Sample records for carolina statewide family

  1. North Carolina Statewide Lidar DEM 2015 Phase 3 (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Geographic Extent: North Carolina Area of Interest, covering approximately 7,197 square miles. Dataset Description: The North Carolina LiDAR project called for the...

  2. North Carolina Statewide Lidar DEM 2014 Phase 1 (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Geographic Extent: North Carolina Area of Interest for Sandy, covering approximately 9,396 square miles. Dataset Description: The North Carolina - Sandy LiDAR...

  3. 2015 NCFMP Lidar: Statewide North Carolina (Phase 3) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Geographic Extent: North Carolina Area of Interest, covering approximately 7,197 square miles. Dataset Description: The North Carolina LiDAR project called for the...

  4. 2014 NCFMP Lidar: Statewide North Carolina (Phase 1) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Geographic Extent: North Carolina Area of Interest for Sandy, covering approximately 9,396 square miles. Dataset Description: The North Carolina - Sandy LiDAR...

  5. [Environmental Hazards Assessment Program annual report, June 1992--June 1993]. Results of the environmental health activities and needs assessment of the South Carolina statewide family practice system for the Environmental Hazards Assessment Program: EHAP Volume 1, No. 1

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    Musham, C.; Hainer, B.


    An activities and needs assessment was conducted to determine what each of the seven family practice residency programs in South Carolina is providing in environmental health education. In addition, this study was designed to determine: what are the barriers to greater emphasis on environmental health in family practice residency programs and, what the basic environmental health educational goals for family practice residency programs should be.

  6. Effectiveness of a Statewide Abusive Head Trauma Prevention Program in North Carolina. (United States)

    Zolotor, Adam J; Runyan, Desmond K; Shanahan, Meghan; Durrance, Christine Piette; Nocera, Maryalice; Sullivan, Kelly; Klevens, Joanne; Murphy, Robert; Barr, Marilyn; Barr, Ronald G


    Abusive head trauma (AHT) is a serious condition, with an incidence of approximately 30 cases per 100,000 person-years in the first year of life. To assess the effectiveness of a statewide universal AHT prevention program. In total, 88.29% of parents of newborns (n = 405 060) in North Carolina received the intervention (June 1, 2009, to September 30, 2012). A comparison of preintervention and postintervention was performed using nurse advice line telephone calls regarding infant crying (January 1, 2005, to December 31, 2010). A difference-in-difference analysis compared AHT rates in the prevention program state with those of other states before and after the implementation of the program (January 1, 2000, to December 31, 2011). The Period of PURPLE Crying intervention, developed by the National Center on Shaken Baby Syndrome, was delivered by nurse-provided education, a DVD, and a booklet, with reinforcement by primary care practices and a media campaign. Changes in proportions of telephone calls for crying concerns to a nurse advice line and in AHT rates per 100,000 infants after the intervention (June 1, 2009, to September 30, 2011) in the first year of life using hospital discharge data for January 1, 2000, to December 31, 2011. In the 2 years after implementation of the intervention, parental telephone calls to the nurse advice line for crying declined by 20% for children younger than 3 months (rate ratio, 0.80; 95% CI, 0.73-0.87; P programmatic efforts and evaluation are needed to demonstrate an effect on AHT rates.

  7. South Carolina Kids Count, 2001. (United States)

    Holmes, A. Baron

    This Kids Count report examines statewide trends in the well-being of South Carolina's children. The statistical portrait is based on 42 indicators in the areas of demographics, family, economic status, health, readiness and early school performance, scholastic achievement, and adolescent risk behaviors. The indicators are: (1) population; (2)…

  8. South Carolina Kids Count, 2000. (United States)

    Holmes, A. Baron

    This Kids Count report examines statewide trends in the well-being of South Carolina's children. The statistical portrait is based on 41 indicators in the areas of demographics, family, economic status, health, readiness and early school performance, scholastic achievement, and adolescent risk behaviors. The indicators are: (1) population; (2)…

  9. Prevention practices of family medicine clerkship preceptors in North Carolina. (United States)

    Slatt, L M; Frasier, P Y; Strayhorn, G; Kowlowitz, V


    Before implementing a new prevention curriculum, the authors assessed the prevention practices and attitudes of community family physicians in North Carolina who precepted third-year family medicine clerkship students. An 18-item questionnaire was mailed to 165 preceptors during the 1995-96 academic year. The questionnaire explored the preceptors' levels of preparation to counsel patients, the types of prevention services they offered, and their levels of success in modifying patients' behaviors. The survey was re-sent to non-respondents. The response rate was 70% (n = 112); of these 75% were men and 55% had graduated after 1987. Over 60% of the preceptors "almost always" offered services in smoking cessation, exercise, diet and nutrition, and age-specific services (range 62-86%). Over 50% felt "very prepared" to counsel patients regarding smoking cessation, sexually transmitted diseases, depression, exercise, alcohol use, and age-specific services (range 53-74%). However, the preceptors in this study felt pessimistic about their success in getting patients to change their behaviors. Preceptors who had graduated more recently offered more preventive services for smoking cessation, alcohol use, and illicit drugs than did earlier graduates. Although North Carolina preceptors were pessimistic about their success in changing patients' behaviors regarding prevention, they were confident about their knowledge and skills to provide these services. This information was used to modify a prevention curriculum for third-year medical students.

  10. South Carolina Kids Count Report, 2003. (United States)

    South Carolina Kids Count, Columbia.

    This Kids Count report examines statewide trends in the well-being of South Carolina's children. The statistical portrait is based on 44 indicators in the areas of demographics, family, economic status, health, readiness and early school performance, scholastic achievement, and adolescent risk behaviors. The indicators are: (1) population; (2)…

  11. Facilitating State-Wide Collaboration around Family Planning Care in the Context of Zika. (United States)

    Dehlendorf, Christine; Gavin, Loretta; Witt, Jacki; Moskosky, Susan

    Family planning providers have an important role to play in the response to the public health challenge posed by Zika. In the United States, there are high rates of unintended pregnancy, especially in states most at risk for mosquito-borne transmission of the Zika virus. This paper describes efforts by eight of these states (Arizona, California, Florida, Georgia, Louisiana, Mississippi, South Carolina, and Texas) to build capacity for quality family planning care in the context of Zika. Drawing on resources developed by the Office of Population Affairs, including a toolkit for family planning care in the context of Zika, agencies and stakeholders involved in the family planning delivery system in Southern states at risk for mosquito-borne transmission met over several months in the summer of 2016 to coordinate efforts to respond to the risk of Zika in their jurisdictions. Through proactive communication and collaboration, states took steps to integrate Zika-related family planning care, including screening for Zika risk and providing appropriate, client-centered counseling. Challenges faced by the states included not having family planning included as a component of their state's Zika response effort, limited funding for family planning activities, and the need for robust communication networks between multiple state and federal agencies. The efforts described in this paper can help other states to integrate family planning into their Zika response. This is relevant to all states; even when mosquito-borne transmission is not occurring or expected, all states experience travel-related and sexually transmitted Zika infections. Copyright © 2017 Jacobs Institute of Women's Health. All rights reserved.

  12. Family-friendliness in Medical Studies in Baden-Württemberg. Results of a state-wide study. (United States)

    Niehues, Johanna; Prospero, Katrin; Fegert, Jörg M; Liebhardt, Hubert


    This paper describes the results of the study on "Family-friendliness of the Medical Studies in Baden-Württemberg" carried out in 2009-2011 by the working group "Family, Time policy and E-Learning" of the University Hospital of Ulm, supported by the Ministry of Science, Research and the Arts of Baden-Württemberg. This state-wide survey of the studying conditions and personal circumstances of medical students with children at the five medical schools in Baden-Württemberg aims to describe existing and necessary factors of family-friendliness. A total of 238 students with children participated in the quantitative online survey conducted during the summer semester 2010 which was based on topics from previous qualitative interviews with student parents.The data shows that even though founding a family while at university is usually planned, student parents are faced with significant compatibility issues, demonstrating the need for additional measures to individualise course organisation and to make the curriculum more flexible. At the same time, the need to significantly increase information and advisory services alongside the establishment of additional support services for student parents is discernable. The study contributes to the debate on the family-friendliness of universities and university hospitals and adds practice-oriented approaches to solutions.

  13. Genetic linkage studies of a North Carolina macular dystrophy family

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    Mareta Audere


    Conclusions: It is unlikely to be the causative mutation of NCMD due to its high minor allele frequency 0.3532. Therefore, the role of IRX2 and IRX4 genes in the pathogenesis of NCMD has not been proved. Considerable variability in visual acuity between individuals of the same age group in all the families examined was noted. No overlap between NCMD grade and family generation was seen in the family described in the present study.

  14. Variations in Patterns of Utilization and Charges for the Care of Headache in North Carolina, 2000-2009: A Statewide Claims' Data Analysis. (United States)

    Hurwitz, Eric L; Vassilaki, Maria; Li, Dongmei; Schneider, Michael J; Stevans, Joel M; Phillips, Reed B; Phelan, Shawn P; Lewis, Eugene A; Armstrong, Richard C


    The purpose of the study was to compare patterns of utilization and charges generated by medical doctors (MDs), doctors of chiropractic (DCs), and physical therapists (PTs) for the treatment of headache in North Carolina. Retrospective analysis of claims data from the North Carolina State Health Plan for Teachers and State Employees from 2000 to 2009. Data were extracted from Blue Cross Blue Shield of North Carolina for the North Carolina State Health Plan using International Classification of Diseases, Ninth Revision, diagnostic codes for headache. The claims were separated by individual provider type, combination of provider types, and referral patterns. The majority of patients and claims were in the MD-only or MD plus referral patterns. Chiropractic patterns represented less than 10% of patients. Care patterns with single-provider types and no referrals incurred the least charges on average for headache. When care did not include referral providers or services, MD with DC care was generally less expensive than MD care with PT. However, when combined with referral care, MD care with PT was generally less expensive. Compared with MD-only care, risk-adjusted charges (available 2006-2009) for patients in the middle risk quintile were significantly less for DC-only care. Utilization and expenditures for headache treatment increased from 2000 to 2009 across all provider groups. MD care represented the majority of total allowed charges in this study. MD care and DC care, alone or in combination, were overall the least expensive patterns of headache care. Risk-adjusted charges were significantly less for DC-only care. Copyright © 2016 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

  15. Projected Statewide Impact of "Opportunity Culture" School Models (United States)

    Holly, Christen; Dean, Stephanie; Hassel, Emily Ayscue; Hassel, Bryan C.


    This brief estimates the impact of a statewide implementation of Opportunity Culture models, using North Carolina as an example. Impacts estimated include student learning outcomes, gross state product, teacher pay, and other career characteristics, and state income tax revenue. Estimates indicate the potential for a statewide transition to…

  16. The Other America: Homeless Families in the Shadow of the New Economy. Family Homelessness in Kentucky, Tennessee and the Carolinas. A Report of Homes for the Homeless. (United States)

    Institute for Children and Poverty, New York, NY.

    This report describes a survey of homeless families from shelters in Kentucky, Tennessee, and the Carolinas. The typical family included a 32-year-old single woman with two young children who was more likely to be African American, had a high school education, and had a 50-50 chance of being employed. Most children attended preschool, most were…

  17. Workshop for coordinating South Carolina`s pre-college systemic initiatives

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    The goal of the South Carolina Statewide Systemic Initiative (SC SSI) is to provide quality and effective learning experiences in science and mathematics to all people of South Carolina by affecting systemic change. To accomplish this goal, South Carolina must: (1) coordinate actions among many partners for science and mathematics change; (2) place the instruments of change into the hands of the effectors of change - teachers and schools; and (3) galvanize the support of policy makers, parents, and local communities for change. The SC SSI proposes to establish a network of 13 regional mathematics and science HUBs. The central idea of this plan is the accumulation of Teacher Leaders at each HUB who are prepared in special Curriculum Leadership Institutes to assist other teachers and schools. The HUB becomes a regional nexus for delivering services to schools who request assistance by matching schools with Teacher Leaders. Other initiatives such as the use of new student performance assessments, the integration of instructional technologies into the curriculum, a pilot preservice program, and Family Math and Family Science will be bundled together through the Teacher Leaders in the HUBs. Concurrent policy changes at the state level in teacher and administrator certification and recertification requirements, school regulations and accountability, and the student performance assessment system will enable teachers and schools to support instructional practices that model South Carolina`s new state Curriculum Frameworks in Mathematics and Science.

  18. Stability of Household and Housing Characteristics among Farmworker Families in North Carolina: Implications for Health (United States)

    Arcury, Thomas A.; Trejo, Grisel; Suerken, Cynthia K.; Ip, Edward H.; Quandt, Sara A.


    Household and housing stability are important for health and well-being of individuals, particularly children. This analysis examines stability in household and housing over 2 years for North Carolina farmworker families with children. Mothers with a child aged 2–4 years in farmworker families (n=248) completed interviews over two years. Household measures included number of adults and children, moves, and spouse absence. Housing measures included tenure, persons per bedroom, and kitchen facilities. Household and housing characteristics for participants retained in the study over two years (n=221) were stable in number of persons, tenure, persons per bedroom, and kitchen facilities. Households were large with one-third having 3 or more adults, and one-quarter having 4 or more children. Most families rented houses (over 15% owned), which were crowded. Participants lost to follow-up were similar to retained participants in household characteristics, but had worse housing characteristics. Comparative research on farmworker family household composition is needed. PMID:26856879

  19. Stability of Household and Housing Characteristics Among Farmworker Families in North Carolina: Implications for Health. (United States)

    Arcury, Thomas A; Trejo, Grisel; Suerken, Cynthia K; Ip, Edward H; Quandt, Sara A


    Household and housing stability are important for health and well-being of individuals, particularly children. This analysis examines stability in household and housing over 2 years for North Carolina farmworker families with children. Mothers with a child aged 2-4 years in farmworker families (n = 248) completed interviews over 2 years. Household measures included number of adults and children, moves, and spouse absence. Housing measures included tenure, persons per bedroom, and kitchen facilities. Household and housing characteristics for participants retained in the study over 2 years (n = 221) were stable in number of persons, tenure, persons per bedroom, and kitchen facilities. Households were large with one-third having 3 or more adults, and one-quarter having 4 or more children. Most families rented houses (over 15 % owned), which were crowded. Participants lost to follow-up were similar to retained participants in household characteristics, but had worse housing characteristics. Comparative research on farmworker family household composition is needed.

  20. Washington Kids Count County and City Profiles of Child and Family Well-Being: 2001 Statewide Summaries. (United States)

    Hill, Sheri L.; Malhotra, Sumit; De Wys, Shelley; Mandell, Dorothy J.; Brandon, Richard

    These 43 Kids Count summaries, one for each of the state's counties, major metropolitan areas, and the state as a whole, examine trends in the well-being of Washington's children. The summaries each reiterate key statewide trends in the areas of education, child maltreatment, housing affordability, and employment levels, as well as family…

  1. Organizational environment and perceptions of teaching quality in seven South Carolina family medicine residency programs. (United States)

    Probst, J C; Baxley, E G; Schell, B J; Cleghorn, G D; Bogdewic, S P


    To explore the relationship between organizational environment and teaching quality in seven family medicine residency programs. In 1995, a questionnaire on organizational environment was administered to the faculties at all seven family medicine residency programs in South Carolina. Eighty-seven percent of the faculty members participated, as did convenience samples of residents, nurses, and administrative staff. The questionnaire measured seven variables: teaching quality, job satisfaction, organizational climate, employees' autonomy, goal attainment, organizational commitment, and job-related stress. Residents, nurses, and administrative staff who were connected to programs at which faculty expressed high levels of job satisfaction assessed teaching quality as higher than did those at other programs. The residents' perceptions of teaching quality were positively correlated with high ratings of organizational climate and job-related stress. The staffs' ratings of goal attainment were also associated with teaching quality. Faculty satisfaction was associated with their reported employee autonomy and goal attainment. The organizational characteristics of family medicine residency programs significantly influence the perceptions of teaching quality: specifically, there perceptions are correlated with the degree to which faculty are satisfied with their work environments. In addition, residents' and staffs' perceptions of teaching quality are associated with their attitudes toward their organizations' environments.

  2. Clinical and genetic characterization of a Danish family with North Carolina macular dystrophy. (United States)

    Rosenberg, Thomas; Roos, Ben; Johnsen, Thorkild; Bech, Niels; Scheetz, Todd E; Larsen, Michael; Stone, Edwin M; Fingert, John H


    To describe the phenotype of a family with an autosomal dominant macular dystrophy and identify the chromosomal location of the gene that causes this phenotype. Twelve members of a three-generation family underwent routine clinical examination, including fundus photography. Four of the patients underwent extended examination with Goldmann perimetry, full-field electroretinogram, dark adaptation, and color vision testing, and two patients underwent optical coherence tomography and fundus autofluorescence examination. DNA samples were obtained from 12 family members and 3 spouses and genotyped at the known North Carolina Macular Dystrophy (NCMD) locus on chromosome 6q (MCDR1: OMIM 136550) using short tandem repeat polymorphisms. DNA samples were subsequently examined with a genome-wide scan of single nucleotide polymorphisms and the genotypes that were produced were studied with linkage and haplotype analyses. The 10 affected family members had clinical findings of macular lesions that are typical for NCMD. The small drusen-like yellowish lesions of mild NCMD were hyperautofluorescent. Hyperpigmented foveal lesions were surrounded by a zone of confluent hyperautofluorescence. Linkage analysis of short tandem repeat polymorphism genetic markers excluded the NCMD locus on chromosome 6. However, analysis of single nucleotide polymorphism genotypes from a genome-wide scan showed that NCMD in our pedigree is linked to a region on chromosome 5p that overlaps the previously mapped macular dystrophy (MCDR3) locus with a maximum log of the odds (LOD) score of 2.69 at a recombination fraction of 0.00 (markers D5S406, D5S1987, and D5S2505). We report the first pedigree with NCMD from Scandinavia, and the first confirmation that a gene for this condition is located on chromosome 5p13-p15. The bright elements or lesions typical of NCMD differed from drusen in that no sign of accumulation of material between the retinal pigment epithelium and Bruch's membrane was seen. While the

  3. Retailer adherence to Family Smoking Prevention and Tobacco Control Act, North Carolina, 2011. (United States)

    Rose, Shyanika W; Myers, Allison E; D'Angelo, Heather; Ribisl, Kurt M


    The Family Smoking Prevention and Tobacco Control Act regulates the sales and marketing of tobacco products in the United States; poor adherence by tobacco retailers may reduce the effectiveness of the Act's provisions. The objectives of this study were 1) to assess whether and to which provisions retailers were adherent and 2) to examine differences in adherence by county, retailer neighborhood, and retailer characteristics. We conducted multivariate analysis of tobacco retailers' adherence to 12 point-of-sale provisions of the Tobacco Control Act in 3 North Carolina counties. We conducted observational audits of 324 retailers during 3 months in 2011 to assess adherence. We used logistic regression to assess associations between adherence to provisions and characteristics of each county, retailer neighborhood, and retailer. We found 15.7% of retailers did not adhere to at least 1 provision; 84.3% adhered to all provisions. The provisions most frequently violated were the ban on sales of cigarettes with modified-risk labels (eg, "light" cigarettes) (43 [13.3%] retailers nonadherent) and the ban on self-service for cigarettes and smokeless tobacco (6 [1.9%] retailers nonadherent). We found significant differences in rates of nonadherence by county and type of retailer. Pharmacies and drug stores were more than 3 times as likely as grocery stores to be nonadherent. Most tobacco retailers have implemented regulatory changes without enforcement by the US Food and Drug Administration. Monitoring rates of adherence by store type and locale (eg, county) may help retailers comply with point-of-sale provisions.

  4. Evaluating a statewide home visiting program to prevent child abuse in at-risk families of newborns: fathers' participation and outcomes. (United States)

    Duggan, Anne; Fuddy, Loretta; McFarlane, Elizabeth; Burrell, Lori; Windham, Amy; Higman, Susan; Sia, Calvin


    This study sought to describe fathers' participation in a statewide home-visiting program to prevent child abuse and to assess program impact on their parenting. This randomized trial followed 643 at-risk families for 3 years. Data were collected through program record review, staff surveys, and annual maternal interviews. Participation in visits varied by the parents' relationship and paternal employment, violence, and heavy drinking at baseline. Overall, the program had no apparent impact on fathers' accessibility to the child, engagement in parenting activities, and sharing of responsibility for the child's welfare. The program promoted parenting involvement for nonviolent fathers in couples who lived together but also for violent fathers in couples with little contact at baseline; it decreased the father's accessibility to the child in couples who lived apart but saw each other frequently at baseline. Infrequent participation in visits and differential program impact on violent versus nonviolent fathers demonstrate the need to consider family context in developing, implementing, and studying home-visiting models.

  5. Recruiting families at risk for hereditary breast and ovarian cancer from a statewide cancer registry: a methodological study. (United States)

    Katapodi, Maria C; Duquette, Deb; Yang, James J; Mendelsohn-Victor, Kari; Anderson, Beth; Nikolaidis, Christos; Mancewicz, Emily; Northouse, Laurel L; Duffy, Sonia; Ronis, David; Milliron, Kara J; Probst-Herbst, Nicole; Merajver, Sofia D; Janz, Nancy K; Copeland, Glenn; Roberts, Scott


    Cancer genetic services (counseling/testing) are recommended for women diagnosed with breast cancer younger than 45 years old (young breast cancer survivors-YBCS) and at-risk relatives. We present recruitment of YBCS, identification and recruitment of at-risk relatives, and YBCS willingness to contact their cancer-free, female relatives. A random sample of 3,000 YBCS, stratified by race (Black vs. White/Other), was identified through a population-based cancer registry and recruited in a randomized trial designed to increase use of cancer genetic services. Baseline demographic, clinical, and family characteristics, and variables associated with the Theory of Planned Behavior (TPB) were assessed as predictors of YBCS' willingness to contact at-risk relatives. The 883 YBCS (33.2% response rate; 40% Black) who returned a survey had 1,875 at-risk relatives and were willing to contact 1,360 (72.5%). From 853 invited at-risk relatives (up to two relatives per YBCS), 442 responded (51.6% response rate). YBCS with larger families, with a previous diagnosis of depression, and motivated to comply with recommendations from family members were likely to contact a greater number of relatives. Black YBCS were more likely to contact younger relatives and those living further than 50 miles compared to White/Other YBCS. It is feasible to recruit diverse families at risk for hereditary cancer from a population-based cancer registry. This recruitment approach can be used as a paradigm for harmonizing processes and increasing internal and external validity of large-scale public health genomic initiatives in the era of precision medicine.

  6. [Workshop for coordinating South Carolina`s pre-college systemic initiatives in science and mathematics

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    On December 19, 1991, South Carolina`s Governor, established the Governor`s Mathematics and Sciences Advisory Board (MSAB) to articulate a vision and develop a statewide plan for improving science and mathematics education in South Carolina. The MSAB recognized that systemic change must occur if the achievement levels of students in South Carolina are to improve in a dramatic way. The MSAB holds two fundamental beliefs about systemic change: (1) All the elements of the science and mathematics education system must be working in harmony towards the same vision; and (2) Each element of the system must be held against high standards and progress must be assessed regularly against these standards.

  7. Focus Group Evaluation of Customized Family Health History Education Materials in a North Carolina Community (United States)

    Powell, Karen; Edelson, Vaughn; O'Leary, James; Christianson, Carol; Henrich, Vincent


    The "Does It Run In The Family?" booklets provide educational materials about family health history (FHH) and basic genetics to readers of all levels and are customizable for local communities. Purpose: The booklets were customized and provided to focus groups to evaluate their usefulness in conveying health information at a low reading…

  8. Colorado statewide historic bridge inventory. (United States)


    The purpose of the Colorado statewide historic bridge inventory was to document and evaluate the National : Register of Historic Places eligibility all on-system highway bridges and grade separation structures built in : Colorado between 1959 and 196...

  9. Alabama statewide mobility report, 2014. (United States)


    This Alabama Statewide Mobility Report for 2014 is a new way to analyze interstate mobility performance over an entire year. Over half a billion speed records were acquired, stored, and analyzed for this report. These observations capture recurring c...

  10. North Carolina Statewide Lidar DEM 2014 Phase 2 (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This project was a joint effort between NC Emergency Management, NC Geodetic Survey, and the NCDOT. The following people served as the main representatives for each...

  11. 2014 NCFMP Lidar: Statewide North Carolina (Phase 2) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This project was a joint effort between NC Emergency Management, NC Geodetic Survey, and the NCDOT. The following people served as the main representatives for each...

  12. An Ecological Examination of North Carolina's Amendment One Vote to Ban Same Sex Marriage

    Directory of Open Access Journals (Sweden)

    Elizabeth L. Davison


    Full Text Available On May 8th, 2012, North Carolina voters passed a constitutional amendment that officially banned same sex marriage. Whereas statewide the amendment was supported by 61% of North Carolina voters, there was a 67% range in variance of support for the amendment among North Carolina counties. This paper examines the large variance regarding the state amendment vote, among North Carolina's 100 counties. Controlling for percent of county residents with a bachelor’s or greater degree had an enormous effect in diminished support for the amendment while age, race and urban demographics were weaker and capricious measures in understanding the county variance of the Amendment One vote.

  13. Office-based preventive dental program and statewide trends in dental caries. (United States)

    Achembong, Leo N; Kranz, Ashley M; Rozier, R Gary


    To evaluate the impact of a North Carolina Medicaid preventive dentistry program in primary care medical offices (Into the Mouths of Babes Program [IMBP]) on decayed, missing, and filled teeth (dmft) of kindergarten students statewide and in schools with a large proportion of students from low-income families. An ecologic study using panel data of 920,505 kindergarten students with 11,694 school-year observations examined the effect of the IMBP on dmft scores from 1998 to 2009. Ordinary least squares regression with fixed effects determined the association between IMBP visits per child 0 to 4 years of age per county and mean dmft scores per kindergarten student per school, controlling for school-level poverty and ethnicity, county-level Medicaid enrollment, and supply of dentists and physicians. Mean dmft per kindergarten student per school increased from 1.53 in 1998 to 1.84 in 2004, then decreased to 1.59 in 2009. The mean number of IMBP visits per child 0 to 4 years of age per county increased from 0.01 in 2000 to 0.22 in 2009. A 1-unit increase in IMBP visits per county was associated with a 0.248 (95% confidence interval, -0.40 to -0.10) decrease in dmft per kindergarten student per school. For schools with more students at high risk for dental disease, a 1-unit increase in IMBP visits was associated with a 0.320 (95% confidence interval, -0.55 to -0.09) decrease in dmft. IMBP reduced dental caries among targeted vulnerable children, which helped reduce oral health disparities among preschool-aged children in North Carolina.

  14. Familienfreundlichkeit im Medizinstudium in Baden-Württemberg. Ergebnisse einer landesweiten Studie [Family-friendliness in Medical Studies in Baden-Württemberg. Results of a State-wide Study

    Directory of Open Access Journals (Sweden)

    Niehues, Johanna


    Full Text Available [english] This paper describes the results of the study on “Family-friendliness of the Medical Studies in Baden-Württemberg” carried out in 2009-2011 by the working group “Family, Time policy and E-Learning” of the University Hospital of Ulm, supported by the Ministry of Science, Research and the Arts of Baden-Württemberg. This state-wide survey of the studying conditions and personal circumstances of medical students with children at the five medical schools in Baden-Württemberg aims to describe existing and necessary factors of family-friendliness. A total of 238 students with children participated in the quantitative online survey conducted during the summer semester 2010 which was based on topics from previous qualitative interviews with student parents.The data shows that even though founding a family while at university is usually planned, student parents are faced with significant compatibility issues, demonstrating the need for additional measures to individualise course organisation and to make the curriculum more flexible. At the same time, the need to significantly increase information and advisory services alongside the establishment of additional support services for student parents is discernable.The study contributes to the debate on the family-friendliness of universities and university hospitals and adds practice-oriented approaches to solutions.[german] Die vorliegende Arbeit beschreibt die Ergebnisse der im Zeitraum 2009-2011 durch die Arbeitsgruppe ‚Familie, Zeitpolitik und E-Learning’ des Universitätsklinikums Ulm durchgeführten, durch das Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberg geförderten Studie zum ‚Familienfreundlichen Studium in der Medizin in Baden-Württemberg’. Die landesweite Erhebung der Studien- und Lebensbedingungen Studierender mit Kind in der Humanmedizin an den fünf Medizinischen Fakultäten in Baden-Württemberg hat zum Ziel, bestehende und notwendige

  15. Piloting a Statewide Home Visiting Quality Improvement Learning Collaborative. (United States)

    Goyal, Neera K; Rome, Martha G; Massie, Julie A; Mangeot, Colleen; Ammerman, Robert T; Breckenridge, Jye; Lannon, Carole M


    Objective To pilot test a statewide quality improvement (QI) collaborative learning network of home visiting agencies. Methods Project timeline was June 2014-May 2015. Overall objectives of this 8-month initiative were to assess the use of collaborative QI to engage local home visiting agencies and to test the use of statewide home visiting data for QI. Outcome measures were mean time from referral to first home visit, percentage of families with at least three home visits per month, mean duration of participation, and exit rate among infants learning. A statewide data system was used to generate monthly run charts. Results Mean time from referral to first home visit was 16.7 days, and 9.4% of families received ≥3 visits per month. Mean participation was 11.7 months, and the exit rate among infants learning network, agencies tested and measured changes using statewide and internal data. Potential next steps are to develop and test new metrics with current pilot sites and a larger collaborative.

  16. Statewide mesoscopic simulation for Wyoming. (United States)


    This study developed a mesoscopic simulator which is capable of representing both city-level and statewide roadway : networks. The key feature of such models are the integration of (i) a traffic flow model which is efficient enough to : scale to larg...

  17. Race, Wealth, and Solid Waste Facilities in North Carolina


    Norton, Jennifer M.; Wing, Steve; Lipscomb, Hester J.; Kaufman, Jay S.; Marshall, Stephen W.; Cravey, Altha J.


    Background Concern has been expressed in North Carolina that solid waste facilities may be disproportionately located in poor communities and in communities of color, that this represents an environmental injustice, and that solid waste facilities negatively impact the health of host communities. Objective Our goal in this study was to conduct a statewide analysis of the location of solid waste facilities in relation to community race and wealth. Methods We used census block groups to obtain ...

  18. Current Directions in Family Nurse Practitioner Curricula. Proceedings of a National Conference of Representatives from Family Nurse Practitioner Programs (Chapel Hill, North Carolina, January 29-31, 1976) (United States)

    Pickard, C. Glenn, Jr., Ed.; Watkins, Julia D., Ed.

    The conference reported here was held for nurse faculty and physicians from twenty-five family nurse practitioner (FNP) programs based in twenty-one states to provide the participants with an opportunity to consider their common curriculum problems and successes in FNP education. The first half of this booklet contains five paper presentations…

  19. Leveraging a Statewide Clinical Data Warehouse to Expand Boundaries of the Learning Health System. (United States)

    Turley, Christine B; Obeid, Jihad; Larsen, Rick; Fryar, Katrina M; Lenert, Leslie; Bjorn, Arik; Lyons, Genevieve; Moskowitz, Jay; Sanderson, Iain


    Learning Health Systems (LHS) require accessible, usable health data and a culture of collaboration-a challenge for any single system, let alone disparate organizations, with macro- and micro-systems. Recently, the National Science Foundation described this important setting as a cyber-social ecosystem. In 2004, in an effort to create a platform for transforming health in South Carolina, Health Sciences South Carolina (HSSC) was established as a research collaboration of the largest health systems, academic medical centers and research intensive universities in South Carolina. With work beginning in 2010, HSSC unveiled an integrated Clinical Data Warehouse (CDW) in 2013 as a crucial anchor to a statewide LHS. This CDW integrates data from independent health systems in near-real time, and harmonizes the data for aggregation and use in research. With records from over 2.7 million unique patients spanning 9 years, this multi-institutional statewide clinical research repository allows integrated individualized patient-level data to be used for multiple population health and biomedical research purposes. In the first 21 months of operation, more than 2,800 de-identified queries occurred through i2b2, with 116 users. HSSC has developed and implemented solutions to complex issues emphasizing anti-competitiveness and participatory governance, and serves as a recognized model to organizations working to improve healthcare quality by extending the traditional borders of learning health systems.

  20. 45 CFR 205.38 - Federal financial participation (FFP) for establishing a statewide mechanized system. (United States)


    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Federal financial participation (FFP) for establishing a statewide mechanized system. 205.38 Section 205.38 Public Welfare Regulations Relating to Public Welfare OFFICE OF FAMILY ASSISTANCE (ASSISTANCE PROGRAMS), ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  1. Road weather information system statewide implementation plan. (United States)


    The objective of this project was to develop a plan for deploying a statewide RWIS to support both current NYSDOT operations and future MDSS applications. To develop the plan, various information and data sources were investigated, including the curr...

  2. WisDOT statewide customer satisfaction survey. (United States)


    The purpose of this study was to develop and initiate a new customer satisfaction tool that would establish a set of baseline : departmental performance measures and be sustainable for future use. ETC Institute completed a statewide customer : survey...

  3. Residential Energy Efficiency Potential: South Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, Eric J [National Renewable Energy Laboratory (NREL), Golden, CO (United States)


    Energy used by South Carolina single-family homes that can be saved through cost-effective improvements. Prepared by Eric Wilson and Noel Merket, NREL, and Erin Boyd, U.S. Department of Energy Office of Energy Policy and Systems Analysis.

  4. Residential Energy Efficiency Potential: North Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, Eric J [National Renewable Energy Laboratory (NREL), Golden, CO (United States)


    Energy used by North Carolina single-family homes that can be saved through cost-effective improvements. Prepared by Eric Wilson and Noel Merket, NREL, and Erin Boyd, U.S. Department of Energy Office of Energy Policy and Systems Analysis.

  5. Cogeneration and North Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Kohl, J. [ed.


    A separate abstract was prepared for each of 18 individual presentations. Appendices include lists of participants, speakers, and session chairmen plus California and North Carolina reports and legislation dealing with cogeneration.

  6. 2003 NCFMP Lidar: NC Statewide Phase 2 (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Airborne LIDAR terrain mapping data acquired January through March 2003. Point data (XYZ) in ASCII format. Horizontal datum NAD83(1995) North Carolina State Plane...

  7. Providing Accessible Statewide Inservice Training for Practicing Professionals and Paraprofessionals Working with Infants, Toddlers, and Preschoolers Who Are Deaf or Hard of Hearing and Their Families. SKI-HI Distance Education Project, Final Report. (United States)

    Barringer, Donald; Glover, Barbara; Parlin, Mary Ann; Johnson, Dorothy

    This final report discusses the outcomes of a project that developed, demonstrated, evaluated, and disseminated information about a specialized inservice training model to prepare early interventionists, special education teachers, and related service personnel to provide family-centered programming to infants, toddlers, and preschoolers who are…

  8. Library Programs in North Carolina (United States)

    Town of Chapel Hill, North Carolina — Count of programs offered and program attendance numbers at public libraries in North CarolinaData is from the 2014-15 NC Statistical Report of NC Public Libraries:...

  9. Preventing Childhood Obesity: Policy and Practice Strategies for North Carolina (United States)

    Owen, Jenni, Ed.; Rosch, Joel, Ed.; Smith, Shannon, Ed.


    North Carolina Family Impact Seminars (NCFIS) include annual seminars, briefing reports and follow-up activities designed specifically for state policymakers, including legislators and legislative staff, the governor and executive branch staff, and state agency representatives. The Center for Child and Family Policy at Duke University convenes the…

  10. U.S. Geological Survey; North Carolina's water resources; a partnership with State, Federal and local agencies (United States)

    Winner, M.D.


    For more than 80 years, the Federal-State Cooperative Program in North Carolina has been an effective partnership that provides timely water information for all levels of government. The cooperative program has raised awareness of State and local water problems and issues and has enhanced transfer and exchange of scientific information. The U.S. Geological Survey (USGS) conducts statewide water-resources investigations in North Carolina that include hydrologic data collection, applied research studies, and other interpretive studies. These programs are funded through cooperative agreements with the North Carolina Departments of Environment, Health, and Natural Resources; Human Resources; and Transportation, as well as more than a dozen city and county governmental agencies. The USGS also conducts special studies and data-collection programs for Federal agencies, including the Department of Defense, the U.S. Soil Conservation Service, the Tennessee Valley Authority, and the U.S. Environmental Protection Agency that contribute to North Carolina's water information data base. Highlights of selected programs are presented to show the scope of USGS activities in North Carolina and their usefulness in addressing water-resource problems. The reviewed programs include the statewide data-collection program, estuarine studies, the National Water-Quality Assessment program, military installation restoration program, and groundwater flow model-development program in the Coastal Plain and Piedmont provinces.

  11. Domestic Violence Training Experiences and Needs Among Mental Health Professionals: Implications From a Statewide Survey. (United States)

    Murray, Christine E; Davis, Justin; Rudolph, Lin; Graves, Kelly N; Colbert, Robin; Fryer, Maria; Mason, Anita; Thigpen, Bernetta

    There is growing recognition of the interconnections between domestic violence and mental health, especially related to mental health concerns among those who have experienced domestic violence victimization. Despite high rates of mental health concerns among victims and survivors, many mental health professionals lack sufficient training to understand and address domestic violence in their clinical work. The North Carolina Governor's Crime Commission convened a task force to examine training experiences and needs among mental health professionals in the state. A statewide survey revealed that mental health professionals vary in their levels of training to address domestic violence. A key finding was that mental health professionals who had received any training in domestic violence reported engaging in more comprehensive assessment and intervention practices. Implications for future research, practice, and policy are discussed.

  12. Carolinas Communication Annual, 1998. (United States)

    McLennan, David B.


    This 1998 issue of "Carolinas Communication Annual" contains the following articles: "Give Me That Old Time Religion?: A Study of Religious Themes in the Rhetoric of the Ku Klux Klan" (John S. Seiter); "The Three Stooges versus the Third Reich" (Roy Schwartzman); "Interdisciplinary Team Teaching: Implementing…

  13. California statewide model for high-speed rail


    Outwater, Maren; Tierney, Kevin; Bradley, Mark; Sall, Elizabeth; Kuppam, Arun; Modugala, Vamsee


    The California High Speed Rail Authority (CHSRA) and the Metropolitan Transportation Commission (MTC) have developed a new statewide model to support evaluation of high-speed rail alternatives in the State of California. This statewide model will also support future planning activities of the California Department of Transportation (Caltrans). The approach to this statewide model explicitly recognizes the unique characteristics of intraregional travel demand and interregional travel demand. A...

  14. Barriers, facilitators, and potential strategies for increasing HPV vaccination: A statewide assessment to inform action. (United States)

    Cartmell, Kathleen B; Young-Pierce, Jennifer; McGue, Shannon; Alberg, Anthony J; Luque, John S; Zubizarreta, Maria; Brandt, Heather M


    The objective was to investigate how state level strategies in South Carolina could maximize HPV vaccine uptake. An environmental scan identified barriers, facilitators, and strategies for improving HPV vaccination in South Carolina. Interviews were conducted with state leaders from relevant organizations such as public health agencies, medical associations, K-12 schools, universities, insurers, and cancer advocacy organizations. A thematic content analysis design was used. Digital interview files were transcribed, a data dictionary was created and data were coded using the data dictionary. Thirty four interviews were conducted with state leaders. Barriers to HPV vaccination included lack of HPV awareness, lack of provider recommendation, HPV vaccine concerns, lack of access and practice-level barriers. Facilitators included momentum for improving HPV vaccination, school-entry Tdap requirement, pharmacy-based HPV vaccination, state immunization registry, HEDIS measures and HPV vaccine funding. Strategies for improving HPV vaccination fell into three categories: 1) addressing lack of awareness about the importance of HPV vaccination among the public and providers; 2) advocating for policy changes around HPV vaccine coverage, vaccine education, and pharmacy-based vaccination; and 3) coordination of efforts. A statewide environmental scan generated a blueprint for action to be used to improve HPV vaccination in the state. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  15. Low-flow characteristics of streams in South Carolina (United States)

    Feaster, Toby D.; Guimaraes, Wladmir B.


    An ongoing understanding of streamflow characteristics of the rivers and streams in South Carolina is important for the protection and preservation of the State’s water resources. Information concerning the low-flow characteristics of streams is especially important during critical flow periods, such as during the historic droughts that South Carolina has experienced in the past few decades.Between 2008 and 2016, the U.S. Geological Survey, in cooperation with the South Carolina Department of Health and Environmental Control, updated low-flow statistics at 106 continuous-record streamgages operated by the U.S. Geological Survey for the eight major river basins in South Carolina. The low-flow frequency statistics included the annual minimum 1-, 3-, 7-, 14-, 30-, 60-, and 90-day mean flows with recurrence intervals of 2, 5, 10, 20, 30, and 50 years, depending on the length of record available at the streamflow-gaging station. Computations of daily mean flow durations for the 5-, 10-, 25-, 50-, 75-, 90-, and 95-percent probability of exceedance also were included.This report summarizes the findings from publications generated during the 2008 to 2016 investigations. Trend analyses for the annual minimum 7-day average flows are provided as well as trend assessments of long-term annual precipitation data. Statewide variability in the annual minimum 7-day average flow is assessed at eight long-term (record lengths from 55 to 78 years) streamgages. If previous low-flow statistics were available, comparisons with the updated annual minimum 7-day average flow, having a 10-year recurrence interval, were made. In addition, methods for estimating low-flow statistics at ungaged locations near a gaged location are described.

  16. Water Quality Stressor Information from Clean Water Act Statewide Statistical Surveys (United States)

    U.S. Environmental Protection Agency — Stressors assessed by statewide statistical surveys and their state and national attainment categories. Statewide statistical surveys are water quality assessments...

  17. Water Quality attainment Information from Clean Water Act Statewide Statistical Surveys (United States)

    U.S. Environmental Protection Agency — Designated uses assessed by statewide statistical surveys and their state and national attainment categories. Statewide statistical surveys are water quality...

  18. 49 CFR 613.200 - Statewide transportation planning and programming. (United States)


    ... 49 Transportation 7 2010-10-01 2010-10-01 false Statewide transportation planning and programming. 613.200 Section 613.200 Transportation Other Regulations Relating to Transportation (Continued... Transportation Planning and Programming § 613.200 Statewide transportation planning and programming. The...

  19. A Foundation of Energy Efficiency in South Carolina: Weatherization Assistance Close-Up Fact Sheet

    Energy Technology Data Exchange (ETDEWEB)

    D& R International


    South Carolina demonstrates its commitment to technology and efficiency through the Weatherization Program. Weatherization uses advanced technologies and techniques to reduce energy costs for low-income families by increasing the energy efficiency of their homes.

  20. SMART Plan. Statewide Management of Automated Record Transfer: A Plan To Automate and Transfer Student Records Statewide. (United States)

    Nevada State Dept. of Education, Carson City. Planning, Research and Evaluation Branch.

    As of 1993, Nevada had no systems for statewide automation and transfer of student records. This guide book presents findings of a collaborative study, conducted by the Nevada Department of Education and local school districts, that explored the need for and feasibility of developing a statewide system for automating and transferring student…

  1. Forests of North Carolina, 2013 (United States)

    Mark J. Brown


    This periodic resource update provides an overview of forest resources in North Carolina based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station in cooperation with the North Carolina Forest Service. Data estimates are based on field data collected using the FIA annualized sample design...

  2. Forests of North Carolina, 2014 (United States)

    Mark Brown; Samuel Lambert


    This periodic resource update provides an overview of forest resources in North Carolina based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station in cooperation with the North Carolina Forest Service. Data estimates are based on field data collected using the FIA annualized sample design...

  3. Building Statewide Infrastructure for the Academic Support of Students With Mild Traumatic Brain Injury. (United States)

    Gioia, Gerard A; Glang, Ann E; Hooper, Stephen R; Brown, Brenda Eagan

    To focus attention on building statewide capacity to support students with mild traumatic brain injury (mTBI)/concussion. Consensus-building process with a multidisciplinary group of clinicians, researchers, policy makers, and state Department of Education personnel. The white paper presents the group's consensus on the essential components of a statewide educational infrastructure to support the management of students with mTBI. The nature and recovery process of mTBI are briefly described specifically with respect to its effects on school learning and performance. State and local policy considerations are then emphasized to promote implementation of a consistent process. Five key components to building a statewide infrastructure for students with mTBI are described including (1) definition and training of the interdisciplinary school team, (2) professional development of the school and medical communities, (3) identification, assessment, and progress monitoring protocols, (4) a flexible set of intervention strategies to accommodate students' recovery needs, and (5) systematized protocols for active communication among medical, school, and family team members. The need for a research to guide effective program implementation is stressed. This guiding framework strives to assist the development of support structures for recovering students with mTBI to optimize academic outcomes. Until more evidence is available on academic accommodations and other school-based supports, educational systems should follow current best practice guidelines.

  4. Race, wealth, and solid waste facilities in North Carolina. (United States)

    Norton, Jennifer M; Wing, Steve; Lipscomb, Hester J; Kaufman, Jay S; Marshall, Stephen W; Cravey, Altha J


    Concern has been expressed in North Carolina that solid waste facilities may be disproportionately located in poor communities and in communities of color, that this represents an environmental injustice, and that solid waste facilities negatively impact the health of host communities. Our goal in this study was to conduct a statewide analysis of the location of solid waste facilities in relation to community race and wealth. We used census block groups to obtain racial and economic characteristics, and information on solid waste facilities was abstracted from solid waste facility permit records. We used logistic regression to compute prevalence odds ratios for 2003, and Cox regression to compute hazard ratios of facilities issued permits between 1990 and 2003. The adjusted prevalence odds of a solid waste facility was 2.8 times greater in block groups with > or = 50% people of color compared with block groups with or = 100,000 dollars. Among block groups that did not have a previously permitted solid waste facility, the adjusted hazard of a new permitted facility was 2.7 times higher in block groups with > or = 50% people of color compared with block groups with waste facilities present numerous public health concerns. In North Carolina solid waste facilities are disproportionately located in communities of color and low wealth. In the absence of action to promote environmental justice, the continued need for new facilities could exacerbate this environmental injustice.

  5. Carolinas Energy Career Center

    Energy Technology Data Exchange (ETDEWEB)

    Classens, Anver; Hooper, Dick; Johnson, Bruce


    Central Piedmont Community College (CPCC), located in Charlotte, North Carolina, established the Carolinas Energy Career Center (Center) - a comprehensive training entity to meet the dynamic needs of the Charlotte region's energy workforce. The Center provides training for high-demand careers in both conventional energy (fossil) and renewable energy (nuclear and solar technologies/energy efficiency). CPCC completed four tasks that will position the Center as a leading resource for energy career training in the Southeast: • Development and Pilot of a New Advanced Welding Curriculum, • Program Enhancement of Non-Destructive Examination (NDE) Technology, • Student Support through implementation of a model targeted toward Energy and STEM Careers to support student learning, • Project Management and Reporting. As a result of DOE funding support, CPCC achieved the following outcomes: • Increased capacity to serve and train students in emerging energy industry careers; • Developed new courses and curricula to support emerging energy industry careers; • Established new training/laboratory resources; • Generated a pool of highly qualified, technically skilled workers to support the growing energy industry sector.

  6. A geochemical atlas of North Carolina, USA (United States)

    Reid, J.C.


    A geochemical atlas of North Carolina, U.S.A., was prepared using National Uranium Resource Evaluation (NURE) stream-sediment data. Before termination of the NURE program, sampling of nearly the entire state (48,666 square miles of land area) was completed and geochemical analyses were obtained. The NURE data are applicable to mineral exploration, agriculture, waste disposal siting issues, health, and environmental studies. Applications in state government include resource surveys to assist mineral exploration by identifying geochemical anomalies and areas of mineralization. Agriculture seeks to identify areas with favorable (or unfavorable) conditions for plant growth, disease, and crop productivity. Trace elements such as cobalt, copper, chromium, iron, manganese, zinc, and molybdenum must be present within narrow ranges in soils for optimum growth and productivity. Trace elements as a contributing factor to disease are of concern to health professionals. Industry can use pH and conductivity data for water samples to site facilities which require specific water quality. The North Carolina NURE database consists of stream-sediment samples, groundwater samples, and stream-water analyses. The statewide database consists of 6,744 stream-sediment sites, 5,778 groundwater sample sites, and 295 stream-water sites. Neutron activation analyses were provided for U, Br, Cl, F, Mn, Na, Al, V, Dy in groundwater and stream water, and for U, Th, Hf, Ce, Fe, Mn, Na, Sc, Ti, V, Al, Dy, Eu, La, Sm, Yb, and Lu in stream sediments. Supplemental analyses by other techniques were reported on U (extractable), Ag, As, Ba, Be, Ca, Co, Cr, Cu, K, Li, Mg, Mo, Nb, Ni, P, Pb, Se, Sn, Sr, W, Y, and Zn for 4,619 stream-sediment samples. A small subset of 334 stream samples was analyzed for gold. The goal of the atlas was to make available the statewide NURE data with minimal interpretation to enable prospective users to modify and manipulate the data for their end use. The atlas provides only

  7. Nebraska Statewide Wind Integration Study: April 2008 - January 2010

    Energy Technology Data Exchange (ETDEWEB)

    EnerNex Corporation, Knoxville, Tennessee; Ventyx, Atlanta, Georgia; Nebraska Power Association, Lincoln, Nebraska


    Wind generation resources in Nebraska will play an increasingly important role in the environmental and energy security solutions for the state and the nation. In this context, the Nebraska Power Association conducted a state-wide wind integration study.

