WorldWideScience

Sample records for climate-related health vulnerabilities

  1. Easier surveillance of climate-related health vulnerabilities through a Web-based spatial OLAP application

    Directory of Open Access Journals (Sweden)

    Gosselin Pierre

    2009-04-01

    Full Text Available Abstract Background Climate change has a significant impact on population health. Population vulnerabilities depend on several determinants of different types, including biological, psychological, environmental, social and economic ones. Surveillance of climate-related health vulnerabilities must take into account these different factors, their interdependence, as well as their inherent spatial and temporal aspects on several scales, for informed analyses. Currently used technology includes commercial off-the-shelf Geographic Information Systems (GIS and Database Management Systems with spatial extensions. It has been widely recognized that such OLTP (On-Line Transaction Processing systems were not designed to support complex, multi-temporal and multi-scale analysis as required above. On-Line Analytical Processing (OLAP is central to the field known as BI (Business Intelligence, a key field for such decision-support systems. In the last few years, we have seen a few projects that combine OLAP and GIS to improve spatio-temporal analysis and geographic knowledge discovery. This has given rise to SOLAP (Spatial OLAP and a new research area. This paper presents how SOLAP and climate-related health vulnerability data were investigated and combined to facilitate surveillance. Results Based on recent spatial decision-support technologies, this paper presents a spatio-temporal web-based application that goes beyond GIS applications with regard to speed, ease of use, and interactive analysis capabilities. It supports the multi-scale exploration and analysis of integrated socio-economic, health and environmental geospatial data over several periods. This project was meant to validate the potential of recent technologies to contribute to a better understanding of the interactions between public health and climate change, and to facilitate future decision-making by public health agencies and municipalities in Canada and elsewhere. The project also aimed at

  2. National and Local Vulnerability to Climate-Related Disasters in Latin America

    DEFF Research Database (Denmark)

    Rubin, Olivier; Rossing, Tine

    2012-01-01

    The Latin American region is particularly prone to climate-related natural hazards. However, this article argues that natural hazards are only partly to blame for the region's vulnerability to natural disasters with quantitative evidence suggesting instead that income per capita and inequality...

  3. An Analysis of the Vulnerability of Global Drinking Water Access to Climate-related Hazards

    Science.gov (United States)

    Elliott, M.; Banerjee, O.; Christenson, E.; Holcomb, D.; Hamrick, L.; Bartram, J.

    2014-12-01

    Global drinking water access targets are formulated around "sustainable access." Global climate change (GCC) and associated hazards threaten the sustainability of drinking water supply. Extensive literature exists on the impacts of GCC on precipitation and water resources. However, the literature lacks a credible analysis of the vulnerability of global drinking water access. This research reports on an analysis of the current vulnerability of drinking water access due to three climate-related hazardous events: cyclone, drought and flood. An ArcGIS database was built incorporating the following: population density, hazardous event frequency, drinking water technologies in use and adaptive capacity. Two global grids were incorporated first: (1) LandScanTM global population distribution; and (2) frequency of cyclone, drought and flood from ~1980-2000 from Columbia University Center for Hazards Risk Research (CHRR). Population density was used to characterize cells as urban or rural and country-level urban/rural drinking water technologies in use were added based on the WHO/UNICEF Joint Monitoring Programme data. Expert assessment of the resilience of each technology to each hazardous event based on WHO/DFID Vision 2030 were quantified and added to the database. Finally, country-level adaptive capacity was drawn from the "readiness" parameter of the Global Adaptation Index (GaIn). ArcGIS Model Builder and Python were used to automate the addition of datasets. This presentation will report on the results of this analysis, the first credible attempt to assess the vulnerability of global drinking water access to climate-related hazardous events. This analysis has yielded country-level scores and maps displaying the ranking of exposure score (for flood, drought, cyclone, and all three in aggregate) and the corresponding country-level vulnerability scores and rankings incorporating the impact of drinking water technologies and adaptive capacity (Figure 1).

  4. Vulnerability and adaptation to climate-related fire impacts in rural and urban interior Alaska

    OpenAIRE

    2009-01-01

    This paper explores whether fundamental differences exist between urban and rural vulnerability to climate-induced changes in the fire regime of interior Alaska. We further examine how communities and fire managers have responded to these changes and what additional adaptations could be put in place. We engage a variety of social science methods, including demographic analysis, semi-structured interviews, surveys, workshops and observations of public meetings. This work is part of an interdis...

  5. Vulnerability and adaptation to climate-related fire impacts in rural and urban interior Alaska

    Science.gov (United States)

    Trainor, Sarah F.; Calef, Monika; Natcher, David; Chapin, F. Stuart; McGuire, Anthony; Huntington, Orville; Duffy, Paul A; Rupp, T. Scott; DeWilde, La'Ona; Kwart, Mary; Fresco, Nancy; Lovecraft, Amy Lauren

    2009-01-01

    This paper explores whether fundamental differences exist between urban and rural vulnerability to climate-induced changes in the fire regime of interior Alaska. We further examine how communities and fire managers have responded to these changes and what additional adaptations could be put in place. We engage a variety of social science methods, including demographic analysis, semi-structured interviews, surveys, workshops and observations of public meetings. This work is part of an interdisciplinary study of feedback and interactions between climate, vegetation, fire and human components of the Boreal forest social–ecological system of interior Alaska. We have learned that although urban and rural communities in interior Alaska face similar increased exposure to wildfire as a result of climate change, important differences exist in their sensitivity to these biophysical, climate-induced changes. In particular, reliance on wild foods, delayed suppression response, financial resources and institutional connections vary between urban and rural communities. These differences depend largely on social, economic and institutional factors, and are not necessarily related to biophysical climate impacts per se. Fire management and suppression action motivated by political, economic or other pressures can serve as unintentional or indirect adaptation to climate change. However, this indirect response alone may not sufficiently reduce vulnerability to a changing fire regime. More deliberate and strategic responses may be required, given the magnitude of the expected climate change and the likelihood of an intensification of the fire regime in interior Alaska.

  6. [Organization, availability and possibility of analysis of disaster data of climate related origin and its impacts on health].

    Science.gov (United States)

    Xavier, Diego Ricardo; Barcellos, Christovam; Barros, Heglaucio da Silva; Magalhães, Monica de Avelar Figueiredo Mafra; Matos, Vanderlei Pascoal de; Pedroso, Marcel de Moraes

    2014-09-01

    The occurrence of disasters is often related to unforeseeable able natural processes. However, the analysis of major databases may highlight seasonal and long-term trends, as well as some spatial patterns where risks are concentrated. In this paper the process of acquiring and organizing climate-related disaster data collected by civil protection institutions and made available by the Brazilian Climate and Health Observatory is described. Preliminary analyses show the concentration of disasters caused by heavy rainfall events along the Brazilian coastline especially during the summer. Droughts have longer duration and extent, affecting large areas of the south and northeast regions of the country. These data can be used to analyze and monitor the impact of extreme climatic events on health, as well as identify the vulnerability and climate deteminants.

  7. Vulnerability, Health Agency and Capability to Health.

    Science.gov (United States)

    Straehle, Christine

    2016-01-01

    One of the defining features of the capability approach (CA) to health, as developed in Venkatapuram's book Health Justice, is its aim to enable individual health agency. Furthermore, the CA to health hopes to provide a strong guideline for assessing the health-enabling content of social and political conditions. In this article, I employ the recent literature on the liberal concept of vulnerability to assess the CA. I distinguish two kinds of vulnerability. Considering circumstantial vulnerability, I argue that liberal accounts of vulnerability concerned with individual autonomy, align with the CA to health. Individuals should, as far as possible, be able to make health-enabling decisions about their lives, and their capability to do so should certainly not be hindered by public policy. The CA to health and a vulnerability-based analysis then work alongside to define moral responsibilities and designate those who hold them. Both approaches demand social policy to address circumstances that hinder individuals from taking health-enabling decisions. A background condition of vulnerability, on the other hand, even though it hampers the capability for health, does not warrant the strong moral claim proposed by the CA to health to define health as a meta-capability that should guide social policy. Nothing in our designing social policy could change the challenge to health agency when we deal with background conditions of vulnerability.

  8. Vulnerable participants in health research

    DEFF Research Database (Denmark)

    Nordentoft, Helle Merete; Nanna, Kappel

    2011-01-01

    and leave both professionals and researchers in ethical and moral dilemmas. In the article we specifically focus on the methodological challenges of obtaining informed consent from drug users and terminally ill cancer patients in our PhD-research. The question is how you can illuminate the needs......Ethical guidelines for conducting research are embedded in the Helsinki declaration of 1964. We contend that these abstract and intentionally universal guidelines need to be appropriated for social and health care research in which purpose and methods often deviate from medical research....... The guidelines appear to be instrumental and over simplistic representations of the often ´messy´ realities surrounding the research process which is often guided by relational and local negotiations of ethical solutions. Vulnerable participants, for instance, challenge both professional and research ethics...

  9. Palaeolimnological evidence of vulnerability of Lake Neusiedl (Austria) toward climate related changes since the last "vanished-lake" stage.

    Science.gov (United States)

    Tolotti, Monica; Milan, Manuela; Boscaini, Adriano; Soja, Gerhard; Herzig, Alois

    2013-04-01

    The palaeolimnological reconstruction of secular evolution of Euroepan Lakes with key socio-economical relevance respect to large (climate change) and local scale (land use, tourism) environmental changes, represents one of the objectives of the project EuLakes (European Lakes Under Environmental Stressors, Supporting lake governance to mitigate the impact of climate change, Reg. N. 2CE243P3), launched in 2010 within the Central European Inititiative. The project consortium comprises lakes of different morphology and prevalent human uses, including the meso-eutrophic Lake Neusiedl, the largest Austrian lake (total area 315 km2), and the westernmost shallow (mean depth 1.2 m) steppe lake of the Euro-Asiatic continent. The volume of Lake Neusiedl can potentially change over the years, in relation with changing balance between atmospheric precipitation and lake water evapotranspiration. Changing water budget, together with high lake salinity and turbidity, have important implications over the lake ecosystem. This contribution illustrates results of the multi-proxi palaeolimnological reconstruction of ecologial changes occurred in Lake Neusiedl during the last ca. 140 years, i.e. since the end of the last "vanished-lake" stage (1865-1871). Geochemical and biological proxies anticipate the increase in lake productivity of ca. 10 years (1950s) respect to what reported in the literature. Diatom species composition indicate a biological lake recovery in the late 1980s, and suggest a second increment in lake productivity since the late 1990s, possibly in relation with the progressive increase in the nitrogen input from agriculture. Abundance of diatoms typical of brackish waters indicated no significant long-term change in lake salinity, while variations in species toleranting dessiccation confirm the vulnerability of Lake Neusiedl toward climate-driven changes in the lake water balance. This fragility is aggravated by the the semi-arid climate conditions of the catchemnt

  10. Health and climate related ecosystem services provided by street trees in the urban environment.

    OpenAIRE

    Salmond, JA; Tadaki, M; Vardoulakis, S; Arbuthnott, K; Coutts, A; Demuzere, M; Dirks, KN; Heaviside, C; Lim, S; Macintyre, H; McInnes, RN; Wheeler, BW

    2016-01-01

    Urban tree planting initiatives are being actively promoted as a planning tool to enable urban areas to adapt to and mitigate against climate change, enhance urban sustainability and improve human health and well-being. However, opportunities for creating new areas of green space within cities are often limited and tree planting initiatives may be constrained to kerbside locations. At this scale, the net impact of trees on human health and the local environment is less clear, and generalised ...

  11. Health and climate related ecosystem services provided by street trees in the urban environment.

    Science.gov (United States)

    Salmond, Jennifer A; Tadaki, Marc; Vardoulakis, Sotiris; Arbuthnott, Katherine; Coutts, Andrew; Demuzere, Matthias; Dirks, Kim N; Heaviside, Clare; Lim, Shanon; Macintyre, Helen; McInnes, Rachel N; Wheeler, Benedict W

    2016-03-08

    Urban tree planting initiatives are being actively promoted as a planning tool to enable urban areas to adapt to and mitigate against climate change, enhance urban sustainability and improve human health and well-being. However, opportunities for creating new areas of green space within cities are often limited and tree planting initiatives may be constrained to kerbside locations. At this scale, the net impact of trees on human health and the local environment is less clear, and generalised approaches for evaluating their impact are not well developed.In this review, we use an urban ecosystems services framework to evaluate the direct, and locally-generated, ecosystems services and disservices provided by street trees. We focus our review on the services of major importance to human health and well-being which include 'climate regulation', 'air quality regulation' and 'aesthetics and cultural services'. These are themes that are commonly used to justify new street tree or street tree retention initiatives. We argue that current scientific understanding of the impact of street trees on human health and the urban environment has been limited by predominantly regional-scale reductionist approaches which consider vegetation generally and/or single out individual services or impacts without considering the wider synergistic impacts of street trees on urban ecosystems. This can lead planners and policymakers towards decision making based on single parameter optimisation strategies which may be problematic when a single intervention offers different outcomes and has multiple effects and potential trade-offs in different places.We suggest that a holistic approach is required to evaluate the services and disservices provided by street trees at different scales. We provide information to guide decision makers and planners in their attempts to evaluate the value of vegetation in their local setting. We show that by ensuring that the specific aim of the intervention, the

  12. Strategies for expanding health insurance coverage in vulnerable populations

    OpenAIRE

    2014-01-01

    Background Health insurance has the potential to improve access to health care and protect people from the financial risks of diseases. However, health insurance coverage is often low, particularly for people most in need of protection, including children and other vulnerable populations. Objectives To assess the effectiveness of strategies for expanding health insurance coverage in vulnerable populations. Search methods We searched Cochrane Central Register of Controlled Trials (CENTRAL), pa...

  13. Vulnerability analysis for design of bridge health monitoring system

    Science.gov (United States)

    Sun, L. M.; Yu, G.

    2010-03-01

    The recent engineering implementation of health monitoring system for long span bridges show difficulties for precisely assessing structural physical condition as well as for accurately alarming on structural damages, although hundreds of sensors were installed on a structure and a great amount of data were collected from the monitoring system. The allocation of sensors and the alarming algorithm are still two of the most important tasks to be considered when designing the structural health monitoring system. Vulnerability, in its original meaning, is the system susceptibility to local damage. For a structural system, the vulnerability can thus be regarded as structural performance susceptibility to local damage of structure. The purpose of this study is to propose concepts and methods of structural vulnerability for determining monitoring components which are more vulnerable than others and the corresponding warning threshold once the damages occur. The structural vulnerability performances to various damage scenarios depend upon structural geometrical topology, loading pattern on the structure and the degradation of component performance. A two-parameters structural vulnerability evaluation method is proposed in this paper. The parameters are the damage consequence and the relative magnitude of the damage scenarios to the structural system, respectively. Structural vulnerability to various damage scenarios can be regarded as the tradeoff between the two parameters. Based on the results of structural vulnerability analysis, the limited structural information from health monitoring can be utilized efficiently. The approach of the design of bridge health monitoring system is illustrated for a cable-stayed bridge.

  14. Climate change and human health: impacts, vulnerability and public health.

    Science.gov (United States)

    Haines, A; Kovats, R S; Campbell-Lendrum, D; Corvalan, C

    2006-07-01

    It is now widely accepted that climate change is occurring as a result of the accumulation of greenhouse gases in the atmosphere arising from the combustion of fossil fuels. Climate change may affect health through a range of pathways, for example as a result of increased frequency and intensity of heat waves, reduction in cold related deaths, increased floods and droughts, changes in the distribution of vector-borne diseases and effects on the risk of disasters and malnutrition. The overall balance of effects on health is likely to be negative and populations in low-income countries are likely to be particularly vulnerable to the adverse effects. The experience of the 2003 heat wave in Europe shows that high-income countries may also be adversely affected. Adaptation to climate change requires public health strategies and improved surveillance. Mitigation of climate change by reducing the use of fossil fuels and increasing a number of uses of the renewable energy technologies should improve health in the near-term by reducing exposure to air pollution.

  15. Opportunities to promote health to vulnerable male teenagers.

    Science.gov (United States)

    Wildbore, Amanda

    Forty years ago an increase in 'juvenile delinquency' led to a large prison-building programme for young offenders. Today, the emphasis is on community sentencing and a reduction in prison places. The secondment of nurses into youth offending teams makes it possible to offer primary health services to a group of mainly male, vulnerable people.

  16. 'Vulnerability is universal': considering the place of 'security' and 'vulnerability' within contemporary global health discourse.

    Science.gov (United States)

    Brown, Tim

    2011-02-01

    The question of global health has, at least since 9/11, (re)emerged as one of the world's key geopolitical issues and, as many scholars have noted, this increased attention to the state of world health is especially focused on questions of national security and vulnerability. Despite its prominence in political, health policy and scholarly circles, health geographers have tended to overlook this particular aspect of global health discourse. This paper seeks to redress this lacuna. It does so for three reasons. The first lies in the idea that this discourse is inherently geographical; after all, it is in essence concerned with the flows of human and non-human agents within and, more importantly here, across, national borders. It is also of interest because a focus on vulnerability allows for an analysis that goes beyond the current fixation with emerging and re-emerging infectious diseases. Although it is certainly true that the concern with such diseases dominates, and the recent focus upon H1N1 swine flu is testament to that, there is also a suggestion that the processes associated with the enhanced threat posed by these diseases are similar to those that have caused non-communicable diseases to become a global health problem too. A third reason for focussing on this aspect of the global health discourse is that the subsequent search for 'security' is highly problematic; especially if we consider the question of "who is to be protected, and from what". The aim of the paper is, then, to offer a critical review of the international discourse on global health and to highlight its relevance to scholars that self-identify as health and medical geographers.

  17. Vulnerable Consumers in the Deregulated Dutch Health System

    OpenAIRE

    Booltink, L.; Genugten, M.L. van; Lako, C.J.

    2015-01-01

    Public service deregulation is favoured for motivating providers to offer consumers better price-quality services. Consequently, consumers are enabled to make informed choices and choose for the best service provider. However, recent publications reveal that consumers are not capable of exercising optimal choice behaviour. Despite these concerns, evidence is lacking on the extent to which potentially vulnerable consumers make use of the core element of deregulation—switching health plans. Thi...

  18. [The body as the scenario for social vulnerability regarding health].

    Science.gov (United States)

    Ortega-Bolaños, Jesús A; Bula-Escobar, Jorge I

    2012-10-01

    Theoretical reflection concerning the human body within a scenario of social healthcare practices recognizes its nature through ontological dimensions for defining our finiteness and facticity in a world where nobody experiences their own birth or death but rather experiences such events through others. Considering health as an overall process called existence, being conscious of one's own body in terms of dynamic states of health and disease, is related to scenarios where the body has played a central role in the existential experience of the culture which it has built and in which it has been living, as well as in the relationship of knowledge with how power is exercised. Relationships between knowledge, power, resistance and the action of bodies are scenarios concerning social vulnerability regarding health. We wish to raise awareness concerning the relationship between bodies and social vulnerability regarding health as an emergent scenario for promoting discussion dealing with claiming the right to health and the chances of it being positively affected by public health policy from a trans-sector response and a community-based response proposed by Colombian society and culture.

  19. Developing public health provision for vulnerable young people.

    Science.gov (United States)

    Fewings, Heidi

    2016-01-01

    Engaging vulnerable children and young people can be a challenge. This article reports on the development of a specialist school nurse service, known as Support Services Health Team, aimed at the most vulnerable children and young people in Hull. The aim was to provide public health support and coordinate healthcare to children and young people in the looked after system, those in pupil referrals units, home educated and those outside of the educational system (missing from education). This innovative approach to addressing the health needs of this population helped to establish firm networks across the city of Hull, reduce duplication of support being offered and avoid young people slipping through the systems. The team has a sound knowledge around health trends for young people, social groups and hotspots where they are at risk across the city. They have created a presence in the city where professionals and young people are aware of them and the service offered. Clear pathways have been established on intervention starting with the completion of a comprehensive health needs assessment and care plan. A creative approach to supervision has been established to ensure staff do not feel overwhelmed and that they are evidence-based in their approach to intervention and advice offered.

  20. Climate change and Public health: vulnerability, impacts, and adaptation

    Science.gov (United States)

    Guzzone, F.; Setegn, S.

    2013-12-01

    Climate Change plays a significant role in public health. Changes in climate affect weather conditions that we are accustomed to. Increases in the frequency or severity of extreme weather events such as storms could increase the risk of dangerous flooding, high winds, and other direct threats to people and property. Changes in temperature, precipitation patterns, and extreme events could enhance the spread of some diseases. According to studies by EPA, the impacts of climate change on health will depend on many factors. These factors include the effectiveness of a community's public health and safety systems to address or prepare for the risk and the behavior, age, gender, and economic status of individuals affected. Impacts will likely vary by region, the sensitivity of populations, the extent and length of exposure to climate change impacts, and society's ability to adapt to change. Transmissions of infectious disease have been associated with social, economic, ecological, health care access, and climatic factors. Some vector-borne diseases typically exhibit seasonal patterns in which the role of temperature and rainfall is well documented. Some of the infectious diseases that have been documented by previous studies, include the correlation between rainfall and drought in the occurrence of malaria, the influence of the dry season on epidemic meningococcal disease in the sub-Saharan African, and the importance of warm ocean waters in driving cholera occurrence in the Ganges River delta in Asia The rise of climate change has been a major concern in the public health sector. Climate change mainly affects vulnerable populations especially in developing countries; therefore, it's important that public health advocates are involve in the decision-making process in order to provide resources and preventative measures for the challenges that are associated with climate change. The main objective of this study is to assess the vulnerability and impact of climate change

  1. Social Factors of Health Vulnerability of Marginalized Social Groups

    Directory of Open Access Journals (Sweden)

    Bojan Žikić

    2016-03-01

    Full Text Available Marginalized social groups are part of a certain apotheosis of otherness in present-day anthropological studies, being groups – such as refugees or immigrants – that come from other socio-cultural environments, and are marginalized in the anthropologists’ own environments, or environments socio-culturally similar to these. Groups that are to be considered as marginalized are those that have been put in this position contextually, through displacement from everything that represents life according to human standards, which becomes a continuous/permanent state, i.e. the way of life of the people in question, leading to the destabilization of both their physical and their mental health. The causes of this displacement are social in nature, thus constituting the primary social factors of health vulnerability of displaced populations, and they include wars and armed conflicts, persecution for various reasons, and poverty, i.e. the impossibility of subsisting on resources available in one’s own socio-economic environment. The secondary social factors of health vulnerability of marginalized social groups occur in the environments in which the groups find themselves after having been displaced from their previous socio-cultural environments; they result from the legal status of unwilling newcomers to these environments, and refer to the difficulty or impossibility of accessing the social and health care systems in their new environments.

  2. Noise and health in vulnerable groups: A review

    Directory of Open Access Journals (Sweden)

    Irene van Kamp

    2013-01-01

    Full Text Available Vulnerable or susceptible groups are mentioned in most reviews and documents regarding noise and health. But only a few studies address this issue in a concrete and focused way. Groups at risk most often mentioned in the literature are children, the elderly, the chronically ill and people with a hearing impairment. The other categories encountered are those of sensitive persons, shiftworkers, people with mental illness (e.g., schizophrenia or autism, people suffering from tinnitus, and fetuses and neonates. The mechanism for this vulnerability has not been clearly described and relevant research has seldom focused on the health effects of noise in these groups in an integrated manner. This paper summarizes the outcomes and major conclusions of a systematic, qualitative review of studies over the past 5 years. This review was prepared for the 10 th Conference on Noise as a Public Health Problem (ICBEN, 2011. Evidence is reviewed describing effects, groups assumed to be at risk, and mechanisms pertaining to noise sensitivity and learned helplessness.

  3. Inclusion of vulnerable groups in health policies: Regional policies on health priorities in Africa

    Directory of Open Access Journals (Sweden)

    Margie Schneider

    2013-01-01

    Full Text Available Background: If access to equitable health care is to be achieved for all, policy documents must mention and address in some detail different needs of groups vulnerable to not accessing such health care. If these needs are not addressed in the policy documents, there is little chance that they will be addressed at the stage of implementation.Objectives: This paper reports on an analysis of 11 African Union (AU policy documents to ascertain the frequency and the extent of mention of 13 core concepts in relation to 12 vulnerable groups, with a specific focus on people with disabilities.Method: The paper applied the EquiFrame analytical framework to the 11 AU policy documents. The 11 documents were analysed in terms of how many times a core concept was mentioned and the extent of information on how the core concept should be addressed at the implementation level. Each core concept mention was further analysed in terms of the vulnerable group in referred to.Results: The analysis of regional AU policies highlighted the broad nature of the reference made to vulnerable groups, with a lack of detailed specifications of different needs of different groups. This is confirmed in the highest vulnerable group mention being for ‘universal’. The reading of the documents suggests that vulnerable groups are homogeneous in their needs, which is not the case. There is a lack of recognition of different needs of different vulnerable groups in accessing health care.Conclusion: The need for more information and knowledge on the needs of all vulnerable groups is evident. The current lack of mention and of any detail on how to address needs of vulnerable groups will significantly impair the access to equitable health care for all.

  4. Demography, vulnerabilities and right to health to Brazilian prison population.

    Science.gov (United States)

    Soares, Marden Marques; Bueno, Paula Michele Martins Gomes

    2016-06-01

    This study investigates the latest research on the profile of the Brazilian prison population, its demography and current laws and regulations. It aims in the direction of ensuring the human right to health. Brazilian prison system is a complex universe in which state and federal criminal contexts keep more than 607,000 people in custody. This population is composed of 75% of young and black people, 67% poorly educated and 41% are pre-trial detainees, living in overcrowded prisons and architecturally vandalized, with population growth of around 575% in 24 years, making this environment a major focus of production of diseases. The prison becomes the object of differentiated intervention by public bodies linked to the executive and the judiciary - it is worth remarking that the data show the high level of inequalities and health vulnerabilities among the prison population, whose needs involve a set of cross-sector of transverse public policies actions towards penal execution.

  5. Climate change and human health: impacts, vulnerability, and mitigation.

    Science.gov (United States)

    Haines, A; Kovats, R S; Campbell-Lendrum, D; Corvalan, C

    2006-06-24

    It is now widely accepted that climate change is occurring as a result of the accumulation of greenhouse gases in the atmosphere arising from the combustion of fossil fuels. Climate change may affect health through a range of pathways--eg, as a result of increased frequency and intensity of heat waves, reduction in cold-related deaths, increased floods and droughts, changes in the distribution of vector-borne diseases, and effects on the risk of disasters and malnutrition. The overall balance of effects on health is likely to be negative and populations in low-income countries are likely to be particularly vulnerable to the adverse effects. The experience of the 2003 heat wave in Europe shows that high-income countries might also be adversely affected. Adaptation to climate change requires public-health strategies and improved surveillance. Mitigation of climate change by reducing the use of fossil fuels and increasing the use of a number of renewable energy technologies should improve health in the near term by reducing exposure to air pollution.

  6. Beyond the checklist: understanding rural health vulnerability in a South African context

    Directory of Open Access Journals (Sweden)

    Richard Vergunst

    2016-11-01

    Full Text Available Background: Vulnerability in the past has sometimes been measured and understood in terms of checklists or common understanding. It is argued here that vulnerability is a more complex issue than this. Although checklists of vulnerable groups are important, they do not capture the essence and dynamics of vulnerability. Objective: The case of rural health vulnerability in South Africa is discussed to show that classifying people into vulnerable groups does not portray the complexity and intricacies of what it means to have vulnerability. We also wish to show that there are different kinds of vulnerabilities, and the difference between access vulnerability and illness vulnerability is highlighted. Methods: As part of a larger study, this case study is presented to show how vulnerability in a poor rural community in South Africa has to be understood in a contextual and dynamic manner as opposed to a static manner. Results: Family and social dynamics can influence health. For example, fractured families were seen as a vulnerable issue within the community, while being a person with a disability can lead to isolation and callous attitudes towards them. It is these family and social dynamics that lead proximally to vulnerability to ill health. Conclusions: A contextual approach can assist in giving a more layered understanding of vulnerability than a checklist approach can do. Interventions to change health cannot be addressed simply by medical means. Social conditions need to be changed, and part of changing social conditions is the process of assisting those who are isolated or experience themselves as vulnerable to reconnect with others in the community. Poverty leads to social exclusion; social and family inclusion may be key to well-being.

  7. Components of Population Vulnerability and Their Relationship With Climate-Sensitive Health Threats.

    Science.gov (United States)

    English, P B; Richardson, M J

    2016-03-01

    Climate change is increasingly being framed as risks that will impact the poorest and most vulnerable communities among us. This has led to more efforts to estimate climate change risks across populations and in the context of human health and health equity. We describe the public health dimensions of climate vulnerability-exposure, population sensitivity, and adaptive capacity-and explore how these dimensions can modify population health impacts and their distribution. An overview of health disparities associated with specific climate risks is presented, and we offer potential solutions grounded in equitable urban development and improved characterization of climate vulnerabilities.

  8. Mapping cumulative environmental effects, social vulnerability, and health in the San Joaquin Valley, California.

    Science.gov (United States)

    Huang, Ganlin; London, Jonathan

    2012-05-01

    To understand the social distribution of environmental hazards, methods to assess cumulative effects and their health implications are needed. We developed a cumulative environmental hazard index integrating environmental data on pollution sites, air quality, and pesticide use; a social vulnerability index to measure residents' resources to prevent or mitigate health effects; and a health index. We found that communities in California's San Joaquin Valley with high social vulnerability face more environmental burdens and have worse health conditions.

  9. Structural Vulnerability: Operationalizing the Concept to Address Health Disparities in Clinical Care.

    Science.gov (United States)

    Bourgois, Philippe; Holmes, Seth M; Sue, Kim; Quesada, James

    2017-03-01

    The authors propose reinvigorating and extending the traditional social history beyond its narrow range of risk behaviors to enable clinicians to address negative health outcomes imposed by social determinants of health. In this Perspective, they outline a novel, practical medical vulnerability assessment questionnaire that operationalizes for clinical practice the social science concept of "structural vulnerability." A structural vulnerability assessment tool designed to highlight the pathways through which specific local hierarchies and broader sets of power relationships exacerbate individual patients' health problems is presented to help clinicians identify patients likely to benefit from additional multidisciplinary health and social services. To illustrate how the tool could be implemented in time- and resource-limited settings (e.g., emergency department), the authors contrast two cases of structurally vulnerable patients with differing outcomes. Operationalizing structural vulnerability in clinical practice and introducing it in medical education can help health care practitioners think more clearly, critically, and practically about the ways social structures make people sick. Use of the assessment tool could promote "structural competency," a potential new medical education priority, to improve understanding of how social conditions and practical logistics undermine the capacities of patients to access health care, adhere to treatment, and modify lifestyles successfully. Adoption of a structural vulnerability framework in health care could also justify the mobilization of resources inside and outside clinical settings to improve a patient's immediate access to care and long-term health outcomes. Ultimately, the concept may orient health care providers toward policy leadership to reduce health disparities and foster health equity.

  10. Vulnerability, irregular migrants' health-related rights and the European Court of Human Rights.

    Science.gov (United States)

    Da Lomba, Sylvie

    2014-09-01

    The protection of irregular migrants' health-related rights brings to the fore the tensions that exist between human rights, citizenship and the sovereign state, and exposes the protection gaps in the international human rights regime. With this in mind, I consider the merits of a vulnerability analysis in international human rights law (IHRL). I posit that, detached from specific groups and reconceptualised as universal, vulnerability can be reclaimed as a foundation and tool of IHRL. I further contend that the deployment of a vulnerability analysis can alleviate the exclusionary dimension of IHRL and extend protections to irregular migrants. On this basis, I investigate the development of a vulnerability analysis in the case law of the European Court of Human Rights. I argue that, in contrast with the Court's vulnerable population approach, a vulnerability analysis can improve protection standards for irregular migrants in the field of health.

