have been subjects of several SIMS Conferences in the recent past, and focusing these newer, more powerful methods on the largest human experience of exposure to ionizing radiation seemed an appropriate sequel. There was also the conviction that the data resources of the Radiation Effects Research Foundation (RERF), generated through the mortality and medical follow-up of large samples of the survivors of the atomic bombs dropped on Hiroshima and Nagasaki, were being under utilized, and that a conference and its proceedings would create interest in exploiting this resource. The time seemed ripe for gathering a small group of current RERF scientists, veteran US statisticians and epidemiologists, and others with more recent entry into the field of radiation biology to consider long range plans for maximizing the output of information not only on the long term effects of ionizing radiation on man but on new knowledge of the determinants of health and disease that can be learned by study of the records of this cohort. This seemed particularly appropriate at this time while intensive joint Japanese-US efforts are underway to provide a new, more accurate dosimetry for use in these studies. Finally, there was a hope that an ad hoc forum of this type would provide not only a summary of current statistical and epidemiologic activities at RERF, but a useful critique of their scope and quality

  20. 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.

  1. Flood Frequency Analysis of Main Nara Valley

    Directory of Open Access Journals (Sweden)

    Manohar Lal

    2011-01-01

    Full Text Available This paper deals with the flood of 2007 and its frequency analysis at MNY (Main Nara Valley, and generally describe flood of 2010 in Sindh Pakistan. Heavy monsoon rain and cyclones cause the flood conditions in Sindh. The damages happened to the infrastructure of the MNVD from RD (Reduced Distance 0-100 and the ecological impacts of the flood on the local region of Taluka Johi, District Dadu. For flood risk assessment and its description, knowledge of extreme flood events and their return periods is important. This is achieved by regional flood frequency analysis, which deals with using flood information from different sites within a hydrologically homogeneous region. At the study area and its surroundings, information of previous 12 peak floods of 50 years have been collected and analyzed for flood frequency analysis. The Gumble\\'s flood frequency and analytical methods have been used for obtaining the flood frequency. Generally, flood threat to this area is mainly from Nai Gaj River and rarely from flash floods from Balouchistan. The disastrous flood of 2007 and 2010 were the examples of the heavy floods in the last 50 years history at the study area. Analysis results suggest constructing small reservoirs in order to permanently solve the flood problems and to use the stored water for agricultural and other needs.

  2. 1976 Big Thompson flood, Colorado

    Science.gov (United States)

    Jarrett, R. D.; Vandas, S.J.

    2006-01-01

    In the early evening of July 31, 1976, a large stationary thunderstorm released as much as 7.5 inches of rainfall in about an hour (about 12 inches in a few hours) in the upper reaches of the Big Thompson River drainage. This large amount of rainfall in such a short period of time produced a flash flood that caught residents and tourists by surprise. The immense volume of water that churned down the narrow Big Thompson Canyon scoured the river channel and destroyed everything in its path, including 418 homes, 52 businesses, numerous bridges, paved and unpaved roads, power and telephone lines, and many other structures. The tragedy claimed the lives of 144 people. Scores of other people narrowly escaped with their lives. The Big Thompson flood ranks among the deadliest of Colorado's recorded floods. It is one of several destructive floods in the United States that has shown the necessity of conducting research to determine the causes and effects of floods. The U.S. Geological Survey (USGS) conducts research and operates a Nationwide streamgage network to help understand and predict the magnitude and likelihood of large streamflow events such as the Big Thompson Flood. Such research and streamgage information are part of an ongoing USGS effort to reduce flood hazards and to increase public awareness.

  3. 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.

  4. 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

  5. LATERAL FLOODING ASSOCIATED TO WAVE FLOOD GENERATION ON RIVER SURFACE

    OpenAIRE

    Ramírez-Núñez, C.; Parrot, J.-F.

    2016-01-01

    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...

  6. 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…

  7. 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

  8. 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

    2016-01-01

    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 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. PMID:27527202

  9. 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

    2016-01-01

    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 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. PMID:27527202

  10. Bleomycin-associated Lung Toxicity in Childhood Cancer Survivors.

    Science.gov (United States)

    Zorzi, Alexandra P; Yang, Connie L; Dell, Sharon; Nathan, Paul C

    2015-11-01

    Pulmonary disease is a significant morbidity among childhood cancer survivors. The aim of this study was to characterize the pulmonary dysfunction experienced by childhood cancer survivors treated with bleomycin. A cross-sectional analysis of pulmonary function testing (PFT) in survivors treated with bleomycin was preformed. The most recent posttherapy PFT was assessed. Spirometry and lung volumes were categorized as normal, restrictive, obstructive, or mixed. Diffusing capacity of carbon monoxide (DLCO) was categorized as normal or abnormal. PFT data of 143 survivors was analyzed. PFTs were performed a median of 2.3 years (interquartile range, 1.4 to 4.9) from completion of therapy. Spirometry was abnormal in 58 (41%), only 5 (9%) had respiratory symptoms. Forty-two (70%) had obstructive, 11 (18%) restrictive, and 5 (9%) mixed ventilatory defects. The majority of abnormalities were mild (91%). DLCO was abnormal in 27. Reductions were mild in 96%. Patients with a history of relapse were more likely to develop abnormalities in spirometry and/or DLCO (odds ratio=5.02, 95% confidence interval: 1.3-19.4, P=0.01; odds ratio=3.47, 95% confidence interval: 1.01-11.9, P=0.03). Asymptomatic abnormalities of PFT are common among childhood cancer survivors treated with bleomycin and associated with a history of relapse. Research studying the risk for clinical progression of this dysfunction is warranted. PMID:26422284

  11. 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.

  12. Excessive Daytime Sleepiness in Stroke Survivors: An Integrative Review.

    Science.gov (United States)

    Ding, Qinglan; Whittemore, Robin; Redeker, Nancy

    2016-07-01

    Excessive daytime sleepiness (EDS) is a prevalent symptom among stroke survivors. This symptom is an independent risk factor for stroke and may reduce stroke survivors' quality of life, cognitive functioning, and daytime functional performance. The lack of a universally accepted definition of EDS makes it difficult to measure EDS and synthesize research. The purpose of this integrative review is to describe poststroke EDS, ascertain conceptual and operational definitions of EDS, identify factors that contribute to EDS in stroke survivors, and explore outcomes associated with EDS in stroke survivors. We searched the following databases: PubMed and MEDLINE (OvidSP 1946-April; Week 2, 2015), Embase (OvidSP 1974-March; Week 1, 2015), and PsycINFO (OvidSP 1967-April; Week 2, 2015). Our search yielded 340 articles, 27 of which met inclusion criteria. The literature reveals EDS to be a multidimensional construct that is operationalized with both subjective and objective measures. Choosing measures that can quantify both the objective and subjective components is useful for gaining a comprehensive understanding of EDS. The antecedents of EDS are stroke, sleep-disordered breathing, reversed Robin Hood syndrome, and depression. The outcomes associated with EDS in stroke patients are serious and negative. Via synthesis of this research, we propose a possible framework for poststroke EDS, which may be of use in clinical practice and in research to identify valid quantifying methods for EDS as well as to prevent harmful outcomes in stroke survivors. PMID:26792913

  13. 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.

  14. Thyroid Malignancies in Survivors of Hodgkin Lymphoma

    International Nuclear Information System (INIS)

    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

  15. Structural master plan of flood mitigation measures

    Science.gov (United States)

    Heidari, A.

    2009-01-01

    Flood protection is one of the practical methods in damage reduction. Although it not possible to be completely protected from flood disaster but major part of damages can be reduced by mitigation plans. In this paper, the optimum flood mitigation master plan is determined by economic evaluation in trading off between the construction costs and expected value of damage reduction as the benefits. Size of the certain mitigation alternative is also be obtained by risk analysis by accepting possibility of flood overtopping. Different flood mitigation alternatives are investigated from various aspects in the Dez and Karun river floodplain areas as a case study in south west of IRAN. The results show that detention dam and flood diversion are the best alternatives of flood mitigation methods as well as enforcing the flood control purpose of upstream multipurpose reservoirs. Dyke and levees are not mostly justifiable because of negative impact on down stream by enhancing routed flood peak discharge magnitude and flood damages as well.

  16. Bangladesh, a state at permanent flood risk

    Energy Technology Data Exchange (ETDEWEB)

    Chowdhury, J.U. [Bangladesh Univ. of Engineering and Technology, Dhaka (Bangladesh). Inst. of Flood Control and Drainage Research

    2000-07-01

    Bangladesh is in a setting of large floodplain-delta complex at the junctions of three large rivers the Ganges, the Brahmaputra and the Meghna. Flood is an annual phenomenon here. Flood proofing was the strategy of flood management in ancient times. Major flood control projects started in the country 36 years ago. These projects have prevented normal floods, but not been able to reduce the risk of larger floods, rather caused increased flood risk in many areas. In view of social and environmental consequences of these projects, flood management policy has been changed a number of times. As per recent change, instead of new flood control project, flood proofing would be encouraged in rural areas. (orig.)

  17. 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.

  18. 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...

  19. 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....

  20. 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.

  1. Introduction to flood control science

    International Nuclear Information System (INIS)

    This book covers introduction, industrialization disaster such as Bhopal and Chernobyl disaster, earthquake disaster, volcano disaster, avalanche disaster including loss allocation and prevention measures, and natural fire by showing California, Yellowstone park and similarity between fire and flood. It also introduces climate change and disaster, Earth's greenhouse effect and disaster due to current sea level rise, flood damage, drought disaster, famine and drought, prediction of drought, population problems, outlook of world population, and disaster prevention administration system of Korea.

  2. 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....

  3. Exercise echocardiography in asymptomatic survivors of childhood cancer treated with anthracyclines

    DEFF Research Database (Denmark)

    Sieswerda, Elske; Kremer, Leontien C M; Vidmar, Suzanna;

    2010-01-01

    BACKGROUND: Exercise echocardiography reveals abnormalities in asymptomatic childhood cancer survivors who previously have been treated with anthracyclines. We determined the added value of monitoring childhood cancer survivors with exercise echocardiography compared to monitoring with resting ec...

  4. 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%.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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...... 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......-based rehabilitation according to cancer survivors. Accordingly, the potential of rebuilding structure in everyday life, creating a normal context and enabling the individual to re-establish confidentiality and trust in their own body and physical potential constitute substantial qualities fundamental...

  10. Group therapy model for refugee and torture survivors.

    Science.gov (United States)

    Kira, Ibrahim A; Ahmed, Asha; Mahmoud, Vanessa; Wasim, Fatima

    2010-01-01

    The paper discusses the Center for Torture and Trauma Survivors' therapy group model for torture survivors and describes two of its variants: The Bashal group for African and Somali women and the Bhutanese multi-family therapy group. Group therapies in this model extend to community healing. Groups develop their cohesion to graduate to a social community club or initiate a community organization. New graduates from the group join the club and become part of the social advocacy process and of group and individual support and community healing. The BASHAL Somali women's group that developed spontaneously into a socio-political club for African women, and the Bhutanese family group that consciously developed into a Bhutanese community organization are discussed as two variants of this new model of group therapy with torture survivors. PMID:20952827

  11. 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.

  12. 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...... Classification of Diseases, Tenth Revision codes I10-I79) were compared with the expected numbers derived from the comparison cohort. We calculated the absolute excess risks attributable to status as a survivor of cancer and standardized hospitalization rate ratios (RRs). All statistical tests were two...

  13. National Flood Interoperability Experiment

    Science.gov (United States)

    Maidment, D. R.

    2014-12-01

    The National Flood Interoperability Experiment is led by the academic community in collaboration with the National Weather Service through the new National Water Center recently opened on the Tuscaloosa campus of the University of Alabama. The experiment will also involve the partners in IWRSS (Integrated Water Resources Science and Services), which include the USGS, the Corps of Engineers and FEMA. The experiment will address the following questions: (1) How can near-real-time hydrologic forecasting at high spatial resolution, covering the nation, be carried out using the NHDPlus or next generation geofabric (e.g. hillslope, watershed scales)? (2) How can this lead to improved emergency response and community resilience? (3) How can improved an improved interoperability framework support the first two goals and lead to sustained innovation in the research to operations process? The experiment will run from September 2014 through August 2015, in two phases. The mobilization phase from September 2014 until May 2015 will assemble the components of the interoperability framework. A Summer Institute to integrate the components will be held from June to August 2015 at the National Water Center involving faculty and students from the University of Alabama and other institutions coordinated by CUAHSI. It is intended that the insight that arises from this experiment will help lay the foundation for a new national scale, high spatial resolution, near-real-time hydrologic simulation system for the United States.