  8. Statewide Transportation Engineering Warehouse for Archived Regional Data (STEWARD). (United States)


    This report documents Phase III of the development and operation of a prototype for the Statewide Transportation : Engineering Warehouse for Archived Regional Data (STEWARD). It reflects the progress on the development and : operation of STEWARD sinc...

  9. WisDOT statewide customer satisfaction survey : [project brief]. (United States)


    The Wisconsin Department of Transportation (WisDOT) is a major public agency with numerous customers utilizing a variety of services and programs to support the entire statewide multimodal transportation system. The department also houses the Divisio...

  10. Data integration for statewide transportation planning : final report (United States)


    The goal of this study was to investigate the data availability, accessibility, and interoperability issues arisen from the statewide : transportation planning activities undertaken at WisDOT and to identify possible approaches for addressing these i...

  11. Statewide Groundwater Recharge Modeling in New Mexico (United States)

    Xu, F.; Cadol, D.; Newton, B. T.; Phillips, F. M.


    It is crucial to understand the rate and distribution of groundwater recharge in New Mexico because it not only largely defines a limit for water availability in this semi-arid state, but also is the least understood aspect of the state's water budget. With the goal of estimating groundwater recharge statewide, we are developing the Evapotranspiration and Recharge Model (ETRM), which uses existing spatial datasets to model the daily soil water balance over the state at a resolution of 250 m cell. The input datasets includes PRISM precipitation data, MODIS Normalized Difference Vegetation Index (NDVI), NRCS soils data, state geology data and reference ET estimates produced by Gridded Atmospheric Data downscalinG and Evapotranspiration Tools (GADGET). The current estimated recharge presents diffuse recharge only, not focused recharge as in channels or playas. Direct recharge measurements are challenging and rare, therefore we estimate diffuse recharge using a water balance approach. The ETRM simulated runoff amount was compared with USGS gauged discharge in four selected ephemeral channels: Mogollon Creek, Zuni River, the Rio Puerco above Bernardo, and the Rio Puerco above Arroyo Chico. Result showed that focused recharge is important, and basin characteristics can be linked with watershed hydrological response. As the sparse instruments in NM provide limited help in improving estimation of focused recharge by linking basin characteristics, the Walnut Gulch Experimental Watershed, which is one of the most densely gauged and monitored semiarid rangeland watershed for hydrology research purpose, is now being modeled with ETRM. Higher spatial resolution of field data is expected to enable detailed comparison of model recharge results with measured transmission losses in ephemeral channels. The final ETRM product will establish an algorithm to estimate the groundwater recharge as a water budget component of the entire state of New Mexico. Reference ET estimated by GADGET

  12. Private provider participation in statewide immunization registries

    Directory of Open Access Journals (Sweden)

    Cowan Anne E


    Full Text Available Abstract Background Population-based registries have been promoted as an effective method to improve childhood immunization rates, yet rates of registry participation in the private sector are low. We sought to describe, through a national overview, the perspectives of childhood immunization providers in private practice regarding factors associated with participation or non-participation in immunization registries. Methods Two mailed surveys, one for 264 private practices identified as registry non-participants and the other for 971 identified as registry participants, from 15 of the 31 states with population-based statewide immunization registries. Frequency distributions were calculated separately for non-participants and participants regarding the physician-reported factors that influenced decisions related to registry participation. Pearson chi-square tests of independence were used to assess associations among categorical variables. Results Overall response rate was 62% (N = 756. Among non-participants, easy access to records of vaccines provided at other sites (N = 101, 68% and printable immunization records (N = 82, 55% were most often cited as "very important" potential benefits of a registry, while the most commonly cited barriers to participation were too much cost/staff time (N = 36, 38% and that the practice has its own system for recording and monitoring immunizations (N = 35, 37%. Among registry participants, most reported using the registry to input data on vaccines administered (N = 326, 87% and to review immunization records of individual patients (N = 302, 81%. A minority reported using it to assess their practice's immunization coverage (N = 110, 29% or generate reminder/recall notices (N = 54, 14%. Few participants reported experiencing "significant" problems with the registry; the most often cited was cost/staff time to use the registry (N = 71, 20%. Conclusion Most registry participants report active participation with few

  13. Trends in statewide long-range transportation plans : core and emerging topics in 2017 (United States)


    This report synthesizes key findings and trends from the 2017 Statewide Long-Range Transportation Plan (SLRTP) Database, which represents key observations identified through a review of all 52 SLRTPs and Statewide Transportation Improvement Programs ...

  14. 23 CFR 450.222 - Applicability of NEPA to statewide transportation plans and programs. (United States)


    ... the Secretary concerning a long-range statewide transportation plan or STIP developed through the... 23 Highways 1 2010-04-01 2010-04-01 false Applicability of NEPA to statewide transportation plans... TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Statewide Transportation Planning and...

  15. Infrastructure for large-scale quality-improvement projects: early lessons from North Carolina Improving Performance in Practice. (United States)

    Newton, Warren P; Lefebvre, Ann; Donahue, Katrina E; Bacon, Thomas; Dobson, Allen


    Little is known regarding how to accomplish large-scale health care improvement. Our goal is to improve the quality of chronic disease care in all primary care practices throughout North Carolina. Methods for improvement include (1) common quality measures and shared data system; (2) rapid cycle improvement principles; (3) quality-improvement consultants (QICs), or practice facilitators; (4) learning networks; and (5) alignment of incentives. We emphasized a community-based strategy and developing a statewide infrastructure. Results are reported from the first 2 years of the North Carolina Improving Performance in Practice (IPIP) project. A coalition was formed to include professional societies, North Carolina AHEC, Community Care of North Carolina, insurers, and other organizations. Wave One started with 18 practices in 2 of 9 regions of the state. Quality-improvement consultants recruited practices. Over 80 percent of practices attended all quarterly regional meetings. In 9 months, almost all diabetes measures improved, and a bundled asthma measure improved from 33 to 58 percent. Overall, the magnitude of improvement was clinically and statistically significant (P = .001). Quality improvements were maintained on review 1 year later. Wave Two has spread to 103 practices in all 9 regions of the state, with 42 additional practices beginning the enrollment process. Large-scale health care quality improvement is feasible, when broadly supported by statewide leadership and community infrastructure. Practice-collected data and lack of a control group are limitations of the study design. Future priorities include maintaining improved sustainability for practices and communities. Our long-term goal is to transform all 2000 primary-care practices in our state.

  16. Statewide ITS earmark evaluation, Part B : executive summary (United States)


    As the recipient of ITS Integration Program funds, WisDOT is required to perform a self-evaluation on each program supported : by the funds. The report includes the results of that evaluation for five projects. Specific projects include: 1) Statewide...

  17. A guide for statewide impaired-driving task forces. (United States)


    The purpose of the guide is to assist State officials and other stakeholders who are interested in establishing an : Impaired-Driving Statewide Task Force or who are exploring ways to improve their current Task Force. The guide : addresses issues suc...

  18. Alternatives to estimate statewide changes in aspen cover type volumes (United States)

    Curtis L. VanderSchaaf


    For Minnesota, the only data available to conduct regional or state-wide level assessments across all ownerships is the Forest Inventory and Analysis Program (FIA). Some of the many alternatives available to estimate regional changes in standing volume are referred to here as 1.) FIA alternative, 2.) a commonly applied growth and yield system referred to as Walters and...

  19. The Issue of Community College Transfers: Peralta and Statewide. (United States)

    Peralta Community Coll. District, Oakland, CA. Office of Research, Planning and Development.

    The transfer rates of students in the Peralta Community College District (PCCD) are examined in the context of statewide and local transfer and enrollment rates. After introductory material citing the low transfer rate of California community college (CCC) students to California State Univeristy or University of California Schools (i.e., 2.6% of…

  20. California Statewide Plug-In Electric Vehicle Infrastructure Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Melaina, Marc; Helwig, Michael


    The California Statewide Plug-In Electric Vehicle Infrastructure Assessment conveys to interested parties the Energy Commission’s conclusions, recommendations, and intentions with respect to plug-in electric vehicle (PEV) infrastructure development. There are several relatively low-risk and high-priority electric vehicle supply equipment (EVSE) deployment options that will encourage PEV sales and

  1. The Association Between Gun Ownership and Statewide Overall Suicide Rates. (United States)

    Anestis, Michael D; Houtsma, Claire


    An extensive body of research has demonstrated an association between gun ownership and suicide that extends beyond the effects of a range of covariates. We aimed to expand on extant research by examining the extent to which gun ownership predicts statewide overall suicide rates beyond the effects of demographic, geographic, religious, psychopathological, and suicide-related variables. By extending the list of covariates utilized, considering those covariates simultaneously, and using more recent data, we sought to present a more stringent test. Gun ownership predicted statewide overall suicide rates, with the full model accounting for more than 92% of the variance in statewide suicide rates. The correlation between firearm suicide rates and the overall suicide rate was significantly stronger than the correlation between nonfirearm suicide rates and the overall suicide rate. These findings support the notion that access to and familiarity with firearms serves as a robust risk factor for suicide. Therefore, means safety efforts aimed at reducing accessibility and increasing safe storage of firearms would likely have a dramatic impact on statewide overall suicide rates. © 2017 The American Association of Suicidology.

  2. A Statewide Study of Gang Membership in California Secondary Schools (United States)

    Estrada, Joey Nuñez, Jr.; Gilreath, Tamika D.; Astor, Ron Avi; Benbenishty, Rami


    To date, there is a paucity of empirical evidence that examines gang membership in schools. Using statewide data of 7th-, 9th-, and 11th-grade students from California, this study focuses on the prevalence of gang membership by county, region, ethnicity, and grade level. Bivariate and multivariate logistic regression analyses were employed with…

  3. Reducing the Impact of Immigration Enforcement Policies to Ensure the Health of North Carolinians: Statewide Community-Level Recommendations. (United States)

    Mann, Lilli; Simán, Florence M; Downs, Mario; Sun, Christina J; de Hernandez, Brisa Urquieta; García, Manuel; Alonzo, Jorge; Lawlor, Emma; Rhodes, Scott D


    Research indicates that fear of immigration enforcement among Latinos in North Carolina results in limited access to and utilization of health services and negative health consequences. This project developed recommendations to mitigate the public health impact of immigration enforcement policies in North Carolina. Our community-based participatory research partnership conducted 6 Spanish-language report-backs (an approach to sharing, validating, and interpreting data) and 3 bilingual forums with community members and public health leaders throughout North Carolina. The goals of these events were to discuss the impact of immigration enforcement on Latino health and develop recommendations to increase health services access and utilization. Findings from the report-backs and forums were analyzed using grounded theory to identify and refine common recommendations. A total of 344 people participated in the report-backs and forums. Eight recommendations emerged: increase knowledge among Latinos about local health services; build capacity to promote policy changes; implement system-level changes among organizations providing health services; train lay health advisors to help community members navigate systems; share Latinos' experiences with policy makers; reduce transportation barriers; increase schools' support of Latino families; and increase collaboration among community members, organizations, health care providers, and academic researchers. Representatives from 16 of 100 North Carolina counties participated. These 16 counties represent geographically diverse regions, and many of these counties have large Latino populations. Immigration enforcement is a public health issue. Participants proposed developing new partnerships, identifying strategies, and implementing action steps for carrying out recommendations to reduce negative health outcomes among Latinos in North Carolina. ©2016 by the North Carolina Institute of Medicine and The Duke Endowment. All rights

  4. HIV community viral load trends in South Carolina. (United States)

    Chakraborty, Hrishikesh; Weissman, Sharon; Duffus, Wayne A; Hossain, Akhtar; Varma Samantapudi, Ashok; Iyer, Medha; Albrecht, Helmut


    Community viral load is an aggregate measure of HIV viral load in a particular geographic location, community, or subgroup. Community viral load provides a measure of disease burden in a community and community transmission risk. This study aims to examine community viral load trend in South Carolina and identify differences in community viral load trends between selected population subgroups using a state-wide surveillance dataset that maintains electronic records of all HIV viral load measurements reported to the state health department. Community viral load trends were examined using random mixed effects models, adjusting for age, race, gender, residence, CD4 counts, HIV risk group, and initial antiretroviral regimen during the study period, and time. The community viral load gradually decreased from 2004 to 2013 ( p HIV risk group, and single-tablet regimen versus multiple-tablet regimen subgroups. Slower declines in community viral load among females, those in rural areas, and heterosexuals suggest possible disparities in care that require further exploration. The association between using single-tablet regimen and faster community viral load decline is noteworthy.

  5. Cardiovascular Health of North Carolina Undergraduates. (United States)

    Lai, Hsiao L; Ward, Rachel; Bolin, Paul


    Cardiovascular disease is highly prevalent in Eastern North Carolina (ENC). In this study, we investigated cardiometabolic risk in young adults of ENC by sampling entrant undergraduates at East Carolina University (ECU). From June to October of 2010, 525 undergraduates were screened for elevated body mass index (BMI), blood pressure, lipids, blood glucose, inactivity, smoking, history of diabetes or hypertension, and family history of coronary disease. Participants were classified as high-risk if they had 3 or more cardiovascular risk factors or as "MetS" if they satisfied the criteria for metabolic syndrome. Forty-four percent of those screened had 2 or more risk factors, 12.5% had 3 or more risk factors, and 1.3% met criteria for MetS. Low levels of high-density lipoprotein (27.6%), overweight status (27.2%), and inactivity (27.1%) were leading risks. Females had an increased risk of inactivity compared to males (relative risk [RR] = 1.81; 95% CI, 1.3-2.52). Blacks had a 4-fold higher risk of metabolic syndrome (RR = 4.21; 95% Cl, 1.0-18.4), and black females had a high risk for obesity (RR = 5.7; 95% CI, 2.5-13) and systolic blood pressure elevation (RR = 4.8; 95% Cl, 1.5-15). Students recognized cardiovascular disease as a valid risk to their well-being. ECU undergraduates have a high prevalence of multiple cardiovascular risk factors. High-risk and MetS students recognize cardiovascular disease as a significant health risk, but they mistakenly maintain the self-perception that they are healthy. Efforts to understand risk perception and personal strategies of risk application are needed for this population of young adults.

  6. HPV vaccine hesitancy: findings from a statewide survey of health care providers. (United States)

    McRee, Annie-Laurie; Gilkey, Melissa B; Dempsey, Amanda F


    Health care provider recommendations are critical for human papillomavirus (HPV) vaccine uptake. We sought to describe providers' HPV vaccine recommendation practices and explore their perceptions of parental hesitancy. A statewide sample (n = 575) of Minnesota health care providers (20% pediatricians, 47% family medicine physicians, and 33% nurse practitioners) completed our online survey in April 2013. Only 76% of health care providers reported routinely recommending HPV vaccine for girls ages 11 to 12 years, and far fewer (46%) did so for boys (p parents' concerns (74%), but many lacked time to probe reasons (47%) or believed that they could not change parents' minds (55%). Higher levels of self-efficacy and outcome expectations were associated with routine recommendations (p HPV vaccine. Improving providers' self-efficacy to address hesitancy may be important for improving vaccination rates. Copyright © 2014 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

  7. Nursing advocacy in North Carolina. (United States)

    Gosselin-Acomb, Tracy K; Schneider, Susan M; Clough, Robert W; Veenstra, Brittney A


    To identify the ways oncology nurses in one state advocate for patients, as well as the resources they use to do so. Descriptive, cross-sectional survey. North Carolina. 141 RNs in North Carolina who were members of the Oncology Nursing Society (ONS). Subjects completed a two-page, self-administered questionnaire comprised of fixed-choice and open-ended questions. Demographics, frequency of advocating for patient services, and awareness of ONS resources. Nurses in North Carolina advocate for patients in a variety of ways. A need exists to develop ongoing methods to keep nurses up to date on advocacy issues, as well as to establish mentoring opportunities for them. Nurses believe that they are most challenged in addressing patients' financial and insurance concerns. Oncology nurses frequently advocate for patients' needs. The findings provide direction for future initiatives to educate nurses about their role in patient advocacy and available resources. Ongoing education and research are needed to enhance the role of oncology nurses as patient advocates.

  8. Generation of Statewide DEMs and Orthoimages – Guidelines and Methodology

    Directory of Open Access Journals (Sweden)

    Giribabu Dandabathula


    Full Text Available Cartosat-1 is a global, high resolution stereographic imaging mission to support enhanced applications in several areas of terrain mapping, natural resources management, disaster management, infrastructure and development planning. A collaborative project of generating statewide Digital Elevation Model (DEMs and mosaic of Ortho-image for all the states and union territories in India has completed under the project namely Space based Information Support for Decentralized Planning (SIS-DP using Photogrammetric techniques with Cartosat-1 stereo data.  Approximately 11000 stereo pairs of Cartosat-1 data were used in this process. Photogrammetric blocks for each state were processed using existing reference tiles and accordingly ortho-images were generated. The paper outlines the methodology for generating state-wide Digital Elevation Models (DEMs and ortho-images. The guidelines that govern the quality of the output were discussed. Dissemination mechanism via public accessible web platform was described.

  9. Seasonal and annual precipitation time series trend analysis in North Carolina, United States (United States)

    Sayemuzzaman, Mohammad; Jha, Manoj K.


    The present study performs the spatial and temporal trend analysis of the annual and seasonal time-series of a set of uniformly distributed 249 stations precipitation data across the state of North Carolina, United States over the period of 1950-2009. The Mann-Kendall (MK) test, the Theil-Sen approach (TSA) and the Sequential Mann-Kendall (SQMK) test were applied to quantify the significance of trend, magnitude of trend, and the trend shift, respectively. Regional (mountain, piedmont and coastal) precipitation trends were also analyzed using the above-mentioned tests. Prior to the application of statistical tests, the pre-whitening technique was used to eliminate the effect of autocorrelation of precipitation data series. The application of the above-mentioned procedures has shown very notable statewide increasing trend for winter and decreasing trend for fall precipitation. Statewide mixed (increasing/decreasing) trend has been detected in annual, spring, and summer precipitation time series. Significant trends (confidence level ≥ 95%) were detected only in 8, 7, 4 and 10 nos. of stations (out of 249 stations) in winter, spring, summer, and fall, respectively. Magnitude of the highest increasing (decreasing) precipitation trend was found about 4 mm/season (- 4.50 mm/season) in fall (summer) season. Annual precipitation trend magnitude varied between - 5.50 mm/year and 9 mm/year. Regional trend analysis found increasing precipitation in mountain and coastal regions in general except during the winter. Piedmont region was found to have increasing trends in summer and fall, but decreasing trend in winter, spring and on an annual basis. The SQMK test on "trend shift analysis" identified a significant shift during 1960 - 70 in most parts of the state. Finally, the comparison between winter (summer) precipitations with the North Atlantic Oscillation (Southern Oscillation) indices concluded that the variability and trend of precipitation can be explained by the

  10. Handgun Legislation and Changes in Statewide Overall Suicide Rates. (United States)

    Anestis, Michael D; Anestis, Joye C; Butterworth, Sarah E


    To examine the extent to which 4 laws regulating handgun ownership were associated with statewide suicide rate changes. To test between-group differences in statewide suicide rate changes between 2013 and 2014 in all 50 states and the District of Columbia with and without specific laws, we ran analyses of covariance. We found significant differences in suicide rate changes from 2013 to 2014 in states with mandatory waiting periods and universal background checks relative to states without such laws. States with both laws differed significantly from those with neither. No significant differences in rate changes were noted for open carry restrictions or gun lock requirements. Some state laws regulating aspects of handgun acquisition may be associated with lower statewide suicide rates. Laws regulating handgun storage and carrying practices may have a smaller effect, highlighting that legislation is likely most useful when its focus is on preventing gun ownership rather than regulating use and storage of guns already acquired. Public Health Implications. The findings add to the increasing evidence in support of a public health approach to the prevention of suicide via firearms, focusing on waiting periods and background checks.

  11. Motorcycle crash-related emergency department visits and hospitalizations for traumatic brain injury in North Carolina. (United States)

    Harmon, Katherine J; Marshall, Stephen W; Proescholdbell, Scott K; Naumann, Rebecca B; Waller, Anna E


    To examine statewide emergency department (ED) visit data for motorcycle crash morbidity and healthcare utilization due to traumatic brain injuries (TBIs) and non-TBIs. North Carolina ED data (2010-2012) and hospital discharge data (2009-2011). Statewide ED visits and hospitalizations due to injuries from traffic-related motorcycle crashes stratified by TBI status. Descriptive study. Descriptive statistics include age, sex, mode of transport, disposition, expected source of payment, hospital length of stay, and hospital charges. Over the study period, there were 18 780 ED visits and 3737 hospitalizations due to motorcycle crashes. Twelve percent of ED visits for motorcycle crashes and 26% of hospitalizations for motorcycle crashes had a diagnosis of TBI. Motorcycle crash-related hospitalizations with a TBI diagnosis had median hospital charges that were nearly $9000 greater than hospitalizations without a TBI diagnosis. Emergency department visits and hospitalizations due to motorcycle crashes with a TBI diagnosis consumed more healthcare resources than motorcycle crash-related ED visits and hospitalizations without a TBI diagnosis. Increased awareness of motorcyclists by other road users and increased use of motorcycle helmets are 2 strategies to mitigate the incidence and severity of motorcycle crash injuries, including TBIs.

  12. Public School Choice and Integration: Evidence from Durham, North Carolina. Working Paper 14 (United States)

    Bifulco, Robert; Ladd, Helen F.; Ross, Stephen


    Using evidence from Durham, North Carolina, we examine the impact of school choice programs on racial and class-based segregation across schools. Theoretical considerations suggest that how choice programs affect segregation will depend not only on the family preferences emphasized in the sociology literature but also on the linkages between…

  13. North Carolina Macular Dystrophy Is Caused by Dysregulation of the Retinal Transcription Factor PRDM13

    DEFF Research Database (Denmark)

    Small, Kent W; DeLuca, Adam P; Whitmore, S Scott


    PURPOSE: To identify specific mutations causing North Carolina macular dystrophy (NCMD). DESIGN: Whole-genome sequencing coupled with reverse transcription polymerase chain reaction (RT-PCR) analysis of gene expression in human retinal cells. PARTICIPANTS: A total of 141 members of 12 families...

  14. A geographic information system analysis of the impact of a statewide acute stroke emergency medical services routing protocol on community hospital bypass. (United States)

    Asimos, Andrew W; Ward, Shana; Brice, Jane H; Enright, Dianne; Rosamond, Wayne D; Goldstein, Larry B; Studnek, Jonathan


    Our goal was to determine if a statewide Emergency Medical Services (EMSs) Stroke Triage and Destination Plan (STDP), specifying bypass of hospitals unable to routinely treat stroke patients with thrombolytics (community hospitals), changed bypass frequency of those hospitals. Using a statewide EMS database, we identified stroke patients eligible for community hospital bypass and compared bypass frequency 1-year before and after STDP implementation. Symptom onset time was missing for 48% of pre-STDP (n = 2385) and 29% of post-STDP (n = 1612) cases. Of the remaining cases with geocodable scene addresses, 58% (1301) in the pre-STDP group and 61% (2,078) in the post-STDP group were ineligible for bypass, because a community hospital was not the closest hospital to the stroke event location. Because of missing data records for some EMS agencies in 1 or both study periods, we included EMS agencies from only 49 of 100 North Carolina counties in our analysis. Additionally, we found conflicting hospital classifications by different EMS agencies for 35% of all hospitals (n = 38 of 108). Given these limitations, we found similar community hospital bypass rates before and after STDP implementation (64%, n = 332 of 520 vs. 63%, n = 345 of 552; P = .65). Missing symptom duration time and data records in our state's EMS data system, along with conflicting hospital classifications between EMS agencies limit the ability to study statewide stroke routing protocols. Bypass policies may apply to a minority of patients because a community hospital is not the closest hospital to most stroke events. Given these limitations, we found no difference in community hospital bypass rates after implementation of the STDP. Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  15. 23 CFR 450.216 - Development and content of the statewide transportation improvement program (STIP). (United States)


    ... Programming § 450.216 Development and content of the statewide transportation improvement program (STIP). (a... Equity Bonus funds; (5) Emergency relief projects (except those involving substantial functional...

  16. Comprehensive Family Services and Customer Satisfaction Outcomes (United States)

    Huebner, Ruth A.; Jones, Blake L.; Miller, Viola P.; Custer, Melba; Critchfield, Becky


    Comprehensive Family Services (CFS) is a strengths-based and partnership-oriented approach to casework implemented through multiple initiatives. This study examines the relationship between the practice of CFS and satisfaction of clients, foster parents, and community partners. CFS indicators are paired with statewide customer satisfaction survey…

  17. Leveraging North Carolina's QL2 Lidar to Quantify Sensitivity of National Water Model Derived Flood Inundation Extent to DEM Resolution (United States)

    Lovette, J. P.; Lenhardt, W. C.; Blanton, B.; Duncan, J. M.; Stillwell, L.


    The National Water Model (NWM) has provided a novel framework for near real time flood inundation mapping across CONUS at a 10m resolution. In many regions, this spatial scale is quickly being surpassed through the collection of high resolution lidar (1 - 3m). As one of the leading states in data collection for flood inundation mapping, North Carolina is currently improving their previously available 20 ft statewide elevation product to a Quality Level 2 (QL2) product with a nominal point spacing of 0.7 meters. This QL2 elevation product increases the ground points by roughly ten times over the previous statewide lidar product, and by over 250 times when compared to the 10m NED elevation grid. When combining these new lidar data with the discharge estimates from the NWM, we can further improve statewide flood inundation maps and predictions of at-risk areas. In the context of flood risk management, these improved predictions with higher resolution elevation models consistently represent an improvement on coarser products. Additionally, the QL2 lidar also includes coarse land cover classification data for each point return, opening the possibility for expanding analysis beyond the use of only digital elevation models (e.g. improving estimates of surface roughness, identifying anthropogenic features in floodplains, characterizing riparian zones, etc.). Using the NWM Height Above Nearest Drainage approach, we compare flood inundation extents derived from multiple lidar-derived grid resolutions to assess the tradeoff between precision and computational load in North Carolina's coastal river basins. The elevation data distributed through the state's new lidar collection program provide spatial resolutions ranging from 5-50 feet, with most inland areas also including a 3 ft product. Data storage increases by almost two orders of magnitude across this range, as does processing load. In order to further assess the validity of the higher resolution elevation products on

  18. Are Statewide Data Systems Meeting the Local Institution's Needs? AIR Forum Paper 1978. (United States)

    Bryson, Charles H.

    Statewide data collection systems emerged in the late sixties as the vehicle to achieving greater efficiency and accountability in higher education. The expectations of statewide systems were that they would meet the needs of various levels of management. The example presented in this paper is the Georgia management information system and its…


    The report gives results of a statewide mapping of Florida soil radon potentials. Statewide maps identify Florida Regions with different levels of soil radon potential. The maps provide scientific estimates of regional radon potentials that can serve as a basis for implementing r...


    The report gives results of a statewide mapping of Florida soil radon potentials. Statewide maps identify Florida Regions with different levels of soil radon potential. The maps provide scientific estimates of regional radon potentials that can serve as a basis for implementing r...

  1. 45 CFR 1321.47 - Statewide non-Federal share requirements. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Statewide non-Federal share requirements. 1321.47 Section 1321.47 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN... PROGRAMS GRANTS TO STATE AND COMMUNITY PROGRAMS ON AGING State Agency Responsibilities § 1321.47 Statewide...

  2. Characteristics and Effects of a Statewide STEM Program

    Directory of Open Access Journals (Sweden)

    Jeffrey D. Weld


    Full Text Available A comprehensive statewide STEM (science, technology, engineering, mathematics reform initiative enters its fifth year in the U.S. state of Iowa. A significant proportion of the state’s pre K-12 students and teachers participate in one or more of the twenty programs offered, ranging from classroom curricular innovations to teacher professional development, and from community STEM festivals to career exploration events. An external, inter-university evaluation consortium measures annual progress of the initiative through the Iowa STEM Monitoring Project. Results show citizens to be increasingly aware of and supporting of STEM education; students to be increasingly interested in STEM as well as outperforming nonparticipating peers on state math and science tests; and teachers more confident and knowledgeable in teaching STEM. Iowa’s STEM initiative has garnered national acclaim though challenges remain with regard to expanding the participation of learners of diversity, as well as ensuring the long-term sustainability of the programs and structures that define Iowa’s statewide STEM initiative.

  3. A Statewide Survey for Container-Breeding Mosquitoes in Mississippi. (United States)

    Goddard, Jerome; Moraru, Gail M; Mcinnis, Sarah J; Portugal, J Santos; Yee, Donald A; Deerman, J Hunter; Varnado, Wendy C


    Container-breeding mosquitoes are important in public health due to outbreaks of Zika, chikungunya, and dengue viruses. This paper documents the distribution of container-breeding mosquito species in Mississippi, with special emphasis on the genus Aedes. Five sites in each of the 82 Mississippi counties were sampled monthly between May 1 and August 31, 2016, and 50,109 mosquitoes in 14 species were collected. The most prevalent and widely distributed species found was Ae. albopictus, being found in all 82 counties, especially during July. A recent invasive, Ae. japonicus, seems to be spreading rapidly in Mississippi since first being discovered in the state in 2011. The most abundant Culex species collected were Cx. quinquefasciatus (found statewide), Cx. salinarius (almost exclusively in the southern portion of the state), and Cx. restuans (mostly central and southern Mississippi). Another relatively recent invasive species, Cx. coronator, was found in 20 counties, predominantly in the southern one-third of the state during late summer. Co-occurrence data of mosquito species found in the artificial containers were also documented and analyzed. Lastly, even though we sampled extensively in 410 sites across Mississippi, no larval Ae. aegypti were found. These data represent the first modern statewide survey of container species in Mississippi, and as such, allows for better public health readiness for emerging diseases and design of more effective vector control programs.

  4. Favorable Impact of Nutrition Education on California WIC Families (United States)

    Ritchie, Lorrene D.; Whaley, Shannon E.; Spector, Phil; Gomez, Judy; Crawford, Patricia B.


    Objective: To explore the impact of coordinated statewide nutrition education on Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) family behavior regarding fruits and vegetables, whole grains, and lower-fat milk. Design: Survey of different cross-sectional samples of WIC families before and after education. Setting:…

  5. 2012 South Carolina DNR Lidar: Abbeville County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towill Inc. collected LiDAR for over 3,300 square miles in Calhoun, Aiken, Barnwell, Edgefield, McCormick, and Abbeville counties in South Carolina. This metadata...

  6. 2008 South Carolina Lidar: Fairfield County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  7. 2008 South Carolina Lidar: Darlington County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  8. 2008 South Carolina Lidar: Marlboro County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  9. 2008 South Carolina Lidar: Marion County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  10. 2008 South Carolina Lidar: Chesterfield County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  11. 2008 South Carolina Lidar: Dillon County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  12. 2008 South Carolina Lidar: Newberry County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  13. 2008 South Carolina Lidar: Chester County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  14. 2008 South Carolina Lidar: Greenwood County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  15. 2008 South Carolina Lidar: Williamsburg County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  16. 2008 South Carolina Lidar: Union County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  17. 2008 South Carolina Lidar: Orangeburg County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  18. Boletus durhamensis sp. nov. from North Carolina (United States)

    Beatriz Ortiz-Santana; Alan E. Bessette; Owen L. McConnell


    A new bolete with cinnamon-brown pores, Boletus durhamensis, is described. Collected in northern North Carolina, it is possibly mycorrhizal with Quercus spp. Morphological and molecular characters support this taxon as a new species.

  19. 2008 South Carolina Lidar: Lancaster County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The project area is composed of 16 counties in the State of South Carolina - Cherokee, Union, Laurens, Greenwood, Newberry, Chester, Fairfield, Lancaster,...

  20. 2014 Horry County, South Carolina Lidar (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is comprised of lidar point cloud data. This project required lidar data to be acquired over Horry County, South Carolina. The total area of the Horry...

  1. 2012 South Carolina DNR Lidar: Calhoun County (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Towill Inc. collected LiDAR for over 3,300 square miles in Calhoun, Aiken, Barnwell, Edgefield, McCormick, and Abbeville counties in South Carolina. This metadata...


    Directory of Open Access Journals (Sweden)

    Maximiliano E KORSTANJE


    Full Text Available This research examines, from a qualitative perspective, some public opinion related to issues associated with the management of a tensed situation. In that process, it identifies some of the subtle differences in the Anglo-Latino cultural expectations. Martin, an Argentine tourist, contracted the Gullien-Barre syndrome in Australia, while enjoying his honeymoon vacation on a Tasmanian island with his partner Carolina. With the passing of days, Martin lost his mobility and was finally hospitalized in emergency. Doctors induced Martin into a coma temporarily because his muscles were paralyzed by the action of the virus. Health costs were more expensive than the family could absorb in Australia. The family had to request the intervention of the Argentine embassy and chancellery for help. In other words, this incident contrasts two world views: hospitality as the institution that historically developed to care and protect travelers versus hospitality as the commercial practice of exploitation.

  3. Education activities of the Eastern Carolina Section

    International Nuclear Information System (INIS)

    Eckenrode, M.; Hudson, O.N.


    The Eastern Carolinas Section (ECS) Education Committee has successfully tapped into all grade levels of eastern North Carolina's public schools. The keys to access are building a section organization geared toward education and maintaining a wide variety of products from which teachers can choose. The education committee conservatively estimates that in 1990 it relayed information on nuclear-related issues to over a thousand students

  4. How Medicaid and Managed Care Can Support Evidence-Based Treatment in North Carolina That is Informed by Adverse Childhood Experiences. (United States)

    Murphy, Robert A


    North Carolina has increased the percentage of its clinical workforce that is proficient in evidence-based treatment and adverse childhood experiences-informed care. Medicaid and managed care have contributed through standards and reimbursement that are consistent with treatment costs. Further progress requires a concerted response from payers, policymakers, providers, and families receiving evidence-based treatment. ©2018 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

  5. Louisiana motorcycle fatalities linked to statewide helmet law repeal. (United States)

    Ho, Emai Lynn; Haydel, Micelle J


    On August 15, 1999, Louisiana's mandatory motorcycle helmet law was repealed. Our primary objective was to determine if the repeal resulted in an increase in motorcyclist morbidity and mortality. We retrospectively evaluated the frequency of helmet use and morbidity and mortality before and after the repeal of the law. Fatality statistics for Louisiana were obtained through the National Highway Safety Traffic Association between 1994 and 2002. Injury statistics were totaled for motorcyclists admitted to Medical Center of Louisiana New Orleans during the same period of time. Statewide, helmet use decreased 21.2% (p helmet law, while locally, helmet use decreased 34.7% (p Motorcycle helmet use decreased significantly and motorcyclist fatality rates increased significantly after repeal of the Louisiana mandatory helmet law.

  6. Wood power in North Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Cleland, J.G.; Guessous, L. [Research Triangle Institute, Research Triangle Park, NC (United States)


    North Carolina (NC) is one of the most forested states, and supports a major wood products industry. The NC Department of Natural Resources sponsored a study by Research Triangle Institute to examine new, productive uses of the State`s wood resources, especially electric power generation by co-firing with coal. This paper summarizes our research of the main factors influencing wood power generation opportunities, i.e., (1) electricity demand; (2) initiative and experience of developers; (3) available fuel resources; (4) incentives for alternate fuels; and (5) power plant technology and economics. The results cover NC forests, short rotation woody crops, existing wood energy facilities, electrical power requirements, and environmental regulations/incentives. Quantitative assessments are based on the interests of government agencies, utilities, electric cooperatives, developers and independent power producers, forest products industries, and the general public. Several specific, new opportunities for wood-to-electricity in the State are identified and described. Comparisons are made with nationwide resources and wood energy operations. Preferred approaches in NC are co-generation in existing or modified boilers and in dedicated wood power plants in forest industry regions. Co-firing is mainly an option for supplementing unreliable primary fuel supplies to existing boilers.

  7. A statewide approach to systematising hand hygiene behaviour in hospitals: clean hands save lives, part I. (United States)

    Pantle, Annette C; Fitzpatrick, Kimberley R; McLaws, Mary-Louise; Hughes, Clifford F


    To describe the planning and execution of a statewide campaign aimed at improving compliance with hand hygiene practices in New South Wales public hospitals. The campaign was conducted in all area health services (AHSs) in NSW (covering 208 public hospitals) between February 2006 and February 2007. Clinical practice improvement methods and campaign strategies were used to improve the availability and use of alcohol-based hand rub (AHR) at the point of patient care, using staff champions and local leaders, engaging patients and families, and measuring compliance. Staff were given regular feedback on their performance. Project officers funded by the Clinical Excellence Commission (CEC) provided local project management support and implemented the campaign in a standardised format orchestrated by the CEC. Proportion of available beds with secured and unsecured AHR containers nearby; amount of AHR used (based on purchasing patterns). Hospital visits before the campaign identified a lack of appropriately placed AHR at the point of care. The number of AHR containers per available bed in near-patient locations increased to 13 280/18 951 (70%) after the campaign. The quantity of AHR purchased per month across NSW public hospitals increased from 1477 L to 5568 L (a 377% increase). The CEC was successful in systematising the placement of AHR in all NSW public hospitals at the point of patient care. Although the use of AHR increased substantially, some staff were resistant to changing their hand hygiene practices.

  8. Statewide dissemination of a rural, non-chain restaurant intervention: adoption, implementation and maintenance (United States)

    Nothwehr, F.; Haines, H.; Chrisman, M.; Schultz, U.


    The obesity epidemic calls for greater dissemination of nutrition-related programs, yet there remain few studies of the dissemination process. This study, guided by elements of the RE-AIM model, describes the statewide dissemination of a simple, point-of-purchase restaurant intervention. Conducted in rural counties of the Midwest, United States, the study targeted randomly selected, non-chain, family-style restaurants. Owners were recruited through mail, then telephone follow-up. Data were collected through telephone at baseline, and 3, 6, 12 and 18 months post-adoption. Using mixed methods, measures captured the program adoption rate, characteristics of adopters and non-adopters, program implementation and maintenance issues, and owner and customer satisfaction. Analyses involved descriptive statistics and summaries of qualitative data. The program adoption rate was 28%. Adopters were similar to responding non-adopters demographically, but varied in attitudes. The majority of restaurants maintained the program for at least 12 months. Adopters and their customers expressed satisfaction with the program. With some adjustments, the RE-AIM model was helpful in guiding evaluation of this process. Results provide implications for future dissemination of this and other programs with regard to research procedures and potential barriers that may be encountered. Research on alternative strategies for widespread dissemination of such programs is needed in this and other settings. PMID:24650944


    Federal Emergency Management Agency, Department of Homeland Security — This Flood Insurance Study was produced through a cooperative partnership between the State of North Carolina and FEMA. The North Carolina Floodplain Mapping...


    Federal Emergency Management Agency, Department of Homeland Security — This Flood Insurance Study was produced through a cooperative partnership between the State of North Carolina and FEMA. The North Carolina Floodplain Mapping...


    Federal Emergency Management Agency, Department of Homeland Security — This Flood Insurance Study was produced through a cooperative partnership between the State of North Carolina and FEMA. The North Carolina Floodplain Mapping...

  12. DIGITAL FLOOD INSURANCE RATE MAP DATABASE, Scotland County, North Carolina (United States)

    Federal Emergency Management Agency, Department of Homeland Security — This Flood Insurance Study was produced through a cooperative partnership between the State of North Carolina and FEMA. The North Carolina Floodplain Mapping...


    Federal Emergency Management Agency, Department of Homeland Security — This Flood Insurance Study was produced through a cooperative partnership between the State of North Carolina and FEMA. The North Carolina Floodplain Mapping...


    Federal Emergency Management Agency, Department of Homeland Security — This Flood Insurance Study was produced through a cooperative partnership between the State of North Carolina and FEMA. The North Carolina Floodplain Mapping...


    Federal Emergency Management Agency, Department of Homeland Security — This Flood Insurance Study was produced through a cooperative partnership between the State of North Carolina and FEMA. The North Carolina Floodplain Mapping...

  16. The Limits of Good Intentions: A Historical Analysis of Pioneering Progressive Educators in Upstate South Carolina (1910-1920) (United States)

    Williams, Jeanette


    After 1880, the Upstate of South Carolina found itself in the midst of a textile boom. As families migrated from the mountains and failing farms to find employment in one of the many textile mills, relations re-established roots within the confines of the company-owned mill village. Paternalism, the absence of child labor laws, and the lack of…

  17. The Effects of Character Education in South Carolina's Secondary Schools (United States)

    Phipps, Jonathan D.


    The purpose of this study is to shed light on the use of Character Education in South Carolina's public high schools. Every high school in South Carolina is given a yearly survey from the South Carolina Department of Education that deals with both character education and violence in the school. This quantitative study used public accessed data,…

  18. Improving Statewide Freight Routing Capabilities for Sub-National Commodity Flows (United States)


    The ability to fully understand and accurately characterize freight vehicle route choices is important in helping to inform regional and state decisions. This project recommends improvements to WSDOTs Statewide Freight GIS Network Model to more ac...

  19. Study of Statewide Type II Noise Abatement Program for the Texas Department of Transportation (United States)


    This project will provide sufficient information to the Texas Department of Transportation and the Texas Transportation Commission to make an informed decision regarding the development and implementation of a statewide Type II Noise Abatement Progra...

  20. Development of a statewide motorcycle safety plan for Texas : technical report. (United States)


    The objective of this research project was to develop a statewide plan to reduce motorcycle crashes and : injuries in the state of Texas. The project included a review of published literature on current and proposed : countermeasures for reducing the...

  1. PREFACE: Carolina International Symposium on Neutrino Physics (United States)

    Avignone, Frank; Creswick, Richard; Kubodera, Kuniharu; Purohit, Milind


    The Carolina International Symposium on Neutrino Physics, 2008 (CISNP'08) was organized and held at the University of South Carolina by the Department of Physics in May 2008, to celebrate the 75th birthdays of Professors Frank Avignone (South Carolina) and Ettore Fiorini (Milan) and to commemorate the 75th birthday of the late Peter Rosen (DOE). Although much of the work done by these luminaries has been in non-accelerator areas such as double beta-decay, the meeting covered many topics in neutrino physics as well, including neutrino oscillations, supernova explosions, neutrino nucleosynthesis, axions, dark matter, dark energy, and cosmology. Talks included presentations of recent theoretical progress, experimental results, detector technology advances and a few reminiscences. This is the second such symposium held at Carolina, the first was held in 2000. We were fortunate to have attracted many top speakers who gave scintillating presentations, most of which have been put in writing and are presented in this volume. Many thanks go to various people involved in this conference, including of course Drs Avignone, Fiorini and Rosen whose efforts over the years provided us with the opportunity, and all the speakers, many of whom took time out of their very busy schedules to come to Columbia and give talks and then to write them up. Thanks also to our Department Chairman, Professor Chaden Djalali, and to our support staff which included Mr Robert Sproul, Ms Mary Papp, Ms Beth Powell and Mr R Simmons. Finally, we must thank our funding agencies which are the South Carolina EPSCoR/IDeA Program, The Oak Ridge Associated Universities, and the University of South Carolina. The Editorial Team: Frank Avignone (USC) Richard Creswick (USC) Kuniharu Kubodera (USC) Milind Purohit (USC, Chief Editor) CISNP Scientific Advisory Committee: Wick Haxton (Seattle) Barry Holstein (Amherst) Kuniharu Kubodera (USC) CISNP Organizing Committee: Richard Creswick (USC) Chaden Djalali (USC

  2. The 10 Conditions That Increased Vermont's Readiness to Implement Statewide Health System Transformation. (United States)

    Grembowski, David; Marcus-Smith, Miriam


    Following an arduous, 6-year policy-making process, Vermont is the first state implementing a unified, statewide all-payer integrated delivery system with value-based payment, along with aligned medical and social service reforms, for almost all residents and providers in a state. Commercial, Medicare, and Medicaid value-based payment for most Vermonters will be administered through a new statewide accountable care organization in 2018-2022. The purpose of this article is to describe the 10 conditions that increased Vermont's readiness to implement statewide system transformation. The authors reviewed documents, conducted internet searches of public information, interviewed key informants annually in 2014-2016, cross-validated factual and narrative interpretation, and performed content analyses to derive conditions that increased readiness and their implications for policy and practice. Four social conditions (leadership champions; a common vision; collaborative culture; social capital and collective efficacy) and 6 support conditions (money; statewide data; legal infrastructure; federal policy promoting payment reform; delivery system transformation aligned with payment reform; personnel skilled in system reform) increased Vermont's readiness for system transformation. Vermont's experience indicates that increasing statewide readiness for reform is slow, incremental, and exhausting to overcome the sheer inertia of large fee-based systems. The new payments may work because statewide, uniform population-based payment will affect the health care of almost all Vermonters, creating statewide, uniform provider incentives to reduce volume and making the current fee-based system less viable. The conditions for readiness and statewide system transformation may be more likely in states with regulated markets, like Vermont, than in states with highly competitive markets.

  3. A state-wide obstetric hemorrhage quality improvement initiative. (United States)

    Bingham, Debra; Lyndon, Audrey; Lagrew, David; Main, Elliott K


    The mission of the California Maternal Quality Care Collaborative is to eliminate preventable maternal death and injury and to promote equitable maternity care in California. This article describes California Maternal Quality Care Collaborative's (CMQCC's) statewide multistakeholder quality improvement initiative to improve readiness, recognition, response, and reporting of maternal hemorrhage at birth and details the essential role of nurses in its success. In partnership with the State Department of Maternal, Child, and Adolescent Health, CMQCC identified maternal hemorrhage as a significant quality improvement opportunity. CMQCC organized a multidisciplinary, multistakeholder task force to develop a strategy for addressing obstetric (OB) hemorrhage. The OB Hemorrhage Task Force, co-chaired by nurse and physician team leaders, identified four priorities for action and developed a comprehensive hemorrhage guideline. CMQCC is using a multilevel strategy to disseminate the guideline, including an open access toolkit, a minimal support-mentoring model, a county partnership model, and a 30-hospital learning collaborative. In participating hospitals, nurses have been the primary drivers in developing both general and massive hemorrhage policies and procedures, ensuring the availability of critical supplies, organizing team debriefing after a stage 2 (or greater) hemorrhage, hosting skills stations for measuring blood loss, and running obstetric (OB) hemorrhage drills. Each of these activities requires effort and leadership skill, even in hospitals where clinicians are convinced that these changes are needed. In some hospitals, the burden to convince physicians of the value of these new practices has rested primarily upon nurses. Thus, the statewide initiative in which nurse and physician leaders work together models the value of teamwork and provides a real-time demonstration of the potential for effective interdisciplinary collaboration to make a difference in the

  4. State-wide performance criteria for international safeguards

    International Nuclear Information System (INIS)

    Budlong-Sylvester, K.W.; Pilat, Joseph F.; Stanbro, W.D.


    Traditionally, the International Atomic Energy Agency (IAEA) has relied upon prescriptive criteria to guide safeguards implementation. The prospect of replacing prescriptive safeguards criteria with more flexible performance criteria would constitute a structural change in safeguards and raises several important questions. Performance criteria imply that while safeguards goals will be fixed, the means of attaining those goals will not be explicitly prescribed. What would the performance objectives be under such a system? How would they be formulated? How would performance be linked to higher level safeguards objectives? How would safeguards performance be measured State-wide? The implementation of safeguards under performance criteria would also signal a dramatic change in the manner the Agency does business. A higher degree of flexibility could, in principle, produce greater effectiveness and efficiency, but would come with a need for increased Agency responsibility in practice. To the extent that reliance on prescriptive criteria decreases, the burden of justifying actions and ensuring their transparency will rise. Would there need to be limits to safeguards implementation? What would be the basis for setting such limits? This paper addresses these and other issues and questions relating to both the formulation and the implementation of performance-based criteria.

  5. Carolina bays of the Savannah River Plant

    Energy Technology Data Exchange (ETDEWEB)

    Schalles, J.F. (Creighton Univ., Omaha, NE (USA)); Sharitz, R.R.; Gibbons, J.W.; Leversee, G.J.; Knox, J.N. (Savannah River Ecology Lab., Aiken, SC (USA))


    Much of the research to date on the Carolina bays of the Savannah River Plant and elsewhere has focused on certain species or on environmental features. Different levels of detail exist for different groups of organisms and reflect the diverse interests of previous investigators. This report summarizes aspects of research to date and presents data from numerous studies. 70 refs., 14 figs., 12 tabs.