  11. [Mental health, vulnerability and general practice: a study of non-profit health centers in Grenoble].

    Science.gov (United States)

    Dubois-Fabing, Delphine; Pichon, Philippe; Arnevielhe, Alizée; Suscillon, Marie-Paule; Caron, Bruno; Saillard, Fabienne; François, Patrice

    2011-01-01

    Very little research has been conducted on the role of general practitioners (GPs) in mental health care among socioeconomically disadvantaged populations in France. The non-profit community health care centers in Grenoble provide populations living in sensitive urban zones with high quality primary health care that includes a medico-social and prevention dimension. The aim of this study was to measure the prevalence of mental health issues diagnosed by GPs in health care centers, to identify the factors associated with these issues and to describe treatment characteristics. This cross-sectional study focused on general practice consultations in the AGECSA Grenoble health care centers over the course of one week. At the end of each consultation, the GP collected information about the patient, including personal data, psychological disorders, vulnerability, and patient health management. Among the 451 patients included in the study, GPs found that 45.2% of patients were in vulnerable situations and 43% of patients suffered from a mental disorder, including 29% of cases of anxiety and 20% of cases of depression. 44% of patients suffered from a psychological disorder (mental disorder and/or psychological suffering). For these patients, 52.8% of the consultations lasted more than 20 minutes. Their treatment generally included a mental health care follow-up (in 76% of cases), including psychological support (59%) and treatment of functional somatic disorders (46%). The study shows the high prevalence of psychological disorders diagnosed in the patients treated by GPs working in health care centers in disadvantaged urban areas. Research shows that GPs play an important and specific role in mental health care and prevention. An analysis of the organizational methods used in health care centers is highly relevant.

  12. [Health inequality among vulnerable groups in Mexico: older adults, indigenous people, and migrants].

    Science.gov (United States)

    Juárez-Ramírez, Clara; Márquez-Serrano, Margarita; Salgado de Snyder, Nelly; Pelcastre-Villafuerte, Blanca Estela; Ruelas-González, María Guadalupe; Reyes-Morales, Hortensia

    2014-04-01

    Health vulnerability refers to a lack of protection for specific population groups with specific health problems, as well as the disadvantages they face in solving them in comparison with other population groups. This major public health problem has multiple and diverse causes, including a shortage of trained health care personnel and the lack of family, social, economic, and institutional support in obtaining care and minimizing health risks. Health vulnerability is a dynamic condition arising from the confluence of multiple social determinants. This article attempts to describe the health situation of three vulnerable groups in Mexico-older adults, indigenous people, and migrants-and, after defining the needs of each, explore measures that could contribute to the design and implementation of public health policies better tailored to their respective needs.

  13. Carbon pollution increases health inequities: lessons in resilience from the most vulnerable.

    Science.gov (United States)

    Ebi, Kristie L; Fawcett, Stephen B; Spiegel, Jerry; Tovalin, Horacio

    2016-09-01

    Climate change is a social justice as well as an environmental issue. The magnitude and pattern of changes in weather and climate variables are creating differential exposures, vulnerabilities, and health risks that increase stress on health systems while exacerbating existing and creating new health inequities. Examples from national and local health adaptation projects highlight that developing partnerships across sectors and levels are critical for building climate-resilient health systems and communities. Strengthening current and implementing new health interventions, such as using environmental information to develop early warning systems, can be effective in protecting the most vulnerable. However, not all projected risks of climate change can be avoided by climate policies and programs, so health system strengthening is also critical. Applying a health inequity lens can reduce current vulnerabilities while building resilience to longer-term climate change. Taking inequities into account is critical if societies are to effectively prepare for and manage the challenges ahead.

  14. Vulnerable population and health status in a neighbourhood in Zaragoza (Spain).

    Science.gov (United States)

    Aguilar-Palacio, I; Gil-Lacruz, M; Gil-Lacruz, A I

    2012-11-01

    This paper aims to identify the inter-relationships between the social factors that influence epidemiological patterns in the city neighbourhood of Casablanca, Zaragoza (Spain). Data for a cross-sectional survey were collected between January 2008 and April 2008 from a representative random sample of 1032 residents aged more than 15 years. The study interview contained information scales on healthcare behaviours, treatment evaluation, the number of medical consultations in the weeks pervious to the interview and the perceived health status of the respondents, using The Health Perception Questionnaire. The global index (continuous variable) allowed inferences to be made on the individual's perception of his/her own health. The assessment of social vulnerability was based on the occupational, educational and economic conditions of the interviewees. An individual was considered to belong to a vulnerable subeconomic group if he/she had a personal income of 6000 euros or less; or had no formal education or had been educated up to primary school level only; or was not in paid employment at the time of the interview. A descriptive and comparative analysis of the vulnerable and non-vulnerable population groups for perceived and diagnosed health variables was undertaken using parametric and non-parametric tests. A total of 550 interviewees (53.3%) were considered vulnerable people. Low level of instruction (primary or no education) was the main characteristic of this group (356 subjects, 64.7% of those identified as vulnerable). Binary logistic regression was used to analyse the association between belonging to the vulnerable group and a number of health variables adjusted for gender, age and area of residence. The vulnerable group had worse levels of perceived health even when controlled for gender and area of residence. In Casablanca, the place of residence is an important social stratification indicator reflected in the characteristics of the vulnerable population group

  15. The spatial distribution of health vulnerability to heat waves in Guangdong Province, China

    Directory of Open Access Journals (Sweden)

    Qi Zhu

    2014-10-01

    Full Text Available Background: International literature has illustrated that the health impacts of heat waves vary according to differences in the spatial variability of high temperatures and the social and economic characteristics of populations and communities. However, to date there have been few studies that quantitatively assess the health vulnerability to heat waves in China. Objectives: To assess the spatial distribution of health vulnerability to heat waves in Guangdong Province, China. Methods: A vulnerability framework including dimensions of exposure, sensitivity, and adaptive capacity was employed. The last two dimensions were called social vulnerability. An indicator pool was proposed with reference to relevant literatures, local context provided by relevant local stakeholder experts, and data availability. An analytic hierarchy process (AHP and a principal component analysis were used to determine the weight of indicators. A multiplicative vulnerability index (VI was constructed for each district/county of Guangdong province, China. Results: A total of 13 items (two for exposure, six for sensitivity, and five for adaptive capacity were proposed to assess vulnerability. The results of an AHP revealed that the average VI in Guangdong Province was 0.26 with the highest in the Lianzhou and Liannan counties of Qingyuan (VI=0.50 and the lowest in the Yantian district of Shenzhen (VI=0.08. Vulnerability was gradiently distributed with higher levels in northern inland regions and lower levels in southern coastal regions. In the principal component analysis, three components were isolated from the 11 social vulnerability indicators. The estimated vulnerability had a similar distribution pattern with that estimated by AHP (Intraclass correlation coefficient (ICC=0.98, p<0.01. Conclusions: Health vulnerability to heat waves in Guangdong Province had a distinct spatial distribution, with higher levels in northern inland regions than that in the southern coastal

  16. Assessing climate change and health vulnerability at the local level: Travis County, Texas.

    Science.gov (United States)

    Prudent, Natasha; Houghton, Adele; Luber, George

    2016-10-01

    We created a measure to help comprehend population vulnerability to potential flooding and excessive heat events using health, built environment and social factors. Through principal component analysis (PCA), we created non-weighted sum index scores of literature-reviewed social and built environment characteristics. We created baseline poor health measures using 1999-2005 age-adjusted cardiovascular and combined diabetes and hypertension mortality rates to correspond with social-built environment indices. We mapped US Census block groups by linked age-adjusted mortality and a PCA-created social-built environment index. The goal was to measure flooding and excessive heat event vulnerability as proxies for population vulnerability to climate change for Travis County, Texas. This assessment identified communities where baseline poor health, social marginalisation and built environmental impediments intersected. Such assessments may assist targeted interventions and improve emergency preparedness in identified vulnerable communities, while fostering resilience through the focus of climate change adaptation policies at the local level.

  17. Health care for women over 50: programmatic vulnerability in the Family Health Strategy

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    Kelly Karine Pasqual

    Full Text Available OBJECTIVE: To assess the health care process for women over 50 at a Family Health Unit based on the concept of programmatic vulnerability. METHOD: This study is inserted in the field of health care assessments. The framework proposed by Donabedian was used to analyze 90.5% of the 790 records of women registered at the unit. RESULTS: It was observed that none of the women that did not have a diagnosed pathology attended the recommended consultations or underwent the recommended tests. Of the total number of women with hypertension or diabetes, 20.7% were registered in the Hiperdia Programme and less than 1.0% had attended the consultations and undergone the necessary tests. Only 11.9% of the women had had a gynaecological examination, a clinical breast examination and a mammography the year before data collection. CONCLUSION: It is concluded that women over 50 are in a situation of programmatic vulnerability in terms of the indicators established in this study. Knowledge of this reality can help nurses provide care that is best suited for this group.

  18. [Vulnerable children detected by the school health service: the forgotten?].

    Science.gov (United States)

    Noirhomme-Renard, F; Bullens, Q; Malchair, A; Gosset, C

    2014-12-01

    The current health needs of children largely exceeds the biomedical model. The school doctor occupies a special position where he can take into account the social determinants of health and identify vulneirable children. After the detection by the school health service, the harmonious development of, the child requires that health professionals cooperate in a "preventive network".

  19. A Peer-to-Peer Health Education Program for Vulnerable Children in Uganda

    Science.gov (United States)

    Falk, Diane S.; Pettet, Kristen; Mpagi, Charles

    2016-01-01

    In this paper, children attending a U.S.-sponsored private primary school serving orphaned and vulnerable children in Uganda were interviewed in focus groups about their participation in a peer-to-peer health education program in which they used music, dance, poetry, art, and drama to convey health information. The children reported enhanced…

  20. The Influence of Family Environment on Mental Health Need and Service Use among Vulnerable Children

    Science.gov (United States)

    Thompson, Richard; Lindsey, Michael A.; English, Diana J.; Hawley, Kristin M.; Lambert, Sharon; Browne, Dorothy C.

    2007-01-01

    Children in child welfare are especially likely to have unmet mental health needs. The role of family factors in children's use of mental health services was examined in a longitudinal sample of 1,075 maltreated or at-risk children. Vulnerable family environment (poor family functioning, low social support, and caregiver psychological distress) is…

  1. Vulnerable Populations Perceive Their Health as at Risk from Climate Change.

    Science.gov (United States)

    Akerlof, Karen L; Delamater, Paul L; Boules, Caroline R; Upperman, Crystal R; Mitchell, Clifford S

    2015-12-04

    Climate change is already taking a toll on human health, a toll that is likely to increase in coming decades. The relationship between risk perceptions and vulnerability to climate change's health threats has received little attention, even though an understanding of the dynamics of adaptation among particularly susceptible populations is becoming increasingly important. We demonstrate that some people whose health will suffer the greatest harms from climate change-due to social vulnerability, health susceptibility, and exposure to hazards-already feel they are at risk. In a 2013 survey we measured Maryland residents' climate beliefs, health risk perceptions, and household social vulnerability characteristics, including medical conditions (n = 2126). We paired survey responses with secondary data sources for residence in a floodplain and/or urban heat island to predict perceptions of personal and household climate health risk. General health risk perceptions, political ideology, and climate beliefs are the strongest predictors. Yet, people in households with the following characteristics also see themselves at higher risk: members with one or more medical conditions or disabilities; low income; racial/ethnic minorities; and residence in a floodplain. In light of these results, climate health communication among vulnerable populations should emphasize protective actions instead of risk messages.

  2. Vulnerable Populations Perceive Their Health as at Risk from Climate Change

    Directory of Open Access Journals (Sweden)

    Karen L. Akerlof

    2015-12-01

    Full Text Available Climate change is already taking a toll on human health, a toll that is likely to increase in coming decades. The relationship between risk perceptions and vulnerability to climate change’s health threats has received little attention, even though an understanding of the dynamics of adaptation among particularly susceptible populations is becoming increasingly important. We demonstrate that some people whose health will suffer the greatest harms from climate change—due to social vulnerability, health susceptibility, and exposure to hazards—already feel they are at risk. In a 2013 survey we measured Maryland residents’ climate beliefs, health risk perceptions, and household social vulnerability characteristics, including medical conditions (n = 2126. We paired survey responses with secondary data sources for residence in a floodplain and/or urban heat island to predict perceptions of personal and household climate health risk. General health risk perceptions, political ideology, and climate beliefs are the strongest predictors. Yet, people in households with the following characteristics also see themselves at higher risk: members with one or more medical conditions or disabilities; low income; racial/ethnic minorities; and residence in a floodplain. In light of these results, climate health communication among vulnerable populations should emphasize protective actions instead of risk messages.

  3. [The social-political-environmental and health reality of families belonging to a vulnerable community].

    Science.gov (United States)

    Marzari, Carla Kowalski; Backes, Dirce Stein; Backes, Marli Stein; Marchiori, Mara Teixeira; Souza, Martha Teixeira de; Carpes, Adriana Dornelles

    2013-01-01

    The scope of this paper is to ascertain the perception of community leadership, health professionals and users regarding citizenship status and the enhancement of the healthcare conditions of families belonging to a vulnerable community. This is an exploratory study of a qualitative nature, guided by theory based on data. Data were collected between July and December 2009, by means of interviews with four community health leaders, a team of eight family health team professionals and twelve health users. The codification of the data resulted in the following categories: Understanding the social conditions, the political conditions, the environmental conditions and the health conditions of families in a vulnerable community. The conclusions reached were, that if on the one hand the social security and health policies made it possible to reduce poverty and local inequalities, on the other hand they do not ensure the requisite enhancement of citizenship or even the improvement of health conditions.

  4. Vulnerable participants in health research: methodological and ethical challenges

    DEFF Research Database (Denmark)

    Nordentoft, Helle Merete; Kappel, Nanna

    2011-01-01

    , leaving both professionals and researchers in ethical and moral dilemmas. In this article, we specifically focus on the methodological challenges of obtaining informed consent from drug users and terminally ill cancer patients in our PhD research. The question is how to illuminate the needs and problems......Ethical guidelines for conducting research are embedded in the Helsinki Declaration of 1964. We contend that these abstract and intentionally universal guidelines need to be appropriated for social and healthcare research, in which purpose and methods often deviate from medical research....... The guidelines appear to be instrumental and over-simplistic representations of the often ‘messy’ realities surrounding the research process that is often guided by relational and local negotiations of ethical solutions. Vulnerable participants, for instance, challenge both professional and research ethics...

  5. Vulnerable participants in health research: methodological and ethical challenges

    DEFF Research Database (Denmark)

    Nordentoft, Helle Merete; Kappel, Nanna

    2011-01-01

    . The guidelines appear to be instrumental and over-simplistic representations of the often ‘messy’ realities surrounding the research process that is often guided by relational and local negotiations of ethical solutions. Vulnerable participants, for instance, challenge both professional and research ethics......, leaving both professionals and researchers in ethical and moral dilemmas. In this article, we specifically focus on the methodological challenges of obtaining informed consent from drug users and terminally ill cancer patients in our PhD research. The question is how to illuminate the needs and problems......Ethical guidelines for conducting research are embedded in the Helsinki Declaration of 1964. We contend that these abstract and intentionally universal guidelines need to be appropriated for social and healthcare research, in which purpose and methods often deviate from medical research...

  6. Migrant health in French Guiana: Are undocumented immigrants more vulnerable?

    Directory of Open Access Journals (Sweden)

    Jolivet Anne

    2012-01-01

    Full Text Available Abstract Background Few data exist on the health status of the immigrant population in French Guiana. The main objective of this article was to identify differences in its health status in relation to that of the native-born population. Methods A representative, population-based, cross-sectional survey was conducted in 2009 among 1027 adults living in Cayenne and St-Laurent du Maroni. Health status was assessed in terms of self-perceived health, chronic diseases and functional limitations. The migration variables were immigration status, the duration of residence in French Guiana and the country of birth. Logistic regression models were conducted. Results Immigrants account for 40.5% and 57.8% of the adult population of Cayenne and St-Laurent du Maroni, respectively. Most of them (60.7% and 77.5%, respectively had been living in French Guiana for more than 10 years. A large proportion were still undocumented or had a precarious legal status. The undocumented immigrants reported the worst health status (OR = 3.18 [1.21-7.84] for self-perceived health, OR = 2.79 [1.22-6.34] for a chronic disease, and OR = 2.17 [1.00-4.70] for a functional limitation. These differences are partially explained by socioeconomic status and psychosocial factors. The country of birth and the duration of residence also had an impact on health indicators. Conclusion Data on immigrant health are scarce in France, and more generally, immigrant health problems have been largely ignored in public health policies. Immigrant health status is of crucial interest to health policy planners, and it is especially relevant in French Guiana, considering the size of the foreign-born population in that region.

  7. The spatial distribution of vulnerability to the health impacts of flooding in the Mekong Delta, Vietnam

    Science.gov (United States)

    Phung, Dung; Rutherford, Shannon; Dwirahmadi, Febi; Chu, Cordia; Do, Cuong Manh; Nguyen, Thuy; Duong, Nam Chi

    2016-06-01

    Flooding causes significant public health issues. The Mekong Delta has been considered the region to be the most vulnerable to flooding in Vietnam. This study assessed the spatial vulnerability of the health impacts of flooding in the Mekong Delta region, Vietnam. This study applied a vulnerability assessment framework which was computed as the function of three dimensions: exposure, sensitivity, and adaptive capacity. The indicators for each dimension were derived from the relevant literature, consultations with experts, and data availability. An analytic hierarchy process (AHP) and a principal component analysis (PCA) were used to determine the weight of indicators. Vulnerability indexes (VIs) were then computed for each province. A total of 29 indicators (sensitivity index, 14; adaptive capacity index, 13; and exposure index, 2) were employed to evaluate the vulnerability to the health impacts of flooding at a provincial level. The results of AHP revealed that the highest VIs were found in the Dong Thap and An Giang provinces (VI, 1.948 and 1.574, respectively). VIs were distributed with higher indexes in upstream provinces close to a river than in coastal provinces. PCA generated three components from the 29 indicators, and the VIs computed from the PCA method are in substantial agreement with the AHP method (ICC = 0.71, p Vietnam. Individual plans for health preparedness and adaption to flooding should be developed for each province in the Mekong Delta region.

  8. Vulnerability assessment of urban ecosystems driven by water resources, human health and atmospheric environment

    Science.gov (United States)

    Shen, Jing; Lu, Hongwei; Zhang, Yang; Song, Xinshuang; He, Li

    2016-05-01

    As ecosystem management is a hotspot and urgent topic with increasing population growth and resource depletion. This paper develops an urban ecosystem vulnerability assessment method representing a new vulnerability paradigm for decision makers and environmental managers, as it's an early warning system to identify and prioritize the undesirable environmental changes in terms of natural, human, economic and social elements. The whole idea is to decompose a complex problem into sub-problem, and analyze each sub-problem, and then aggregate all sub-problems to solve this problem. This method integrates spatial context of Geographic Information System (GIS) tool, multi-criteria decision analysis (MCDA) method, ordered weighted averaging (OWA) operators, and socio-economic elements. Decision makers can find out relevant urban ecosystem vulnerability assessment results with different vulnerable attitude. To test the potential of the vulnerability methodology, it has been applied to a case study area in Beijing, China, where it proved to be reliable and consistent with the Beijing City Master Plan. The results of urban ecosystem vulnerability assessment can support decision makers in evaluating the necessary of taking specific measures to preserve the quality of human health and environmental stressors for a city or multiple cities, with identifying the implications and consequences of their decisions.

  9. Economic vulnerability to health shocks and coping strategies: evidence from Andhra Pradesh, India.

    Science.gov (United States)

    Dhanaraj, Sowmya

    2016-07-01

    Empirical research has shown that households in developing countries are unable to sustain current levels of consumption during and after severe health crises due to substantial increase in medical expenditure and/or loss of income. Health events are also found to have an adverse impact on nutritional status and educational attainment of household members. Thus, in this study, we investigate: who are vulnerable to welfare loss from health shocks, what are the household responses to cope with the economic burden of health shocks and if policy responses like state health insurance schemes are effective in reducing the economic vulnerability. We use self-reported measures of health shocks and coping strategies from the longitudinal survey of the ongoing Young Lives project in India [Andhra Pradesh (AP)] to identify the characteristics of vulnerable groups and perform three-level random intercept logistic regression that takes into account contextual or environmental factors. What emerges is socioeconomic status of household (determined by education, wealth, occupation and caste/religious group) and its demographic characteristics like gender of the household head and proportion of elderly and disabled members matter for outcomes related to health events. Households adopt different strategies to cope with the economic costs of ill-health; borrowing is the most widely used strategy. For credit, majority of households rely on informal sources (moneylenders, friends, relatives, etc.) and have little or no access to formal sources. However, health shock to main breadwinner leads to households adopting costly strategies like reducing consumption or sending children to work. We found no evidence that the state health insurance scheme reduced the household welfare loss from health shocks and their coping strategies. The results suggest that health insurance schemes have to be complemented with access to micro-credit and social security schemes for self-employed persons

  10. A heat vulnerability index to improve urban public health management in San Juan, Puerto Rico

    Science.gov (United States)

    Méndez-Lázaro, Pablo; Muller-Karger, Frank E.; Otis, Daniel; McCarthy, Matthew J.; Rodríguez, Ernesto

    2017-02-01

    Increased frequency and length of high heat episodes are leading to more cardiovascular issues and asthmatic responses among the population of San Juan, the capital of the island of Puerto Rico, USA. An urban heat island effect, which leads to foci of higher temperatures in some urban areas, can raise heat-related mortality. The objective of this research is to map the risk of high temperature in particular locations by creating heat maps of the city of San Juan. The heat vulnerability index (HVI) maps were developed using images collected by satellite-based remote sensing combined with census data. Land surface temperature was assessed using images from the Thermal Infrared Sensor flown on Landsat 8. Social determinants (e.g., age, unemployment, education and social isolation, and health insurance coverage) were analyzed by census tract. The data were examined in the context of land cover maps generated using products from the Puerto Rico Terrestrial Gap Analysis Project (USDA Forest Service). All variables were set in order to transform the indicators expressed in different units into indices between 0 and 1, and the HVI was calculated as sum of score. The tract with highest index was considered to be the most vulnerable and the lowest to be the least vulnerable. Five vulnerability classes were mapped (very high, high, moderate, low, and very low). The hottest and the most vulnerable tracts corresponded to highly built areas, including the Luis Munoz International Airport, seaports, parking lots, and high-density residential areas. Several variables contributed to increased vulnerability, including higher rates of the population living alone, disabilities, advanced age, and lack of health insurance coverage. Coolest areas corresponded to vegetated landscapes and urban water bodies. The urban HVI map will be useful to health officers, emergency preparedness personnel, the National Weather Service, and San Juan residents, as it helps to prepare for and to mitigate

  11. Hardships of the Great Recession and health: Understanding varieties of vulnerability

    Directory of Open Access Journals (Sweden)

    Julie A Kirsch

    2016-05-01

    Full Text Available The Great Recession of 2007–2009 is regarded as the most severe economic downturn since World War II. This study examined relationships between reported recession hardships and physical health in a national survey of American adults (N = 1275. Furthermore, education and psychological resources (perceived control, purpose in life, and conscientiousness were tested as moderators of the health impacts of the recession. A greater number of hardships predicted poorer health, especially among the less educated. Psychological resources interacted with education and hardships to predict health outcomes. Although typically viewed as protective factors, such resources became vulnerabilities among educationally disadvantaged adults experiencing greater recession hardships.

  12. Health disparities among highly vulnerable populations in the United States: a call to action for medical and oral health care

    Directory of Open Access Journals (Sweden)

    Allison A. Vanderbilt

    2013-03-01

    Full Text Available Healthcare in the United States (US is burdened with enormous healthcare disparities associated with a variety of factors including insurance status, income, and race. Highly vulnerable populations, classified as those with complex medical problems and/or social needs, are one of the fastest growing segments within the US. Over a decade ago, the US Surgeon General publically challenged the nation to realize the importance of oral health and its relationship to general health and well-being, yet oral health disparities continue to plague the US healthcare system. Interprofessional education and teamwork has been demonstrated to improve patient outcomes and provide benefits to participating health professionals. We propose the implementation of interprofessional education and teamwork as a solution to meet the increasing oral and systemic healthcare demands of highly vulnerable US populations.

  13. Structural Vulnerability and Health: Latino Migrant Laborers in the United States

    Science.gov (United States)

    Quesada, James; Hart, Laurie K.; Bourgois, Philippe

    2011-01-01

    Latino immigrants in the United States constitute a paradigmatic case of a population group subject to structural violence. Their subordinated location in the global economy and their culturally depreciated status in the United States are exacerbated by legal persecution. Medical Anthropology Volume 30, issues 4 and 5, include a series of ethnographic analyses of the processes that render undocumented Latino immigrants structurally vulnerable to ill-health. We hope to extend the social science concept of ‘structural vulnerability’ to make it a useful tool for health care. Defined as a positionality that imposes physical/emotional suffering on specific population groups and individuals in patterned ways, structural vulnerability is a product of two complementary forces: (1) class-based economic exploitation and cultural, gender/sexual, and racialized discrimination; and (2) processes of symbolic violence and subjectivity formation that have increasingly legitimized punitive neoliberal discourses of individual unworthiness. PMID:21777121

  14. Defining Population Health Vulnerability Following an Extreme Weather Event in an Urban Pacific Island Environment: Honiara, Solomon Islands.

    Science.gov (United States)

    Natuzzi, Eileen S; Joshua, Cynthia; Shortus, Matthew; Reubin, Reginald; Dalipanda, Tenneth; Ferran, Karen; Aumua, Audrey; Brodine, Stephanie

    2016-08-03

    Extreme weather events are common and increasing in intensity in the southwestern Pacific region. Health impacts from cyclones and tropical storms cause acute injuries and infectious disease outbreaks. Defining population vulnerability to extreme weather events by examining a recent flood in Honiara, Solomon Islands, can help stakeholders and policymakers adapt development to reduce future threats. The acute and subacute health impacts following the April 2014 floods were defined using data obtained from hospitals and clinics, the Ministry of Health and in-country World Health Organization office in Honiara. Geographical information system (GIS) was used to assess morbidity and mortality, and vulnerability of the health system infrastructure and households in Honiara. The April flash floods were responsible for 21 acute deaths, 33 injuries, and a diarrhea outbreak that affected 8,584 people with 10 pediatric deaths. A GIS vulnerability assessment of the location of the health system infrastructure and households relative to rivers and the coastline identified 75% of the health infrastructure and over 29% of Honiara's population as vulnerable to future hydrological events. Honiara, Solomon Islands, is a rapidly growing, highly vulnerable urban Pacific Island environment. Evaluation of the mortality and morbidity from the April 2014 floods as well as the infectious disease outbreaks that followed allows public health specialists and policy makers to understand the health system and populations vulnerability to future shocks. Understanding the negative impacts natural disaster have on people living in urban Pacific environments will help the government as well as development partners in crafting resilient adaptation development.

  15. Mapping vulnerability to climate change and its repercussions on human health in Pakistan

    Directory of Open Access Journals (Sweden)

    Malik Sadia

    2012-09-01

    Full Text Available Abstract Background Pakistan is highly vulnerable to climate change due to its geographic location, high dependence on agriculture and water resources, low adaptive capacity of its people, and weak system of emergency preparedness. This paper is the first ever attempt to rank the agro-ecological zones in Pakistan according to their vulnerability to climate change and to identify the potential health repercussions of each manifestation of climate change in the context of Pakistan. Methods A climate change vulnerability index is constructed as an un-weighted average of three sub-indices measuring (a the ecological exposure of each region to climate change, (b sensitivity of the population to climate change and (c the adaptive capacity of the population inhabiting a particular region. The regions are ranked according to the value of this index and its components. Since health is one of the most important dimensions of human wellbeing, this paper also identifies the potential health repercussions of each manifestations of climate change and links it with the key manifestations of climate change in the context of Pakistan. Results The results indicate that Balochistan is the most vulnerable region with high sensitivity and low adaptive capacity followed by low-intensity Punjab (mostly consisting of South Punjab and Cotton/Wheat Sindh. The health risks that each of these regions face depend upon the type of threat that they face from climate change. Greater incidence of flooding, which may occur due to climate variability, poses the risk of diarrhoea and gastroenteritis; skin and eye Infections; acute respiratory infections; and malaria. Exposure to drought poses the potential health risks in the form of food insecurity and malnutrition; anaemia; night blindness; and scurvy. Increases in temperature pose health risks of heat stroke; malaria; dengue; respiratory diseases; and cardiovascular diseases. Conclusion The study concludes that geographical

  16. Health effects of coastal storms and flooding in urban areas: a review and vulnerability assessment.

    Science.gov (United States)

    Lane, Kathryn; Charles-Guzman, Kizzy; Wheeler, Katherine; Abid, Zaynah; Graber, Nathan; Matte, Thomas

    2013-01-01

    Coastal storms can take a devastating toll on the public's health. Urban areas like New York City (NYC) may be particularly at risk, given their dense population, reliance on transportation, energy infrastructure that is vulnerable to flood damage, and high-rise residential housing, which may be hard-hit by power and utility outages. Climate change will exacerbate these risks in the coming decades. Sea levels are rising due to global warming, which will intensify storm surge. These projections make preparing for the health impacts of storms even more important. We conducted a broad review of the health impacts of US coastal storms to inform climate adaptation planning efforts, with a focus on outcomes relevant to NYC and urban coastal areas, and incorporated some lessons learned from recent experience with Superstorm Sandy. Based on the literature, indicators of health vulnerability were selected and mapped within NYC neighborhoods. Preparing for the broad range of anticipated effects of coastal storms and floods may help reduce the public health burden from these events.

  17. Health Effects of Coastal Storms and Flooding in Urban Areas: A Review and Vulnerability Assessment

    Directory of Open Access Journals (Sweden)

    Kathryn Lane

    2013-01-01

    Full Text Available Coastal storms can take a devastating toll on the public's health. Urban areas like New York City (NYC may be particularly at risk, given their dense population, reliance on transportation, energy infrastructure that is vulnerable to flood damage, and high-rise residential housing, which may be hard-hit by power and utility outages. Climate change will exacerbate these risks in the coming decades. Sea levels are rising due to global warming, which will intensify storm surge. These projections make preparing for the health impacts of storms even more important. We conducted a broad review of the health impacts of US coastal storms to inform climate adaptation planning efforts, with a focus on outcomes relevant to NYC and urban coastal areas, and incorporated some lessons learned from recent experience with Superstorm Sandy. Based on the literature, indicators of health vulnerability were selected and mapped within NYC neighborhoods. Preparing for the broad range of anticipated effects of coastal storms and floods may help reduce the public health burden from these events.

  18. Neighborhood Environments: Links to Health Behaviors and Obesity Status in Vulnerable Children.

    Science.gov (United States)

    Choo, Jina; Kim, Hye-Jin; Park, Sooyeon

    2016-10-16

    This study aimed to identify the actual and perceived features of neighborhood environments linked to health behaviors and obesity status in vulnerable children by using geographic information systems, walking surveys, and focus group interviews. The participants were 126 children registered at community child centers and 10 mothers of study participants. Increased availability of fast food outlets and convenience stores was significantly and positively associated with fast food and sugar-sweetened beverage consumption and inversely with physical activity. Reduced availability of physical activity outlets was significantly and positively associated with sedentary behaviors. Mothers' perceptions of their neighborhoods fell into three content categories: (a) changed to be unfriendly for children, (b) adapted to fast food and convenience eating, and (c) confined to physically inactive living. Based on these findings, community-level environmental strategies for reducing unhealthy behaviors linked to neighborhood environments should be prioritized to prevent childhood obesity in vulnerable populations.