  14. Floods and climate: emerging perspectives for flood risk assessment and management

    DEFF Research Database (Denmark)

    Merz, B.; Aerts, J.; Arnbjerg-Nielsen, Karsten;

    2014-01-01

    Flood estimation and flood management have traditionally been the domain of hydrologists, water resources engineers and statisticians, and disciplinary approaches abound. Dominant views have been shaped; one example is the catchment perspective: floods are formed and influenced by the interaction...

  15. Education and support needs during recovery in acute respiratory distress syndrome survivors

    OpenAIRE

    Lee, Christie M; Herridge, Margaret S.; Matte, Andrea; Cameron, Jill I

    2009-01-01

    Introduction There is a limited understanding of the long-term needs of survivors of the acute respiratory distress syndrome (ARDS) as they recover from their episode of critical illness. The Timing it Right (TIR) framework, which emphasizes ARDS survivors' journey from the ICU through to community re-integration, may provide a valuable construct to explore the support needs of ARDS survivors during their recovery. Methods Twenty-five ARDS survivors participated in qualitative interviews exam...

  16. Factors associated with work disability in employed cancer survivors at 24-month sick leave

    OpenAIRE

    van Muijen, Peter; Duijts, Saskia FA; Bonefaas-Groenewoud, Karin; van der Beek, Allard J; Anema, Johannes R

    2014-01-01

    Background Identification of factors associated with work disability in cancer survivors on long term sick leave may support these survivors in choosing effective measures to facilitate vocational rehabilitation and return to work. Therefore, this study aims to disclose factors associated with work disability in cancer survivors at 24 months of sick leave. Methods A cross sectional study was conducted. The study population consisted of employed sick-listed cancer survivors, aged between 18 an...

  17. 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...

  18. Cancer Mortality in Nagasaki Atomic Bomb Survivors with Epilation

    OpenAIRE

    Yokota, Ken-Ichi; Mine, Mariko; Honda, Sumihisa; Tomonaga, Masao

    2005-01-01

    To elucidate the association between epilation and cancer mortality in Nagasaki atomic bomb survivors, cancer mortality was determined for a total of 9,356 survivors (3,591 males and 5,765 females) from 1 January 1970 to 31 December 1997. The subjects included individuals other than those in the Life Span Study (LSS) cohort of ABCC-RERF. Information on acute injury was obtained from a survey that was conducted at the time of application for a health handbook. The association between epilation...

  19. 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... Amount of the Residual Lump-Sum Payable § 225.24 SS Earnings PIA used in survivor annuities. The Social Security Earnings PIA (SS Earnings PIA) used in survivor annuities may be used in computing the tier...

  20. 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…

  1. Impact of social comparison on cancer survivors' quality of life : An experimental field study

    NARCIS (Netherlands)

    Brakel, Thecla M.; Dijkstra, Arie; Buunk, Abraham P.; Siero, Frans W.

    2012-01-01

    Objective: For cancer survivors, the recovery phase after hospital treatment can be bothersome. Social comparison information from fellow cancer survivors can improve the quality of life in this situation. Method: In a randomized field experiment, 139 Dutch cancer survivors (M-age = 52 years; 70.5%

  2. Low levels of energy expenditure in childhood cancer survivors: Implications for obesity prevention

    Science.gov (United States)

    Childhood cancer survivors are at an increased risk of obesity but causes for this elevated risk are uncertain. We evaluated total energy expenditure in childhood cancer survivors using the doubly labeled water method in a cross-sectional study of 17 survivors of pediatric leukemia or lymphoma (medi...

  3. Understanding Rape Survivors' Decisions Not to Seek Help from Formal Social Systems

    Science.gov (United States)

    Patterson, Debra; Greeson, Megan; Campbell, Rebecca

    2009-01-01

    Few rape survivors seek help from formal social systems after their assault. The purpose of this study was to examine factors that prevent survivors from seeking help from the legal, medical, and mental health systems and rape crisis centers. In this study, 29 female rape survivors who did not seek any postassault formal help were interviewed…

  4. 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…

  5. Sleep and quality of life in long-term lung cancer survivors

    NARCIS (Netherlands)

    Gooneratne, Nalaka S.; Dean, Grace E.; Rogers, Ann E.; Nkwuo, J. Emeka; Coyne, James C.; Kaiser, Larry R.

    2007-01-01

    Background: Steep problems are common in lung cancer survivors, yet little is known about the prevalence, determinants, and effects on quality of life (QoL) of these steep problems in tong-term Lung cancer survivors. Methods: A case-control study design comparing 76 elderly lung cancer survivors (LC

  6. 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.

  7. 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.

  8. 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

  9. Extensive Floods in United Kingdom

    Science.gov (United States)

    2002-01-01

    Rain continues to fall in the United Kingdom, bringing more water to an already water-logged landscape. Some rivers there are experiencing their worst flooding in more than 50 years. Of particular note, Britain's River Ouse reached its highest levels on record since 1625. Thousands of people have been evacuated from their homes since October 30, when a large low-pressure system brought torrential rains and hurricane-force winds, placing regions around more than 40 rivers across the country on flood alert. Since then, the rains have persisted, keeping water levels high and causing additional rivers to overrun their banks. In all, at least 12 people have been killed and more than 5,000 properties flooded. Some officials estimate damages could reach 500 million pounds (roughly $715 million). These Landsat 7 scenes show a comparison of the region surrounding Exeter, England, before and after the floods. The top image was acquired September 28 and the bottom image was acquired October 30, 2000. Note the extensive flooding along the River Exe in the bottom image (blue pixels). The light bluish-white pixels in the top image are clouds, and the black splotches on the landscape are the clouds' shadows. The reddish-brown shapes are agricultural fields. Image by Robert Simmon and Brian Montgomery, NASA GSFC. Data provided by Ron Beck, USGS EROS Data Center.

  10. 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.

  11. Flood Loss Model for Austria

    Science.gov (United States)

    Punčochář, P.; Podlaha, A.

    2012-04-01

    A new flood model for Austria quantifying fluvial flood losses based on probabilistic event set developed by Impact Forecasting (Aon Benfield's model development centre) was released in June 2011. It was successfully validated with two serious past flood events - August 2002 and August 2005. The model is based on 10 meters cell size digital terrain model with 1cm vertical step and uses daily mean flows from 548 gauge stations of series of average length ~ 60 years. The even set is based on monthly maxima flows correlation, generating 12 stochastic events per year and allows to calculate annual and occurrence exceedance probability loss estimates. The model contains flood extents for more than 24,000 km of modelled river network compatible with HORA project (HOchwasserRisikoflächen Austria) for design flows ranging from 2 to 10,000 years. Model is primarily constructed to work with postal level resolution insurance data reducing positional uncertainty by weighting over more than 2.5 millions address points from Austria Post's ACGeo database. Countrywide flood protections were provided by the Austrian Ministry of Environment. The model was successfully tested with property portfolios of 8 global and local insurance companies and was also successfully validated with August 2002 and August 2005 past events evaluating their return period on the probabilistic simulation basis.

  12. Flood trends and population dynamics

    Science.gov (United States)

    Di Baldassarre, G.

    2012-04-01

    Since the earliest recorded civilizations, such as those in Mesopotamia and Egypt that developed in the fertile floodplains of the Tigris and Euphrates and Nile rivers, humans tend to settle in flood prone areas as they offer favorable conditions for economic development. However, floodplains are also exposed to flood disasters that might cause severe socio-economic and environmental damages not to mention losses of human lives. A flood event turns to be a disaster when it coincides with a vulnerable environment exceeding society's capacity to manage the adverse consequences. This presentation discusses the link between hydrological risk and population change by referring to the outcomes of scientific works recently carried out in Africa and Europe. More specifically, it is shown that the severity of flood disasters, currently affecting more than 100 million people a year, might be seriously exacerbated because of population change. In fact, flood exposure and/or vulnerability might increase because of rapid population growth (and its spatial and temporal dynamics, e.g. urbanization) in the African continent and because of population ageing in many European countries. Lastly, timely and economically sustainable actions to mitigate this increasing hydrological risk are critically evaluated.

  13. Uncertainty compliant design flood estimation

    Science.gov (United States)

    Botto, A.; Ganora, D.; Laio, F.; Claps, P.

    2014-05-01

    Hydraulic infrastructures are commonly designed with reference to target values of flood peak, estimated using probabilistic techniques, such as flood frequency analysis. The application of these techniques underlies levels of uncertainty, which are sometimes quantified but normally not accounted for explicitly in the decision regarding design discharges. The present approach aims at defining a procedure which enables the definition of Uncertainty Compliant Design (UNCODE) values of flood peaks. To pursue this goal, we first demonstrate the equivalence of the Standard design based on the return period and the cost-benefit procedure, when linear cost and damage functions are used. We then use this result to assign an expected cost to estimation errors, thus setting a framework to obtain a design flood estimator which minimizes the total expected cost. This procedure properly accounts for the uncertainty which is inherent in the frequency curve estimation. Applications of the UNCODE procedure to real cases leads to remarkable displacement of the design flood from the Standard values. UNCODE estimates are systematically larger than the Standard ones, with substantial differences (up to 55%) when large return periods or short data samples are considered.

  14. Global scale predictability of floods

    Science.gov (United States)

    Weerts, Albrecht; Gijsbers, Peter; Sperna Weiland, Frederiek

    2016-04-01

    Flood (and storm surge) forecasting at the continental and global scale has only become possible in recent years (Emmerton et al., 2016; Verlaan et al., 2015) due to the availability of meteorological forecast, global scale precipitation products and global scale hydrologic and hydrodynamic models. Deltares has setup GLOFFIS a research-oriented multi model operational flood forecasting system based on Delft-FEWS in an open experimental ICT facility called Id-Lab. In GLOFFIS both the W3RA and PCRGLOB-WB model are run in ensemble mode using GEFS and ECMWF-EPS (latency 2 days). GLOFFIS will be used for experiments into predictability of floods (and droughts) and their dependency on initial state estimation, meteorological forcing and the hydrologic model used. Here we present initial results of verification of the ensemble flood forecasts derived with the GLOFFIS system. Emmerton, R., Stephens, L., Pappenberger, F., Pagano, T., Weerts, A., Wood, A. Salamon, P., Brown, J., Hjerdt, N., Donnelly, C., Cloke, H. Continental and Global Scale Flood Forecasting Systems, WIREs Water (accepted), 2016 Verlaan M, De Kleermaeker S, Buckman L. GLOSSIS: Global storm surge forecasting and information system 2015, Australasian Coasts & Ports Conference, 15-18 September 2015,Auckland, New Zealand.

  15. Flood frequency analyses with annual and partial flood series

    Science.gov (United States)

    Bezak, N.; Brilly, M.; Sraj, M.

    2012-04-01

    The objective of the study was (1) to analyse the influence of time scale of the data on the results, (2) to analyse the relations between discharge, volume and time of flood waves of the Sava river at Litija (Slovenia), (3) to perform flood frequency analyses of peak discharges with annual and partial data series and compare the results and (4) to explore the influence of threshold value by POT method. Calculations and analyses were made for the period 1953-2010. Daily scale data sets (considering also local maximum) were used. The flood frequency analyses were based on anual and partial data series. The differences between daily and hourly time scale data sets were explored. Daily and hourly time scale hydrographs were compared and differences were analysed. Differences were adequately small. Daily time series with included maximums were logical choice because of the length of the daily time series and because hourly time series were not continuous due to gauging equipment failures. Important objective of the study was to analyse the relationship between discharge, volume and duration of flood waves. Baseflow was separated from continuous daily discharge measurements on simple and complex hydrographs. Simple graphical method with three points was used. Many different coefficients like base flow index were calculated and different combinations of correlation coefficient of wave components were examined. Annual maximum series were used to study the relationship between wave components. Flood frequency analyses were made with annual maximum series and partial duration series. Log-normal distribution, Pearson distribution type 3, log-Pearson distribution type 3, Gumbel distribution, exponential distribution, GEV distribution and GL distribution were used for annual maximum series. Simple equation of linear transformation was used to determine the design discharge and procedure which is proposed in Flood Estimation Handbook was used with GEV and GL distribution

  16. Balancing Lymphedema Risk: Exercise Versus Deconditioning for Breast Cancer Survivors

    OpenAIRE

    Schmitz, Kathryn H.