  6. North Carolina speed management recommendations for action. (United States)


    Nearly 5,000 people lost their lives in speeding-related crashes in North Carolina over the past : 10 years. Nearly twice as many individuals suffered disabling injuries. Among those killed were : 131 children younger than age 14, 85 teens aged 14 to...

  7. A Profile of Anson County, North Carolina. (United States)

    Farr, M. Gaston; And Others

    Since 1950 Anson County, North Carolina, has had major contributions to economic development, a source of great concern to residents of the almost entirely rural area. The increased capacity of the Blewitt Falls Dam power output and the county-wide water filtration system (one of only a few in the United States today) are attractive to industry.…

  8. Connecting with Rice: Carolina Lowcountry and Africa (United States)

    Mitchell, Jerry T.; Collins, Larianne; Wise, Susan S.; Caughman, Monti


    Though lasting less than 200 years, large-scale rice production in South Carolina and Georgia "probably represented the most significant utilization of the tidewater zone for crop agriculture ever attained in the United States." Rice is a specialty crop where successful cultivation relied heavily upon "adaptation" to nature via…

  9. South Carolina Superintendents' Change Style Preferences (United States)

    Melton, Annette Ghent; Cox, Edward P.


    Little is known about the change style preferences of superintendents, and how they differ from school principals and from business leaders and whether a superintendent's change-style preference affects student achievement. The purpose of this study was to explore the change-style preferences of South Carolina superintendents, compare them with…

  10. Cost Effectiveness of ASHRAE Standard 90.1-2013 for the State of North Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Hart, Philip R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Athalye, Rahul A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Xie, YuLong [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhuge, Jing Wei [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Halverson, Mark A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Loper, Susan A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Rosenberg, Michael I. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Richman, Eric E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    Moving to the ASHRAE Standard 90.1-2013 (ASHRAE 2013) edition from Standard 90.1-2010 (ASHRAE 2010) is cost-effective for the State of North Carolina. The table below shows the state-wide economic impact of upgrading to Standard 90.1-2013 in terms of the annual energy cost savings in dollars per square foot, additional construction cost per square foot required by the upgrade, and life-cycle cost (LCC) per square foot. These results are weighted averages for all building types in all climate zones in the state, based on weightings shown in Table 4. The methodology used for this analysis is consistent with the methodology used in the national cost-effectiveness analysis. Additional results and details on the methodology are presented in the following sections. The report provides analysis of two LCC scenarios: Scenario 1, representing publicly-owned buildings, considers initial costs, energy costs, maintenance costs, and replacement costs—without borrowing or taxes. Scenario 2, representing privately-owned buildings, adds borrowing costs and tax impacts.

  11. Cost Effectiveness of ASHRAE Standard 90.1-2013 for the State of South Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Hart, Philip R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Athalye, Rahul A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Xie, YuLong [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhuge, Jing Wei [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Halverson, Mark A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Loper, Susan A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Rosenberg, Michael I. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Richman, Eric E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    Moving to the ASHRAE Standard 90.1-2013 (ASHRAE 2013) edition from Standard 90.1-2010 (ASHRAE 2010) is cost-effective for the State of South Carolina. The table below shows the state-wide economic impact of upgrading to Standard 90.1-2013 in terms of the annual energy cost savings in dollars per square foot, additional construction cost per square foot required by the upgrade, and life-cycle cost (LCC) per square foot. These results are weighted averages for all building types in all climate zones in the state, based on weightings shown in Table 4. The methodology used for this analysis is consistent with the methodology used in the national cost-effectiveness analysis. Additional results and details on the methodology are presented in the following sections. The report provides analysis of two LCC scenarios: Scenario 1, representing publicly-owned buildings, considers initial costs, energy costs, maintenance costs, and replacement costs—without borrowing or taxes. Scenario 2, representing privately-owned buildings, adds borrowing costs and tax impacts.

  12. Diurnal temperature range trend over North Carolina and the associated mechanisms (United States)

    Sayemuzzaman, Mohammad; Mekonnen, Ademe; Jha, Manoj K.


    This study seeks to investigate the variability and presence of trend in the diurnal surface air temperature range (DTR) over North Carolina (NC) for the period 1950-2009. The significance trend test and the magnitude of trends were determined using the non-parametric Mann-Kendall test and the Theil-Sen approach, respectively. Statewide significant trends (p < 0.05) of decreasing DTR were found in all seasons and annually during the analysis period. Highest (lowest) temporal DTR trends of magnitude - 0.19 (- 0.031) °C/decade were found in summer (winter). Potential mechanisms for the presence/absence of trend in DTR have been highlighted. Historical data sets of the three main moisture components (precipitation, total cloud cover (TCC), and soil moisture) and the two major atmospheric circulation modes (North Atlantic Oscillation and Southern Oscillation) were used for correlation analysis. The DTRs were found to be negatively correlated with the precipitation, TCC and soil moisture across the state for all the seasons and annual basis. It appears that the moisture components related better to the DTR than to the atmospheric circulation modes.

  13. Development of statewide geriatric patients trauma triage criteria. (United States)

    Werman, Howard A; Erskine, Timothy; Caterino, Jeffrey; Riebe, Jane F; Valasek, Tricia


    The geriatric population is unique in the type of traumatic injuries sustained, physiological responses to those injuries, and an overall higher mortality when compared to younger adults. No published, evidence-based, geriatric-specific field destination criteria exist as part of a statewide trauma system. The Trauma Committee of the Ohio Emergency Medical Services (EMS) Board sought to develop specific criteria for geriatric trauma victims. A literature search was conducted for all relevant literature to determine potential, geriatric-specific, field-destination criteria. Data from the Ohio Trauma Registry were used to compare elderly patients, defined as age >70 years, to all patients between the ages of 16 to 69 years with regards to mortality risk in the following areas: (1) Glasgow Coma Scale (GCS) score; (2) systolic blood pressure (SBP); (3) falls associated with head, chest, abdominal or spinal injury; (4) mechanism of injury; (5) involvement of more than one body system as defined in the Barell matrix; and (6) co-morbidities and motor vehicle collision with one or more long bone fracture. For GCS score and SBP, those cut-off points with equal or greater risk of mortality as compared to current values were chosen as proposed triage criteria. For other measures, any criterion demonstrating a statistically significant increase in mortality risk was included in the proposed criteria. The following criteria were identified as geriatric-specific criteria: (1) GCS score trauma; (2) SBP trauma. In addition, these data suggested that elderly patients with specific co-morbidities be given strong consideration for evaluation in a trauma center. The state of Ohio is the first state to develop evidence-based geriatric-specific field-destination criteria using data from its state-mandated trauma registry. Further analysis of these criteria will help determine their effects on over-triage and under-triage of geriatric victims of traumatic injuries and the impact on the

  14. Examining the Effects of School Composition on North Carolina Student Achievement over Time

    Directory of Open Access Journals (Sweden)

    Stephanie Southworth


    Full Text Available This study explores the effects of school-level characteristics on North Carolina students’ reading and math achievement from fourth through eighth grade, focusing on the relationships between achievement and the racial and poverty composition of schools. After creating race-by-poverty cohorts of schools, I use multilevel models to examine math and reading achievement for the same students in fourth, sixth, and eighth grades. The racial and poverty composition of schools affect student achievement after factoring in student, family, and other school influences. In addition, increasing teacher quality and school resources reduces but does not eliminate the effects of school racial and poverty composition on student achievement. Policies leading to reductions in racial and poverty isolation in schools and increases in teacher quality should be pursued to guarantee equality of educational opportunities to all children in North Carolina schools.

  15. Tobacco Smoke Pollution in Hospitality Venues Before and After Passage of Statewide Smoke-Free Legislation. (United States)

    Buettner-Schmidt, Kelly; Boursaw, Blake; Lobo, Marie L; Travers, Mark J


    In 2012, North Dakota enacted a comprehensive statewide law prohibiting smoking in enclosed public places. Disparities in tobacco control exist in rural areas. This study's objective was to determine the extent to which the passage of a comprehensive, statewide, smoke-free law in a predominantly rural state influenced tobacco smoke pollution in rural and nonrural venues. A longitudinal cohort design study comparing the levels of tobacco smoke pollution before and after passage of the statewide smoke-free law was conducted in 64 restaurants and bars statewide in North Dakota. Particulate matter with a median aerodynamic diameter of law. Significant reductions in tobacco smoke pollution levels occurred in each of the rural categories; however, no difference by rurality was noted in the analysis after passage of the law, in contrast to the study before passage. To our knowledge, this was the largest, single, rural postlaw study globally. A comprehensive statewide smoke-free law implemented in North Dakota dramatically decreased the level of tobacco smoke pollution in bars and restaurants. © 2016 The Authors. Public Health Nursing Published by Wiley Periodicals, Inc.

  16. Lost lake - restoration of a Carolina bay

    Energy Technology Data Exchange (ETDEWEB)

    Hanlin, H.G.; McLendon, J.P. [Univ. of South Carolina, Aiken, SC (United States). Dept. of Biology and Geology; Wike, L.D. [Univ. of South Carolina, Aiken, SC (United States). Dept. of Biology and Geology]|[Westinghouse Savannah River Co., Aiken, SC (United States). Savannah River Technology Center; Dietsch, B.M. [Univ. of South Carolina, Aiken, SC (United States). Dept. of Biology and Geology]|[Univ. of Georgia, Aiken, SC (United States)


    Carolina bays are shallow wetland depressions found only on the Atlantic Coastal Plain. Although these isolated interstream wetlands support many types of communities, they share the common features of having a sandy margin, a fluctuating water level, an elliptical shape, and a northwest to southeast orientation. Lost Lake, an 11.3 hectare Carolina bay, was ditched and drained for agricultural production before establishment of the Savannah River Site in 1950. Later it received overflow from a seepage basin containing a variety of chemicals, primarily solvents and some heavy metals. In 1990 a plan was developed for the restoration of Lost Lake, and restoration activities were complete by mid-1991. Lost Lake is the first known project designed for the restoration and recovery of a Carolina bay. The bay was divided into eight soil treatment zones, allowing four treatments in duplicate. Each of the eight zones was planted with eight species of native wetland plants. Recolonization of the bay by amphibians and reptiles is being evaluated by using drift fences with pitfall traps and coverboard arrays in each of the treatment zones. Additional drift fences in five upland habitats were also established. Hoop turtle traps, funnel minnow traps, and dip nets were utilized for aquatic sampling. The presence of 43 species common to the region has been documented at Lost Lake. More than one-third of these species show evidence of breeding populations being established. Three species found prior to the restoration activity and a number of species common to undisturbed Carolina bays were not encountered. Colonization by additional species is anticipated as the wetland undergoes further succession.

  17. Wood Energy Potential in Northwestern South Carolina (United States)

    James W. McMinn


    The quantity of unused wood in an Ill-county area in northwestern South Carolina was projected to be more than 16 million tons annually. Wood that is unsuitable for products other than fuel amounts to nearly 9 million tons annually.The most likely energy demand by industrial plants that are good candidates for wood fuel systems is 1.5 million tons annually.Maximum...


    Sim, Richard R; Allender, Matthew C; Crawford, LaTasha K; Wack, Allison N; Murphy, Kevin J; Mankowski, Joseph L; Bronson, Ellen


    Frog virus 3 (FV3) and FV3-like viruses are members of the genus Ranavirus (family Iridoviridae) and are becoming recognized as significant pathogens of eastern box turtles (Terrapene carolina carolina) in North America. In July 2011, 5 turtles from a group of 27 in Maryland, USA, presented dead or lethargic with what was later diagnosed as fibrinonecrotic stomatitis and cloacitis. The presence of FV3-like virus and herpesvirus was detected by polymerase chain reaction (PCR) in the tested index cases. The remaining 22 animals were isolated, segregated by severity of clinical signs, and treated with nutritional support, fluid therapy, ambient temperature management, antibiotics, and antiviral therapy. Oral swabs were tested serially for FV3-like virus by quantitative real-time PCR (qPCR) and tested at day 0 for herpesvirus and Mycoplasma sp. by conventional PCR. With oral swabs, 77% of the 22 turtles were FV3-like virus positive; however, qPCR on tissues taken during necropsy revealed the true prevalence was 86%. FV3-like virus prevalence and the median number of viral copies being shed significantly declined during the outbreak. The prevalence of herpesvirus and Mycoplasma sp. by PCR of oral swabs at day 0 was 55% and 68%, respectively. The 58% survival rate was higher than previously reported in captive eastern box turtles for a ranavirus epizootic. All surviving turtles brumated normally and emerged the following year with no clinical signs during subsequent monitoring. The immediate initiation of treatment and intensive supportive care were considered the most important contributing factors to the successful outcome in this outbreak.

  19. Evaluating RITES, a Statewide Math and Science Partnership Program (United States)

    Murray, D. P.; Caulkins, J. L.; Burns, A. L.; de Oliveira, G.; Dooley, H.; Brand, S.; Veeger, A.


    The Rhode Island Technology-Enhanced Science project (RITES) is a NSF-MSP Program that seeks to improve science education by providing professional development to science teachers at the 5th through 12th grade levels. At it's heart, RITES is a complex, multifaceted project that is challenging to evaluate because of the nature of its goal: the development of a large, statewide partnership between higher education and K12 public school districts during a time when science education strategies and leadership are in flux. As a result, these difficulties often require flexibility and creativity regarding evaluation, study design and data collection. In addition, the research agenda of the project often overlaps with the evaluator's agenda, making collaboration and communication a crucial component of the project's success. In it's 5th year, RITES and it's evaluators have developed a large number of instruments, both qualitative and quantitative, to provide direction and feedback on the effectiveness of the project's activities. RITES personnel work closely with evaluators and researchers to obtain a measure of how RITES' 'theory-of-action' affects both student outcomes and teacher practice. Here we discuss measures of teacher and student content gains, student inquiry gains, and teacher implementation surveys. Using content questions based on AAAS and MOSART databases, teachers in the short courses and students in classrooms showed significant normalized learning gains with averages generally above 0.3. Students of RITES-trained teachers also outperformed their non-RITES peers on the inquiry-section of the NECAP test, and The results show, after controlling for race and economic status, a small but statistically significant increase in test scores for RITES students. Technology use in the classroom significantly increased for teachers who were 'expected implementers' where 'expected implementers' are those teachers who implemented RITES as the project was designed. This


    Energy Technology Data Exchange (ETDEWEB)

    LaCourt, Donna M.; Miller, Raymond O.; Shonnard, David R.


    A team composed of scientists from Michigan State University (MSU) and Michigan Technological University (MTU) assembled to better understand, document, and improve systems for using forest-based biomass feedstocks in the production of energy products within Michigan. Work was funded by a grant (DE-EE-0000280) from the U.S. Department of Energy (DOE) and was administered by the Michigan Economic Development Corporation (MEDC). The goal of the project was to improve the forest feedstock supply infrastructure to sustainably provide woody biomass for biofuel production in Michigan over the long-term. Work was divided into four broad areas with associated objectives: • TASK A: Develop a Forest-Based Biomass Assessment for Michigan – Define forest-based feedstock inventory, availability, and the potential of forest-based feedstock to support state and federal renewable energy goals while maintaining current uses. • TASK B: Improve Harvesting, Processing and Transportation Systems – Identify and develop cost, energy, and carbon efficient harvesting, processing and transportation systems. • TASK C: Improve Forest Feedstock Productivity and Sustainability – Identify and develop sustainable feedstock production systems through the establishment and monitoring of a statewide network of field trials in forests and energy plantations. • TASK D: Engage Stakeholders – Increase understanding of forest biomass production systems for biofuels by a broad range of stakeholders. The goal and objectives of this research and development project were fulfilled with key model deliverables including: 1) The Forest Biomass Inventory System (Sub-task A1) of feedstock inventory and availability and, 2) The Supply Chain Model (Sub-task B2). Both models are vital to Michigan’s forest biomass industry and support forecasting delivered cost, as well as carbon and energy balance. All of these elements are important to facilitate investor, operational and policy decisions. All

  1. Epidemiology of Traumatic Spinal Cord Injury Among Persons Older Than 21 Years: A Population-Based Study in South Carolina, 1998-2012. (United States)

    Selassie, Anbesaw; Cao, Yue; Saunders, Lee L


    A gap exists in the current knowledge regarding the epidemiology of traumatic spinal cord injury (TSCI) in a statewide population. To describe population-based epidemiology and trend of TSCI in persons 22 years and older in South Carolina over a 15-year period from 1998 through 2012. Data on patients with TSCI were obtained from ongoing statewide TSCI surveillance and follow-up registry. Deaths were ascertained by linking surveillance files and the multiple cause-of-death dataset. Descriptive analyses were completed, and incidence and mortality rates were calculated based on the civilian adult population of the state. Over the 15 years, 3,365 persons with incident TSCI were discharged alive from acute care hospitalization, of whom 555 died during the period of observation. Age-standardized cumulative mortality rate was 14 per million, and the average incidence rate was estimated at 70.8 per million population per year. Age-standardized incidence rate of TSCI increased significantly from 66.9 in 1998 to 111.7 per million in 2012. Standardized incidence rates were significantly higher among non-Whites and males. Motor vehicle crashes and falls were the leading causes, accounting for nearly 70% of TSCI. Standardized incidence and mortality rates of TSCI in South Carolina are higher than reported rates for the US population. Motor vehicle crashes and falls are the leading causes of TSCI. There was a significant increase in the overall trend of the incidence rates over the 15 years. A well-coordinated preventive strategy is needed to reduce incidence and improve survival of persons with TSCI.

  2. Policy Changes to Implement Intramural Sports in North Carolina Middle Schools: Simulated Effects on Sports Participation Rates and Physical Activity Intensity, 2008–2009 (United States)

    Kanters, Michael A.; Bocarro, Jason N.


    Introduction Extracurricular school sports programs can provide adolescents, including those who are economically disadvantaged, with opportunities to engage in physical activity. Although current models favor more exclusionary interscholastic sports, a better understanding is needed of the potential effects of providing alternative school sports options, such as more inclusive intramural sports. The purpose of this study was to simulate the potential effect of implementing intramural sports programs in North Carolina middle schools on both the rates of sports participation and on energy expenditure related to physical activity levels. Methods Simulations were conducted by using a school-level data set developed by integrating data from multiple sources. Baseline rates of sports participation were extrapolated from individual-level data that were based on school-level characteristics. A regression model was estimated by using the simulated baseline school-level sample. Participation rates and related energy expenditure for schools were calculated on the basis of 2 policy change scenarios. Results Currently, 37.2% of school sports participants are economically disadvantaged. Simulations suggested that policy changes to implement intramural sports along with interscholastic sports could result in more than 43,000 new sports participants statewide, of which 64.5% would be economically disadvantaged students. This estimate represents a 36.75% increase in economically disadvantaged participants. Adding intramural sports to existing interscholastic sports programs at all middle schools in North Carolina could have an annual effect of an additional 819,892.65 kilogram calories expended statewide. Conclusion Implementing intramural sports may provide economically disadvantaged students more access to sports, thus reducing disparities in access to school sports while increasing overall physical activity levels among all children. PMID:24433623

  3. Policy changes to implement intramural sports in North Carolina middle schools: simulated effects on sports participation rates and physical activity intensity, 2008-2009. (United States)

    Edwards, Michael B; Kanters, Michael A; Bocarro, Jason N


    Extracurricular school sports programs can provide adolescents, including those who are economically disadvantaged, with opportunities to engage in physical activity. Although current models favor more exclusionary interscholastic sports, a better understanding is needed of the potential effects of providing alternative school sports options, such as more inclusive intramural sports. The purpose of this study was to simulate the potential effect of implementing intramural sports programs in North Carolina middle schools on both the rates of sports participation and on energy expenditure related to physical activity levels. Simulations were conducted by using a school-level data set developed by integrating data from multiple sources. Baseline rates of sports participation were extrapolated from individual-level data that were based on school-level characteristics. A regression model was estimated by using the simulated baseline school-level sample. Participation rates and related energy expenditure for schools were calculated on the basis of 2 policy change scenarios. Currently, 37.2% of school sports participants are economically disadvantaged. Simulations suggested that policy changes to implement intramural sports along with interscholastic sports could result in more than 43,000 new sports participants statewide, of which 64.5% would be economically disadvantaged students. This estimate represents a 36.75% increase in economically disadvantaged participants. Adding intramural sports to existing interscholastic sports programs at all middle schools in North Carolina could have an annual effect of an additional 819,892.65 kilogram calories expended statewide. Implementing intramural sports may provide economically disadvantaged students more access to sports, thus reducing disparities in access to school sports while increasing overall physical activity levels among all children.

  4. Terrapene carolina triunguis (three-toed box turtle) (United States)

    Cory K. Adams; Jennifer H. Adams


    Terrapene carolina triunguis is the western-most subspecies of T. carolina and has a range that stretches from southeast Kansas and central Missouri south to the Gulf Coast (Conant and Collins 1998. A Field Guide to Reptiles and Amphibians of Eastern and Central North America. 3rd ed. Houghton Mifflin Co., Boston, Massachusetts....

  5. A Comprehensive Assessment of South Carolina's External Review Team Program (United States)

    Dominguez, Paula Szulc; Nicholls, Craig; Storandt, Barbara


    To shed light on how states can use school performance data to support failing schools, the present study examined a subset of underperforming schools in South Carolina in the wake of a series of state-supported interventions. The study, part of a comprehensive evaluation of the South Carolina External Review Team Program, made extensive use of…

  6. Teacher Salary Bonuses in North Carolina. Research Brief (United States)

    National Center on Performance Incentives, 2008


    In "Teacher Salary Bonuses in North Carolina"--a paper presented at the February 2008 National Center on Performance Incentives research to policy conference--Jacob Vigdor of Duke University reviews a teacher salary bonus program operating in North Carolina. Known officially as the ABC's of Public Education, the program awards teachers…

  7. Accessibility and Usage of Technology by North Carolina Agriculture Teachers (United States)

    Williams, Maegen R.; Warner, Wendy J.; Flowers, James L.; Croom, D. Barry


    This study examined the integration of technology into the instructional process in North Carolina agricultural education classrooms. The study used survey research methodology to collect information on the availability of instructional technology and the frequency of instructional technology use by North Carolina agriculture teachers. The study…

  8. Temporal and spatial variability in North Carolina piedmont stream temperature (United States)

    J.L. Boggs; G. Sun; S.G. McNulty; W. Swartley; Treasure E.; W. Summer


    Understanding temporal and spatial patterns of in-stream temperature can provide useful information to managing future impacts of climate change on these systems. This study will compare temporal patterns and spatial variability of headwater in-stream temperature in six catchments in the piedmont of North Carolina in two different geological regions, Carolina slate...

  9. 76 FR 61728 - North Carolina; Major Disaster and Related Determinations (United States)


    ... North Carolina resulting from Hurricane Irene beginning on August 25, 2011, and continuing, is of... section 310(a), Priority to Certain Applications for Public Facility and Public Housing Assistance, 42 U.S... North Carolina have been designated as adversely affected by this major disaster: Beaufort, Carteret...

  10. The United State of Wyoming: Teacher-to-Teacher Initiative Boosts Reading Scores Statewide (United States)

    Lain, Sheryl


    When teachers collaborate in schools, taking collective responsibility to improve instruction and achieve goals, student performance improves and good results happen. Wyoming is one example of a state that uses peer-to-peer professional learning with notable results. Teachers joined together to form a statewide professional community and saw the…

  11. Online Course Design in Higher Education: A Review of National and Statewide Evaluation Instruments (United States)

    Baldwin, Sally; Ching, Yu-Hui; Hsu, Yu-Chang


    This research identifies six online course evaluation instruments used nationally or in statewide systems. We examined the characteristics (i.e., number of standards and criteria) and coded the criteria that guide the design of online courses. We discussed the focus of the instruments and their unique features.

  12. From Theory to Practice: Considerations for Implementing a Statewide Voucher System. (United States)

    Doyle, Denis P.

    This monograph analyzes trends in American educational philosophy and history in its proposal to implement an all-public statewide school voucher system. Following an introduction, section 1, "Alternative Voucher Systems," discusses three concepts: universal unregulated vouchers, favored by Milton Friedman; regulated compensatory vouchers,…

  13. Statewide improvement approach to clinician burnout: Findings from the baseline year

    Directory of Open Access Journals (Sweden)

    Heather R. Britt


    We propose a socio-ecological framework for acting on burnout, using a data-driven quality improvement paradigm enabled by a statewide coalition, to ensure that continued efforts do not rest solely at the feet of individuals or systems. Despite high burnout levels, engagement and satisfaction with work are also high, suggesting there is still hope for stemming the tide of burnout.

  14. Effects of Road Salt on Connecticut's Groundwater: A Statewide Centennial Perspective. (United States)

    Cassanelli, James P; Robbins, Gary A


    This study examined the extent to which development and road salting has affected Connecticut's groundwater. We gathered water quality data from different time periods between 1894 and the present and analyzed the data using maps generated with ESRI ArcGIS. Historical reports illustrate a statewide baseline trend of decreasing chloride concentration northward across the State (average, 2 ppm). Since then, statewide chloride concentrations in ground water have increased by more than an order of magnitude on average. Analysis indicates spatial correlation between chloride impacts and major roadways. Furthermore, increases in statewide chloride concentration parallel increases in road salt application. Projected trends suggest that statewide baseline concentrations will increase by an amount equal to five times background levels between the present and the year 2030. The analytical process outlined herein can be readily applied to any region to investigate salt impacts on large spatial and temporal scales. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

  15. A Multilevel, Statewide Investigation of School District Anti-Bullying Policy Quality and Student Bullying Involvement (United States)

    Gower, Amy L.; Cousin, Molly; Borowsky, Iris W.


    Background: Although nearly all states in the United States require school districts to adopt anti-bullying policies, little research examines the effect of these policies on student bullying and health. Using a statewide sample, we investigated associations between the quality of school district anti-bullying policies and student bullying…

  16. 34 CFR 364.21 - What are the requirements for the Statewide Independent Living Council (SILC)? (United States)


    ... 34 Education 2 2010-07-01 2010-07-01 false What are the requirements for the Statewide Independent Living Council (SILC)? 364.21 Section 364.21 Education Regulations of the Offices of the Department of... INDEPENDENT LIVING SERVICES PROGRAM AND CENTERS FOR INDEPENDENT LIVING PROGRAM: GENERAL PROVISIONS What Are...

  17. An Evaluation of the Effectiveness of a Large Statewide Assessment Program. (United States)

    Blust, Ross S.; Hertzog, James F.

    A follow-up survey was conducted of the 1978 Educational Quality Assessment (EQA) to ascertain what impact the Pennsylvania Statewide Assessment Program had on schools and school districts. The survey instrument consisted of 20 items tapping: (1) the quality of information and services provided; (2) dissemination activities engaged in by the…

  18. Effects of statewide job losses on adolescent suicide-related behaviors. (United States)

    Gassman-Pines, Anna; Ananat, Elizabeth Oltmans; Gibson-Davis, Christina M


    We investigated the impact of statewide job loss on adolescent suicide-related behaviors. We used 1997 to 2009 data from the Youth Risk Behavior Survey and the Bureau of Labor Statistics to estimate the effects of statewide job loss on adolescents' suicidal ideation, suicide attempts, and suicide plans. Probit regression models controlled for demographic characteristics, state of residence, and year; samples were divided according to gender and race/ethnicity. Statewide job losses during the year preceding the survey increased girls' probability of suicidal ideation and suicide plans and non-Hispanic Black adolescents' probability of suicidal ideation, suicide plans, and suicide attempts. Job losses among 1% of a state's working-age population increased the probability of girls and Blacks reporting suicide-related behaviors by 2 to 3 percentage points. Job losses did not affect the suicide-related behaviors of boys, non-Hispanic Whites, or Hispanics. The results were robust to the inclusion of other state economic characteristics. As are adults, adolescents are affected by economic downturns. Our findings show that statewide job loss increases adolescent girls' and non-Hispanic Blacks' suicide-related behaviors.

  19. The Florida Community College Statewide Collection Assessment Project: Outcomes and Impact. (United States)

    Perrault, Anna H.; Adams, Tina M.; Smith, Rhonda; Dixon, Jeannie


    Reports on the outcomes and impact of the Florida Community College Statewide Collection Assessment Project. Highlights include influences on the appropriation of additional funds; collection development decisions; collection weeding based on institution-specific collection assessment reports; and receipt and use of state legislative funding.…

  20. 2011-2013 Indiana Statewide Imagery and LiDAR Program: Lake Michigan Watershed Counties (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Indiana's Statewide LiDAR data is produced at 1.5-meter average post spacing for all 92 Indiana Counties covering more than 36,420 square miles. New LiDAR data was...

  1. Results of the 1992 State-Wide Business and Industry Survey. (United States)

    Jarrett, Carole, Comp.; And Others

    As part of an effort to develop courses and programs that reflect California business and industry's current and future needs, two studies were performed by Solano Community College to examine statewide trends and issues related to office automation and marketing and management. In conducting the study of office automation, 5,000 surveys were…

  2. Making an Impact Statewide to Benefit 21st-Century School Leadership (United States)

    Hewitt, Kimberly Kappler; Mullen, Carol A.; Davis, Ann W.; Lashley, Carl


    How can institutions of higher education, local education agencies, and departments of education partner to build capacity for 21st-Century school leadership? The model (IMPACT V) we describe utilizes a systems-wide partnership approach to cultivate shared leadership within influenced middle and high schools statewide to leverage technology as a…

  3. Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals


    Rood, Brian A.; Puckett, Julia A.; Pantalone, David W.; Bradford, Judith B.


    Transgender individuals experience violence and discrimination, which, in addition to gender transitioning, are established correlates of psychological distress. In a statewide sample of 350 transgender adults, we investigated whether a history of violence and discrimination increased the odds of reporting lifetime suicidal ideation (SI) and whether differences in SI were predicted by gender transition status. Violence, discrimination, and transition status significantly predicted SI. Compare...

  4. 23 CFR 450.214 - Development and content of the long-range statewide transportation plan. (United States)


    ... disaster preparedness plans; and any statements of policies, goals, and objectives on issues (e.g... providers of transportation, representatives of users of public transportation, representatives of users of... financial plan that demonstrates how the adopted long-range statewide transportation plan can be implemented...

  5. Statewide Physical Fitness Testing: A BIG Waist or a BIG Waste? (United States)

    Morrow, James R., Jr.; Ede, Alison


    Statewide physical fitness testing is gaining popularity in the United States because of increased childhood obesity levels, the relations between physical fitness and academic performance, and the hypothesized relations between adult characteristics and childhood physical activity, physical fitness, and health behaviors. Large-scale physical…

  6. A Statewide Train-the-Trainer Model for Effective Entrepreneurship and Workforce Readiness Programming (United States)

    Fields, Nia Imani; Brown, Mananmi; Piechocinski, Alganesh; Wells, Kendra


    A statewide youth and adult train-the-trainer model that integrates workforce readiness and entrepreneurship can have a profound effect on young people's academic performance, interest in college, and overall youth development. Participants in workforce and entrepreneurship programs develop personal resources that have value in school, in the…

  7. Modeling Mitigation Activities in North Carolina Watersheds (United States)

    Garcia, A. M.


    Nutrient enrichment and excessive sediment loadings have contributed to the degradation of rivers, lakes and estuaries in North Carolina. The North Carolina Department of Environmental Quality (NCDEQ) has implemented several basin-wide nutrient and sediment management strategies, yet gaps remain in understanding the impact of these strategies given the complexities in quantifying the processes that govern the transport of nutrient and sediment. In particular, improved assessment of the status of nutrient and sediment loadings to lakes and estuaries throughout the state is needed, including characterizing their sources and describing the relative contributions of different areas. The NCDEQ Division of Mitigation Services (DMS) uses watershed planning to identify and prioritize the best locations to implement stream, wetland, and riparian-buffer restoration to improve water quality. To support better decision-making for watershed restoration activities we are developing a SPARROW (SPAtially Referenced Regressions On Watershed attributes) model framework specifically for North Carolina. The SPARROW analysis (developed by the U.S. Geological Survey) relates water-quality monitoring data to better understand the effects of human activities and natural processes on surface-water quality. The core of the model consists of using a nonlinear-regression equation to describe the non-conservative transport of contaminants from point and nonpoint sources on land to rivers, lakes and estuaries through the stream and river network. In this presentation, preliminary total Nitrogen, total Phosphorus, and Total Suspended Solids (TSS) NC-SPARROW models are described that illustrate the SPARROW modeling framework incorporating specific restoration datasets and activity metrics, such as extent of riparian buffer and easements.

  8. Modeling the climatic and subsurface stratigraphy controls on the hydrology of a Carolina Bay wetland in South Carolina, USA (United States)

    Ge Sun; Timothy J. Callahan; Jennifer E. Pyzoha; Carl C. Trettin


    Restoring depressional wetlands or geographically isolated wetlands such as cypress swamps and Carolina bays on the Atlantic Coastal Plains requires a clear understanding of the hydrologic processes and water balances. The objectives of this paper are to (1) test a distributed forest hydrology model, FLATWOODS, for a Carolina bay wetland system using seven years of...

  9. A conceptual hydrologic model for a forested Carolina bay depressional wetland on the Coastal Plain of South Carolina, USA (United States)

    Jennifer E. Pyzoha; Timothy J. Callahan; Ge Sun; Carl C. Trettin; Masato Miwa


    This paper describes how climate influences the hydrology of an ephemeral depressional wetland. Surface water and groundwater elevation data were collected for 7 years in a Coastal Plain watershed in South Carolina USA containing depressional wetlands, known as Carolina bays. Rainfall and temperature data were compared with water-table well and piezometer data in and...

  10. 77 FR 50444 - Safety Zone, Atlantic Intracoastal Waterway; Carolina Beach, NC (United States)


    ... Beach, NC AGENCY: Coast Guard, DHS. ACTION: Notice of Proposed Rulemaking. SUMMARY: The Coast Guard... Carolina Beach, North Carolina. The safety zone is necessary to provide for the safety of mariners on..., mile 295.6, at Carolina Beach, North Carolina. The safety zone will temporarily restrict vessel...

  11. Leadership Characteristics and Practices in South Carolina Charter Schools. REL 2017-188 (United States)

    Rudo, Zena H.; Partridge, Mark A.


    Charter school stakeholders in South Carolina, including officials at the South Carolina Department of Education, personnel at the Public Charter School Alliance of South Carolina, and leaders of South Carolina charter schools, expressed interest in understanding the leadership characteristics and practices of charter school leaders across the…

  12. The Oncology Family App: Providing Information and Support for Families Caring for Their Child With Cancer. (United States)

    Slater, Penelope J; Fielden, Philippa E; Bradford, Natalie K

    The Oncology Family App supports families across the vast state of Queensland, Australia, with easy access to vital information, including management plans for a deteriorating child, patient specific information and other resources. This article describes the development and evaluation of this mobile app. The app was developed and tested in collaboration with parents, caregivers, and clinicians and released in November 2015. This first version featured "Statewide Hospital Contacts," including phone numbers, links to Google maps, and 24-hour emergency contacts with click to call functionality; "When to Call" describing symptoms to look out for in a deteriorating child; "Blood Results Table"; and "Information" listing recommended websites, health care team contacts, appointments, and notes. The app was evaluated through interviews with parents, caregivers and patients and download metrics. Six months after the app release, 68% of the 38 parents and caregivers surveyed had downloaded the app. The most used modules were "Blood Results Table," "When to Call," and "Statewide Hospital Contacts," but families reported using all features available. Families were enthusiastic about the support the app provided and gave useful feedback to direct future development. Using mobile health technology to support families is a novel, but rapidly growing concept. Family and caregiver feedback showed that the Oncology Family App was an efficient and convenient way to provide much needed information. A new version of the app is under development and evaluation of outcomes will be ongoing.

  13. Risk-based analysis of environmental monitoring data: application to heavy metals in North Carolina surface waters. (United States)

    Preston, Benjamin L; Shackelford, Jeremiah


    The state of North Carolina's Department of Environment and Natural Resources (NCDENR) conducts routine water quality monitoring throughout the state to assess the health of aquatic systems. The current study reports the results of a retrospective (1990-2000) ecological risk assessment of six heavy metals (arsenic, cadmium, copper, lead, mercury, and zinc) in 17 North Carolina basins that was conducted to estimate the risk of heavy metal toxicity to freshwater organisms and assess the sufficiency of NCDENR's monitoring data to identify water-quality-related ecological threats. Acute and chronic ecotoxicological thresholds (ETs) were calculated for each metal based upon the 10th percentile of species sensitivity distributions and were normalized for water hardness. Statewide probabilities (expressed as percentages) of a random sample exceeding acute or chronic ETs among the six metals ranged from 0.01% to 12.19% and 0.76% to 21.21%, respectively, with copper having the highest and arsenic and mercury the lowest risk. Basin-specific probabilities varied significantly depending upon water hardness and presumably watershed development. Although the majority of specific sites where data were collected were at low risk for metal toxicity, some specific sites had a high probability of toxic events associated with one or more metals. Analytical detection limits for metals were frequently higher than estimated chronic ET, limiting the ability to assess the risk of chronic toxicity in soft-water basins. Results suggest risk-based criteria may be useful for assessing and validating the sufficiency of monitoring programs and prioritizing management goals.

  14. Predation by coyotes on white-tailed deer neonates in South Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Kilgo, John C.; Ray, H. Scott; Vukovich, Mark; Goode, Matthew J.; Ruth, Charles


    Abstract: Coyotes (Canis latrans) are novel predators throughout the southeastern United States and their depredation of white-tailed deer (Odocoileus virginianus) neonates may explain observed declines in some deer populations in the region, but direct evidence for such a relationship is lacking. Our objective was to quantify neonate survival rates and causes of mortality at the United States Department of Energy's Savannah River Site (SRS), South Carolina to directly evaluate degree of predation in this deer population. From 2006 to 2009, we radio-monitored 91 neonates captured with the aid of vaginal implant transmitters in pregnant adult females and opportunistic searches. Overall Kaplan Meier survival rate to 16 weeks of age was 0.230 (95% CI = 0.155-0.328), and it varied little among years. Our best-fitting model estimated survival at 0.220 (95% CI = 0.144-0.320). This model included a quadratic time trend variable (lowest survival rate during the first week of life and increasing to near 1.000 around week 10), and Julian date of birth (survival probability declining as date of birth increased). Predation by coyotes was the most frequent cause of death among the 70 monitored neonates that died, definitively accounting for 37% of all mortalities and potentially accounting for as much as 80% when also including probable coyote predation. Predation by bobcats (Felis rufus) accounted for 7% (definitive) to 9% (including probable bobcat predation) of mortalities. The level of coyote-induced mortality we observed is consistent with the low recruitment rates exhibited in the SRS deer population since establishment of coyotes at the site. If representative of recruitment rates across South Carolina, current harvest levels appear unsustainable. This understanding is consistent with the recent declining trend in the statewide deer population. The effects of coyote predation on recruitment should be considered when setting harvest goals, regardless of whether local

  15. Types of medication errors in North Carolina nursing homes: a target for quality improvement. (United States)

    Hansen, Richard A; Greene, Sandra B; Williams, Charlotte E; Blalock, Susan J; Crook, Kathleen D; Akers, Roger; Carey, Timothy S


    Medication errors are an important problem in nursing homes, but little is known about the types of medications involved in errors in this setting. Gaining a better understanding of the types of medications commonly involved in medication errors in nursing homes would be an important step toward quality improvement. This study sought to describe the types of medication errors most frequently reported to a statewide repository by North Carolina nursing homes. We also examined whether nursing homes reporting an error involving a drug on the updated Beers list of medications considered potentially inappropriate for use in the elderly were likely to report a greater number of medication errors or more harmful medication errors compared with nursing homes that did not report such an error. Medication errors were defined as preventable events that had the potential to cause/lead to or actually caused/led to inappropriate medication use or patient harm. We analyzed summary reports of medication errors submitted to the State of North Carolina by licensed nursing homes for the 9-month period from January 1, 2004, to September 30, 2004, using a Web-based reporting system. Drugs commonly involved in medication errors were summarized for all nursing homes in the state. Errors involving medications on the updated Beers list also were identified. Nursing homes were profiled and compared according to the type of medication error and whether the error reached the patient and/or caused harm. Among the 384 licensed nursing homes included in our analysis, 9272 medication errors were reported. The specific medication involved was documented for 5986 of these errors. The medications most commonly involved in an error were lorazepam (457 errors [8%]), warfarin (349 [6%]), insulin (332 [6%]), hydrocodone and hydrocodone combinations (233 [4%]), furosemide (173 [3%]), and the fentanyl patch (150 [3%]). The medication errors disproportionately included central nervous system agents (16

  16. Identification of a novel herpesvirus in captive Eastern box turtles (Terrapene carolina carolina). (United States)

    Sim, Richard R; Norton, Terry M; Bronson, Ellen; Allender, Matthew C; Stedman, Nancy; Childress, April L; Wellehan, James F X


    Herpesviruses are significant pathogens of chelonians which most commonly cause upper respiratory tract disease and necrotizing stomatitis. Herpesvirus infection was identified in two populations of captive Eastern box turtles (Terrapene carolina carolina) using histopathology and polymerase chain reaction (PCR) with DNA sequencing. Necrotizing lesions with eosinophilic to amphophilic intranuclear inclusion bodies were identified in the tissues of one hatch-year individual in January 2013, which was herpesvirus positive by PCR. A separate captive group of adults had an observed herpesvirus prevalence of 58% using PCR in July 2011. In these cases, a novel herpesvirus, Terrapene herpesvirus 1 (TerHV1), was identified and serves as the first herpesvirus sequenced in the genus Terrapene. Similar to the other herpesviruses of the Order Testudines, TerHV1 clusters with the genus Scutavirus of the subfamily Alphaherpesvirinae. Copyright © 2014 Elsevier B.V. All rights reserved.

  17. Helminth parasites of eastern box turtles (Terrapene carolina carolina) from southern Indiana, USA. (United States)

    Moraga, P; Kinsella, J M; Sepúlveda, M S


    Very little is known about parasitic diseases of eastern box turtles (Terrapene carolina carolina). The objective of this study was to examine the parasitic fauna of eastern box turtles collected from southern Indiana, USA. Turtles (n = 40) were salvaged mostly as road kills from southern Indiana between May and October 2009. Seven species of helminths in total were found parasitizing the gastrointestinal tract, including two digenean trematodes (Brachycoelium salamandrae and Telorchis robustus) and five nematodes (Oswaldocruzia pipiens, Cosmocercoides dukae, Falcaustra affinis, F. chelydrae and Serpinema trispinosus). We report prevalence, abundance and mean intensity of infection for all helminths. Helminths were not found in any other organs examined (heart, gonads, liver, heart, kidney and urinary bladder) and no ectoparasites were found. Overall, mean intensity of infections was low (1-14 parasites/host), suggesting that these parasites are unlikely to be associated with negative health impacts. This constitutes the first study of this kind for Indiana.

  18. Development of a central data warehouse for statewide ITS and transportation data in Florida phase III : final report. (United States)


    This report documents Phase III of the development and operation of a prototype for the Statewide Transportation : Engineering Warehouse for Archived Regional Data (STEWARD). It reflects the progress on the development and : operation of STEWARD sinc...

  19. Thermoregulatory performance and habitat selection of the eastern box turtle (Terrapene carolina carolina) (United States)

    Parlin, Adam F; do Amaral, José Pedro S; Dougherty, John Kelly; Stevens, M Henry H


    Abstract Environmental conditions may affect individual physiological processes that influence short-term performance and ultimately growth, survival and reproduction. As such, habitats selected by animals must provide suitable and adequate resources. Ectothermic species are highly dependent on climatic conditions and ambient temperatures that dictate body temperature regulation and in turn physiological processes. We investigated the thermoregulatory performance, habitat selection, and movements of an ectothermic vertebrate, the Eastern box turtle (Terrapene carolina carolina) to assess the importance of thermoregulatory physiology in habitat selection. We evaluated the relationship between habitat selection and thermoregulatory performance in Southwest Ohio over two active seasons from May until October. We found that T. carolina selected shaded habitats, including evergreen and deciduous forests, as well as herbaceous grasslands, conformed to the ambient temperatures throughout the active season, although these habitats had temperatures below those expected based on thermal optima of box turtles. Further, we found that movement was not correlated with internal body temperature. Our study shows that thermal conditions are not paramount in habitat selection of box turtles, but that cooler temperatures do not have an effect on the extent of their locomotion. PMID:29255608

  20. Boysville of Michigan Family Reunification Project. Final Report, May 17, 1989 - June 30, 1991. (United States)

    Administration for Children, Youth, and Families (DHHS), Washington, DC.

    In 1989, Boysville of Michigan received funding to design and implement a family reunification program that could be disseminated statewide and nationally for replication. The site for the pilot project was Detroit (Michigan) and surrounding communities, an economically depressed, urban area. The Homebuilders Model, which emphasizes children's…

  1. Food and Nutrition Practices and Education Needs in Florida's Adult Family Care Homes (United States)

    Dahl, Wendy J.; Ford, Amanda L.; Gal, Nancy J.


    A statewide survey was carried out to determine food and nutrition practices and education needs of Florida's adult family care homes (AFCHs). The 30-item survey included questions on food and nutrition education, supplement use, and menu planning. Infrequent use of menus and nutrition supplements was reported. A strong need was indicated for…

  2. The associations between state veteran population rates, handgun legislation, and statewide suicide rates. (United States)

    Anestis, Michael; Capron, Daniel W


    Within the US, veterans exhibit an elevated suicide rate, with firearms serving as the most common method. Research has demonstrated that several state laws regulating handgun ownership are associated with lower suicide rates. Publically available databases were utilized to extract relevant data. Statewide veteran population rates (per 100,000) predicted overall suicide rates, firearm suicide rates, and the proportion of suicides by firearms. Furthermore, the association between veteran population and overall suicide rate was largely explained by the elevated proportion of suicides by firearms in states with higher veteran populations. Lastly, results demonstrated states without handgun legislation in place exhibited higher veteran populations. Findings indicate veterans may impact statewide suicide rates through their propensity to use firearms as their method and that the tendency for veterans to live in states without handgun legislation may exacerbate this phenomenon. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Heterogeneity in asthma care in a statewide collaborative: the Ohio Pediatric Asthma Repository. (United States)

    Biagini Myers, Jocelyn M; Simmons, Jeffrey M; Kercsmar, Carolyn M; Martin, Lisa J; Pilipenko, Valentina V; Austin, Stephen R; Lindsey, Mark A; Amalfitano, Katharine M; Guilbert, Theresa W; McCoy, Karen S; Forbis, Shalini G; McBride, John T; Ross, Kristie R; Vauthy, Pierre A; Khurana Hershey, Gurjit K


    Asthma heterogeneity causes difficulty in studying and treating the disease. We built a comprehensive statewide repository linking questionnaire and medical record data with health outcomes to characterize the variability of clinical practices at Ohio children's hospitals for the treatment of hospitalized asthma. Children hospitalized at 6 participating Ohio children's hospitals for asthma exacerbation or reactive airway disease aged 2 to 17 were eligible. Medical, social, and environmental histories and past asthma admissions were collected from questionnaires and the medical record. From December 2012 to September 2013, 1012 children were enrolled. There were significant differences in the population served, emergency department and inpatient practices, intensive care unit usage, discharge criteria, and length of stay across the sites (all P Repository is a unique statewide resource in which to conduct observational, comparative effectiveness, and ultimately intervention studies for pediatric asthma. Copyright © 2015 by the American Academy of Pediatrics.

  4. Impact of Maine’s Statewide Nutrition Policy on High School Food Environments


    Whatley Blum, Janet E.; Beaudoin, Christina M.; O'Brien, Liam M.; Polacsek, Michele; Harris, David E.; O'Rourke, Karen A.


    Introduction We assessed the effect on the food environments of public high schools of Maine's statewide nutrition policy (Chapter 51), which banned "foods of minimal nutritional value" (FMNV) in public high schools that participated in federally funded meal programs. We documented allowable exceptions to the policy and describe the school food environments. Methods We mailed surveys to 89 high school food-service directors to assess availability pre–Chapter 51 and post–Chapter 51 of soda, ot...

  5. Understanding characteristics of families who buy local produce. (United States)

    Racine, Elizabeth F; Mumford, Elizabeth A; Laditka, Sarah B; Lowe, Anna E


    To examine individual characteristics associated with local produce purchasing among North Carolina families with children. Cross-sectional analysis using data from the 2008 North Carolina Child Health Assessment and Monitoring Program (NC CHAMP), a representative sample of adults who have land-line telephones. North Carolina. Families with children who participated in the NC CHAMP (n = 2,932). Frequency of buying local produce from local vendors in the past year. Bivariate and multivariate zero-inflated negative binomial regression identified characteristics associated with not buying local produce and, among those who purchased local produce, the frequency of purchasing. About half of families reported buying local produce on average once a month during the past year. In adjusted results, buying local produce was more likely among white families, lower income families, families living in rural areas, families with children who ate 5 or more servings of fruits and vegetables per day, and families with children in poor health. Findings suggest that it may be useful for dietitians and health promotion professionals to assess the availability of local produce in urban areas and to focus interventions to promote local produce purchases among black families. Copyright © 2013 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  6. Myrtle Beach, South Carolina Tsunami Forecast Grids for MOST Model (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Myrtle Beach, South Carolina Forecast Model Grids provides bathymetric data strictly for tsunami inundation modeling with the Method of Splitting Tsunami (MOST)...