  19. Sexuality, vulnerability to HIV, and mental health: an ethnographic study of psychiatric institutions.

    Science.gov (United States)

    Pinto, Diana de Souza; Mann, Claudio Gruber; Wainberg, Milton; Mattos, Paulo; Oliveira, Suely Broxado de

    2007-09-01

    This paper presents data from the ethnographic based formative phase of the Interdisciplinary Project on Sexuality, Mental Health, and AIDS (PRISSMA), sponsored by the National Institute of Mental Health (NIMH) and carried out in two psychiatric institutions in the city of Rio de Janeiro, Brazil. Results from ethnographic observations, focus groups, and key informant interviews with different groups of mental health care providers and day hospital and outpatient mental health clients regarding conceptions of sexuality and HIV vulnerability are described. The results suggest a diversity of notions about sexuality by both groups and point out the high HIV sexual risk in this psychiatric population. This formative phase has served as the basis for the cultural adaptation and creation of a Brazilian intervention for HIV prevention in the severely mentally ill, the feasibility of which has been successfully evaluated in the pilot phase.

  20. Social protection systems in vulnerable families: their importance for the public health.

    Science.gov (United States)

    Arcos, Estela; Sanchez, Ximena; Toffoletto, Maria Cecilia; Baeza, Margarita; Gazmuri, Patricia; Muñoz, Luz Angélica; Vollrath, Antonia

    2014-06-01

    OBJECTIVE To analyze the effectiveness of the Chilean System of Childhood Welfare in transferring benefits to socially vulnerable families. METHODS A cross-sectional study with a sample of 132 families from the Metropolitan Region, Chile, stratified according to degree of social vulnerability, between September 2011 and January 2012. Semi-structured interviews were conducted with mothers of the studied families in public health facilities or their households. The variables studied were family structure, psychosocial risk in the family context and integrated benefits from the welfare system in families that fulfill the necessary requirements for transfer of benefits. Descriptive statistics to measure location and dispersion were calculated. A binary logistic regression, which accounts for the sample size of the study, was carried out. RESULTS The groups were homogenous regarding family size, the presence of biological father in the household, the number of relatives living in the same dwelling, income generation capacity and the rate of dependency and psychosocial risk (p ≥ 0.05). The transfer of benefits was low in all three groups of the sample (≤ 23.0%). The benefit with the best coverage in the system was the Single Family Subsidy, whose transfer was associated with the size of the family, the presence of relatives in the dwelling, the absence of the father in the household, a high rate of dependency and a high income generation capacity (p ≤ 0.10). CONCLUSIONS The effectiveness of benefit transfer was poor, especially in families that were extremely socially vulnerable. Further explanatory studies of benefit transfers to the vulnerable population, of differing intensity and duration, are required in order to reduce health disparities and inequalities.

  1. Social protection systems in vulnerable families: their importance for the public health

    Science.gov (United States)

    Arcos, Estela; Sanchez, Ximena; Toffoletto, Maria Cecilia; Baeza, Margarita; Gazmuri, Patricia; Muñoz, Luz Angélica; Vollrath, Antonia

    2014-01-01

    OBJECTIVE To analyze the effectiveness of the Chilean System of Childhood Welfare in transferring benefits to socially vulnerable families. METHODS A cross-sectional study with a sample of 132 families from the Metropolitan Region, Chile, stratified according to degree of social vulnerability, between September 2011 and January 2012. Semi-structured interviews were conducted with mothers of the studied families in public health facilities or their households. The variables studied were family structure, psychosocial risk in the family context and integrated benefits from the welfare system in families that fulfill the necessary requirements for transfer of benefits. Descriptive statistics to measure location and dispersion were calculated. A binary logistic regression, which accounts for the sample size of the study, was carried out. RESULTS The groups were homogenous regarding family size, the presence of biological father in the household, the number of relatives living in the same dwelling, income generation capacity and the rate of dependency and psychosocial risk (p ≥ 0.05). The transfer of benefits was low in all three groups of the sample (≤ 23.0%). The benefit with the best coverage in the system was the Single Family Subsidy, whose transfer was associated with the size of the family, the presence of relatives in the dwelling, the absence of the father in the household, a high rate of dependency and a high income generation capacity (p ≤ 0.10). CONCLUSIONS The effectiveness of benefit transfer was poor, especially in families that were extremely socially vulnerable. Further explanatory studies of benefit transfers to the vulnerable population, of differing intensity and duration, are required in order to reduce health disparities and inequalities. PMID:25119935

  2. Beyond police crisis intervention: moving "upstream" to manage cases and places of behavioral health vulnerability.

    Science.gov (United States)

    Wood, Jennifer D; Beierschmitt, Laura

    2014-01-01

    Law enforcement officers continue to serve on the front lines as mental health interventionists, and as such have been subject to a wave of "first generation" reform designed to enhance their crisis response capabilities. Yet, this focus on crisis intervention has not answered recent calls to move "upstream" and bolster early intervention in the name of long-term recovery. This paper reports on findings from an action research project in Philadelphia aimed at exploring opportunities for enhanced upstream engagement. Study methods include spatial analyses of police mental health transportations from an eight year period (2004-2011) and qualitative data from twenty-three "framing conversations" with partners and other stakeholders, seven focus groups with police and outreach workers, five key informant interviews as well as document reviews of the service delivery system in Philadelphia. Recommendations include the need to move beyond a focus on what police can do to a wider conception of city agencies and business stakeholders who can influence vulnerable people and vulnerable spaces of the city. We argue for the need to develop shared principles and rules of engagement that clarify roles and stipulate how best to enlist city resources in a range of circumstances. Since issues of mental health, substance use and disorder are so tightly coupled, we stress the importance of establishing a data-driven approach to crime and disorder reduction in areas of the city we term "hotspots of vulnerability". In line with a recovery philosophy, such an approach should reduce opportunities for anti-social behavior among the "dually labeled" in ways consistent with "procedural justice". Furthermore, crime and disorder data flowing from police and security to behavioral health analysts could contribute to a more focused case management of "repeat utilizers" across the two systems. Our central argument is that a twin emphasis on "case management" and "place management" may provide

  3. Farmer Health and Adaptive Capacity in the Face of Climate Change and Variability. Part 1: Health as a Contributor to Adaptive Capacity and as an Outcome from Pressures Coping with Climate Related Adversities

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    Anne Parkinson

    2011-10-01

    Full Text Available This paper examines the role farmers’ health plays as an element of adaptive capacity. The study examines which of twenty aspects of adaptation may be related to overall health outcomes, controlling for demographic and on-farm-factors in health problems. The analysis is based on 3,993 farmers’ responses to a national survey of climate risk and adaptation. Hierarchical linear regression modelling was used examine the extent to which, in a multivariate analysis, the use of adaptive practices was predictively associated with self-assessed health, taking into account the farmer’s rating of whether their health was a barrier to undertaking farm work. We present two models, one excluding pre-existing health (model 1 and one including pre-existing health (model 2. The first model accounted for 21% of the variance. In this model better health was most strongly predicted by an absence of on-farm risk, greater financial viability, greater debt pressures, younger age and a desire to continue farming. Social capital (trust and reciprocity was moderately associated with health as was the intention to adopt more sustainable practices. The second model (including the farmers’ health as a barrier to undertaking farm work accounted for 43% of the variance. Better health outcomes were most strongly explained, in order of magnitude, by the absence of pre-existing health problems, greater access to social support, greater financial viability, greater debt pressures, a desire to continue farming and the condition of on-farm resources. Model 2 was a more parsimonious model (only nine predictors, compared with 15 in model 1, and explained twice as much variance in health outcomes. These results suggest that (i pre-existing health problems are a very important factor to consider when designing adaptation programs and policies and (ii these problems may mediate or modify the relationship between adaptation and health.

  4. The Effects of a School-Based Psychosocial Intervention on Resilience and Health Outcomes among Vulnerable Children

    Science.gov (United States)

    Olowokere, A. E.; Okanlawon, F. A.

    2014-01-01

    Responding to the psychosocial health needs of the vulnerable population has been considered as a significant public health issue that must be addressed through access to public health professionals. The study adopted a quasi-experimental design to evaluate the impact of a training program on nurses and teachers' knowledge of psychosocial health…

  5. Vulnerable populations in terms of health care and their right to decent work

    Directory of Open Access Journals (Sweden)

    Stojković-Zlatanović Sanja

    2016-01-01

    Full Text Available Vulnerability may arise from individual characteristics of individuals or social groups, employment conditions or as a result of difficulties in exercising fundamental social human rights. Principle of equity in terms of labor and employment as well as equity in health are closely linked and represented in a concept of decent work for all, promoted by the International Labor Organization. The concept of decent work aims to improve work conditions for the marginalized and vulnerable workers, where the notions “vulnerable” and “marginalized” represent people on the periphery of formal, standard employment, people working in an environment where the risk of being denied employment rights is high and also those who do not have the capacity to protect themselves from the abuse. The labor status of social groups whose personal characteristics, i.e. health characteristics, make them vulnerable in terms of work conditions and labor rights has been analyzed. In international, comparative and Serbian law, workers with disabilities are already protected by the special law provisions of professional rehabilitation and employment of people with disabilities. On the contrary, the status of workers who are not considered as people with disabilities but who are faced with some health problems are not recognized in the labor legislation and protected by the law. People with health problems may be those who are chronically ill i.e. people in a remission of a disease. Considering the current demographic process of population aging, an increase of elderly in economically active population/labor force could be expected, which also means the increase of chronically ill workers. This fact, argue in favor of regulation the labor status of people with health problems. Furthermore, according to the World Health Organization, health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, where the third

  6. Global health and local poverty: rich countries' responses to vulnerable populations.

    Science.gov (United States)

    Simms, Chris D; Persaud, D David

    2009-01-01

    Poverty is an important determinant of ill health, mortality and suffering across the globe. This commentary asks what we can learn about poverty by looking at the way rich countries respond to the needs of vulnerable populations both within their own societies and those of low-income countries. Taking advantage of recent efforts to redefine child poverty in a way that is consistent with the World Health Organization's Commission on Social Determinants of Health, three sets of data are reviewed: levels of child well-being within 23 Organization of Economic Community Development countries; the amount of official development assistance these countries disburse to poor countries; and, government social transfers targeted at families as a percentage of GDP. Analysis shows that countries in Northern Europe tend to have lower levels of child poverty, and are the most generous with social transfers and providing development assistance to poor countries; in contrast, the non-European countries like Australia, Canada, Japan, and the United States, and generally, the G7 countries, are the least generous towards the vulnerable at home and abroad and tend to have the highest levels of child poverty. The findings suggest that nations' responses tend to be ideologically based rather than evidence or needs based and that poverty is neither inevitable nor intractable.

  7. Asset ownership among households caring for orphans and vulnerable children in rural Zimbabwe: the influence of ownership on children's health and social vulnerabilities.

    Science.gov (United States)

    Crea, Thomas M; Lombe, Margaret; Robertson, Laura A; Dumba, Lovemore; Mushati, Phyllis; Makoni, J C; Mavise, Gideon; Eaton, Jeffrey W; Munatsi, Brighton; Nyamukapa, Constance A; Gregson, Simon

    2013-01-01

    The high prevalence of human immunodeficiency virus/acquired immune deficiency syndrome in sub-Saharan Africa has resulted in a dramatic increase in orphans and vulnerable children (OVC) over the past decade. These children typically rely on extended family networks for support, but the magnitude of the crisis has resulted in traditional familial networks becoming overwhelmed and more economically and socially vulnerable. Previous research consistently demonstrates the positive influence of household asset ownership on children's well-being. Using data from impoverished households caring for OVC in rural Manicaland Province, Zimbabwe, this study explores the influence of household asset ownership on OVC health vulnerability (HV) and social vulnerability (SV). Findings indicate that asset ownership is associated with significantly lower SV, in terms of school attendance and birth registration. Yet, assets do not emerge as a direct influence of OVC HV as measured by disease and chronic illness, although having a chronically ill adult in the household increases HV. These findings suggest that asset ownership, specifically a combination of fixed and movable assets, may offset the influence of other risk factors for children's SV.

  8. The vulnerability of being ill informed: the Trans-Pacific Partnership Agreement and Global Public Health.

    Science.gov (United States)

    Greenberg, Henry; Shiau, Stephanie

    2014-09-01

    The Trans Pacific Partnership Agreement (TPPA) is a regional trade agreement currently being negotiated by 11 Pacific Rim countries, excluding China. While the negotiations are being conducted under a veil of secrecy, substantive leaks over the past 4 years have revealed a broad view of the proposed contents. As it stands the TPPA poses serious risks to global public health, particularly chronic, non-communicable diseases. At greatest risk are national tobacco regulations, regulations governing the emergence of generic drugs and controls over food imports by transnational corporations. Aside from a small group of public health professionals from Australia, the academic public health community has missed these threats to the global community, although many other health-related entities, international lawyers and health-conscious politicians have voiced serious concerns. As of mid-2014 there has been no comment in the leading public health journals. This large lacuna in interest or recognition reflects the larger problem that the public health education community has all but ignored global non-communicable diseases. Without such a focus, the risks are unseen and the threats not perceived. This cautionary tale of the TPPA reflects the vulnerability of being ill informed of contemporary realities.

  9. Vulnerability, Resiliency, and Adaptation: The Health of Latin Americans during the Migration Process to the United States”*

    Science.gov (United States)

    Riosmena, Fernando; Jochem, Warren C.

    2013-01-01

    In this paper, we offer a general outlook of the health of Latin Americans (with a special emphasis on Mexicans) during the different stages of the migration process to the U.S. given the usefulness of the social vulnerability concept and given that said vulnerability varies conspicuously across the different stages of the migration process. Severe migrant vulnerability during the transit and crossing has serious negative health consequences. Yet, upon their arrival to the U.S., migrant health is favorable in outcomes such as mortality by many causes of death and in several chronic conditions and risk factors, though these apparent advantages seem to disappear during the process of adaptation to the host society. We discuss potential explanations for the initial health advantage and the sources of vulnerability that explain its erosion, with special emphasis in systematic timely access to health care. Given that migration can affect social vulnerability processes in sending areas, we discuss the potential health consequences for these places and conclude by considering the immigration and health policy implications of these issues for the United States and sending countries, with emphasis on Mexico. PMID:24660053

  10. Information Specificity Vulnerability: Comparison of Medication Information Flows in Different Health Care Units

    Science.gov (United States)

    Aarnio, Eeva; Raitoharju, Reetta

    Information on patient's medication is often vital especially when patient's condition is critical. However, the information does not yet move freely between different health care units and organizations. Before reaching the point of putting into practice any system that makes the inter-organizational medication information transmission possible, some prerequisites and characteristics of the information in different user organization should be defined. There are for instance units with different level of urgency and data/information intensity (e.g. emergency department vs. medical floor). The higher the urgency level, the more vulnerable the medication information flow is to different discontinuation situations. As a conceptual framework, a scoring system based on the asset specificity in the transaction cost theory and previous literacy on information flows of different health care units is created to define the vulnerability of the information flows. As there is a national medication database under planning, the scoring system could be used to assess the prerequisites for the medication database in Finland.

  11. [Vulnerability and health problems while traveling: the viewpoint of the tourist in the city of Rio de Janeiro].

    Science.gov (United States)

    Matos, Vanina; Barcellos, Christovam; Camargo, Luiz Octávio de Lima

    2013-01-01

    This article examines how a group of tourists perceives health issues related to safety, prevention and health care during their travels. Interviews were conducted with Brazilian tourists visiting the city of Rio de Janeiro, as well as local residents leaving the city on trips. The interviews were analyzed in accordance with the dimensions of vulnerability, information, prevention and health care, from which vulnerability emerged as a category of analysis. The reports of the trajectory of the tourists made it possible to identify problems and opportunities that could be used by the health sector for actions of prevention and promotion. The means of transport determines the trajectory of tourists and their security alternatives. Traveling in groups and visiting tourist attractions are seen as protective factors, which reinforces the role of information and social support networks as resources used by tourists in the absence of specific policies geared to this highly mobile and vulnerable population group.

  12. Determinants of the lethality of climate-related disasters in the Caribbean Community (CARICOM): a cross-country analysis.

    Science.gov (United States)

    Andrewin, Aisha N; Rodriguez-Llanes, Jose M; Guha-Sapir, Debarati

    2015-07-08

    Floods and storms are climate-related hazards posing high mortality risk to Caribbean Community (CARICOM) nations. However risk factors for their lethality remain untested. We conducted an ecological study investigating risk factors for flood and storm lethality in CARICOM nations for the period 1980-2012. Lethality--deaths versus no deaths per disaster event- was the outcome. We examined biophysical and social vulnerability proxies and a decadal effect as predictors. We developed our regression model via multivariate analysis using a generalized logistic regression model with quasi-binomial distribution; removal of multi-collinear variables and backward elimination. Robustness was checked through subset analysis. We found significant positive associations between lethality, percentage of total land dedicated to agriculture (odds ratio [OR] 1.032; 95% CI: 1.013-1.053) and percentage urban population (OR 1.029, 95% CI 1.003-1.057). Deaths were more likely in the 2000-2012 period versus 1980-1989 (OR 3.708, 95% CI 1.615-8.737). Robustness checks revealed similar coefficients and directions of association. Population health in CARICOM nations is being increasingly impacted by climate-related disasters connected to increasing urbanization and land use patterns. Our findings support the evidence base for setting sustainable development goals (SDG).

  13. Improving public health by respecting autonomy: using social science research to enfranchise vulnerable prison populations.

    Science.gov (United States)

    Shaw, David; Elger, Bernice

    2015-05-01

    It is widely recognised that prisoners constitute a vulnerable population that is subject to numerous health inequalities and merits special protection. Improving prisoners' access to healthcare by ensuring adherence to the principle of equivalence has been the main focus of efforts to ensure that their health is not jeopardised. However, another means of respecting prisoners' autonomy and improving their health is to involve them (and prison staff) in social science research within prisons. Such research not only produces valuable data which can be used to assess whether the principle of equivalence is being respected; it also enfranchises prisoners by allowing them to air concerns about perceived ill-treatment and influence their environment. If prison authorities enable such research and adjust policy accordingly, both they and prisoners will benefit from the increased level of respect for prisoners' autonomy, and the improvements in individual and public health that flow from this. Conducting social science research in prisons enables the creation of a virtuous cycle of respect that makes prisons safer and healthier places.

  14. Prioritizing health: a human rights analysis of disaster, vulnerability, and urbanization in New Orleans and Port-au-Prince.

    Science.gov (United States)

    Carmalt, Jean

    2014-06-14

    Climate change prompts increased urbanization and vulnerability to natural hazards. Urbanization processes are relevant to a right to health analysis of natural hazards because they can exacerbate pre-disaster inequalities that create vulnerability. The 2010 earthquake in Port-au-Prince and the 2005 hurricane in New Orleans provide vivid illustrations of the relationship between spatial inequality and the threats associated with natural hazards. The link between urbanization processes, spatial inequality, and vulnerability to natural hazards is important in terms of an analysis of the right to health; in particular, it provides a basis for arguing that states should prioritize equitable land use and development as a matter of human rights. This article draws on work by geographers, disaster specialists, and international legal scholars to argue that inequitable urbanization processes violate the obligations to respect, protect, and fulfill the human right to health in disaster-prone regions.

  15. Climate change and health vulnerability in informal urban settlements in the Ethiopian Rift Valley

    Science.gov (United States)

    Bambrick, Hilary; Moncada, Stefano; Briguglio, Marie

    2015-05-01

    Climate change in Ethiopia is occurring against a backdrop of rapid population growth and urbanization, entrenched poverty and a heavy burden of disease, and there is little information on specific health risks with which to approach adaptation planning and strengthen adaptive capacity. Using detailed household surveys (400 households, 1660 individuals, 100% participation) and focus groups in two informal urban communities in the Southern city of Shashemene, we identified locally relevant hazards and found that climate change is likely to intensify existing problems associated with poverty. We also showed that despite their proximity (situated only 1 km apart) the two communities differ in key characteristics that may affect climate change vulnerability and require nuanced approaches to adaptation. Detailed, community-level research is therefore necessary, especially where other sources of data are lacking, to ensure that adaptation activities in the world’s poorest communities address relevant risks.

  16. Mental health status of vulnerable tsunami-affected communities: a survey in Aceh Province, Indonesia.

    Science.gov (United States)

    Souza, Renato; Bernatsky, Sasha; Reyes, Rosalie; de Jong, Kaz

    2007-06-01

    The authors determined the prevalence of severe emotional distress and depressive symptoms using the Hopkins Symptoms Checklist-25 (HSCL; Derogatis, Lipman, Rickels, Uhlenhuth, & Covi, 1974) in tsunami-affected communities that had experienced armed conflict arising from the ongoing independence movement in Aceh Province, Indonesia. We also evaluated determinants of severe emotional distress. The data were collected for the purposes of a mental health assessment. In our sample (N = 262), 83.6% demonstrated severe emotional distress, and 77.1% demonstrated depressive symptoms. In multivariate regression models, severe emotional distress was positively associated with the number of tsunami-related deaths among household members. Our data suggests a need for effective interventions in this vulnerable population.

  17. An approach for assessing human health vulnerability and public health interventions to adapt to climate change.

    Science.gov (United States)

    Ebi, Kristie L; Kovats, R Sari; Menne, Bettina

    2006-12-01

    Assessments of the potential human health impacts of climate change are needed to inform the development of adaptation strategies, policies, and measures to lessen projected adverse impacts. We developed methods for country-level assessments to help policy makers make evidence-based decisions to increase resilience to current and future climates, and to provide information for national communications to the United Nations Framework Convention on Climate Change. The steps in an assessment should include the following: a) determine the scope of the assessment; b) describe the current distribution and burden of climate-sensitive health determinants and outcomes; c) identify and describe current strategies, policies, and measures designed to reduce the burden of climate-sensitive health determinants and outcomes; d) review the health implications of the potential impacts of climate variability and change in other sectors; e) estimate the future potential health impacts using scenarios of future changes in climate, socioeconomic, and other factors; f) synthesize the results; and g) identify additional adaptation policies and measures to reduce potential negative health impacts. Key issues for ensuring that an assessment is informative, timely, and useful include stakeholder involvement, an adequate management structure, and a communication strategy.

  18. Vulnerability of eco-environmental health to climate change: the views of government stakeholders and other specialists in Queensland, Australia

    Directory of Open Access Journals (Sweden)

    McRae David

    2010-07-01

    Full Text Available Abstract Background There is overwhelming scientific evidence that human activities have changed and will continue to change the climate of the Earth. Eco-environmental health, which refers to the interdependencies between ecological systems and population health and well-being, is likely to be significantly influenced by climate change. The aim of this study was to examine perceptions from government stakeholders and other relevant specialists about the threat of climate change, their capacity to deal with it, and how to develop and implement a framework for assessing vulnerability of eco-environmental health to climate change. Methods Two focus groups were conducted in Brisbane, Australia with representatives from relevant government agencies, non-governmental organisations, and the industry sector (n = 15 involved in the discussions. The participants were specialists on climate change and public health from governmental agencies, industry, and non-governmental organisations in South-East Queensland. Results The specialists perceived climate change to be a threat to eco-environmental health and had substantial knowledge about possible implications and impacts. A range of different methods for assessing vulnerability were suggested by the participants and the complexity of assessment when dealing with multiple hazards was acknowledged. Identified factors influencing vulnerability were perceived to be of a social, physical and/or economic nature. They included population growth, the ageing population with associated declines in general health and changes in the vulnerability of particular geographical areas due to for example, increased coastal development, and financial stress. Education, inter-sectoral collaboration, emergency management (e.g. development of early warning systems, and social networks were all emphasised as a basis for adapting to climate change. To develop a framework, different approaches were discussed for assessing eco

  19. Group-Based Intervention to Improve Socio-Emotional Health in Vulnerable Children

    Directory of Open Access Journals (Sweden)

    Tony Cassidy

    2014-12-01

    Full Text Available Internalizing and externalizing problems present as difficulties in socio-emotional competence and predispose to a wide range of mental and physical health outcomes. This study examines the efficacy of an intervention (Pyramid Plus in strengthening children’s socio-emotional competencies. Participants (294 11 year old children attending schools in Northern Ireland were screened for socio-emotional difficulties using the Strengths and Difficulties Questionnaire (SDQ and before being allocated to attend a Pyramid Club intervention (n = 162, and a waiting list control (n = 122. A 3 × 2 mixed-model design was used: group (intervention group vs. waiting list control × 3 time points (pre- vs. post-intervention vs. 12 weeks follow up to investigate the impact of the Pyramid Plus intervention. Teachers and children completed the SDQ-11-16 years, and children completed the TEIQue-CSF ant all 3 times. SDQ total difficult, internalizing and externalizing scores were reduced significantly, and prosocial and emotional intelligence scores were increased significantly compared to waiting list controls post intervention and at follow up. The Pyramid Plus intervention improves the socio-emotional health of vulnerable children through promoting positive outcomes as well as reducing socio- emotional deficits.

  20. 'Check it out!' Decision-making of vulnerable groups about participation in a two-stage cardiometabolic health check: a qualitative study

    NARCIS (Netherlands)

    Groenenberg, I.; Crone, M.R.; Dijk, S. van; Gebhardt, W.A.; Meftah, J. Ben; Middelkoop, B.J.C.; Stiggelbout, A.M.; Assendelft, W.J.

    2015-01-01

    OBJECTIVE: Exploring determinants influencing vulnerable groups regarding (non-) participation in the Dutch two-stage cardiometabolic health check, comprising a health risk assessment (HRA) and prevention consultations (PCs) for high-risk individuals. METHODS: Qualitative study comprising 21 focus g

  1. Vulnerable Genders, Vulnerable Loves

    DEFF Research Database (Denmark)

    Schleicher, Marianne

    2015-01-01

    on gathering knowledge and its often unpremeditated effect of recognition and inclusion, and Judith Butler on cultural intelligibility and subversion from within. With these theories as a departing point for the analysis, the chapter links the vulnerability of complex identities with the vulnerability...... in the 20th and 21st century, including Judith Butler, who consider human vulnerability an ideal platform for co-existence. Given Butler’s own point that subversion has to come from within, a culture cannot acknowledge the vulnerability of others, if these others constitute a threat. Instead, and based...

  2. A Comparative Study on Physical Vulnerability of Urban Area against Natural Hazards: Importance of Health Promoting Approach in Civil Engineering

    Directory of Open Access Journals (Sweden)

    Mohsen Ahadnezhad Reveshty

    2014-07-01

    Full Text Available Background: Estimation of urban vulnerability to earthquakes can be considered as an Ill-structured problem in urban in both unplanned and planned ar-eas. Multi-criteria evaluation (MCE provides a way to integrate different spatial data layers in a geographic information system to create composite maps representing risk. We utilized MCE in a raster Geographic Information System (GIS to evaluate risk in vulnerable tissues of Tabriz, Iran zone. Methods: In this MCE physical risk factors and sub-factors were included and were weighted by experts. Afterward data entered to GIS and then the layers of the criteria were exported. The obtained results were entered to IDRISI and fuzzified. Ultimately the final map of physical vulnerability was outputted by overlaying order. Results: Vulnerable tissues are highly consistent to non-official areas. How-ever, the planned area which is called Valiasr is in low risky condition and this condition is desirable in crisis times. Here, we observe the preference of physical pre-planning operations. Conclusion: The links between urban planning and health are many and varied. Environmental, social and economic conditions in cities can have both positive and negative influences on human health and centre. Urban planning and related professions play an important role in shaping those conditions.

  3. Community-based mental health support for orphans and vulnerable children in South Africa: A triangulation study.

    Science.gov (United States)

    Marais, Lochner; Sharp, Carla; Pappin, Michelle; Rani, Kholisa; Skinner, Donald; Lenka, Molefi; Cloete, Jan; Serekoane, Joe

    2014-01-01

    Community-based care is receiving increasing global attention as a way to support children who are orphaned or vulnerable due to the HIV/AIDS pandemic. Using both qualitative and quantitative methodology, this study assesses community-based responses to the well-being of orphans and vulnerable children (OVC) and compares these responses with the actual mental health of OVC in order to evaluate the South African government's approach of funding community-based organisations (CBOs) that support and care for OVC. The study results show that the activities of CBOs mainly extend government services and address poverty. Although this should not be seen as insignificant, the paper argues that CBOs give very little attention to the mental health of OVC.

  4. Structural Vulnerability among Migrating Women and Children Fleeing Central America and Mexico:The Public Health Impact of Humanitarian Parole

    Directory of Open Access Journals (Sweden)

    Elizabeth Salerno Valdez

    2015-06-01

    Full Text Available Since October 2013, US Customs and Border Patrol (USCBP has apprehended 15,979 families on the Southwest Border of the United States. Daily, migrating women and children from Mexico and Central America that qualify for humanitarian parole are released from immigration detention to a humanitarian aid organization in Southern Arizona. After several days in detention facilities, these families arrive tired, hungry, dehydrated, and with minimal direction regarding their final destination, and adherence to the parameters of their parole. Project Helping Hands (PHH utilizes a network of volunteers to provide the women and children with food, water, clothing, hygiene products, hospitality, and legal orientation. The aim of this assessment was to document the experiences of families granted humanitarian parole through the lens of structural vulnerability. Here we apply qualitative methods to elicit PHH lead volunteer perspectives regarding the migration experience of migrating families. Using inductive analysis, we found six major themes emerged from the qualitative data: reasons for leaving, experience on the journey, dehumanization in detention, family separation, vulnerability, and resiliency.These findings elucidate the different physical and psychological distresses that migrating families from Mexico and Central America experience before, during and after their arrival at the US-Mexico border. We posit that these distresses are a result of, or exacerbated by, structural vulnerability. Structural vulnerability has life-long health implications for a sub-population of young mothers and their children. The number of migrating families who have experienced traumatic events before, and during their migration experience continues to expand and thus warrants consideration of mental health surveillance and intervention efforts for these families. More public health research is needed to better understand and combat the health challenges of this growing

  5. Structural Vulnerability Among Migrating Women and Children Fleeing Central America and Mexico: The Public Health Impact of "Humanitarian Parole".

    Science.gov (United States)

    Valdez, Elizabeth Salerno; Valdez, Luis A; Sabo, Samantha

    2015-01-01

    Since October 2013, US Customs and Border Patrol has apprehended 15,979 families on the Southwest Border of the US. Daily, migrating women and children from Mexico and Central America that qualify for humanitarian parole are released from immigration detention to a humanitarian aid organization in Southern Arizona. After several days in detention facilities, these families arrive tired, hungry, dehydrated, and with minimal direction regarding their final destination, and adherence to the parameters of their parole. Project helping hands (PHHs) utilizes a network of volunteers to provide the women and children with food, water, clothing, hygiene products, hospitality, and legal orientation. The aim of this assessment was to document the experiences of families granted humanitarian parole through the lens of structural vulnerability. Here, we apply qualitative methods to elicit PHH lead volunteer perspectives regarding the migration experience of migrating families. Using inductive analysis, we found six major themes emerged from the qualitative data: reasons for leaving, experience on the journey, dehumanization in detention, family separation, vulnerability, and resiliency. These findings elucidate the different physical and psychological distresses that migrating families from Mexico and Central America experience before, during and after their arrival at the US-Mexico border. We posit that these distresses are a result of, or exacerbated by, structural vulnerability. Structural vulnerability has life-long health implications for a sub-population of young mothers and their children. The number of migrating families who have experienced traumatic events before and during their migration experience continues to expand and thus warrants consideration of mental health surveillance and intervention efforts for these families. More public health research is needed to better understand and combat the health challenges of this growing population.