    2010-01-01

    Lymphedema, a common and feared negative effect of breast cancer treatment, is generally described by arm swelling and dysfunction. Risk averse clinical recommendations guided survivors to avoid use of the affected arm. This may lead to deconditioning and, ironically, the very outcome women seek to avoid. Recently published studies run counter to these guidelines.

  17. Lymphocyte cytotoxicity of colchicine in Hiroshima atomic bomb survivors

    International Nuclear Information System (INIS)

    The cytotoxicity of colchicine for the peripheral blood lymphocytes of 151 Hiroshima atomic bomb survivors and their controls was determined. No radiation effect was found, but modest age-related changes for the initial number of vialble cells and for the cytotoxicity of colchicine were observed. (author)

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

    Science.gov (United States)

    ... Hub Making News on Heart.org Learn More Early brain stimulation may help stroke survivors recover language function June ... the therapy session,” Thiel said. “We believe brain stimulation should be most effective early, within about five weeks after stroke, because genes ...

  19. The Effect of Cancer on Suicide among Elderly Holocaust Survivors

    Science.gov (United States)

    Nakash, Ora; Liphshitz, Irena; Keinan-Boker, Lital; Levav, Itzhak

    2013-01-01

    Jewish-Israelis of European origin with cancer have higher suicide rates relative to their counterparts in the general population. We investigated whether this effect results from the high proportion of Holocaust survivors among them, due to vulnerabilities arising from the earlier traumas they sustained. The study was based on all Jewish-European…

  20. Psychotherapy with College Student Survivors of War and Political Trauma

    Science.gov (United States)

    Jackson, Kathryn; Seeman, David

    2009-01-01

    The purpose of this article is to bring to the fore a topic that has received little mention in the college student literature: conducting psychotherapy with survivors of war and political trauma who seek treatment at college and university counseling centers. Following a discussion of political trauma in relation to typical developmental…

  1. 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

  2. Art Therapy with Child Tsunami Survivors in Sri Lanka

    Science.gov (United States)

    Chilcote, Rebekah L.

    2007-01-01

    This paper details art therapy with children affected by the December 2004 tsunami in Sri Lanka. Over 30,000 Sri Lankans lost their lives when the tsunami decimated coastal areas. The child survivors witnessed horrific traumatic events and the loss of loved ones, but had not been given opportunity to express their grief and pain. A 4-week art…

  3. 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…

  4. 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…

  5. 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…

  6. 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)

  7. Group therapy for refugees and torture survivors: treatment model innovations.

    Science.gov (United States)

    Kira, Ibrahim A; Ahmed, Asha; Wasim, Fatima; Mahmoud, Vanessa; Colrain, Joanna; Rai, Dhan

    2012-01-01

    The paper discusses varieties of group therapies with refugees and torture survivors and the logic behind enhancing traditional group therapies to fit the unique experiences of refugees and torture survivors. It discusses some lessons learned from practice and from empirical research and some recommended adaptations. Finally, it discusses the Center for Torture and Trauma Survivors' therapy group model for torture survivors and describes two of its variants: The Bashal group for African and Somali women and the Bhutanese multi-family therapy group. Group therapies, in this model, extend to community healing. One of the essential and innovative features of the model is that it focuses not only on treating individual psychopathology but also extends to community healing by promoting the development of social clubs and organizations that promote the values and culture of the graduates of the therapy group and the continuation of social support. New graduates from the group join the club and become part of the social advocacy process and of group and community support and healing. This model adds an ecological dimension to the traditional group therapy. PMID:22229369

  8. Increased somatic cell mutant frequency in atomic bomb survivors

    International Nuclear Information System (INIS)

    Frequencies of mutant T-cells in peripheral blood, which are deficient in the activity of hypoxanthine guanine phosphoribosyltransferase (HPRT) were determined for atomic bomb survivors by direct clonal assay using a previously reported method. Results from 30 exposed survivors (exposed to more than 1 rad) and 17 age- and sex-matched controls (exposed to less than 1 rad) were analyzed. The mean mutant frequency (Mf) in the exposed (5.2 x 10-6; range 0.8 - 14.4 x 10-6) was significantly higher than in controls (3.4 x 10-6; range 1.3 - 9.3 x 10-6), a fact not attributable to lower nonmutant cell cloning efficiencies in the exposed group since cell cloning efficiencies were virtually identical in both groups. An initial analysis of the data did not reveal a significant correlation between individual Mfs and individual radiation dose estimates when the latter were defined by the original, tentative estimates (T65D), even though there was a significant positive correlation of Mfs with individual frequency of lymphocytes bearing chromosome aberration. However, reanalysis using the newer revised individual dose estimates (DS86) for 27 exposed survivors and 17 controls did reveal a significant but shallow positive correlation between T-cell Mf values and individual exposure doses. These results indicate that HPRT mutation in vivo in human T-cells could be detected in these survivors 40 years after the presumed mutational event. (author)

  9. The need of making cancer survivors special' patients.

    NARCIS (Netherlands)

    Geelen, E.; Akker, M. van den; Krumeich, A.; Boom, H.A. van der; Schellevis, F.G.

    2011-01-01

    Introduction: Last decades the number of people with a history of cancer has increased enormously. Not only has the number of cancer diagnoses grown, there is also a growing number of cancer survivors as a result of improved treatment. Although most follow-up still takes place in specialized medical

  10. 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

  11. 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,…

  12. Gastrointestinal complications in lung transplant survivors that require surgical intervention

    NARCIS (Netherlands)

    Hoekstra, HJ; Hawkins, K; Rottier, K; van der Bij, W

    2001-01-01

    Background: Lung transplantation is widely accepted as a treatment for end-stage lung disease. At present, information regarding the incidence and outcome of acute gastrointestinal complications in lung transplant survivors is limited. Methods: Since 1990, 127 lung transplantations have been perform

  13. Long-term follow-up of atomic bomb survivors.

    Science.gov (United States)

    Sakata, Ritsu; Grant, Eric J; Ozasa, Kotaro

    2012-06-01

    The Life Span Study (LSS) is a follow-up study of atomic bomb (A-bomb) survivors to investigate the radiation effects on human health and has collected data for over 60 years. The LSS cohort consists of 93,741 A-bomb survivors and another 26,580 age and sex-matched subjects who were not in either city at the time of the bombing. Radiation doses have been computed based on individual location and shielding status at the time of the bombings. Age at death and cause of death are gathered through the Japanese national family registry system and cancer incidence data have been collected through the Hiroshima and Nagasaki cancer registries. Noncancer disease incidence and health information are collected through biannual medical examinations among a subset of the LSS. Radiation significantly increases the risks of death (22% at 1 Gy), cancer incidence (47% at 1 Gy), death due to leukemia (310% at 1 Gy), as well as the incidence of several noncancer diseases (e.g. thyroid nodules, chronic liver disease and cirrhosis, uterine myoma, and hypertension). Significant effects on maturity (e.g. growth reduction and early menopause) were also observed. Long-term follow-up studies of the A-bomb survivors have provided reliable information on health risks for the survivors and form the basis for radiation protection standards for workers and the public. PMID:22440534

  14. Counseling Date Rape Survivors: Implications for College Student Personnel Professionals.

    Science.gov (United States)

    Lynch, Sherry K.

    A general legal definition of rape is sexual intercourse forced on an individual by another against his/her will and overcoming his/her resistance. Although the female is usually referred to as the survivor and the male as the perpetrator, there are cases of male rape. Rape may be divided into stranger rape and acquaintance rape. Types of…

  15. 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…

  16. Symbolic Confrontation with Women Survivors of Childhood Sexual Victimization.

    Science.gov (United States)

    Apolinsky, Sandra R.; Wilcoxon, S. Allen

    1991-01-01

    Investigated comparative effects of symbolic confrontation in affecting measures of self-concept and depression of 30 adult female survivors of childhood sexual abuse participating in a counseling group. The results seem to suggest that the technique of symbolic confrontation can be effective in ameliorating negative aftereffects of victimization…

  17. 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.

  18. Ebola Virus Persistence in Semen of Male Survivors.

    Science.gov (United States)

    Uyeki, Timothy M; Erickson, Bobbie Rae; Brown, Shelley; McElroy, Anita K; Cannon, Deborah; Gibbons, Aridth; Sealy, Tara; Kainulainen, Markus H; Schuh, Amy J; Kraft, Colleen S; Mehta, Aneesh K; Lyon, G Marshall; Varkey, Jay B; Ribner, Bruce S; Ellison, Richard T; Carmody, Ellie; Nau, Gerard J; Spiropoulou, Christina; Nichol, Stuart T; Ströher, Ute

    2016-06-15

    We investigated the duration of Ebola virus (EBOV) RNA and infectious EBOV in semen specimens of 5 Ebola virus disease (EVD) survivors. EBOV RNA and infectious EBOV was detected by real-time RT-PCR and virus culture out to 290 days and 70 days, respectively, after EVD onset. PMID:27045122

  19. The Group Project for Holocaust Survivors and Their Children.

    Science.gov (United States)

    Danieli, Yael

    1981-01-01

    Describes a program, both rehabilitative and preventive, which provides individual, family, group, and community work for Holocaust survivors and their children. Six group experiences are offered: awareness, self-help, long-term therapy, mixed, multiple-family, and intergenerational. (Author/DB)

  20. 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.

  1. 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?

  2. 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.

  3. 77 FR 59675 - Compliance With Information Request, Flooding Hazard Reevaluation

    Science.gov (United States)

    2012-09-28

    ... COMMISSION Compliance With Information Request, Flooding Hazard Reevaluation AGENCY: Nuclear Regulatory... was needed in the areas of seismic and flooding design, and emergency preparedness. In addition to... licensees reevaluate flooding hazards at nuclear power plant sites using updated flooding hazard...

  4. 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

  5. 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

  6. 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.

  7. 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.

  8. 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...

  9. 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.

  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

    Directory of Open Access Journals (Sweden)

    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. Groundwater flooding in an urbanised floodplain

    Science.gov (United States)

    MacDonald, D.; Peach, D.; Dixon, A.

    2009-12-01

    In recent years, risk management associated with groundwater flooding has been recognised as an area requiring improved understanding in the United Kingdom. Government figures suggest as many as 1.6 million properties may be at risk from this form of flooding. Further, the recently enforced EU Floods Directive requires hazard mapping associated with groundwater flooding to be undertaken. The city of Oxford is situated within a narrow valley in the upper reaches of the River Thames in the south of the United Kingdom. Although much of the city sits above the current floodplain of the River Thames, approximately 3600 properties are located within the 1 in 100 year return flood envelope. The floodplain is underlain by a shallow alluvial aquifer in good hydraulic connection with the River Thames and its tributaries. The city suffers from recurrent floods, most recently in July 2007, when a 1 in 20 year event impacted over 200 properties. A significant number of these properties were affected by flooding from rising groundwater which was either the sole cause of flooding or the initial cause prior to inundation from fluvial waters. A study has been undertaken by the British Geological Survey, in collaboration with the environment regulator and linked with the local flood risk management scheme, to assess the role of groundwater in flooding in Oxford. The study has shown that groundwater flooding in the city occurs in low-lying areas protected from direct fluvial flooding, at least in the early stages of an event, by high ground associated with urbanisation. Although direct rainfall recharge associated with extreme events can cause significant groundwater level rise in these low-lying areas, the primary mechanism for groundwater flooding is the movement of water through the permeable subsurface from fluvial flooded zones. Groundwater flooding is often the only form of flooding for the isolated low-lying areas for medium-to-high probability flood events. As a result

  13. Web-based data acquisition of flood affected people.

    OpenAIRE

    Heidi Kreibich; K. Poser; Sören Haubrock;  

    2008-01-01

    Detailed documentations and assessments of the consequences of floods as well as flood risk analyses are essential for improvements of the flood risk management. However, flood documentation and flood damage collections are difficult and expensive, especially for frequent, small flood events. This results in a lack of data for flood management and research. Therefore, the Internet shall be used for the collection of flood loss information. To make use of the knowledge of the people affected b...

  14. Reliable Energy Conservation in Wireless Sensor Networks using Flooding Techniques

    OpenAIRE

    L. Nalini Joseph; Dr.S.Shanmugavel

    2011-01-01

    A Comparison of Performance in terms of Energy conservation in Wireless Sensor Networks using different Flooding mechanism has been analyzed. The following flooding mechanisms analyzed are Classical Flooding, Location Aided Flooding, Adaptive Location Aided Flooding; Diagonal arc based Location Aided Flooding, Diagonal arc based Location Aided Flooding with reliability is considered for the study. The various mechanisms save energy when compared to conventional flooding schemes.