  7. Submerged Aquatic Vegetation of Bogue Sound, North Carolina 1992 Geodatabase (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — During 1992, 1:20,000 scale aerial photography for Bogue Sound, North Carolina was collected as part of an effort to map submerged aquatic vegetation (SAV) in...

  8. Submerged Aquatic Vegetation of Bogue Sound, North Carolina 1992 Geoform (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — During 1992, 1:20,000 scale aerial photography for Bogue Sound, North Carolina was collected as part of an effort to map submerged aquatic vegetation (SAV) in...

  9. Submerged Aquatic Vegetation of Bogue Sound, North Carolina 1992 Substrate (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — During 1992, 1:20,000 scale aerial photography for Bogue Sound, North Carolina was collected as part of an effort to map submerged aquatic vegetation (SAV) in...

  10. North Carolina DOT peer exchange on performance management (United States)


    This report highlights key recommendations and best practices identified at the peer exchange on Transportation Asset Management Plans (TAMP), held on February 5 and 6, 2014, in Columbia, South Carolina. This event was sponsored by the Transportation...

  11. Wind Powering America: The Next Steps in North Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Banks, Jennifer L. [North Carolina Solar Center; Scanlin, Dennis [Appalachian State University; Quinlan, Paul [North Carolina Sustainable Energy Association


    The goal of this project is to apply the WPA’s proactive outreach strategy to the problem of educating the public about the likely transmission infrastructure developments concomitant to the significant development of wind energy resources in North Carolina. Given the lead time to develop significant new transmission infrastructure (5-10 years), it is critical to begin this outreach work today, so that wind resources can be developed to adequately meet the 20% by 2030 goal in the mid- to long-term (10-20 years). The project team planned to develop a transmission infrastructure outreach campaign for North Carolina by: (1) convening a utility interest group (UIG) of the North Carolina Wind Working Group (NC WWG) consisting of electric utilities in the state and the Southeast; and (2) expanding outreach to local and state government officials in North Carolina.

  12. North Carolina School Performance Data 2016-2017 (United States)

    City and County of Durham, North Carolina — 2016-17 State, District, and School Level Drilldown Performance DataPercentages greater than 95 are displayed as >95 and percentages less than 5 are displayed as...

  13. The distribution of the bats of South Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Menzel, Jennifer M. [USDA Forest Service, Parsons, WV (United States); Menzel, Michael A. [West Virginia Univ., Morgantown, WV (United States); Ford, W. Mark [USDA Forest Service, Parsons, WV (United States); Edwards, John W. [West Virginia Univ., Morgantown, WV (United States); Sheffield, Steven R. [George Mason Univ., Fairfax, VA (United States); Kilgo, John C. [USDA Forest Service, New Ellenton, SC (United States); Bunch, Mary S. [South Carolina Dept. of Natural Resources, Pendleton, SC (United States)


    Menzel. J.M., M.A. Menzel, W.M. Ford, J.W. Edwards, S.R. Sheffield, J.C. Kilgo, and M.S. Bunch. 2003. The distribution of the bats of South Carolina. Southeastern Nat. 2(1): 121-152. There is a paucity of information available about the distribution of bats in the southeastern United States. We synthesized records from museums, bat captures, and bats submitted for rabies testing to provide a more accurate and useful distribution for natural resource managers and those planning to research bats in South Carolina. Distributional information, including maps, collection localities within counties, and literature references, for all 14 species of bats that occur in South Carolina, has never been synthesized. To provide better information on the state's bat fauna, we have updated distributions for all species that occur in South Carolina.

  14. Cape Hatteras, North Carolina Tsunami Forecast Grids for MOST Model (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Cape Hatteras, North Carolina Forecast Model Grids provides bathymetric data strictly for tsunami inundation modeling with the Method of Splitting Tsunami (MOST)...

  15. Morehead City, North Carolina Tsunami Forecast Grids for MOST Model (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Morehead City, North Carolina Forecast Model Grids provides bathymetric data strictly for tsunami inundation modeling with the Method of Splitting Tsunami (MOST)...

  16. Medical University of South Carolina Environmental Hazards Assessment Program. Volume 5: Annual report, July 1, 1993--June 30, 1994 deliverables

    Energy Technology Data Exchange (ETDEWEB)


    The Medical University of South Carolina`s vision is to become the premier national resource for medical information and for environmental/health risk assessment. A key component to the success of the many missions of the Environmental Hazards Assessment Program (EHAP) is timely access to large volumes of data. This study documents the results of the needs assessment effort conducted to determine the information access and processing requirement of EHAP. The following topics are addressed in this report: environmental medicine and risk communication: curriculum and a professional support network-Department of Family Medicine; environmental hazards assessment and education program in pharmacy graduate education in risk assessment; and graduate education risk assessment.

  17. The Obesity Prevention Initiative: A Statewide Effort to Improve Child Health in Wisconsin. (United States)

    Adams, Alexandra K; Christens, Brian; Meinen, Amy; Korth, Amy; Remington, Patrick L; Lindberg, Sara; Schoeller, Dale


    Obesity rates have increased dramatically, especially among children and disadvantaged populations. Obesity is a complex issue, creating a compelling need for prevention efforts in communities to move from single isolated programs to comprehensive multisystem interventions. To address these issues, we have established a childhood Obesity Prevention Initiative (Initiative) for Wisconsin. This Initiative seeks to test community change frameworks that can support multisystem interventions and provide data for local action as a means for influencing policies, systems, and environments that support individuals’ healthy eating and physical activity. The Initiative is comprised of three components: (1) infrastructure to support a statewide obesity prevention and health promotion network with state- and local-level public messaging and dissemination of evidence-based solutions (healthTIDE); (2) piloting a local, multisetting community-led intervention study in 2 Wisconsin counties; and (3) developing a geocoded statewide childhood obesity and fitness surveillance system. This Initiative is using a new model that involves both coalition action and community organizing to align resources to achieve health improvement at local and state levels. We expect that it will help lead to the implementation of cohesive and sustainable policy, system, and environment health promotion and obesity prevention strategies in communities statewide, and it has the potential to help Wisconsin become a national model for multisetting community interventions to address obesity. Addressing individual-level health through population-level changes ultimately will result in reductions in the prevalence of childhood obesity, current and future health care costs, and chronic disease mortality.

  18. Statewide screening for low-level radioactive waste shallow land burial sites

    International Nuclear Information System (INIS)

    Staub, W.P.; Cannon, J.B.; Stratton, L.E.


    A methodology was developed for statewide low-level waste site screening based on NRC site selection criteria. The methodology and criteria were tested in Tennessee to determine their effectiveness in narrowing the choice of sites for more intensive localized site screening. The statewide screening methodology entailed two steps. The first step was to select one or more physiographic provinces wherein sites meeting the criteria were most likely to be found. The second step was to select one or more suitable outcrop bands from within the most favorable physiographic provinces. These selections were based entirely on examination of existing literature and maps at scales no larger than 1:250,000. The statewide screening project identified only one suitable physiographic province (the Mississippi Embayment region) and one favorable outcrop band (the Coon Creek Formation) within a three county area of western Tennessee. Ground water monitoring and predictability proved to be the most difficult criterion to meet. This criterion alone eliminated other outcrop bands in the Mississippi Embayment as well as the Eastern Highland Rim and Western Highland Rim physiographic provinces. Other provinces failed to meet several screening criteria. 3 references, 3 figures, 1 table

  19. Intergenerational relations and elder care preferences of Asian Indians in North Carolina. (United States)

    Sudha, S


    The US older population is growing in ethnic diversity. Persistent ethnic disparities in service use among seniors are linked to structural barriers to access, and also to family processes such as cultural preferences and intergenerational relations. There is sparse information on the latter issue for immigrant ethnic minority seniors. Information on the Asian group (the fastest growing senior sub-population) is extremely scarce, due to this group's diversity in national, linguistic, and cultural origins. We conducted a qualitative study among community-dwelling Asian Indian families (including at least one member aged 60 years and older) in North Carolina to examine preferences of seniors and the midlife generation regarding elder care, and the role of intergenerational relations in desired care for elders, exploring the theoretical perspective of intergenerational relationship ambivalence. Our results suggest that cultural preferences, ambivalence in intergenerational relations, and regulations on health service eligibility among immigrant/transnational seniors and midlife adults influence preferences for elder care.

  20. Intimate Partner Violence Prevention Programs in North Carolina. (United States)

    Mangum, Dana W

    One in 4 women will experience intimate partner violence in her lifetime. The goal of primary intimate partner violence prevention programs is to stop the violence before it begins. Secondary prevention programs identify violence that is occurring and intervene as soon as possible to prevent the problem from progressing. This commentary discusses intimate partner violence, primary and secondary prevention, and current prevention programs in North Carolina. ©2016 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

  1. Environmental Sensitivity Index (ESI) Atlas: North Carolina and South Carolina Digital Data Re-release, 1996 (NODC Accession 0049956) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set comprises an update of the Environmental Sensitivity Indexes (ESI) data for North and South Carolina. ESI data characterize estuarine environments and...

  2. Issues Surrounding the Deployment of a New Statewide Virtual Public School (United States)

    Oliver, Kevin; Osborne, Jason; Patel, Ruchi; Kleiman, Glenn


    The North Carolina Virtual Public School completed its first session during the summer of 2007. Evaluation results revealed differences between accelerated and credit recovery students, including a significantly higher likelihood for accelerated students to rate their courses as high quality, to express interest in taking another online course,…

  3. Core to College Evaluation: Statewide Networks. Connecting Education Systems and Stakeholders to Support College Readiness (United States)

    Bracco, Kathy Reeves; Klarin, Becca; Broek, Marie; Austin, Kim; Finkelstein, Neal; Bugler, Daniel; Mundry, Susan


    The Core to College initiative aims to facilitate greater coordination between K-12 and postsecondary education systems around implementation of the Common Core State Standards and aligned assessments. Core to College grants have been awarded to teams in Colorado, Florida, Hawaii, Kentucky, Louisiana, Massachusetts, North Carolina, Oregon,…

  4. Evaluating North Carolina Food Pantry Food Safety-Related Operating Procedures. (United States)

    Chaifetz, Ashley; Chapman, Benjamin


    Almost one in seven American households were food insecure in 2012, experiencing difficulty in providing enough food for all family members due to a lack of resources. Food pantries assist a food-insecure population through emergency food provision, but there is a paucity of information on the food safety-related operating procedures used in the pantries. Food pantries operate in a variable regulatory landscape; in some jurisdictions, they are treated equivalent to restaurants, while in others, they operate outside of inspection regimes. By using a mixed methods approach to catalog the standard operating procedures related to food in 105 food pantries from 12 North Carolina counties, we evaluated their potential impact on food safety. Data collected through interviews with pantry managers were supplemented with observed food safety practices scored against a modified version of the North Carolina Food Establishment Inspection Report. Pantries partnered with organized food bank networks were compared with those that operated independently. In this exploratory research, additional comparisons were examined for pantries in metropolitan areas versus nonmetropolitan areas and pantries with managers who had received food safety training versus managers who had not. The results provide a snapshot of how North Carolina food pantries operate and document risk mitigation strategies for foodborne illness for the vulnerable populations they serve. Data analysis reveals gaps in food safety knowledge and practice, indicating that pantries would benefit from more effective food safety training, especially focusing on formalizing risk management strategies. In addition, new tools, procedures, or policy interventions might improve information actualization by food pantry personnel.

  5. The Durham Family Initiative: A Preventive System of Care (United States)

    Dodge, Kenneth A.; Berlin, Lisa J.; Epstein, Matthew; Spitz-Roth, Adele; O'Donnell, Karen; Kaufman, Martha; Amaya-Jackson, Lisa; Rosch, Joel; Christopoulos, Christina


    This article describes the Durham Family Initiative (DFI), an innovative effort to bring together child welfare and juvenile justice systems to reach DFI's goal of reducing the child abuse rate in Durham, North Carolina, by 50% within the next 10 years. DFI will follow principles of a preventive system of care (PSoC), which focuses on nurturing…

  6. Pathology of aural abscesses in free-living Eastern box turtles (Terrapene carolina carolina). (United States)

    Brown, Justin D; Richards, Jean M; Robertson, John; Holladay, Steven; Sleeman, Jonathan M


    Aural abscess or abscess of the middle ear is common in free-living Eastern box turtles (Terrapene carolina carolina) of Virginia (USA) and elsewhere. Although its etiology remains unknown, hypovitaminosis A has been suggested on the basis of similar lesions occurring in captive chelonians fed diets that are deficient in vitamin A. This hypothesis was supported by significantly greater body burdens of organochlorine compounds (reported disruptors of vitamin A metabolism) and a nonsignificant trend toward lower serum and hepatic vitamin A levels in free-living box turtles with this lesion. The tympanic epithelium was evaluated in 27 box turtles (10 with aural abscesses and 17 without). Lesions of the tympanic epithelium of box turtles with aural abscesses included hyperplasia, squamous metaplasia, hyperemia, cellular sloughing, granulomatous inflammation, and bacterial infection. These changes were more severe in turtles with aural abscesses than in those without and were more severe in tympanic cavities that had an abscess compared to those without when the lesion was unilateral. Organs from 21 box turtles (10 with aural abscesses and 11 without) from the study population were examined for microscopic lesions, and minimal histopathologic changes were found, none of which were similar to those found in the tympanic epithelium. Histopathologic changes in box turtles with aural abscesses were consistent with a syndrome that may involve hypovitaminosis A.

  7. Microclimates and energetics of free-living box turtles, Terrapene carolina, in South Carolina. (United States)

    Penick, David N; Congdon, Justin; Spotila, James R; Williams, Joseph B


    We measured microclimate, field metabolic rates (FMRs), water flux, and activity patterns of telemetered box turtles (Terrapene carolina) in South Carolina from September 1987 to October 1988. Turtles were inactive for most of the winter and were active only sporadically during the rest of the year. Using the doubly labeled water method, we found that water flux averaged 8.8, 18.9, and 26.4 mL kg(-1) d(-1) in winter, spring, and summer/fall, respectively. FMR for the same periods averaged 0.028, 0.065, and 0.124 mL CO(2) g(-1) h(-1). Differences in FMR among seasons were significant but not between sexes. Using operative temperatures, we predicted standard and maximum metabolic rates of turtles. In winter, FMR was elevated above standard metabolic rates and close to maximum metabolic rates, whereas in spring and summer/fall, FMR fell midway between standard and maximum metabolic rates. We used a model to predict metabolic rates, geographical distribution, and potential reproductive output of box turtles across latitudes in eastern North America. Low FMR and low annual reproductive output may allow box turtles to survive and flourish in unpredictable resource environments by minimizing costs and risks, thereby maintaining greater lifetime reproductive success.

  8. 76 FR 72844 - Approval and Promulgation of Air Quality Implementation Plans: South Carolina; Negative... (United States)


    ..., disproportionate human health or environmental effects, using practicable and legally permissible methods, under... Available Control Technology for the Portion of York County, South Carolina,'' ``Negative Declaration for...] Approval and Promulgation of Air Quality Implementation Plans: South Carolina; Negative Declarations for...

  9. Hurricane Ophelia Aerial Photography: High-Resolution Imagery of the North Carolina Coast After Landfall (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The imagery posted on this site is of the North Carolina coast after Hurricane Ophelia made landfall. The regions photographed range from Hubert, North Carolina to...

  10. Cost-Effectiveness Analysis of the Residential Provisions of the 2015 IECC for South Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Mendon, Vrushali V. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhao, Mingjie [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Taylor, Zachary T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Poehlman, Eric A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    The 2015 IECC provides cost-effective savings for residential buildings in South Carolina. Moving to the 2015 IECC from the 2009 IECC base code is cost-effective for residential buildings in all climate zones in South Carolina.

  11. CREEK Project's Oyster Biomass Database for Eight Creeks in the North Inlet Estuary, South Carolina (United States)

    Baruch Institute for Marine and Coastal Sciences, Univ of South Carolina — A group of eight tidal creeks dominated by oysters, Crassostrea virginica, in North Inlet Estuary, South Carolina, USA were studied using a replicated BACI (Before -...

  12. Earthquakes in South Carolina and Vicinity 1698-2009 (United States)

    Dart, Richard L.; Talwani, Pradeep; Stevenson, Donald


    This map summarizes more than 300 years of South Carolina earthquake history. It is one in a series of three similar State earthquake history maps. The current map and the previous two for Virginia and Ohio are accessible at and All three State earthquake maps were collaborative efforts between the U.S. Geological Survey and respective State agencies. Work on the South Carolina map was done in collaboration with the Department of Geological Sciences, University of South Carolina. As with the two previous maps, the history of South Carolina earthquakes was derived from letters, journals, diaries, newspaper accounts, academic journal articles, and, beginning in the early 20th century, instrumental recordings (seismograms). All historical (preinstrumental) earthquakes that were large enough to be felt have been located based on felt reports. Some of these events caused damage to buildings and their contents. The more recent widespread use of seismographs has allowed many smaller earthquakes, previously undetected, to be recorded and accurately located. The seismicity map shows historically located and instrumentally recorded earthquakes in and near South Carolina

  13. The South Carolina bridge-scour envelope curves (United States)

    Benedict, Stephen T.; Feaster, Toby D.; Caldwell, Andral W.


    The U.S. Geological Survey, in cooperation with the South Carolina Department of Transportation, conducted a series of three field investigations to evaluate historical, riverine bridge scour in the Piedmont and Coastal Plain regions of South Carolina. These investigations included data collected at 231 riverine bridges, which lead to the development of bridge-scour envelope curves for clear-water and live-bed components of scour. The application and limitations of the South Carolina bridge-scour envelope curves were documented in four reports, each report addressing selected components of bridge scour. The current investigation (2016) synthesizes the findings of these previous reports into a guidance manual providing an integrated procedure for applying the envelope curves. Additionally, the investigation provides limited verification for selected bridge-scour envelope curves by comparing them to field data collected outside of South Carolina from previously published sources. Although the bridge-scour envelope curves have limitations, they are useful supplementary tools for assessing the potential for scour at riverine bridges in South Carolina.

  14. Utah Governor blacks out data on state-wide energy outage

    Energy Technology Data Exchange (ETDEWEB)


    The Governor of Utah squelched information linking a six-hour blackout on January 8 to a trash fire and explosion at the Utah State Prison. Ionizing gases from the explosion allegedly caused a phase fault on the penitentiary grounds that triggered the nearly state-wide outage. The Attorney General recommended a freeze on public information on the grounds that further discussion would be detrimental in the event of lawsuits and evidence from an independent investigation would be more admissable. The Public Service Commission disagreed with efforts to prevent an internal investigation. (DCK)

  15. Combining resources, combining forces: regionalizing hospital library services in a large statewide health system. (United States)

    Martin, Heather J; Delawska-Elliott, Basia


    After a reduction in full-time equivalents, 2 libraries in large teaching hospitals and 2 libraries in small community hospitals in a western US statewide health system saw opportunity for expansion through a regional reorganization. Despite a loss of 2/3 of the professional staff and a budgetary decrease of 27% over the previous 3 years, the libraries were able to grow business, usage, awareness, and collections through organizational innovation and improved efficiency. This paper describes the experience--including process, challenges, and lessons learned--of an organizational shift to regionalized services, collections, and staffing. Insights from this process may help similar organizations going through restructuring.

  16. Combining resources, combining forces: regionalizing hospital library services in a large statewide health system* (United States)

    Martin, Heather J.; Delawska-Elliott, Basia


    After a reduction in full-time equivalents, 2 libraries in large teaching hospitals and 2 libraries in small community hospitals in a western US statewide health system saw opportunity for expansion through a regional reorganization. Despite a loss of 2/3 of the professional staff and a budgetary decrease of 27% over the previous 3 years, the libraries were able to grow business, usage, awareness, and collections through organizational innovation and improved efficiency. This paper describes the experience—including process, challenges, and lessons learned—of an organizational shift to regionalized services, collections, and staffing. Insights from this process may help similar organizations going through restructuring. PMID:25552945

  17. Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals. (United States)

    Rood, Brian A; Puckett, Julia A; Pantalone, David W; Bradford, Judith B


    Transgender individuals experience violence and discrimination, which, in addition to gender transitioning, are established correlates of psychological distress. In a statewide sample of 350 transgender adults, we investigated whether a history of violence and discrimination increased the odds of reporting lifetime suicidal ideation (SI) and whether differences in SI were predicted by gender transition status. Violence, discrimination, and transition status significantly predicted SI. Compared with individuals with no plans to transition, individuals with plans or who were living as their identified gender reported greater odds of lifetime SI. We discuss implications for SI disparities using Meyer's minority stress model.

  18. 77 FR 64904 - Safety Zone, Atlantic Intracoastal Waterway; Carolina Beach, NC (United States)


    ... Beach, NC AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary safety zone on the waters of the Atlantic Intracoastal Waterway at Carolina Beach..., at Carolina Beach, North Carolina. The safety zone will temporarily restrict vessel movement within...

  19. Cost-Effectiveness Analysis of the Residential Provisions of the 2015 IECC for North Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Mendon, Vrushali V. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhao, Mingjie [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Taylor, Zachary T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Poehlman, Eric A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    The 2015 IECC provides cost-effective savings for residential buildings in North Carolina. Moving to the 2015 IECC from the 2012 North Carolina State Code base code is cost-effective for residential buildings in all climate zones in North Carolina.

  20. Segregation Again: North Carolina's Transition from Leading Desegregation Then to Accepting Segregation Now (United States)

    Ayscue, Jennifer B.; Woodward, Brian


    North Carolina has a storied history of school integration efforts spanning several decades. In response to the "Brown" decision, North Carolina's strategy of delayed integration was more subtle than the overt defiance of other Southern states. Numerous North Carolina school districts were early leaders in employing strategies to…

  1. 78 FR 26361 - Duke Energy Carolinas, LLC, Keowee-Toxaway Hydroelectric Project; Notice of Revised Restricted... (United States)


    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 2503-147--South Carolina and North Carolina] Duke Energy Carolinas, LLC, Keowee-Toxaway Hydroelectric Project; Notice of Revised Restricted Service List for a Programmatic Agreement Rule 2010 of the Federal Energy Regulatory...

  2. Social marketing: the family planning experience. (United States)

    El-ansary, A I; Kramer Oe, J


    The authors explore social marketing applications in the Louisiana model of statewide program for family planning. The marketing concept has 4 major elements: 1) consumer orientation; 2) social process; 3) integrated effort; 4) profitable operation. Success of program and continued growth are the results of defining services needed by consumer; determining market target; taking services to customer; and emphasizing concept of selling family planning rather than giving free birth control method. Another important facet is the recognition of many participants--community agencies, the church, the American Medical Association, funding sources, and hospitals. This project used anyaltical marketing tools and defined services as human services rather than the narrow family planning services. It also extended activities to multinational environment and adapted the product offering to meet these needs.

  3. The Outer Banks of North Carolina (United States)

    Dolan, Robert; Lins, Harry F.; Smith, Jodi Jones


    The Outer Banks of North Carolina are excellent examples of the nearly 300 barrier islands rimming the Atlantic and Gulf coasts of the United States. These low, sandy islands are among the most dynamic natural landscapes occupied by man. Beach sands move offshore, onshore, and along the shore in the direction of the prevailing longshore currents. In this way, sandy coasts continuously adjust to different tide, wave, and current conditions and to rising sea level that causes the islands to migrate landward.Despite such changes, barrier islands are of considerable environmental importance. The Outer Banks are home to diverse natural ecosystems that are adapted to the harsh coastal environment. Native species tend to be robust and many are specifically adapted to withstand salt spray, periodic saltwater flooding, and the islands’ well-drained sandy soil. The Outer Banks provide an important stopover for birds on the Atlantic flyway, and many species inhabit the islands year round. In addition, Outer Banks beaches provide an important nesting habitat for five endangered or threatened sea turtle species.European explorers discovered North Carolina’s barrier islands in the 16th century, although the islands were not permanently settled until the middle 17th century. By the early 19th century, shipbuilding and lumber industries were among the most successful, until forest resources were depleted. Commercial fishing eventually followed, and it expanded considerably after the Civil War. By the Great Depression, however, little industry existed on the Outer Banks. In response to the effects of a severe hurricane in 1933, the National Park Service and the Civilian Conservation Corps proposed a massive sand-fixation program to stabilize the moving sand and prevent storm waves from sweeping across the entire width of some sections of the islands. Between 1933 and 1940, this program constructed sand fencing on 185 kilometers (115 miles) of beach and planted grass seedlings

  4. Diabetes awareness among African Americans in rural North Carolina. (United States)

    Antony, Angela K; Baaklini, Walid A


    To evaluate the extent of diabetes unawareness in rural North Carolina. Randomly administered an eight-question survey to African Americans age 15-74 living in Halifax County North Carolina. Ninety-five out of 116 eligible participants completed the survey (82% response rate). Most (67%) of the participants reported having two or more major risk factors for Type II diabetes (diabetes mellitus). More than half (51.6%) of the participants were obese. Most (96.8%) of the participants reported having been tested for diabetes at some point in their lives (10% testedpositive, only 8.4% of the remaining 9o% reported ever having a second test). Diabetes mellitus is a very prevalentproblem among the African American population of Halifax County North Carolina. Our study underscores the fact that patients are not systematically screened and followed-up for diabetes melitus. More healthcare and commnity programs need to be adapted to fight this serious public health problem.

  5. Hydrologic aspects of Hurricane Hugo in South Carolina, September 1989 (United States)

    Schuck-Kolben, R. E.; Cherry, R.N.


    Hurricane Hugo, with winds in excess of 135 miles per hour(mi/h), made landfall near Charleston, S.C., early on the morning of September 22, 1989. It was the most destructive hurricane ever experienced in South Carolina. The storm caused 35 deaths and $7 billion in property damage in South Carolina (Purvis, 1990).This report documents some hydrologic effects of Hurricane Hugo along the South Carolina coast. The report includes maps showing storm-tide stage and profiles of the maximum storm-tide stages along the outer coast. Storm-tide stage frequency information is presented and changes in beach morphology and water quality of coastal streams resulting from the storm are described.

  6. A focus area maturity model for a statewide master person index. (United States)

    Duncan, Jeffrey; Xu, Wu; Narus, Scott P; Clyde, Stephen; Nangle, Barry; Thornton, Sid; Facelli, Julio


    The sharing of personally identifiable information across organizational boundaries to facilitate patient identification in Utah presents significant policy challenges. Our objective was to create a focus area maturity model to describe and evaluate our progress in developing a policy framework to support a statewide master person index (sMPI) for healthcare and public health operations and research in Utah. We used various artifacts, including minutes from policy guidance committee meetings over a span of 18 months, a report from Utah's Digital Health Services Commission, and a draft technical requirements document to retrospectively analyze our work and create a focus area maturity model describing the domain of policy needed to support the sMPI. We then used our model to assess our progress and future goals. The focus area maturity model provides an orderly path that can guide the complex process of developing a functional statewide master person index among diverse, autonomous partners. While this paper focuses on our experience in Utah, we believe that the arguments for using a focus area maturity model to guide the development of state or regional MPIs is of general interest.

  7. Single institution and statewide performance of ultrasound in diagnosing appendicitis in pregnancy. (United States)

    Drake, Frederick T; Kotagal, Meera; Simmons, LaVone E; Parr, Zoe; Dighe, Manjiri K; Flum, David R


    Assess the performance of ultrasound (US) in pregnant patients presenting with acute abdominal pain concerning for appendicitis. Descriptive analysis of pregnant patients who underwent an US for acute abdominal pain over a 6-year period using data from a statewide quality improvement collaborative and a single center. Statewide, 131 pregnant patients underwent an appendectomy and 85% had an US. In our single-center case series, 49 pregnant patients underwent an US for acute abdominal pain and four patients had appendicitis (8%). Of those, three were definitively diagnosed with US. The appendix was visualized by US in five patients (3 appendicitis/2 normal). Mean gestational age was 11 weeks for visualization of the appendix versus 20 weeks for non-visualization (p appendicitis in pregnant women, especially in the first trimester, and often contributes to definitive disposition. US performed less well in excluding appendicitis; however, in certain clinical settings, providers appeared to trust US findings. From these results, we developed a multidisciplinary imaging pathway for pregnant patients who present with acute abdominal pain concerning for appendicitis.

  8. Technical architecture of ONC-approved plans for statewide health information exchange. (United States)

    Barrows, Randolph C; Ezzard, John


    ONC-approved state plans for HIE were reviewed for descriptions and depictions of statewide HIE technical architecture. Review was complicated by non-standard organizational elements and technical terminology across state plans. Findings were mapped to industry standard, referenced, and defined HIE architecture descriptions and characteristics. Results are preliminary due to the initial subset of ONC-approved plans available, the rapid pace of new ONC-plan approvals, and continuing advancements in standards and technology of HIE, etc. Review of 28 state plans shows virtually all include a direct messaging component, but for participating entities at state-specific levels of granularity (RHIO, enterprise, organization/provider). About ½ of reviewed plans describe a federated architecture, and ¼ of plans utilize a single-vendor "hybrid-federated" architecture. About 1/3 of states plan to leverage new federal and open exchange technologies (DIRECT, CONNECT, etc.). Only one plan describes a centralized architecture for statewide HIE, but others combine central and federated architectural approaches.

  9. Noninvasive Method for a Statewide Survey of Eastern Hellbenders Cryptobranchus alleganiensis Using Environmental DNA

    Directory of Open Access Journals (Sweden)

    Amy J. Santas


    Full Text Available Traditional survey methods of aquatic organisms may be difficult, lengthy, and destructive to the habitat. Some methods are invasive and can be harmful to the target species. The use of environmental DNA (eDNA has proven to be effective at detecting low population density aquatic macroorganisms. This study refined the technique to support statewide surveys. Hellbender presence was identified by using hellbender specific primers (cytochrome b gene to detect eDNA in water samples collected at rivers, streams and creeks in Ohio and Kentucky with historical accounts of the imperiled eastern hellbender (Cryptobranchus a. alleganiensis. Two sampling protocols are described; both significantly reduced the amount of water required for collection from the previously described 6 L collection. Two-liter samples were adequate to detect hellbender presence in natural waterways where hellbenders have been previously surveyed in both Ohio and Kentucky—1 L samples were not reliable. DNA extracted from 3 L of water collected onto multiple filters (1 L/filter could be combined and concentrated through ethanol precipitation, supporting amplification of hellbender DNA and dramatically reducing the filtration time. This method improves the efficiency and welfare implications of sampling methods for reclusive aquatic species of low population density for statewide surveys that involve collecting from multiple watersheds.

  10. Avoiding a knowledge gap in a multiethnic statewide social marketing campaign: is cultural tailoring sufficient? (United States)

    Buchthal, O Vanessa; Doff, Amy L; Hsu, Laura A; Silbanuz, Alice; Heinrich, Katie M; Maddock, Jay E


    In 2007, the State of Hawaii, Healthy Hawaii Initiative conducted a statewide social-marketing campaign promoting increased physical activity and nutrition. The campaign included substantial formative research to develop messages tailored for Hawaii's multiethnic Asian and Pacific Islander populations. The authors conducted a statewide random digital dialing telephone survey to assess the campaign's comparative reach among individuals with different ethnicities and different levels of education and income. This analysis suggests that the intervention was successful in reaching its target ethnic audiences. However, a knowledge gap related to the campaign appeared among individuals with incomes less than 130% of the poverty level and those with less than a high school education. These results varied significantly by message and the communication channel used. Recall of supermarket-based messages was significantly higher among individuals below 130% of the poverty level and those between 18 and 35 years of age, 2 groups that showed consistently lower recall of messages in other channels. Results suggest that cultural tailoring for ethnic audiences, although important, is insufficient for reaching low-income populations, and that broad-based social marketing campaigns should consider addressing socioeconomic status-related channel preferences in formative research and campaign design.

  11. Women's Knowledge of and Support for Abortion Restrictions in Texas: Findings from a Statewide Representative Survey. (United States)

    White, Kari; Potter, Joseph E; Stevenson, Amanda J; Fuentes, Liza; Hopkins, Kristine; Grossman, Daniel


    States have passed numerous laws restricting abortion, and Texas passed some of the most restrictive legislation between 2011 and 2013. Information about women's awareness of and support for the laws' provisions could inform future debates regarding abortion legislation. Between December 2014 and January 2015, some 779 women aged 18-49 participated in an online, statewide representative survey about recent abortion laws in Texas. Poisson regression analysis was used to assess correlates of support for a law that would make obtaining an abortion more difficult. Women's knowledge of specific abortion restrictions in Texas and reasons for supporting these laws were also assessed. Overall, 31% of respondents would support a law making it more difficult to obtain an abortion. Foreign-born Latinas were more likely than whites to support such a law (prevalence ratio, 1.5), and conservative Republicans were more likely than moderates and Independents to do so (2.3). Thirty-six percent of respondents were not very aware of recent Texas laws, and 19% had never heard of them. Among women with any awareness of the laws, 19% supported the requirements; 42% of these individuals said this was because such laws would make abortion safer. Many Texas women of reproductive age are unaware of statewide abortion restrictions, and some support these requirements because of misperceptions about the safety of abortion. Advocates and policymakers should address these knowledge gaps in efforts to protect access to legal abortion. Copyright © 2016 by the Guttmacher Institute.

  12. A School-Based Dental Program Evaluation: Comparison to the Massachusetts Statewide Survey. (United States)

    Culler, Corinna S; Kotelchuck, Milton; Declercq, Eugene; Kuhlthau, Karen; Jones, Kari; Yoder, Karen M


    School-based dental programs target high-risk communities and reduce barriers to obtaining dental services by delivering care to students in their schools. We describe the evaluation of a school-based dental program operating in Chelsea, a city north of Boston, with a low-income and largely minority population, by comparing participants' oral health to a Massachusetts oral health assessment. Standardized dental screenings were conducted for students in kindergarten, third, and sixth grades. Outcomes were compared in bivariate analysis, stratified by grade and income levels. A greater percentage of Chelsea students had untreated decay and severe treatment need than students statewide. Yet, fewer Chelsea third graders had severe treatment need, and more had dental sealants. There was no significant difference in the percentage of Chelsea students having severe treatment need or dental sealants by income level. Students participating in our program do not have lower decay levels than students statewide. However, they do have lower levels of severe treatment need, likely due to treatment referrals. Our results confirm that school-based prevention programs can lead to increased prevalence of dental sealants among high-risk populations. Results provide support for the establishment of full-service school-based programs in similar communities. © 2017, American School Health Association.

  13. Ranavirus-associated morbidity and mortality in a group of captive eastern box turtles (Terrapene carolina carolina). (United States)

    De Voe, Ryan; Geissler, Kyleigh; Elmore, Susan; Rotstein, David; Lewbart, Greg; Guy, James


    Seven captive eastern box turtles (Terrapene carolina carolina) from a large collection of North American chelonians in North Carolina became acutely ill in the fall of 2002. Five of the turtles died. Clinical signs included cutaneous abscessation, oral ulceration or abscessation (or both), respiratory distress, anorexia, and lethargy. The predominant postmortem lesion was fibrinoid vasculitis of various organs, including skin, mucous membranes, lungs, and liver. No inclusion bodies were detected by histopathology or electron microscopy of formalin-fixed tissue. An iridovirus was isolated from tissues obtained postmortem from two of the box turtles that died. The virus was characterized by electron microscopy, polymerase chain reaction, and sequence analysis of a portion of the major capsid protein as a member of the genus Ranavirus.

  14. Strom Thurmond Biomedical Research Center at the Medical Univesity for South Carolina Charleston, South Carolina

    Energy Technology Data Exchange (ETDEWEB)


    The Department of Energy (DOE) has prepared an Environmental Assessment (EA) evaluating the proposed construction and operation of the Strom Thurmond Biomedical Research Center (Center) at the Medical University of South Carolina (MUSC), Charleston, SC. The DOE is evaluating a grant proposal to authorize the MUSC to construct, equip and operate the lower two floors of the proposed nine-story Center as an expansion of on-going clinical research and out-patient diagnostic activities of the Cardiology Division of the existing Gazes Cardiac Research Institute. Based on the analysis in the EA, the DOE has determined that the proposed action does not constitute a major federal action significantly affecting the quality of the human environment within the meaning of the NEPA. Therefore, the preparation of an Environmental Impact Statement is not required.

  15. Plants that Bite Back. Carolina Beach State Park: An Environmental Education Learning Experience Designed for the Middle Grades. (United States)

    Wahab, Phoebe

    This learning packet, one in a series of eight, was developed by the Carolina Beach State Park in North Carolina for the middle grades to teach about carnivorous plants. Loose-leaf pages are presented in 10 sections that contain: (1) introductions to the North Carolina State Park System, the Carolina Beach State Park, the park's activity packet,…

  16. Rural–urban differences in exposure to adverse childhood experiences among South Carolina adults. (United States)

    Radcliff, Elizabeth; Crouch, Elizabeth; Strompolis, Melissa


    Adverse childhood experiences (ACEs) are traumatic events that occur in a child's life between birth and 18 years. Exposure to one or more ACE has been linked to participation in risky health behaviors and the experience of chronic health conditions in adulthood. The risk for poor outcomes increases as the number of ACEs experienced increases. This research investigates rural-urban differences in exposure to ACEs using a sample from a representative southern US state, South Carolina. Using data from the 2014-2015 South Carolina Behavioral Risk Factor Surveillance System (BRFSS) and residential rurality based on UICs, ACE exposure among South Carolina adults was tabulated by urban versus rural residence and selected other demographic characteristics. Using standard descriptive statistics, frequencies and proportions were calculated for each categorical variable. Multivariable regression modeling was used to examine the impact of residential rurality and selected sociodemographic characteristics on overall and specific types of ACE exposure. All analyses used survey sampling weights that accounted for the BRFSS sampling strategy. The analytic sample of 18 176 respondents comprised 15.9% rural residents. Top reported ACEs for both rural and urban residents were the same: parental divorce/separation, emotional abuse, and household substance use. Compared to urban residents, a higher proportion of rural respondents reported experiencing no ACEs (41.4% vs 38.3%, prural respondents was 15.0%; in comparison, 17.6% of urban respondents had four or more ACEs (prural respondents were less likely than urban respondents to report four or more ACEs (adjusted odds ratio 0.75, 95% confidence interval 0.74-0.75). Despite reporting less ACE exposure than urban counterparts, almost 60% of rural residents reported at least one ACE and 15% reported experiencing four or more ACEs. In contrast to urban residents, rural residents may experience more social connections within their

  17. The impact of the Great Recession on untreated dental caries among kindergarten students in North Carolina. (United States)

    Abasaeed, Rania; Kranz, Ashley M; Rozier, R Gary


    The authors conducted a study to determine the impact of the Great Recession on untreated dental caries in kindergarten-aged children in North Carolina (NC). During the seven school years from 2003-2004 through 2009-2010, the state dental public health program assessed 608,339 kindergarten students for untreated decayed primary teeth (dt) as part of the statewide public health surveillance system. The authors aggregated observations to the school level and matched 7,660 school-year observations for 1,215 schools to National School Lunch Program (NSLP) participation rates, their primary economic indicator of the Great Recession. The authors included additional county-level economic indicators and measures of dentist supply and Medicaid enrollment. They used ordinary least squares regression with school-and year-fixed effects to examine the association of variables with the proportion of children with more than one dt for all schools and for schools with a greater than 10 percent increase in NSLP participation after 2006. The authors found a small but statistically significant association between the proportion of children in the schools participating in the NSLP and the proportion of kindergarten students who had more than one dt (β, 0.031; 95 percent confidence interval [CI], 0.001 to 0.0604). This association was greater in schools that had a greater than 10 percent increase in NSLP participation (β, 0.068; 95 percent CI, -0.007 to 0.143). Regression estimates indicate a 1.3- and 3.1-percentage point cumulative increase in the proportion of children with more than one dt during the period from 2008 through 2009 for all schools and high-risk schools, respectively. Increased NSLP enrollment was associated with less treatment for dental caries in 5-year-old children. Fewer children are receiving needed dental treatment because of the Great Recession. Recent gains made in the treatment of dental caries in children in NC have slowed as a result.

  18. Dissolved families

    DEFF Research Database (Denmark)

    Christoffersen, Mogens

    The situation in the family preceding a family separation is studied here, to identify risk factors for family dissolution. Information registers covering prospective statistics about health aspects, demographic variables, family violence, self-destructive behaviour, unemployment, and the spousal...

  19. Digital Learning Compass: Distance Education State Almanac 2017. South Carolina (United States)

    Seaman, Julia E.; Seaman, Jeff


    This brief report uses data collected under the U.S. Department of Education's National Center for Educational Statistics (NCES) Integrated Postsecondary Education Data System (IPEDS) Fall Enrollment survey to highlight distance education data in the state of South Carolina. The sample for this analysis is comprised of all active, degree-granting…

  20. Digital Learning Compass: Distance Education State Almanac 2017. North Carolina (United States)

    Seaman, Julia E.; Seaman, Jeff


    This brief report uses data collected under the U.S. Department of Education's National Center for Educational Statistics (NCES) Integrated Postsecondary Education Data System (IPEDS) Fall Enrollment survey to highlight distance education data in the state of North Carolina. The sample for this analysis is comprised of all active, degree-granting…

  1. Western North Carolina report card on forest sustainability (United States)

    Susan Fox; Bill Jackson; Sarah Jackson; Gary Kauffmann; Mary Carol Koester; Robert Mera; Terry Seyden; Charles Van Sickle; Sealy Chipley; Jim Fox; Jeff Hicks; Matt Hutchins; Karin Lichtenstein; Kelsie Nolan; Todd Pierce; Beth Porter


    Western North Carolina encompasses 4.8 million acres of highly valued temperate forests. To help address future management and conservation decisions surrounding these resources, the report card evaluates environmental, social, and economic conditions in recent decades across an 18 county area. The report card describes the status of indicators of forest sustainability...

  2. Diurnal variation of precipitation over the Carolina Sandhills region

    Indian Academy of Sciences (India)

    Diurnal variation of precipitation over the Carolina Sandhills region. 591. Figure 16. WRF forecast local 10 m winds for 1900 Z on 10 August 2001. the analysis should be done with more stations to draw a more robust conclusion on the success of the NAM model. 5. Numerical simulation of convection,. 9–11 August 2001.

  3. South Carolina Industrial Arts Safety Guide. Administrator and Instructor Section. (United States)

    South Carolina State Dept. of Education, Columbia.

    This administrator and instructor section of a South Carolina industrial arts safety guide includes sections on responsibility for school safety, safety programming for the teacher, emergency action, suggested forms and outlines, and facility design and layout. School board and superintendent, administrator, and teacher responsibilities for school…

  4. South Carolina Industrial Arts Safety Guide. Student Section. (United States)

    South Carolina State Dept. of Education, Columbia.

    This student section of a South Carolina industrial arts safety guide includes guidelines for developing a student safety program and three sections of shop safety practices. Safety program format, safety committees, safety inspection, and student accident investigation are discussed in the section on developing a student safety program. Set forth…

  5. Wintering Golden Eagles on the coastal plain of South Carolina (United States)

    Mark Vukovich; K.L. Turner; T.E. Grazia; T. Mims; J.C. Beasley; John Kilgo


    Golden Eagles (Aquila chrysaetos) are rare winter residents in eastern North America, with most found along the Appalachian Mountains and few reported on the coastal plain of the Carolinas. We used remote cameras baited with wild pig (Sus scrofa) and white-tailed deer (Odocoileus virginianus) carcasses to detect, age, and individually identify Golden Eagles on the U.S...

  6. Water budgets of two forested watersheds in South Carolina (United States)

    Ge Sun; Jianbiao Lu; David L. Gartner; Masato Miwa; Carl C. Trettin


    Wetland protection, restoration and management require detail information of the water budgets for a particular system. Relatively undisturbed systems with long-term hydrologic records are extremely valuable for developing reference wetlands and detecting effects of management. Two forested flatwoods watersheds in the lower coastal plain of South Carolina have been...

  7. South Carolina Field Recordings in the Archive of Folk Culture. (United States)

    Hall, Stephanie A., Comp.

    This document describes recordings of the Library of Congress's unique collections of folklife and ethnomusicology from South Carolina. Information given includes length of recording, name of recorder, dates of recording, and content of recording. Recordings include songs, spirituals, hymns, sermons, prayers, dialect tales, and street songs.…

  8. Educational Trends in South Carolina. Office of Research Report Series. (United States)

    South Carolina State Dept. of Education, Columbia.

    This report contains state and district statistical summaries for South Carolina elementary and secondary public schools from 1969-70 through 1981-82. During that 12-year period, while enrollment for grades kindergarten through 12 declined by about 7 percent and for grades 1 through 12 by approximately 12 percent, public kindergarten enrollment…

  9. 78 FR 20369 - South Carolina Disaster #SC-00021 (United States)


    ... From the Federal Register Online via the Government Publishing Office SMALL BUSINESS ADMINISTRATION South Carolina Disaster SC-00021 AGENCY: U.S. Small Business Administration. ACTION: Notice... dated 03/29/2013. Incident: Windsor Green Condo Complex Fire. Incident Period: 03/16/2013. Effective...

  10. Assessing the potential for biomass energy development in South Carolina (United States)

    Roger C. Conner; Tim O. Adams; Tony G. Johnson


    An assessment of the potential for developing a sustainable biomass energy industry in South Carolina was conducted. Biomass as defined by Forest Inventory and Analysis is the aboveground dry weight of wood in the bole and limbs of live trees ≥1-inch diameter at breast height, and excludes tree foliage, seedlings, and understory...

  11. Search efforts for ivory-billed woodpecker in South Carolina (United States)

    Matthew Moskwik; Theresa Thom; Laurel M. Barnhill; Craig Watson; Jennifer Koches; John Kilgo; Bill Hulslander; Colette Degarady; Gary. Peters


    Following the reported rediscovery of Campephilus principalis (Ivory-billed Woodpecker) in Arkansas, we initiated searches in South Carolina in February 2006, with additional searches in the winter and spring of 2006–2007 and 2007–2008, concentrating in the Congaree, Santee, and Pee Dee river basins. We accrued a cumulative total of 8893 survey hours...

  12. South Carolina Higher Education Statistical Abstract, 2014. 36th Edition (United States)

    Armour, Mim, Ed.


    The South Carolina Higher Education Statistical Abstract is a comprehensive, single-source compilation of tables and graphs which report data frequently requested by the Governor, Legislators, college and university staff, other state government officials, and the general public. The 2014 edition of the Statistical Abstract marks the 36th year of…

  13. South Carolina Higher Education Statistical Abstract, 2015. 37th Edition (United States)

    Armour, Mim, Ed.


    The South Carolina Higher Education Statistical Abstract is a comprehensive, single-source compilation of tables and graphs which report data frequently requested by the Governor, Legislators, college and university staff, other state government officials, and the general public. The 2015 edition of the Statistical Abstract marks the 37th year of…

  14. The South Carolina Collaborative Undergraduate HBCU Student Summer Training Program (United States)


    Cowart, PhD June 11 (C) Kinds of Cancer Robert Gemmill, PhD June 12 Cell Biology – Tissue Ultrastructure Debra Hazen -Martin,PhD June 13...South Carolina 9:10 - 9:40 am Title: "The Creativity of Ernest Everett Just" William McDade, M.D., Ph.D. Deputy Provost for Research and

  15. Effects of South Carolina's Hunter-Based PET Program. (United States)

    Mandeville, Garrett K.; Rivers, Janelle L.


    Despite the growing popularity of Madeline Hunter's Program for Effective Teaching staff development model, there is little evidence that student achievement increases after such a program has been implemented. A recent study of South Carolina achievement test data corroborates this assertion. Coaching length and quality may be key factors in…

  16. Forest statistics for the Southern Coastal Plain of South Carolina (United States)

    Noel D. Cost


    This report presents the principal findings of the fourth Forest Survey in the Piedmont of South Carolina, completed in February 1967. Findings of the three earlier surveys, completed in 1936, 1947, and 1958, provide the basis for measuring the changes that have occurred and the trends that have developed over the past 30 years.

  17. Health burden from peat wildfire in North Carolina (United States)

    In June 2008, a wildfire smoldering through rich peat deposits in the Pocosin Lakes National Wildlife Refuge produced massive amounts of smoke and exposed a largely rural North Carolina area to air pollution in access of the National Ambient Air Quality Standards. In this talk, w...

  18. 75 FR 55594 - North Carolina; Emergency and Related Determinations (United States)


    ... resulting from Hurricane Earl beginning on September 1, 2010, and continuing, are of sufficient severity and... State of North Carolina have been designated as adversely affected by this declared emergency: Beaufort..., Disaster Unemployment Assistance (DUA); 97.046, Fire Management Assistance Grant; 97.048, Disaster Housing...