  6. Linkages between human health and ocean health: a participatory climate change vulnerability assessment for marine mammal harvesters

    Directory of Open Access Journals (Sweden)

    Lily Gadamus

    2013-08-01

    Full Text Available Background. Indigenous residents of Alaska’s Bering Strait Region depend, both culturally and nutritionally, on ice seal and walrus harvests. Currently, climate change and resultant increases in marine industrial development threaten these species and the cultures that depend on them. Objective. To document: (a local descriptions of the importance of marine mammal hunting; (b traditional methods for determining if harvested marine mammals are safe to consume; and (c marine mammal outcomes that would have adverse effects on community health, the perceived causes of these outcomes, strategies for preventing these outcomes and community adaptations to outcomes that cannot be mitigated. Design. Semi-structured interviews and focus groups were conducted with 82 indigenous hunters and elders from the Bering Strait region. Standard qualitative analysis was conducted on interview transcripts, which were coded for both inductive and deductive codes. Responses describing marine mammal food safety and importance are presented using inductively generated categories. Responses describing negative marine mammal outcomes are presented in a vulnerability framework, which links human health outcomes to marine conditions. Results. Project participants perceived that shipping noise and pollution, as well as marine mammal food source depletion by industrial fishing, posed the greatest threats to marine mammal hunting traditions. Proposed adaptations primarily fell into 2 categories: (a greater tribal influence over marine policy; and (b documentation of traditional knowledge for local use. This paper presents 1 example of documenting traditional knowledge as an adaptation strategy: traditional methods for determining if marine mammal food is safe to eat. Conclusions. Participant recommendations indicate that 1 strategy to promote rural Alaskan adaptation to climate change is to better incorporate local knowledge and values into decision-making processes

  7. Aquifer Vulnerability to Arsenic contamination in the Conterminous United States: Health Risks and Economic Implications

    Science.gov (United States)

    Twarakavi, N. C.; Kaluarachchi, J. J.

    2004-12-01

    Arsenic is historically known be toxic to human health. Drinking water contaminated with unsafe levels of arsenic may cause cancer. The toxicity of arsenic is suggested by a MCLG of zero and a low MCL of 10 µg/L, that has been a subject of constant scrutiny. The US Environmental Protection Agency (US EPA), based on the recommendations of the National Academy of Sciences revised the MCL from 1974 value of 50 µg/L to 10 µg/L. The decision was based on a national-level analysis of arsenic concentration data collected by the National Analysis of Water Quality Assessment (NAWQA). Another factor that makes arsenic in drinking water a major issue is the widespread occurrence and a variety of sources. Arsenic occurs naturally in mineral deposits and is also contributed through anthropogenic sources. A methodology using the ordinal logistic regression (LR) method is proposed to predict the probability of occurrence of arsenic in shallow ground waters of the conterminous United States (CONUS) subject to a set of influencing variables. The analysis considered the maximum contaminant level (MCL) options of 3, 5, 10, 20, and 50 µg/L as threshold values to estimate the probabilities of arsenic occurrence in ranges defined by a given MCL and a detection limit of 1 µg/L. The fit between the observed and predicted probability of occurrence was around 83% for all MCL options. The estimated probabilities were used to estimate the median background concentration of arsenic for different aquifer types in the CONUS. The shallow ground water of the western US is more vulnerable to arsenic contamination than the eastern US. Arizona, Utah, Nevada, and California in particular are hotspots for arsenic contamination. The model results were extended for estimating the health risks and costs posed by arsenic occurrence in the ground water of the United States. The risk assessment showed that counties in southern California, Arizona, Florida, Washington States and a few others scattered

  8. Are Sexual and Reproductive Health Policies Designed for All? Vulnerable Groups in Policy Documents of Four European Countries and Their Involvement in Policy Development

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    Olena Ivanova

    2015-10-01

    Full Text Available Background Health policies are important instruments for improving population health. However, experience suggests that policies designed for the whole population do not always benefit the most vulnerable. Participation of vulnerable groups in the policy-making process provides an opportunity for them to influence decisions related to their health, and also to exercise their rights. This paper presents the findings from a study that explored how vulnerable groups and principles of human rights are incorporated into national sexual and reproductive health (SRH policies of 4 selected countries (Spain, Scotland, Republic of Moldova, and Ukraine. It also aimed at discussing the involvement of vulnerable groups in SRH policy development from the perspective of policymakers. Methods Literature review, health policy analysis and 5 semi-structured interviews with policy-makers were carried out in this study. Content analysis of SRH policies was performed using the EquiFrame analytical framework. Results The study revealed that vulnerable groups and core principles of human rights are differently addressed in SRH policies within 4 studied countries. The opinions of policy-makers on the importance of mentioning vulnerable groups in policy documents and the way they ought to be mentioned varied, but they agreed that a clear definition of vulnerability, practical examples, and evidences on health status of these groups have to be included. In addition, different approaches to vulnerable group’s involvement in policy development were identified during the interviews and the range of obstacles to this process was discussed by respondents. Conclusion Incorporation of vulnerable groups in the SRH policies and their involvement in policy development were found to be important in addressing SRH of these groups and providing an opportunity for them to advocate for equal access to healthcare and exercise their rights. Future research on this topic should include

  9. Unhealthful Food-and-Beverage Advertising in Subway Stations: Targeted Marketing, Vulnerable Groups, Dietary Intake, and Poor Health.

    Science.gov (United States)

    Lucan, Sean C; Maroko, Andrew R; Sanon, Omar C; Schechter, Clyde B

    2017-03-07

    Unhealthful food-and-beverage advertising often targets vulnerable groups. The extent of such advertising in subway stations has not been reported and it is not clear how ad placement may relate to subway ridership or community demographics, or what the implications might be for diets and diet-related health in surrounding communities. Riding all subway lines (n = 7) in the Bronx, NY, USA, investigators systematically assessed all print ads (n = 1586) in all stations (n = 68) in 2012. Data about subway ridership came from the Metropolitan Transportation Authority. Demographic data on surrounding residential areas came from the U.S. Census Bureau. Data on dietary intake and diet-related conditions came from a city health-department survey. There were no ads promoting "more-healthful" food-or-beverage items (i.e., fruits, vegetables, whole grains, nuts, water or milk). There were many ads for "less-healthful" items (e.g., candies, chips, sugary cereals, frozen pizzas, "energy" drinks, coffee confections, hard alcohol, and beer). Ad placement did not relate to the number of riders entering at stations. Instead, exposure to food-or-beverage ads generally, and to "less-healthful" ads particularly (specifically ads in Spanish, directed at youth, and/or featuring minorities), was directly correlated with poverty, lower high-school graduation rates, higher percentages of Hispanics, and/or higher percentages of children in surrounding residential areas. Correlations were robust to sensitivity analyses. Additional analyses suggested correlations between ad exposures and sugary-drink consumption, fruit-and-vegetable intake, and diabetes, hypertension, and high-cholesterol rates. Subway-station ads for "less-healthful" items were located disproportionately in areas home to vulnerable populations facing diet and diet-related-health challenges. The fact that uneven ad placement did not relate to total rider counts suggests ads were not directed at the largest

  10. Supporting vulnerable families who do not attend appointments: a gap analysis of the skills health professionals need.

    Science.gov (United States)

    Wallbank, Sonya; Meeusen, Mirjam; Jones, Louise

    2013-01-01

    This paper offers a framework of knowledge, skills and competencies required for professionals working with vulnerable families at risk from not attending their appointment (DNA). It also offers a gap analysis of Higher Education Health Professional courses which identifies where professionals skills need to be further developed. The gap analysis demonstrates that courses appear to teach professionals how to identify and communicate with families; however, not specifically in relation to families who DNA. One of the key factors which appears to be missing from courses is how to identify when vulnerability is increasing with a family. This may mean that families who initially present as stable may fail to be identified when their circumstances are changing and increasing their vulnerability. The gap analysis also shows that professionals are not routinely given the tools needed to creatively engage with families who do not attend. It appears important that professionals are taught why families may not attend appointments, so increasing their desire to engage with families and decrease stigmatising attitudes to families who find compliance with healthcare appointments difficult.

  11. Beyond 'vulnerable groups': contexts and dynamics of vulnerability

    NARCIS (Netherlands)

    Zarowsky, C.; Haddad, S.; Nguyen, V.K.

    2013-01-01

    This paper reviews approaches to vulnerability in public health, introducing a series of 10 papers addressing vulnerability in health in Africa. We understand vulnerability as simultaneously a condition and a process. Social inequalities are manifest in and exacerbate three key dimensions of vulnera

  12. Do we have a moral responsibility to compensate for vulnerable groups? A discussion on the right to health for LGBT people.

    Science.gov (United States)

    Ekmekci, Perihan Elif

    2016-11-26

    Vulnerability is a broad concept widely addressed in recent scholarly literature. Lesbian, gay, bisexual, and transgender (LGBT) people are among the vulnerable populations with significant disadvantages related to health and the social determinants of health. Medical ethics discourse tackles vulnerability from philosophical and political perspectives. LGBT people experience several disadvantages from both perspectives. This article aims to justify the right to health for LGBT people and their particular claims regarding healthcare because they belong to a vulnerable group. Rawls' theory of justice and Norman Daniels' normal functioning approach will be discussed in this context. Despite the fact that the right to health can be justified by Daniels' normal functioning approach, there is still a theoretical gap in justifying the right to health for particular vulnerable populations such as LGBT peopleand discussing society's duty to compensate for these disadvantages. In search of solid theoretical grounds for the justification of the right to health for LGBT people, the present author takes the opportunity to utilize Daniels' flexible definition of normal functioning to show that normal functioning not only varies by age but also by different states of human existence, including sexual orientation and gender identity, and to propose replacing the life span approach with normal states of human existence.

  13. Incarceration history relative to health, substance use, and violence in a sample of vulnerable South African women: implications for health services in criminal justice settings

    Directory of Open Access Journals (Sweden)

    Johnson JE

    2012-02-01

    Full Text Available Jennifer E Johnson1, Tara Carney2, Tracy Kline3, Felicia A Browne4, Wendee M Wechsberg41Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA; 2Alcohol and Drug Abuse Research Unit, Medical Research Council, Cape Town, South Africa; 3Statistics and Epidemiology, RTI International, Research Triangle Park, NC, USA; 4Substance Abuse Treatment Evaluations and Interventions, RTI International, Research Triangle Park, NC, USAAbstract: International research has suggested that women in the criminal justice system carry a higher burden of many illnesses than women in the community, especially mental health disorders, substance use disorders, sexually transmitted infections, and a history of violent victimization. Knowledge of these health disparities is often used to advocate for relevant screening and treatment services for women passing through criminal justice custody within US and European settings. However, almost all criminal justice health research has taken place in high-income countries, with little or no research taking place in other countries, especially in South Africa. This baseline analysis compares the health, substance use, and violent victimization of women who have ever been incarcerated to those who have not, in a cross-sectional sample of 720 young, vulnerable, substance-using women in Cape Town, South Africa. Results of univariate tests indicated that women who had ever been incarcerated had worse health, mental health, and sexually transmitted infection indicators and were more likely to report use of substances and to have been victims of physical and sexual assault than women who had never been incarcerated. Passing through the criminal justice system appears to be a marker for a variety of current and/or future health service needs among vulnerable South African women, suggesting that screening, prevention, and treatment referral efforts at the time of intersection with the criminal justice system

  14. VT - Vermont Social Vulnerability Index

    Data.gov (United States)

    Vermont Center for Geographic Information — Social vulnerability refers to the resilience of communities when responding to or recovering from threats to public health. The Vermont Social Vulnerability Index...

  15. Psychoneuroimmunology and related mechanisms in understanding health disparities in vulnerable populations.

    Science.gov (United States)

    Briones, Teresita L

    2007-01-01

    The nervous system as well as the endocrine system maintain extensive communication with the immune system through the influence of hormones and neurotransmitters and also by way of the hardwiring of sympathetic and parasympathetic nerves to the lymphoid organs. There is now convincing evidence that the communication between these three body systems is bidirectional. This chapter will provide a succinct review of how neuroendocrine and immune functions are affected in factors that impact vulnerability, such as aging, acute infection, and central nervous system injury. Given that the relevant literature on these topics is vast, the presentation in this chapter will serve to highlight primary references that reflect state of the science in these systems of focus.

  16. Mapping urban malaria and diarrhea mortality in Accra, Ghana: evidence of vulnerabilities and implications for urban health policy.

    Science.gov (United States)

    Fobil, Julius N; Levers, Christian; Lakes, Tobia; Loag, Wibke; Kraemer, Alexander; May, Juergen

    2012-12-01

    Historic increase in urban population numbers in the face of shrinking urban economies and declining social services has meant that a large proportion of the urban population lives in precarious urban conditions, which provide the grounds for high urban health risks in low income countries. This study aims to identify, investigate, and contrast the spatial patterns of vulnerability and risk of two major causes of mortality, viz malaria and diarrhea mortalities, in order to optimize resource allocation for effective urban environmental management and improvement in urban health. A spatial cluster analysis of the observed urban malaria and diarrhea mortalities for the whole city of Accra was conducted. We obtained routinely reported mortality data for the period 1998-2002 from the Ghana Vital Registration System (VRS), computed the fraction of deaths due to malaria and diarrhea at the census cluster level, and analyzed and visualized the data with Geographic Information System (GIS, ArcMap 9.3.1). Regions of identified hotspots, cold spots, and excess mortalities were observed to be associated with some socioeconomic and neighborhood urban environmental conditions, suggesting uneven distribution of risk factors for both urban malaria and diarrhea in areas of rapid urban transformation. Case-control and/or longitudinal studies seeking to understand the individual level factors which mediate socioenvironmental conditions in explaining the observed excess urban mortalities and to establish the full range of risk factors might benefit from initial vulnerability mapping and excess risk analysis using geostatistical approaches. This is key to evidence-based urban health policy reforms in rapidly urbanizing areas in low income economies.

  17. Vulnerability to health problems in female informal caregivers of persons with HIV/AIDS and age-related dementias.

    Science.gov (United States)

    Flaskerud, J H; Lee, P

    2001-01-01

    The health of informal caregivers is often studied from the perspective of caregivers' and care receivers' personal and interpersonal characteristics. This study offers an alternative explanation based on a vulnerable populations framework and considers the role of resource availability to the health status of informal caregivers (n=76). Caregivers in a convenience sample were females of diverse ethnicity and socioeconomic status, and care recipients were diagnosed with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) or age-related dementias (ARD). Personal interviews using structured instruments were conducted with caregivers who were attending outpatient clinics at a public hospital and a VA hospital. Instruments included the Center for Epidemiologic Studies Depression-Scale (CES-D), the Global Health Assessment (GHA), the Activities of Daily Living Scale (ADL), the Memory and Behavior Problems Checklist (MBPC) and items from the Symptom Checklist-90 (SCL-90) measuring anger, anxiety and loneliness. Caregivers were experiencing both physical and mental health problems. Regression analyses were used to examine the relationships among resources available to caregivers, conditions that put caregivers at risk for poorer health, and health status itself. Analyses were conducted for each group of caregivers separately (HIV and ARD) and for the total group, using depressive symptoms and perception of physical health as dependent variables. In caregivers of people with HIV/AIDS (PWHIV), caregiver distress over care recipient symptoms, anxiety and education were related to depressive symptoms. Depressive symptoms, anger and functional status of the PWHIV were related to caregivers' perception of poorer physical health. In caregivers of people with ARD, there were no significant predictors for depressive symptoms or perception of physical health. In the total group of caregivers, lower income and more anger were related to depressive symptom

  18. Using Social Network Analysis as a Method to Assess and Strengthen Participation in Health Promotion Programs in Vulnerable Areas.

    Science.gov (United States)

    Hindhede, Anette Lykke; Aagaard-Hansen, Jens

    2017-03-01

    This article provides an example of the application of social network analysis method to assess community participation thereby strengthening planning and implementation of health promotion programming. Community health promotion often takes the form of services that reach out to or are located within communities. The concept of community reflects the idea that people's behavior and well-being are influenced by interaction with others, and here, health promotion requires participation and local leadership to facilitate transmission and uptake of interventions for the overall community to achieve social change. However, considerable uncertainty exists over exact levels of participation in these interventions. The article draws on a mixed methods research within a community development project in a vulnerable neighborhood of a town in Denmark. It presents a detailed analysis of the way in which social network analysis can be used as a tool to display participation and nonparticipation in community development and health promotion activities, to help identify capacities and assets, mobilize resources, and finally to evaluate the achievements. The article concludes that identification of interpersonal ties among people who know one another well as well as more tenuous relationships in networks can be used by community development workers to foster greater cohesion and cooperation within an area.

  19. A conceptual framework of stress vulnerability, depression, and health outcomes in women: potential uses in research on complementary therapies for depression

    Science.gov (United States)

    Kinser, Patricia A; Lyon, Debra E

    2014-01-01

    Background Depression is a chronic mental health condition that affects millions of individuals worldwide. It is well-established that psychological stress plays an integral role in depression and that depression has numerous negative health outcomes. However, a closer look at components of stress vulnerabilities and depression is required to allow for the development and testing of appropriate interventions. Aims and Discussion This article describes a conceptual framework about the complex and bidirectional relationship between stress vulnerability, depression, and health outcomes in women. The authors elucidate how the framework can be applied in clinical research about cellular aging and on the mechanisms of complementary and alternative medicine (CAM) for depression, using yoga as an example of a CAM modality. Conclusion The proposed conceptual framework may be helpful for adding depth to the body of knowledge about the use of mind-body therapies for individuals at high risk of stress vulnerability and/or depression. PMID:25328843

  20. Awareness of Tobacco-Related Health Harms among Vulnerable Populations in Bangladesh: Findings from the International Tobacco Control (ITC) Bangladesh Survey.

    Science.gov (United States)

    Driezen, Pete; Abdullah, Abu S; Nargis, Nigar; Hussain, A K M Ghulam; Fong, Geoffrey T; Thompson, Mary E; Quah, Anne C K; Xu, Steve

    2016-08-25

    This study assessed the knowledge of the harmful effects of tobacco use among vulnerable populations in Bangladesh and whether vulnerability was associated with the presence of complete home smoking bans. Data came from Wave 3 (2011-2012) of the International Tobacco Control (ITC) Bangladesh Survey, a nationally-representative survey of 3131 tobacco users and 2147 non-users. Socio-demographic measures of disadvantage were used as proxy measures of vulnerability, including sex, residential location, education and income. Outcome measures were awareness of the harmful effects of (a) cigarette smoking and (b) smokeless tobacco use and (c) whether respondents had complete smoking bans in their homes. Logistic regression was used to examine whether the adjusted prevalence of each outcome differed by socio-demographic proxies of vulnerability. Smaller percentages of women, the illiterate, urban slum residents and low-income Bangladeshis were aware of the health harms of tobacco. These vulnerable groups generally had lower odds of awareness compared to the least disadvantaged groups. Incomplete knowledge of tobacco's harms may prevent vulnerable groups from taking steps to protect their health. Development goals, such as increasing literacy rates and empowering women, can complement the goals of WHO's Framework Convention on Tobacco Control.

  1. Awareness of Tobacco-Related Health Harms among Vulnerable Populations in Bangladesh: Findings from the International Tobacco Control (ITC Bangladesh Survey

    Directory of Open Access Journals (Sweden)

    Pete Driezen

    2016-08-01

    Full Text Available This study assessed the knowledge of the harmful effects of tobacco use among vulnerable populations in Bangladesh and whether vulnerability was associated with the presence of complete home smoking bans. Data came from Wave 3 (2011–2012 of the International Tobacco Control (ITC Bangladesh Survey, a nationally-representative survey of 3131 tobacco users and 2147 non-users. Socio-demographic measures of disadvantage were used as proxy measures of vulnerability, including sex, residential location, education and income. Outcome measures were awareness of the harmful effects of (a cigarette smoking and (b smokeless tobacco use and (c whether respondents had complete smoking bans in their homes. Logistic regression was used to examine whether the adjusted prevalence of each outcome differed by socio-demographic proxies of vulnerability. Smaller percentages of women, the illiterate, urban slum residents and low-income Bangladeshis were aware of the health harms of tobacco. These vulnerable groups generally had lower odds of awareness compared to the least disadvantaged groups. Incomplete knowledge of tobacco’s harms may prevent vulnerable groups from taking steps to protect their health. Development goals, such as increasing literacy rates and empowering women, can complement the goals of WHO’s Framework Convention on Tobacco Control.

  2. Awareness of Tobacco-Related Health Harms among Vulnerable Populations in Bangladesh: Findings from the International Tobacco Control (ITC) Bangladesh Survey

    Science.gov (United States)

    Driezen, Pete; Abdullah, Abu S.; Nargis, Nigar; Hussain, A. K. M. Ghulam; Fong, Geoffrey T.; Thompson, Mary E.; Quah, Anne C. K.; Xu, Steve

    2016-01-01

    This study assessed the knowledge of the harmful effects of tobacco use among vulnerable populations in Bangladesh and whether vulnerability was associated with the presence of complete home smoking bans. Data came from Wave 3 (2011–2012) of the International Tobacco Control (ITC) Bangladesh Survey, a nationally-representative survey of 3131 tobacco users and 2147 non-users. Socio-demographic measures of disadvantage were used as proxy measures of vulnerability, including sex, residential location, education and income. Outcome measures were awareness of the harmful effects of (a) cigarette smoking and (b) smokeless tobacco use and (c) whether respondents had complete smoking bans in their homes. Logistic regression was used to examine whether the adjusted prevalence of each outcome differed by socio-demographic proxies of vulnerability. Smaller percentages of women, the illiterate, urban slum residents and low-income Bangladeshis were aware of the health harms of tobacco. These vulnerable groups generally had lower odds of awareness compared to the least disadvantaged groups. Incomplete knowledge of tobacco’s harms may prevent vulnerable groups from taking steps to protect their health. Development goals, such as increasing literacy rates and empowering women, can complement the goals of WHO’s Framework Convention on Tobacco Control. PMID:27571090

  3. US Public Health Preparedness for Zika and Other Threats Remains Vulnerable.

    Science.gov (United States)

    Duchin, Jeffrey S

    2016-04-01

    The unanticipated global outbreak of Zika virus infection is the most current but certainly not the last emerging infectious disease challenge to confront the US public heath system. Despite a number of such threats in recent years, significant gaps remain in core areas of public health system readiness. Stable, sustained investments are required to establish a solid foundation for achieving necessary national public health emergency preparedness and response capacity.

  4. Children's vulnerability to toxic chemicals: a challenge and opportunity to strengthen health and environmental policy.

    Science.gov (United States)

    Landrigan, Philip J; Goldman, Lynn R

    2011-05-01

    A key policy breakthrough occurred nearly twenty years ago with the discovery that children are far more sensitive than adults to toxic chemicals in the environment. This finding led to the recognition that chemical exposures early in life are significant and preventable causes of disease in children and adults. We review this knowledge and recommend a new policy to regulate industrial and consumer chemicals that will protect the health of children and all Americans, prevent disease, and reduce health care costs. The linchpins of a new US chemical policy will be: first, a legally mandated requirement to test the toxicity of chemicals already in commerce, prioritizing chemicals in the widest use, and incorporating new assessment technologies; second, a tiered approach to premarket evaluation of new chemicals; and third, epidemiologic monitoring and focused health studies of exposed populations.

  5. Failing the vulnerable: Three new consent norms that will undermine health research with children

    Directory of Open Access Journals (Sweden)

    Ann Strode

    2014-05-01

    Full Text Available The South African National Health Act (No. 61 of 2003 provides a legal framework for the regulation of the health system across the country. Within the Act, section 71 introduces a number of legal norms relating to research or experimentation with human subjects, including research on HIV prevention and treatment. These norms have been criticised for the negative impact they will have on research involving children. This article describes three of the new consent requirements in section 71 of the Act. It shows, using a range of case studies, how important HIV-related research will be halted or undermined if the current provisions are implemented. The article argues that the new consent requirements are out of step with other statutory provisions and ethical guidelines, and as a result they will exclude a large population group – children in diverse settings – from much-needed evidence-based healthcare interventions. The article concludes with a clarion call for support of advocacy on this issue with the Minister of Health and the Health Portfolio Committee.

  6. A Health Impact Assessment Framework for Assessing Vulnerability and Adaptation Planning for Climate Change

    Directory of Open Access Journals (Sweden)

    Helen Brown

    2014-12-01

    Full Text Available This paper presents a detailed description of an approach designed to investigate the application of the Health Impact Assessment (HIA framework to assess the potential health impacts of climate change. A HIA framework has been combined with key climate change terminology and concepts. The fundamental premise of this framework is an understanding of the interactions between people, the environment and climate. The diversity and complexity of these interactions can hinder much needed action on the critical health issue of climate change. The objectives of the framework are to improve the methodology for understanding and assessing the risks associated with potential health impacts of climate change, and to provide decision-makers with information that can facilitate the development of effective adaptation plans. While the process presented here provides guidance with respect to this task it is not intended to be prescriptive. As such, aspects of the process can be amended to suit the scope and available resources of each project. A series of working tables has been developed to assist in the collation of evidence throughout the process. The framework has been tested in a number of locations including Western Australia, Solomon Islands, Vanuatu and Nauru.

  7. Healing a Vulnerable Self : Exploring Return to Work for Women With Mental Health Problems

    NARCIS (Netherlands)

    Nielsen, Maj Britt D.; Rugulies, Reiner; Hjortkjaer, Charlotte; Bultmann, Ute; Christensen, Ulla

    2013-01-01

    Mental health problems (MHPs) such as stress and depression are among the leading causes of work disability. In this article we explore how women with MHPs experience sickness absence and subsequent return to work. We conducted 16 semistructured interviews and employed constructivist grounded theory

  8. A health impact assessment framework for assessing vulnerability and adaptation planning for climate change.

    Science.gov (United States)

    Brown, Helen; Spickett, Jeffery; Katscherian, Dianne

    2014-12-01

    This paper presents a detailed description of an approach designed to investigate the application of the Health Impact Assessment (HIA) framework to assess the potential health impacts of climate change. A HIA framework has been combined with key climate change terminology and concepts. The fundamental premise of this framework is an understanding of the interactions between people, the environment and climate. The diversity and complexity of these interactions can hinder much needed action on the critical health issue of climate change. The objectives of the framework are to improve the methodology for understanding and assessing the risks associated with potential health impacts of climate change, and to provide decision-makers with information that can facilitate the development of effective adaptation plans. While the process presented here provides guidance with respect to this task it is not intended to be prescriptive. As such, aspects of the process can be amended to suit the scope and available resources of each project. A series of working tables has been developed to assist in the collation of evidence throughout the process. The framework has been tested in a number of locations including Western Australia, Solomon Islands, Vanuatu and Nauru.

  9. Access to essential maternal health interventions and human rights violations among vulnerable communities in eastern Burma.

    Directory of Open Access Journals (Sweden)

    Luke C Mullany

    2008-12-01

    Full Text Available BACKGROUND: Health indicators are poor and human rights violations are widespread in eastern Burma. Reproductive and maternal health indicators have not been measured in this setting but are necessary as part of an evaluation of a multi-ethnic pilot project exploring strategies to increase access to essential maternal health interventions. The goal of this study is to estimate coverage of maternal health services prior to this project and associations between exposure to human rights violations and access to such services. METHODS AND FINDINGS: Selected communities in the Shan, Mon, Karen, and Karenni regions of eastern Burma that were accessible to community-based organizations operating from Thailand were surveyed to estimate coverage of reproductive, maternal, and family planning services, and to assess exposure to household-level human rights violations within the pilot-project target population. Two-stage cluster sampling surveys among ever-married women of reproductive age (15-45 y documented access to essential antenatal care interventions, skilled attendance at birth, postnatal care, and family planning services. Mid-upper arm circumference, hemoglobin by color scale, and Plasmodium falciparum parasitemia by rapid diagnostic dipstick were measured. Exposure to human rights violations in the prior 12 mo was recorded. Between September 2006 and January 2007, 2,914 surveys were conducted. Eighty-eight percent of women reported a home delivery for their last pregnancy (within previous 5 y. Skilled attendance at birth (5.1%, any (39.3% or > or = 4 (16.7% antenatal visits, use of an insecticide-treated bed net (21.6%, and receipt of iron supplements (11.8% were low. At the time of the survey, more than 60% of women had hemoglobin level estimates < or = 11.0 g/dl and 7.2% were Pf positive. Unmet need for contraceptives exceeded 60%. Violations of rights were widely reported: 32.1% of Karenni households reported forced labor and 10% of Karen

  10. Non-Auditory Health Hazard Vulnerability to Noise Pollution: Assessing Public Awareness Gap

    Directory of Open Access Journals (Sweden)

    Tanjir Ahmed

    2015-04-01

    Full Text Available In Dhaka, one of the top ten megacities in Asia and the capital of Bangladesh, the problem of noise related pollution is prevalent. In almost every part of Dhaka city, the levels of noise which are established by W.H.O. are regularly exceeded, thus prompting adverse health effects on its inhabitants. This sort of pollution is more acute in central portion of Dhaka than its periphery. Therefore, if the greater Dhaka is taken as a study area, the central’s problem may be underestimated. This study is prepared to find out the actual condition of auditory and non-auditory health effect of noise among roadside people and provide recommendation to ameliorate the same and consequently reduce noise level in Dhaka city as an effort to make Dhaka a better place to live in. The result shows that both auditory and non-auditory effects of noise are at alarming condition in all zones of the city.

  11. Climate and Health Vulnerability to Vector-Borne Diseases: Increasing Resilience under Climate Change Conditions in Africa

    Science.gov (United States)

    Ceccato, P.

    2015-12-01

    The International Research Institute for Climate and Society (IRI), the City University of New York (CUNY) and NASA Jet Propulsion Laboratory (JPL) in collaboration with NASA SERVIR are developing tools to monitor climate variables (precipitation, temperature, vegetation, water bodies, inundation) that help projects in Africa to increase resilience to climate change for vector-borne diseases ( malaria, trypanosomiasis, leishmaniasis, and schistosomiasis). Through the development of new products to monitor precipitation, water bodies and inundation, IRI, CUNY and JPL provide tools and capacity building to research communities; ministries of health; the WMO Global Framework for Climate and Services; and World Health Organization in Africa to: 1) Develop research teams' ability to appropriately use climate data as part of their research 2) Enable research teams and ministries to integrate climate information into social and economic drivers of vulnerability and opportunities for adaptation to climate change 3) Inform better policies and programs for climate change adaptation. This oral presentation will demonstrate how IRI, CUNY, and JPL developed new products, tools and capacity building to achieve the three objectives mentioned above with examples in South Africa, Zimbabwe, Tanzania and Malawi.