  15. Flood Insurance Study City of Duchesne, Utah, Duchesne County

    OpenAIRE

    Federal Emergency Management Agency

    1988-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Duchesne, Duchesne County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain m...

  16. Flood Insurance Study, City of Salina, Utah, Sevier County

    OpenAIRE

    Federal Emergency Management Agency

    1986-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Salina, Sevier County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain manag...

  17. Flood Insurance Study, City of Park City, Utah, Summit County

    OpenAIRE

    Federal Emergency Management Agency

    1987-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Park City, Summit County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain man...

  18. Flood Insurance Study, City of St. George, Utah, Washington County

    OpenAIRE

    Federal Emergency Management Agency

    1998-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of St. George, Washington County, Utah, and aids in the administration of the National Flood Insurance Act of 1964 and the Flood Disaster Protection Act of 1971. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood pla...

  19. Flood Insurance Study, City of Draper, Utah, Salt Lake County

    OpenAIRE

    Federal Emergency Management Agency

    1994-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Draper, Salt Lake County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain ma...

  20. Flood Insurance Study, City of Murray, Utah, Salt Lake County

    OpenAIRE

    Federal Emergency Management Agency

    1994-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Murray, Salt Lake County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain ma...

  1. Flood Insurance Study, City of Richfield, Utah, Sevier County

    OpenAIRE

    Federal Emergency Management Agency

    1986-01-01

    This Flood Insurance Study investigates the existence and severity of flood hazards in the City of Richfield, Sevier County, Utah, and aids in the administration of the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973. This study has developed flood risk data for various areas of the community that will be used to establish actuarial flood insurance rates and assist the community in its efforts to promote sound flood plain management. Minimum flood plain ma...

  2. Flooding in imagination vs flooding in vivo: A comparison with agoraphobics

    NARCIS (Netherlands)

    Emmelkamp, Paul M.G.; Wessels, Hemmy

    1975-01-01

    In this investigation of agoraphobic patients, 3 different flooding procedures were compared: (1) prolonged exposure in vivo, (2) flooding in the imagination by a ‘live’ therapist and (3) a combination of flooding in the imagination and flooding in vivo. After an intermediate-test all clients were t

  3. Costs of flood protection in Slovenia

    OpenAIRE

    Sapač, Klaudija

    2014-01-01

    Beacause of the frequent flooding we need to increase attention to the floods and measures to reduce and offset their harmful consequences. Measures for flood protection can be divided into structural and non-structural. Measures can be divided also into preventive, intervention and curative measures. Decision for the type of measure, that will be implemented in order to improve flood protection, depends on the available financial resources to implement the measure. In the first part of...

  4. The European Flood Risk Directive and Ethics

    OpenAIRE

    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 are: (1) whether and, if so, under which conditions differentiation in flood protection levels is acceptable; (2) individual and local responsibility versus solidarity; and (3) the role of environmen...

  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 that...... not be familiar with GIS analytical tools like Query Languages, can still understand technical discussions on flood analysis through the use of 3D models, which are close to reality....

  6. Improving Flood Insurance and Flood Risk Management: Insights from St. Louis, Missouri

    OpenAIRE

    Kousky, Carolyn; Kunreuther, Howard C.

    2009-01-01

    This paper examines the history of St. Louis, Missouri in coping with flood risk over the past 15 years, with a focus on flood insurance. Six challenges to the continued management of riverine flood risk are identified and discussed. They are (1) many property owners don’t buy flood insurance, (2) people underestimate flood risk, (3) we need better flood maps, (4) we have a “love affair” with levees, (5) flood risk is increasing over time, and (6) we take deep pride in rebuilding after a disa...

  7. Interconnected ponds operation for flood hazard distribution

    Science.gov (United States)

    Putra, S. S.; Ridwan, B. W.

    2016-05-01

    The climatic anomaly, which comes with extreme rainfall, will increase the flood hazard in an area within a short period of time. The river capacity in discharging the flood is not continuous along the river stretch and sensitive to the flood peak. This paper contains the alternatives on how to locate the flood retention pond that are physically feasible to reduce the flood peak. The flood ponds were designed based on flood curve number criteria (TR-55, USDA) with the aim of rapid flood peak capturing and gradual flood retuning back to the river. As a case study, the hydrologic condition of upper Ciliwung river basin with several presumed flood pond locations was conceptually designed. A fundamental tank model that reproducing the operation of interconnected ponds was elaborated to achieve the designed flood discharge that will flows to the downstream area. The flood hazard distribution status, as the model performance criteria, will be computed within Ciliwung river reach in Manggarai Sluice Gate spot. The predicted hazard reduction with the operation of the interconnected retention area result had been bench marked with the normal flow condition.

  8. 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.

  9. Floods - Multiple Languages: MedlinePlus

    Science.gov (United States)

    ... Are Here: Home → Multiple Languages → All Health Topics → Floods URL of this page: https://medlineplus.gov/languages/floods.html Other topics A-Z A B C ... V W XYZ List of All Topics All Floods - Multiple Languages To use the sharing features on ...

  10. 13 CFR 120.170 - Flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Flood insurance. 120.170 Section... to All Business Loans Requirements Imposed Under Other Laws and Orders § 120.170 Flood insurance.... 4000 et seq.)), a loan recipient must obtain flood insurance if any building (including mobile...

  11. 7 CFR 1788.3 - Flood insurance.

    Science.gov (United States)

    2010-01-01

    ... Flood Insurance Program (see 44 CFR part 59 et seq.) provides for a standard flood insurance policy... 7 Agriculture 12 2010-01-01 2010-01-01 false Flood insurance. 1788.3 Section 1788.3 Agriculture... (CONTINUED) RUS FIDELITY AND INSURANCE REQUIREMENTS FOR ELECTRIC AND TELECOMMUNICATIONS BORROWERS...

  12. 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

  13. Implementing the European flood risk management plan

    NARCIS (Netherlands)

    Thomas, Hartmann; Spit, Tejo

    2015-01-01

    In response to the extreme flood events of recent decades, the European Union has released the Floods Directive (2007/60/EC), which requires the creation of flood risk management plans. These plans do not yet exist in practice, as water management agencies have until 2015 to put them into action. Th

  14. 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

  15. 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

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

    OpenAIRE

    Asian Development Bank; Yoshiaki Kobayashi

    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...

  17. Estimation of Flood Warning Times for Flood Safety Management Downstream of Dams

    OpenAIRE

    Saqib Ehsan; Walter Marx; Silke Wieprecht

    2013-01-01

    Floods have always been a threat for people and property due to the extent of possible damages. The flooding could be catastrophic in case of possible dam failure and its impacts on downstream areas could also be very significant. Proper estimation of flood warning times plays a vital role in flood safety management of areas downstream of the dams. This research focuses on the realistic and precise estimation of flood warning times for the downstream areas in case of possible dam failure. As ...

  18. Importance of Flood Severity Estimation for Flood Plain Management in a River Valley

    OpenAIRE

    Saqib Ehsan; Walter Marx; Silke Wieprecht

    2013-01-01

    Climate changes strongly affect the occurrence of floods. Extreme flooding can occur due to dam failure but sometimes high outflows that exceed the downstream safe channel capacity can also cause significant flooding. This paper emphasizes the importance of flood severity estimation in a river valley for long-term flood plain management. For hydraulic analysis, about 329 km long, the Jhelum river valley downstream of Mangla dam in Pakistan has been considered. The project reach has been model...

  19. 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

  20. Psychosocial stressors and support needs of survivors of Ebola virus disease, Bombali District, Sierra Leone, 2015

    Directory of Open Access Journals (Sweden)

    Waheed Ariyo Bakare

    2016-02-01

    Full Text Available Ebola virus disease (EVD survivors are increasing. There is a need to document their psychosocial stressors and support needs to enable appropriate interventions. The aim of this study was to document psychosocial stressors and support needs of EVD survivors in Bombali District, Sierra Leone, in 2015. Qualitative and quantitative methods were used. A cross-sectional study design (questionnaire was used for quantitative data collection from 299 survivors, while in-depth interview was done for 6 survivors. Parental losses, poor economic situation, joblessness, lack of food were among the problems reported. The median age of survivors was 24 years (range 1- 89 years. Orphans were 66 (22.1%, widows were 59 (19.7%, while widowers were 19 (6.4%. Food was needed by 291 (97.3% of the survivors, 196 (65.6% reported they needed clothing. Shelter was the need of 20 (6.7% survivors, while 246 (82.3% wanted financial support. In all, 4 (1.4% survivors were rejected by their families’ members, while community members rejected another 4 (1.3%. Ebola survivors are champions and they should be projected in that light within their family and community. Governments need to establish strategic partnership with non-governmental bodies to ensure the needs of the survivors are met.

  1. 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…

  2. 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.

  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 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.

  4. Flood loss assessment in the Kota Tinggi

    International Nuclear Information System (INIS)

    Malaysia is free from several destructive and widespread natural disasters but frequently affected by floods, which caused massive flood damage. In 2006 and 2007, an extreme rainfall occured in many parts of Peninsular Malaysia, which caused severe flooding in several major cities. Kota Tinggi was chosen as study area as it is one the seriously affected area in Johor state. The aim of this study is to estimate potential flood damage to physical elements in Kota Tinggi. The flood damage map contains both qualitative and quantitative information which corresponds to the consequences of flooding. This study only focuses on physical elements. Three different damage functions were adopted to calculate the potential flood damage and flood depth is considered as the main parameter. The adopted functions are United States, the Netherlands and Malaysia. The estimated flood damage for housing using United States, the Netherlands and Malaysia was RM 350/m2 RM 200/m2 and RM 100/m2 respectively. These results successfully showed the average flood damage of physical element. Such important information needed by local authority and government for urban spatial planning and aiming to reduce flood risk

  5. 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.

  6. Analysing uncertainties associated with flood hazard assessment

    Science.gov (United States)

    Neuhold, Clemens; Stanzel, Philipp; Nachtnebel, Hans-Peter

    2010-05-01

    Risk zonation maps are mostly derived from design floods which propagate through the study area. The respective delineation of inundated flood plains is a fundamental input for the flood risk assessment of exposed objects. It is implicitly assumed that the river morphology will not vary, even though it is obvious that the river bed elevation can quickly and drastically change during flood events. The objectives of this study were (1) to integrate river bed dynamics into flood risk assessment and (2) to quantify uncertainties associated to flood hazard modelling by means of (i) hydrology (input hydrographs) (ii) sediment transport (torrential input, river bed elevation) (iii) hydrodynamics (water surface levels) The proposed concept was applied to the River Ill in the Western Austrian Alps. In total, 138 flood and associated sediment transport scenarios were considered, simulated and illustrated for the main river stem. The calculated morphological changes of the river bed during peak flow provided a basis to estimate the variability of possible water surface levels and inundated areas, necessary for flood hazard assessment. The applied multi-scenario approach was compared to the normatively defined design flood event to account for the uncertainty of flood risk management decisions based on a few scenarios. Due to the incorporation of river morphological changes and variations in rainfall characteristics into flood hazard assessment, for 12 % of considered cross sections inundations were calculated where safety was expected.

  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. 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.

  9. 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.

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

    Science.gov (United States)

    Ahn, Sinae

    2016-01-01

    [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.

  11. Cognitive-behavior therapy for PTSD in rape survivors.

    Science.gov (United States)

    Jaycox, Lisa H; Zoellner, Lori; Foa, Edna B

    2002-08-01

    In recent years, new data have appeared, further suggesting the utility of cognitive-behavioral interventions for posttraumatic stress disorder (PTSD) subsequent to sexual assault. In this article, we present a model of cognitive-behavioral treatment (CBT) for PTSD in rape survivors. Emotional-processing theory, which proposes mechanisms that underlie the development of disturbances following rape, is reviewed. A CBT-based therapy (Prolonged Exposure) is presented that entails education about common reactions to trauma, relaxation training, imaginal reliving of the rape memory, exposure to trauma reminders, and cognitive restructuring. Current research regarding the use of prolonged exposure is discussed. The case example of a young female rape survivor is described in detail, and her prior substance dependence and intense shame are highlighted. The therapy was successful in reducing the client's symptoms of PTSD, as well as her depressive symptoms, and these gains were maintained at a one-year follow-up assessment. PMID:12115713

  12. 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.