  19. 76 FR 61726 - North Carolina; Emergency and Related Determinations (United States)


    ... Hurricane Irene beginning on August 25, 2011, and continuing, are of sufficient severity and magnitude to... State of North Carolina have been designated as adversely affected by this declared emergency: Carteret... Grant; 97.048, Disaster Housing Assistance to Individuals and Households in Presidentially Declared...

  20. North Carolina Marine Education Manual, Unit Two: Seawater. (United States)

    Mauldin, Lundie; Frankenberg, Dirk

    Although North Carolina's coastal water is chemically and physically similar to other bodies of sea water, the specific manner in which tides and waves act upon the coastline is unique. Accordingly, the 30 activities presented in this manual are intended to help junior high school students understand how physical forces modify coastal areas. While…

  1. Looking Backwards with the "Personnel Evaluation Standards": An Analysis of the Development and Implementation of a Statewide Teacher Assessment Program. (United States)

    Ellett, Chad D.; And Others


    The "Personnel Evaluation Standards" of D. Stufflebeam (1988) were used as a framework for the historical analysis of Louisiana's effort to implement a statewide program to evaluate its 45,000 teachers for the purpose of renewable professional certification. Using the "Standards" provided insights into the evaluation process…

  2. A Guide to Effective Statewide Laws/Policies: Preventing Discrimination against LGBT Students in K-12 Schools. (United States)

    Lambda Legal Defense and Education Fund, New York, NY.

    This document presents guidance for stopping discrimination, harassment, and violence against lesbian, gay, bisexual, and transgender (LGBT) students in schools. Section 1, "Lambda Legal Defense and Education Fund on the Legal Considerations for Creating and Changing Statewide Laws and Policies," discusses the various types of statewide…

  3. Sharing Tails®: A State-Wide Public Outreach Program Teaching Children about Native Arizona Fish (United States)

    Pacey, Carol A.; Marsh, Paul C.


    Limited public outreach programs about Arizona native fish exist and those that do are passive, fee-based, or Web-oriented, while others limit their geographic range. The program this article addresses sought to improve this situation with development of a state-wide outreach program with a goal to educate Arizona's children about native fish with…

  4. An Annual Report to the Legislature on Oregon Public Schools. Oregon Statewide Report Card. 2014-2015 (United States)

    Oregon Department of Education, 2015


    The Oregon Statewide Report Card is an annual publication required by law (ORS 329.115), which reports on the state of public schools and their progress towards the goals of the Oregon Educational Act for the 21st Century. The purpose of the Oregon Report Card is to monitor trends among school districts and Oregon's progress toward achieving the…

  5. Changes in Obesity Awareness, Obesity Identification, and Self-Assessment of Health: Results from a Statewide Public Education Campaign (United States)

    Tsai, Adam G.; Boyle, Tracy F.; Hill, James O.; Lindley, Corina; Weiss, Karl


    Background: Due to the high prevalence of obesity, individuals may be desensitized to weight as a personal health concern. Purpose: To evaluate changes in obesity awareness associated with a statewide public education campaign in Colorado. Methods: Cross-sectional random digit dial telephone surveys (n = 1,107 pre, n = 1101 post) were conducted…

  6. Development of a State-Wide 3-D Seismic Tomography Velocity Model for California (United States)

    Thurber, C. H.; Lin, G.; Zhang, H.; Hauksson, E.; Shearer, P.; Waldhauser, F.; Hardebeck, J.; Brocher, T.


    We report on progress towards the development of a state-wide tomographic model of the P-wave velocity for the crust and uppermost mantle of California. The dataset combines first arrival times from earthquakes and quarry blasts recorded on regional network stations and travel times of first arrivals from explosions and airguns recorded on profile receivers and network stations. The principal active-source datasets are Geysers-San Pablo Bay, Imperial Valley, Livermore, W. Mojave, Gilroy-Coyote Lake, Shasta region, Great Valley, Morro Bay, Mono Craters-Long Valley, PACE, S. Sierras, LARSE 1 and 2, Loma Prieta, BASIX, San Francisco Peninsula and Parkfield. Our beta-version model is coarse (uniform 30 km horizontal and variable vertical gridding) but is able to image the principal features in previous separate regional models for northern and southern California, such as the high-velocity subducting Gorda Plate, upper to middle crustal velocity highs beneath the Sierra Nevada and much of the Coast Ranges, the deep low-velocity basins of the Great Valley, Ventura, and Los Angeles, and a high- velocity body in the lower crust underlying the Great Valley. The new state-wide model has improved areal coverage compared to the previous models, and extends to greater depth due to the data at large epicentral distances. We plan a series of steps to improve the model. We are enlarging and calibrating the active-source dataset as we obtain additional picks from investigators and perform quality control analyses on the existing and new picks. We will also be adding data from more quarry blasts, mainly in northern California, following an identification and calibration procedure similar to Lin et al. (2006). Composite event construction (Lin et al., in press) will be carried out for northern California for use in conventional tomography. A major contribution of the state-wide model is the identification of earthquakes yielding arrival times at both the Northern California Seismic

  7. Variation in the use of 12-lead electrocardiography for patients with chest pain by emergency medical services in North Carolina. (United States)

    Bush, Montika; Glickman, Lawrence T; Fernandez, Antonio R; Garvey, J L; Glickman, Seth W


    Prehospital 12-lead electrocardiography (ECG) is critical to timely STEMI care although its use remains inconsistent. Previous studies to identify reasons for failure to obtain a prehospital ECG have generally only focused on individual emergency medical service (EMS) systems in urban areas. Our study objective was to identify patient, geographic, and EMS agency-related factors associated with failure to perform a prehospital ECG across a statewide geography. We analyzed data from the Prehospital Medical Information System (PreMIS) in North Carolina from January 2008 to November 2010 for patients >30 years of age who used EMS and had a prehospital chief complaint of chest pain. Among 3.1 million EMS encounters, 134 350 patients met study criteria. From 2008-2010, 82 311 (61%) persons with chest pain received a prehospital ECG; utilization increased from 55% in 2008 to 65% in 2010 (trend P<0.001). Utilization by health referral region ranged from 22.9% to 74.2% and was lowest in rural areas. Men were more likely than women to have an ECG performed (63.0% vs 61.3%, adjusted RR 1.02, 95% CI 1.01 to 1.04). The certification-level of the EMS provider (paramedic vsbasic/intermediate) and system-level ECG equipment availability were the strongest predictors of ECG utilization. Persons in an ambulance with a certified paramedic were significantly more likely to receive a prehospital ECG than nonparamedics (RR 2.15, 95% CI 1.55, 2.99). Across a large geographic area prehospital ECG use increased significantly, although important quality improvement opportunities remain. Increasing ECG availability and improving EMS certification and training levels are needed to improve overall care and reduce rural-urban treatment differences.

  8. Using near real-time morbidity data to identify heat-related illness prevention strategies in North Carolina. (United States)

    Rhea, Sarah; Ising, Amy; Fleischauer, Aaron T; Deyneka, Lana; Vaughan-Batten, Heather; Waller, Anna


    Timely public health interventions reduce heat-related illnesses (HRIs). HRI emergency department (ED) visit data provide near real-time morbidity information to local and state public health practitioners and may be useful in directing HRI prevention efforts. This study examined statewide HRI ED visits in North Carolina (NC) from 2008-2010 by age group, month, ED disposition, chief complaint, and triage notes. The mean number of HRI ED visits per day was compared to the maximum daily temperature. The percentage of HRI ED visits to all ED visits was highest in June (0.25%). 15-18 year-olds had the highest percentage of HRI visits and were often seen for sports-related heat exposures. Work-related HRI ED visits were more common than other causes in 19-45 year-olds. Individuals ≥65 years were more likely admitted to the hospital than younger individuals. The mean daily number of HRI ED visits increased by 1.4 for each 1°F (degree Fahrenheit) increase from 90°F to 98°F and by 15.8 for each 1°F increase from 98°F to 100°F. Results indicate that HRI prevention efforts in NC should be emphasized in early summer and targeted to adolescents involved in organized sports, young adults with outdoor occupations, and seniors. At a maximum daily temperature of 98°F, there was a substantial increase in the average daily number of HRI ED visits. ED visit data provide timely, sentinel HRI information. Analysis of this near real-time morbidity data may assist local and state public health practitioners in identification of HRI prevention strategies that are especially relevant to their jurisdictions.

  9. Scientists Engage South Carolina Community in Earthquake Education and Preparedness (United States)

    Hall, C.; Beutel, E.; Jaume', S.; Levine, N.; Doyle, B.


    Scientists at the College of Charleston are working with the state of South Carolina's Emergency Management Division to increase awareness and understanding of earthquake hazards throughout South Carolina. As part of this mission, the SCEEP (South Carolina Earthquake Education and Preparedness) program was formed at the College of Charleston to promote earthquake research, outreach, and education in the state of South Carolina. Working with local, regional, state and federal offices, SCEEP has developed education programs for everyone from professional hazard management teams to formal and informal educators. SCEEP also works with the media to ensure accurate reporting of earthquake and other hazard information and to increase the public's understanding of earthquake science and earthquake seismology. As part of this program, we have developed a series of activities that can be checked out by educators for use in their classrooms and in informal education venues. These activities are designed to provide educators with the information and tools they lack to adequately, informatively, and enjoyably teach about earthquake and earth science. The toolkits contain seven activities meeting a variety of National Education Standards, not only in Science, but also in Geography, Math, Social Studies, Arts Education, History and Language Arts - providing a truly multidisciplinary toolkit for educators. The activities provide information on earthquake myths, seismic waves, elastic rebound, vectors, liquefaction, location of an epicenter, and then finally South Carolina earthquakes. The activities are engaging and inquiry based, implementing proven effective strategies for peaking learners' interest in scientific phenomena. All materials are provided within the toolkit and so it is truly check and go. While the SCEEP team has provided instructions and grade level suggestions for implementing the activity in an educational setting, the educator has full reign on what to showcase

  10. Inheritance of Evolved Glyphosate Resistance in a North Carolina Palmer Amaranth (Amaranthus palmeri Biotype

    Directory of Open Access Journals (Sweden)

    Aman Chandi


    Full Text Available Inheritance of glyphosate resistance in a Palmer amaranth biotype from North Carolina was studied. Glyphosate rates for 50% survival of glyphosate-resistant (GR and glyphosate-susceptible (GS biotypes were 1288 and 58 g ha−1, respectively. These values for F1 progenies obtained from reciprocal crosses (GR×GS and GS×GR were 794 and 501 g ha−1, respectively. Dose response of F1 progenies indicated that resistance was not fully dominant over susceptibility. Lack of significant differences between dose responses for reciprocal F1 families suggested that genetic control of glyphosate resistance was governed by nuclear genome. Analysis of F1 backcross (BC1F1 families showed that 10 and 8 BC1F1 families out of 15 fitted monogenic inheritance at 2000 and 3000 g ha−1 glyphosate, respectively. These results indicate that inheritance of glyphosate resistance in this biotype is incompletely dominant, nuclear inherited, and might not be consistent with a single gene mechanism of inheritance. Relative 5-enolpyruvylshikimate-3-phosphate synthase (EPSPS copy number varied from 22 to 63 across 10 individuals from resistant biotype. This suggested that variable EPSPS copy number in the parents might be influential in determining if inheritance of glyphosate resistance is monogenic or polygenic in this biotype.

  11. “I Get Along With Most of Them”: Direct Care Workers' Relationships With Residents' Families in Assisted Living


    Kemp, Candace L.; Ball, Mary M.; Perkins, Molly M.; Hollingsworth, Carole; Lepore, Michael J.


    Purpose: The purpose of this article was to explore staff–family relationships in assisted living facilities (ALFs) as they are experienced by care staff and perceived by administrators. We identify factors that influence relationships and explore how interactions with residents’ families affect care staff’s caregiving experiences. Design and Methods: The data are drawn from a statewide study involving 45 ALFs in Georgia. Using grounded theory methods, we analyze qualitative data from in-dept...

  12. A statewide consortium's adoption of a unified nursing curriculum: evaluation of the first two years. (United States)

    Tse, Alice M; Niederhauser, Victoria; Steffen, John J; Magnussen, Lois; Morrisette, Nova; Polokoff, Rachael; Chock, Johnelle


    This article provides an evaluation of the first two years of implementation of a statewide nursing consortium (SNC) curriculum on nursing faculty work life, teaching productivity, and quality of education. In response to the call for nursing education reform, the SNC incorporated new approaches to competency-based, student-centered learning and clinical education. Faculty and two cohorts of students were measured at three points over the first two years of the curriculum implementation. The expected positive impact of the SNC was documented at the start of the first year, but not sustained. Students reported having more confidence in their clinical skills at the start of the first year, yet demonstrated significantly less confidence in their ability after two years. Faculty indicated that the SNC allowed greater opportunity for collaboration, but that the experience did not alter their classroom performance or satisfaction beyond the first year.

  13. Illinois statewide gas utility plan, 1993-2002. Volume 1. Executive summary

    International Nuclear Information System (INIS)


    The second Illinois Statewide Natural Gas Utility Plan is a continuation of the Least-Cost Planning effort introduced by the Public Utilities Act of 1986. The purpose of the Plan, like its predecessor, is to provide a framework and a set of policies which will allow and encourage local distribution companies to develop least-cost plans consistent with the goals of the Act: to provide efficient, environmentally sound, reliable, and equitable public utility service at the least possible cost. The Plan assesses natural gas demand and supply under five scenarios for the period 1993-2002. Key issues related to the development of least-cost natural gas plans are identified, and policies for addressing the issues are developed. The rationale and potential for natural gas demand side management (DSM) programs and policies are explored, and recommendations made with respect to utility DSM capability-building and DSM cost-recovery

  14. Towards automated statewide land cover mapping in Wisconsin using satellite remote sensing and GIS techniques

    International Nuclear Information System (INIS)

    Cosentino, B.L.; Lillesand, T.M.


    Attention is given to an initial research project being performed by the University of Wisconsin-Madison, Environmental Remote Sensing Center in conjunction with seven local, state, and federal agencies to implement automated statewide land cover mapping using satellite remote sensing and geographical information system (GIS) techniques. The basis, progress, and future research needs for this mapping program are presented. The research efforts are directed toward strategies that integrate satellite remote sensing and GIS techniques in the generation of land cover data for multiple users of land cover information. The project objectives are to investigate methodologies that integrate satellite data with other imagery and spatial data resident in emerging GISs in the state for particular program needs, and to develop techniques that can improve automated land cover mapping efficiency and accuracy. 10 refs

  15. Developing a statewide public health initiative to reduce infant mortality in Oklahoma. (United States)

    Dooley, Suzanna; Patrick, Paul; Lincoln, Alicia; Cline, Janette


    The Preparing for a Lifetime, It's Everyone's Responsibility initiative was developed to improve the health and well- being of Oklahoma's mothers and infants. The development phase included systematic data collection, extensive data analysis, and multi-disciplinary partnership development. In total, seven issues (preconception/interconception health, tobacco use, postpartum depression, breastfeeding, infant safe sleep, preterm birth, and infant injury prevention) were identified as crucial to addressing infant mortality in Oklahoma. Workgroups were created to focus on each issue. Data and media communications workgroups were added to further partner commitment and support for policy and programmatic changes across multiple agencies and programs. Leadership support, partnership, evaluation, and celebrating small successes were important factors that lead to large scale adoption and support for the state-wide initiative to reduce infant mortality.

  16. Durham, North Carolina, Students Study Martian Volcanism (United States)


    This image of the wall of a graben a depressed block of land between two parellel faults in Tyrrhena Terra, in Mars' ancient southern highlands, was taken by the Compact Reconnaissance Imaging Spectrometer for Mars (CRISM) at 0914 UTC (4:14 a.m. EST) on February 6, 2008, near 17.3 degrees south latitude, 95.5 degrees east longitude. CRISM's image was taken in 544 colors covering 0.36-3.92 micrometers, and shows features as small as 35 meters (115 feet) across. The region covered is just over 10 kilometers (6.2 miles) wide at its narrowest point. This image was part of an investigation planned by students in four high schools in Durham, North Carolina. The students are working with the CRISM science team in a project called the Mars Exploration Student Data Teams (MESDT), which is part of NASA's Mars Public Engagement Program and Arizona State University's Mars Education Program. Starting with a medium-resolution map of the area, taken as part of CRISM's 'multispectral survey' campaign to map Mars in 72 colors at 200 meters (660 feet) per pixel, the students identified a key rock outcrop to test their hypothesis that the irregular depression was formed by Martian volcanism. They provided the coordinates of the target to CRISM's operations team, who took a high-resolution image of the site. The Context Imager (CTX) accompanied CRISM with a 6 meter (20 feet) per pixel, high-resolution image to sharpen the relationship of spectral variations to the underlying surface structures. The Durham students worked with a mentor on the CRISM team to analyze the data, and presented their results at the 39th Lunar and Planetary Science Conference, held in League City, Texas, on March 10-14, 2008. The upper panel of the image shows the location of the CRISM data and the surrounding, larger CTX image, overlain on an image mosaic taken by the Thermal Emission Imaging System (THEMIS) on Mars Odyssey. The mosaic has been color-coded for elevation using data from the Mars Orbiter Laser

  17. Undertriage in trauma: Does an organized trauma network capture the major trauma victim? A statewide analysis. (United States)

    Horst, Michael A; Jammula, Shreya; Gross, Brian W; Cook, Alan D; Bradburn, Eric H; Altenburg, Juliet; Von Nieda, Danielle; Morgan, Madison; Rogers, Frederick B


    Proper triage of critically injured trauma patients to accredited trauma centers (TCs) is essential for survival and patient outcomes. We sought to determine the percentage of patients meeting trauma criteria who received care at non-TCs (NTCs) within the statewide trauma system that exists in the state of Pennsylvania. We hypothesized that a substantial proportion of the trauma population would be undertriaged to NTCs with undertriage rates (UTR) decreasing with increasing severity of injury. All adult (age ≥15) hospital admissions meeting trauma criteria (ICD-9, 800-959; Injury Severity Score [ISS], > 9 or > 15) from 2003 to 2015 were extracted from the Pennsylvania Health Care Cost Containment Council (PHC4) database, and compared with the corresponding trauma population within the Pennsylvania Trauma Systems Foundation (PTSF) registry. PHC4 contains all hospital admissions within PA while PTSF collects data on all trauma cases managed at designated TCs (Level I-IV). The percentage of patients meeting trauma criteria who are undertriaged to NTCs was determined and Network Analyst Location-Allocation function in ArcGIS Desktop was used to generate geospatial representations of undertriage based on ISSs throughout the state. For ISS > 9, 173,022 cases were identified from 2003 to 2015 in PTSF, while 255,263 cases meeting trauma criteria were found in the PHC4 database over the same timeframe suggesting UTR of 32.2%. For ISS > 15, UTR was determined to be 33.6%. Visual geospatial analysis suggests regions with limited access to TCs comprise the highest proportion of undertriaged trauma patients. Despite the existence of a statewide trauma framework for over 30 years, approximately, a third of severely injured trauma patients are managed at hospitals outside of the trauma system in PA. Intelligent trauma system design should include an objective process like geospatial mapping rather than the current system which is driven by competitive models of financial and

  18. Impact of New York prescription drug monitoring program, I-STOP, on statewide overdose morbidity. (United States)

    Brown, Richard; Riley, Moira R; Ulrich, Lydia; Kraly, Ellen Percy; Jenkins, Paul; Krupa, Nicole L; Gadomski, Anne


    Prescription Drug Monitoring programs (PDMPs) are intended to reduce opioid prescribing and aberrant drug-related behavior thereby reducing morbidity and mortality due to prescription opioid overdose. Expansion of the New York (NY) State's PDMP in 2013 included the institution of the I-STOP law that mandated clinicians to consult the statewide PDMP database to review the patient's prescription history prior to prescribing opioids. Trends in prescription opioid distribution, prescribing, and prescription opioid and heroin overdose morbidity in NY were analyzed using time series. A Chow test was used to test the difference in trends before and after the implementation of I-STOP. The results indicated that: 1) the number of opioid prescriptions appears to be declining following the implementation of the I-STOP, 2) however, supply chain data shows that the total quantity of opioids in the supply chain increased, 3) statewide trends in inpatient and emergency department visits for prescription opioid overdose increased from 2010 to the third quarter of 2013 where the slope leveled off following I-STOP, but this change in slope was not significant, 4) visits for heroin overdose started escalating in 2010 and continued to increase through the second quarter of 2016. The overall significance of these findings show a small impact of PDMPs on prescription opioid overdose morbidity in NY in the context of the increasing national trend during this time period. Prescription opioid morbidity leveled off following the implementation of a mandated PDMP although morbidity attributable to heroin overdose continued to rise. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. Level and Intensity of Early Intervention Services for Infants and Toddlers with Disabilities: The Impact of Child, Family, System, and Community-Level Factors on Service Provision (United States)

    Hallam, Rena A.; Rous, Beth; Grove, Jaime; LoBianco, Tony


    Data from a statewide billing and information system for early intervention are used to examine the influence of multiple factors on the level and intensity of services provided in a state early intervention system. Results indicate that child and family factors including entry age, gestational age, Medicaid eligibility, access to third party…

  20. The SKI*HI Model: A Comprehensive Model for Identification, Language Facilitation, and Family Support for Hearing Handicapped Children Through Home Management, Ages Birth to Six. Third Edition. (United States)

    Clark, Thomas C.; Watkins, Susan

    The SKI HI program, a home intervention model for hearing impaired infants and their families, is described. An overview of the program is provided, followed by separate sections on administrative, direct service, and support service topics (sample subtopics in parentheses): child identification and processing (statewide hearing screening model,…

  1. Go tell it on the mountain: Hilla Sheriff and public health in the South Carolina Piedmont, 1929 to 1940. (United States)

    Hill, P E


    As director of the South Carolina units of the American Women's Hospitals and as the state's first female county health official, Hilla Sheriff combined elements of the Progressive Era's social gospel; the New Deal notion that concerned, public-spirited officials could make a difference; and a nascent feminism that led her into the controversial fields of family planning and nutrition. Sheriff's responses to endemic pellagra, innovative maternal and child health campaigns, and contraceptive research for the Milbank Memorial Fund attracted national attention and spawned programs based on her models throughout the South. Her ability to tailor programs to diverse communities--mothers who bore double burdens as textile workers, isolated farm families, mountaineers, and African Americans denied access to most health care facilities in the Jim Crow South--serves as a timeless example for those committed to community medicine.

  2. Family Issues (United States)

    ... and grandparents raise grandchildren. Some children live in foster families, adoptive families, or in stepfamilies. Families are much more than groups of people who share the same genes or the ...

  3. Family History (United States)

    Your family history includes health information about you and your close relatives. Families have many factors in common, including their genes, ... as heart disease, stroke, and cancer. Having a family member with a disease raises your risk, but ...

  4. Family Arguments (United States)

    ... Spread the Word Shop AAP Find a Pediatrician Family Life Medical Home Family Dynamics Adoption & Foster Care ... Life Listen Español Text Size Email Print Share Family Arguments Page Content Article Body We seem to ...

  5. Family Therapy (United States)

    ... relating to each other Set individual and family goals and work on ways to achieve them Results Family therapy doesn't automatically solve family conflicts or make an unpleasant situation go away. But ...

  6. Carolinas HealthCare attends to patients, amenities; builds business. (United States)

    Rees, T


    Carolinas HealthCare System has grown into a nearly two billion dollar entity by focusing on patient needs and amenities in its health care facilities. Growth of the system, the largest in North and South Carolina, is due in large part to Harry A. Nurkin, president and CEO, who started out with a run-down hospital for indigents. With the approval of the hospital board, Nurkin launched a marketing effort that included taking a lesson from the founders of the Holiday Inn hotel chain. He remodeled and developed facilities that are pleasing to patients and visitors, moved patient parking closer to the hospitals' front doors, taught key hospital personnel the basics about marketing, aligned the system with ABA and NFL teams and conducted an aggressive advertising program.

  7. Building a sustainable Academic Health Department: the South Carolina model. (United States)

    Smith, Lillian Upton; Waddell, Lisa; Kyle, Joseph; Hand, Gregory A


    Given the limited resources available to public health, it is critical that university programs complement the development needs of agencies. Unfortunately, academic and practice public health entities have long been challenged in building sustainable collaborations that support practice-based research, teaching, and service. The academic health department concept offers a promising solution. In South Carolina, the partners started their academic health department program with a small grant that expanded into a dynamic infrastructure that supports innovative professional exchange and development programs. This article provides a background and describes the key elements of the South Carolina model: joint leadership, a multicomponent memorandum of agreement, and a shared professional development mission. The combination of these elements allows the partners to leverage resources and deftly respond to challenges and opportunities, ultimately fostering the sustainability of the collaboration.

  8. Quaternary geophysical framework of the northeastern North Carolina coastal system (United States)

    Thieler, E.R.; Foster, D.S.; Mallinson, D.M.; Himmelstoss, E.A.; McNinch, J.E.; List, J.H.; Hammar-Klose, E.S.


    The northeastern North Carolina coastal system, from False Cape, Virginia, to Cape Lookout, North Carolina, has been studied by a cooperative research program that mapped the Quaternary geologic framework of the estuaries, barrier islands, and inner continental shelf. This information provides a basis to understand the linkage between geologic framework, physical processes, and coastal evolution at time scales from storm events to millennia. The study area attracts significant tourism to its parks and beaches, contains a number of coastal communities, and supports a local fishing industry, all of which are impacted by coastal change. Knowledge derived from this research program can be used to mitigate hazards and facilitate effective management of this dynamic coastal system.

  9. Predicting the occurrence of radon-222 in North Carolina groundwater

    International Nuclear Information System (INIS)

    Loomis, D.P.; Watson, J.E.; Crawford-Brown, D.J.


    The intent was to develop an understanding of some of the factors that effect the concentration of radon-222 ( 222 Rn) in drinking-water supplies of North Carolina. Data for this investigation were collected on a sample of 96 North Carolina public water supply wells. Water samples were collected and analyzed for 222 Rn content. Data on well characteristics (discharge, specific capacity, depth, and casing length) were obtained from existing sources. Study results concluded that there is a distinct and statistically significant difference in the mean 222 Rn concentrations of samples drawn from any given rock type. The study indicates that the highest 222 Rn concentrations are likely to be found in supplies located in granites and gneisses within the Blue Ridge, Inner Piedmont, and Raleigh Belt regions

  10. Vacuolar myelinopathy in waterfowl from a North Carolina impoundment (United States)

    Augspurger, T.; Fischer, John R.; Thomas, Nancy; Sileo, L.; Brannian, Roger E.; Miller, Kimberli J.; Rocke, Tonie E.


    Vacuolar myelinopathy was confirmed by light and electron microscopic examination of mallards (Anas platyrhynchos), ring-necked ducks (Aythya collaris), and buffleheads (Bucephala albeola) collected during an epizootic at Lake Surf in central North Carolina (USA) between November 1998 and February 1999. Clinical signs of affected birds were consistent with central nervous system impairment of motor function (incoordination, abnormal movement and posture, weakness, paralysis). This is the first report of this disease in wild waterfowl (Anseriformes).Aug

  11. North Carolina health professionals' communication with adolescents about smoking. (United States)

    Kandra, Kelly L; McCullough, Anna; Ranney, Leah; Goldstein, Adam O


    The middle school and high school years are a time when adolescents are at high risk for initiation of smoking and progression to nicotine addiction. This research examines the prevalence with which North Carolina students receive smoking-related communication from health professionals and how such communication relates to smoking behaviors. Data are from the 2009 North Carolina Youth Tobacco Survey (NCYTS), a biennial public and charter school-based survey of students in grades 6-12. The overall response rate was 78.2% (n = 3,301) for high school students and 79.2% (n = 3,805) for middle school students. Weighted multivariable logistic regression models were used to identify variables that are significantly related to health professionals' communication about smoking and/or advice against smoking. A majority of respondents reported that they had not been asked about or advised against smoking. Middle school and high school students who had tried to quit smoking in the past 12 months were significantly more likely to report having been asked about smoking (OR = 2.00 [95% CI, 1.23-3.28], OR = 1.96 [95% CI,1.44-2.661, respectively) or advised against smoking (OR = 2.25 [95% CI,1.13-4.50], OR = 2.02 [95% CI, 1.31-3.14], respectively) than were students who had not tried to quit. This research is based on a cross-sectional survey and is subject to the honesty of the participants. Results may not generalize beyond public and charter school students in North Carolina. North Carolina health professionals need to increase communication with adolescents in order to sustain the historically low rates of smoking in this age group.

  12. Cultivating New Directions: The Changing Role of Tobacco in North Carolina's Economy. (United States)

    Mills, Sarah D; Kurtzman, Rachel; Golden, Shelley D; Kong, Amanda Y; Ribisl, Kurt M


    Citing potential economic harm to the state, the tobacco industry has a history of opposing tobacco control efforts in North Carolina. This commentary discusses the changing role of tobacco in North Carolina's economy, argues that tobacco control causes little economic harm to the state, and explores development of alternative industries. ©2018 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

  13. Lehardyia alleithoros, sp. nov. (Turbellaria, Kalyptorhynchia) from the Coast of North Carolina, USA. (United States)

    Whitson, Ashley; Smith, Julian P S; Litvaitis, Marian K


    As with other high-energy beaches, those of North Carolina harbor a diverse fauna of kalyptorhynch turbellarians, and most appear to be new to science. Here, we describe Lehardyia alleithoros , a new kalyptorhynch turbellarian of the Karkinorhynchidae, from 3 high-energy beach sites in North Carolina. We also report an apparent range extension for Carcharodorhynchus flavidus Brunet, 1967. These observations bring the total number of kalyptorhynch turbellarians reported from the marine interstitial environment of North Carolina to five.

  14. State of Hawaii, Department of Health, Clean Water Branch State-wide Water Quality Sampling Dataset 1973-1998 (NODC Accession 0013724) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Monitoring Section of the State of Hawaii, Department of Health, Clean Water Branch collects water quality data at over 300 coastal locations state-wide using...

  15. Socioeconomic and travel demand forecasts for Virginia and potential policy responses : a report for VTrans2035 : Virginia's statewide multimodal transportation plan. (United States)


    VTrans2035, Virginia's statewide multimodal transportation plan, requires 25-year forecasts of socioeconomic and travel activity. Between 2010 and 2035, daily vehicle miles traveled (DVMT) will increase between 35% and 45%, accompanied by increases i...

  16. State of Hawaii, Department of Health, Clean Water Branch State-wide Water Quality Sampling Dataset 1999-2006 (NODC Accession 0013723) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Monitoring Section of the State of Hawaii, Department of Health, Clean Water Branch collects water quality data at over 300 coastal locations state-wide using...

  17. Peat resource estimation in South Carolina. Final report, Year 2

    Energy Technology Data Exchange (ETDEWEB)

    Holmes, M.; Andrejko, M.; Corvinus, D.; Tisdale, M.


    South Carolina has few indigenous energy resources. Most widely known and utilized are hydropower, wood, and solar. Peat is a material composed of partially decomposed organic matter that, after burial for long periods of time, may eventually become coal. Peat is utilized as an energy resource for the production of electricity and for home heating in Europe and the Soviet Union. There are peat deposits in South Carolina, but peat has never been used as an energy resource within the state. This report presents the results of the two years of a planned four-year study of the quantity and energy potential of peat in South Carolina. In this year's survey two activities were undertaken. The first was to visit highly probable peat deposits to confirm the presence of fuel-grade peat. The second was to survey and characterize in more detail the areas judged to be of highest potential as major resources. The factors carrying the greatest weight in our determination of priority areas were: (1) a description of peat deposits in the scientific literature or from discussions with state and federal soil scientists; (2) mention of organic soils on soil maps or in the literature; and (3) information from farmers and other local citizens.

  18. A model for the geomorphology of the Carolina Bays (United States)

    Zamora, Antonio


    Geometrical analysis of the Carolina Bays using Google Earth in combination with LiDAR data makes it possible to postulate that the bays formed as the result of impacts, rather than from eolian and lacustrine processes. The Carolina Bays are elliptical conic sections with width-to-length ratios averaging 0.58 that are radially oriented toward the Great Lakes region. The radial distribution of ejecta is one characteristic of impacts, and the width-to-length ratios of the ellipses correspond to cones inclined at approximately 35°, which is consistent with ballistic trajectories from the point of convergence. These observations, and the fact that these geomorphological features occur only on unconsolidated soil close to the water table, make it plausible to propose that the Carolina Bays are the remodeled remains of oblique conical craters formed on ground liquefied by the seismic shock waves of secondary impacts of glacier ice boulders ejected by an extraterrestrial impact on the Laurentide Ice Sheet. Mathematical analysis using ballistic equations and scaling laws relating yield energy to crater size provide clues about the magnitude of the extraterrestrial event. An experimental model elucidates the remodeling mechanisms and provides an explanation for the morphology and the diverse dates of the bays.

  19. Tidal management sffects sub-adult fish assemblages in impounded South Carolina Marshes (United States)

    Carswell, Ben L.; Peterson, James T.; Jennings, Cecil A.


    In coastal South Carolina, most impounded marshes are managed for waterfowl; fewer are managed for fishes. Tidal control is central to each strategy but raises concerns that nursery function could be impaired. This research examined the assemblage composition of fishes during early-life stages. We sampled two impoundments of each management type monthly in 2008 and 2009. We used light traps to collect 61,527 sub-adult fish representing 21 species and 16 families and push nets to collect 12,670 sub-adult fish representing 13 species and 11 families. The effective number of species detected at larval stage in “fish” impoundments (summer mean = 2.52 ± 0.20, winter mean = 2.02 ± 0.66) was greater than in “waterfowl” impoundments (summer mean = 1.27 ± 0.14, winter mean = 1.06 ± 0.09); CI = 90 %. Species richness did not differ between management types, but hierarchical linear models predicted differences in assemblage composition. These findings underscore the importance of frequent water exchange for maintaining diverse assemblages of early-life-stage fishes in marsh impoundments.

  20. A new species of Perlesta (Plecoptera: Perlidae) from North Carolina with additional records for North Carolina and Virginia (United States)

    Kondratieff, B.C.; Zuellig, R.E.; Lenat, D.R.


    Twenty-eight species of Nearctic Perlesta are currently recognized (Stark 1989, 2004; Kondratieff et al. 2006, 2008; Grubbs and DeWalt 2008, Grubbs and DeWalt 2011, Kondratieff and Myers 2011). Interestingly, but needing confirmation, Perlesta has been recently recorded from Central America (Gutiérrez-Fonseca and Springer 2011). Continued collecting and study of Perlesta from North Carolina by the authors revealed one additional undescribed species. Ten species of Perlesta currently have been recorded from North Carolina (Stark 1989, 2004, Kondratieff et al. 2006, 2008, Grubbs and DeWalt 2008). Additionally, new Perlesta species records are given for Virginia. The terminology used in the description of the male adult follows Stark (1989, 2004).

  1. Temporal variance in hematologic and plasma biochemical reference intervals for free-ranging eastern box turtles (Terrapene carolina carolina). (United States)

    Kimble, Steven J A; Williams, Rod N


    Eastern box turtle (Terrapene carolina carolina) populations are in decline, likely due to anthropogenic forces and disease, necessitating hematologic and biochemical data from healthy individuals for evaluation of wild populations. We repeatedly sampled 21 free-ranging eastern box turtles from May to September 2009 in the spring, summer, and fall to establish temporal hematologic and biochemical reference intervals. Packed cell volume, aspartate aminotransferase, and potassium levels declined significantly as the active season progressed. High levels of albumin, globulin, and calcium coincided with the presence of eggs in females. These reference intervals should provide baseline data for the clinical evaluation of wild box turtles presented for veterinary care or for studies of wild populations.

  2. Employment status matters: a statewide survey of quality-of-life, prevention behaviors, and absenteeism and presenteeism. (United States)

    Merchant, James A; Kelly, Kevin M; Burmeister, Leon F; Lozier, Matt J; Amendola, Alison; Lind, David P; KcKeen, Arlinda; Slater, Tom; Hall, Jennifer L; Rohlman, Diane S; Buikema, Brenda S


    To estimate quality-of-life (QoL), primary care, health insurance, prevention behaviors, absenteeism, and presenteeism in a statewide sample of the unemployed, self-employed, and organizationally employed. A statewide survey of 1602 Iowans included items from the Centers for Disease Control and Prevention QoL and Behavioral Risk Factor Surveillance System Survey prevention behavior questionnaires used to assess employee well-being; their indicator results are related to World Health Organization's Health and Work Performance Questionnaire-derived absenteeism and presenteeism scores. The unemployed exhibited poorer QoL and prevention behaviors; the self-employed exhibited many better QoL scores due largely to better prevention behaviors than those employed by organizations. Higher QoL measures and more prevention behaviors are associated with lower absenteeism and lower presenteeism. Employment status is related to measures of well-being, which are also associated with absenteeism and presenteeism.

  3. Armazenamento de sementes de carolina em diferentes temperaturas e embalagens Storage of carolina seeds in different temperature and packing

    Directory of Open Access Journals (Sweden)

    Camila de Oliveira


    Full Text Available O objetivo do presente trabalho foi determinar a embalagem e a temperatura adequadas para o armazenamento de sementes de carolina. As sementes foram armazenadas em sacos de papel e de plástico, mantidas em 0±2; 10±2; 20±2°C e 60 5% de umidade relativa do ar (UR e em temperatura ambiente (23,4±3,3°C e 68,7±9%UR. O teor de água, a germinação e o vigor foram determinados trimestralmente. Durante o armazenamento, o teor de água das sementes foi de aproximadamente 8,9%. A embalagem saco de plástico e a temperatura de 0°C são adequadas para o armazenamento das sementes de carolina.The objective of the present research was to determine the more adequated packing and temperature for storage of "carolina" seeds. The seeds were stored in paper and plastic packings and kept in 0±2; 10±2; 20±2°C and 60 5% air relative humidity (ARH and in ambient temperature (23,4±3,3°C and 68,7±9% ARH. Quarterly, the water seed content, germinative test and seed vigour were avaluated. During storage, the seed water content was approximately 8.9%. The plastic packing (plastic bag and tempertature of 0oC are adequated for storage of "carolina" seeds.

  4. Correspondence of biological condition models of California streams at statewide and regional scales (United States)

    May, Jason T.; Brown, Larry R.; Rehn, Andrew C.; Waite, Ian R.; Ode, Peter R; Mazor, Raphael D; Schiff, Kenneth C


    We used boosted regression trees (BRT) to model stream biological condition as measured by benthic macroinvertebrate taxonomic completeness, the ratio of observed to expected (O/E) taxa. Models were developed with and without exclusion of rare taxa at a site. BRT models are robust, requiring few assumptions compared with traditional modeling techniques such as multiple linear regression. The BRT models were constructed to provide baseline support to stressor delineation by identifying natural physiographic and human land use gradients affecting stream biological condition statewide and for eight ecological regions within the state, as part of the development of numerical biological objectives for California’s wadeable streams. Regions were defined on the basis of ecological, hydrologic, and jurisdictional factors and roughly corresponded with ecoregions. Physiographic and land use variables were derived from geographic information system coverages. The model for the entire state (n = 1,386) identified a composite measure of anthropogenic disturbance (the sum of urban, agricultural, and unmanaged roadside vegetation land cover) within the local watershed as the most important variable, explaining 56 % of the variance in O/E values. Models for individual regions explained between 51 and 84 % of the variance in O/E values. Measures of human disturbance were important in the three coastal regions. In the South Coast and Coastal Chaparral, local watershed measures of urbanization were the most important variables related to biological condition, while in the North Coast the composite measure of human disturbance at the watershed scale was most important. In the two mountain regions, natural gradients were most important, including slope, precipitation, and temperature. The remaining three regions had relatively small sample sizes (n ≤ 75 sites) and had models that gave mixed results. Understanding the spatial scale at which land use and land cover affect

  5. Family Privilege (United States)

    Seita, John R.


    Family privilege is defined as "strengths and supports gained through primary caring relationships." A generation ago, the typical family included two parents and a bevy of kids living under one roof. Now, every variation of blended caregiving qualifies as family. But over the long arc of human history, a real family was a…

  6. Seasonal variations in plasma vitellogenin and sex steroids in male and female Eastern Box Turtles, Terrapene carolina carolina. (United States)

    Currylow, Andrea F; Tift, Michael S; Meyer, Jennifer L; Crocker, Daniel E; Williams, Rod N


    The Eastern Box Turtle (Terrapene carolina carolina) is a widespread species that has recently experienced precipitous declines throughout its range. Although many studies have documented aspects of reproduction in box turtles, reproductive physiology of free-ranging animals is unknown and can be crucial in this species' recovery. Over a two-year period, we measured reproductive parameters, (vitellogenin [Vtg], estradiol-17β [E2], and total testosterone [TT]), in plasma of 116 free-ranging Eastern Box Turtles across their active season. We found similar seasonal variations of Vtg and E2 within females. Mid-season, females showed a sharp peak in E2 that correlates with the putative beginning of the ovarian cycle. Individual females lacking these expected peaks of both Vtg and E2 suggest that some female T. c. carolina may not reproduce annually. Females typically expressed undetectable levels of TT, yet there was a small peak in TT early in the active season. Male Eastern Box Turtles exhibited a dual peak in TT. Elevated TT in males was significantly associated with observed sexual behaviors and smaller home ranges. Body condition had no effect on the concentration of TT or E2 in either sex. This is the first study to (1) document Vtg and sex steroid hormones in free-ranging animals of this genus, and (2) relate those metrics to individuals, the population, the purported annual cycle, and to other chelonian species. Copyright © 2012 Elsevier Inc. All rights reserved.

  7. A narrative account of implementation lessons learnt from the dissemination of an up-scaled state-wide child obesity management program in Australia: PEACH™ (Parenting, Eating and Activity for Child Health) Queensland. (United States)

    Croyden, Debbie L; Vidgen, Helen A; Esdaile, Emma; Hernandez, Emely; Magarey, Anthea; Moores, Carly J; Daniels, Lynne


    PEACH™QLD translated the PEACH™ Program, designed to manage overweight/obesity in primary school-aged children, from efficacious RCT and small scale community trial to a larger state-wide program. This paper describes the lessons learnt when upscaling to universal health coverage. The 6-month, family-focussed program was delivered in Queensland, Australia from 2013 to 2016. Its implementation was planned by researchers who developed the program and conducted the RCT, and experienced project managers and practitioners across the health continuum. The intervention targeted parents as the agents of change and was delivered via parent-only group sessions. Concurrently, children attended fun, non-competitive activity sessions. Sessions were delivered by facilitators who received standardised training and were employed by a range of service providers. Participants were referred by health professionals or self-referred in response to extensive promotion and marketing. A pilot phase and a quality improvement framework were planned to respond to emerging challenges. Implementation challenges included engagement of the health system; participant recruitment; and engagement. A total of 1513 children (1216 families) enrolled, with 1122 children (919 families) in the face-to-face program (105 groups in 50 unique venues) and 391 children (297 families) in PEACH™ Online. Self-referral generated 68% of enrolments. Unexpected, concurrent and, far-reaching public health system changes contributed to poor program uptake by the sector (only 56 [53%] groups delivered by publicly-funded health organisations) requiring substantial modification of the original implementation plan. Process evaluation during the pilot phase and an ongoing quality improvement framework informed program adaptations that included changing from fortnightly to weekly sessions aligned with school terms, revision of parent materials, modification of eligibility criteria to include healthy weight children and

  8. Analysis of PFAAs in American alligators part 2: Potential dietary exposure of South Carolina hunters from recreationally harvested alligator meat. (United States)

    Tipton, Jessica J; Guillette, Louis J; Lovelace, Susan; Parrott, Benjamin B; Rainwater, Thomas R; Reiner, Jessica L


    Exposure to perfluorinated alkyl acids (PFAAs) has been linked to many harmful health effects including reproductive disorders, developmental delays, and altered liver and kidney function. Most human exposure to environmental contaminants, including PFAAs, occurs through consumption of contaminated food or drinking water. This study uses PFAA data from meat samples collected from recreationally harvested American alligators (Alligator mississippiensis) in South Carolina to assess potential dietary exposure of hunters and their families to PFAAs. Consumption patterns were investigated using intercept surveys of 23 hunters at a wild game meat processor. An exposure scenario using the average consumption frequency, portion size, and median perfluorooctane sulfonic acid (PFOS) concentration in alligator meat from all hunt units found the daily dietary exposure to be 2.11ng/kg body weight per day for an adult human. Dietary PFOS exposure scenarios based on location of harvest suggested the highest daily exposure occurs with alligator meat from the Middle Coastal hunt unit in South Carolina. Although no samples were found to exceed the recommended threshold for no consumption of PFOS found in Minnesota state guidelines, exposure to a mixture of PFAAs found in alligator meat and site-specific exposures based on harvest location should be considered in determining an appropriate guideline for vulnerable populations potentially exposed to PFAAs through consumption of wild alligator meat. Copyright © 2017. Published by Elsevier B.V.

  9. CREEK Project's Nekton Database for Eight Creeks in the North Inlet Estuary, South Carolina: 1997-1998. (United States)

    Baruch Institute for Marine and Coastal Sciences, Univ of South Carolina — A group of eight intertidal creeks with high densities of oysters, Crassostrea virginica, in North Inlet Estuary, South Carolina, USA were studied using a replicated...

  10. CREEK Project's Microzooplankton Seasonal Monitoring Database for Eight Creeks in the North Inlet Estuary, South Carolina: 1997-1999 (United States)

    Baruch Institute for Marine and Coastal Sciences, Univ of South Carolina — A group of eight intertidal creeks with high densities of oysters, Crassostrea virginica, in North Inlet Estuary, South Carolina, USA were studied using a replicated...

  11. CREEK Project's Internal Creek Habitat Survey for Eight Creeks in the North Inlet Estuary, South Carolina: January 1998. (United States)

    Baruch Institute for Marine and Coastal Sciences, Univ of South Carolina — A group of eight intertidal creeks with high densities of oysters, Crassostrea virginica, in North Inlet Estuary, South Carolina, USA were studied using a replicated...

  12. Initial implementation indicators from a statewide rollout of SafeCare within a child welfare system. (United States)

    Whitaker, Daniel J; Ryan, Kerry A; Wild, Robert C; Self-Brown, Shannon; Lutzker, John R; Shanley, Jenelle R; Edwards, Anna M; McFry, Erin A; Moseley, Colby N; Hodges, Amanda E


    There is a strong movement toward implementation of evidence-based practices (EBP) in child welfare systems. The SafeCare parenting model is one of few parent-training models that addresses child neglect, the most common form of maltreatment. Here, the authors describe initial findings from a statewide effort to implement the EBP, SafeCare®, into a state child welfare system. A total of 50 agencies participated in training, with 295 individuals entering training to implement SafeCare. Analyses were conducted to describe the trainee sample, describe initial training and implementation indicators, and to examine correlates of initial training performance and implementation indicators. The quality of SafeCare uptake during training and implementation was high with trainees performing very well on training quizzes and role-plays, and demonstrating high fidelity when implementing SafeCare in the field (performing over 90% of expected behaviors). However, the quantity of implementation was generally low, with relatively few providers (only about 25%) implementing the model following workshop training. There were no significant predictors of training or implementation performance, once corrections for multiple comparisons were applied. The Discussion focuses on challenges to large-scale system-wide implementation of EBP.

  13. A Statewide Model for Assisting Nursing Home Residents to Transition Successfully to the Community

    Directory of Open Access Journals (Sweden)

    Darci Buttke


    Full Text Available Minnesota’s Return to Community Initiative (RTCI is a novel, statewide initiative to assist private paying nursing home residents to return to the community and to remain in that setting without converting to Medicaid. The objective of this manuscript is to describe in detail RTCI’s development and design, its key operational components, and characteristics of its clients and their care outcomes. Data on client characteristics and outcomes come from the Minimum Data Set, staff assessments of clients and caregivers, and Medicaid eligibility files. Most clients transitioned by the RTCI had entered the nursing facility from a hospital. Clients overwhelmingly wanted to return to the community and fit a health and functional profile making them good candidates for community discharge. Most clients went to a private residence, living alone or with a spouse; yet, adult children were the most frequent caregivers. At one year of follow-up 76% of individuals were alive and living in the community and only a small percentage (8.2% had converted to Medicaid. The RTCI holds promise as a successful model for states to adopt in assisting individuals who are at risk to become long stay nursing home residents instead to return to the community.

  14. Emergency Department Visits Prior to Suicide and Homicide: Linking Statewide Surveillance Systems. (United States)

    Cerel, Julie; Singleton, Michael D; Brown, Margaret M; Brown, Sabrina V; Bush, Heather M; Brancado, Candice J


    Emergency departments (EDs) serve a wide range of patients who present at risk of impending suicide and homicide. Two statewide surveillance systems were probabilistically linked to understand who utilizes EDs and then dies violently within 6 weeks. Each identified case was matched with four randomly selected controls on sex, race, date of birth, resident zip code, and date of ED visit vs. date of death. Matched-pair odds ratios were estimated by conditional logistic regression to assess differences between cases and controls on reported diagnoses and expected payment sources. Of 1,599 suicides and 569 homicides in the 3-year study period, 10.7% of decedents who died by suicide (mean = 13.6 days) and 8.3% who died by homicide (mean = 16.3 days) were seen in a state ED within 6 weeks prior to death. ED attendees who died by suicide were more likely to have a diagnosis of injury/ poisoning diagnosis or mental disorder and more likely to have Medicare. Those who died by homicide were more likely to have a diagnosis of injury/poisoning and less likely to have commercial insurance. It is essential for research to further explore risk factors for imminent suicide and homicide in ED patients who present for psychiatric conditions and general injuries.