  12. Lessons learned obtaining informed consent in research with vulnerable populations in community health center settings

    Directory of Open Access Journals (Sweden)

    Riden Heather E

    2012-11-01

    Full Text Available Abstract Background To improve equity in access to medical research, successful strategies are needed to recruit diverse populations. Here, we examine experiences of community health center (CHC staff who guided an informed consent process to overcome recruitment barriers in a medical record review study. Methods We conducted ten semi-structured interviews with CHC staff members. Interviews were audiotaped, transcribed, and structurally and thematically coded. We used NVivo, an ethnographic data management software program, to analyze themes related to recruitment challenges. Results CHC interviewees reported that a key challenge to recruitment included the difficult balance between institutional review board (IRB requirements for informed consent, and conveying an appropriate level of risk to patients. CHC staff perceived that the requirements of IRB certification itself posed a barrier to allowing diverse staff to participate in recruitment efforts. A key barrier to recruitment also included the lack of updated contact information on CHC patients. CHC interviewees reported that the successes they experienced reflected an alignment between study aims and CHC goals, and trusted relationships between CHCs and staff and the patients they recruited. Conclusions Making IRB training more accessible to CHC-based staff, improving consent form clarity for participants, and developing processes for routinely updating patient information would greatly lower recruitment barriers for diverse populations in health services research.

  13. Spatiotemporal variation of watershed health propensity through reliability-resilience-vulnerability based drought index (case study: Shazand Watershed in Iran).

    Science.gov (United States)

    Sadeghi, Seyed Hamidreza; Hazbavi, Zeinab

    2017-06-01

    Quantitative response of the watershed health to climate variability is of critical importance for watershed managers. However, existing studies seldom considered the impact of climate variability on watershed health. The present study therefore aimed to analyze the temporal and spatial variability of reliability (Rel), resilience (Res) and vulnerability (Vul) indicators in node years of 1986, 1998, 2008 and 2014 in connection with Standardized Precipitation Index (SPI) for 24 sub-watersheds in the Shazand Watershed of Markazi Province in Iran. The analysis was based on rainfall variability as one of the main climatic drivers. To achieve the study purposes, the monthly rainfall time series of eight rain gauge stations distributed across the watershed or neighboring areas were analyzed and corresponding SPIs and Rel ResVul indicators were calculated. Ultimately, the spatial variation of SPI oriented Rel ResVul was mapped for the study watershed using Geographic Information System (GIS). The average and standard deviation of SPI-Rel ResVul index for the study years of 1986, 1998, 2008 and 2014 was obtained 0.240±0.025, 0.290±0.036, 0.077±0.0280 and 0.241±0.081, respectively. In overall, the results of the study proved the spatiotemporal variations of SPI-Rel ResVul watershed health index in the study area. Accordingly, all the sub-watersheds of the Shazand Watershed were grouped in unhealthy and very unhealthy conditions in all the study years. For 1986 and 1998 all the sub-watersheds were assessed in unhealthy status. Whilst, it declined to very unhealthy condition in 2008 and then some 75% of the watershed ultimately referred again to unhealthy and the rest still remained under very unhealthy conditions in 2014.

  14. Indicators for Tracking European Vulnerabilities to the Risks of Infectious Disease Transmission due to Climate Change

    Directory of Open Access Journals (Sweden)

    Jonathan E. Suk

    2014-02-01

    Full Text Available A wide range of infectious diseases may change their geographic range, seasonality and incidence due to climate change, but there is limited research exploring health vulnerabilities to climate change. In order to address this gap, pan-European vulnerability indices were developed for 2035 and 2055, based upon the definition vulnerability = impact/adaptive capacity. Future impacts were projected based upon changes in temperature and precipitation patterns, whilst adaptive capacity was developed from the results of a previous pan-European study. The results were plotted via ArcGISTM to EU regional (NUTS2 levels for 2035 and 2055 and ranked according to quintiles. The models demonstrate regional variations with respect to projected climate-related infectious disease challenges that they will face, and with respect to projected vulnerabilities after accounting for regional adaptive capacities. Regions with higher adaptive capacities, such as in Scandinavia and central Europe, will likely be better able to offset any climate change impacts and are thus generally less vulnerable than areas with lower adaptive capacities. The indices developed here provide public health planners with information to guide prioritisation of activities aimed at strengthening regional preparedness for the health impacts of climate change. There are, however, many limitations and uncertainties when modeling health vulnerabilities. To further advance the field, the importance of variables such as coping capacity and governance should be better accounted for, and there is the need to systematically collect and analyse the interlinkages between the numerous and ever-expanding environmental, socioeconomic, demographic and epidemiologic datasets so as to promote the public health capacity to detect, forecast, and prepare for the health threats due to climate change.

  15. Integrated Sensor Networks for Monitoring the Health and Well-Being of Vulnerable Individuals

    Science.gov (United States)

    Heatley, D. J. T.; Kalawsky, R. S.; Neild, I.; Bowman, P. A.

    The inescapable fact that people are living longer today than ever before means that the number of elderly people needing care or medical treatment has never been higher. In response to this there is a growing trend to place the elderly and infirm in residential homes or in sheltered accommodation, where they live in a protective environment while retaining some independence. Current healthcare systems in residential, sheltered, and community settings generally operate on a reactive basis rather than a pre-emptive basis [1]. This means that the people being cared for (the 'clients') are often already clinically ill and in need of medical attention, sometimes urgently, by the time the healthcare system engages, whereupon the treatment and recovery regime can be protracted and costly [2]. Unfortunately, a significant majority of our ageing population do not have the benefit of this level of healthcare [3], despite the evidence that our ageing population are regarded to be at an increased risk of falls [4], malnutrition [5], and failure to take prescribed medication [6]. It is this self-neglect that is of great concern. A far better scheme for all parties is one that continuously monitors clients who, although in fine health at that time, are considered to be at risk and likely to need attention at a time in the future, particularly if they are elderly and live alone. By continually monitoring certain behavioural characteristics of an individual, it is feasible to ascertain their well-being or detect when things deviate from the norm.

  16. Climate-related disaster opens a window of opportunity for rural poor in northeastern Honduras.

    Science.gov (United States)

    McSweeney, Kendra; Coomes, Oliver T

    2011-03-29

    Two distinct views are evident in research on how rural communities in developing countries cope with extreme weather events brought by climate change: (i) that the resource-reliant poor are acutely vulnerable and need external assistance to prepare for such events, and (ii) that climate-related shocks can offer windows of opportunity in which latent local adaptive capacities are triggered, leading to systemic improvement. Results from a longitudinal study in a Tawahka community in Honduras before and after Hurricane Mitch (1994-2002) indicate that residents were highly vulnerable to the hurricane--due in part to previous development assistance--and that the poorest households were the hardest hit. Surprisingly, however, the disaster enabled the poor to initiate an institutional change that led to more equitable land distribution, slowed primary forest conversion, and positioned the community well to cope with comparable flooding occurring 10 y later. The study provides compelling evidence that communities can seize on the window of opportunity created by climate-induced shocks to generate sustained social-ecological improvement, and suggests that future interventions should foster local capacities for endogenous institutional change to enhance community resilience to climate shocks.

  17. Beyond 'vulnerable groups': contexts and dynamics of vulnerability.

    Science.gov (United States)

    Zarowsky, Christina; Haddad, Slim; Nguyen, Vinh-Kim

    2013-03-01

    This paper reviews approaches to vulnerability in public health, introducing a series of 10 papers addressing vulnerability in health in Africa. We understand vulnerability as simultaneously a condition and a process. Social inequalities are manifest in and exacerbate three key dimensions of vulnerability: the initial level of wellbeing, the degree of exposure to risk, and the capacity to manage risk effectively. We stress the dynamic interactions linking material and social deprivation, poverty, powerlessness and ill health: risks or shocks and their health impacts are intimately interconnected and reinforce each other in a cycle which in the absence of effective interventions, increases vulnerability. An inductive process which does not begin with an a priori definition or measurement of 'vulnerability' and which does not assume the existence of fixed 'vulnerable groups' allowed us both to re-affirm core aspects of existing conceptual frameworks, and to engage in new ways with literature specifically addressing vulnerability and resilience at the population level as well as with literature - for example in ecology, and on the concept of frailty in research on aging - with which researchers on health and poverty in Africa may not be familiar. We invite conceptual and empirical work on vulnerability in complex systems frameworks. These perspectives emphasize contexts and nonlinear causality thus supporting analyses of vulnerability and resilience as both markers and emergent properties of dynamic interactions. We accept a working definition of vulnerability, and recognize that some definable groups of people are more likely than others to suffer harm from exposure to health risks. But we suggest that the real work - at both intellectual and policy/political levels - lies in understanding and responding to the dynamics, meanings and power relations underlying actual instances and processes of vulnerability and harm.

  18. National Health Service Principles as Experienced by Vulnerable London Migrants in “Austerity Britain”: A Qualitative Study of Rights, Entitlements, and Civil-Society Advocacy

    Directory of Open Access Journals (Sweden)

    Elham Rafighi

    2016-10-01

    Full Text Available Background: Recent British National Health Service (NHS reforms, in response to austerity and alleged ‘health tourism,’ could impose additional barriers to healthcare access for non-European Economic Area (EEA migrants. This study explores policy reform challenges and implications, using excerpts from the perspectives of non-EEA migrants and health advocates in London. Methods: A qualitative study design was selected. Data were collected through document review and 22 indepth interviews with non-EEA migrants and civil-society organisation representatives. Data were analysed thematically using the NHS principles. Results: The experiences of those ‘vulnerable migrants’ (ie, defined as adult non-EEA asylum-seekers, refugees, undocumented, low-skilled, and trafficked migrants susceptible to marginalised healthcare access able to access health services were positive, with healthcare professionals generally demonstrating caring attitudes. However, general confusion existed about entitlements due to recent NHS changes, controversy over ‘health tourism,’ and challenges registering for health services or accessing secondary facilities. Factors requiring greater clarity or improvement included accessibility, communication, and clarity on general practitioner (GP responsibilities and migrant entitlements. Conclusion: Legislation to restrict access to healthcare based on immigration status could further compromise the health of vulnerable individuals in Britain. This study highlights current challenges in health services policy and practice and the role of non-governmental organizations (NGOs in healthcare advocacy (eg, helping the voices of the most vulnerable reach policy-makers. Thus, it contributes to broadening national discussions and enabling more nuanced interpretation of ongoing global debates on immigration and health.

  19. CDC's Social Vulnerability Index (SVI)

    Data.gov (United States)

    U.S. Department of Health & Human Services — Social vulnerability refers to the resilience of communities when confronted by external stresses on human health, stresses such as natural or human-caused...

  20. US forest response to projected climate-related stress: a tolerance perspective.

    Science.gov (United States)

    Liénard, Jean; Harrison, John; Strigul, Nikolay

    2016-08-01

    Although it is widely recognized that climate change will require a major spatial reorganization of forests, our ability to predict exactly how and where forest characteristics and distributions will change has been rather limited. Current efforts to predict future distribution of forested ecosystems as a function of climate include species distribution models (for fine-scale predictions) and potential vegetation climate envelope models (for coarse-grained, large-scale predictions). Here, we develop and apply an intermediate approach wherein we use stand-level tolerances of environmental stressors to understand forest distributions and vulnerabilities to anticipated climate change. In contrast to other existing models, this approach can be applied at a continental scale while maintaining a direct link to ecologically relevant, climate-related stressors. We first demonstrate that shade, drought, and waterlogging tolerances of forest stands are strongly correlated with climate and edaphic conditions in the conterminous United States. This discovery allows the development of a tolerance distribution model (TDM), a novel quantitative tool to assess landscape level impacts of climate change. We then focus on evaluating the implications of the drought TDM. Using an ensemble of 17 climate change models to drive this TDM, we estimate that 18% of US ecosystems are vulnerable to drought-related stress over the coming century. Vulnerable areas include mostly the Midwest United States and Northeast United States, as well as high-elevation areas of the Rocky Mountains. We also infer stress incurred by shifting climate should create an opening for the establishment of forest types not currently seen in the conterminous United States.

  1. Structural Vulnerability Among Migrating Women and Children Fleeing Central America and Mexico: The Public Health Impact of “Humanitarian Parole”

    Science.gov (United States)

    Valdez, Elizabeth Salerno; Valdez, Luis A.; Sabo, Samantha

    2015-01-01

    Since October 2013, US Customs and Border Patrol has apprehended 15,979 families on the Southwest Border of the US. Daily, migrating women and children from Mexico and Central America that qualify for humanitarian parole are released from immigration detention to a humanitarian aid organization in Southern Arizona. After several days in detention facilities, these families arrive tired, hungry, dehydrated, and with minimal direction regarding their final destination, and adherence to the parameters of their parole. Project helping hands (PHHs) utilizes a network of volunteers to provide the women and children with food, water, clothing, hygiene products, hospitality, and legal orientation. The aim of this assessment was to document the experiences of families granted humanitarian parole through the lens of structural vulnerability. Here, we apply qualitative methods to elicit PHH lead volunteer perspectives regarding the migration experience of migrating families. Using inductive analysis, we found six major themes emerged from the qualitative data: reasons for leaving, experience on the journey, dehumanization in detention, family separation, vulnerability, and resiliency. These findings elucidate the different physical and psychological distresses that migrating families from Mexico and Central America experience before, during and after their arrival at the US–Mexico border. We posit that these distresses are a result of, or exacerbated by, structural vulnerability. Structural vulnerability has life-long health implications for a sub-population of young mothers and their children. The number of migrating families who have experienced traumatic events before and during their migration experience continues to expand and thus warrants consideration of mental health surveillance and intervention efforts for these families. More public health research is needed to better understand and combat the health challenges of this growing population. PMID:26157791

  2. Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program

    OpenAIRE

    Deepa Mankikar; Carla Campbell; Rachael Greenberg

    2016-01-01

    This evaluation examined whether participation in a home-based environmental educational intervention would reduce exposure to health and safety hazards and asthma-related medical visits. The home intervention program focused on vulnerable, low-income households, where children had asthma, were at risk for lead poisoning, or faced multiple unsafe housing conditions. Home visitors conducted two home visits, two months apart, consisting of an environmental home assessment, Healthy Homes educati...

  3. Health-Related Quality of Life, Self-Efficacy and Enjoyment Keep the Socially Vulnerable Physically Active in Community-Based Physical Activity Programs: A Sequential Cohort Study.

    Science.gov (United States)

    Herens, Marion; Bakker, Evert Jan; van Ophem, Johan; Wagemakers, Annemarie; Koelen, Maria

    2016-01-01

    Physical inactivity is most commonly found in socially vulnerable groups. Dutch policies target these groups through community-based health-enhancing physical activity (CBHEPA) programs. As robust evidence on the effectiveness of this approach is limited, this study investigated whether CBHEPA programs contribute to an increase in and the maintenance of physical activity in socially vulnerable groups. In four successive cohorts, starting at a six-month interval, 268 participants from 19 groups were monitored for twelve months in seven CBHEPA programs. Data collection was based on repeated questionnaires. Socio-economic indicators, program participation and coping ability were measured at baseline. Physical activity, health-related quality of life and on-going program participation were measured three times. Self-efficacy and enjoyment were measured at baseline and at twelve months. Statistical analyses were based on a quasi-RCT design (independent t-tests), a comparison of participants and dropouts (Mann-Whitney test), and multilevel modelling to assess change in individual physical activity, including group level characteristics. Participants of CBHEPA programs are socially vulnerable in terms of low education (48.6%), low income (52.4%), non-Dutch origin (64.6%) and health-related quality of life outcomes. Physical activity levels were not below the Dutch average. No increase in physical activity levels over time was observed. The multilevel models showed significant positive associations between health-related quality of life, self-efficacy and enjoyment, and leisure-time physical activity over time. Short CBHEPA programs (10-13 weeks) with multiple trainers and gender-homogeneous groups were associated with lower physical activity levels over time. At twelve months, dropouts' leisure-time physical activity levels were significantly lower compared to continuing participants, as were health-related quality of life, self-efficacy and enjoyment outcomes. BMI and

  4. An Approach to Developing Local Climate Change Environmental Public Health Indicators in a Rural District

    Science.gov (United States)

    2017-01-01

    Climate change represents a significant and growing threat to population health. Rural areas face unique challenges, such as high rates of vulnerable populations; economic uncertainty due to their reliance on industries that are vulnerable to climate change; less resilient infrastructure; and lower levels of access to community and emergency services than urban areas. This article fills a gap in public health practice by developing climate and health environmental public health indicators for a local public health department in a rural area. We adapted the National Environmental Public Health Tracking Network's framework for climate and health indicators to a seven-county health department in Western Kentucky. Using a three-step review process, we identified primary climate-related environmental public health hazards for the region (extreme heat, drought, and flooding) and a suite of related exposure, health outcome, population vulnerability, and environmental vulnerability indicators. Indicators that performed more poorly at the county level than at the state and national level were defined as “high vulnerability.” Six to eight high vulnerability indicators were identified for each county. The local health department plans to use the results to enhance three key areas of existing services: epidemiology, public health preparedness, and community health assessment. PMID:28352286

  5. The expansion of Medicaid coverage under the ACA: implications for health care access, use, and spending for vulnerable low-income adults.

    Science.gov (United States)

    Clemans-Cope, Lisa; Long, Sharon K; Coughlin, Teresa A; Yemane, Alshadye; Resnick, Dean

    2013-05-01

    The expansion of Medicaid coverage under the Affordable Care Act offers the potential for significant increases in health care access, use, and spending for vulnerable nonelderly adults who are uninsured. Using pooled data from the Medical Expenditure Panel Survey, this study estimates the potential effects of Medicaid, controlling for individual and local community characteristics. Our findings project significant gains in health care access and use for uninsured adults who enroll in Medicaid coverage and have chronic health conditions and mental health conditions. With that increased use, annual per capita health care spending for those newly insured individuals (excluding out-of-pocket spending) is projected to grow from $2,677 to $6,370 in 2013 dollars, while their out-of-pocket spending would drop by $921. It is expected that these increases in spending would be offset at least in part by reductions in uncompensated care and charity care.

  6. Preparedness for Protecting the Health of Community-Dwelling Vulnerable Elderly People in Eastern and Western Japan in the Event of Natural Disasters.

    Science.gov (United States)

    Tsukasaki, Keiko; Kanzaki, Hatsumi; Kyota, Kaoru; Ichimori, Akie; Omote, Shizuko; Okamoto, Rie; Kido, Teruhiko; Sakakibara, Chiaki; Makimoto, Kiyoko; Nomura, Atsuko; Miyamoto, Yukari

    2016-01-01

    We clarified the preparedness necessary to protect the health of community-dwelling vulnerable elderly people following natural disasters. We collected data from 304 community general support centres throughout Japan. We found the following in particular to be challenging: availability of disaster-preparedness manuals; disaster countermeasures and management systems; creation of lists of people requiring assistance following a disaster; evacuation support systems; development of plans for health management following disasters; provision of disaster-preparedness guidance and training; disaster-preparedness systems in the community; disaster information management; the preparedness of older people themselves in requiring support; and support from other community residents.

  7. Committed to work but vulnerable: Self-perceptions and mental health in NEET 18-year-olds from a contemporary British cohort

    Science.gov (United States)

    Goldman-Mellor, Sidra; Caspi, Avshalom; Arseneault, Louise; Ajala, Nifemi; Ambler, Antony; Danese, Andrea; Fisher, Helen; Hucker, Abigail; Odgers, Candice; Williams, Teresa; Wong, Chloe; Moffitt, Terrie E.

    2016-01-01

    Background Labour market disengagement among youths has lasting negative economic and social consequences, yet is poorly understood. We compared four types of work-related self-perceptions, as well as vulnerability to mental health and substance abuse problems, among youths not in education, employment, or training (NEET) and among their peers. Methods Participants were from the Environmental Risk (E-Risk) longitudinal study, a nationally representative U.K. cohort of 2,232 twins born in 1994–95. We measured commitment to work, job-search effort, professional/technical skills, “soft” skills (e.g., teamwork, decision-making, communication), optimism about getting ahead, and mental health and substance-use disorders at age 18. We also examined childhood mental health. Results At age 18, 11.6% of participants were NEET. NEET participants reported themselves as committed to work and searching for jobs with greater diligence than their non-NEET peers. However, they reported fewer “soft” skills (B = −0.98, p < .001) and felt less optimistic about their likelihood of getting ahead in life (B = −2.41, p < .001). NEET youths also had higher rates of concurrent mental health and substance-abuse problems, but these did not explain the relationship with work-related self-perceptions. Nearly 60% of NEET (vs. 35% of non-NEET) youths had already experienced ≥1 mental health problem in childhood/adolescence. Associations of NEET status with concurrent mental health problems were independent of pre-existing mental health vulnerability. Conclusions Our findings indicate that while NEET is clearly an economic and mental health issue, it does not appear to be a motivation issue. Alongside skills, work-related self-perceptions and mental-health problems may be targets for intervention and service provision among this high-risk population. PMID:26791344

  8. Cultural knowledge and local vulnerability in African American communities

    Science.gov (United States)

    Miller Hesed, Christine D.; Paolisso, Michael

    2015-07-01

    Policymakers need to know what factors are most important in determining local vulnerability to facilitate effective adaptation to climate change. Quantitative vulnerability indices are helpful in this endeavour but are limited in their ability to capture subtle yet important aspects of vulnerability such as social networks, knowledge and access to resources. Working with three African American communities on Maryland’s Eastern Shore, we systematically elicit local cultural knowledge on climate change and connect it with a scientific vulnerability framework. The results of this study show that: a given social-ecological factor can substantially differ in the way in which it affects local vulnerability, even among communities with similar demographics and climate-related risks; and social and political isolation inhibits access to sources of adaptive capacity, thereby exacerbating local vulnerability. These results show that employing methods for analysing cultural knowledge can yield new insights to complement those generated by quantitative vulnerability indices.

  9. Summarizing components of U.S. Department of the Interior vulnerability assessments to focus climate adaptation planning

    Science.gov (United States)

    Thompson, Laura M.; Staudinger, Michelle D.; Carter, Shawn L.

    2015-09-29

    A secretarial order identified climate adaptation as a critical performance objective for future management of U.S. Department of the Interior (DOI) lands and resources in response to global change. Vulnerability assessments can inform climate adaptation planning by providing insight into what natural resources are most at risk and why. Three components of vulnerability—exposure, sensitivity, and adaptive capacity—were defined by the Intergovernmental Panel on Climate Change (IPCC) as necessary for identifying climate adaptation strategies and actions. In 2011, the DOI requested all internal bureaus report ongoing or completed vulnerability assessments about a defined range of assessment targets or climate-related threats. Assessment targets were defined as freshwater resources, landscapes and wildlife habitat, native and cultural resources, and ocean health. Climate-related threats were defined as invasive species, wildfire risk, sea-level rise, and melting ice and permafrost. Four hundred and three projects were reported, but the original DOI survey did not specify that information be provided on exposure, sensitivity, and adaptive capacity collectively as part of the request, and it was unclear which projects adhered to the framework recommended by the IPCC. Therefore, the U.S. Geological Survey National Climate Change and Wildlife Science Center conducted a supplemental survey to determine how frequently each of the three vulnerability components was assessed. Information was categorized for 124 of the 403 reported projects (30.8 percent) based on the three vulnerability components, and it was discovered that exposure was the most common component assessed (87.9 percent), followed by sensitivity (68.5 percent) and adaptive capacity (33.1 percent). The majority of projects did not fully assess vulnerability; projects focused on landscapes/wildlife habitats and sea-level rise were among the minority that simultaneously addressed all three vulnerability

  10. Redistributing vulnerabilities

    DEFF Research Database (Denmark)

    Seeberg, Jens; Padmawati, Retna Siwi

    2015-01-01

    It is widely accepted that the social distribution of vulnerability in a given society may turn hazardous events into disasters. This distributional approach draws attention to continuities that explain catastrophes by virtue of the workings of society prior to the event. In this paper, we draw a...

  11. Assessing vulnerability

    NARCIS (Netherlands)

    Hellmuth, M.; Kabat, P.

    2003-01-01

    It is in the shantytowns and rural villages of the Third World that floods and droughts strike hardest and deepest. Vulnerability to the vagaries of climate depends not only on location, but, crucially, on the capacity of the victims to cope with the impacts of extreme weather. So, where are the peo

  12. Health-related quality of life and mental health problems after a disaster: are chronically ill survivors more vulnerable to health problems?

    NARCIS (Netherlands)

    Berg, B. van den; Velden, P.G. van der; Yzermans, C.J.; Stellato, R.K.; Grievink, L.

    2006-01-01

    Studies have shown that the chronically ill are at higher risk for reduced health-related quality of life (HRQL) and for mental health problems. A combination with traumatic events might increase this risk. This longitudinal study among 1216 survivors of a disaster examines whether chronically ill s

  13. Health-related quality of life and mental health problems after a disaster: Are chronically ill survivors more vulnerable to health problems?

    NARCIS (Netherlands)

    Berg, Bellis van den; Velden, Peter G van der; Yzermans, C Joris; Stellato, Rebecca K; Grievink, Linda

    2006-01-01

    Studies have shown that the chronically ill are at higher risk for reduced health-related quality of life (HRQL) and for mental health problems. A combination with traumatic events might increase this risk. This longitudinal study among 1216 survivors of a disaster examines whether chronically ill s

  14. Vulnerable Hunter

    Directory of Open Access Journals (Sweden)

    Md.Asha Begum

    2016-05-01

    Full Text Available This project "VULNERABLE HUNTER" application main aim is to detect risk in our mobile applications. This application contains modules like Fetch Application, Generate Score, Uninstall and Display Graph. Through this application it detects risk so that this application is very useful to smart phone users Now-a-days so many people are using smart phones and people are crazy about new apps. But by installing all the applications into our mobile may reduce its performance. Some apps contain more risk. But user may not know the effects that are caused by the app which is installed until the performance of mobile is reduced. With the prosperity of the Android app economy, many apps have been published and sold in various markets. However, short development applications and insufficient security development apps have led to many vulnerable apps. So to reduce these type of problems Vulnerable Hunter is proposed. Through the proposed application user can see which application is risky and then the user may uninstall that application. The main advantage of designing this app is without internet also the users will use this application. Users also feel more convenient to work with mobile apps.

  15. In Search of the Third Eye, When the Two Others Are Shamefacedly Shut? Comment on "Are Sexual and Reproductive Health Policies Designed for All? Vulnerable Groups in Policy Documents of Four European Countries and Their Involvement in Policy Development".

    Science.gov (United States)

    Keygnaert, Ines

    2016-02-11

    Ivanova et al explored how vulnerable groups and principles of human rights are incorporated into national sexual and reproductive health (SRH) policies in 4 countries. They adapted the EquiFrame of Amin and colleagues of 2011, to SRH vulnerable groups which we believe could now be used for analysis of national SRH polices beyond those 4 countries. Although we fully agree with the authors' two main findings that vulnerable groups and human rights' principles are not sufficiently integrated in SRH policies nor granted the possibility to participate in the process of development in those four countries, we do believe that these shortcomings are not limited to those countries only nor to the identified vulnerable groups either. We are convinced that the issue of SRH as such is still framed within a very limited logic for all with vulnerable groups being perceived as an extra threat or an extra burden.

  16. Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program.

    Science.gov (United States)

    Mankikar, Deepa; Campbell, Carla; Greenberg, Rachael

    2016-09-09

    This evaluation examined whether participation in a home-based environmental educational intervention would reduce exposure to health and safety hazards and asthma-related medical visits. The home intervention program focused on vulnerable, low-income households, where children had asthma, were at risk for lead poisoning, or faced multiple unsafe housing conditions. Home visitors conducted two home visits, two months apart, consisting of an environmental home assessment, Healthy Homes education, and distribution of Healthy Homes supplies. Measured outcomes included changes in participant knowledge and awareness of environmental home-based hazards, rate of children's asthma-related medical use, and the presence of asthma triggers and safety hazards. Analysis of 2013-2014 baseline and post-intervention program data for a cohort of 150 families revealed a significantly lower three-month rate (p interventions may effectively reduce environmental home hazards and improve the health of asthmatic children in the short term.

  17. Identifying vulnerable populations using a social determinants of health framework: analysis of national survey data across six Asia-Pacific countries.

    Directory of Open Access Journals (Sweden)

    Paul R Ward

    Full Text Available BACKGROUND: In order to improve the health of the most vulnerable groups in society, the WHO called for research on the multiple and inter-linking factors shaping the social determinants of health (SDH. This paper analyses four key SDH (social cohesion, social inclusion, social empowerment and socioeconomic security across six Asia-Pacific countries: Australia, Hong Kong, Japan, South Korea, Taiwan, and Thailand. METHODS: Population surveys were undertaken using a validated instrument in 2009-10, with sample sizes around 1000 in each country. The four SDH were analysed using multivariate binomial logistic regression to identify socio-demographic predictors in each country. RESULTS: Low socio-economic security was associated with low income in all six study countries and with poor subjective health in Japan, South Korea and Thailand and with being married or cohabiting in Australia and Hong Kong. Low social cohesion was associated with low income in all countries and with undertaking household duties in South Korea, Thailand and Taiwan. Low social inclusion was associated with low income in Australia, South Korea and Taiwan and with poor subjective health in Australia, Japan and South Korea. Older people had lower social inclusion in Taiwan (50-59 years and Hong Kong (retired, younger people in Japan and South Korea (20-29 years in both countries and younger and middle-aged people in Australia. Low social empowerment was associated with low income in Australia, Thailand and Taiwan, with being aged 60 years or over in Australia, Hong Kong and South Korea, and over 50 years in Thailand. CONCLUSIONS: This paper provides baseline measures for identifying where and how policy should be altered to improve the SDH. Furthermore, these data can be used for future policy evaluation to identify whether changes in policy have indeed improved the SDH, particularly for marginalised and vulnerable populations.

  18. An integrated method for assessing climate-related risks and adaptation alternatives in urban areas

    Directory of Open Access Journals (Sweden)

    Yvonne Andersson-Sköld

    2015-01-01

    Full Text Available The urban environment is a complex structure with interlinked social, ecological and technical structures. Global warming is expected to have a broad variety of impacts, which will add to the complexity. Climate changes will force adaptation, to reduce climate-related risks. Adaptation measures can address one aspect at the time, or aim for a holistic approach to avoid maladaptation. This paper presents a systematic, integrated approach for assessing alternatives for reducing the risks of heat waves, flooding and air pollution in urban settings, with the aim of reducing the risk of maladaptation. The study includes strategies covering different spatial scales, and both the current climate situation and the climate predicted under climate change scenarios. The adaptation strategies investigated included increasing vegetation; selecting density, height and colour of buildings; and retreat or resist (defend against sea-level rise. Their effectiveness was assessed with regard to not only flooding, heat stress and air quality but also with regard to resource use, emissions to air (incl. GHG, soil and water, and people’s perceptions and vulnerability. The effectiveness of the strategies were ranked on a common scale (from −3 to 3 in an integrated assessment. Integrated assessments are recommended, as they help identify the most sustainable solutions, but to reduce the risk of maladaptation they require experts from a variety of disciplines. The most generally applicable recommendation, derived from the integrated assessment here, taking into account both expertise from different municipal departments, literature surveys, life cycle assessments and publics perceptions, is to increase the urban greenery, as it contributes to several positive aspects such as heat stress mitigation, air quality improvement, effective storm-water and flood-risk management, and it has several positive social impacts. The most favourable alternative was compact, mid

  19. Body weight management and dilemmas of health responsibility for vulnerable groups in the changing Danish welfare state

    DEFF Research Database (Denmark)

    Vitus, Kathrine; Tørslev, Mette Kirstine; Ditlevsen, Kia

    2017-01-01

    This article explores how health responsibility in relation to body weight management is institutionally enacted in three welfare institutions in the interplay between traditional ‘social interventionist’ welfare and ‘non-interfering’ neoliberal ideology. The analysis asks how citizens of non-Wes......, but also resist, neoliberal health promotion policies as welfare policy moves away from universalism and towards targeting in Denmark, which appears to increase health inequalities along socio-economic and ethnic lines....