  13. 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. PMID:27630411

  14. 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.

  15. A-bomb survivors: reassessment of the radiation hazard.

    Science.gov (United States)

    Stewart, A M; Kneale, G W

    1999-01-01

    Newly released data from the Radiation Effects Research Foundation on the survivors of the Hiroshima and Nagasaki A-bombing allow a reassessment of radiation hazards. It appears that deaths from marrow damage (such as aplastic anaemia) continued after 1950. The Life Span Study cohort appears biased in favour of persons with high immunological competence, the result of infants and the elderly being more likely to die before 1950 than young adults. A study of survivors of in utero exposures suggests that embryos are more sensitive to the lethal effects of radiation than more mature foetuses. Current estimates of cancer risks from radiation may only apply to young adults with high immunological competence; young children and the elderly may be at greater risk. PMID:10218002

  16. Study of biochemical examination among A-bomb survivors

    International Nuclear Information System (INIS)

    Biochemical findings were compared in 1003 A-bomb survivors exposed at ≤1900 m from the hypocenter and 1003 age- and sex-matched A-bomb survivors exposed at ≥3,000 m. Mean and abnormal values for lung function, such as total protein, GOT and GPT, did not differ in two groups of both men and women. However, mean values of both total cholesterol and neutral fat were significantly higher in the ≤1900m group than in the ≥3000 m group, irrespective of sex. Similarly, the ≤1900 m group had a significantly higher incidence of abnormal values for these items than the ≥3000 m group. (N.K.)

  17. 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.

  18. Recruiting young adult cancer survivors for behavioral research.

    Science.gov (United States)

    Rabin, Carolyn; Horowitz, Santina; Marcus, Bess

    2013-03-01

    Young adults have been dramatically underrepresented in cancer survivorship research. One contributing factor is the difficulty recruiting this population. To identify effective recruitment strategies, the current study assessed the yield of strategies used to recruit young survivors for an exercise intervention including: clinic-based recruitment, recruitment at cancer-related events, mailings, telephone-based recruitment, advertising on the internet, radio, television and social networking media, distributing brochures and word-of-mouth referrals. When taking into account the strategies for which we could track the number of survivors approached, recruitment at an oncology clinic was the most productive: 38 % of those approached were screened and 8 % enrolled. When evaluating which strategy yielded the greatest percentage of the sample, however, mailings were the most productive. Given widespread use of the internet and social networking by young adults, investigators should also consider these low-cost recruitment strategies.

  19. 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.

  20. Recruiting young adult cancer survivors for behavioral research.

    Science.gov (United States)

    Rabin, Carolyn; Horowitz, Santina; Marcus, Bess

    2013-03-01

    Young adults have been dramatically underrepresented in cancer survivorship research. One contributing factor is the difficulty recruiting this population. To identify effective recruitment strategies, the current study assessed the yield of strategies used to recruit young survivors for an exercise intervention including: clinic-based recruitment, recruitment at cancer-related events, mailings, telephone-based recruitment, advertising on the internet, radio, television and social networking media, distributing brochures and word-of-mouth referrals. When taking into account the strategies for which we could track the number of survivors approached, recruitment at an oncology clinic was the most productive: 38 % of those approached were screened and 8 % enrolled. When evaluating which strategy yielded the greatest percentage of the sample, however, mailings were the most productive. Given widespread use of the internet and social networking by young adults, investigators should also consider these low-cost recruitment strategies. PMID:22810954

  1. 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.

  2. Predictors of Posttraumatic Stress Symptoms Among Adolescent and Young Adult Survivors of Childhood Cancer: Importance of Monitoring Survivors' Experiences of Family Functioning.

    Science.gov (United States)

    Kamibeppu, Kiyoko; Murayama, Shiho; Ozono, Shuichi; Sakamoto, Naoko; Iwai, Tsuyako; Asami, Keiko; Maeda, Naoko; Inada, Hiroko; Kakee, Naoko; Okamura, Jun; Horibe, Keizo; Ishida, Yasushi

    2015-11-01

    The purpose of this study was to identify factors associated with posttraumatic stress symptoms (PTSS) among Japanese long-term childhood cancer survivors (CCSs). Subjects comprised 185 adolescent and young adult (AYA) CCSs who completed anonymous self-report questionnaires. Attending physicians also completed an anonymous disease/treatment data sheet. Mean age of survivors was approximately 8 years at diagnosis and 23 years at participation. Multiple regression analysis showed that family functioning, satisfaction with social support, being female, and interactions between family functioning and gender and age at the time of diagnosis were associated with PTSS among survivors. This study revealed family functioning as the most predictive factor of PTSS among AYA CCSs in Japan. Even when the survivor may have unchangeable risk factors, family functioning can potentially moderate the effects on PTSS. Thus, it is crucial for health professionals to carefully monitor and attend to survivors' experiences of family functioning to mitigate PTSS. PMID:26442952

  3. 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.

  4. Betwixt Droughts and Floods: Flood Management Politics in Thailand

    Directory of Open Access Journals (Sweden)

    Naila Maier-Knapp

    2015-01-01

    Full Text Available Attempting to create greater understanding of the political dynamics that influence domestic disaster relief and management (DRM in Thailand, this article takes a closer look at these dynamics by outlining the main actors involved in flood-related DRM. It acknowledges the importance of international and military actors but emphasises the role of national and subnational authorities. The article then identifies the central issues of DRM governance as capacity and bureaucracy and discusses these through a chronological assessment of the flood crisis in Thailand in 2011, interweaving the colourful domestic politics with various political cleavages and dichotomies, and thereby distinguishing between three main dichotomies which it considers as the central drivers of the political dynamics and institutional development of DRM. These issues can be summarised as old versus new institutions, technocracy versus bureaucracy and centralised (but with direct people-orientation through greater channels of citizenry participation versus decentralised bureaucracy with an indirect orientation towards people.

  5. Survivor math: using pop culture to enhance learning mathematics

    OpenAIRE

    Burks, Robert

    2011-01-01

    The article of record as published may be located at http://dx.doi.org/10.1080/10511970902870364 This article describes a modifications 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 include: increased understanding of the fundamental c...

  6. Mortality of Atomic Bomb Survivors in Nagasaki 1

    OpenAIRE

    Mine, Mariko; Okumura, Yutaka; Kishikawa, Masao

    1991-01-01

    In 1945, an atomic bomb was exploded on Nagasaki. The Scientific Data Center for the Atomic Bomb Disaster was founded in Nagasaki University to analyse radiation effects on atomic bomb survivors. There were about 110,000 victims registered living in Nagasaki as of 1968. Since then, data of 2,000,000 items of health examination has been stored in the computer in the Scientific Data Center. The analysed results of the mortality, the survival and the risk estimation were presented.

  7. Internet Recruitment of Asian American Breast Cancer Survivors.

    Science.gov (United States)

    Im, Eun-Ok; Lee, Yaelim; Ji, Xiaopeng; Zhang, Jingwen; Kim, Sangmi; Chee, Eunice; Chee, Wonshik; Tsai, Hsiu-Min; Nishigaki, Masakazu; Yeo, Seon Ae; Shapira, Marilyn M; Mao, Jun James

    2016-01-01

    The purpose of this article is to identify practical issues in Internet recruitment of racial/ethnic minorities by analyzing an Internet intervention study conducted with Asian American breast cancer survivors, and to propose directions for recruitment of racial/ethnic minorities for future Internet research. Six practical issues were identified: (a) a relatively fewer number of Internet communities/groups; (b) hindrances in establishing authenticity; PMID:27490884

  8. 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 ...

  9. The metabolic syndrome and body composition in childhood cancer survivors

    Directory of Open Access Journals (Sweden)

    Jae Hoon Chung

    2011-06-01

    Full Text Available Purpose : Long-term survivors of childhood cancer appear to have an increased risk for the metabolic syndrome, subsequent type 2 diabetes and cardiovascular disease in adulthood compared to healthy children. The purpose of this study was to investigate the frequency of the metabolic syndrome and associated factors in childhood cancer survivors at a single center in Korea. Methods : We performed a retrospective review of medical records of 98 childhood cancer survivors who were diagnosed and completed anticancer treatment at Samsung Medical Center, Seoul, Korea between Jan. 1996 and Dec. 2007. Parameters of metabolic syndrome were evaluated between Jan. 2008 and Dec. 2009. Clinical and biochemical findings including body fat percentage were analyzed. Results : A total of 19 (19.4% patients had the metabolic syndrome. The median body fat percentage was 31.5%. The body mass index and waist circumference were positively correlated with the cranial irradiation dose (r=0.38, P&lt;0.001 and r=0.44, P&lt;0.00, respectively. Sixty-one (62.2% patients had at least one abnormal lipid value. The triglyceride showed significant positive correlation with the body fat percentage (r=0.26, P=0.03. The high density lipoprotein cholesterol showed significant negative correlation with the percent body fat (r=- 0.26, P=0.03. Conclusion : Childhood cancer survivors should have thorough metabolic evaluation including measurement of body fat percentage even if they are not obese. A better understanding of the determinants of the metabolic syndrome during adolescence might provide preventive interventions for improving health outcomes in adulthood.

  10. Thirty years survivor on hemodialysis: A case report

    Directory of Open Access Journals (Sweden)

    Konstantina Triga

    2014-01-01

    Full Text Available Hemodialysis is a widely performed and safe procedure; therefore, the numbers of long-term survivors on hemodialysis therapy have been increasing. We present a woman who had been on uninterrupted hemodialysis for 30 years and did well for much of her time on hemodialysis, despite a long-standing uneven course. The literature of extremely long-lived patients on un-interrupted hemodialysis is reviewed and the clinical characteristics and complications encountered in these patients are discussed.

  11. Thirty years survivor on hemodialysis: A case report

    OpenAIRE

    Konstantina Triga; Periklis Dousdampanis; Stamatina Aggelakou-Vaitsi; Karen Gellner

    2014-01-01

    Hemodialysis is a widely performed and safe procedure; therefore, the numbers of long-term survivors on hemodialysis therapy have been increasing. We present a woman who had been on uninterrupted hemodialysis for 30 years and did well for much of her time on hemodialysis, despite a long-standing uneven course. The literature of extremely long-lived patients on un-interrupted hemodialysis is reviewed and the clinical characteristics and complications encountered in these patients are discussed.

  12. 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.

  13. 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...

  14. Flood modeling for risk evaluation: a MIKE FLOOD sensitivity analysis

    OpenAIRE

    Vanderkimpen, P.; Peeters, P

    2008-01-01

    The flood risk for a section of the Belgian coastal plain was evaluated by means of dynamically linked 1D (breach) and 2D (floodplain) hydraulic models. First, a one-at-a-time factor screening was performed to evaluate the relative importance of various model processes and parameters. Subsequently, a systematic sensitivity analysis was added to establish the contribution of the most influential factors (breach growth and surface roughness) to hydraulic modeling uncertainty. Finally, the uncer...

  15. 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.

  16. 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.

  17. 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.