  15. A California Statewide App to Simulate Fate of Nitrate in Irrigated Agricultural System (United States)

    Diamantopoulos, E.; Walkinshaw, M.; Harter, T.; O'Geen, A. T.


    Groundwater resources are very important for California's economic development and environmental sustainability. Nitrate is by far the most widespread anthropogenic groundwater pollutant in California's mostly alluvial groundwater basins. Major sources are synthetic fertilizer and dairy manure, but also septic systems and urban wastewater effluent. Here, we evaluate agricultural soils in California according to their risk for nitrate leaching. We conducted over 1 million numerical simulations taking into account the effect of climate, crop type, irrigation and fertilization management scenarios across all 4,568 agricultural soil profiles occurring in California. The assessment was done solving 1-D Richards equation and the advection-dispersion equation numerically. This study is focused on the complex water and nitrate dynamics occurring at the shallow vadose zone (rootzone). The results of this study allow the construction of state-wide maps which can be used for the identification of high-risk regions and the design of agricultural nutrient management policy. We investigate how pollution risk can be minimized by adopting simple irrigation and fertilization methods. Furthermore, we show that these methods are more effective for the most permeable soil profiles along with high demanding crops in terms of fertilization amount and irrigation water. We also present how seasonal (winter) climate conditions contribute on nitrate leaching.

  16. A state-wide partnership to promote safe and supportive schools: the PBIS Maryland Initiative. (United States)

    Bradshaw, Catherine P; Pas, Elise T; Bloom, Jerry; Barrett, Susan; Hershfeldt, Patricia; Alexander, Andrea; McKenna, Milton; Chafin, Ann E; Leaf, Philip J


    Schools continue to be an important context for preventive interventions targeting a range of behavioral and mental health problems. Yet competing demands on teachers and shifting priorities in response to federal legislation have posed some unique challenges to prevention researchers working in school settings. This paper summarizes an approach to prevention partnerships developed over a decade and centered on the three-tiered Positive Behavioral Interventions and Supports (PBIS) model. A state-wide initiative was formed and led through a partnership between the Maryland State Department of Education, Sheppard Pratt Health System, and Johns Hopkins University, which focused on implementing evidence-based practices and conducting prevention research in Maryland public schools. Drawing on a community-based participatory research framework for developing research partnerships, we highlight the importance of forming and sustaining authentic relationships to support school-based prevention research and implementation of evidence-based programs. We also discuss how these relationships have been used to disseminate PBIS and rigorously test its effectiveness. We describe some lessons learned from the partnership and identify potential areas for future research on the prevention partnership model. We conclude with a discussion of the implications for both researchers and community partners engaged in translational research in school settings.

  17. Concomitant Tricuspid Valve Surgery Affects Outcomes Following Mitral Operations: A multi-institutional, statewide analysis (United States)

    LaPar, Damien J.; Mulloy, Daniel P.; Stone, Matthew L.; Crosby, Ivan K.; Lau, Christine L; Kron, Irving L.; Ailawadi, Gorav


    Background Mitral valve disease is often accompanied by concomitant tricuspid valve disease. The purpose of this study was to determine the influence of performing tricuspid procedures in the setting of mitral valve surgery within a multi-institutional patient population. Methods From 2001–2008, 5,495 mitral valve operations were performed at 17 different statewide centers. Patients underwent either mitral valve alone (MV alone, n=5,062, age=63.4±13.0 years) or mitral + tricuspid valve operations (MV+TV, n=433, age=64.0±14.2 years). Univariate and multivariate analyses were used to assess the influence of concomitant tricuspid procedures on operative mortality and the composite incidence of major complications. Results Patients undergoing MV+TV were more commonly female (62.7% vs. 45.5%, ptricuspid valve procedures proved an independent predictor of operative mortality (OR=1.50, p=0.03) and major complications (OR=1.39, p=0.004). Conclusions Concomitant tricuspid surgery is a proxy for more advanced valve disease. Compared to mitral operations alone, simultaneous mitral-tricuspid valve operations are associated with elevated morbidity and mortality even after risk adjustment. This elevated risk should be considered during preoperative patient risk stratification. PMID:22607786

  18. Determining the hospital trauma financial impact in a statewide trauma system. (United States)

    Mabry, Charles D; Kalkwarf, Kyle J; Betzold, Richard D; Spencer, Horace J; Robertson, Ronald D; Sutherland, Michael J; Maxson, Robert T


    There have been no comprehensive studies across an organized statewide trauma system using a standardized method to determine cost. Trauma financial impact includes the following costs: verification, response, and patient care cost (PCC). We conducted a survey of participating trauma centers (TCs) for federal fiscal year 2012, including separate accounting for verification and response costs. Patient care cost was merged with their trauma registry data. Seventy-five percent of the 2012 state trauma registry had data submitted. Each TC's reasonable cost from the Medicare Cost Report was adjusted to remove embedded costs for response and verification. Cost-to-charge ratios were used to give uniform PCC across the state. Median (mean ± SD) costs per patient for TC response and verification for Level I and II centers were $1,689 ($1,492 ± $647) and $450 ($636 ± $431) for Level III and IV centers. Patient care cost-median (mean ± SD) costs for patients with a length of stay >2 days rose with increasing Injury Severity Score (ISS): ISS 2 days and ISS 9+. Level I centers had the highest mean ISS, length of stay, ICU days, and ventilator days, along with the highest PCC. Lesser trauma accounted for lower charges, payments, and PCC for Level II, III, and IV TCs, and the margin was variable. Verification and response costs per patient were highest for Level I and II TCs. Copyright © 2015 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  19. A Test of the Homogeneity Thesis of the Culture of Poverty Theory: Characteristics of Disadvantaged Farm Families. Tech. Bul. No. 248, December 1975. (United States)

    White, Estelle E.; Clay, Rex J.

    Utilizing data derived from a stratified random sample of disadvantaged farm families (DFF) living in 3 northeastern North Carolina counties (N=42, 56, and 32 families from Bertie, Halifax, and Northampton respectively), study objectives were to test the homogeneity thesis of the culture of poverty theory via a comparison of a selected set of…

  20. The North Carolina Online Sex Offender Registry: Awareness and Utilization by Childcare Providers (United States)

    White, Jennifer L.; Malesky, L. Alvin, Jr.


    This study examined childcare providers' usage of the North Carolina Sex Offender and Public Protection Registry. One hundred twenty three childcare providers in 76 counties in North Carolina were surveyed via telephone interview about their utilization of the registry Web site. Responses revealed that most providers knew about the registry…

  1. Penal Reform and Construction of the Western North Carolina Railroad 1875-1892 (United States)

    Carson, Homer S., III


    On March 13, 1879, the "Salisbury Carolina Watchman" noted that the longest and most difficult tunnel in the struggle to lay a railroad line across the Blue Ridge Mountains has been opened. Convicts from North Carolina's new penitentiary built this transportation system and solved the state's need for a cheap labor force as well as the…

  2. 75 FR 15704 - Old Dominion Electric Cooperative; North Carolina Electric Membership Corporation, Complainants v... (United States)


    ... Electric Cooperative; North Carolina Electric Membership Corporation, Complainants v. Virginia Electric and... the Federal Power Act, 16 U.S.C. 824(e) and 825(e), Old Dominion Electric Cooperative and North Carolina Electric Membership Corporation (Complainants) filed a formal complaint against Virginia Electric...

  3. Legal Aspects of the Changing Roles of Women in North Carolina. (United States)

    Schoonmaker, Meyressa H.

    Although women in North Carolina increasingly enter the work force to stay and their "protected" status in marriage is no longer secure, North Carolina's women do not have economic equality under law with men. Husbands have full rights to the rents, profit, and control of entirety property and real estate during marriage; and no women…

  4. Middle School Team Leader Teacher's Perceptions of the North Carolina School Library Media Centers' Impact Process (United States)

    Baldwin, Etta M.


    This qualitative study examined the perceptions of the school library media specialists and teachers in middle schools in two school districts located in North Carolina. The study investigated the flexible access and school collaboration aspects of the IMPACT grant from the North Carolina Department of Education. The results of the study derived…

  5. Graduation Rates in South Carolina Public High Schools: The Effect of School Size and Socioeconomic Status (United States)

    Rivers, Thomas E., Jr.


    This study included a comparison of the graduation rates among high schools in South Carolina closely analyzing school size and socioeconomic status. The purpose for the study was to answer two questions: What patterns and relationships exist between school size and graduation rates at high schools in South Carolina? What patterns and…

  6. East Carolina University Uses Simple Technology to Link Its Students with Peers Overseas (United States)

    Fischer, Karin


    Just 1 percent of East Carolina University undergraduates study overseas. But thanks to a pair of enterprising faculty members, a growing number of students are having international experiences without ever leaving the Greenville, North Carolina campus. The university's Global Understanding program uses inexpensive and relatively unsophisticated…

  7. 78 FR 27065 - Approval and Promulgation of Implementation Plans; North Carolina; Control Techniques Guidelines... (United States)


    ... portion of the Charlotte-Gastonia-Rock Hill, North Carolina--South Carolina 1997 8-hour ozone... within the Rock Hill-Fort Mill Area Transportation Study Metropolitan Planning Organization Area. As a... citation of Moisture Content. publication]. Sect .2608 Number of Runs and 3/13/2008 5/9/2013 [Insert...

  8. 75 FR 80547 - Carolina Power & Light Company, Shearon Harris Nuclear Power Plant, Unit No. 1; Exemption (United States)


    ... NUCLEAR REGULATORY COMMISSION [Docket No. 50-400; NRC-2010-0020] Carolina Power & Light Company, Shearon Harris Nuclear Power Plant, Unit No. 1; Exemption 1.0 Background Carolina Power & Light Company... operation of the Shearon Harris Nuclear Power Plant (HNP), Unit 1. The license provides, among other things...

  9. Microclimate environmental parameters indexed for Sudden Oak death in Georgia and South Carolina (United States)

    Pauline Spaine; William J. Otrosina; Stanley J. Zarnoch; Sharon V. Lumpkin


    We monitored Ericaceous habitat in Georgia and South Carolina for temperature, dew point and humidity ranges throughout a two year period. Temperature and humidity data were used to characterize their range in Georgia and South Carolina where potential SOD susceptible hosts occur. This data suggests risk for SOD development may be more widespread in southeastern forest...

  10. 75 FR 9958 - Carolina Power & Light Company, Shearon Harris Nuclear Power Plant, Unit 1; Exemption (United States)


    ... NUCLEAR REGULATORY COMMISSION [Docket No. 50-400; NRC-2010-0020] Carolina Power & Light Company, Shearon Harris Nuclear Power Plant, Unit 1; Exemption 1.0 Background Carolina Power & Light Company (the... Operating License No. NPF-63, which authorizes operation of the Shearon Harris Nuclear Power Plant, Unit 1...

  11. An Analysis of the North Carolina Cooperative Extension Service's Role in Bridging the Digital Divide (United States)

    Alston, Antoine J.; Hilton, Lashawn; English, Chastity Warren; Elbert, Chanda; Wakefield, Dexter


    The study reported here sought to determine the perception of North Carolina County Cooperative Extension directors in regard to the North Carolina Cooperative Extension Service's role in bridging the digital divide. It was perceived by respondents that variables such as income, education, gender, disability status, race/ethnicity, age, and…

  12. Seasonal food habits of the coyote in the South Carolina coastal plain (United States)

    Joshua D. Schrecengost; John C. Kilgo; David Mallard; H. Scott Ray; Karl V. Miller


    Spatial and temporal plasticity in Canis latrans (coyote) diets require regional studies to understand the ecological role of this omnivorous canid. Because coyotes have recently become established in South Carolina, we investigated their food habits by collecting 415 coyote scats on the Savannah River Site in western South Carolina from May 2005?...

  13. 76 FR 6561 - North Carolina: Final Authorization of State Hazardous Waste Management Program Revisions (United States)


    ... Carolina: Final Authorization of State Hazardous Waste Management Program Revisions AGENCY: Environmental... December 31, 1984 (49 FR 48694) to implement its base hazardous waste management program. EPA granted... XV are from the North Carolina Hazardous Waste Management Rules 15A NCAC 13A, effective April 23...

  14. Inherit the Policy: A Sociocultural Approach to Understanding Evolutionary Biology Policy in South Carolina (United States)

    Moore, Gregory D.


    South Carolina biology Indicator 5.6 calls for students to "Summarize ways that scientists use data from a variety of sources to investigate and critically analyze aspects of evolutionary theory" (South Carolina Department of Education, 2006). Levinson and Sutton (2001) offered a sociocultural approach to policy that considers cultural…

  15. South Carolina's Political and Educational Discourse: Social Media Encounters Elite Stability (United States)

    Lindle, Jane Clark; Hampshire, Ellen


    South Carolina's persistent resistance to a federal, centralized national government is noteworthy throughout U.S. history. Accordingly, South Carolina's assumption of its powers governing education reserved to the states under the 10th Amendment focuses on commerce and free-market notions of competitive advantages rather than education's value to…

  16. Longitudinal Trend Analysis of Performance Indicators for South Carolina's Technical Colleges (United States)

    Hossain, Mohammad Nurul


    This study included an analysis of the trend of performance indicators for the technical college sector of higher education in South Carolina. In response to demands for accountability and transparency in higher education, the state of South Carolina developed sector specific performance indicators to measure various educational outcomes for each…

  17. Saving Lives and Saving Money: The Role of North Carolina Health Departments in Medicaid Managed Care. (United States)

    Bridger, Colleen M; Smith, Steven E; Saunders, Stacie Turpin

    A new Medicaid system is emerging in North Carolina in which accountable care organizations will aim to improve both the quality and value of health care. We explore how local health departments can apply their expertise in population health to help achieve these goals. ©2017 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

  18. 76 FR 81929 - South Carolina Public Service Authority; Notice of Workshop for Santee Cooper Hydroelectric Project (United States)


    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 199-205] South Carolina Public Service Authority; Notice of Workshop for Santee Cooper Hydroelectric Project On May 26 and...) and the South Carolina Public Service Authority (SCPSA), licensee for the Santee-Cooper Hydroelectric...

  19. Developing a drought early warning information system for coastal ecosystems in the Carolinas (United States)

    Kirsten Lackstrom; Amanda Brennan; Paul Conrads; Lisa Darby; Kirstin Dow; Daniel Tuford


    The National Integrated Drought Information System (NIDIS) and the Carolinas Integrated Sciences and Assessments (CISA), a National Oceanic and Atmospheric Administration (NOAA)- funded Regional Integrated Sciences and Assessments (RISA) program, are partnering to develop and support a Carolinas Drought Early Warning System pilot program. Research and projects focus on...

  20. 76 FR 56242 - Duke Energy Carolinas, LLC; Southern Nuclear Operating Company; Establishment of Atomic Safety... (United States)


    ... Energy Carolinas, LLC; Southern Nuclear Operating Company; Establishment of Atomic Safety and Licensing...: Duke Energy Carolinas, LLC, (William States Lee III Nuclear Station, Units 1 and 2), Docket Nos. 52-018... From the Federal Register Online via the Government Publishing Office NUCLEAR REGULATORY...

  1. 2010 Critical Success Factors for the North Carolina Community College System. Twenty First Annual Report (United States)

    North Carolina Community College System (NJ1), 2010


    First mandated by the North Carolina General Assembly in 1989 (S.L. 1989; C. 752; S. 80), the Critical Success Factors report has evolved into the major accountability document for the North Carolina Community College System. This twenty first annual report on the critical success factors is the result of a process undertaken to streamline and…

  2. North Carolina's forest products industry: performance and contribution to the state's economy, 1970 to 1980. (United States)

    Con H. Schallau; Wilbur R. Maki; Bennett B. Foster; Clair H. Redmond


    Employment and earnings in North Carolina's forest products industry, like those of most Southern States, grew significantly between 1970 and 1980. The forest products industry accounted for a larger share of the State's economic base in 1980 than in 1970. North Carolina had more forest products industry employment than any other State in the South. Moreover...

  3. Assessing indicators relating to overall tourist satisfaction of ecotourism developments in eastern North Carolina (United States)

    Christopher L. Ellis; Hans Vogelsong


    The Partnership for the Sounds is a non-profit organization based in eastern North Carolina and is in charge of operating a collection of museums and cultural sites including the North Carolina Estuarium in Washington, The Mattamuskeet Lodge in Swan Quarter, and the Columbia Theater Cultural Resource Center in Columbia. A recent survey was conducted at these areas by...

  4. Hope, Opportunity, and Access: The In-State Tuition Debate in North Carolina (United States)

    Sanders, Marla S.


    This qualitative case study explores the political debate that surrounded North Carolina's House Bill 1183, also known as Access to Higher Education and A Better Economic Future. This bill would have made undocumented students eligible for in-state tuition at North Carolina's colleges and universities. This article discusses the political debate,…

  5. Isolation and characterization of microsatellite markers for carolina hemlock (Tsuga caroliniana) (United States)

    S.A. Josserand; K.M. Potter; C.S. Echt; C.D. Nelson


    We describe the isolation and characterization of 31 polymorphic di- and trinucleotide microsatellite marker loci for Carolina hemlock (Tsuga caroliniana Englem.). In addition, primer pairs for 16 loci amplified scoreable alleles in six other Euga species. In eastern North America, both Carolina hemlock and eastern hemlock (Tsuga canadensis...

  6. 75 FR 16871 - Carolina Power & Light Company, Brunswick Steam Electric Plant, Units 1 and 2; Exemption (United States)


    ... From the Federal Register Online via the Government Publishing Office NUCLEAR REGULATORY COMMISSION Carolina Power & Light Company, Brunswick Steam Electric Plant, Units 1 and 2; Exemption 1.0 Background Carolina Power & Light Company (CP&L, the licensee) is the holder of Facility Operating Renewed License Nos. DPR-71 and DPR-62, which authorize...

  7. The Glass Cliff: An Examination of the Female Superintendency in South Carolina (United States)

    Bowles, Blanche Boyd


    South Carolina public school districts are confronted with a series of difficult circumstances and rely more on female superintendents than the national average. The investigation of female South Carolina superintendents was guided by the glass cliff conceptual framework. The glass cliff represents situations where females are promoted over males…

  8. 76 FR 19096 - National Starch and Chemical Company, Salisbury, Rowan County, North Carolina; Notice of Correction (United States)


    ... AGENCY National Starch and Chemical Company, Salisbury, Rowan County, North Carolina; Notice of... Liability Act (CERCLA), concerning the National Starch and Chemical Company Site located in Salisbury, Rowan..., Mobile County, Alabama. The Site is located in Salisbury, Rowan County, North Carolina. DATES: The Agency...

  9. The North Carolina Capitol: Pride of the State. Teaching with Historic Places. (United States)

    Draper, Howard

    North Carolina's state capitol rises majestically on Union Square in downtown Raleigh, a city created in 1792 to serve as North Carolina's permanent capital. Built between 1833-40, the granite building is one of the finest and best preserved examples of civic Greek Revival architecture in the United States. This lesson is based on the National…

  10. Impacts on South Carolina timber production over the last five decades. (United States)

    Jinglong Mo; Thomas Straka; Richard Harper


    Timberland ownership patterns and national forest timber harvesting policy have undergone significant changes in South Carolina over the past five decades. Timber output studies for the state commonly focused on short time frames and seldom addressed timberland ownership patterns in detail. We describe fifty-year timber output for South Carolina, allowing us to address...

  11. 77 FR 26441 - Approval and Promulgation of Implementation Plans; North Carolina; Charlotte; Ozone 2002 Base... (United States)


    ... Promulgation of Implementation Plans; North Carolina; Charlotte; Ozone 2002 Base Year Emissions Inventory... final action to approve the ozone 2002 base year emissions inventory portion of the state implementation... Air Act (CAA or Act). EPA will take action on the South Carolina submission for the ozone 2002 base...

  12. Quantitative psychology : The 81st Annual Meeting of the Psychometric Society, Asheville, North Carolina, 2016

    NARCIS (Netherlands)

    van der Ark, L.A.; Wiberg, M.; Culpepper, S.A.; Douglas, J.A.; Wang, W.-C.


    This proceedings volume compiles and expands on selected and peer reviewed presentations given at the 81st Annual Meeting of the Psychometric Society (IMPS), organized by the University of North Carolina at Greensboro, and held in Asheville, North Carolina, July 11th to 17th, 2016.IMPS is one of the

  13. Hurricane Hugo: South Carolina Forest Land Research and Management Related to the Storm (United States)

    Jacqueline L. Haymond; William R. Harms; [Editors


    Hurricane Hugo was probably one of the most destructive hurricanes to assault the forests of the Eastern United States in recorded history. Four and one-half million acres were damaged in North Carolina and South Carolina, an estimated 21.4 billion board feet of timber were destroyed or damaged, and several federally listed endangered species (red-cockaded woodpecker,...

  14. Impact of North Carolina's Early Childhood Initiatives on Special Education Placements in Third Grade (United States)

    Muschkin, Clara G.; Ladd, Helen F.; Dodge, Kenneth A.


    This study examines the community-wide effects of investments in two early childhood initiatives in North Carolina (Smart Start and More at Four) on the likelihood of a student being placed into special education. We take advantage of variation across North Carolina counties and years in the timing of the introduction and funding levels of the two…

  15. North Carolina's Summer School Program for High-Risk Students: A Two-Year Follow-Up of Student Achievement. (United States)

    Ward, Martha Szegda

    The long-term effectiveness of the North Carolina Basic Education Summer School Program (BEP) was examined. North Carolina has instituted a testing and summer remediation program for academically at-risk students at grades 3, 6, and 8. The BEP sample was obtained by a stratified random sampling of schools in North Carolina. Results were…

  16. 33 CFR 334.430 - Neuse River and tributaries at Marine Corps Air Station Cherry Point, North Carolina; restricted... (United States)


    ... Marine Corps Air Station Cherry Point, North Carolina; restricted area and danger zone. 334.430 Section... Air Station Cherry Point, North Carolina; restricted area and danger zone. (a) The restricted area... Station, Cherry Point, North Carolina, extending from the mouth of Hancock Creek to a point approximately...

  17. Methods for estimating the magnitude and frequency of floods for urban and small, rural streams in Georgia, South Carolina, and North Carolina, 2011. (United States)


    The central purpose of this report is to present methods : for estimating the magnitude and frequency of floods on : urban and small, rural streams in the Southeast United States : with particular focus on Georgia, South Carolina, and North : Carolin...

  18. Comparative Evaluation of a South Carolina Policy to Improve Nutrition in Child Care. (United States)

    Benjamin Neelon, Sara E; Mayhew, Meghan; O'Neill, Jennifer R; Neelon, Brian; Li, Fan; Pate, Russell R


    Policies to promote healthy eating in young children appear promising, but are largely untested. Recently, South Carolina implemented mandatory nutrition standards governing child-care centers serving low-income children. This study evaluated consistency with the standards before and after the policy took effect. This study evaluated consistency with the nutrition standards in South Carolina, using North Carolina-a state not making policy changes-as the comparison. The research team conducted assessments in a longitudinal sample of centers and a cross-sectional sample of children before and approximately 9 months after the standards took effect. Trained observers recorded foods and beverages served to 102 children from 34 centers in South Carolina and 90 children from 30 centers in North Carolina at baseline. At follow-up, the research team observed 99 children from 33 centers in South Carolina and 78 children from 26 centers in North Carolina. The policy was implemented in April 2012 and included 13 standards governing the nutritional quality of foods and beverages served to children, and staff behaviors related to feeding children in care. The outcome was consistency with each standard at follow-up in South Carolina compared with North Carolina, controlling for baseline consistency and other covariates. Logistic regressions were conducted to evaluate consistency with each standard, adjusting for baseline and potential confounders. Compared with North Carolina, centers in South Carolina were more likely to be consistent with the standard prohibiting the use of food as a reward or punishment (odds ratio=1.22; 95% CI 1.11 to 1.61; P=0.03). Two centers in South Carolina met all 13 standards at follow-up compared with none in North Carolina. No other differences were observed. New standards modestly improved nutrition practices in South Carolina child-care centers, but additional support is needed to bring all centers into compliance with the current policies

  19. Comparing types of local public health agencies in North Carolina. (United States)

    Markiewicz, Milissa; Moore, Jill; Foster, Johanna H; Berner, Maureen; Matthews, Gene; Wall, Aimee


    Some states are considering restructuring local public health agencies (LPHAs) in hopes of achieving long-term efficiencies. North Carolina's experience operating different types of LPHAs, such as county health departments, district health departments, public health authorities, and consolidated human services agencies, can provide valuable information to policy makers in other states who are examining how best to organize their local public health system. To identify stakeholders' perceptions of the benefits and challenges associated with different types of LPHAs in North Carolina and to compare LPHA types on selected financial, workforce, and service delivery measures. Focus groups and key informant interviews were conducted to identify stakeholders' perceptions of different LPHA types. To compare LPHA types on finance, workforce, and service delivery measures, descriptive statistical analyses were performed on publicly available quantitative data. North Carolina. Current and former state and local public health practitioners, county commissioners, county managers, assistant managers, state legislators, and others. In addition to identifying stakeholders' perceptions of LPHA types, proportion of total expenditures by funding source, expenditures per capita by funding source, full-time equivalents per 1000 population, and percentage of 127 tracked services offered were calculated. Stakeholders reported benefits and challenges of all LPHA types. LPHA types differ with regard to source of funding, with county health departments and consolidated human services agencies receiving a greater percentage of their funding from county appropriations than districts and authorities, which receive a comparatively larger percentage from other revenues. Types of LPHAs are not entirely distinct from one another, and LPHAs of the same type can vary greatly from one another. However, stakeholders noted differences between LPHA types-particularly with regard to district health

  20. Race, socioeconomic status, and air pollution exposure in North Carolina. (United States)

    Gray, Simone C; Edwards, Sharon E; Miranda, Marie Lynn


    Although studies suggest that exposure to pollutants is associated with race/ethnicity and socio-economic status (SES), many studies are limited to the geographic regions where monitoring stations are located. This study uses modeled predictive surfaces to examine the relationship between air pollution exposure, race/ethnicity, and measures of SES across the entire State of North Carolina. The daily predictions of particulate matter ozone (O3) were determined using a spatial model that fused data from two sources: point air monitoring data and gridded numerical output. These daily predicted pollution levels for 2002 were linked with Census data. We examine the relationship between the census-tract level predicted concentration measures, SES, and racial composition. SES and race/ethnicity were related to predicted concentrations of both PM2.5 and O3 for census tracts in North Carolina. Lower SES and higher proportion minority population were associated with higher levels of PM2.5. An interquartile range (IQR) increase of median household income reduced the predicted average PM2.5 level by 0.10 µg/m3. The opposite relationship was true for O3. An IQR increase of median household income increased the predicted average O3 measure by 0.11 ppb. The analyses demonstrate that SES and race/ethnicity are related to predicted estimates of PM2.5 and O3 for census tracts in North Carolina. These findings offer a baseline for future exposure modeling work involving SES and air pollution for the entire state and not just among the populations residing near monitoring networks. Published by Elsevier Inc.

  1. Predicted impact and evaluation of North Carolina's phosphorus indexing tool. (United States)

    Johnson, Amy M; Osmond, Deanna L; Hodges, Steven C


    Increased concern about potential losses of phosphorus (P) from agricultural fields receiving animal waste has resulted in the implementation of new state and federal regulations related to nutrient management. In response to strengthened nutrient management standards that require consideration of P, North Carolina has developed a site-specific P indexing system called the Phosphorus Loss Assessment Tool (PLAT) to predict relative amounts of potential P loss from agricultural fields. The purpose of this study was to apply the PLAT index on farms throughout North Carolina in an attempt to predict the percentage and types of farms that will be forced to change management practices due to implementation of new regulations. Sites from all 100 counties were sampled, with the number of samples taken from each county depending on the proportion of the state's agricultural land that occurs in that county. Results showed that approximately 8% of producers in the state will be required to apply animal waste or inorganic fertilizer on a P rather than nitrogen basis, with the percentage increasing for farmers who apply animal waste (approximately 27%). The PLAT index predicted the greatest amounts of P loss from sites in the Coastal Plain region of North Carolina and from sites receiving poultry waste. Loss of dissolved P through surface runoff tended to be greater than other loss pathways and presents an area of concern as no best management practices (BMPs) currently exist for the reduction of in-field dissolved P. The PLAT index predicted the areas in the state that are known to be disproportionately vulnerable to P loss due to histories of high P applications, high densities of animal units, or soil type and landscapes that are most susceptible to P loss.

  2. Family Issues (United States)

    ... Information Publications Awards Partners Contact Us ¿Qué es Autismo? Donate Home What is Autism? What is Autism? ... Information Publications Awards Partners Contact Us ¿Qué es Autismo? Family Issues Home / Living with Autism / Family Issues ...

  3. Familial hypercholesterolemia (United States)

    ... page: // Familial hypercholesterolemia To use the sharing features on this page, please enable JavaScript. Familial hypercholesterolemia is a disorder that is passed down through ...

  4. Family Life (United States)

    ... relationship. Different families have different communication and coping styles. Consider how your family reacts in a crisis ... Learn more about how to get support for parenting while living with cancer . The importance of communication ...

  5. Familial gigantism

    Directory of Open Access Journals (Sweden)

    Wouter W. de Herder


    Full Text Available Familial GH-secreting tumors are seen in association with three separate hereditary clinical syndromes: multiple endocrine neoplasia type 1, Carney complex, and familial isolated pituitary adenomas.

  6. Familial gigantism

    NARCIS (Netherlands)

    W.W. de Herder (Wouter)


    textabstractFamilial GH-secreting tumors are seen in association with three separate hereditary clinical syndromes: multiple endocrine neoplasia type 1, Carney complex, and familial isolated pituitary adenomas.

  7. Pegmatite geology of the Shelby district, North Carolina (United States)

    Griffitts, Wallace R.


    The Shelby district is divided into a northwestern and a southeastern province. The rocks in the southeastern province include various units in the Battleground schist formation and the Yorkville granodiorite. Those in the northwestern province include the Carolina gneiss, with its Shelby gneiss member, and the Toluca quartz monzonite. The Cherryville quartz monzonite forms a batholith that is just west of the boundary between the two provinces. Pegmatites related to both the Toluca and the Cherryville quartz monzonites lie in the Carolina gneiss and many dikes of pegmatite that are related to the Cherryville quartz monzonite are in the tin-spodumene belt that lies along the boundary between provinces. The rocks of the southeastern province have been bent into steep isoclinal folds; those of the northwestern province were bent into open folds and gently-dipping isoclinal folds. The rocks to the southeast have been metamorphosed in the epidote-amphibolite facies whereas the rocks to the northwest represent the amphibolite or granulite facies. The pegmatites related to the Toluca quartz monzonite form sills, dikes, and concordant lenses in the Carolina gneiss, as well as dikes in the Toluca quartz monzonite. The bodies are unzoned and consist mainly of gneissic microcline-plagioclase-quartz pegmatite. The pegmatites related to the Cherryville quartz monzonite form dikes and disconformable lenses in the Carolina gneiss and the Toluca quartz monzonite. These pegmatites range widely in composition and many are zoned. The dikes west of the Cherryville batholith are rich in muscovite and plagioclase and may contain no microcline or only a moderate amount of microcline. Quartz cores and microcline-rich intermediate zones are common. Similar pegmatite forms dikes along the west edge of the tin-spodumene belt. The tin-spodumene belt containes albite-microcline-spodumene-quartz pegmatite. These dikes of albitic pegmatite are largest and most nearly parallel to one another

  8. National Uranium Resource Evaluation: Athens Quadrangle, Georgia and South Carolina

    International Nuclear Information System (INIS)

    Lee, C.H.


    Reconnaissance and detailed geologic and radiometric investigations were conducted throughout the Athens Quadrangle, Georgia and South Carolina, to evaluate the uranium favorability using National Uranium Resource Evaluation criteria. Surface and subsurface studies were augmented by aerial radiometric surveys, emanometry studies and hydrogeochemical and stream-sediment reconnaissance studies. The results of the investigations indicate environments favorable for allogenic deposits in metamorphic rocks adjacent to granite plutons, and Texas roll-type sandstone deposits in the Coastal Plain Province. Environments considered unfavorable for uranium deposits are the placers of the Monazite Belt, pegmatites, and base- and precious-metal veins associated with faults and shear zones in metamorphic rocks

  9. Power for all? Electricity and uneven development in North Carolina (United States)

    Harrison, Conor M.

    Many towns in eastern North Carolina face a number of challenges common to the rural South, including high rates of poverty and diminishing employment opportunities. However, some residents of this region also confront a unique hardship---electricity prices that are vastly higher than those of surrounding areas. This dissertation examines the origins of pricing inequalities in the electricity market of eastern North Carolina---namely how such inequalities developed and their role in the production of racial and economic disparities in the South. This dissertation examines the evolving relations between federal and state agencies, corporations, and electric utilities, and asks why these interactions produced varying social outcomes across different places and spatial settings. The research focuses on the origins and subsequent development of electric utilities in eastern North Carolina, and examines how electricity as a material technology interacted with geographies of race and class, as well as the dictates of capital accumulation. This approach enables a rethinking of several concepts that are rarely examined by scholars of electric utilities, most notably the monopoly service territory, which I argue served as a spatial fix to accumulation problems in the industry. Further, examining the way that electric utilities developed in North Carolina during the 20th century brings to the forefront the at times contradictory relationships among systems of electricity provision, Jim Crow segregation, the Progressive Era, and the New Deal. Such a focus highlights the important role that the control of electricity provision played in shaping racial inequalities that continue to persist in the region. With most urban areas were electrified in the 1930s, the research also traces the electricity distribution lines as they moved out of cities through rural electrification programs, a shift that highlights the state as a multi-scalar and variegated actor that both aided and


    Gori, P.L.; Greene, M.R.


    The Charleston, South Carolina, area offers a unique opportunity to conduct studies that give insight into the implementation of policy for long-term earthquake preparedness at the local level. Research by Greene and Gori documented the low state of preparedness in 1981. Recent studies show that earthquake preparedness activities are now occurring in Charleston. Since 1981, increased national attention has been used by local citizens in Charleston to overcome political, informational, social, organizational, and economic barriers which tend to retard the adoption and implementation of earthquake mitigation policies.

  11. Environmental Survey preliminary report, Savannah River Plant, Aiken, South Carolina

    Energy Technology Data Exchange (ETDEWEB)


    This report contains the preliminary findings based on the first phase of an Environmental Survey at the Department of Energy (DOE) Savannah River Plant (SRP), located at Aiken, South Carolina. The Survey is being conducted by DOE's Office of Environment, Safety and Health. The following topics are discussed: general site information; air, soil, surface water and ground water; hydrogeology; waste management; toxic and chemical materials; release of tritium oxides; radioactivity in milk; contamination of ground water and wildlife; pesticide use; and release of radionuclides into seepage basins. 149 refs., 44 figs., 53 tabs.

  12. Hydrography of Onslow Bay, North Carolina: September 1975 (OBIS II)

    Energy Technology Data Exchange (ETDEWEB)

    Atkinson, L.P.; Singer, J.J.; Dunstan, W.M.; Pietrafesa, L.J.


    Data collected during studies of Onslow Bay, off the North Carolina coast during cruises during September, 1975, are reported. Current meters and thermography were placed at depths of 10 and 22 m along the 28 m isobath in the northeastern and southwestern sectors of the Bay. Data are included on wind turbulence and velocity; seawater salinity and temperature at various depths; the content of nitrates, phosphates, silicate, oxygen, chlorophyll, and phytoplankton biomass at various depths. Hydrographic and meteorologic conditions during the cruises are included. (CH)

  13. South Carolina's suicide mortality in the 1970s.


    Alexander, G R; Gibbs, T; Massey, R M; Altekruse, J M


    In an epidemiologic study of suicide mortality among South Carolina residents for the years 1970--78, death certificates for 2,763 persons were reviewed. The overall suicide rates were lower than those observed in the same period for the United States. As expected, the highest rates were among white males; females and nonwhite males had rates with intermediate values, and nonwhite females, the lowest rates. Rates for white males increased up to age 75. All other race-sex groups peaked at much...

  14. Carolinas' Nuclear Cluster: building competency through collaboration

    International Nuclear Information System (INIS)

    Little, J.


    This presentation discusses the Carolinas Nuclear Cluster that was built with collaboration amongst interested parties. The challenge facing the participants were availability of qualified & experienced workforce; retiring expertise; competition for resources within nuclear and other technology sectors; competition for skills and leadership; competing priorities in a changing environment such as slow growth in new nuclear in the U.S.; speedup in existing plant upgrades & retrofits and international project development. The established principles were collaboration amongst players, no competition, no borders, business driven focus on job creation, think as a global business, be willing to invest actively with money, talent, time and focus on results and not activities.

  15. Laparoscopic versus open ventral hernia repair: longitudinal outcomes and cost analysis using statewide claims data. (United States)

    Ecker, Brett L; Kuo, Lindsay E Y; Simmons, Kristina D; Fischer, John P; Morris, Jon B; Kelz, Rachel R


    There is still considerable debate regarding the best operative approach to ventral hernia repair. Using two large statewide databases, this study sought to evaluate the longitudinal outcomes and associated costs of laparoscopic and open ventral hernia repair. All patients undergoing elective ventral hernia repair from 2007-2011 were identified from inpatient discharge data from California and New York. In-hospital morbidity, in-hospital mortality, incidence of readmission, and incidence of revisional ventral hernia repair were evaluated as a function of surgical technique. The associated costs of medical care for laparoscopic versus open ventral hernia repair were evaluate for both the index procedure and all subsequent admissions and procedures within the study period. A total of 13,567 patients underwent elective ventral hernia repair with mesh; 9228 (69%) underwent OVHR and 4339 (31%) underwent LVHR. At time of the index procedure, LVHR was associated with a lower incidence of reoperation (OR 0.29, CI 0.12-0.58, p = 0.001), wound disruption (OR 0.35, CI 0.16-0.78, p = 0.01), wound infection (OR 0.50, CI 0.25-0.70, p Open ventral hernia repair was associated with a higher incidence of perioperative complications, postoperative readmissions and need for revisional hernia repair when compared to laparoscopic ventral hernia repair, even when controlling for patient sociodemographics. In congruence, open ventral hernia repair was associated with higher costs for both the index hernia repair and tallied over the length of follow-up for readmissions and revisional hernia repair.

  16. An assessment of oral health importance: results of a statewide survey. (United States)

    Carr, Alan B; Beebe, Timothy J; Jenkins, Sarah M


    Barriers exist to the U.S. surgeon general's call to action toward a goal of achieving oral health for all Americans. The authors describe perceptions of oral health among the public according to the results of a statewide survey conducted in Minnesota. During a four-month period in 2005, 1,636 noninstitutionalized adults received a mixed-mode mail and telephone survey. The 40-item survey contained questions regarding the importance of oral health to respondents (overall), as well as the relative importance of oral health to overall health compared with diabetes, heart disease and arthritis. The majority of respondents (76.1 percent) rated the overall importance of their oral health as "very important." Interestingly, 58.2 percent, 45.8 percent and 69.2 percent of respondents believed that oral health was "about as important" as or "more important" than diabetes, heart disease and arthritis, respectively. Only sex and educational level were associated with self-reports of overall importance of oral health. The findings suggest that the majority of survey respondents considered oral health to be very important and equal in importance to certain medical conditions. Among survey respondents, men with less than a college education were less likely than others to value oral health. Clinicians should recognize that this may affect behavior in this patient group, especially among those who may not visit a dentist regularly. When researchers design interventions to address oral health perceptions among the public, health care professionals and/or policymakers, they need to take this patient group into account.

  17. Are the Affordable Care Act Restrictions Warranted? A Contemporary Statewide Analysis of Physician-Owned Hospitals. (United States)

    Lundgren, Daniel K; Courtney, Paul M; Lopez, Joshua A; Kamath, Atul F


    The Affordable Care Act placed a moratorium on physician-owned hospital (POH) expansion. Concern exists that POHs increase costs and target healthier patients. However, limited historical data support these claims and are not weighed against contemporary measures of quality and patient satisfaction. The purpose of this study was to investigate the quality, costs, and efficiency across hospital types. One hundred forty-five hospitals in a single state were analyzed: 8 POHs; 16 proprietary hospitals (PHs); and 121 general, full-service acute care hospitals (ACHs). Multiyear data from the Centers for Medicare and Medicaid Services Medicare Cost Report and the statewide Health Care Cost Containment Council were analyzed. ACHs had a higher percentage of Medicare patients as a share of net patient revenue, with similar Medicare volume. POHs garnered significantly higher patient satisfaction: mean Hospital Consumer Assessment of Healthcare Providers and Systems summary rating was 4.86 (vs PHs: 2.88, ACHs: 3.10; P = .002). POHs had higher average total episode spending ($22,799 vs PHs: $18,284, ACHs: $18,856), with only $1435 of total spending on post-acute care (vs PHs: $3867, ACHs: $3378). Medicare spending per beneficiary and Medicare spending per beneficiary performance rates were similar across all hospital types, as were complication and readmission rates related to hip or knee surgery. POHs had better patient satisfaction, with higher total costs compared to PHs and ACHs. A focus on efficiency, patient satisfaction, and ratio of inpatient-to-post-acute care spending should be weighted carefully in policy decisions that might impact access to quality health care. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Supporting Obesity Prevention in Statewide Quality Rating and Improvement Systems: A Review of State Standards. (United States)

    Geary, Nora Ann; Dooyema, Carrie Ann; Reynolds, Meredith Ann


    A quality rating and improvement system (QRIS) is a fundamental component of most states' early care and education infrastructures. States can use a QRIS to set standards that define high-quality care and award child care providers with a quality rating designation based on how well they meet these standards. The objective of this review was to describe the extent to which states' QRIS standards include obesity prevention content. We collected publicly available data on states' QRIS standards. We compared states' QRIS standards with 47 high-impact obesity prevention components in Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition, and 6 additional topics based on the Centers for Disease Control and Prevention's Spectrum of Opportunities for Obesity Prevention in the Early Care and Education Setting. Thirty-eight states operated a state-wide QRIS in early 2015. Of those, 27 states' QRIS included obesity prevention standards; 20 states had at least one QRIS standard that aligned with the high-impact obesity prevention components, and 21 states had at least one QRIS standard that aligned with at least one of the 6 additional topics. QRIS standards related to the physical activity high-impact obesity prevention components were the most common, followed by components for screen time, nutrition, and infant feeding. The high proportion of states operating a QRIS that included obesity prevention standards, combined with the widespread use of QRISs among states, suggests that a QRIS is a viable way to embed obesity prevention standards into state early care and education systems.

  19. WiFi RFID demonstration for resource tracking in a statewide disaster drill. (United States)

    Cole, Stacey L; Siddiqui, Javeed; Harry, David J; Sandrock, Christian E


    To investigate the capabilities of Radio Frequency Identification (RFID) tracking of patients and medical equipment during a simulated disaster response scenario. RFID infrastructure was deployed at two small rural hospitals, in one large academic medical center and in two vehicles. Several item types from the mutual aid equipment list were selected for tracking during the demonstration. A central database server was installed at the UC Davis Medical Center (UCDMC) that collected RFID information from all constituent sites. The system was tested during a statewide disaster drill. During the drill, volunteers at UCDMC were selected to locate assets using the traditional method of locating resources and then using the RFID system. This study demonstrated the effectiveness of RFID infrastructure in real-time resource identification and tracking. Volunteers at UCDMC were able to locate assets substantially faster using RFID, demonstrating that real-time geolocation can be substantially more efficient and accurate than traditional manual methods. A mobile, Global Positioning System (GPS)-enabled RFID system was installed in a pediatric ambulance and connected to the central RFID database via secure cellular communication. This system is unique in that it provides for seamless region-wide tracking that adaptively uses and seamlessly integrates both outdoor cellular-based mobile tracking and indoor WiFi-based tracking. RFID tracking can provide a real-time picture of the medical situation across medical facilities and other critical locations, leading to a more coordinated deployment of resources. The RFID system deployed during this study demonstrated the potential to improve the ability to locate and track victims, healthcare professionals, and medical equipment during a region-wide disaster.

  20. Early Childhood Mental Health Consultation: Results of a Statewide Random-Controlled Evaluation. (United States)

    Gilliam, Walter S; Maupin, Angela N; Reyes, Chin R


    Despite recent federal recommendations calling for increased funding for early childhood mental health consultation (ECMHC) as a means to decrease preschool expulsions, no randomized-controlled evaluations of this form of intervention have been reported in the scientific literature. This study is the first attempt to isolate the effects of ECMHC for enhancing classroom quality, decreasing teacher-rated behavior problems, and decreasing the likelihood of expulsion in targeted children in early childhood classrooms. The sample consisted of 176 target children (3-4 years old) and 88 preschool classrooms and teachers randomly assigned to receive ECMHC through Connecticut's statewide Early Childhood Consultation Partnership (ECCP) or waitlist control treatment. Before randomization, teachers selected 2 target children in each classroom whose behaviors most prompted the request for ECCP. Evaluation measurements were collected before and after treatment, and child behavior and social skills and overall quality of the childcare environment were assessed. Hierarchical linear modeling was used to evaluate the effectiveness of ECCP and to account for the nested structure of the study design. Children who received ECCP had significantly lower ratings of hyperactivity, restlessness, externalizing behaviors, problem behaviors, and total problems compared with children in the control group even after controlling for gender and pretest scores. No effects were found on likelihood of expulsion and quality of childcare environment. ECCP resulted in significant decreases across several domains of teacher-rated externalizing and problem behaviors and is a viable and potentially cost-effective means for infusing mental health services into early childhood settings. Clinical and policy implications for ECMHC are discussed. Copyright © 2016 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

  1. Pediatric Exposures to Topical Benzocaine Preparations Reported to a Statewide Poison Control System

    Directory of Open Access Journals (Sweden)

    Rais Vohra


    Full Text Available Introduction: Topical benzocaine is a local anesthetic commonly used to relieve pain caused by teething, periodontal irritation, burns, wounds, and insect bites. Oral preparations may contain benzocaine concentrations ranging from 7.5% to 20%. Pediatric exposure to such large concentrations may result in methemoglobinemia and secondarily cause anemia, cyanosis, and hypoxia. Methods: This is a retrospective study of exposures reported to a statewide poison control system. The electronic health records were queried for pediatric exposures to topical benzocaine treated at a healthcare facility from 2004 to 2014. Cases of benzocaine exposure were reviewed for demographic and clinical information, and descriptive statistical analysis was performed. Results: The query resulted in 157 cases; 58 were excluded due to co-ingestants, or miscoding of non-benzocaine exposures. Children four years of age and younger represented the majority of cases (93% with a median age of 1 year. There were 88 cases of accidental/ exploratory exposure, while 6 cases resulted from therapeutic application or error, 4 cases from adverse reactions, and 1 case from an unknown cause. Asymptomatic children accounted for 75.5% of cases, but major clinical effects were observed in 5 patients. Those with serious effects were exposed to a range of benzocaine concentrations (7.5–20%, with 4 cases reporting methemoglobin levels between 20.2%–55%. Methylene blue was administered in 4 of the cases exhibiting major effects. Conclusion: The majority of exposures were accidental ingestions by young children. Most exposures resulted in minor to no effects. However, some patients required treatment with methylene blue and admission to a critical care unit. Therapeutic application by parents or caregivers may lead to adverse effects from these commonly available products.

  2. Impact of Maine's statewide nutrition policy on high school food environments. (United States)

    Whatley Blum, Janet E; Beaudoin, Christina M; O'Brien, Liam M; Polacsek, Michele; Harris, David E; O'Rourke, Karen A


    We assessed the effect on the food environments of public high schools of Maine's statewide nutrition policy (Chapter 51), which banned "foods of minimal nutritional value" (FMNV) in public high schools that participated in federally funded meal programs. We documented allowable exceptions to the policy and describe the school food environments. We mailed surveys to 89 high school food-service directors to assess availability pre-Chapter 51 and post-Chapter 51 of soda, other sugar-sweetened beverages, and junk food. Frequency data were tabulated pre-Chapter 51 and post-Chapter 51, and Fisher exact test was used to assess significance in changes. We conducted food and beverage inventories at 11 high schools. The survey return rate was 61% (N = 54). Availability of soda in student vending significantly decreased pre-Chapter 51 versus post-Chapter 51 (P = .04). No significant changes were found for other sugar-sweetened beverages and junk food. Exceptions to Chapter 51 were permitted to staff (67%), to the public (86%), and in career and technical education programs (31%). Inventories in a subset of schools found no availability of soda for students, whereas other sugar-sweetened beverages and junk food were widely available in à la carte, vending machines, and school stores. Candy, considered a FMNV, was freely available. Soda advertisement on school grounds was common. Student vending choices improved after the implementation of Chapter 51; however, use of FMNV as the policy standard may be limiting, as availability of other sugar-sweetened beverages and junk food was pervasive. School environments were not necessarily supportive of the policy, as advertisement of soda was common and some FMNV were available. Furthermore, local exceptions to Chapter 51 likely reduced the overall effect of the policy.