  20. Vulnerability to HIV Infection and Related Health Risk Behaviors of the Out of School Adolescents Migrated with Their Parents to Beijing

    Institute of Scientific and Technical Information of China (English)

    YING-HUA MA; Su-QIN DING; CHAO WANG

    2008-01-01

    Objective To explore the vulnerability to HIV infection and related risk behaviors of the out-of-school adolescents who migrated with their parents from rural areas to cities. Methods From September to October 2005, 260 out-of-school adolescents aged 14-20 years were interviewed through a questionnaire. Results Out-of-school adolescents lacked HIV/AIDS knowledge and related life skills, and their psychosocial competency was relatively low. The interviewed adolescents were open in their sexuality, showing a low rate of condom use. Their attitudes towards people living with HIV/AIDS and HIV/AIDS prevention competency were positively correlated with family well-being, harmonious relations between their parents, a stable job, knowledge, life skill, and psychosocial competency for emotion control and empathy. Conclusion Out-of-school adolescents are highly vulnerable to HIV/AIDS infection and transmission. Practical and feasible health and life skill education and psychosocial competency are the keys to effective HIV/AIDS prevention among out-of-school adolescent migrants.

  1. Impacts, adaptation and vulnerability to global environmental change: challenges and pathways for an action-oriented research agenda for middle-income and low-income countries

    NARCIS (Netherlands)

    Lahsen, M.; Sanchez-Rodriguez, R.; Lankao, P.R.; Dube, P.; Leemans, R.; Gaffney, O.; Mirza, M.; Pinho, P.; Osman-Elasha, B.; Smith, M.S.

    2010-01-01

    The socio-economic impacts of environmental stresses associated with global environmental change depend to a large extent on how societies organize themselves. Research on climate-related societal impacts, vulnerability and adaptation is currently underdeveloped, prompting international global envir

  2. Living with poverty and climate change – a study on vulnerability to climate-related shocks on household level

    DEFF Research Database (Denmark)

    Jakobsen, Kristian Thor

    widespread water stress, which again could lead to the increased risk of food and water shortages, resulting in the increased risk of food insecurity and malnutrition. The increase in heavy precipitation events could also damage crops and very likely also increase the risk of flooding in many areas......, especially at high altitudes. As an effect of these increased risks, humanitarian disasters caused by weather-related shocks are likely to increase in both number and severity. In that sense, it is vital to understand how people living in disaster-prone areas are handling such changes, and how the risk...... of the risks that households in developing countries are facing, and it therefore also explores the relative impacts of weather-related shocks on household welfare, given the existence of other types of risk (for example, more household-specific shocks such as robberies or sickness). Compared to a single...

  3. Using Social Network Analysis as a Method to Assess and Strengthen Participation in Health Promotion Programs in Vulnerable Areas

    DEFF Research Database (Denmark)

    Hindhede, Anette Lykke; Aagaard-Hansen, Jens

    2017-01-01

    This paper provides an example of the application of Social Network Analysis (SNA) method to assess community participation thereby strengthening planning and implementation of health promotion programming. Community health promotion often takes the form of services that reach out to or are locat...... of interpersonal ties among people who know one another well as well as more tenuous relationships in networks can be used by community development workers to foster greater cohesion and cooperation within an area....

  4. Using social network analysis as a method to assess and strengthen participation in health promotion programs in vulnerable areas

    DEFF Research Database (Denmark)

    Hindhede, Anette Lykke; Aagaard-Hansen, Jens

    2016-01-01

    This paper provides an example of the application of Social Network Analysis (SNA) method to assess community participation thereby strengthening planning and implementation of health promotion programming. Community health promotion often takes the form of services that reach out to or are locat...... of interpersonal ties among people who know one another well as well as more tenuous relationships in networks can be used by community development workers to foster greater cohesion and cooperation within an area....

  5. Reliability and Validity of an Interviewer-Administered Adaptation of the Youth Self-Report for Mental Health Screening of Vulnerable Young People in Ethiopia.

    Directory of Open Access Journals (Sweden)

    Scott Geibel

    Full Text Available Evaluate the reliability and validity of the Youth Self-Report (YSR as a screening tool for mental health problems among young people vulnerable to HIV in Ethiopia.A cross-sectional assessment of young people currently receiving social services.Young people age 15-18 participated in a study where a translated and adapted version of the YSR was administered by trained nurses, followed by an assessment by Ethiopian psychiatrists. Internal reliability of YSR syndrome scales were assessed using Chronbach's alpha. Test-retest reliability was assessed through repeating the YSR one month later. To assess validity, analysis of the sensitivity and specificity of the YSR compared to the psychiatrist assessment was conducted.Across the eight syndrome scales, the YSR best measured the diagnosis of anxiety/depression and social problems among young women, and attention problems among young men. Among individual YSR syndrome scales, internal reliability ranged from unacceptable (Chronback's alpha = 0.11, rule-breaking behavior among young women to good (α≥0.71, anxiety/depression among young women. Anxiety/depression scores of ≥8.5 among young women also had good sensitivity (0.833 and specificity (0.754 to predict a true diagnosis. The YSR syndrome scales for social problems among young women and attention problems among young men also had fair consistency and validity measurements. Most YSR scores had significant positive correlations between baseline and post-one month administration. Measures of reliability and validity for most other YSR syndrome scales were fair to poor.The adapted, personally administered, Amharic version of the YSR has sufficient reliability and validity in identifying young vulnerable women with anxiety/depression and/or social problems, and young men with attention problems; which were the most common mental health disorders observed by psychiatrists among the migrant populations in this study. Further assessment of the

  6. Socio-economic dimensions of community vulnerability to Mountain Pine Beetle

    Energy Technology Data Exchange (ETDEWEB)

    MacKendrick, N.; Parkins, J. [Natural Resources Canada, Canadian Forest Service, Northern Forestry Centre, Edmonton, AB (Canada)

    2005-07-01

    This paper presents a framework for evaluating the vulnerability of rural and resource-based communities as a result of the mountain pine beetle epidemic in British Columbia and the imminent social and economic consequences of this climate-related phenomenon. The project included an assessment of sensitivity and exposure to climate change threats and an assessment of adaptive capacity within these communities. The presentation consisted of a framework for vulnerability assessment that draws on literature related to international climate change, natural hazards, health promotion, risk analysis, and forest sociology. It also included a vulnerability assessment for eleven pilot-study communities in British Columbia. The assessment combines measures of physical exposure and sensitivity to the epidemic as well as measures of adaptive capacity that include social, economic, political, and institutional factors. Results are presented as composite indices and are spatially represented in a GIS mapping format to identify zones of risk. One of the policy implications from this assessment include the need to enhance capacity in rural and resource-based communities using more targeted local and state-level responses. figs., tabs.

  7. An Innovative Project Breaks Down Barriers to Oral Health Care for Vulnerable Young Children in Los Angeles County.

    Science.gov (United States)

    Crall, James J; Illum, Jackie; Martinez, Ana; Pourat, Nadereh

    2016-06-01

    Despite the high rate of untreated tooth decay, many young children in California under six years of age have never been to a dentist. Numerous and complex barriers to access to oral health care for young children exist, and a multifaceted approach is required to improve receipt of preventive and treatment services that could improve the oral health of this population. This policy brief describes the UCLA-First 5 LA 21st Century Dental Homes Project, which was designed to improve oral health care for young children in 12 Federally Qualified Health Center (FQHC) clinic sites with co-located dental and primary care services and its accessibility in their service areas throughout Los Angeles County. The project funded infrastructure and staffing, provided technical assistance to improve operations, trained clinical personnel to provide oral health care to young children, implemented a quality improvement learning collaborative, trained parents and child care providers in oral hygiene and healthy habits, and disseminated information to promote effective policies. Early data on the project indicated twofold increases in delivery of both diagnostics and treatment visits for young children, and a threefold increase in preventive services for young children during the program.

  8. Vulnerabilidad y riesgo en salud: ¿dos conceptos concomitantes? Vulnerability and health risk: two concomitant concepts?

    Directory of Open Access Journals (Sweden)

    Rafael Araujo González

    2015-06-01

    Full Text Available El presente trabajo pretende contrastar el aumento de la utilización del concepto de vulnerabilidad por las ciencias sociales en los últimos 15 a 20 años en relación con las ciencias de la salud; mientras que en estas últimas se hace énfasis en el uso del concepto de riesgo, como parte integrante de su aparato teórico-metodológico. Se realizó una revisión bibliográfica a partir del análisis de la utilización en la literatura de los conceptos de vulnerabilidad social y sociodemográfica respectivamente, y se comparó con sus usos en las ciencias de la salud. La vulnerabilidad constituye así un enfoque útil para examinar diferentes aspectos de la realidad. De hecho, diversas miradas y puntos de vista acerca de la misma son utilizados en la literatura en diferentes áreas de las ciencias tales como el derecho, la seguridad alimentaria, la macroeconomía, la prevención de desastres naturales así como en la salud pública. Pero es en esta última, y especialmente en el análisis de la salud de las poblaciones, que adquiriría el tema de la vulnerabilidad una importancia especial. A pesar de que el problema de la vulnerabilidad de las personas, los grupos sociales o las poblaciones debería desempeñar para los estudios en salud un rol especial, ya que parte de la esencia misma de los principales problemas de salud, las ciencias de la salud se dedican mucho más a la determinación del riesgo propia del enfoque positivista, que a la búsqueda o explicación de las causas sociales que hacen a las personas y poblaciones vulnerables.

  9. Reducing HIV-related risk and mental health problems through a client-centred psychosocial intervention for vulnerable adolescents in Addis Ababa, Ethiopia

    Directory of Open Access Journals (Sweden)

    Nrupa Jani

    2016-07-01

    Full Text Available Introduction: Ethiopia is experiencing an increasingly urban HIV epidemic, alongside a rise in urban adolescent migration. Adolescent migrants are often confronted by unique social challenges, including living in a difficult environment, abuse and mental health problems. These issues can increase adolescents’ vulnerability to HIV and compromise their capacity to protect themselves and others from HIV. We piloted and assessed the effects of a targeted psychosocial intervention to reduce mental health problems and improve HIV-related outcomes among migrant adolescents in Addis Ababa. Methods: A pre- and post-comparison design was used in a cohort of 576 female and 154 male migrant adolescents aged 15 to 18 years in Addis Ababa receiving services from two service delivery organizations, Biruh Tesfa and Retrak. We implemented a three-month client-centred, counsellor-delivered psychosocial intervention, based on findings from formative research among the same target population, to address participants’ increased vulnerability to HIV. The intervention package comprised individual, group and creative arts therapy counselling sessions. Key outcome indicators included anxiety, depression, aggressive behaviour, attention problems, social problems, knowledge of HIV, safer sex practices and use of sexual health services. Longitudinal data analysis (McNemar test and random effects regression was used to assess changes over time in key indicators by gender. Results: For females, aggressive behaviour decreased by 60% (adjusted odds ratio (AOR: 0.4 (0.25 to 0.65 and any mental health problem decreased by 50% (AOR: 0.5 (0.36 to 0.81 from baseline to end line. In addition, knowledge of HIV increased by 60% (AOR: 1.6 (1.08 to 2.47, knowledge of a place to test for HIV increased by 70% (AOR: 1.7 (1.12 to 2.51 and HIV testing increased by 80% (AOR: 1.8 (1.13 to 2.97. For males, HIV knowledge increased by 110% (AOR: 2.1 (1.1 to 3.94, knowledge of a place to test

  10. Vulnerability-Based Spatial Sampling Stratification for the National Children’s Study, Worcester County, Massachusetts: Capturing Health-Relevant Environmental and Sociodemographic Variability

    Science.gov (United States)

    Downs, Timothy J.; Ogneva-Himmelberger, Yelena; Aupont, Onesky; Wang, Yangyang; Raj, Ann; Zimmerman, Paula; Goble, Robert; Taylor, Octavia; Churchill, Linda; Lemay, Celeste; McLaughlin, Thomas; Felice, Marianne

    2010-01-01

    Background The National Children’s Study is the most ambitious study ever attempted in the United States to assess how environmental factors impact child health and development. It aims to follow 100,000 children from gestation until 21 years of age. Success requires breaking new interdisciplinary ground, starting with how to select the sample of > 1,000 children in each of 105 study sites; no standardized protocol exists for stratification of the target population by factoring in the diverse environments it inhabits. Worcester County, Massachusetts, like other sites, stratifies according to local conditions and local knowledge, subject to probability sampling rules. Objectives We answer the following questions: How do we divide Worcester County into viable strata that represent its health-relevant environmental and sociodemographic heterogeneity, subject to sampling rules? What potential does our approach have to inform stratification at other sites? Results We developed a multivariable, vulnerability-based method for spatial sampling consisting of two descriptive indices: a hazards/stressors exposure index (comprising three proxy variables), and an adaptive capacity/sociodemographic character index (five variables). Multivariable, health-relevant stratification at the start of the study may improve detection power for environment–child health associations down the line. Eighteen strata capture countywide heterogeneity in the indices and have optimal relative homogeneity within each. They achieve comparable expected birth counts and conform to local concepts of space. Conclusion The approach offers moderate to high potential to inform other sites, limited by intersite differences in data availability, geodemographics, and technical capacity. Energetic community engagement from the start promotes local stratification coherence, plus vital researcher–community trust and co-ownership for sustainability. PMID:20211802

  11. Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program

    Directory of Open Access Journals (Sweden)

    Deepa Mankikar

    2016-09-01

    Full Text Available This evaluation examined whether participation in a home-based environmental educational intervention would reduce exposure to health and safety hazards and asthma-related medical visits. The home intervention program focused on vulnerable, low-income households, where children had asthma, were at risk for lead poisoning, or faced multiple unsafe housing conditions. Home visitors conducted two home visits, two months apart, consisting of an environmental home assessment, Healthy Homes education, and distribution of Healthy Homes supplies. Measured outcomes included changes in participant knowledge and awareness of environmental home-based hazards, rate of children’s asthma-related medical use, and the presence of asthma triggers and safety hazards. Analysis of 2013–2014 baseline and post-intervention program data for a cohort of 150 families revealed a significantly lower three-month rate (p < 0.05 of children’s asthma-related doctor visits and hospital admissions at program completion. In addition, there were significantly reduced reports of the presence of home-based hazards, including basement or roof leaks (p = 0.011, plumbing leaks (p = 0.019, and use of an oven to heat the home (p < 0.001. Participants’ pre- and post- test scores showed significant improvement (p < 0.05 in knowledge and awareness of home hazards. Comprehensive home interventions may effectively reduce environmental home hazards and improve the health of asthmatic children in the short term.

  12. Vulnerabilidade e envelhecimento no contexto da saúde Vulnerabilidad y envejecimiento en el contexto de la salud Vulnerability and aging in the health context

    Directory of Open Access Journals (Sweden)

    Adriana Aparecida Paz

    2006-09-01

    epidemiological profile and demands of public health services. Therefore, the purpose of this study was to identify factors that contributed to individual, social, and programmatic vulnerability of the elderly people. A qualitative, descriptive study was carried out through a systematic review and synthesis of the literature about aging and vulnerability. The vulnerability of the aging population requires appropriate social and professional responses. There is a need to reflect upon health practices related to the prevention of injuries and promotion of health of the aging population.

  13. Climate Impact Reporter: A New Tool for Archiving and Displaying Climate-related Impacts to Extreme Events

    Science.gov (United States)

    Umphlett, N.; Shulski, M.; Lahowetz, J.; Sorensen, W.

    2014-12-01

    The High Plains Regional Climate Center (HPRCC) has been providing users with custom climate services for over 25 years. Stakeholder needs in the High Plains Region have evolved over time from simple data requests to inquiries about the impacts of various climate-related events. At this time, climate impacts may be reported in numerous locations such as newspapers, scholarly journals, and extension articles. In order to meet the increasing demand for climate impact information, HPRCC is beta-testing an online tool which synthesizes, archives, and displays impacts related to extreme climate events from multiple sources. The tool is intended to fulfill the needs of two general types of users - those who need a place to archive climate impact information and those seeking such information. As such, there are two main components to the tool: 1) a back-end interface where an impact information database is populated and 2) a front-end interface where users may browse the impacts. On the front-end, users can select an area (i.e. river basin, state, county warning area) and search for climate-related impacts within that area. Key impacts include the following sectors: agriculture, ecosystems, energy, human health, society, transportation, and water resources. In this regard, information can also be useful for future National Climate Assessment activities. Ultimately, an understanding of impacts to extreme events by sector will provide critical information for improved decision-making and adaptation strategies.

  14. Salt Intake and Health Risk in Climate Change Vulnerable Coastal Bangladesh: What Role Do Beliefs and Practices Play?

    Directory of Open Access Journals (Sweden)

    Sabrina Rasheed

    Full Text Available High salt consumption is an important risk factor of elevated blood pressure. In Bangladesh about 20 million people are at high risk of hypertension due to climate change induced saline intrusion in water. The objective of this study is to assess beliefs, perceptions, and practices associated with salt consumption in coastal Bangladesh.The study was conducted in Chakaria, Bangladesh between April-June 2011. It was a cross sectional mixed method study. For the qualitative study 6 focus group discussions, 8 key informant interviews, 60 free listing exercises, 20 ranking exercises and 10 observations were conducted. 400 adults were randomly selected for quantitative survey. For analysis we used SPSS for quantitative data, and Anthropac and Nvivo for qualitative data.Salt was described as an essential component of food with strong cultural and religious roots. People described both health benefits and risks related to salt intake. The overall risk perception regarding excessive salt consumption was low and respondents believed that the cooking process can render the salt harmless. Respondents were aware that salt is added in many foods even if they do not taste salty but did not recognize that salt can occur naturally in both foods and water.In the study community people had low awareness of the risks associated with excess salt consumption and salt reduction strategies were not high in their agenda. The easy access to and low cost of salt as well as unrecognised presence of salt in drinking water has created an environment conducive to excess salt consumption. It is important to design general messages related to salt reduction and test tailored strategies especially for those at high risk of hypertension.

  15. The Cerg-C: A Specialisation Certificate in Geological and Climate Related Risk of the University of Geneva, Switzerland

    Science.gov (United States)

    Bonadonna, C.; Consuegra, D.; Duvernay, B.; Fäh, D.; Frischknecht, C.; Gregg, C.; Jaboyedoff, M.; Lateltin, O.; Menoni, S.; Franco, R.; Rosi, M.

    2014-12-01

    The essence of our work at CERG-C (www.unige.ch/hazards) is to train participants, coming from around the world and with various academic and professional backgrounds, to incorporate risk science related to natural hazards into everyday life in an attempt to reduce losses in disasters. Principle components include training participants to assess risk, from hazard to vulnerability, and communicate effectively with government agencies, media, public and private sectors before, during and after natural disasters. Nine weeks of training involve 5 weeks of lectures in Geneva (in English), 2 weeks of field immersion and 2 weeks of exams. Participant experience culminates in completion of an independent research memoir carried out over an additional 6 months. The course is divided into five modules: the risk management module, which includes humanities and social sciences and brings together a multi-disciplinary team of experts to provide participants with tools they can use to assess hazard, vulnerability and risk and provide solutions to risk management issues in their own countries; and four thematic risk modules, i.e., volcanic risk, seismic risk, landslide risk, and flood and climate related risk. As part of the volcanic risk module we also carry out a role-play exercise at the elementary school in Vulcano Island, Italy in collaboration with the Italian Civil Protection with the double goal of sensitizing the CERG-C participants on the importance of training hazard and risk at an early stage in people's life as well as to raise awareness in the local population on topics such as the evaluation of volcanic hazards and risk, management of a volcanic crisis, and the importance of the collaboration between citizens and official institutions, such as the Civil Protection. The CERG-C has been training international graduate students and practitioners since 1988 on a yearly basis. To date, 350 participants have been trained from 80 countries, representing a great

  16. Vulnerability of populations and the urban health care systems to nuclear weapon attack – examples from four American cities

    Directory of Open Access Journals (Sweden)

    Dallas Cham E

    2007-02-01

    Full Text Available Abstract Background The threat posed by the use of weapons of mass destruction (WMD within the United States has grown significantly in recent years, focusing attention on the medical and public health disaster capabilities of the nation in a large scale crisis. While the hundreds of thousands or millions of casualties resulting from a nuclear weapon would, in and of itself, overwhelm our current medical response capabilities, the response dilemma is further exacerbated in that these resources themselves would be significantly at risk. There are many limitations on the resources needed for mass casualty management, such as access to sufficient hospital beds including specialized beds for burn victims, respiration and supportive therapy, pharmaceutical intervention, and mass decontamination. Results The effects of 20 kiloton and 550 kiloton nuclear detonations on high priority target cities are presented for New York City, Chicago, Washington D.C. and Atlanta. Thermal, blast and radiation effects are described, and affected populations are calculated using 2000 block level census data. Weapons of 100 Kts and up are primarily incendiary or radiation weapons, able to cause burns and start fires at distances greater than they can significantly damage buildings, and to poison populations through radiation injuries well downwind in the case of surface detonations. With weapons below 100 Kts, blast effects tend to be stronger than primary thermal effects from surface bursts. From the point of view of medical casualty treatment and administrative response, there is an ominous pattern where these fatalities and casualties geographically fall in relation to the location of hospital and administrative facilities. It is demonstrated that a staggering number of the main hospitals, trauma centers, and other medical assets are likely to be in the fatality plume, rendering them essentially inoperable in a crisis. Conclusion Among the consequences of this

  17. Vulnerability of populations and the urban health care systems to nuclear weapon attack – examples from four American cities

    Science.gov (United States)

    Bell, William C; Dallas, Cham E

    2007-01-01

    Background The threat posed by the use of weapons of mass destruction (WMD) within the United States has grown significantly in recent years, focusing attention on the medical and public health disaster capabilities of the nation in a large scale crisis. While the hundreds of thousands or millions of casualties resulting from a nuclear weapon would, in and of itself, overwhelm our current medical response capabilities, the response dilemma is further exacerbated in that these resources themselves would be significantly at risk. There are many limitations on the resources needed for mass casualty management, such as access to sufficient hospital beds including specialized beds for burn victims, respiration and supportive therapy, pharmaceutical intervention, and mass decontamination. Results The effects of 20 kiloton and 550 kiloton nuclear detonations on high priority target cities are presented for New York City, Chicago, Washington D.C. and Atlanta. Thermal, blast and radiation effects are described, and affected populations are calculated using 2000 block level census data. Weapons of 100 Kts and up are primarily incendiary or radiation weapons, able to cause burns and start fires at distances greater than they can significantly damage buildings, and to poison populations through radiation injuries well downwind in the case of surface detonations. With weapons below 100 Kts, blast effects tend to be stronger than primary thermal effects from surface bursts. From the point of view of medical casualty treatment and administrative response, there is an ominous pattern where these fatalities and casualties geographically fall in relation to the location of hospital and administrative facilities. It is demonstrated that a staggering number of the main hospitals, trauma centers, and other medical assets are likely to be in the fatality plume, rendering them essentially inoperable in a crisis. Conclusion Among the consequences of this outcome would be the probable loss

  18. Expanding health access in the more vulnerable region in the state of São Paulo, Brazil: is this a reflection of the Mais Médicos (More Doctors) Program?

    Science.gov (United States)

    Silva, Bruna Pontes da; Stockmann, Denise; Lúcio, Donavan de Souza; Henna, Elaine; Rocha, Maria Carolina Pereira da; Junqueira, Fábio Miranda

    2016-09-01

    The Mais Médicos (More Doctors) Program seeks to broaden access to health by providing medical professionals, investments in health units and multi-professional integration geared to the Family Health Strategy. Vale do Ribeira includes 25 cities and is among the most vulnerable regions in São Paulo. It has been allocated 41 physicians from the Program. This study is to evaluate access to health, comparing health indicators before and after the Program. We collected data from DATASUS, SIAB, and the Ministry of Health. There was a marked increase in the number of appointments for infants under one year of age, adults, the elderly, STD/HIV patients and group patient care. There was a decrease in appointments outside the catchment area, as well as hospital admissions for other causes, mothers exclusively breastfeeding their infants up to four months. We concluded that after deployment of the Program, there was an increase in health access and health promotion focused on an area that presents an enormous challenge for Primary Health Care (PHC). It would seem that, since this is a high vulnerability area with a large area for care, hospital admissions for PHC care-sensitive conditions, as well as referrals for secondary services, did not decrease.

  19. Challenges in linking health research to policy: a commentary on developing a multi-stakeholder response to orphans and vulnerable children in Ghana

    Directory of Open Access Journals (Sweden)

    Anakwah Kwadwo

    2011-06-01

    Full Text Available Abstract The Research and Development Division (RDD of the Ghana Health Service (GHS has a remit to build research capacity and conduct policy relevant research. By being situated within the GHS, RDD has good access to directors and programme managers, within and beyond the Ministry of Health. This structure has been facilitating collaboration through research cycles for 20 years, from agenda setting to discussions on policy relevance. This approach has been applied to research activities within the Addressing the Balance of Burden in AIDS (ABBA Research Programme Consortium to tackle the challenges facing HIV affected orphans and vulnerable children (OVCs. The government strategy on OVCs recommends they should be encouraged to live in their home communities rather than in institutions. We present lessons here on efforts to use research to build a response across different agencies to address the problems that communities and families face in caring for these children in their communities. This approach to building consensus on research priorities points to the value of collaboration and dialogue with multiple stakeholders as a means of fostering ownership of a research process and supporting the relevance of research to different groups. Our experience has shown that if the context within which researchers, policy makers and stakeholders work were better understood, the links between them were improved and research were communicated more effectively, then better policy making which links across different sectors may follow. At the same time, collaboration among these different stakeholders to ensure that research meets social needs, must also satisfy the requirements of scientific rigour.

  20. Software Vulnerability Taxonomy Consolidation

    Energy Technology Data Exchange (ETDEWEB)

    Polepeddi, Sriram S. [Carnegie Mellon Univ., Pittsburgh, PA (United States)

    2004-12-07

    In today's environment, computers and networks are increasing exposed to a number of software vulnerabilities. Information about these vulnerabilities is collected and disseminated via various large publicly available databases such as BugTraq, OSVDB and ICAT. Each of these databases, individually, do not cover all aspects of a vulnerability and lack a standard format among them, making it difficult for end-users to easily compare various vulnerabilities. A central database of vulnerabilities has not been available until today for a number of reasons, such as the non-uniform methods by which current vulnerability database providers receive information, disagreement over which features of a particular vulnerability are important and how best to present them, and the non-utility of the information presented in many databases. The goal of this software vulnerability taxonomy consolidation project is to address the need for a universally accepted vulnerability taxonomy that classifies vulnerabilities in an unambiguous manner. A consolidated vulnerability database (CVDB) was implemented that coalesces and organizes vulnerability data from disparate data sources. Based on the work done in this paper, there is strong evidence that a consolidated taxonomy encompassing and organizing all relevant data can be achieved. However, three primary obstacles remain: lack of referencing a common ''primary key'', un-structured and free-form descriptions of necessary vulnerability data, and lack of data on all aspects of a vulnerability. This work has only considered data that can be unambiguously extracted from various data sources by straightforward parsers. It is felt that even with the use of more advanced, information mining tools, which can wade through the sea of unstructured vulnerability data, this current integration methodology would still provide repeatable, unambiguous, and exhaustive results. Though the goal of coalescing all available data

  1. CDC's Social Vulnerability Index (SVI) Mapping Dashboard

    Data.gov (United States)

    U.S. Department of Health & Human Services — The interactive maps are visual representations of the Social Vulnerability Index (SVI). Data were extracted from the US Census and the American Community Survey.

  2. An index-based method to assess risks of climate-related hazards in coastal zones: The case of Tetouan

    Science.gov (United States)

    Satta, Alessio; Snoussi, Maria; Puddu, Manuela; Flayou, Latifa; Hout, Radouane

    2016-06-01

    . The CRI-LS provides a set of maps that allow identifying areas within the coastal hazard zone with relative higher risk from climate-related hazards. The method can be used to support coastal planning and management process in selecting the most suitable adaptation measures.

  3. Spent Fuel Working Group report on inventory and storage of the Department`s spent nuclear fuel and other reactor irradiated nuclear materials and their environmental, safety and health vulnerabilities. Volume 2, Working Group Assessment Team reports; Vulnerability development forms; Working group documents

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    The Secretary of Energy`s memorandum of August 19, 1993, established an initiative for a Department-wide assessment of the vulnerabilities of stored spent nuclear fuel and other reactor irradiated nuclear materials. A Project Plan to accomplish this study was issued on September 20, 1993 by US Department of Energy, Office of Environment, Health and Safety (EH) which established responsibilities for personnel essential to the study. The DOE Spent Fuel Working Group, which was formed for this purpose and produced the Project Plan, will manage the assessment and produce a report for the Secretary by November 20, 1993. This report was prepared by the Working Group Assessment Team assigned to the Hanford Site facilities. Results contained in this report will be reviewed, along with similar reports from all other selected DOE storage sites, by a working group review panel which will assemble the final summary report to the Secretary on spent nuclear fuel storage inventory and vulnerability.

  4. Closing the health gap in a generation: exploring the association between household characteristics and schooling status among orphans and vulnerable children in Swaziland.

    Science.gov (United States)

    Dlamini, Bongiwe N; Chiao, Chi

    2015-01-01

    Swaziland has one of the highest HIV/AIDS prevalences in the world, which has contributed to many Swazi children being left as "orphans and vulnerable children" (OVC). In 2010, there were 78,000 AIDS orphans in the country and the number is expected to increase given the current HIV prevalence. The WHO aims to close the gap in a generation and eliminate health inequality; as a result the Swazi Government began in 2005 to provide financial support to the education of OVC. Prior research has indicated that household characteristics are some of the major determinants with respect to schooling status among children. We have examined the association between household characteristics and schooling status of OVC. Schooling status may vary by gender and by age, as well as by other sociodemographic factors, in sub-Saharan African societies, and therefore we have also included a comprehensive set of appropriate variables in all of our multivariate analyses. Using existing data from the Swaziland Multiple Indicator Cluster Survey 2010, a total of 5890 children aged 7-18 years old were analyzed. The results from the multivariate logistic regressions showed that non-OVC were more likely than OVC to be in school (OR = 2.18, p < 0.001), even after taking other variables into considerations. The OVC in socioeconomically disadvantaged households, such as those with lower levels of household wealt, and those who resided in an urban area, were less likely to be in school. These findings suggest that education programs for OVC need to be household-appropriate.

  5. Climate and climate-related issues for the safety assessment SR-Can

    Energy Technology Data Exchange (ETDEWEB)

    Naeslund, Jens-Ove (comp.)

    2006-11-15

    The purpose of this report is to document current scientific knowledge of the climate-related conditions and processes relevant to the long-term safety of a KBS-3 repository to a level required for an adequate treatment in the safety assessment SR-Can. The report also includes a concise background description of the climate system. The report includes three main chapters: A description of the climate system (Chapter 2); Identification and discussion of climate-related issues (Chapter 3); and, A description of the evolution of climate-related conditions for the safety assessment (Chapter 4). Chapter 2 includes an overview of present knowledge of the Earth climate system and the climate conditions that can be expected to occur in Sweden on a 100,000 year time perspective. Based on this, climate-related issues relevant for the long-term safety of a KBS-3 repository are identified. These are documented in Chapter 3 'Climate-related issues' to a level required for an adequate treatment in the safety assessment. Finally, in Chapter 4, 'Evolution of climate-related conditions for the safety assessment' an evolution for a 120,000 year period is presented, including discussions of identified climate-related issues of importance for repository safety. The documentation is from a scientific point of view not exhaustive, since such a treatment is neither necessary for the purposes of the safety assessment nor possible within the scope of a safety assessment. As further described in the SR-Can Main Report and in the Features Events and Processes report, the content of the present report has been audited by comparison with FEP databases compiled in other assessment projects. This report follows as far as possible the template for documentation of processes regarded as internal to the repository system. However, the term processes is not used in this report, instead the term issue has been used. Each issue includes a set of processes together resulting in the

  6. Survivors of war in the Northern Kosovo (II: baseline clinical and functional assessment and lasting effects on the health of a vulnerable population

    Directory of Open Access Journals (Sweden)

    Rexhaj Berina

    2010-09-01

    . Education, employment, political and social participation were associated with emotional well-being. Interventions to promote physical activity and social participation are recommended. The results indicate that the rapid assessment procedure used here offers an adequate tool for collecting data for the monitoring of health interventions among the most vulnerable groups of a population exposed to violence.