  18. Valsartan in the treatment of heart attack survivors

    Directory of Open Access Journals (Sweden)

    Bodh I Jugdutt

    2006-06-01

    Full Text Available Bodh I JugduttDivision of Cardiology, Department of Medicine, University of Alberta, Edmonton, Alberta, CanadaAbstract: Survivors of myocardial infarction (MI are at high risk of disability and death. This is due to infarct-related complications such as heart failure, cardiac remodeling with progressive ventricular dilation, dysfunction, and hypertrophy, and arrhythmias including ventricular and atrial fibrillation. Angiotensin (Ang II, the major effector molecule of the renin–angiotensin–aldosterone system (RAAS is a major contributor to these complications. RAAS inhibition, with angiotensin-converting enzyme (ACE inhibitors were first shown to reduce mortality and morbidity after MI. Subsequently, angiotensin receptor blockers (ARBs, that produce more complete blockade of the effects of Ang II at the Ang II type 1 (AT1 receptor, were introduced and the ARB valsartan was shown to be as effective as an ACE inhibitor in reducing mortality and morbidity in high-risk post-MI suvivors with left ventricular (LV systolic dysfunction and and/or heart failure and in heart failure patients, respectively, in two major trials (VALIANT and Val-HeFT. Both these trials used an ACE inhibitor as comparator on top of background therapy. Evidence favoring the use of valsartan for secondary prevention in post-MI survivors is reviewed.Keywords: valsartan, myocardial infarction, infarct survivors, remodeling, heart failure

  19. 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

  20. Explanatory Model of Resilience in Pediatric Burn Survivors.

    Science.gov (United States)

    Quezada, Lucía; González, Mónica T; Mecott, Gabriel A

    2016-01-01

    Identifying factors of adjustment in pediatric burn patients may facilitate appropriate mental health interventions postinjury. The aim of this is study was to explore the roles of both the patient's and caregivers' resilience and posttraumatic stress in pediatric burn survivor adjustment. For the purposes of the study, "51 patient-parent/guardian" dyads participated. Patients answered the Resilience Questionnaire for Children and Adolescents, and caregivers answered the Mexican Resilience Scale and the Davidson Trauma Scale. The roles of patient age, time since the burn, and size of burn injury were also considered. Statistical analyses included Spearman's ρ for correlations and structural equation modeling. P less than .05 was considered significant. Patients and caregivers reported high levels of resilience, and the majority of caregivers reported low severity of posttraumatic stress disorder symptoms. Pediatric burn survivors' resilience was associated with being younger at the time of the burn and less severity of intrusive and avoidance symptoms in caregivers; it was also associated with a higher resilience in caregivers. It can be concluded that psychological responses of caregivers of pediatric burn survivors affect the well being and positive adjustment of patients; thus psychological services for caregivers would likely have a double benefit for both caregivers and patients. PMID:26056758

  1. Radiation and cancer risk in atomic-bomb survivors.

    Science.gov (United States)

    Kodama, K; Ozasa, K; Okubo, T

    2012-03-01

    With the aim of accurately assessing the effects of radiation exposure in the Japanese atomic-bomb survivors, the Radiation Effects Research Foundation has, over several decades, conducted studies of the Life Span Study (LSS) cohort, comprising 93 000 atomic-bomb survivors and 27 000 controls. Solid cancer: the recent report on solid cancer incidence found that at age 70 years following exposure at age 30 years, solid cancer rates increase by about 35%  Gy(-1) for men and 58% Gy(-1) for women. Age-at-exposure is an important risk modifier. In the case of lung cancer, cigarette smoking has been found to be an important risk modifier. Radiation has similar effects on first-primary and second-primary cancer risks. Finally, radiation-associated increases in cancer rates appear to persist throughout life. Leukaemia: the recent report on leukaemia mortality suggests that radiation effects on leukaemia mortality persisted for more than 50 years. Moreover, significant dose-response for myelodysplastic syndrome was observed in Nagasaki LSS members even 40-60 years after radiation exposure. Future perspective: given the continuing solid cancer increase in the survivor population, the LSS will likely continue to provide important new information on radiation exposure and solid cancer risks for another 15-20 years, especially for those exposed at a young age. PMID:22394591

  2. 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.

  3. Mortality statistics among atomic bomb survivors in Hiroshima Prefecture

    International Nuclear Information System (INIS)

    In a comparative analysis of mortality among atomic bomb survivors versus the non-exposed, both resident in Hiroshima Prefecture, it was found that in addition to leukaemia, malignant lymphoma, multiple myeloma, and cancers of the thyroid gland, breast, lung, esophagus, stomach, urinary organs and salivary gland which have been reported from the past to be elevated in risk among atomic bomb survivors, cancers of the colon, larynx, accessory sinuses, uterus, ovary and testis, diseases of the blood, cirrhosis of liver, hypertensive disease and diabetes mellitus were elevated in risk, but the risk of cerebrovascular disease, heart disease, peptic ulcer, gastroenteritis, senility, and accidents was lower than the non-exposed. The relationship of atomic bomb exposure to the relative risk of cancers of the lung, breast, uterus, and testis could be readily explained, but the relationship between atomic bomb exposure and the relative risk of cancers of many other sites, diseases of the blood, and other causes of death was inconsistent. One of the reasons why the risk of senility was low and the risk of diseases of the blood, malignant neoplasms, diabetes mellitus, and hypertensive disease was high is considered to be the higher diagnostic accuracy in atomic bomb survivors. (author)

  4. 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.

  5. [Cohort studies of the atomic bomb survivors at the Radiation Effects Research Foundation].

    Science.gov (United States)

    Ozasa, Kotaro

    2012-03-01

    The Radiation Effects Research Foundation has been evaluating the risk of atomic bomb radiation for various diseases since the beginning of its former organization, the Atomic Bomb Casualty Commission. Cohorts of atomic-bomb survivors, in-utero survivors, and survivors' offspring have been followed up. The risk of all solid cancers at 1 Gy was estimated as ERR = 0.47 and EAR = 52/10,000 person-years for people who were exposed at 30 years of age and had reached 70 years of age, based on the cancer incidence during 1958-1998. The risk seemed to be increased in the in-utero survivors, but was rather lower than the risk for the survivors exposed at a young age. Effects on the offspring of survivors have not been shown to be significant. Continuing the research is important in order to more accurately estimate and understand radiation-induced health effects. PMID:22514915

  6. Quantifying the combined effects of multiple extreme floods on river channel geometry and on flood hazards

    Science.gov (United States)

    Guan, Mingfu; Carrivick, Jonathan L.; Wright, Nigel G.; Sleigh, P. Andy; Staines, Kate E. H.

    2016-07-01

    Effects of flood-induced bed elevation and channel geometry changes on flood hazards are largely unexplored, especially in the case of multiple floods from the same site. This study quantified the evolution of river channel and floodplain geometry during a repeated series of hypothetical extreme floods using a 2D full hydro-morphodynamic model (LHMM). These experiments were designed to examine the consequences of channel geometry changes on channel conveyance capacity and subsequent flood dynamics. Our results revealed that extreme floods play an important role in adjusting a river channel to become more efficient for subsequent propagation of floods, and that in-channel scour and sediment re-distribution can greatly improve the conveyance capacity of a channel for subsequent floods. In our hypothetical sequence of floods the response of bed elevation was of net degradation, and sediment transport successively weakened even with floods of the same magnitude. Changes in river channel geometry led to significant impact on flood hydraulics and thereby flood hazards. We found that flood-induced in-channel erosion can disconnect the channel from its floodplain resulting in a reduction of floodwater storage. Thus, the frequency and extent of subsequent overbank flows and floodplain inundation decreased, which reduced downstream flood attenuation and increased downstream flood hazard. In combination and in summary, these results suggest that changes in channel capacity due to extreme floods may drive changes in flood hazard. The assumption of unchanging of river morphology during inundation modelling should therefore be open to question for flood risk management.

  7. Contaminated sediment transport during floods

    International Nuclear Information System (INIS)

    Over the past 48 years, operations and waste disposal activities at Oak Ridge National Laboratory have resulted in the contamination of parts of the White Oak Creek catchment. The contaminants presenting the highest risk to human health and the environment are particle reactive and are associated with the soils and sediments in the White Oak Creek drainage system. The erosion of these sediments during floods can result in the transport of contaminants both within the catchment and off-site into the Clinch River. A data collection program and a modeling investigation are being used to evaluate the probability of contaminated sediment transport during floods and to develop strategies for controlling off-site transport under present and future conditions

  8. Karst flash floods: an example from the Dinaric karst (Croatia)

    OpenAIRE

    Bonacci, O.; Ljubenkov, I.; Roje-Bonacci, T.

    2006-01-01

    International audience Flash floods constitute one of the deadliest and costliest natural disasters worldwide. This paper explains the karst flash flood phenomenon, which represents a special kind of flash flood. As the majority of flash floods karst flash floods are caused by intensive short-term precipitation in an area whose surface rarely exceeds a few square kilometres. The characteristics of all flash floods are their short duration, small areal extent, high flood peaks and rapid flo...

  9. 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.

  10. 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

  11. Cyber Surveillance for Flood Disasters

    OpenAIRE

    Shi-Wei Lo; Jyh-Horng Wu; Fang-Pang Lin; Ching-Han Hsu

    2015-01-01

    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...

  12. Lifestyle Behaviors of African American Breast Cancer Survivors: A Sisters Network, Inc. Study

    OpenAIRE

    Paxton, Raheem J.; Wendell C Taylor; Shine Chang; Courneya, Kerry S.; Jones, Lovell A.

    2013-01-01

    INTRODUCTION: African American breast cancer survivors experience poor cancer outcomes that may, in part, be remedied by healthy lifestyle choices. Few studies have evaluated the health and lifestyle behaviors of this population. The purpose of this study was to characterize the health and lifestyle habits of African American breast cancer survivors and evaluate the socio-demographic and medical correlates of these behaviors. METHODS: A total of 470 African American breast cancer survivors (m...

  13. Best Clinical Practices for Male Adult Survivors of Childhood Sexual Abuse: “Do No Harm”

    OpenAIRE

    Gallo-Silver, Les; Anderson, Christopher M; Romo, Jaime

    2014-01-01

    The health care literature describes treatment challenges and recommended alterations in practice procedures for female survivors of childhood sexual abuse, a subtype of adverse childhood experiences. Currently, there are no concomitant recommendations for best clinical practices for male survivors of childhood sexual abuse or other adverse clinical experiences. Anecdotal information suggests ways physicians can address the needs of adult male survivors of childhood sexual abuse by changes in...

  14. Barriers to Mental Health Service Use among Hematopoietic Stem Cell Transplant Survivors

    OpenAIRE

    Mosher, Catherine E.; DuHamel, Katherine N.; Rini, Christine M.; Li, Yuelin; Isola, Luis; Labay, Larissa; Rowley, Scott; Papadopoulos, Esperanza; Moskowitz, Craig; Scigliano, Eileen; Grosskreutz, Celia; Redd, William H.

    2009-01-01

    Summary This study examined barriers to mental health service use and their demographic, medical, and psychosocial correlates among hematopoietic stem cell transplant (HSCT) survivors. A sample of 253 HSCT survivors who were 1- to 3-years post-transplant completed measures of demographic, physical, psychological, and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50% of distressed HSCT survivors had received mental health services. An...

  15. Predictors of future health-related quality of life in survivors of adolescent cancer

    OpenAIRE

    Nolan, Vikki G.; Krull, Kevin R.; Gurney, James G.; Leisenring, Wendy; Robison, Leslie L.; Ness, Kirsten K.

    2014-01-01

    The purpose of this study was to identify characteristics associated with health-related quality of life (HRQOL) among long-term survivors of adolescent cancer enrolled in the Childhood Cancer Survivor Study. Thirty percent of survivors reported poor physical and/or mental HRQOL. Race/ethnicity, education, and head/neck disfigurement were significantly associated with poor mental HRQOL, while sex, age, household income, obesity, alkylating agents, pelvic radiation, head/neck or limb disfigure...

  16. Effects of radiation on the incidence of prostate cancer among Nagasaki atomic bomb survivors

    OpenAIRE

    Kondo, Hisayoshi; Soda, Midori; Mine, Mariko; Yokota, Kenichi

    2013-01-01

    Atomic bomb survivors have been reported to have an increased risk of some cancers, especially leukemia. However, the risk of prostate cancer in atomic bomb survivors is not known to have been examined previously. This study examined the association between atomic bomb radiation and the incidence of prostate cancer among male Nagasaki atomic bomb survivors. The subjects were classified by distance from the hypocenter into a proximal group (

  17. Promoting Healthy Lifestyles Among Older Cancer Survivors to Improve Health and Preserve Function

    OpenAIRE

    Demark-Wahnefried, Wendy; Morey, Miriam C.; Sloane, Richard; Snyder, Denise Clutter; Cohen, Harvey J.

    2009-01-01

    Currently, there are almost 7 million cancer survivors in this country who are age 65 years or older, and this number is expected to rapidly increase given trends toward aging and improvements in early detection and treatment. Unfortunately, cancer survivors are at risk for several comorbid conditions and accelerated functional decline. In a previous cross-sectional study among 688 older breast and prostate cancer survivors, we found significant associations between lifestyle practices and le...

  18. Predictors of adherence to an Iyengar yoga program in breast cancer survivors

    OpenAIRE

    Speed-Andrews, Amy E; Clare Stevinson; Lisa J Belanger; Judith J Mirus; Courneya, Kerry S.

    2012-01-01

    Context: Despite the known health benefits of physical activity, participation rates in cancer survivor groups remain low. Researchers have attempted to identify alternative modes of nontraditional physical activities that may increase participation and adherence rates. This study investigated the determinants of yoga in breast cancer survivors. Aim: To examine predictors of Iyengar yoga adherence in breast cancer survivors using the theory of planned behaviour. Settings and Design: Class...