  3. Bedrock geology and mineral resources of the Knoxville 1° x 2° quadrangle, Tennessee, North Carolina, and South Carolina (United States)

    Robinson,, Gilpin R.; Lesure, Frank G.; Marlowe, J. I.; Foley, Nora K.; Clark, S.H.


    The Knoxville 1°x 2° quadrangle spans the Southern Blue Ridge physiographic province at its widest point from eastern Tennessee across western North Carolina to the northwest corner of South Carolina. The quadrangle also contains small parts of the Valley and Ridge province in Tennessee and the Piedmont province in North and South Carolina. Bedrock in the Valley and Ridge consists of unmetamorphosed, folded and thrust-faulted Paleozoic miogeoclinal sedimentary rocks ranging in age from Cambrian to Mississippian. The Blue Ridge is a complex of stacked thrust sheets divided into three parts: (1) a west flank underlain by rocks of the Late Proterozoic and Early Cambrian Chilhowee Group and slightly metamorphosed Late Proterozoic Ocoee Supergroup west of the Greenbrier fault; (2) a central part containing crystalline basement of Middle Proterozoic age (Grenville), Ocoee Supergroup rocks east of the Greenbrier fault, and rocks of the Murphy belt; and (3) an east flank containing the Helen, Tallulah Falls, and Richard Russell thrust sheets and the amphibolitic basement complex. All of the east flank thrust sheets contain polydeformed and metamorphosed sedimentary and igneous rocks of mostly Proterozoic age. The Blue Ridge is separated by the Brevard fault zone from a large area of rocks of the Inner Piedmont to the east, which contains the Six Mile thrust sheet and the ChaugaWalhalla thrust complex. All of these rocks are also polydeformed and metamorphosed sedimentary and igneous rocks. The Inner Piedmont rocks in this area occupy both the Piedmont and part of the Blue Ridge physiographic provinces.

  4. Assessment and Response to Intimate Partner Violence in Home Visitation: A Qualitative Needs Assessment With Home Visitors in a Statewide Program. (United States)

    Davidov, Danielle M; Coffman, Jessica; Dyer, Angela; Bias, Thomas K; Kristjansson, Alfgeir L; Mann, Michael J; Vasile, Emily; Abildso, Christiaan G


    There is growing recognition that home visitation programs serving at-risk families may be an appropriate mechanism for detecting and reducing intimate partner violence (IPV). More research is needed about how home visitors assess and respond to IPV, especially in rural and underserved areas with unique social and geographic challenges. This study describes the qualitative, needs assessment phase of a larger mixed-methods evaluation of IPV assessment, referral processes, and safety planning with clients within a statewide home visitation program. Three focus groups were conducted with home visitors ( n = 16) in West Virginia's Home Visitation Program in May 2015. Home visitors represented four separate home visitation models and provided services across 12 of West Virginia's 55 counties. Guiding questions focused on home visitors' current protocol, experiences, barriers, and facilitators to (a) screening and assessment for IPV, (b) making referrals after disclosures of IPV, and (c) developing safety plans with IPV-exposed clients. Barriers identified by home visitors included the nature of assessment tools, issues with service availability and access in rural areas, and lack of education and training surrounding safety planning. Facilitators included building relationships and trust with clients, providing anticipatory guidance when making referrals, and tailoring safety plans to clients' unique situations. Participants also expressed a critical need to develop procedures for assuring home visitor safety when supporting IPV-exposed clients. These qualitative data highlight issues surrounding the management of IPV in home visitation and have the potential to inform future enhancements to programs that are specifically tailored to the needs of rural, disadvantaged communities.

  5. Community families

    DEFF Research Database (Denmark)

    Jensen, Lotte Groth; Lou, Stina; Aagaard, Jørgen


    Background: Social interventions targeted at people with severe mental illness (SMI) often include volunteers. Volunteers' perspectives are important for these interventions to work. The present paper investigates the experiences of volunteer families who befriend a person with SMI. Material......: Qualitative interviews with members of volunteer families. Discussion: The families were motivated by helping a vulnerable person and to engaging in a rewarding relationship. However, the families often doubted their personal judgment and relied on mental health workers to act as safety net. Conclusion......: The volunteer involvement is meaningful but also challenging. The families value professional support....

  6. Quest for clean streams in North Carolina: An historical account of stream pollution control in North Carolina. Special report

    International Nuclear Information System (INIS)

    Howells, D.H.


    The second historical report dealing with North Carolina's water resources traces the evolution of the state's stream pollution control regulations and programs. From the colonial development of streams and rivers to power mills to the effects of land conversion for agriculture and later for commercial and industrial facilities, the report catalogs the various of stream pollution over time. Developments of waste water treatment under both state and federal laws and regulations are described. The report concluded with a look at contemporary stream pollution issues

  7. Perceptions of individual and community environmental influences on fruit and vegetable intake, North Carolina, 2004. (United States)

    Boyington, Josephine E A; Schoster, Britta; Remmes Martin, Kathryn; Shreffler, Jack; Callahan, Leigh F


    Increases in obesity and other chronic conditions continue to fuel efforts for lifestyle behavior changes. However, many strategies do not address the impact of environment on lifestyle behaviors, particularly healthy dietary intake. This study explored the perceptions of environment on intake of fruits and vegetables in a cohort of 2,479 people recruited from 22 family practices in North Carolina. Participants were administered a health and social demographic survey. Formative assessment was conducted on a subsample of 32 people by using focus groups, semistructured individual interviews, community mapping, and photographs. Interviews and discussions were transcribed and content was analyzed using ATLAS.ti version 5. Survey data were evaluated for means, frequencies, and group differences. The 2,479 participants had a mean age of 52.8 years, mean body mass index (BMI) of 29.4, and were predominantly female, white, married, and high school graduates. The 32 subsample participants were older, heavier, and less educated. Some prevalent perceptions about contextual factors related to dietary intake included taste-bud fatigue (boredom with commonly eaten foods), life stresses, lack of forethought in meal planning, current health status, economic status, the ability to garden, lifetime dietary exposure, concerns about food safety, contradictory nutrition messages from the media, and variable work schedules. Perceptions about intake of fruits and vegetables intake are influenced by individual (intrinsic) and community (extrinsic) environmental factors. We suggest approaches for influencing behavior and changing perceptions using available resources.

  8. Health Status and Cancer Screening in Hispanic Women: A Sample from Cumberland County, North Carolina

    Directory of Open Access Journals (Sweden)

    Heather Griffiths


    Full Text Available This exploratory study examines self-reported breast and cervical cancer screening history among women aged 18 years and above in Cumberland County, NC. Cumberland County is a multi-ethnic, semi-urban, racially diverse community with a large Hispanic population. Cross-sectional, mixed methodology data collection took place in local Tiendas. The sample consists of women belonging to a variety of ethnic groups generally classified as “Hispanic.” The questionnaire and interview guide used in the study developed from the Center for Disease Control’s National Health Interview Survey, and measured breast examination, mammogram, Pap Smear, family cancer, and health insurance history, as well as self reported health status, socio-demographic, and cultural features of the respondents. We found that despite demographics from the 2010 Census showing a high incidence of breast and cervical cancers in the North Carolina Hispanic population, fewer Hispanic women in Cumberland County screened themselves for the presence of this cancer as compared to women at the national level. Education positively impacted both self rated health status as well as cancer screening behavior. Interview data suggested the lack of screening behavior in this population was due to a perceived lack of cultural sensitivity and a dearth of translators.

  9. Carolina Maria de Jesus: a construção cotidiana da nacionalidade brasileira

    Directory of Open Access Journals (Sweden)

    Vívian Matias dos Santos


    Full Text Available

    family: Times New Roman; font-size: small;">Este ensaio tem por objetivo analisar como a nacionalidade brasileira se constrói no romance de Carolina Maria de Jesus, Quarto de despejo: diário de uma favelada (1960. Trata-se de uma obra autobiográfica, e sendo a autora mulher, pobre e negra, permiti-nos perceber a existência de “brasis” edificados, dentre outros vários elementos, sobre as bases da desigualdade sócio-econômica, etnico/racial e de gênero. Percebe-se que é desta forma que a nação é construída e reconstruída ininterruptamente – por variados tempos, espaços e sujeitos. São múltiplas determinações surgidas a partir das relações sociais estabelecidas entre um povo que se afirma, em muitos aspectos, a partir da negação do outro e das condições em que vive.

  10. A study of radon-222 concentrations in North Carolina groundwater

    International Nuclear Information System (INIS)

    Evans, J.P.


    The groundwater of 400 North Carolina homes was sampled to ascertain the distribution and extent of 222 Rn in North Carolina groundwater. Arithmetic mean (AM) and geometric mean (GM) concentrations of 1,816 pCi L -1 and 656 pCi L -1 were found for the state. These results indicate that two-thirds of 114 degree C. homes served by groundwater exceed the EPA proposed 300 pCi L -1 maximum contaminant level (MCL). Only 2% of NC homes exceeded 10,000 pCi L-1. The Eastern region had the lowest radon concentrations by far, with a GM of 2-)0 pCi L -1 . The Central region and Western region had GM's of 794 pCi L -1 and 1,032 pCi L -1 respectively. The groundwater data approached a log normal distribution. No consistent trends were noted in the relationship between indoor radon concentrations and groundwater radon concentrations. A correlation coefficient of 0.00921 revealed a very weak linear relationship

  11. Una carta de doña Carolina Michaelis

    Directory of Open Access Journals (Sweden)

    José Fradejas Lebrero


    Full Text Available Uno de los tres filólogos o críticos literarios más importantes de la Literatura peninsular del siglo XX es doña Carolina Michaelis de Vasconcellos. Cuando se crea la Gesellschaf für Romanische Literatur (1902, los tres van juntos: el socio num. 4 es don Marcelino Menendez Pelayo, el num. 5 don Ramón Menendez Pidal y el num. 6 doña Carolina Michaelis y conste que era más vieja, pues había nacido en 1851 y aún no era doctora, lo sería en Friburgo en 1904, con una obra monumental y maestra: la edición y estudio del Cancionero de Ajuda. Había ya colaborado en el Homenaje a Menendez Pelayo (1899, con quien se carteaba de cuando en cuando y en 1903 proporcionó el texto más interesante de la Leyenda del abad don Juan de Montemayor a don Ramón Menendez Pidal…

  12. Control of hardwood regeneration in restored carolina bay depression wetlands.

    Energy Technology Data Exchange (ETDEWEB)

    Moser, Lee, J.; Barton, Christopher, D.; Blake, John, I.


    Carolina bays are depression wetlands located in the coastal plain region of the eastern United States. Disturbance of this wetland type has been widespread, and many sites contain one or more drainage ditches. Restoration of bays is of interest because they are important habitats for rare flora and fauna. Previous bay restoration projects have identified flood-tolerant woody competitors in the seedbank and re-sprouting as impediments to the establishment of desired herbaceous wetland vegetation communities. We restored 3 bays on the Savannah River Site, South Carolina, by plugging drainage ditches, harvesting residual pine/hardwood stands within the bays, and monitoring the vegetative response of the seedbank to the hydrologic change. We applied a foliar herbicide on one-half of each bay to control red maple (Acerrubrum), sweetgum (Liquidambar styraciflua), and water oak (Quercus nigra) sprouting, and we tested its effectiveness across a hydrologic gradient in each bay. Hardwood regeneration was partially controlled by flooding in bays that exhibited long growing season hydroperiods. The findings also indicated that herbicide application was an effective means for managing hardwood regeneration and re-sprouting in areas where hydrologic control was ineffective. Herbicide use had no effect on species richness in the emerging vegetation community. In late-season drawdown periods, or in bays where hydroperiods are short, more than one herbicide application may be necessary.

  13. Wintering Golden Eagles on the coastal plain of South Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Vukovich, Mark [USDA Forest Service-Savannah River, New Ellenton, SC (United States); Turner, Kelsey L. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River Ecology Lab. (SREL); Univ. of Georgia, Aiken, SC (United States); Grazia, Tracy E. [USDA Forest Service, New Ellenton, SC (United States). Savannah River; Mims, Thiomas [USDA Forest Service, New Ellenton, SC (United States). Savannah River; Beasley, James C. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River Ecology Lab. (SREL); Univ. of Georgia, Aiken, SC (United States); Kilgo, John C. [USDA Forest Service-Savannah River, New Ellenton, SC (United States)


    Golden Eagles (Aquila chrysaetos) are rare winter residents in eastern North America, with most found along the Appalachian Mountains and few reported on the coastal plain of the Carolinas. We used remote cameras baited with wild pig (Sus scrofa) and white-tailed deer (Odocoileus virginianus) carcasses to detect, age, and individually identify Golden Eagles on the U.S. Department of Energy’s Savannah River Site on the coastal plain of South Carolina. We identified eight individual Golden Eagles during the winters of 2013–2014 and 2014–2015, with one detected during both winters. We detected eagles for 19 and 66 calendar days during the winters of 2013–2014 and 2014–2015, respectively, with two adult eagles detected for 30 and 31 calendar days in 2014–2015. Eagles typically scavenged on carcasses for a few days, left, and then returned when cameras were baited with another carcass, suggesting they had remained in the area. These observations suggest that large tracts of forests on the coastal plain may be important wintering areas for some Golden Eagles and, further, that other areas in the coastal plain of the southeastern United States may also harbor wintering eagles. Identification of wintering areas of Golden Eagles in the east will be an important step in the conservation of this protected species, and camera traps baited with carcasses can be an effective tool for such work.

  14. Establishing worksite wellness programs for North Carolina government employees, 2008. (United States)

    Young, Suzanna; Halladay, Jacquie; Plescia, Marcus; Herget, Casey; Dunn, Carolyn


    State employee health plans sometimes provide worksite wellness programs to reduce the prevalence of chronic diseases among their members, but few offer the comprehensive range of interventions recommended by the Task Force on Community Preventive Services. North Carolina's State Health Plan for Teachers and State Employees provides health coverage for approximately 665,000 state employees, teachers, retirees, and dependents. Health claims indicate that the prevalence of having at least 1 chronic disease or of being obese is approximately 32% among state employees. The State Health Plan created a partnership with North Carolina's Division of Public Health, Office of State Personnel, and other key state agencies to identify bureaucratic obstacles to providing worksite wellness programs for state employees and to develop a state policy to address them. The Division of Public Health established a model worksite program to guide development of the worksite wellness policy and pilot wellness interventions. The state's first worksite wellness policy created an employee wellness infrastructure in state government and addressed administrative barriers to allow effective worksite wellness interventions. For example, the policy led to pilot implementation of a subsidized worksite weight management program. Positive results of the program helped generate legislative support to expand the weight management program throughout state government. Strong interagency partnership is essential to guide worksite wellness policy and program development in state government. State health plans, public health agencies, and personnel agencies each play a role in that partnership.

  15. Opportunities for extracurricular physical activity in North Carolina middle schools. (United States)

    Edwards, Michael B; Kanters, Michael A; Bocarro, Jason N


    This study's purpose was to assess the opportunities for North Carolina adolescents to be physically active in extracurricular middle school environments and to compare opportunities across community types. Data were analyzed based on the results of an electronic questionnaire distributed to a sample of 431 schools with a response rate of 75.4% (N = 325). Nearly all schools offered interscholastic sports while fewer than half offered intramurals or noncompetitive activities to students. "Open gym" was offered at only 35% of schools, while 24% of schools offered extracurricular activities to students with disabilities. Overall, 43.4% of schools offered special transportation to students who participated in some extracurricular physical activities. Schools in rural areas generally offered fewer programs and had fewer supports than schools located in more urbanized areas. Over two-thirds of rural schools offered no extracurricular programs other than interscholastic sports. Schools can be important settings for physical activity. North Carolina's middle schools and its rural schools in particular, are falling short in efforts to provide extracurricular physical activity programming recommended by researchers and policy groups. Lower accessibility to extracurricular physical activities may partially contribute to higher levels of physical inactivity found in the state.

  16. Planning for pedestrians and bicyclists: results from a statewide municipal survey. (United States)

    Evenson, Kelly R; Aytur, Semra A; Satinsky, Sara B; Kerr, Zachary Y; Rodríguez, Daniel A


    We surveyed North Carolina (NC) municipalities to document the presence of municipal walking- and bicycling-related projects, programs, and policies; to describe whether prevalence of these elements differed if recommended in a plan; and to characterize differences between urban and rural municipalities. We surveyed all municipalities with ≥ 5000 persons (n = 121) and sampled municipalities with municipality's use of walking- and bicycling-related elements (8 infrastructure projects, 9 programs, and 14 policies). The most commonly reported were projects on sidewalks (53%), streetscape improvements (51%), bicycle/walking paths (40%); programs for cultural/recreational/health (25%), general promotional activities (24%), Safe Routes to School (24%), and law enforcement (24%); and policies on maintenance (64%), new facility construction (57%), and restricted automobile speed or access (45%). Nearly all projects, programs, or policies reported were more likely if included in a plan and more prevalent in urban than rural municipalities. These results provide cross-sectional support that plans facilitate the implementation of walking and bicycling elements, and that rural municipalities plan and implement these elements less often than urban municipalities.

  17. Effects of a New State Policy on Physical Activity Practices in Child Care Centers in South Carolina. (United States)

    O'Neill, Jennifer R; Dowda, Marsha; Benjamin Neelon, Sara E; Neelon, Brian; Pate, Russell R


    We sought to determine the extent to which child care centers in South Carolina improved physical activity practices after a new policy took effect. In 2012, South Carolina adopted new mandatory physical activity standards within its child care quality enhancement program. This quasi-experimental study used North Carolina, a state not making policy changes, as the comparison. Participants were 34 child care centers in South Carolina and 30 centers in North Carolina. Researchers used the Environment and Policy Assessment and Observation (EPAO) tool to conduct center observations before and after policy implementation and then conducted repeated-measures linear regression with interaction between state and time for the Physical Activity Environment Total Score and the 8 subscale scores. Compared with centers in North Carolina, EPAO subscale scores in South Carolina centers increased significantly for the Fixed Play Environment (P child care centers was associated with improvements in practices aimed at increasing children's physical activity.

  18. Integrating a framework for conducting public health systems research into statewide operations-based exercises to improve emergency preparedness

    Directory of Open Access Journals (Sweden)

    Hunter Jennifer C


    Full Text Available Abstract Background Due to the uncommon nature of large-scale disasters and emergencies, public health practitioners often turn to simulated emergencies, known as “exercises”, for preparedness assessment and improvement. Under the right conditions, exercises can also be used to conduct original public health systems research. This paper describes the integration of a research framework into a statewide operations-based exercise program in California as a systems-based approach for studying public health emergency preparedness and response. Methods We developed a research framework based on the premise that operations-based exercises conducted by medical and public health agencies can be described using epidemiologic concepts. Using this framework, we conducted a survey of key local and regional medical and health agencies throughout California following the 2010 Statewide Medical and Health Exercise. The survey evaluated: (1 the emergency preparedness capabilities activated and functions performed in response to the emergency scenario, and (2 the major challenges to inter-organizational communications and information management. Results Thirty-five local health departments (LHDs, 24 local emergency medical services (EMS agencies, 121 hospitals, and 5 Regional Disaster Medical and Health Coordinators/Specialists (RDMHC responded to our survey, representing 57%, 77%, 26% and 83%, respectively, of target agencies in California. We found two sets of response capabilities were activated during the 2010 Statewide Exercise: a set of core capabilities that were common across all agencies, and a set of agency-specific capabilities that were more common among certain agency types. With respect to one response capability in particular, inter-organizational information sharing, we found that the majority of respondents’ comments were related to the complete or partial failure of communications equipment or systems. Conclusions Using the 2010 Statewide

  19. Effect of North Carolina's restriction on teenage driver cell phone use two years after implementation. (United States)

    Goodwin, Arthur H; O'Brien, Natalie P; Foss, Robert D


    A majority of states now restrict teenagers from using a mobile communication device while driving. The effect of these restrictions is largely unknown. In a previous study, we found North Carolina's teenage driver cell phone restriction had little influence on young driver behavior four months after the law took effect (Foss et al., 2009). The goal of the present study was to examine the longer-term effect of North Carolina's cell phone restriction. It was expected that compliance with the restriction would increase, as awareness of the restriction grew over time. Teenagers were observed at high schools in North Carolina approximately two years after the law was implemented. Observations were also conducted in South Carolina, which did not have a cell phone restriction. In both states, there was a broad decrease in cell phone use. A logistic regression analysis showed the decrease in cell phone use did not significantly differ between the two states. Although hand-held cell phone use decreased, there was an increase in the likelihood that drivers in North Carolina were observed physically manipulating a phone. Finally, a mail survey of teenagers in North Carolina showed awareness for the cell phone restriction now stands at 78% among licensed teens. Overall, the findings suggest North Carolina's cell phone restriction has had no long-term effect on the behavior of teenage drivers. Moreover, it appears many teenage drivers may be shifting from talking on a phone to texting. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. Characterization of cellulolytic activity from digestive fluids of Dissosteira carolina (Orthoptera: Acrididae). (United States)

    Willis, Jonathan D; Klingeman, William E; Oppert, Cris; Oppert, Brenda; Jurat-Fuentes, Juan L


    Previous screening of head-derived and gut fluid extracts of Carolina grasshoppers, Dissosteira carolina (L.) revealed relatively high activity against cellulase substrates when compared to other insect groups. In this work we report on the characterization and identification of enzymes involved in cellulolytic activity in digestive fluids of D. carolina. In zymograms using carboxymethylcellulose (CMC) as substrate, we detected four distinct cellulolytic protein bands in D. carolina gut fluids, common to all developmental stages. These cellulolytic enzymes were localized to foregut and midgut regions of the D. carolina digestive tract. Cellulases were purified from D. carolina head and gut fluid extracts by liquid chromatography to obtain N-terminal amino acid sequence tags. Database searches with sequence tags from head fluids indicated high similarity with invertebrate, bacterial and plant beta1,4-endoglucanases, while no homologues were identified for the gut-derived protein. Our data demonstrate the presence of cellulolytic activity in the digestive system of D. carolina and suggest that cellulases of endogenous origin are present in this organism. Considering that this grasshopper species is a pest of grasses, including switchgrass that has been suggested bioethanol feedstock, characterization of insect cellulolytic systems may aid in developing applications for plant biomass biodegradation for biofuel production. Copyright 2010 Elsevier Inc. All rights reserved.

  1. A guidance manual for assessing scour potential using the South Carolina bridge-scour envelope curves (United States)

    Benedict, Stephen T.; Caldwell, Andral W.; Feaster, Toby D.


    The U.S. Geological Survey, in cooperation with the South Carolina Department of Transportation, conducted a series of three field investigations of bridge scour in order to better understand regional trends of scour within South Carolina. The studies collected historic-scour data at approximately 200 riverine bridges including measurements of clear-water abutment, contraction, and pier scour, as well as live-bed contraction and pier scour. These investigations provided valuable insights for regional scour trends and yielded bridge-scour envelope curves for assessing scour potential associated with all components of scour at riverine bridges in South Carolina. The application and limitations of these envelop cureves were documents in three reports, Each repoort addresses different components of bridge scour and this, there is a need to develop an integrated procedure for applying the South Carolina bridge-scour envelope curves. To address this need, the U.S. Geological Survey and the South Carolina Department of Transportation initiated a cooperative effort to develop an integrated procedure and document the method in a guidance manual. In addition to developing the integrated procedure, field data from other investigations outside of South Carolina were used to verify the South Carolina bridge-source envelope curves.


    Watson, Megan K; Byrd, John; Phillips, Christopher A; Allender, Matthew C


    Ultraviolet B radiation is recommended for captive reptiles to stimulate production of adequate levels of vitamin D; however, little is known regarding the vitamin D status in many free-ranging populations. Current reference ranges for vitamin D in eastern box turtles have not yet been established. Sixty free-ranging eastern box turtles (Terrapene carolina carolina) from two well-studied populations in Illinois (n = 24) and Tennessee (n = 36) were assayed for plasma vitamin D concentration in 2014. There were no significant differences in concentrations between individuals in Illinois (mean: 117.5 nM/L) and Tennessee (mean: 98.7 nM/L) (P = 0.129) populations. Similarly, there were no differences in concentrations based on age class (P = 0.533) or sex (P = 0.532). There was a significant correlation between UV at the time of capture and vitamin D concentrations (R = 0.301, P = 0.030). Vitamin D was not correlated with total calcium (R = 0.018, P = 0.89) or Ca : P ratio (R = 0.025, P = 0.85). Diseases in captive individuals, including secondary nutritional hyperparathyroidism, may commonly be associated with vitamin D deficiencies, and clinical intervention relies on reference data. Vitamin D supplementation may be recommended if animals are deemed to be deficient. Data obtained can be used to improve the care of captive and free-ranging turtles by providing reference ranges, as well as better characterize the health of wild populations.


    Butkus, Claire E; Allender, Matthew C; Phillips, Christopher A; Adamovicz, Laura A


    The causes of free-living chelonian mortality events are often unknown because of infrequent recovery of remains and rapid postmortem decomposition. This study describes a technique to harvest bone marrow and detect frog virus 3-like ranavirus (FV3) using quantitative polymerase chain reaction in skeletonized eastern box turtles ( Terrapene carolina carolina) ( N = 87), and assesses agreement with concurrent perimortem samples ( N = 14). FV3 was detected in bone marrow samples from 12 turtle shells (14%). Three of 14 turtles had detectable FV3 loads in both bone marrow and perimortem samples, two turtles had detectable FV3 in bone marrow only, and nine turtles tested FV3 negative in both bone marrow and concurrent perimortem samples. There was substantial agreement between FV3 testing of bone marrow and other tissues ( κ = 0.658). Harvesting bone marrow from shells is easily performed and can serve as a means for biologists and wildlife veterinarians to improve postmortem surveillance for systemically distributed pathogens, including FV3.

  4. Select metal and metalloid surveillance of free-ranging Eastern box turtles from Illinois and Tennessee (Terrapene carolina carolina). (United States)

    Allender, Matthew C; Dreslik, Michael J; Patel, Bishap; Luber, Elizabeth L; Byrd, John; Phillips, Christopher A; Scott, John W


    The Eastern box turtle (Terrapene carolina carolina) is a primarily terrestrial chelonian distributed across the eastern US. It has been proposed as a biomonitor due to its longevity, small home range, and reliance on the environment to meet its metabolic needs. Plasma samples from 273 free-ranging box turtles from populations in Tennessee and Illinois in 2011 and 2012 were evaluated for presence of heavy metals and to characterize hematologic variables. Lead (Pb), arsenic (As), zinc (Zn), chromium (Cr), selenium (Se), and copper (Cu) were detected, while cadmium (Cd) and silver (Ag) were not. There were no differences in any metal detected among age class or sex. However, Cr and Pb were higher in turtles from Tennessee, while As, Zn, Se, and Cu were higher in turtles from Illinois. Seasonal differences in metal concentrations were observed for Cr, Zn, and As. Health of turtles was assessed using hematologic variables. Packed cell volume was positively correlated with Cu, Se, and Pb in Tennessee. Total solids, a measure of plasma proteins, in Tennessee turtles were positively correlated with Cu and Zn. White blood cell count, a measure of inflammation, in Tennessee turtles was negatively correlated with Cu and As, and positively correlated with Pb. Metals are a threat to human health and the health of an ecosystem, and the Eastern Box Turtle can serve as a monitor of these contaminants. Differences established in this study can serve as baseline for future studies of these or related populations.

  5. Early Childhood Administrators' Attitudes and Experiences in Working with Gay- and Lesbian-Parented Families (United States)

    Church, Julie; Hegde, Archana V.; Averett, Paige; Ballard, Sharon M.


    This study examined the attitudes, preparation, and comfort of early childhood administrators in working with gay and lesbian (GL) parented families and the use of GL inclusive practices within centers. Data were gathered from 203 participants in the state of North Carolina using an online survey. Overall, administrators held a positive attitude…

  6. Variation in the Use of 12‐Lead Electrocardiography for Patients With Chest Pain by Emergency Medical Services in North Carolina (United States)

    Bush, Montika; Glickman, Lawrence T.; Fernandez, Antonio R.; Garvey, J. L.; Glickman, Seth W.


    Background Prehospital 12‐lead electrocardiography (ECG) is critical to timely STEMI care although its use remains inconsistent. Previous studies to identify reasons for failure to obtain a prehospital ECG have generally only focused on individual emergency medical service (EMS) systems in urban areas. Our study objective was to identify patient, geographic, and EMS agency‐related factors associated with failure to perform a prehospital ECG across a statewide geography. Methods and Results We analyzed data from the Prehospital Medical Information System (PreMIS) in North Carolina from January 2008 to November 2010 for patients >30 years of age who used EMS and had a prehospital chief complaint of chest pain. Among 3.1 million EMS encounters, 134 350 patients met study criteria. From 2008–2010, 82 311 (61%) persons with chest pain received a prehospital ECG; utilization increased from 55% in 2008 to 65% in 2010 (trend P<0.001). Utilization by health referral region ranged from 22.9% to 74.2% and was lowest in rural areas. Men were more likely than women to have an ECG performed (63.0% vs 61.3%, adjusted RR 1.02, 95% CI 1.01 to 1.04). The certification‐level of the EMS provider (paramedic vsbasic/intermediate) and system‐level ECG equipment availability were the strongest predictors of ECG utilization. Persons in an ambulance with a certified paramedic were significantly more likely to receive a prehospital ECG than nonparamedics (RR 2.15, 95% CI 1.55, 2.99). Conclusions Across a large geographic area prehospital ECG use increased significantly, although important quality improvement opportunities remain. Increasing ECG availability and improving EMS certification and training levels are needed to improve overall care and reduce rural‐urban treatment differences. PMID:23920232

  7. Effects of maternal prenatal smoking and birth outcomes extending into the normal range on academic performance in fourth grade in North Carolina, USA. (United States)

    Anthopolos, Rebecca; Edwards, Sharon E; Miranda, Marie Lynn


    Research has documented the adverse relationship of child cognitive development with maternal prenatal smoking and poor birth outcomes. The potential, however, for maternal prenatal smoking to modify the association between birth outcomes and cognitive development is unclear. We linked statewide North Carolina birth data for non-Hispanic white and non-Hispanic black children to end-of-grade test scores in reading and mathematics at fourth grade (n = 65 677). We fit race-stratified multilevel models of test scores regressed on maternal smoking, birth outcomes (as measured by continuous and categorical gestational age and birthweight percentile for gestational age), and their interaction, controlling for maternal- and child-level socio-economic factors. Smoking was consistently associated with decrements in test scores, and better birth outcomes were associated with improvements in test scores, even in clinically normal ranges. Test scores increased quadratically with improving birth outcomes among smoking and non-smoking mothers. Among non-Hispanic white children, the magnitude of the association between gestational age and test scores was larger for children whose mothers smoked during pregnancy compared with the non-smoking group. However, among non-Hispanic black children, birth outcomes did not appear to interact with maternal smoking on test scores. Maternal prenatal smoking may interact with birth outcomes on reading and mathematics test scores, particularly among non-Hispanic white children. Improvements in birth outcomes, even within the clinically normal range, may be associated with improved academic performance. Pregnancy-related exposures and events exert a significant and long-term impact on cognitive development. © 2013 John Wiley & Sons Ltd.

  8. Family literacy

    DEFF Research Database (Denmark)

    Sehested, Caroline


    I Projekt familielæsning, der er et samarbejde mellem Nationalt Videncenter for Læsning og Hillerød Bibliotek, arbejder vi med at få kontakt til de familier, som biblioteket ellers aldrig ser som brugere og dermed også de børn, der vokser op i familier, for hvem bøger og oplæsningssituationer ikk...... er en selvfølgelig del af barndommen. Det, vi vil undersøge og ønsker at være med til at udvikle hos disse familier, er det, man kan kalde family literacy....

  9. Early Elective Delivery Disparities between Non-Hispanic Black and White Women after Statewide Policy Implementation. (United States)

    Kozhimannil, Katy B; Muoto, Ifeoma; Darney, Blair G; Caughey, Aaron B; Snowden, Jonathan M


    In 2011, Oregon implemented a policy that reduced the state's rate of early (before 39 weeks' gestation) elective (without medical need) births. This analysis measured differential policy effects by race, examining whether Oregon's policy was associated with changes in non-Hispanic Black-White disparities in early elective cesarean and labor induction. We used Oregon birth certificate data, defining prepolicy (2008-2010) and postpolicy (2012-2014) periods, including non-Hispanic Black and White women who gave birth during these periods (n = 121,272). We used longitudinal spline models to assess policy impacts by race and probability models to measure policy-associated changes in Black-White disparities. We found that the prepolicy Black-White differences in early elective cesarean (6.1% vs. 4.3%) were eliminated after policy implementation (2.8% vs. 2.5%); adjusted models show decreases in the odds of elective early cesarean among Black women after the policy change (adjusted odds ratio, 0.47; 95% confidence interval, 0.22-1.00; p = .050) and among White women (adjusted odds ratio, 0.79; 95% confidence interval, 0.67-0.93; p = .006). Adjusted probability models indicated that policy implementation resulted in a 1.75-percentage point narrowing (p = .011) in the Black-White disparity in early elective cesarean. Early elective induction also decreased, from 4.9% and 4.7% for non-Hispanic Black and non-Hispanic White women to 3.8% and 2.5%, respectively; the policy was not associated with a statistically significant change in disparities. A statewide policy reduced racial disparities in early elective cesarean, but not early elective induction. Attention to differential policy effects by race may reveal changes in disparities, even when that is not the intended focus of the policy. Copyright © 2017 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  10. Evaluation of a statewide science inservice and outreach program: Teacher and student outcomes (United States)

    Lott, Kimberly Hardiman

    Alabama Science in Motion (ASIM) is a statewide in-service and outreach program designed to provide in-service training for teachers in technology and content knowledge. ASIM is also designed to increase student interest in science and future science careers. The goals of ASIM include: to complement, enhance and facilitate implementation of the Alabama Course of Study: Science, to increase student interest in science and scientific careers, and to provide high school science teachers with curriculum development and staff development opportunities that will enhance their subject-content expertise, technology background, and instructional skills. This study was conducted to evaluate the goals and other measurable outcomes of the chemistry component of ASIM. Data were collected from 19 chemistry teachers and 182 students that participated in ASIM and 6 chemistry teachers and 42 students that do not participate in ASIM using both surveys and student records. Pre-treatment Chi-Square tests revealed that the teachers did not differ in years of chemistry teaching experience, major in college, and number of classes other than chemistry taught. Pre-treatment Chi-Square tests revealed that the students did not differ in age, ethnicity, school classification, or school type. The teacher survey used measured attitudes towards inquiry-based teaching, frequency of technology used by teacher self-report and perceived teaching ability of chemistry topics from the Alabama Course of Study-Science. The student surveys used were the Test of Science Related Attitudes (TOSRA) and a modified version of the Test of Integrated Process Skills (TIPS). The students' science scores from the Stanford Achievement Test (SAT-9) were also obtained from student records. Analysis of teacher data using a MANOVA design revealed that participation in ASIM had a significantly positive effect on teacher attitude towards inquiry-based teaching and the frequency of technology used; however, there was no

  11. Human bromethalin exposures reported to a U.S. Statewide Poison Control System. (United States)

    Huntington, Serena; Fenik, Yelena; Vohra, Rais; Geller, Richard J


    Bromethalin is an increasingly used alternative to long-acting anticoagulant and cholecalciferol rodenticides. There are few reports of human exposures, and no existing professional society guidelines on medical management of bromethalin ingestions. The aim of this retrospective data review is to characterize bromethalin exposures reported to the California Poison Control System (CPCS) between 1997 and 2014. This is an observational retrospective case review of our statewide poison control system's electronic medical records. Following Institutional Board Review and Research Committee approvals, poison center exposures related to bromethalin were extracted using substance code and free text search strategies. Case notes of bromethalin exposures were reviewed for demographic, clinical, laboratory, and outcome information; inclusion criteria for the study was single-substance, human exposure to bromethalin. There were 129 calls related to human bromethalin exposures (three cases met exclusion criteria). The age range of cases was 7 months-90 years old, with the majority of exposures (89 cases; 70.6%), occurring in children younger than 5 years of age (median age of 2 years). Most exposures occurred in the pediatric population as a result of exploratory oral exposure. One hundred and thirteen patients (89.7%) had no effects post exposure, while 10 patients (7.9%) had a minor outcome. Adverse effects were minor, self-limited, and mostly gastrointestinal upset. There were no moderate, major, or fatal effects in our study population. The approximate ingested dose, available in six cases, ranged from 0.067 mg/kg to 0.3 mg/kg (milligrams of bromethalin ingested per kilogram of body weight), and no dose-symptom threshold could be established from this series. Exposures were not confirmed through urine or serum laboratory testing. The prognosis for most accidental ingestions appears to be excellent. However, bromethalin exposures may result in a higher number of

  12. [Interhospital transport of intensive care patients in Lower Saxony : statewide need-based and effective management]. (United States)

    Roessler, M; Reinhardt, K; Lühmann, U; Bickel, A; Braun, J; Böhne, S; Gerberding, B; Hamann, A; Homann, M; Monnig, M; Panzer, W; Ruff, S; Flemming, A


    Since 2007 interhospital transport of intensive care patients in Lower Saxony appertains to the performance requirements of emergency medical services. Against this background the Working Group for Evaluation of Intensive Care Transport (Arbeitsgemeinschaft Evaluation Intensivverlegung) was established. This group formulated standardized definitions for the requirements of intensive care transport vehicles and a federal statewide monitoring of intensive care transport was implemented to analyze if simultaneously on-call intensive care transport systems (intensive care helicopter and ground based mobile intensive care units) can be deployed need-based and efficiently. A prospective follow-up study and evaluation of intensive care transport in Lower Saxony between April 1(st) 2008 and July 31(st) 2010 was carried out. A total of 6,779 data records were evaluated in this study of which 4,941 (72.9%) missions were located in Lower Saxony, 2,928 (43.2%) missions were carried out by helicopters and 3,851 (56.8%) by ground based mobile intensive care units. The mean duration of a mission was 3 h 59min±2 h 25 min, 4 h 39 min±2 h 23 min by ground based mobile intensive care units and 2 h 21 in±30 min by helicopter units. All systems proved to be feasible for intensive care transport. The degree of urgency was estimated correctly in 94.8% of the evaluated missions and 58.0% of the transfers could not be deployed. In 76.8% patients were transferred to hospitals with a higher level of medical care, 51.7% of patients were transferred for intensive care therapy and 40.4% for an operation/intervention. Of the patients 38.2% required mechanical ventilation and in 48.3% invasive monitoring was carried out. Interhospital transfer of intensive care patients can be carried out need-based with a limited number of intensive care transport vehicles if the missions are deployed effectively by standardized disposition in accordance with performance requirements.

  13. The Profitability of an Investment in Photovoltaics in South Carolina (United States)

    Welsh, Thomas McClain

    As renewable energy becomes more prevalent across the United States and the world, solar energy investment has also grown. There have been many studies done on photovoltaic (PV) systems in terms of energy payback and efficiency, but little research done to understand a PV system as a financial investment specific to South Carolina. This study aims to understand the return on investment that a PV system can achieve. More specifically whether PV systems in areas of South Carolina that uses Duke Energy achieve a favorable return on investment and what affects the profitability. This study uses the PVwatts calculator provided by NREL as well as an investment simulation to calculate the Internal Rate of Return (IRR) and Net Present Value on 1024 simulated 5kW PV arrays and evaluates their profitability. It then uses this information to apply it to real case studies for houses in South Carolina. This study found that shade has a significant impact on profitability of investment. At 30% shading, profitability drops near 0% IRR or below. Orientation impacts profitability significantly as well. Panels that are facing south, southeast, and southwest yielded the best return. While north, northeast and northwest orientations yielded very low or negative IRR. East and west facing panels can yield positive financial return, but this return is lower than panels orientated to the south. PV systems oriented towards the east or west must have optimal conditions to remain efficient. This study found that tilt had minimal impact on financially return. Incentives also significantly impacted profitability of investment. For a PV system to be profitable, federal, state, and Duke Energy incentives needed to be applied to the investment. When homes with PV systems are sold also has a great impact on profitability. Research has shown that there is a housing premium for homes with PV systems (Adomatis, 2015). This premium is highest when first installed and declines as the PV systems age

  14. This is My Family


    Yeğen, Hale Nur; Çetin, Merve


    Me and my family, Families poem, Mother-Father, Brother-Sister, Grandparents, Uncle-Aunt, Cousin, Family, Family handgame, My family tree, Activities (Three In a Family), Digital Games, A family poem, Quiz

  15. Housing and Neighborhood Characteristics and Latino Farmworker Family Well-Being. (United States)

    Arcury, Thomas A; Trejo, Grisel; Suerken, Cynthia K; Grzywacz, Joseph G; Ip, Edward H; Quandt, Sara A


    Housing quality and neighborhood characteristics affect individual health and family well-being. This analysis describes characteristics of farmworker housing and neighborhoods and delineates the associations of housing and local neighborhood with indicators of family well-being. Mothers in North Carolina farmworker families (n = 248) completed interviews in 2011-2012. Family well-being measures included stress, family conflict, and outward orientation. Housing measures included ownership and facilities, and neighborhood measures included heavy traffic and driving time to grocery stores. Families experienced elevated stress and conflict, and limited outward orientation. Few owned their homes, which were generally crowded. Few had enclosed play spaces for their children. For many, traffic made it difficult to walk on the street. Housing and neighborhood characteristics were related to increased stress and limited outward orientation. Housing and neighborhood characteristics are important for research on the health of families in vulnerable populations, such as farmworker families.

  16. Variation in the use of advanced imaging at the time of breast cancer diagnosis in a statewide registry. (United States)

    Henry, N Lynn; Braun, Thomas M; Breslin, Tara M; Gorski, David H; Silver, Samuel M; Griggs, Jennifer J


    Although national guidelines do not recommend extent of disease imaging for patients with newly diagnosed early stage breast cancer given that the harm outweighs the benefits, high rates of testing have been documented. The 2012 Choosing Wisely guidelines specifically addressed this issue. We examined the change over time in imaging use across a statewide collaborative, as well as the reasons for performing imaging and the impact on cost of care. Clinicopathologic data and use of advanced imaging tests (positron emission tomography, computed tomography, and bone scan) were abstracted from the medical records of patients treated at 25 participating sites in the Michigan Breast Oncology Quality Initiative (MiBOQI). For patients diagnosed in 2014 and 2015, reasons for testing were abstracted from the medical record. Of the 34,078 patients diagnosed with stage 0-II breast cancer between 2008 and 2015 in MiBOQI, 6853 (20.1%) underwent testing with at least 1 imaging modality in the 90 days after diagnosis. There was considerable variability in rates of testing across the 25 sites for all stages of disease. Between 2008 and 2015, testing decreased over time for patients with stage 0-IIA disease (all P diagnosis decreased over time in a large statewide collaborative. Additional interventions are warranted to further reduce rates of unnecessary imaging to improve quality of care for patients with breast cancer. Cancer 2017;123:2975-83. © 2017 American Cancer Society. © 2017 American Cancer Society.

  17. Successful long-term maintenance following Nutrition Care Process Terminology implementation across a state-wide health-care system. (United States)

    Vivanti, Angela; O'Sullivan, Therese A; Porter, Jane; Hogg, Marion


    Three years following a state-wide Nutrition Care Process Terminology (NCPT) implementation project, the present study aimed to (i) assess changes in NCPT knowledge and attitudes, (ii) identify implementation barriers and enablers and (iii) seek managers' opinions post-implementation. Pre-implementation and three years post-implementation, all Queensland Government hospitals state-wide were invited to repeat a validated NCPT survey. Additionally, a separate survey sought dietetic managers' opinions regarding NCPT's use and acceptance, usefulness for patient care, role in service planning and continued use. A total of 238 dietitians completed the survey in 2011 and 82 dietitians in 2014. Use of diagnostic statement in the previous six months improved (P importance (P  0.05). Key elements in sustaining NCPT implementation over three years included ongoing management support, workshops/tutorials, discussion and mentor and peer support. The most valued resources were pocket guides, ongoing workshops/tutorials and mentor support. Dietetic managers held many positive NCPT views, however, opinions differed around the usefulness of service planning, safer practice, improving patient care and facilitating communication. Some managers would not support NCPT unless it was recommended for practice. Immediate improvements following the NCPT implementation project were sustained over three years. Moving forward, a professional focus on continuing to incorporate NCPT into standard practice will provide structure for process and outcomes assessment. © 2017 State of Queensland. Nutrition and Dietetics © 2017 Dietitians Association of Australia.

  18. Predictive validity of the classroom strategies scale-observer form on statewide testing scores: an initial investigation. (United States)

    Reddy, Linda A; Fabiano, Gregory A; Dudek, Christopher M; Hsu, Louis


    The present study examined the validity of a teacher observation measure, the Classroom Strategies Scale--Observer Form (CSS), as a predictor of student performance on statewide tests of mathematics and English language arts. The CSS is a teacher practice observational measure that assesses evidence-based instructional and behavioral management practices in elementary school. A series of two-level hierarchical generalized linear models were fitted to data of a sample of 662 third- through fifth-grade students to assess whether CSS Part 2 Instructional Strategy and Behavioral Management Strategy scale discrepancy scores (i.e., ∑ |recommended frequency--frequency ratings|) predicted statewide mathematics and English language arts proficiency scores when percentage of minority students in schools was controlled. Results indicated that the Instructional Strategy scale discrepancy scores significantly predicted mathematics and English language arts proficiency scores: Relatively larger discrepancies on observer ratings of what teachers did versus what should have been done were associated with lower proficiency scores. Results offer initial evidence of the predictive validity of the CSS Part 2 Instructional Strategy discrepancy scores on student academic outcomes. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  19. Family Reunification (United States)

    Wulczyn, Fred


    Reunifying children placed in foster care with their birth parents is a primary goal of the child welfare system. Yet, relatively little is known about the reunification process. This article analyzes new data on trends in family reunification and discovers: (1) Although most children still exit foster care through family reunification, exit…

  20. Family problems

    International Nuclear Information System (INIS)

    Goldman, T.


    Even Grand Unified Theories may not explain the repetitive pattern of fermions in the Standard Model. The abysmal absence of dynamical information about these families is emphasized. The evidence that family quantum numbers exist, and are not conserved, is reviewed. It is argued that rare kaon decays may be the best means to obtain more information on this important question

  1. Correlates of Mental Health Among Latino Farmworkers in North Carolina

    DEFF Research Database (Denmark)

    Crain, R.; Grzywacz, J.G.; Swantes, Melody


    Purpose: Latino farmworkers are a vulnerable population who confront multiple threats to their mental health. Informed by the stress-process model of psychiatric disorder, the goal of this paper is to determine primary and context-specific stressors of poor mental health among Latino farmworkers....... Methods: Structured interview data were obtained from farmworkers (N = 69) in 6 counties in eastern and western North Carolina. Findings: Results indicated that a substantial number of farmworkers have poor mental health, as indicated by elevated depressive symptoms (52.2%) and anxiety (16.4%). Results...... also indicated that each mental health outcome had different predictors. Conclusion: Addressing the mental health issues of farmworkers requires a comprehensive, multifaceted approach....

  2. Public school choice and integration evidence from Durham, North Carolina. (United States)

    Bifulco, Robert; Ladd, Helen F; Ross, Stephen L


    Using evidence from Durham, North Carolina, we examine the impact of school choice programs on racial and class-based segregation across schools. Reasonable assumptions about the distribution of preferences over race, class, and school characteristics suggest that the segregating choices of students from advantaged backgrounds are likely to outweigh any integrating choices by disadvantaged students. The results of our empirical analysis are consistent with these theoretical considerations. Using information on the actual schools students attend and on the schools in their assigned attendance zones, we find that schools in Durham are more segregated by race and class as a result of school choice programs than they would be if all students attended their geographically assigned schools. In addition, we find that the effects of choice on segregation by class are larger than the effects on segregation by race.

  3. Pesticides Present in Migrant Farmworker Housing in North Carolina (United States)

    Arcury, Thomas A.; Lu, Chensheng; Chen, Haiying; Quandt, Sara A.