  7. Chronic stress-induced hippocampal vulnerability: the glucocorticoid vulnerability hypothesis.

    Science.gov (United States)

    Conrad, Cheryl D

    2008-01-01

    The hippocampus, a limbic structure important in learning and memory, is particularly sensitive to chronic stress and to glucocorticoids. While glucocorticoids are essential for an effective stress response, their oversecretion was originally hypothesized to contribute to age-related hippocampal degeneration. However, conflicting findings were reported on whether prolonged exposure to elevated glucocorticoids endangered the hippocampus and whether the primate hippocampus even responded to glucocorticoids as the rodent hippocampus did. This review discusses the seemingly inconsistent findings about the effects of elevated and prolonged glucocorticoids on hippocampal health and proposes that a chronic stress history, which includes repeated elevation of glucocorticoids, may make the hippocampus vulnerable to potential injury. Studies are described to show that chronic stress or prolonged exposure to glucocorticoids can compromise the hippocampus by producing dendritic retraction, a reversible form of plasticity that includes dendritic restructuring without irreversible cell death. Conditions that produce dendritic retraction are hypothesized to make the hippocampus vulnerable to neurotoxic or metabolic challenges. Of particular interest is the finding that the hippocampus can recover from dendritic retraction without any noticeable cell loss. When conditions surrounding dendritic retraction are present, the potential for harm is increased because dendritic retraction may persist for weeks, months or even years, thereby broadening the window of time during which the hippocampus is vulnerable to harm, called the 'glucocorticoid vulnerability hypothesis'. The relevance of these findings is discussed with regard to conditions exhibiting parallels in hippocampal plasticity, including Cushing's disease, major depressive disorder (MDD), and post-traumatic stress disorder (PTSD).

  8. Climate and climate-related issues for the safety assessment SR-Site

    Energy Technology Data Exchange (ETDEWEB)

    2010-12-15

    The purpose of this report is to document current scientific knowledge on climate and climate-related conditions, relevant to the long-term safety of a KBS-3 repository, to a level required for an adequate treatment in the safety assessment SR-Site. The report also presents a number of dedicated studies on climate and selected climate-related processes of relevance for the assessment of long term repository safety. Based on this information, the report presents a number of possible future climate developments for Forsmark, the site selected for building a repository for spent nuclear fuel in Sweden (Figure 1-1). The presented climate developments are used as basis for the selection and analysis of SR-Site safety assessment scenarios in the SR-Site main report /SKB 2011/. The present report is based on research conducted and published by SKB as well as on research reported in the general scientific literature

  9. Climate related projections on future water resources and human adaptation in the Great Ruaha River Basin in Tanzania

    DEFF Research Database (Denmark)

    Liwenga, Emma; Pauline, Noah; Tumbo, Madaka;

    season. - The overall climate related effect on water resources is a status quo. - Increased rainy season rainfall offers opportunities for rain fed agriculture and water storage for hydro-power and irrigation. - Local governments are already effectively dealing with these climate related impacts...

  10. Plutonium working group report on environmental, safety and health vulnerabilities associated with the department`s plutonium storage. Volume II, Appendix B, Part 9: Oak Ridge site site team report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-09-01

    This report provides the input to and results of the Department of Energy (DOE) - Oak Ridge Operations (ORO) DOE Plutonium Environment, Safety and Health (ES & H) Vulnerability Assessment (VA) self-assessment performed by the Site Assessment Team (SAT) for the Oak Ridge National Laboratory (ORNL or X-10) and the Oak Ridge Y-12 Plant (Y-12) sites that are managed by Martin Marietta Energy Systems, Inc. (MMES). As initiated (March 15, 1994) by the Secretary of Energy, the objective of the VA is to identify and rank-order DOE-ES&H vulnerabilities associated for the purpose of decision making on the interim safe management and ultimate disposition of fissile materials. This assessment is directed at plutonium and other co-located transuranics in various forms.

  11. Effort to Enhance Early Detection for Vulnerable Pregnancy by Midwives Through Complete Fulfillment of Maternal and Child Health (MCH Bookin Bangkalan East Java Year 2013

    Directory of Open Access Journals (Sweden)

    Ristrini Ristrini

    2015-03-01

    Kesehatan Kabupaten Bangkalan agar memberikan penghargaan bagi bidan yang berprestasi.Kata kunci:Kelengkapan Pengisian Buku KIA, Deteksi Dini Risiko Tinggi, Ibu Hamil ABSTRACTBackground:MCH book is a tool for early detection for vulnerable gravida. Meanwhile, the utilization of MCH book was still low. The target achieved for early detection was 12% out of 20% from 2011 to 2012. Based on SDKI 2012 duka, the average maternal mortality rate reached 359 per 100.000 live births, increased significantly from the data of SDKI 2007 which reached 228 per 100.000 live births. Methods:This study was observational with cross sectional design. Both quantitative and qualitative data were collected. Secondary data were collected by the availability of MCH book, midwives training, supervisions, and complete fulfillment of MCH book. Populations in Puskesmas Kedundung and Puskesmas Geger Bangkalan District. The samples were midwives with more than one year working and graduated from DIII (diploma. The complete fulfillment of MCH book was identified from family identity, delivery preparation, gravida medical record, antenatal medical record, postnatal medical record, KMS (Booklet to Infant Nutritional Status Detection, Neonatus medical record, infant medical record, vitamin A supplementary. Result: The complete fulfillments were in Puskesmas Geger 0.66 (category: good 0.51–1.00 and Puskesmas Kedundung 0.35 (category: low 0.00–0.50. Midwives’ Motivations were low (50.0% and midwives workload were high (66.7% at Puskesmas Geger. Midwives were highly motivated (66.7% and their workloads are fair. Recomendation: make group of work and allocate the job description properly to assist midwives workload. In addition, health office of Bangkalan should give reward to those who do the work excellently.Key words:complete fulfilment of MCH book, early detection of highrisk pregnancy, pregnant women

  12. How Persuasive are Serious Games, Social Media and mHealth Technologies for Vulnerable Young Adults? Design Factors for Health Behavior and Lifestyle Change Support: Sexual Health Case. Proceedings Third International Workshop on Behavior Change Support Systems (BCSS 2015)

    NARCIS (Netherlands)

    Kulyk, Olga; Gemert-Pijnen, van Lisette; Daas, den Chantal; David, Silke; Kelders, Saskia; Kulyk, Olga; Gemert-Pijnen, van Lisette; Oinas-Kukkonen, Harri

    2015-01-01

    Modern eHealth technologies, such as serious games, social media and mobile applications addressing health behavior support are evolving rapidly. High-risk young adults with low educational background and of foreign origin could especially benefit from personalized health technologies, designed for

  13. Climate change vulnerability, adaptation and risk perceptions at farm level in Punjab, Pakistan.

    Science.gov (United States)

    Abid, Muhammad; Schilling, Janpeter; Scheffran, Jürgen; Zulfiqar, Farhad

    2016-03-15

    Pakistan is among the countries highly exposed and vulnerable to climate change. The country has experienced many severe floods, droughts and storms over the last decades. However, little research has focused on the investigation of vulnerability and adaptation to climate-related risks in Pakistan. Against this backdrop, this article investigates the farm level risk perceptions and different aspects of vulnerability to climate change including sensitivity and adaptive capacity at farm level in Pakistan. We interviewed a total of 450 farming households through structured questionnaires in three districts of Punjab province of Pakistan. This study identified a number of climate-related risks perceived by farm households such as extreme temperature events, insect attacks, animal diseases and crop pests. Limited water availability, high levels of poverty and a weak role of local government in providing proper infrastructure were the factors that make farmers more sensitive to climate-related risks. Uncertainty or reduction in crop and livestock yields; changed cropping calendars and water shortage were the major adverse impacts of climate-related risks reported by farmers in the study districts. Better crop production was reported as the only positive effect. Further, this study identified a number of farm level adaptation methods employed by farm households that include changes in crop variety, crop types, planting dates and input mix, depending upon the nature of the climate-related risks. Lack of resources, limited information, lack of finances and institutional support were some constraints that limit the adaptive capacity of farm households. This study also reveals a positive role of cooperation and negative role of conflict in the adaptation process. The study suggests to address the constraints to adaptation and to improve farm level cooperation through extended outreach and distribution of institutional services, particularly climate-specific farm advisory

  14. Selective vulnerability in brain hypoxia

    DEFF Research Database (Denmark)

    Cervos-Navarro, J.; Diemer, Nils Henrik

    1991-01-01

    Neuropathology, selective vulnerability, brain hypoxia, vascular factors, excitotoxicity, ion homeostasis......Neuropathology, selective vulnerability, brain hypoxia, vascular factors, excitotoxicity, ion homeostasis...

  15. Arizona - Social Vulnerability Index

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Social Vulnerability Index is derived from the 2000 US Census data. The fields included are percent minority, median household income, age (under 18 and over...

  16. Facility Environmental Vulnerability Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Van Hoesen, S.D.

    2001-07-09

    From mid-April through the end of June 2001, a Facility Environmental Vulnerability Assessment (FEVA) was performed at Oak Ridge National Laboratory (ORNL). The primary goal of this FEVA was to establish an environmental vulnerability baseline at ORNL that could be used to support the Laboratory planning process and place environmental vulnerabilities in perspective. The information developed during the FEVA was intended to provide the basis for management to initiate immediate, near-term, and long-term actions to respond to the identified vulnerabilities. It was expected that further evaluation of the vulnerabilities identified during the FEVA could be carried out to support a more quantitative characterization of the sources, evaluation of contaminant pathways, and definition of risks. The FEVA was modeled after the Battelle-supported response to the problems identified at the High Flux Beam Reactor at Brookhaven National Laboratory. This FEVA report satisfies Corrective Action 3A1 contained in the Corrective Action Plan in Response to Independent Review of the High Flux Isotope Reactor Tritium Leak at the Oak Ridge National Laboratory, submitted to the Department of Energy (DOE) ORNL Site Office Manager on April 16, 2001. This assessment successfully achieved its primary goal as defined by Laboratory management. The assessment team was able to develop information about sources and pathway analyses although the following factors impacted the team's ability to provide additional quantitative information: the complexity and scope of the facilities, infrastructure, and programs; the significantly degraded physical condition of the facilities and infrastructure; the large number of known environmental vulnerabilities; the scope of legacy contamination issues [not currently addressed in the Environmental Management (EM) Program]; the lack of facility process and environmental pathway analysis performed by the accountable line management or facility owner; and

  17. Nutritional Vulnerability in Older Adults: A Continuum of Concerns

    OpenAIRE

    Porter Starr, Kathryn N.; McDonald, Shelley R.; Bales, Connie W.

    2015-01-01

    A nutritionally vulnerable older adult has a reduced physical reserve that limits the ability to mount a vigorous recovery in the face of an acute health threat or stressor. Often this vulnerability contributes to more medical complications, longer hospital stays, and increased likelihood of nursing home admission. We have characterized in this review the etiology of nutritional vulnerability across the continuum of the community, hospital, and long term care settings. Frail older adults may ...

  18. Children without parental care as a vulnerable category

    Directory of Open Access Journals (Sweden)

    Kvrgić Svetlana T.

    2003-01-01

    Full Text Available Introduction Health protection and health promotion are the primary goals of modern medicine. Since children's health is the cornerstone of adult's health, it must be in the center of all social and health care strategies. Vulnerability concept Vulnerability means exposure to harmful influences, risks or stress, which increases disease probability. The most vulnerable are categories that are exposed to influence of many harmful factors, which have minimal chances for survival and lowest quality of life. Vulnerability of children without parental care Vulnerability of children without parental care is caused by lack and/or inadequate family environment. These children are usually emotionally unstable; they frequently develop conduct disorders and have low self-esteem. As adolescents, these children have tendency to risky behavior, which greatly decreases their health potentials. Health status and quality of life All three components of health are endangered with children without parental care. These children present with physical, psycho-motoric and intellectual impairments. There are no studies about quality of life regarding these children, but we can assume that their quality of life is lower than in children who experience protective family environment, since quality of psychosocial factors and family environment are very important predictors of quality of life. Conclusion Children without parental care are an extremely vulnerable category, because they are subjected to various risk factors. Therefore, in order to improve health potentials and quality of life, special measures are required in health care, psychological care and social welfare.

  19. HandiVIH—A population-based survey to understand the vulnerability of people with disabilities to HIV and other sexual and reproductive health problems in Cameroon: protocol and methodological considerations

    Science.gov (United States)

    De Beaudrap, Pierre; Pasquier, Estelle; Tchoumkeu, Alice; Touko, Adonis; Essomba, Frida; Brus, Aude; Desgrées du Loû, Annabel; Aderemi, Toyin Janet; Hanass-Hancock, Jill; Eide, Arne Henning; Mont, Daniel; Mac-Seing, Muriel; Beninguisse, Gervais

    2016-01-01

    Introduction In resource-limited countries, people with disabilities seem to be particularly vulnerable to HIV infection due to barriers to accessing information and services, frequent exposure to sexual violence and social exclusion. However, they have often been left behind in the HIV response, probably because of the lack of reliable epidemiological data measuring this vulnerability. Multiple challenges in conducting good quality epidemiological surveys on people with disabilities require innovative methods to better understand the link between disability and HIV. This paper describes how the design and methods of the HandiVIH study were adapted to document the vulnerability of people with disabilities to HIV, and to compare their situation with that of people without disabilities. Methods and analysis The HandiVIH project aims to combine quantitative and qualitative data. The quantitative component is a cross-sectional survey with a control group conducted in Yaoundé (Cameroon). A two-phase random sampling is used (1) to screen people with disabilities from the general population using the Washington Group questionnaire and, (2) to create a matched control group. An HIV test is proposed to each study participant. Additionally, a questionnaire including a life-event interview is used to collect data on respondents’ life-course history of social isolation, employment, sexual partnership, HIV risk factors and fertility. Before the cross-sectional survey, a qualitative exploratory study was implemented to identify challenges in conducting the survey and possible solutions. Information on people with disabilities begging in the streets and members of disabled people's organisations is collected separately. Ethics and dissemination This study has been approved by the two ethical committees. Special attention has been paid on how to adapt the consenting process to persons with intellectual disabilities. The methodological considerations discussed in this paper may

  20. Applications of monsoon research: Opportunities to inform decisionmaking and reduce regional vulnerability

    Science.gov (United States)

    Ray, A. J.; Garfin, G. M.; Wilder, M.; Lenart, M.; Vásquez-León, M.; Comrie, A. C.

    2007-05-01

    This presentation will describe ongoing efforts to understand interactions between the North American Monsoon and society, in order to develop applications for monsoon research in a highly complex, multicultural and binational region. The North American Monsoon is an annual precipitation regime that begins in early June in Mexico and progresses northward to the southwestern United States. The region includes stakeholders in large urban complexes, productive agricultural areas, and sparsely populated arid and semi-arid ecosystems. The political, cultural, and socioeconomic divisions between the U.S. and Mexico create a broad range of sensitivities to climate variability as well as capacities to use forecasts and other information to cope with climate. We will highlight methodologies to link climate science with society and analyze opportunities for monsoon science to benefit society in four sectors: natural hazards management, agriculture, public health, and water management. We present a synthesized list of stakeholder needs and a calendar of decisions to help scientists link user needs to potential forecasts and products. To ensure usability of forecasts and other research products, we recommend iterative scientist-stakeholder interactions, through integrated assessments. These knowledge- exchange interactions can improve the capacity for stakeholders to use forecasts thoughtfully and inform the development of research, and for the research community to obtain feedback on climate-related products and receive insights to guide research direction. We expect that integrated assessments can capitalize on the opportunities for monsoon science to inform decisionmaking, in the best instances, reduce regional climate vulnerabilities and enhance regional sustainability

  1. DADA: Data Assimilation for the Detection and Attribution of Weather and Climate-related Events

    Science.gov (United States)

    Hannart, Alexis; Bocquet, Marc; Carrassi, Alberto; Ghil, Michael; Naveau, Philippe; Pulido, Manuel; Ruiz, Juan; Tandeo, Pierre

    2015-04-01

    We describe a new approach allowing for near real time, systematic causal attribution of weather and climate-related events. The method is purposely designed to allow its operability at meteorological centers by synergizing causal attribution with data treatments that are routinely performed when numerically forecasting the weather, thereby taking advantage of their powerful computational and observational capacity. Namely, we show that causal attribution can be obtained as a by-product of the so-called data assimilation procedures that are run on a daily basis to update the meteorological model with new atmospheric observations. We explain the theoretical rationale of this approach and sketch the most prominent features of a "data assimilation-based detection and attribution" (DADA) procedure. The proposal is illustrated in the context of the 3-variables Lorenz model. Several practical and theoretical research questions that need to be addressed to make the proposal readily operational within weather forecasting centers are finally laid out.

  2. Ecosystem and human health impacts from increased corn production: vulnerability assessment of exposure to high nitrate concentrations in groundwater and blue baby syndrome

    Science.gov (United States)

    Garcia, V.; Cooter, E. J.

    2013-12-01

    The Renewable Fuel Standard (RFS) requires oil refiners to reach a target of 15 billion gallons of corn-based ethanol by 2022. However, there are concerns that the broad-scale use of corn as a source of ethanol may lead to unintended economic and environmental consequences. This study applies the geophysical relationships captured with linked meteorological, air quality and agriculture models to examine the impact of corn production before enactment of the RFS in 2002 and at the height of the RFS targets in 2022. In particular, we investigate the probability of high-levels of nitrate in groundwater resulting from increased corn production and then relate this vulnerability to the potential for infants to acquire Methemoglobinemia, or 'Blue Baby Syndrome'. Blue Baby Syndrome (BBS) is a potentially fatal condition that occurs when the hemoglobin (Fe2+) in an infant's red blood cells is oxidized to methemoglobin (Fe3+), preventing the uptake of oxygen from the baby's blood. Exposure to high levels of nitrate in groundwater occur near the intersection of areas where surface water can more readily leach into shallow aquifers, wells are the main source of drinking water, and high nitrogen inputs exist. We use a coupled meteorological, agricultural and air quality model to identify areas vulnerable to increased nitrate contamination and associated risk to acquiring BBS. We first verify the relationship between predictive variables (e.g., nitrogen deposition and fertilization rates, landcover, soils and aquifer type) and nitrate groundwater levels by applying a regression model to over 800 nitrate measurements taken from wells located throughout the US (Figure 1). We then apply the regression coefficients to the coupled model output to identify areas that are at an increased risk for high nitrate groundwater levels in 2022. Finally, we examine the potential change in risk for acquiring BBS resulting from increased corn production by applying an Oral Reference Dose (Rf

  3. Low frequency variability of Climate-Related-Energy penetration in Europe

    Science.gov (United States)

    Raynaud, Damien; Baptiste, François; Hingray, Benoit; Creutin, Jean-Dominique

    2016-04-01

    The penetration rate of Climate Related Energy sources like solar-power, wind-power and hydro-power source measures the mismatch between the energy availability from those fatal productions and the energy demand which may be also partly dependent on the climate. The penetration rate is a key factor - with potentially large technical and economic implications, to be accounted for in public policies and private initiatives for a massive integration of renewables in the classical energy system. For a given region, it is classically estimated from high resolution time series of energy productions and energy demand derived from times series of their driving climatic variables (temperature, wind, radiation, precipitation). The penetration rate obviously highly depends on the seasonal and also high frequency time variability of these climatic variables (François et al. 2016). A less studied aspect of this penetration rate is its dependence to low frequency variability of climate, from annual to pluriannual time scales. We here explore this dependence for a set of 12 contrasted hydroclimatic regions in Europe with long time series of weather variables reconstructed for the whole 20th century. We discuss the interannual, and interdecadal variability of the penetration rate for the solar-power, wind-power and run-of-the river energy sources taken individually and for different mixes. We discuss how it can be increased / stabilized with local energy storage. Reference : François, B, Hingray, B., Raynaud, R., Borga, M. and Creutin, J.D., 2016. Increasing Climate-Related-Energy penetration by integrating run-of-the river hydropower to wind/solar mix. Renewable Energy. 87(1), pp.686-696. doi:10.1016/j.renene.2015.10.064 This work is part of the COMPLEX Project (European Collaborative Project FP7-ENV-2012 number: 308601; http://www.complex.ac.uk/).

  4. Energy vulnerability relationships

    Energy Technology Data Exchange (ETDEWEB)

    Shaw, B.R.; Boesen, J.L.

    1998-02-01

    The US consumption of crude oil resources has been a steadily growing indicator of the vitality and strength of the US economy. At the same time import diversity has also been a rapidly developing dimension of the import picture. In the early 1970`s, embargoes of crude oil from Organization of Producing and Exporting Countries (OPEC) created economic and political havoc due to a significant lack of diversity and a unique set of economic, political and domestic regulatory circumstances. The continued rise of imports has again led to concerns over the security of our crude oil resource but threats to this system must be considered in light of the diversity and current setting of imported oil. This report develops several important issues concerning vulnerability to the disruption of oil imports: (1) The Middle East is not the major supplier of oil to the United States, (2) The US is not vulnerable to having its entire import stream disrupted, (3) Even in stable countries, there exist vulnerabilities to disruption of the export stream of oil, (4) Vulnerability reduction requires a focus on international solutions, and (5) DOE program and policy development must reflect the requirements of the diverse supply. Does this increasing proportion of imported oil create a {open_quotes}dependence{close_quotes}? Does this increasing proportion of imported oil present a vulnerability to {open_quotes}price shocks{close_quotes} and the tremendous dislocations experienced during the 1970`s? Finally, what is the vulnerability of supply disruptions from the current sources of imported oil? If oil is considered to be a finite, rapidly depleting resource, then the answers to these questions must be {open_quotes}yes.{close_quotes} However, if the supply of oil is expanding, and not limited, then dependence is relative to regional supply sources.

  5. Plutonium Vulnerability Management Plan

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-03-01

    This Plutonium Vulnerability Management Plan describes the Department of Energy`s response to the vulnerabilities identified in the Plutonium Working Group Report which are a result of the cessation of nuclear weapons production. The responses contained in this document are only part of an overall, coordinated approach designed to enable the Department to accelerate conversion of all nuclear materials, including plutonium, to forms suitable for safe, interim storage. The overall actions being taken are discussed in detail in the Department`s Implementation Plan in response to the Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 94-1. This is included as Attachment B.

  6. Assessment of climate vulnerability in the Norwegian built environment

    Science.gov (United States)

    Hygen, H. O.; Øyen, C. F.; Almâs, A. J.

    2010-09-01

    The main trends expected for the change of Norwegian climate for this century are increasing temperatures, precipitation and wind. This indicates a probable increase of climate related risks to the Norwegian built environment. Previous assessments of climate vulnerability of the built environment have been based on general terms and experiences. The report "Climate and vulnerability analysis for Norwegian built environment; Basis elucidation for the Official Norwegian Report (NOU) on climate adaptation (in Norwegian only)" has used previously defined indexes to quantify the future vulnerability and thus estimated the impact of future climate strain to the existing built environment. The method used to do this assessment has been to create national geolocated maps of relevant climate indexes. Climate indexes for this analysis are: * Wood decay, * Temperature and heating degree days, * Snow load and wet winter precipitation, * Precipitation, flood and extreme precipitation * Wind and wind-driven rain * Frost decay * Frost amount * Perma frost Most of these indexes have been established both for the normal period 1961 - 1990 and projected climate of 2071 - 2100. To compensate for uncertainties in the projection, a set of three projections has been used. These indexes have been combined with geolocated information for Norway's 3.9 million buildings, by imposing GIS digitalized building information to the geolocated maps. The result of this combination is a synopsis of the number of buildings in Norway vulnerable to the displayed present climate parameters and to the projected changes. Consequenses for the Norwegian buildings stock and actions to be taken by the government are also discussed.

  7. Data Integration for Climate Vulnerability Mapping in West Africa

    Directory of Open Access Journals (Sweden)

    Alex de Sherbinin

    2015-11-01

    Full Text Available Vulnerability mapping reveals areas that are likely to be at greater risk of climate-related disasters in the future. Through integration of climate, biophysical, and socioeconomic data in an overall vulnerability framework, so-called “hotspots” of vulnerability can be identified. These maps can be used as an aid to targeting adaptation and disaster risk management interventions. This paper reviews vulnerability mapping efforts in West Africa conducted under the USAID-funded African and Latin American Resilience to Climate Change (ARCC project. The focus is on the integration of remotely sensed and socioeconomic data. Data inputs included a range of sensor data (e.g., MODIS NDVI, Landsat, SRTM elevation, DMSP-OLS night-time lights as well as high-resolution poverty, conflict, and infrastructure data. Two basic methods were used, one in which each layer was transformed into standardized indicators in an additive approach, and another in which remote sensing data were used to contextualize the results of composite indicators. We assess the benefits and challenges of data integration, and the lessons learned from these mapping exercises.

  8. Using photovoice in adolescent health research: a case-study of the Well-being of Adolescents in Vulnerable Environments (WAVE) Study in Ibadan, Nigeria.

    Science.gov (United States)

    Olumide, Adesola O; Adebayo, Emmanuel S; Ojengbede, Oladosu A

    2016-10-14

    Photovoice is a participatory action research method in which people are given cameras and asked to take pictures of specific issues within their community. It is often used among marginalised populations. This method helps people capture specific issues within their community using photographs, critically discuss these issues within a group and present their findings to inform policies within their community. Photovoice has been used in developed countries and among adult participants; however, the extent to which it has been used in developing countries and among adolescent participants is yet to be extensively reported. In this paper, we describe the use of photovoice among male and female adolescents aged 15-19 years who participated in the qualitative phase (phase I) of the Well-being of Adolescents in Vulnerable Environments (WAVE) study in Ibadan, Nigeria. The main study was conducted among adolescents residing in disadvantaged communities within five global cities (Baltimore, USA; Ibadan, Nigeria; Johannesburg, South Africa; New Delhi, India and Shanghai, China). Our findings revealed that adolescents in Ibadan were very eager to participate, remained fully engaged throughout the process and the data obtained were rich and detailed. Some challenges encountered with using this method were that younger adolescents had a tendency to attain saturation when taking pictures much earlier than older adolescents; however, they equally discussed the pictures taken enthusiastically. Overall, our findings affirm that photovoice as a data collection method can be successfully used in research among adolescents in developing countries like Nigeria.

  9. Climate related projections on future water resources and human adaptation in the Great Ruaha River Basin in Tanzania

    DEFF Research Database (Denmark)

    Liwenga, Emma; Pauline, Noah; Tumbo, Madaka;

    - Temperatures will likely increase by 1-2 degrees by the middle of the century and 3-4 degrees by the end of the century. - A likely overall increase in precipitation and larger seasonal variation might lead to water related stress during a prolonged dry season and flood risks during the wet...... season. - The overall climate related effect on water resources is a status quo. - Increased rainy season rainfall offers opportunities for rain fed agriculture and water storage for hydro-power and irrigation. - Local governments are already effectively dealing with these climate related impacts...

  10. An assessment of the telehealth needs and health-care priorities of Tanna Island: a remote, under-served and vulnerable population.

    Science.gov (United States)

    Khazei, Afshin; Jarvis-Selinger, Sandra; Ho, Kendall; Lee, Anna

    2005-01-01

    We surveyed eight Canadian physicians who had each provided medical care for six months on the remote and under-served island of Tanna in Vanuatu. The most frequently encountered medical problems on Tanna were infectious diseases (tuberculosis, hepatitis, abscesses, malaria, pneumonia, typhoid fever, meningitis and skin infections). When physicians were asked about the top three health-care priorities, they ranked tuberculosis control, clean water and improved health-care delivery/communication between hospital and outposts as most important. The key issues were: (1) basic public health needs and infrastructure development are higher in priority than telehealth; (2) telehealth consultants must have knowledge pertinent to local conditions and resources available to the population; (3) electronic equipment suited to tropical environments is needed; (4) projects must be developed locally rather than internationally. Understanding how telehealth can provide support to health professionals under challenging conditions may assist with the health priorities in developing countries and potentially provide access to resources both locally and internationally.

  11. Using Social Network Analysis To Map Participation And Non-participation In Health Promotion and Community-building Among Vulnerable Populations

    DEFF Research Database (Denmark)

    Hindhede, Anette Lykke

    In empowerment and asset-based approaches to community development, the ability to change local residents’ perception of themselves and their neighbours from that of persons with needs that can only be met with the help of professionals to that of a more self-reliant group with assets......-building project aiming at increasing upward mobility and social capital within the area and increase equity in health. This presentation will outline the tensions and contradictions which accompany policies and interventions that seek to strengthen local communities as a means of promoting health. Emerging...

  12. Nutritional Vulnerability in Older Adults: A Continuum of Concerns.

    Science.gov (United States)

    Porter Starr, Kathryn N; McDonald, Shelley R; Bales, Connie W

    2015-06-01

    A nutritionally vulnerable older adult has a reduced physical reserve that limits the ability to mount a vigorous recovery in the face of an acute health threat or stressor. Often this vulnerability contributes to more medical complications, longer hospital stays, and increased likelihood of nursing home admission. We have characterized in this review the etiology of nutritional vulnerability across the continuum of the community, hospital, and long term care settings. Frail older adults may become less vulnerable with strong, consistent, and individualized nutritional care. Interventions for the vulnerable older adult must take their nutritional needs into account to optimize resiliency in the face of the acute and/or chronic health challenges they will surely face in their life course.

  13. Scientists ID Key Fetal Cells Vulnerable to Zika

    Science.gov (United States)

    ... html Scientists ID Key Fetal Cells Vulnerable to Zika Lab study suggests possible mechanism for birth defects ... 29, 2016 (HealthDay News) -- The devastating mosquito-borne Zika virus can infect cells that play a role ...

  14. On the neglect of causality principles in solar activity - climate relations.

    Science.gov (United States)

    Stauning, Peter

    2010-05-01

    Many research papers have claimed to demonstrate close relations between solar activity and the terrestrial climate. In most cases the relations have been based on comparisons between time series of solar activity parameters, for instance sunspot numbers, and climate parameters, for instance terrestrial temperatures. However, many of the reported close relations are based on skilfully manipulated data and neglect of basic causality principles. For cause-effect relations to be reliably established, the cause must obviously happen prior to the effects. Thus it is problematic to use, for instance, running averages of parameters if the result depends too much on posterior elements of the causative time series or precursory elements of the effects. Even more neglected are the causality principles for cause-effect relations with a strongly varying source function. Damping of source variations by smoothing data handling introduces additional implied delays, which should be considered in the judgement of apparent correlations between processed time series of cause and effect parameters. The presentation will discuss examples of frequently quoted solar activity-climate relations (e.g., by Reid, Friis-Christensen, and Svensmark), which violate basic causality principles.