  19. Challenges and Needs of Chinese and Korean American Breast Cancer Survivors: In-Depth Interviews

    OpenAIRE

    Lee, Sunmin; Chen, Lu; Ma, Grace X.; Fang, Carolyn Y.; Oh, Youngsuk; Scully, Lynn

    2013-01-01

    Breast cancer incidence and the number of breast cancer survivors have been rapidly increasing among Chinese and Korean women in the United States. However, few data are available regarding quality of life in Asian American breast cancer survivors. This qualitative study aims to describe Asian American women’s perceptions of quality of life and their breast cancer experiences. In-depth interviews with four Chinese and five Korean American breast cancer survivors and three oncologists were con...

  20. Risk Factors, Preventive Practices, and Health Care Among Breast Cancer Survivors, United States, 2010

    OpenAIRE

    Homan, Sherri G.; Kayani, Noaman; Yun, Shumei

    2016-01-01

    Introduction We compared behavioral risk factors and preventive measures among female breast cancer survivors, female survivors of other types of cancers, and women without a history of cancer. Survivorship health care indicators for the 2 groups of cancer survivors were compared. Methods Using data from the 2010 Behavioral Risk Factor Surveillance System, we calculated the proportion of women with risk factors and their engagement in preventive practices, stratified by cancer status (cancer ...

  1. How Have Long-Term Survivors Coped with Living with HIV?

    OpenAIRE

    Slomka, Jacquelyn; Lim, Jung-won; Gripshover, Barbara; Daly, Barbara

    2012-01-01

    With advances in HIV treatment, more individuals have grown older with the disease. Little is known about factors that have helped these survivors manage everyday life with HIV. In this exploratory, qualitative study, we asked, What has helped survivors cope with challenges of living long-term with HIV? Participants were recruited from a convenience sample of persons living with HIV (PLWH) who obtained treatment at a specialty HIV clinic; 16 long-term survivors of HIV were interviewed. Mean a...

  2. Comparison of trauma on survivors of sexual assault and intimate partner violence in Limpopo

    OpenAIRE

    Mashudu Davhana-Maselesele; Sylvester Madu; Wyatt, Gail E.; Williams, John K.; Lufuno Makhado; Wong, Lauren H.

    2014-01-01

    Background:Gender-based violence is a challenge in South Africa, despite available interventions. Caring for the survivors of both forms of violence is critical for ensuring their speedy recovery. Objectives:To compare the effects of trauma on female survivors of sexual assault versus those experienced by survivors of physical assault by their intimate partners. Method:A quantitative cross-sectional comparative study design was used to compare 30 sexually-assaulted women an...

  3. 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-related reso......-related resources (organizational climate, social support, and avoidance behavior) with work ability and looked at whether these associations were different for the survivors and reference subjects....

  4. Psychosocial stressors and support needs of survivors of Ebola virus disease, Bombali District, Sierra Leone, 2015

    OpenAIRE

    Waheed Ariyo Bakare; Olayinka Stephen Ilesanmi; Edmund Presiror Nabena; Temitope Famuyide

    2016-01-01

    Ebola virus disease (EVD) survivors are increasing. There is a need to document their psychosocial stressors and support needs to enable appropriate interventions. The aim of this study was to document psychosocial stressors and support needs of EVD survivors in Bombali District, Sierra Leone, in 2015. Qualitative and quantitative methods were used. A cross-sectional study design (questionnaire) was used for quantitative data collection from 299 survivors, while in-depth interview was done fo...

  5. Ebola Virus Disease Complications as Experienced by Survivors in Sierra Leone

    OpenAIRE

    Tiffany, Amanda; Vetter, Pauline; Mattia, John; Dayer, Julie-Anne; Bartsch, Maria; Kasztura, Miriam; Sterk, Esther; Tijerino, Ana Maria; Kaiser, Laurent; Ciglenecki, Iza

    2016-01-01

    Background.  Thousands of people have survived Ebola virus disease (EVD) during the ongoing outbreak. However, data about the frequency and risk factors of long-term post-EVD complications remain scarce. We describe the clinical characteristics of EVD survivors followed in a survivor clinic in Freetown, Sierra Leone. Methods.  A survivor clinic opened within an Ebola treatment center compound in Freetown, Sierra Leone. At each visit, clinical and psychological assessments were conducted and f...

  6. 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

  7. Structural master plan of flood mitigation measures

    Directory of Open Access Journals (Sweden)

    A. Heidari

    2009-01-01

    Full Text Available Flood protection is one of the practical methods in damage reduction. Although it not possible to be completely protected from flood disaster but major part of damages can be reduced by mitigation plans. In this paper, the optimum flood mitigation master plan is determined by economic evaluation in trading off between the construction costs and expected value of damage reduction as the benefits. Size of the certain mitigation alternative is also be obtained by risk analysis by accepting possibility of flood overtopping. Different flood mitigation alternatives are investigated from various aspects in the Dez and Karun river floodplain areas as a case study in south west of IRAN. The results show that detention dam and flood diversion are the best alternatives of flood mitigation methods as well as enforcing the flood control purpose of upstream multipurpose reservoirs. Dyke and levees are not mostly justifiable because of negative impact on down stream by enhancing routed flood peak discharge magnitude and flood damages as well.

  8. 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.

  9. 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.

  10. Anxiety and depression among out-of-hospital cardiac arrest survivors

    DEFF Research Database (Denmark)

    Lilja, G; Nilsson, G; Nielsen, N;

    2015-01-01

    . Subjective cognitive problems were associated with an increased risk for psychological distress. Since psychological distress affects long-term prognosis of cardiac patients in general it should be addressed during follow-up of survivors with OHCA due to a cardiac cause. ClinicalTrials.gov NCT01020916/NCT......AIM: Survivors of out-of-hospital cardiac arrest (OHCA) may experience psychological distress but the actual prevalence is unknown. The aim of this study was to investigate anxiety and depression within a large cohort of OHCA-survivors. METHODS: OHCA-survivors randomized to targeted temperature...

  11. 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....

  12. Renal, gastrointestinal, and hepatic late effects in survivors of childhood acute myeloid leukemia treated with chemotherapy only--a NOPHO-AML study

    DEFF Research Database (Denmark)

    Skou, Anne-Sofie; Glosli, Heidi; Jahnukainen, Kirsi;

    2014-01-01

    pressure, and eight survivors had slightly elevated diastolic blood pressure. These persons all had normal creatinine and cystatin C levels. Marginal abnormalities in potassium, magnesium, calcium, or bicarbonate levels were found in 34 survivors. CONCLUSION: Survivors of childhood AML treated...

  13. Development of flood risk mapping in Kota Tinggi, Malaysia

    International Nuclear Information System (INIS)

    Flood risk maps provide valuable information for development of flood risk management. Geospatial technology and modeling enable us to monitor natural disasters around the world. Flooding is the most severe natural disaster that causing huge economic losses every year. Flood risk maps are an essential tool for assessing the consequences of flooding. The main aim of this study is to initiate a framework to develop a local-based flood risk map. Flood risk maps can be produced by using integration of geospatial technology and hydrodynamic modeling. Results show that a flood risk map for Kota Tinggi is produced with unsatisfactory information in term of flood damage

  14. 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.

  15. 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.

  16. Flood Frequency Analysis Using the Gumbel Distribution

    Directory of Open Access Journals (Sweden)

    Never Mujere

    2011-07-01

    Full Text Available This paper presents results of a study carried in Zimbabwe aimed at analysing the frequency of Nyanyadzi River floods using the Gumbel distribution. Extreme floods over recent years had washed away fields, destroyed infrastructure and killed animals. It was hypothesised that Nyanyadzi flood flows obey the Gumbel distribution. The scale and shape parameters of the distribution were estimated using method of moments. Maximum instantaneous flow data covering 30 water years (1969-1999 for station E119 on Nyanyadzi River were collected from the Zimbabwe National Water Authority (ZINWA. A Chisquare χ2 test revealed no significant (p =1.000 differences between recorded and predicted flood flows. Due to goodness of fit of the Gumbel distribution, it was assumed to be appropriate for modelling frequency of Nyanyadzi River floods. The magnitudes of the 100 and 200-year floods were estimated to be 276 and 310 m3/s respectively.

  17. Solution of control of reservoir flood discharge in synthetic flood waves. Part 2: Results of solution

    OpenAIRE

    P. Fošumpaur; Holeček, M.; Nacházel, K.

    2007-01-01

    The second part of the study presents the results of the investigation of the flood control in the synthetic flood waves. This part is the continuation with the first part with methodology, published in 2/2007 of the JHH.

  18. 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.

  19. Indus Basin Floods: Mechanisms, Impacts, and Management

    OpenAIRE

    Asian Development Bank (ADB)

    2013-01-01

    More than 138 million people in the Indus River Basin in Pakistan depend on irrigated agriculture. But rising population pressures, climate change, and the continuous degradation of ecosystem services have resulted in increased flood risks, worsened by inadequate flood planning and management. The devastating 2010 flood alone caused damage of about $10 billion. This report proposes a contemporary holistic approach, applying scientific assessments that take people, land, and water into account...

  20. Role of Insurance in Reducing Flood Risk

    OpenAIRE

    David Crichton

    2008-01-01

    This paper considers the problems of flood risk management in the context of public and private insurance. It demonstrates the important role of insurance in reducing flood risk with examples from the U.K. and France. It includes a brief description of the summer 2007 floods in England. The Geneva Papers (2008) 33, 117–132. doi:10.1057/palgrave.gpp.2510151

  1. Structural master plan of flood mitigation measures

    OpenAIRE

    A. Heidari

    2009-01-01

    Flood protection is one of the practical methods in damage reduction. Although it not possible to be completely protected from flood disaster but major part of damages can be reduced by mitigation plans. In this paper, the optimum flood mitigation master plan is determined by economic evaluation in trading off between the construction costs and expected value of damage reduction as the benefits. Size of the certain mitigation alternative is also be obtained by risk analysis by accepting possi...

  2. Integrated flood management for Beiyun River, China

    OpenAIRE

    Chen, Minghong; Fang, Hongwei; Zheng, Yi; He, Guojian

    2013-01-01

    Beiyun River Basin is holistically suffering a water shortage and relatively concentrated flood risk. The current operation (level-control) of dams and floodgates, which is in passive defense mode, cannot meet the demands of both flood control and storm water resources. An integrated flood forecasting and management system is developed by the connecting of the hydrological model and hydrodynamic model and coupling of the hydrodynamic model and hydraulic model for dams and floodgates. Based up...

  3. Flood control of the lower Vistula

    Directory of Open Access Journals (Sweden)

    Jędrzej Kosiński

    2013-06-01

    Full Text Available So far it has been considered that the Włocławek reservoir is of little importance for flood protection of the downstream areas. The article shows the fallacy of this opinion. The Włocławek reservoir’s potential for flood water retention is herein determined. The impact of the Lower Vistula Cascade engineering on flood risk reduction is also analysed.

  4. Flood control of the lower Vistula

    OpenAIRE

    Jędrzej Kosiński

    2013-01-01

    So far it has been considered that the Włocławek reservoir is of little importance for flood protection of the downstream areas. The article shows the fallacy of this opinion. The Włocławek reservoir’s potential for flood water retention is herein determined. The impact of the Lower Vistula Cascade engineering on flood risk reduction is also analysed.

  5. Investigation of Flood Inundation Probability in Taiwan

    Science.gov (United States)

    Wang, Chia-Ho; Lai, Yen-Wei; Chang, Tsang-Jung

    2010-05-01

    Taiwan is located at a special point, which is in the path of typhoons from northeast Pacific Ocean. Taiwan is also situated in a tropical-subtropical transition zone. As a result, rainfall is abundant all the year round, especially in summer and autumn. For flood inundation analysis in Taiwan, there exist a lot of uncertainties in hydrological, hydraulic and land-surface topography characteristics, which can change flood inundation characteristics. According to the 7th work item of article 22 in Disaster Prevention and Protection Act in Taiwan, for preventing flood disaster being deteriorating, investigation analysis of disaster potentials, hazardous degree and situation simulation must be proceeded with scientific approaches. However, the flood potential analysis uses a deterministic approach to define flood inundation without considering data uncertainties. This research combines data uncertainty concept in flood inundation maps for showing flood probabilities in each grid. It can be an emergency evacuation basis as typhoons come and extremely torrential rain begin. The research selects Hebauyu watershed of Chiayi County as the demonstration area. Owing to uncertainties of data used, sensitivity analysis is first conducted by using Latin Hypercube sampling (LHS). LHS data sets are next input into an integrated numerical model, which is herein developed to assess flood inundation hazards in coastal lowlands, base on the extension of the 1-D river routing model and the 2-D inundation routing model. Finally, the probability of flood inundation simulation is calculated, and the flood inundation probability maps are obtained. Flood Inundation probability maps can be an alternative of the old flood potential maps for being a regard of building new hydraulic infrastructure in the future.