    Background Migrant farmworkers are exposed to pesticides at work. Housing provided to migrant farmworkers may also expose them to pesticides, increasing their health risks. This analysis (1) describes the presence of organophosphorous (OP) and pyrethroid pesticides in North Carolina migrant farmworker houses, and (2) delineates associations of farmworker camp characteristics with pesticide detection and concentration. Methods In 2010, 186 migrant farmworkers camps in NC were recruited (participation rate of 82.3%); pesticide wipe samples for 176 houses were analyzed. Tobacco is the predominant hand-harvested crop in this region. Two farmworkers per camp completed interviews; a third assisted with a housing inspection. Gas chromatography–mass spectrometry was used to detect OP and pyrethroid pesticides. Covariates of pesticide detection and concentration were determined with ANOVA and Tobit regression. Results OPs were found in 166 of 176 houses (average of 2.4/house); pyrethroids were found in 171 houses (average of 4.3/house). The number of different OPs detected in each camp and concentrations of these OPs were not associated with camp and housing characteristics. The number of different pyrethroids detected in each camp and concentrations of these pyrethroids were associated with camps having residents with H2-A visas, a posted North Carolina Department of Labor Certificate of Inspection, no barracks, fewer residents, no bedroom weather protection or floor violations, and no roaches. Conclusions Farmworkers are exposed to pesticides where they live. Policy on removing pesticides from farmworker houses is needed. Reducing pesticides in farmworker houses will reduce one health risk confronted by this vulnerable population. PMID:24038176

  4. Ana Carolina Escosteguy: Cenários dos estudos culturais

    Directory of Open Access Journals (Sweden)

    Thaisa Cristina Bueno


    Full Text Available Autora do livro “Cartografia dos Estudos Culturais”, “Comunicação e recepção” (em coautoria com Nilda Jacks, “Leituras em comunicação, cultura e tecnologia”, além de coautora e organizadora em outras obras de referência sobre o tema cultura e comunicação no Brasil, Ana Carolina Escosteguy é hoje um dos nomes mais importantes quando se pensa em Estudos Culturais no país. Doutora em Ciências da Comunicação pela Universidade de São Paulo (2000, com pós-doutorado no CAMRI (Communication and Media Research Institute, associado ao Department of Journalism and Mass Communication da School of Media, Art and Design da University of Westminster (UK, Ana Carolina Escosteguy é professora titular da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS e bolsista produtividade em pesquisa do CNPq, desde março 2001. Nesta entrevista ela discute pontos sensíveis da área, entre eles o pouco destaque das pesquisas desse campo têm tido no Jornalismo, o fato de a base teórica ser bem mais ampla que os tradicionais estudos de recepção a que são comumente aproximados, não se nega a tratar das confusões com a folkcomunicação, bem como as próprios limites e intersecções desse campo de estudos. Durante esta conversa, aproveita para apontar as obras que considera essenciais para adentrar na área e mostra coragem e segurança para se colocar como uma pesquisadora que busca entender o tempo atual, as tecnologias e as rupturas a partir da perspectiva do usuário. Confiram:

  5. Hydrology of major estuaries and sounds of North Carolina (United States)

    Giese, G.L.; Wilder, Hugh B.; Parker, Garald G.


    Hydrology-related problems associated with North Carolina 's major estuaries and sounds include contamination of some estuaries with municipal and industrial wastes and drainage from adjacent, intensively farmed areas, and nuisance-level algal blooms. In addition, there is excessive shoaling in some navigation channels, salt-water intrusion into usually fresh estuarine reaches, too high or too-low salinities in nursery areas for various estuarine species, and flood damage due to hurricanes. The Cape Fear River is the only major North Carolina estuary having a direct connection to the sea. Short-term flow throughout most of its length is dominated by ocean tides. Freshwater entering the major estuaries is, where not contaminated, of acceptable quality for drinking with minimum treatment. However, iron concentrations in excess of 0.3 milligrams per liter sometimes occur and water draining from swampy areas along the Coastal Plain is often highly colored, but these problems may be remedied with proper treatment. Nuisance-level algal blooms have been a recurring problem on the lower estuarine reaches of the Neuse, Tar-Pamlico, and Chowan Rivers where nutrients (compounds of phosphorous and nitrogen) are abundant. The most destructive blooms tend to occur in the summer months during periods of low freshwater discharge and relatively high water temperatures. Saltwater intrusion occurs from time to time in all major estuaries except the Roanoke River, where releases from Roanoke Rapids Lake and other reservoirs during otherwise low-flow periods effectively block saline water from the estuary. New shoaling materials found in the lower channelized reaches of the Cape Fear and Northeast Cape Fear Rivers are primarily derived, not from upstream sources, but from nearby shore erosion, from slumping of material adjacent to the dredged channels, from old spoil areas, or from ocean-derived sediments carried upstream by near-bottom density currents.

  6. Duke Energy Photovoltaic Integration Study: Carolinas Service Areas

    Energy Technology Data Exchange (ETDEWEB)

    Lu, Shuai [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Samaan, Nader A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Meng, Da [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Chassin, Forrest S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zhang, Yu [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Vyakaranam, Bharat [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Warwick, William M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Fuller, Jason C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Diao, Ruisheng [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Nguyen, Tony B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Jin, Chunlian [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    Solar energy collected using photovoltaic (PV) technology is a clean and renewable energy source that offers multiple benefits to the electric utility industry and its customers, such as cost predictability, reduced emissions, and loss reduction by distributed installations. Renewable energy goals established in North Carolina Senate Bill 3 (SB3), in combination with the state tax credit and decreases in the cost of energy from PV panels, have resulted in rapid solar power penetration within the Carolinas services areas of Duke Energy. Continued decreases in PV prices are expected to lead to greater PV penetration rates than currently required in SB3. Despite the potential benefits, significant penetration of PV energy is of concern to the utility industry because of its impact on operating reliability and integration cost to customers, and equally important, how any additional costs may be allocated to different customer groups. Some of these impacts might become limiting factors for PV energy, especially growing distributed generation installed at customer sites. Recognizing the importance of renewable energy developments for a sustainable energy future and economic growth, Duke Energy has commissioned this study to simulate the effects of high-PV penetration rates and to initiate the process of quantifying the impacts. The objective of the study is to inform resource plans, guide operation improvements, and drive infrastructure investments for a steady and smooth transition to a new energy mix that provides optimal values to customers. The study team consists of experts from Pacific Northwest National Laboratory (PNNL), Power Costs, Inc. (PCI), Clean Power Research (CPR), Alstom Grid, and Duke Energy. PNNL, PCI, and CPR performed the study on generation impacts; Duke Energy modeled the transmission cases; and distribution simulations were conducted by Alstom Grid. PNNL analyzed the results from each work stream and produced the report.

  7. Impact of North Carolina's motorcycle helmet law on hospital admissions and charges for care of traumatic brain injuries. (United States)

    Naumann, Rebecca B; Marshall, Stephen W; Proescholdbell, Scott K; Austin, Anna; Creppage, Kathleen


    BACKGROUND North Carolina requires motorcyclists of all ages to wear federally approved safety helmets. The purpose of this article is to estimate the impact of this state law in terms of hospital admissions for traumatic brain injury (TBI) and associated hospital charges. METHODS Hospital admissions of North Carolina motorcyclists with TBIs and associated hospital charges in 2011 were extracted from the North Carolina Hospital Discharge Data system. We estimated hospital admissions and charges for the same year under the counterfactual condition of North Carolina without a universal motorcycle helmet law by using various substitutes (Florida, Pennsylvania, and South Carolina residents treated in North Carolina). RESULTS North Carolina's universal helmet law prevented an estimated 190 to 226 hospital admissions of North Carolina motorcyclists with TBI in 2011. Averted hospital charges to taxpayer-funded sources (ie, government and public charges) were estimated to be between $9.5 million and $11.6 million for 2011, and total averted hospital charges for 2011 were estimated to be between $25.3 million and $31.0 million. LIMITATIONS Cost estimates are limited to inpatients during the initial period of hospital care. This study was unable to capture long-term health care costs and productivity losses incurred by North Carolina's TBI patients and their caregivers. CONCLUSIONS North Carolina's universal motorcycle helmet law generates health and economic benefits for the state and its taxpayers.

  8. Carolina del Norte and the New South: Social Work Practice with New Latino Immigrant Communities

    Directory of Open Access Journals (Sweden)

    Lisa de Saxe Zerden


    Full Text Available Over the past decade, the Latino population in North Carolina has increased 111%. More than half of North Carolina Latinos are foreign-born and most face issues related to immigration, acculturation, and often, discrimination. This article provides a brief overview of the historical context in which social workers engaged with immigrant communities, and argues that the profession brings strengths and unique skills to address North Carolina’s Latino immigrant population, historically, and within the current context. Key social demographics of Latino populations, sociopolitical realities, as well as theoretical and methodological issues related to the complex needs of this diverse population group are addressed. Two examples of Latino vulnerability in North Carolina, HIV/AIDS and discriminatory local immigration enforcement practices, are discussed to further highlight the unique strengths and challenges social workers in North Carolina and the New South face when working with Latino immigrants.

  9. Social Vulnerability Index (SoVI) for South Carolina based on 2000 Census Block Groups (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data depicts the social vulnerability of South Carolina census block groups to environmental hazards. Data were culled primarily from the 2000 Decennial Census.

  10. North Carolina State Briefing Book for low-level radioactive waste management

    Energy Technology Data Exchange (ETDEWEB)


    The North Carolina State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in North Carolina. The profile is the result of a survey of NRC licensees in North Carolina. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in North Carolina.

  11. Establishing native vegetation and improved invasive species control on North Carolina roadsides. (United States)


    "Field, greenhouse, and laboratory studies were conducted to evaluate the feasibility for the use of native warm season grasses (NWSGs) on North Carolina roadsides. Location, equipment, and multiple grass species were assessed to determine the ideal ...

  12. Wind Powering America: A New Wind Economy for South Carolina and Georgia Final Report

    Energy Technology Data Exchange (ETDEWEB)

    SC Energy Office: Southern Alliance for Clean Energy


    This report describes all activities undertaken by the Southern Alliance for Clean Energy (SACE) in cooperation with the states of Georgia and South Carolina to develop a public outreach program, including shared analytical and reference tools and other technical assistance.

  13. Hurricane Isabel Aerial Photography: High-Resolution Imagery of the North Carolina Outer Banks After Landfall (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Geodetic Survey Remote Sensing Division in collaboration with the North Carolina Department of Transportation, Emergency Management Agency, Department...

  14. Cell phone use while driving in North Carolina : 2002 update report (United States)


    As a follow-on to an earlier study funded by the North Carolina Governor's Highway Safety Program, the current study was carried out to further understanding regarding the safety implications of cellular telephone use while driving. The study involve...

  15. South Carolina State Briefing Book for low-level radioactive waste management

    Energy Technology Data Exchange (ETDEWEB)


    The South Carolina State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in South Carolina. The profile is the result of a survey of NRC licensees in South Carolina. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as definied by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in South Carolina.

  16. The State of Sex Education in North Carolina: Is Abstinence-Only Education Working?

    Directory of Open Access Journals (Sweden)

    Rebecca Bach


    Full Text Available Teenage pregnancy rates are falling in North Carolina. They are falling faster in counties where comprehensive sex education is allowed by law compared to those counties and cities where abstinence-only education is permitted.

  17. Crab Haul Creek Tide Gauge Data, North Inlet Estuary, Georgetown, South Carolina: 2001 • Feb2008. (United States)

    Baruch Institute for Marine and Coastal Sciences, Univ of South Carolina — The Center for Operational Oceanographic Products and Services The Center for Operational Oceanographic Products and Services (CO-OPS) collects, analyzes and...

  18. On-board sound intensity tire-pavement noise study in North Carolina. (United States)


    "This research investigated tire-pavement noise on various types of pavements across North Carolina by using On- : Board Sound Intensity (OBSI) method. To mitigate traffic noise, quieter pavement may provide advantages that : noise barriers cannot. T...

  19. 78 FR 78310 - Approval and Promulgation of Implementation Plans; North Carolina; Transportation Conformity... (United States)


    ...] Approval and Promulgation of Implementation Plans; North Carolina; Transportation Conformity Memorandum of... Resources. This submission adopts a memorandum of agreement establishing transportation conformity criteria...-related control measures and mitigation measures. This proposed action streamlines the conformity process...

  20. South Carolina State Briefing Book for low-level radioactive waste management

    International Nuclear Information System (INIS)


    The South Carolina State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in South Carolina. The profile is the result of a survey of NRC licensees in South Carolina. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as definied by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in South Carolina

  1. Sensitivity of Coastal Environments and Wildlife to Spilled Oil: North Carolina: FISH (Fish Polygons) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains sensitive biological resource data for marine, estuarine, anadromous, and brackish/freshwater fish species in North Carolina. Vector polygons...

  2. Ecology of Virginia big-eared bats in North Carolina and Tennessee. (United States)


    The researchers conducted a study of the springtime ecology of an isolated North Carolina-Tennessee population of the Virginia big-eared bat (Corynorhinus townsendii virginianus), a federally endangered species. With limited data on the whereabouts o...

  3. State-Level Reforms That Support College-Level Program Changes in North Carolina (United States)

    Bowling, R. Edward; Morrissey, Sharon; Fouts, George M.


    This chapter describes the concurrent reforms occurring in North Carolina--both campus-level changes focused on such issues as developing structured programs of study and state-level reforms aimed at supporting the campus efforts.

  4. North Carolina State Briefing Book for low-level radioactive waste management

    International Nuclear Information System (INIS)


    The North Carolina State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in North Carolina. The profile is the result of a survey of NRC licensees in North Carolina. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested parties including industry, government, the media, and interest groups. The assessment was developed through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant government agencies and activities, all of which may impact waste management practices in North Carolina

  5. Sensitivity of Coastal Environments and Wildlife to Spilled Oil: North Carolina: INVERT (Invertebrate Polygons) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains sensitive biological resource data for marine and estuarine invertebrate species in North Carolina. Vector polygons in this data set represent...

  6. Sensitivity of Coastal Environments and Wildlife to Spilled Oil: North Carolina: REPTILES (Reptile Polygons) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains sensitive biological resource data for sea turtles, estuarine turtles, and rare reptiles in North Carolina. Vector polygons in this data set...

  7. The extent of tidal influence in the Waccamaw River, South Carolina (United States)

    Benjamin Thepaut; John Shelton; Susan Libes; Paul Conrads; Robert Sheehan


    The Waccamaw River Basin is located in the coastal plain and meanders from North Carolina to South Carolina. This tidal black-water river flows parallel to the coast past the cities of Conway and Georgetown, terminating in Winyah Bay. The river is hydrologically connected to the Atlantic Intracoastal Waterway (AIW) and experiences semi-diurnal tides with a range ...

  8. Cultural Resources, Studies, Eastern North Carolina Above Cape Lookout, Literature Review and Preliminary Research Design. (United States)


    Moore, Chowan (1869), Owen H. Guion , Craven (1905), Daniel L. Ward, Craven (1939), and Philip P. Godwin, Gates (1971) served as speakers of the...LIX (1982), 24-48. Johnson, Guion G. Ante-Bellum North Carolina. A Social History. Chapel Hill, 1937. Kay, Marvin L. Michael, and Cary, Lorin Lee "A...National Forest, Craven County, North Carolina. Ms. on file, U. S. Forest Service, Asheville, N. C. 1980 Cultural Resource Survey of the Radio Tower Tract

  9. Preparing for Electronic Medical Record Implementation: Carolina Care Communication in an Electronic Environment. (United States)

    Carroll, Tracy; Tonges, Mary; Ray, Joel


    This article describes 1 organization's successful approach to mitigating the potential negative effects of a new electronic medical record on patient experience. The Carolina Care model, developed at the University of North Carolina Hospitals to actualize caring theory in practice, helped to structure and greatly facilitate this work. Seven focus areas were integrated to create the "Communication in an Electronic Environment" program with a strong emphasis on nurse-patient communication.

  10. Evaluation of cyclooxygenase protein expression in traumatized versus normal tissues from eastern box turtles (Terrapene carolina carolina). (United States)

    Royal, Lillian W; Lascelles, B Duncan X; Lewbart, Gregory A; Correa, Maria T; Jones, Samuel L


    This pilot study was designed to determine whether cyclooxygenase (COX)-1, COX-2, or both are expressed in normal turtle tissues and whether level of expression changes when tissue becomes inflamed. Five eastern box turtles, Terrapene carolina carolina, that either died or were euthanatized due to disease or injuries were used for this work. Tissues were obtained from the five turtles. Western blot analysis was used to evaluate tissues for COX-1 and COX-2 proteins. Densiometric analysis was used to compare Western blot bands within each turtle. COX-1 and COX-2 were found in the liver, kidney, grossly normal muscle, and grossly traumatized (inflamed) muscle of all study turtles. In all cases, COX-1 and COX-2 proteins were increased in traumatized muscle over grossly normal nontraumatized muscle. The highest levels of COX-1 and COX-2 proteins were found in kidney and liver. There was no statistical difference between the amount of COX-1 protein in liver and kidney, but traumatized muscle compared with grossly normal muscle had significantly greater COX-1 but not COX 2 protein concentrations. There was no statistical difference between the amount of COX-2 protein in liver and kidney. Traumatized muscle expressed nonstatistically significant greater amounts of COX-2 compared with grossly normal muscle. COX-1 and COX-2 proteins are expressed in turtle tissues, and both isoforms are upregulated during inflammation of muscle tissue. Traditional nonsteroidal anti-inflammatory drugs (NSAIDs) that block both COX isoforms might be more efficacious than COX-2-selective drugs. This work suggests that NSAIDs should be evaluated for potential liver and kidney toxicity in turtles.


    Kane, Lauren P; Allender, Matthew C; Archer, Grace; Dzhaman, Elena; Pauley, John; Moore, A Russell; Ruiz, Marilyn O; Smith, Rebecca L; Byrd, John; Phillips, Christopher A


    Diseases affecting the upper respiratory tract, such as herpesviruses, are well described in captive chelonians worldwide, but their importance in free-ranging populations is less well known. To characterize the disease epidemiology of terrapene herpesvirus 1 (TerHV1), 409 free-ranging eastern box turtles ( Terrapene carolina carolina) in Tennessee and Illinois, US were tested for TerHV1 in 2013 and 2014 using TaqMan quantitative PCR. Whole blood and swabs of the oral mucosa were collected from 365 adults (154 females, 195 males, 16 unknown sex) and 44 juveniles. The prevalence of detection was 31.3% (n=128). Turtles were more likely to be positive for TerHV1 in July (50%; n=67) compared to September (38%; n=44) and May (11%; n=17). Turtles sampled in 2014 had a significantly higher prevalence (50%; n=98) than in 2013 (14%; n=30). In a multivariate model, only season, year, and the interaction between season and year were maintained; turtles were most likely to be positive in July (odds ratio: 30.5) and September (odds ratio: 41.8) 2014 compared to May 2013. The prevalence was not statistically different by state of collection, sex, or age class. Packed cell volume (25.5%) and total solids (4.8 mg/dL) in positive turtles were significantly higher than in negative turtles (23.0%; 4.3 mg/dL). Positive turtles had increased eosinophil concentrations, fewer lymphocytes, and fewer monocytes. No clinical sign was associated with detection of herpesvirus. Widespread DNA evidence of TerHV1 infection was detected in eastern box turtles, and knowledge of the epidemiology of this virus may aid in management of free-ranging and captive individuals.


    Archer, Grace A; Phillips, Christopher A; Adamovicz, Laura; Band, Mark; Byrd, John; Allender, Matthew C


    Conservation efforts are investigating the impact of diseases within a species of interest, including prevalence and transmission and morbidity and mortality rates. However, the majority of these studies focus solely on the characteristics of a single pathogen. Recently, the role of copathogens has been reported to impact disease susceptibility and mortality. To that effect, a survey was conducted including 318 eastern box turtles ( Terrapene carolina carolina) from populations in Illinois and Tennessee in 2014 and 2015. Blood samples and oral swabs were collected for quantitative polymerase chain reaction (qPCR) of 15 different pathogens performed in a multiplex format using Fluidigm array technology. Four pathogens were found with varying qPCR prevalence: ranavirus (FV3; n = 2, 0.6%), Terrapene herpesvirus 1 (TerHV1; n = 129, 40.7%), box turtle Mycoplasma sp. (BT Myco; n = 14, 4.6%), and box turtle adenovirus (BT Adv1; n = 18, 11%). Thirteen pathogens were not identified in any sample, including Mycoplasma agassizii, M. testudineum, Salmonella enteriditis, S. typhmirium, Borrelia burgdorferi, Anaplasma phagocyophilum, tortoise intranuclear coccidia, Ambystoma tigrinum virus, Bohle iridovirus, Epizootic hematopoietic necrosis virus, and testudinid herpesvirus 2. Copathogen occurrence was rare but was observed in eight individuals with TerHV1-BT Myco detection and two animals with TerHV1-Adv1. Significant differences were observed in pathogen detection across season (TerHV1, BT Adv1, BT Myco, and TerHV1-Myco) and year (TerHV1, BT Adv1, and TerHV1-Myco). The results of this survey highlight that a single pathogen model may not adequately explain pathogen dynamics and that conservation efforts need to be aimed at detecting multiple pathogens in order to fully characterize population health.

  13. Estimating the magnitude and frequency of floods for urban and small, rural streams in Georgia, South Carolina, and North Carolina (United States)

    Feaster, Toby D.; Gotvald, Anthony J.; Weaver, J. Curtis


    Reliable estimates of the magnitude and frequency of floods are essential for such things as the design of transportation and water-conveyance structures, Flood Insurance Studies, and flood-plain management. The flood-frequency estimates are particularly important in densely populated urban areas. A multistate approach was used to update methods for determining the magnitude and frequency of floods in urban and small, rural streams that are not substantially affected by regulation or tidal fluctuations in Georgia, South Carolina, and North Carolina. The multistate approach has the advantage over a single state approach of increasing the number of stations available for analysis, expanding the geographical coverage that would allow for application of regional regression equations across state boundaries, and building on a previous flood-frequency investigation of rural streamflow-gaging stations (streamgages) in the Southeastern United States. In addition, streamgages from the inner Coastal Plain of New Jersey were included in the analysis. Generalized least-squares regression techniques were used to generate predictive equations for estimating the 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent annual exceedance probability flows for urban and small, rural ungaged basins for three hydrologic regions; the Piedmont-Ridge and Valley, Sand Hills, and Coastal Plain. Incorporation of urban streamgages from New Jersey also allowed for the expansion of the applicability of the predictive equations in the Coastal Plain from 2.1 to 53.5 square miles. Explanatory variables in the regression equations included drainage area (DA) and percent of impervious area (IA) for the Piedmont-Ridge and Valley region; DA and percent of developed land for the Sand Hills; and DA, IA, and 24-hour, 50-year maximum precipitation for the Coastal Plain. An application spreadsheet also was developed that can be used to compute the flood-frequency estimates along with the 95-percent prediction

  14. Estimating sturgeon abundance in the Carolinas using side-scan sonar (United States)

    Flowers, H. Jared; Hightower, Joseph E.


    Sturgeons (Acipenseridae) are one of the most threatened taxa worldwide, including species in North Carolina and South Carolina. Populations of Atlantic Sturgeon Acipenser oxyrinchus in the Carolinas have been significantly reduced from historical levels by a combination of intense fishing and habitat loss. There is a need for estimates of current abundance, to describe status, and for estimates of historical abundance in order to provide realistic recovery goals. In this study we used N-mixture and distance models with data acquired from side-scan sonar surveys to estimate abundance of sturgeon in six major sturgeon rivers in North Carolina and South Carolina. Estimated abundances of sturgeon greater than 1 m TL in the Carolina distinct population segment (DPS) were 2,031 using the count model and 1,912 via the distance model. The Pee Dee River had the highest overall abundance of any river at 1,944 (count model) or 1,823 (distance model). These estimates do not account for sturgeon less than 1 m TL or occurring in riverine reaches not surveyed or in marine waters. Comparing the two models, the N-mixture model produced similar estimates using less data than the distance model with only a slight reduction of estimated precision.

  15. An example of a DOE [Department of Energy]/university partnership: South Carolina Pilot Center

    International Nuclear Information System (INIS)

    Albenesius, E.L.


    A consortium of educational institutions in South Carolina proposed to the U.S. Department of Energy (DOE) in July 1989 a working partnership for mutual improvement of technical capability in the environmental restoration and waste management fields. The institutions forming the consortium are Clemson University, the University of South Carolina, the Medical University of South Carolina, and South Carolina State College. A major component of the partnership is applied research closely coupled with the problems and issues of the Savannah River site regarding demonstration of waste management processes and concepts of disposal and disposal site closure. A primary benefit to DOE from this partnership is expected to be improved public perception of the actions being taken by DOE to protect the public, particularly in areas of environmental restoration and waste management. It is evident at the Savannah River site that this is a key factor in successfully achieving the site's mission. The strength of the interest of the South Carolina institutions in developing initiatives in waste management forecasts a healthy long-term prospect for the partnership. The State of South Carolina has established a hazardous waste research fund of approximately $650 thousand annually for research by the partnership universities to seek better ways to maintain a healthy environment and to reduce, dispose of, or store waste products safely

  16. A Statewide Private Microwave Wide Area Network for Real-time Natural Hazard Monitoring (United States)

    Williams, M. C.; Kent, G.; Smith, K. D.; Plank, G.; Slater, D.; Torrisi, J.; Presser, R.; Straley, K.


    The Nevada Seismological Laboratory (NSL) at the University of Nevada, Reno, operates the Nevada Seismic Network, a collection of ground motion instruments installed throughout Nevada and California, for the purposes of detecting, locating, and notifying the public of earthquakes in the state. To perform these tasks effectively, NSL has designed and built a statewide wireless microwave wide-area network (WAN) in order to receive ground motion data in near real-time. This network consists of radio access points, backhauls, and backbone communication sites transmitting time-series, images, and datalogger diagnostics to our data center servers in Reno. This privately managed communication network greatly reduces the dependence on third-party infrastructure (e.g. commercial cellular networks), and is vital for emergency management response and system uptime. Any individual seismograph or data collection device is networked through a wireless point-to-multipoint connection to a remote access point (AP) using a low-cost radio/routerboard combination. Additional point-to-point connections from AP's to radio backhauls and/or mountaintop backbone sites allow the Data Center in Reno to communicate with and receive data directly from each datalogger. Dataloggers, radios, and routers can be configured using tablets on-site, or via desktop computers at the Data Center. Redundant mountaintop links can be added to the network and facilitate the re-routing of data (similar to a meshed network) in the event of a faulty, failing, or noisy communication site. All routers, radios, and servers, including those at the Data Center, have redundant power and can operate independently in the event of a grid power or public Internet outage. A managed server room at the Data Center processes earthquake data for notifications and acts as a data source for remote users. Consisting of about 500 hosts, and spanning hundreds of miles, this WAN provides network operators access to each router and

  17. A statewide review of postnatal care in private hospitals in Victoria, Australia

    Directory of Open Access Journals (Sweden)

    Forster Della A


    Full Text Available Abstract Background Concerns have been raised in Australia and internationally regarding the quality and effectiveness of hospital postnatal care, although Australian women receiving postnatal care in the private maternity sector rate their satisfaction with care more highly than women receiving public maternity care. In Victoria, Australia, two-thirds of women receive their maternity care in the public sector and the remainder in private health care sector. A statewide review of public hospital postnatal care in Victoria from the perspective of care providers found many barriers to care provision including the busyness of postnatal wards, inadequate staffing and priority being given to other episodes of care; however the study did not include private hospitals. The aim of this study was replicate the review in the private sector, to explore the structure and organisation of postnatal care in private hospitals and identify those aspects of care potentially impacting on women's experiences and maternal and infant care. This provides a more complete overview of the organisational structures and processes in postnatal care in all Victorian hospitals from the perspective of care providers. Methods A mixed method design was used. A structured postal survey was sent to all Victorian private hospitals (n = 19 and key informant interviews were undertaken with selected clinical midwives, maternity unit managers and obstetricians (n = 11. Survey data were analysed using descriptive statistics and interview data analysed thematically. Results Private hospital care providers report that postnatal care is provided in very busy environments, and that meeting the aims of postnatal care (breastfeeding support, education of parents and facilitating rest and recovery for women following birth was difficult in the context of increased acuity of postnatal care; prioritising of other areas over postnatal care; high midwife-to-woman ratios; and the number and

  18. Small Families (United States)

    ... attention and educational advantages, which generally raise her self-esteem. Children in small families, especially first and only ... be for you both to accept the increasing definition of personality that needs to occur as she ...

  19. Family matters

    DEFF Research Database (Denmark)

    Kieffer-Kristensen, Rikke; Siersma, Volkert Dirk; Teasdale, Thomas William


    brain injury participated. Family and brain injury characteristics were reported by the ill and healthy parents. Children self-reported post-traumatic stress symptoms (PSS) using the Child Impact of Events revised (CRIES). Emotional and behavioural problems among the children were also identified...... by the parents using the Achenbach’s Child Behaviour Checklist (CBCL). RESULTS: The family stress variables relating to the healthy spouse in all six comparisons were significant (p... scores for the children. For the adjusted associations, we again found the family stress variables in the healthy spouse to be related to the risk of emotional and behavioral problems in the children. CONCLUSIONS: The present results suggest that in ABI families, the children’s emotional functioning...

  20. Using Logistic Regression for Validating or Invalidating Initial Statewide Cut-Off Scores on Basic Skills Placement Tests at the Community College Level (United States)

    Secolsky, Charles; Krishnan, Sathasivam; Judd, Thomas P.


    The community colleges in the state of New Jersey went through a process of establishing statewide cut-off scores for English and mathematics placement tests. The colleges wanted to communicate to secondary schools a consistent preparation that would be necessary for enrolling in Freshman Composition and College Algebra at the community college…

  1. Is Teacher Professional Development an Effective Way to Mitigate Teachers' Gender Differences in Technology? Result from a Statewide Teacher Professional Development Program (United States)

    Li, Yi


    This study analyzed data from a statewide professional development (PD) program to investigate whether gender difference towards technology usage was mitigated after participation in the program. Teachers responded to pre- and post-questionnaires regarding their perceptions and use of technology before and after participating in PD courses.…

  2. Understanding the Support Needs of People with Intellectual and Related Developmental Disabilities through Cluster Analysis and Factor Analysis of Statewide Data (United States)

    Viriyangkura, Yuwadee


    Through a secondary analysis of statewide data from Colorado, people with intellectual and related developmental disabilities (ID/DD) were classified into five clusters based on their support needs characteristics using cluster analysis techniques. Prior latent factor models of support needs in the field of ID/DD were examined to investigate the…

  3. "Team Leadership Training in Vocational Special Needs." Proceedings: Annual Statewide Conference on Vocational Special Needs (3rd, College Station, Texas, April 16,17, and 18, 1979). (United States)

    Kok, Marilyn, Ed.; And Others

    These proceedings of a statewide Texas conference focus on the need for cooperation between the leadership in the fields of special and vocational education in order to meet the needs of handicapped students. Featured presentations (1) stress the necessity for this team approach at the top levels of the education-state agency bureaucracy as well…

  4. Pseudacteon spp. (Diptera: Phoridae) biological control agents of Solenopsis spp. (Hymenoptera: Formicidae) in Louisiana: statewide distribution and Kneallhazia solenopsae (Microsporidia: Thelohaniidae) prevalence (United States)

    Phorid flies, Pseudacteon spp. (Diptera: Phoridae), have been released in the United States since 1996 as biological control agents for imported fire ant, Solenopsis invicta Buren, Solenopsis richteri Forel, and their hybrid (Hymenoptera: Formicidae), management. A statewide survey was conducted in ...



    Mohammad Sayemuzzaman; Manoj K. Jha


    State wide variant topographic features in North Carolina attract the hydro-climatologist. There is none modeling study found that predict future Land Cover Land Use (LCLU) change for whole North Carolina. In this study, satellite-derived land cover maps of year 1992, 2001 and 2006 of North Carolina were integrated within the framework of the Markov-Cellular Automata (Markov-CA) model which combines the Markov chain and Cellular Automata (CA) techniques. A Multi-Criteria Evaluation (MCE) was ...

  6. Parents' Reports of Their Children's Challenging Behaviors: Results of a Statewide Survey. (United States)

    Dunlap, Glen; And Others


    Parents (n=79) of children with autism and related disabilities were surveyed about their children's challenging behaviors and what resources were needed to manage these behaviors. A high frequency of such behaviors was reported. Contingency management was the most effective management approach. Results are discussed in terms of families' needs,…

  7. Assessing Disaster Preparedness among Latino Migrant and Seasonal Farmworkers in Eastern North Carolina

    Directory of Open Access Journals (Sweden)

    Amber Foreman Britt


    Full Text Available Natural disasters including hurricanes, floods, earthquakes, tornadoes, and fires often involve substantial physical and mental impacts on affected populations and thus are public health priorities. Limited research shows that vulnerable populations such as the low-income, socially isolated migrant and seasonal farmworkers (MSFW are particularly susceptible to the effects of natural disasters. This research project assessed the awareness, perceived risk, and practices regarding disaster preparedness and response resources and identified barriers to utilization of community and government services during or after a natural disaster among Latino MSFWs’ and their families. Qualitative (N = 21 focus groups (3 and quantitative (N = 57 survey methodology was implemented with Latino MSFWs temporarily residing in rural eastern North Carolina to assess perceived and actual risk for natural disasters. Hurricanes were a top concern among the sample population, many participants shared they lacked proper resources for an emergency (no emergency kit in the house, no evacuation plan, no home internet, a lack of knowledge of what should be included in an emergency kit, etc.. Transportation and language were found to be additional barriers. Emergency broadcasts in Spanish and text message alerts were identified by the population to be helpful for disaster alerts. FEMA, American Red Cross, local schools and the migrant clinic were trusted places for assistance and information. In summary, tailored materials, emergency alerts, text messages, and news coverage concerning disaster threats should be provided in the population’s native language and when feasible delivered in a culturally appropriate mechanism such as “charlas” (talks and brochures.

  8. Women's Pathways to Abortion Care in South Carolina: A Qualitative Study of Obstacles and Supports. (United States)

    Margo, Judy; McCloskey, Lois; Gupte, Gouri; Zurek, Melanie; Bhakta, Seema; Feinberg, Emily


    Women seeking timely and affordable abortion care may face myriad challenges, including high out-of-pocket costs, transportation demands, scheduling difficulties and stigma. State-level regulations may exacerbate these burdens and impede women's access to a full range of care. Women's reports of their experiences can inform efforts to improve pathways to abortion care. In 2014, semistructured qualitative interviews were conducted with 45 women obtaining abortions in South Carolina, which has a restrictive abortion environment. Interviews elicited information about women's pathways to abortion, including how they learned about and obtained care, whether they received professional referrals, and the supports and obstacles they experienced. Transcripts were examined using thematic analysis to identify key themes along the pathways, and a process map was constructed to depict women's experiences. Twenty participants reported having had contact with a health professional or crisis pregnancy center staff for pregnancy confirmation, and seven of them received an abortion referral. Women located abortion clinics through online searches, previous experience, and friends or family. Financial strain was the most frequently cited obstacle, followed by transportation challenges. Women reported experiencing emotional strain, stress and stigma, and described the value of receiving social support. Because of financial pressures, the regulation with the greatest impact was the one prohibiting most insurance plans from covering abortion care. Further research on experiences of women seeking abortion services, and how these individuals are affected by evolving state policy environments, will help shape initiatives to support timely, affordable and safe abortion care in a climate of increasing restrictions. Copyright © 2016 by the Guttmacher Institute.

  9. The North Carolina Field Test: Field performance of the preliminary version of an advanced weatherization audit for the Department of Energy`s Weatherization Assistance Program

    Energy Technology Data Exchange (ETDEWEB)

    Sharp, T.R.


    The field performance of weatherizations based on a newly-developed advanced technique for selecting residential energy conservation measures was tested alongside current Retro-Tech-based weatherizations in North Carolina. The new technique is computer-based and determines measures based on the needs of an individual house. In addition, it recommends only those measures that it determines will have a benefit-to-cost ratio greater than 1 for the house being evaluated. The new technique also considers the interaction of measures in computing the benefit-to-cost ratio of each measure. The two weatherization approaches were compared based on implementation ease, measures installed, labor and cost requirements, and both heating and cooling energy savings achieved. One-hundred and twenty houses with the following characteristics participated: the occupants were low-income, eligible for North Carolina`s current weatherization program, and responsible for their own fuel and electric bills. Houses were detached single-family dwellings, not mobile homes; were heated by kerosene, fuel oil, natural gas, or propane; and had one or two operating window air conditioners. Houses were divided equally into one control group and two weatherization groups. Weekly space heating and cooling energy use, and hourly indoor and outdoor temperatures were monitored between November 1989 and September 1990 (pre-period) and between December 1990 and August 1991 (post-period). House consumption models were used to normalize for annual weather differences and a 68{degrees}F indoor temperature. Control group savings were used to adjust the savings determined for the weatherization groups. The two weatherization approaches involved installing attic and floor insulations in near equivalent quantities, and installing storm windows and wall insulation in drastically different quantities. Substantial differences also were found in average air leakage reductions for the two weatherization groups.

  10. State-Level Forestry Cost-Share Programs and Economic Impact of Increased Timber Outputs: A South Carolina Case Study

    Directory of Open Access Journals (Sweden)

    Brandon G. Stoots


    Full Text Available Management of family forests in the United States has been long-influenced by public policies and programs that encourage active management on these private lands, especially afforestation of idle lands and reforestation of cut-over lands. Financial incentive programs to encourage family forest reforestation date back to the 1940s, and in the beginning were funded by the federal government. Beginning in the early 1970s, state governments, especially those with strong forestry-based economies, saw a need to offer their own incentives, primarily cost-share programs to increase forest productivity. These programs are considered to be successful, but little research addresses the value and increased timber supply that result from the state investment. Here, we use historical data from the South Carolina Forest Renewal Program (FRP, one of the oldest and well-established state forestry cost-share programs, to determine the incremental timber outputs generated. Marginal analysis was used to produce financial comparison between regeneration options that include cost-share and those that do not. Annual funding for the FRP is currently $1,000,000 and in the long-run five dollars of economic impact is created for each dollar invested, and over a half million tons of additional wood is added to the annual timber supply.

  11. Experimental infection of six North American fish species with the North Carolina strain of spring Viremia of Carp Virus (United States)

    Emmenegger, Eveline J.; Sanders, George E.; Conway, Carla M.; Binkowski, Fred P.; Winton, James R.; Kurath, Gael


    Spring viremia of carp virus (SVCV) is a rhabdoviral pathogen associated with disease outbreaks in cultured and wild fish worldwide. Common carp (Cyprinus carpio carp), and koi (C. carpio koi) suffer the highest mortalities from SVCV infections, while other cyprinid fish species have varying susceptibility. Although salmonid fish typically are considered refractory to infection by SVCV, there have been a few reports suggesting infection has occurred in rainbow trout (Oncorhynchus mykiss). There have been no reports of Percid fish being infected with SVCV. Since the first North American outbreak of SVCV at a North Carolina koi farm in 2002 there have been eight subsequent detections or outbreaks of SVCV among fish species from the families of Cyprinidae andCentrarchidae within the US and Canada. Thus, this exotic virus is considered a potential threat to native and cultured fish populations in North America. We performed multiple experimental challenges with fish species from three families (Salmonidae, Cyprinidae, and Percidae) to identify the potential risk associated with SVCV exposure of resident fish populations in North America.

  12. The smoking ban next door: do hospitality businesses in border areas have reduced sales after a statewide smoke-free policy? (United States)

    Klein, Elizabeth G; Hood, Nancy E


    Despite numerous studies demonstrating no significant economic effects on hospitality businesses following a statewide smoke-free (SF) policy, regional concerns suggest that areas near states without SF policies may experience a loss of hospitality sales across the border. The present study evaluated the impact of Ohio's statewide SF policy on taxable restaurant and bar sales in border and non-border areas. Spline regression analysis was used to assess changes in monthly taxable sales at the county level in full-service restaurants and bars in Ohio. Data were analyzed from four years prior to policy implementation to three years post-policy. Change in the differences in the slope of taxable sales for border (n = 21) and non-border (n = 67) counties were evaluated for changes following the statewide SF policy enforcement, adjusted for unemployment rates, general trends in the hospitality sector, and seasonality. After adjusting for covariates, there was no statistically significant change in the difference in slope for taxable sales for either restaurants (β = 0.9, p = 0.09) or bars (β = 0.2, p = 0.07) following the SF policy for border areas compared to non-border areas of Ohio. Border regions in Ohio did not experience a significant change in bar and restaurant sales compared to non-border areas following a statewide SF policy. Results support that Ohio's statewide SF policy did not impact these two areas differently, and provide additional evidence for the continued use of SF policies to provide protection from exposure to secondhand smoke for both workers and the general public. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  13. Trends in Procedures at Major Trauma Centres in New South Wales, Australia: An Analysis of State-Wide Trauma Data. (United States)

    Oliver, Matthew; Dinh, Michael M; Curtis, Kate; Paschkewitz, Royce; Rigby, Oran; Balogh, Zsolt J


    To describe the trend in major trauma surgical procedures and interventional radiology in major trauma patients in Australia over the past 6 years. This was a retrospective review of adult major trauma (Injury Severity Score greater than 15) patients using the New South Wales Statewide Trauma Registry between 2009 and 2014. Major trauma surgical procedures were classified into abdominal, neurosurgery, cardiothoracic and interventional radiology. The proportion of patients undergoing such procedures per year was the outcome of interest. There were around ten thousand cases analysed. The proportion of cases undergoing interventional radiology procedures increased from 1% in 2009 to around 6% in 2014. Other major trauma surgical procedures remained stable. Only around 100 laparotomies were performed in 2014. The predictors of having an IR procedure performed were increasing from 2009 (OR 1.5 95% CI 1.4, 1.6 p trauma service planning and models of care.

  14. Accommodations use for statewide standardized assessments: prevalence and recommendations for students who are deaf or hard of hearing. (United States)

    Cawthon, Stephanie W


    The Second Annual National Survey on Assessments and Accommodations for Students who are Deaf or Hard of Hearing investigated the types of testing accommodations used on 2004-2005 statewide standardized assessments as well as recommendations for best practices. A total of 444 participants who served over 9,000 students as teachers, administrators, or other educational professionals responded to the survey. The most widely used accommodations were small-group testing, interpreting test directions, and extended time. With the exception of interpreting or reading test items aloud, accommodations were largely used for both reading and math assessments. Participants perceived all listed accommodations as both valid and easy to use. Participants recommended that student academic level, communication mode, and additional disabilities be taken into account when choosing accommodations for students who are deaf or hard of hearing.

  15. Statewide prevalence of school children at risk of anaphylaxis and rate of adrenaline autoinjector activation in Victorian government schools, Australia. (United States)

    Loke, Paxton; Koplin, Jennifer; Beck, Cara; Field, Michael; Dharmage, Shyamali C; Tang, Mimi L K; Allen, Katrina J


    The prevalence of school students at risk of anaphylaxis in Victoria is unknown and has not been previously studied. Similarly, rates of adrenaline autoinjector usage in the school environment have yet to be determined given increasing prescription rates. We sought to determine time trends in prevalence of school children at risk of anaphylaxis across all year levels and the annual usage rate of adrenaline autoinjectors in the school setting relative to the number of students at risk of anaphylaxis. Statewide surveys from more than 1,500 government schools including more than 550,000 students were used and prevalence rates (%) with 95% CIs were calculated. The overall prevalence of students at risk of anaphylaxis has increased 41% from 0.98% (95% CI, 0.95-1.01) in 2009 to 1.38% (95% CI, 1.35-1.41) in 2014. There was a significant drop in reporting of anaphylaxis risk with transition from the final year of primary school to the first year of secondary school, suggesting a change in parental reporting of anaphylaxis risk among secondary school students. The number of adrenaline autoinjectors activated per 1000 students at risk of anaphylaxis ranged from 6 to 8 per year, with consistently higher activation use in secondary school students than in primary school students. Statewide prevalence of anaphylaxis risk has increased in children attending Victorian government schools. However, adrenaline autoinjector activation has remained fairly stable despite known increase in the rates of prescription. Copyright © 2016 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  16. Maria Carolina and Marie Antoinette: Sisters and Queens in the mirror of Jacobin Public Opinion

    Directory of Open Access Journals (Sweden)

    Cinzia Recca


    Full Text Available Marie Antoinette of Franceand Maria Carolina of Naples, both consorts, contributed to a flourishing of matronage, reproducing conceptions of royal femininity that embraced both the private and public roles they were expected to fulfil. However, while the political role of the first Queen has been largely reconsidered, her sister Maria Carolina has not yet been adjudicated impartially. This is somewhat curious, because Maria Carolina inherited from her sister the same disregard towards the Revolution and this, as perceived by the Jacobins, was duly proposed in their acrimonious criticism of her political role. This paper aims to focus on this criticism, analysing how the charges against Maria Carolina in the post-French revolutionary period, were a political duplication of the Jacobin attacks on Marie Antoinette from 1791 onwards. From this point of view, the paper will focus on the portrait of Maria Carolina in 1793 revolutionary Parisby Giuseppe Gorani, an Italian Jacobin noble. His Mémoires Secrets – where Maria Carolina was represented as a wicked woman in the same terms previously employed to denounce her sister Marie Antoinette by the French Republicans – was well known across Italy. This subject dominated the main pamphlets and brochures published in Naples in 1799, during the brief duration of the Neapolitan Republic, because it legitimised the rebellion against the monarchy. After the fall of the Neapolitan Republic, the political attacks on Maria Carolina continued likewise in France, where many Neapolitan patriots were obliged to flee. Analysing  Giuseppe Gorani’s Mémoires we gather that the portrait of Marie Antoinette’s sister was painted according to the main stereotypes of  French revolutionary political culture.

  17. Family Literacy

    Directory of Open Access Journals (Sweden)

    Livija Knaflič


    Full Text Available Research in child and adult literacy demonstrates that the achievement and the level of literacy that children attain at school is connected with the social and cultural characteristics and the level of literacy of the child's family. This intergenerational transfer of the level of literacy has motivated the search for different ways of improving the level of literacy.The concept of family literacy is based on the assumption that a higher level of parent literacy means that the children may achieve the same, and it also offers better schooling prospects. Family literacy programmes help fami­lies to develop different activities, in­cluding reading and writing skills, both in their community and in everyday life.

  18. Super families

    International Nuclear Information System (INIS)

    Amato, N.; Maldonado, R.H.C.


    The study on phenomena in the super high energy region, Σ E j > 1000 TeV revealed events that present a big dark spot in central region with high concentration of energy and particles, called halo. Six super families with halo were analysed by Brazil-Japan Cooperation of Cosmic Rays. For each family the lateral distribution of energy density was constructed and R c Σ E (R c ) was estimated. For studying primary composition, the energy correlation with particles released separately in hadrons and gamma rays was analysed. (M.C.K.)

  19. Restoration of Lost Lake, recovery of an impacted Carolina Bay

    International Nuclear Information System (INIS)

    Wike, L.D.; Gladden, J.B.; Mackey, H.E. Jr.; Rogers, V.A.


    Lost Lake is one of approximately 200 Carolina bays found on the Savannah River Site (SRS). Until 1984 Lost Lake was contaminated by heavy metals and solvents overflowing from a nearby settling basin. Up to 12 inches of surface soil and all vegetation was removed from the bay as part of a RCRA removal action. A plan for restoration was initiated in 1989 and implemented in 1990 and 1991. Extensive planning led to defined objectives, strategies, treatments, and monitoring programs allowing successful restoration of Lost Lake. The primary goal of the project was to restore the wetland ecosystem after a hazardous waste clean up operation. An additional goal was to study the progress of the project and the success of the restoration activity. Several strategy considerations were necessary in the restoration plan. The removal of existing organic soils had to have compensation, a treatment scheme for planting and the extent of manipulation of the substrate had to be considered, monitoring decisions had to be made, and the decision whether or not to actively control the hydrology of the restored system

  20. Aquifer recharging in South Carolina: radiocarbon in environmental hydrogeology

    International Nuclear Information System (INIS)

    Stone, P.A.; Knox, R.L.; Mathews, T.D.


    Radiocarbon activities of dissolved inorganic carbon (and tritium activities where infiltration rates are rapid and aquifers shallow) provide relatively unambiguous and inexpensive evidence for identification of significant recharge areas. Such evidence is for the actual occurrence of modern recharge in the aquifer and thus is less inferential than stratigraphic or potentiometric evidence. These underutilized isotopic techniques are neither arcane nor complex and have been more-or-less standardized by earlier researchers. In South Carolina, isotopic evidence has been used from both calcareous and siliceous sedimentary aquifers and fractured crystalline rock aquifers. The Tertiary limestone aquifer is shown not to be principally recharged in its subcrop area, unlike conditions assumed for many other sedimentary aquifers in southeastern United States, and instead receives considerable lateral recharge from interfingering updip Tertiary sand aquifers in the middle coastal plain. Induced recharging at Hilton Head Island is mixing ancient relict water and modern recharge water. Recharging to deeper portions of the Cretaceous Middendorf basal sand aquifer occurs at least as far coastward as the middle coastal plain, near sampling sites that stratigraphically appear to be confined. Pronounced mineralization of water in fractured rocks cannot be considered as evidence of ancient or relict ground water that is isolated from modern contaminants, some of these waters contain considerable radiocarbon and hydrogen-bomb tritium