  6. 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.

  7. Evolution of Flood Management Policies of Pakistan and Causes of Flooding In Year 2010

    OpenAIRE

    Arslan, Muhammad; Ullah, Inaam; BAQAR, Mujtaba; Shahid, Naeem

    2016-01-01

    The problem of floods in Pakistan dates back to the year of independence, 1947, when first massive flood inflicted havoc in upper Pakistan. We have divided flood management policy of the region into three time periods; British colonial rule that managed surface water through construction of canals; pre-Indus basin development that achieved a breakthrough in the form of Indus water treaty; and it was during post-Indus basin development phase, in 1973, that federal flood commission and proper f...

  8. Improvement of flood forecasting simulations with the Telemark Flood Forecasting Model

    OpenAIRE

    Maharjan, David

    2016-01-01

    Flood is the most common environmental hazard worldwide and can have an devastating consequences affecting the economy, environment, and people. The causes and nature of flood may be different, but it is important to control all of them. The typical cause of flood in Norway is a combination of heavy rainfall and snowmelt which results in an unexpected increase in runoff. This flash flood has been a serious threat to many communities in the lower reach of Skienselva river in Telemark county of...

  9. Effect of Urban Green Spaces and Flooded Area Type on Flooding Probability

    OpenAIRE

    Hyomin Kim; Dong-Kun Lee; Sunyong Sung

    2016-01-01

    Countermeasures to urban flooding should consider long-term perspectives, because climate change impacts are unpredictable and complex. Urban green spaces have emerged as a potential option to reduce urban flood risks, and their effectiveness has been highlighted in notable urban water management studies. In this study, flooded areas in Seoul, Korea, were divided into four flooded area types by cluster analysis based on topographic and physical characteristics and verified using discriminant ...

  10. Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers

    Science.gov (United States)

    Nam, Gina E.; Zhang, Yingying; McFadden, Molly; Wright, Jennifer; Spraker-Perlman, Holly; Kinney, Anita Y.; Oeffinger, Kevin C.; Kirchhoff, Anne C.

    2016-01-01

    Purpose Survivors of adolescent and young adult (AYA) cancer may engage in unhealthy lifestyles (e.g., smoking), potentially heightening their risk for long-term health problems. We assessed health behaviors and constructs including quality of life (QOL) and psychosocial well-being among survivors of AYA cancer compared to the general population. Methods We used 2009 Behavioral Risk Factor Surveillance System data to evaluate health behaviors for survivors of AYA cancer compared to AYAs without cancer. Multivariable regressions assessed health behaviors (smoking, binge drinking, physical inactivity, and low fruit/vegetable intake) by sex and age between AYA survivors and controls, and among survivors to determine the effects of demographic, QOL, psychosocial, and cancer factors on behaviors. Results A greater proportion of female survivors of AYA cancer smoked than controls (currently aged 20–39: 27 vs. 14.3%, respectively; currently aged 40–64: 29.3 vs. 18.4%, respectively). Generally, survivors and controls were non-adherent to national health behavior guidelines. Uninsured survivors were at greater risk of smoking vs. insured (females, Relative Risk (RR)=1.64, 95 % confidence interval (CI) 1.43–1.90; males, RR=2.62, 95 % CI 1.71–4.02). Poor social/emotional support was associated with smoking (RR= 1.26, 95 % CI 1.07–1.48) among female survivors and was associated with low fruit/vegetable intake among male (RR= 1.12, 95 % CI 1.01–1.23) and female (RR=1.12, 95 % CI 1.05–1.19) survivors. Female survivors >10 years from diagnosis had higher risk of smoking (RR=1.26–1.91, all phealth behavior support. PMID:26248766

  11. Forecasting Extreme Flooding in South Asia (Invited)

    Science.gov (United States)

    Webster, P. J.

    2010-12-01

    In most years there is extensive flooding across India, Pakistan and Bangladesh. On average, 40 million people are displaced by floods in India and half that many again in Bangladesh. Occasionally, even more extensive and severe flooding occurs across South Asia. In 2007 and 2008 the Brahmaputra flooded three times causing severe disruption of commerce, agriculture and life in general. Systems set up by an international collaboration predicted these Bangladesh floods with an operational system at the 10 and 15-day horizon. These forecasts determined the risk of flooding and allowed the Bangladeshis in peril to prepare, harvesting crops and storing of household and agricultural assets. Savings in increments of annual income resulted form the forecasts. In July and August 2010, severe flooding occurred in Pakistan causing horrendous damage and loss of life. But these floods were also predictable at the 10-day time scale if the same forecasting system developed for Bangladesh had been implemented. Similar systems could be implemented in India but would require local cooperation. We describe the manner in which quantified probabilistic precipitation forecasts, coupled with hydrological models can provide useful and timely extended warnings of flooding.

  12. Flooding Analysis of Urban Drainage Systems

    OpenAIRE

    Nie, Linmei

    2004-01-01

    - Description of the problemsThroughout history floods have been one of the most severe natural catastrophes, which brought about loss of lives and huge economic losses in addition to the influence on community activities and adverse effects on the environment. We have witnessed enormous flood events almost all over the world, even in the early years of 21st century. The cruel lesson learnt is that we have not coped well with floods. Studying the risk of flooding is the goal of this thesis. T...

  13. Flood Routing Technique for Data Networks

    OpenAIRE

    Cho, Jaihyung; Breen, James

    1998-01-01

    In this paper, a new routing algorithm based on a flooding method is introduced. Flooding techniques have been used previously, e.g. for broadcasting the routing table in the ARPAnet [1] and other special purpose networks [3][4][5]. However, sending data using flooding can often saturate the network [2] and it is usually regarded as an inefficient broadcast mechanism. Our approach is to flood a very short packet to explore an optimal route without relying on a pre-established routing table, a...

  14. Subcellular Proteomics of Soybean under Flooding Stress

    Institute of Scientific and Technical Information of China (English)

    Setsuko Komatsu

    2012-01-01

    Flooding is an environmental stress found worldwide and may increase in frequency due to changes in global climate,and causes significant reductions in the growth and yield of several crops.The application of proteomics techniques to clarify the molecular mechanisms underlying crop responses to flooding stress may facilitate the development of flood tolerant crops.To understand the response mechanism of soybean under flooding stress,proteomics analysis was carried out.Especially,subcellular proteomics studies have led to a better understanding of the mechanism of flooding stress tolerance in soybean.The effects of flooding stress on root plasma membrane were analyzed using an aqueous two-phase partitioning method in combination with gel-based and gel-free proteomics techniques.The results led to the following conclusions:proteins located in the cell wall were increased in the plasma membrane of flooded plants,indicating the contribution of plasma membrane to modification of the cell wall; superoxide dismutase was increased,indicating that the antioxidative system may play a crucial role in protecting cells from oxidative damage following exposure to flooding stress; heat shock cognate 70 kDa protein likely plays a significant role in protecting other proteins from denaturation and degradation during flooding stress; and signaling proteins might work cooperatively to regulate plasma membrane H +-ATPase and maintain ion homeostasis.Cell wall proteins were isolated from root of flooding stressed plants via sucrose gradient centrifugation and analyzed using gel-based proteomics technique.Cell wall proteins identified were related to lignification,and these results indicated that a decrease of lignification-related proteins is related to flooding decreased ROS and jasmonate biosynthesis.And also,lignin staining confirmed that lignification was suppressed in the roots of flooding stressed soybeans.Mitochondrial fractions were purified from root of flooding stressed

  15. Drivers of flood damage on event level

    DEFF Research Database (Denmark)

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

    2016-01-01

    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......-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 deliberate relocation. Thus, despite higher hydrological severity damage due to the 2013 flood was significantly lower than in 2002. In our...

  16. Future flood losses in major coastal cities

    Science.gov (United States)

    Hallegatte, Stephane; Green, Colin; Nicholls, Robert J.; Corfee-Morlot, Jan

    2013-09-01

    Flood exposure is increasing in coastal cities owing to growing populations and assets, the changing climate, and subsidence. Here we provide a quantification of present and future flood losses in the 136 largest coastal cities. Using a new database of urban protection and different assumptions on adaptation, we account for existing and future flood defences. Average global flood losses in 2005 are estimated to be approximately US$6billion per year, increasing to US$52billion by 2050 with projected socio-economic change alone. With climate change and subsidence, present protection will need to be upgraded to avoid unacceptable losses of US$1trillion or more per year. Even if adaptation investments maintain constant flood probability, subsidence and sea-level rise will increase global flood losses to US$60-63billion per year in 2050. To maintain present flood risk, adaptation will need to reduce flood probabilities below present values. In this case, the magnitude of losses when floods do occur would increase, often by more than 50%, making it critical to also prepare for larger disasters than we experience today. The analysis identifies the cities that seem most vulnerable to these trends, that is, where the largest increase in losses can be expected.

  17. Development of Integrated Flood Analysis System for Improving Flood Mitigation Capabilities in Korea

    Science.gov (United States)

    Moon, Young-Il; Kim, Jong-suk

    2016-04-01

    Recently, the needs of people are growing for a more safety life and secure homeland from unexpected natural disasters. Flood damages have been recorded every year and those damages are greater than the annual average of 2 trillion won since 2000 in Korea. It has been increased in casualties and property damages due to flooding caused by hydrometeorlogical extremes according to climate change. Although the importance of flooding situation is emerging rapidly, studies related to development of integrated management system for reducing floods are insufficient in Korea. In addition, it is difficult to effectively reduce floods without developing integrated operation system taking into account of sewage pipe network configuration with the river level. Since the floods result in increasing damages to infrastructure, as well as life and property, structural and non-structural measures should be urgently established in order to effectively reduce the flood. Therefore, in this study, we developed an integrated flood analysis system that systematized technology to quantify flood risk and flood forecasting for supporting synthetic decision-making through real-time monitoring and prediction on flash rain or short-term rainfall by using radar and satellite information in Korea. Keywords: Flooding, Integrated flood analysis system, Rainfall forecasting, Korea Acknowledgments This work was carried out with the support of "Cooperative Research Program for Agriculture Science & Technology Development (Project No. PJ011686022015)" Rural Development Administration, Republic of Korea

  18. Issues and challenges in flood risk management: Editorial for the special issue on flood risk management

    NARCIS (Netherlands)

    Jonkman, S.N.; Dawson, R.J.

    2012-01-01

    Recent flood-related disasters (Japan, Thailand, US, Australia) emphasize the need for an effective management of flood risks. As an introduction to this special issue, this editorial summarizes some of the key challenges in the field. Flood risk management needs to recognize the interconnections be

  19. Applying the Flood Vulnerability Index as a Knowledge base for flood risk assessment

    NARCIS (Netherlands)

    Balica, S-F.

    2012-01-01

    Floods are one of the most common and widely distributed natural risks to life and property worldwide. An important part of modern flood risk management is to evaluate vulnerability to floods. This evaluation can be done only by using a parametric approach. Worldwide there is a need to enhance our

  20. Flood Risk Management in Europe: Similarities and Differences between the STAR-FLOOD consortium countries

    NARCIS (Netherlands)

    Hegger, D.L.T.; Green, C.; Driessen, P.P.J.; Bakker, M.H.N.; Dieperink, C.; Crabbe, A.; Deketelaere, K.; Delvaux, B.; Suykens, C.; Beyers, J-C.; Fournier, M.; Larrue, C.; Manson, C.; van Doorn-Hoekveld, W.; van Rijswick, H.F.M.W.; Kundzewicz, Z.W.; Goytia Casermeiro, S.

    2013-01-01

    This report has been compiled as part of the STAR-FLOOD project, a European FP7 project focused on flood risk governance. The project investigates strategies for dealing with flood risks in 18 vulnerable urban regions in six European countries: Belgium, The UK (more precisely: England and Scotland),