  15. Community perception on climate change and climate-related disaster preparedness in Kathmandu Valley, Nepal

    Directory of Open Access Journals (Sweden)

    Simone Sandholz

    2013-04-01

    Full Text Available Within the last decades, Kathmandu Valley in Nepal has been characterized by rapid population growth and related urbanization processes, leading to environmental degradation, pollution and supply bottlenecks in the metropolitan area. Effects of climate change are now putting additional stress on the urban system. In our research in Kathmandu, we carried out community and household surveys to analyze community perception on climate change and climate-related disaster preparedness. For this purpose, three categories of communities, 12 in all, were surveyed and interviewed: Squatter settlements, agricultural villages, and traditional villages. All settlements are located close to main rivers and therefore especially exposed to floods and droughts, and in slope position also to landslides. As a main result, we can conclude that people are generally aware of climate change and its potential consequences, such as climate change-related disasters. However, in their daily lives, climate change does not play a significant role and most communities have not taken any adaptation measures so far.

  16. Interpreting ambiguous health and bodily threat : Are individual differences in pain-related vulnerability constructs associated with an on-line negative interpretation bias?

    NARCIS (Netherlands)

    Vancleef, Linda M. G.; Peters, Madelon L.; De Jong, Peter J.

    2009-01-01

    The present study examined the association between pain-related anxiety and an on-line interpretation bias for putative physical health threat. Healthy volunteers (n = 80) completed measures on Anxiety Sensitivity, Injury/illness Sensitivity, Fear of Pain and Pain Catastrophizing. Furthermore, they

  17. Impacts of Extreme Events on Human Health. Chapter 4

    Science.gov (United States)

    Bell, Jesse E.; Herring, Stephanie C.; Jantarasami, Lesley; Adrianopoli, Carl; Benedict, Kaitlin; Conlon, Kathryn; Escobar, Vanessa; Hess, Jeremy; Luvall, Jeffrey; Garcia-Pando, Carlos Perez; Quattrochi, Dale; Runkle, Jennifer; Schreck, Carl J., III

    2016-01-01

    Increased Exposure to Extreme Events Key Finding 1: Health impacts associated with climate-related changes in exposure to extreme events include death, injury, or illness; exacerbation of underlying medical conditions; and adverse effects on mental health[High Confidence]. Climate change will increase exposure risk in some regions of the United States due to projected increases in the frequency and/or intensity of drought, wildfires, and flooding related to extreme precipitation and hurricanes [Medium Confidence].Disruption of Essential Infrastructure Key Finding 2: Many types of extreme events related to climate change cause disruption of infrastructure, including power, water, transportation, and communication systems, that are essential to maintaining access to health care and emergency response services and safeguarding human health [High Confidence].Vulnerability to Coastal Flooding Key Finding 3: Coastal populations with greater vulnerability to health impacts from coastal flooding include persons with disabilities or other access and functional needs, certain populations of color, older adults, pregnant women and children, low-income populations, and some occupational groups [High Confidence].Climate change will increase exposure risk to coastal flooding due to increases in extreme precipitation and in hurricane intensity and rainfall rates, as well as sea level rise and the resulting increases in storm surge.

  18. Interpreting ambiguous health and bodily threat: are individual differences in pain-related vulnerability constructs associated with an on-line negative interpretation bias?

    Science.gov (United States)

    Vancleef, Linda M G; Peters, Madelon L; De Jong, Peter J

    2009-03-01

    The present study examined the association between pain-related anxiety and an on-line interpretation bias for putative physical health threat. Healthy volunteers (n=80) completed measures on Anxiety Sensitivity, Injury/illness Sensitivity, Fear of Pain and Pain Catastrophizing. Furthermore, they performed an interpretation task, in which spontaneous (on-line) inferences were indirectly assessed from reaction times and accuracy of a lexical decision to the final word of an ambiguous description. Results demonstrated a general facilitation of responses to final words that endorsed a health-threatening resolution of ambiguity (e.g., illness). This effect correlated positively with individual levels of Fear of Pain, but was found to be unrelated to levels of Anxiety Sensitivity, Injury/illness Sensitivity or Pain Catastrophizing. Implications of the findings and recommendations for future research are discussed.

  19. Land tenure insecurity, vulnerability to climate-induced disaster and opportunities for redress in southern Africa

    Directory of Open Access Journals (Sweden)

    Tigere Chagutah

    2013-01-01

    Full Text Available Land tenure is an important variable impacting on vulnerability to climate-related disaster. Land tenure insecurity is widespread in southern Africa and manifests itself in a number of ways that accentuate vulnerability to climate change impacts. Insecure tenure is seen to heighten vulnerability against growing demand for land for residential purposes and working space in urban areas while in the rural areas insecure tenure militates against diversified livelihoods and hinders investment in appropriate technologies and uptake of sound environmental management practices. Using the focused synthesis method, this article (1 maps the intersections between land tenure insecurity and vulnerability to climate-induced disaster in southern Africa; and (2 identifies the opportunities tenure reforms hold for vulnerability reduction in a region predicted to suffer widespread impacts from climate change. The paper contends that land tenure is a critical component of the milieu of factors – economic, social, cultural, institutional, political and even psychological – that are known to shape vulnerability and determine the environment that people live in. The study finds that land tenure reforms can help to reduce vulnerability and enhance community resilience to climate change. In this regard, the article outlines how tenure reforms can help build diverse household livelihoods, improve environmental management, particularly in the rural areas, and encourage investment in robust housing and safe neighbourhoods among the urban poor – all of which are integral to the region’s response to climate change.

  20. Climate-related Changes in Tropical-fruit Flowering Phases in Songkhla Province, Southern Thailand

    Directory of Open Access Journals (Sweden)

    Supakracha Apiratikorn

    2014-04-01

    Full Text Available Changes in the timing of plant phenological phases in response to anomalous climate variability and the ongoing anthropogenic climate change have recently been studied in southern Thailand. In this study, we showed the evidence of climate-related changes in flowering phases of 2 tropical-fruit species: mangosteen (Garcinia mangostana and longkong (Lansium domesticum Corr. during 2003-2012. The flowering dates of these tropical fruits recorded at Hat Yai district, Songkhla province and daily climate data were used to assess phenophase response to variations in rainfall and evaporation. With the observed changes in local climate conditions which are defining factors for phenological development of tropical fruits particularly in southern Thailand, the flowering dates of both tropical fruits during 2003-2012 have significantly delayed comparing with the regular pattern in the past. Paradoxically, below-than-normal rainfall was also found in the El Niño years, while La Niña years were found in opposite. In summary, rainfall variations in Hat Yai district, Songkhla province are associated with ENSO. It was evident that the flowering period of tropical fruits tended to shift to the second-half of the year instead of the first-half of the year as usual. The results revealed that, during 33 years (1980-2012, annual rainfall totals, the annual number of rainy days, relative humidity, maximum and minimum temperatures from the Thai Meteorological Department significantly increased by 29.5 mm/year, 0.83 day/year, 0.116 %/year, 0.033 and 0.035C/year, respectively. These findings suggest that anthropogenically warm climate and its associated inter-annual variations in local weather patterns may to the great extent influence on tropical-fruit phenology and their responses to recent climate change seem to be complex and nonlinear. Therefore, further study is needed to shed more light on such causal-effect linkages and plausible underlying mechanisms.

  1. Landscape influences on climate-related lake shrinkage at high latitudes

    Science.gov (United States)

    Roach, Jennifer K.; Griffith, Brad; Verbyla, David

    2013-01-01

    Climate-related declines in lake area have been identified across circumpolar regions and have been characterized by substantial spatial heterogeneity. An improved understanding of the mechanisms underlying lake area trends is necessary to predict where change is most likely to occur and to identify implications for high latitude reservoirs of carbon. Here, using a population of ca. 2300 lakes with statistically significant increasing and decreasing lake area trends spanning longitudinal and latitudinal gradients of ca. 1000 km in Alaska, we present evidence for a mechanism of lake area decline that involves the loss of surface water to groundwater systems. We show that lakes with significant declines in lake area were more likely to be located: (1) in burned areas; (2) on coarser, well-drained soils; and (3) farther from rivers compared to lakes that were increasing. These results indicate that postfire processes such as permafrost degradation, which also results from a warming climate, may promote lake drainage, particularly in coarse-textured soils and farther from rivers where overland flooding is less likely and downslope flow paths and negative hydraulic gradients between surface water and groundwater systems are more common. Movement of surface water to groundwater systems may lead to a deepening of subsurface flow paths and longer hydraulic residence time which has been linked to increased soil respiration and CO2 release to the atmosphere. By quantifying relationships between statewide coarse resolution maps of landscape characteristics and spatially heterogeneous responses of lakes to environmental change, we provide a means to identify at-risk lakes and landscapes and plan for a changing climate.

  2. Assessing human vulnerability: Daytime residential distribution as a vulnerability indicator

    Science.gov (United States)

    Gokesch, Karin; Promper, Catrin; Papathoma-Köhle, Maria; Glade, Thomas

    2014-05-01

    Natural hazard risk management is based on detailed information on potential impacts of natural hazards. Especially concerning fast onset hazards such as flash floods, earthquakes but also debris flows and landslides, knowing potential hotspots of impact to both, assets and human lives is essential. This information is important for emergency management and decision making in the response phase of the disaster management cycle. Emergency managers are in need of information regarding not only the number of humans being potentially affected but also the respective vulnerability of the group affected based on characteristics such as age, income, health condition, mobility, etc. regarding a certain hazard. The analysis presented focuses on the distribution of the population, assuming a certain pattern of people in a certain radius of action. The method applied is based on a regular pattern of movement of different groups of people and a pattern of presence in certain units, e.g. schools, businesses or residential buildings. The distribution is calculated on a minimum of available data including the average household size, as well as information on building types. The study area is located in the Southwest of Lower Austria, Austria. The city of Waidhofen/Ybbs can be regarded as a regional center providing basic infrastructure, shops and schools. The high concentration of buildings combining shops and residential units leads to a high damage potential throughout the whole study area. The presented results indicate the population distribution within the study area on an average working day. It is clear that explicitly high numbers of people are located in specific buildings (e.g. schools and hospitals) which also include highly vulnerable groups especially to fast onset hazards. The results provide emergency services with the information that they need in order to intervene directly where large numbers of victims or people that need to be evacuated are located. In this

  3. 2012 NEHA/UL sabbatical report: vulnerability to potential impacts of climate change: adaptation and risk communication strategies for environmental health practitioners in the United Kingdom.

    Science.gov (United States)

    Ratnapradipa, Dhitinut

    2014-04-01

    Climate change risk assessment, adaptation, and mitigation planning have become increasingly important to environmental health practitioners (EHPs). The NEHA/UL Sabbatical Exchange Award allowed me to investigate how EHPs in the UK are incorporating climate change planning and communication strategies into their work. Projected climate change risks in the UK include flooding, extreme heat, water shortages, severe weather, decreased air quality, and changes in vectors. Despite public perception and funding challenges, all the local government representatives with whom I met incorporated climate change risk assessment, adaptation, and mitigation planning into their work. The mandated Community Risk Register serves as a key planning document developed by each local government authority and is a meaningful way to look at potential climate change health risks. Adaptation and sustainability were common threads in my meetings. These often took the form of "going green" with transportation, energy efficiency, conserving resources, and building design because the efforts made sense monetarily as future cost savings. Communication strategies targeted a variety of audiences (EHPs, non-EHP government employees, politicians, and the general public) using a broad range of communication channels (professional training, lobbying, conferences and fairs, publications, print materials, Internet resources, social media, billboards, etc).

  4. Climate Change Adaptation and Climate Related Disaster Risk Reduction Strategies in Zimbabwe and Malawi

    Science.gov (United States)

    Mubaya, C. P.; Ngepah, N.; Seyama, W.

    2015-12-01

    Climate Change Adaptation (CCA) and Disaster Risk Reduction (DRR) have similar aims and mutual benefits, and there is a very strong rationale for adopting a more integrated approach to these issues rather than analysing each of them as distinct from the other. One of the gaps that have been noted in this context is the lack of evidence in systematic integration of CCA and DRR in Southern Africa. In this regard, this study builds on understanding CCA and DRR policies from the perspectives of vulnerable groups- women and smallholder farmers, and conducts institutional and policy analysis of CCA and DRR in southern Africa, with specific focus on Malawi and Zimbabwe. Both quantitative and qualitative methodologies were employed to collect data for this study in the two countries. The analysis is centred on the conceptualization of DRR in the context of recovery time and CCA on livelihood changes. Findings of the study show that drought is no longer viewed as a hazard as it is a perennial and chronic occurrence in selected climate hotspots, with heightened intensity in certain identified years. Households are able to quickly recover from slow onset hazards such as droughts and dry spells more than they are able to recover from sudden onset floods, implying more capacity towards CCA than DRR. Government programmes and policies are also focused more on CCA than on DRR efforts that appear not to be a priority. Findings point towards female vulnerability from perceptions and practice where males tend to dominate where they are set to benefit from external assistance. We need to strengthen government capacity in implementation of DRR programmes, which is currently limited and development initiatives must deliberately target building the resilience of women.

  5. Sexuality, vulnerability to HIV, and mental health: an ethnographic study of psychiatric institutions Sexualidade e vulnerabilidade ao HIV em saúde mental: um estudo de base etnográfica de instituições psiquiátricas

    Directory of Open Access Journals (Sweden)

    Diana de Souza Pinto

    2007-09-01

    Full Text Available This paper presents data from the ethnographic based formative phase of the Interdisciplinary Project on Sexuality, Mental Health, and AIDS (PRISSMA, sponsored by the National Institute of Mental Health (NIMH and carried out in two psychiatric institutions in the city of Rio de Janeiro, Brazil. Results from ethnographic observations, focus groups, and key informant interviews with different groups of mental health care providers and day hospital and outpatient mental health clients regarding conceptions of sexuality and HIV vulnerability are described. The results suggest a diversity of notions about sexuality by both groups and point out the high HIV sexual risk in this psychiatric population. This formative phase has served as the basis for the cultural adaptation and creation of a Brazilian intervention for HIV prevention in the severely mentally ill, the feasibility of which has been successfully evaluated in the pilot phase.Este artigo apresenta dados da fase formativa, de base etnográfica, do Projeto Interdisciplinar em Sexualidade, Saúde Mental e AIDS (PRISSMA patrocinado pelo National Institute of Mental Health (NIMH e desenvolvido em duas instituições psiquiátricas da cidade do Rio de Janeiro, Brasil. São descritos e discutidos os resultados obtidos nas observações etnográficas, grupos focais e entrevistas com informantes-chave realizados com diferentes grupos de profissionais de saúde mental e usuários de saúde mental do hospital-dia e/ou em tratamento ambulatorial, relativos às concepções de sexualidade e vulnerabilidade para o HIV. Os resultados sugerem uma diversidade de relatos e noções sobre o exercício da sexualidade por ambos os grupos e aponta para o alto risco sexual para o HIV nessa população psiquiátrica. Esta fase formativa embasou a adaptação cultural e a criação de uma intervenção brasileira para prevenção desse vírus em portadores de transtornos mentais graves cuja viabilidade foi avaliada

  6. Open Source Vulnerability Database Project

    Directory of Open Access Journals (Sweden)

    Jake Kouns

    2008-06-01

    Full Text Available This article introduces the Open Source Vulnerability Database (OSVDB project which manages a global collection of computer security vulnerabilities, available for free use by the information security community. This collection contains information on known security weaknesses in operating systems, software products, protocols, hardware devices, and other infrastructure elements of information technology. The OSVDB project is intended to be the centralized global open source vulnerability collection on the Internet.

  7. DEMOGRAPHIC VULNERABILITIES IN TECUCI PLAIN

    Directory of Open Access Journals (Sweden)

    Iulian Adrian ŞORCARU

    2013-06-01

    Full Text Available The study focuses on analyzing and mapping 8 indicators considered to best reflect the demographic vulnerability in Tecuci Plain in the year 2010 and proposes a model of aggregation which finally allows us to distinguish three major types of demographic vulnerability (low, medium and high. Mapping the final values also shows significant disparities in the territorial administrative units that broadly overlap the plain, the most vulnerable being Tecuci city and the peripheral communes, towards Vrancea and Vaslui Counties.

  8. The changing climate and human vulnerability in north-central Namibia

    Directory of Open Access Journals (Sweden)

    Margaret N. Angula

    2016-01-01

    Full Text Available North-central Namibia is more vulnerable to effects of climate change and variability. Combined effects of environmental degradation, social vulnerability to poverty and a changing climate will compromise subsistence farming in north-central Namibia (NCN. This will make subsistence and small-scale farmers in the region more vulnerable to projected changes in the climate system. Thus, the aim of this article was to examine factors contributing to subsistence farmers’ vulnerability to impacts of climate change. The article further discusses different aspects of human vulnerability and existing adaptation strategies in response to impacts of climate related disasters experienced over the past three to four decades in NCN. Qualitative and quantitative research approaches and methodology were employed to obtain information from subsistence farmers in north-central Namibia. The sociodemographic characteristics of Ohangwena, Oshana and Omusati Region reveals high levels of unemployment, high adult and elderly population and high dependency on agricultural livelihood system. These indicators help understand levels of household vulnerability. The study concludes that households interviewed revealed low levels of adaptive capacity due to exposure to climate risks and combined effects of social, political and cultural factors. This article provided an understanding that is required to inform the adaptation pathways relevant for NCN.

  9. Common Control System Vulnerability

    Energy Technology Data Exchange (ETDEWEB)

    Trent Nelson

    2005-12-01

    The Control Systems Security Program and other programs within the Idaho National Laboratory have discovered a vulnerability common to control systems in all sectors that allows an attacker to penetrate most control systems, spoof the operator, and gain full control of targeted system elements. This vulnerability has been identified on several systems that have been evaluated at INL, and in each case a 100% success rate of completing the attack paths that lead to full system compromise was observed. Since these systems are employed in multiple critical infrastructure sectors, this vulnerability is deemed common to control systems in all sectors. Modern control systems architectures can be considered analogous to today's information networks, and as such are usually approached by attackers using a common attack methodology to penetrate deeper and deeper into the network. This approach often is composed of several phases, including gaining access to the control network, reconnaissance, profiling of vulnerabilities, launching attacks, escalating privilege, maintaining access, and obscuring or removing information that indicates that an intruder was on the system. With irrefutable proof that an external attack can lead to a compromise of a computing resource on the organization's business local area network (LAN), access to the control network is usually considered the first phase in the attack plan. Once the attacker gains access to the control network through direct connections and/or the business LAN, the second phase of reconnaissance begins with traffic analysis within the control domain. Thus, the communications between the workstations and the field device controllers can be monitored and evaluated, allowing an attacker to capture, analyze, and evaluate the commands sent among the control equipment. Through manipulation of the communication protocols of control systems (a process generally referred to as ''reverse engineering''), an

  10. Assessment of coastal vulnerability to climate change hazards at the regional scale: the case study of the North Adriatic Sea

    Directory of Open Access Journals (Sweden)

    S. Torresan

    2012-07-01

    Full Text Available Sea level rise, changes in storms and wave climate as a consequence of global climate change are expected to increase the size and magnitude of flooded and eroding coastal areas, thus having profound impacts on coastal communities and ecosystems. River deltas, beaches, estuaries and lagoons are considered particularly vulnerable to the adverse effects of climate change, which should be studied at the regional/local scale. This paper presents a regional vulnerability assessment (RVA methodology developed to analyse site-specific spatial information on coastal vulnerability to the envisaged effects of global climate change, and assist coastal communities in operational coastal management and conservation. The main aim of the RVA is to identify key vulnerable receptors (i.e. natural and human ecosystems in the considered region and localize vulnerable hot spot areas, which could be considered as homogeneous geographic sites for the definition of adaptation strategies. The application of the RVA methodology is based on a heterogeneous subset of bio-geophysical and socio-economic vulnerability indicators (e.g. coastal topography, geomorphology, presence and distribution of vegetation cover, location of artificial protection, which are a measure of the potential harm from a range of climate-related impacts (e.g. sea level rise inundation, storm surge flooding, coastal erosion. Based on a system of numerical weights and scores, the RVA provides relative vulnerability maps that allow to prioritize more vulnerable areas and targets of different climate-related impacts in the examined region and to support the identification of suitable areas for human settlements, infrastructures and economic activities, providing a basis for coastal zoning and land use planning. The implementation, performance and results of the methodology for the coastal area of the North Adriatic Sea (Italy are fully described in the paper.

  11. Visiting relatives and friends (VFR), pregnant, and other vulnerable travelers.

    Science.gov (United States)

    Matteelli, Alberto; Carvalho, Anna Cristina C; Bigoni, Sara

    2012-09-01

    With industrial development and expanding tourism, many people now have an opportunity to travel to many previously unreachable foreign destinations. Travelers with medical or physical conditions or who are vulnerable because of pregnancy or age (pediatric or elderly traveler), require specialist support and advice before traveling. Immigrants who return to their country of birth to visit relatives and friends should be classified as vulnerable travelers, as they have been shown to carry a disproportionate burden of travel-related morbidity. In this article, we explore the major risks to health and the main preventive strategies appropriate to the most vulnerable travelers.

  12. A Climate Change Vulnerability Index and Case Study in a Brazilian Coastal City

    Directory of Open Access Journals (Sweden)

    Vitor Baccarin Zanetti

    2016-08-01

    Full Text Available Coastal areas are highly susceptible to the effects of climate change, particularly to sea-level rise and extreme rainfall events, resulting in increased social and environmental vulnerabilities. In this context, the need for predictive planning instruments, especially in densely populated coastal areas, is a critical management priority. A number of indexes has been developed to assess coastal vulnerability. However, coastal vulnerability indexes are yet to simultaneously consider inland (e.g., landslides and flooding and ocean (sea-level rise and coastal erosion hazards in conjunction. To help fill this gap, we developed the Socio-Environmental Vulnerability Index for Coastal Areas. The proposed index is a diagnostic tool to assess the socio-environmental vulnerability of coastal regions in the context of climate change. Applied to the city of Santos, a coastal municipality in São Paulo state, Brazil, the index revealed that most of the city are in areas highly vulnerable to sea-level rise and floods related to extreme rainfall events. Findings show that, in fact, approximately 70% of the area of Santos (27.5 km2 consists of high vulnerability areas mostly located close to urban drainage channels, residential, and other built-in areas. Another 0.12% (0.05 km2 were classified as very high vulnerability areas compromising port and industrial infrastructure. These results highlights the susceptibility of the urban insular area of Santos to climatic change hazards. This study might prove relevant to support local decision-makers in preparing adaptation plans and responding to climate-related risks in vulnerable coastal cities.

  13. Space-time dependence between energy sources and climate related energy production

    Science.gov (United States)

    Engeland, Kolbjorn; Borga, Marco; Creutin, Jean-Dominique; Ramos, Maria-Helena; Tøfte, Lena; Warland, Geir

    2014-05-01

    The European Renewable Energy Directive adopted in 2009 focuses on achieving a 20% share of renewable energy in the EU overall energy mix by 2020. A major part of renewable energy production is related to climate, called "climate related energy" (CRE) production. CRE production systems (wind, solar, and hydropower) are characterized by a large degree of intermittency and variability on both short and long time scales due to the natural variability of climate variables. The main strategies to handle the variability of CRE production include energy-storage, -transport, -diversity and -information (smart grids). The three first strategies aim to smooth out the intermittency and variability of CRE production in time and space whereas the last strategy aims to provide a more optimal interaction between energy production and demand, i.e. to smooth out the residual load (the difference between demand and production). In order to increase the CRE share in the electricity system, it is essential to understand the space-time co-variability between the weather variables and CRE production under both current and future climates. This study presents a review of the literature that searches to tackle these problems. It reveals that the majority of studies deals with either a single CRE source or with the combination of two CREs, mostly wind and solar. This may be due to the fact that the most advanced countries in terms of wind equipment have also very little hydropower potential (Denmark, Ireland or UK, for instance). Hydropower is characterized by both a large storage capacity and flexibility in electricity production, and has therefore a large potential for both balancing and storing energy from wind- and solar-power. Several studies look at how to better connect regions with large share of hydropower (e.g., Scandinavia and the Alps) to regions with high shares of wind- and solar-power (e.g., green battery North-Sea net). Considering time scales, various studies consider wind

  14. Complementarity among climate related energy sources: Sensitivity study to climate characteristics across Europe

    Science.gov (United States)

    Francois, Baptiste; Hingray, Benoit; Creutin, Jean-Dominique; Raynaud, Damien; Borga, Marco; Vautard, Robert

    2015-04-01

    Climate related energy sources like solar-power, wind-power and hydro-power are important contributors to the transitions to a low-carbon economy. Past studies, mainly based on solar and wind powers, showed that the power from such energy sources fluctuates in time and space following their driving climatic variables. However, when combining different energy sources together, their intermittent feature is smoothed, resulting to lower time variability of the produced power and to lower storage capacity required for balancing. In this study, we consider solar, wind and hydro energy sources in a 100% renewable Europe using a set of 12 regions following two climate transects, the first one going from the Northern regions (Norway, Finland) to the Southern ones (Greece, Andalucía, Tunisia) and the second one going from the oceanic climate (West of France, Galicia) to the continental one (Romania, Belorussia). For each of those regions, we combine wind and solar irradiance data from the Weather Research and Forecasting Model (Vautard et al., 2014), temperature data from the European Climate Assessment & Dataset (Haylock et al., 2008) and runoff from the Global Runoff Data Center (GRDC, 1999) for estimating solar-power, wind-power, run-of-the-river hydro-power and the electricity demand over a time period of 30 years. The use of this set of 12 regions across Europe allows integrating knowledge about time and space variability for each different energy sources. We then assess the optimal share of each energy sources, aiming to decrease the time variability of the regional energy balance at different time scales as well as the energy storage required for balancing within each region. We also evaluate how energy transport among regions contributes for smoothing out both the energy balance and the storage requirement. The strengths of this study are i) to handle with run-of-the-river hydro power in addition to wind and solar energy sources and ii) to carry out this analysis

  15. Vulnerability and the bioethics through the experiences of illness

    Directory of Open Access Journals (Sweden)

    Rolim-Neto Leite Modesto

    2012-03-01

    Full Text Available Background: Vulnerable people are relatively or absolutely incapable of protecting their own interests. Vulnerability is an anthropological attribute of human beings due to the simple fact of being alive. Brazilian society has long been established as a matter through the eyes of social scientists. In the name of it, the vulnerability in the doctor-patient context is now being a much-discussed issue. Purpose: This study aims to analyze the current studies regarding the insertion of vulnerability in the health issue, reflexively dealing with the ethical matters involved, as well as with the narratives’ insertion in this process. Methods: This article is based on data extracted from Scientific Electronic Library Online (Scielo and on secondary data from textbooks about vulnerability, ethics, physician-patient relationship and narratives. Results and discussion: Doctors are faced with dilemmas in clinical practice: moral, ethical, legal, social, religious and economic. On these occasions, question their own values. By listening carefully to the stories of patients, health professionals broaden their perspectives, organize and integrate complex situations, which assists in conducting these difficult situations. Conclusion: Reflect the concept of vulnerability raises (re think health practices, particularly in bringing to light the social experience of illness and hospitalization of the patient.

  16. The Richter Scale of Reduction: decoupling management and climatic related drivers of water conservation behavior

    Science.gov (United States)

    Rippy, Megan; Hemati, Azadeh; Grant, Stanley

    2016-04-01

    As global populations grow, cities in drought prone regions of the world such as South East Australia are faced with escalating water scarcity and water security challenges. The management approaches geared towards addressing these challenges are diverse, and background climatic variability further complicates the story. Here we use Melbourne, a city of 4.3 million people in South East Australia that recently faced and overcame a > 10 year "Millennium" drought, as a test case for evaluating the relative importance of various management-related and climatic factors in driving reductions in municipal water consumption (>50% in 12 years). Our analysis suggests that Melbourne's declining municipal consumption cannot be explained by potable substitution alone, as reductions in municipal consumption were not matched by increased use of alternative sources (e.g., urban rain or recycled water). Savings from non revenue water (NRW) reduction (through leak reduction and improved metering) also fell short of the total savings achieved during the drought. In the final analysis, conservation behavior emerged as the dominant driver of municipal water savings, forming a so-called "Richter Scale of Reduction" with conservation saving ~10 fold more water than NRW reduction, which in turn saved ~10 fold more water than alternative water sources. We also used wavelet analysis to illustrate that conservation behavior responds to climate variability at a variety of frequencies (annual-decadal and longer) which correspond to perturbations that impact water system vulnerability and sustainability. Interestingly the shared power of climatic and conservation responses declined as the drought progressed, perhaps reflecting the adoption of more consistent conservation behavior as the drought became increasingly severe.

  17. Improving health in the Arctic region through safe and affordable access to household running water and sewer services: an Arctic Council initiative

    Directory of Open Access Journals (Sweden)

    Thomas W. Hennessy

    2016-04-01

    Full Text Available Important health disparities have been documented among the peoples of the Arctic and subarctic, including those related to limited access to in-home improved drinking water and sanitation services. Although improving water, sanitation and hygiene (WASH has been a focus of the United Nations for decades, the Arctic region has received little attention in this regard. A growing body of evidence highlights inequalities across the region for the availability of in-home drinking WASH services and for health indicators associated with these services. In this review, we highlight relevant data and describe an initiative through the Arctic Council's Sustainable Development Working Group to characterize the extent of WASH services in Arctic nations, the related health indicators and climate-related vulnerabilities to WASH services. With this as a baseline, efforts to build collaborations across the Arctic will be undertaken to promote innovations that can extend the benefits of water and sanitation services to all residents.

  18. Assessing the vulnerability of infrastructure to climate change on the Islands of Samoa

    Directory of Open Access Journals (Sweden)

    S. H. M. Fakhruddin

    2015-03-01

    Full Text Available Pacific Islanders have been exposed to risks associated with climate change. Samoa as one of the Pacific Islands are prone to climatic hazards that will likely increase in coming decades, affecting coastal communities and infrastructure around the islands. Climate models do not predict a reduction of such disaster events in the future in Samoa; indeed, most predict an increase in such events. This paper identifies key infrastructure and their functions and status in order to provide an overall picture of relative vulnerability to climate-related stresses of such infrastructure on the island. By reviewing existing reports as well as holding a series of consultation meetings, a list of critical infrastructures were developed and shared with stakeholders for their consideration. An indicator-based vulnerability model (SIVM was developed in collaboration with stakeholders to assess the vulnerability of selected infrastructure systems on the Samoan Islands. Damage costs were extracted from the Evan cyclone recovery needs document. On the other hand, criticality and capacity to repair data were collected from stakeholders. Having stakeholder perspectives on these two issues was important because (a criticality of a given infrastructure could be viewed differently among different stakeholders, and (b stakeholders were the best available source (in this study to estimate the capacity to repair non-physical damage to such infrastructure. Analysis of the results suggested rankings from most vulnerable to least vulnerable sectors are the transportation sector, the power sector, the water supply sector and the sewerage system.

  19. Assessing the vulnerability of infrastructure to climate change on the Islands of Samoa

    Science.gov (United States)

    Fakhruddin, S. H. M.; Babel, M. S.; Kawasaki, A.

    2015-06-01

    Pacific Islanders have been exposed to risks associated with climate change. Samoa, as one of the Pacific Islands, is prone to climatic hazards that will likely increase in the coming decades, affecting coastal communities and infrastructure around the islands. Climate models do not predict a reduction of such disaster events in the future in Samoa; indeed, most predict an increase. This paper identifies key infrastructure and their functions and status in order to provide an overall picture of relative vulnerability to climate-related stresses of such infrastructure on the island. By reviewing existing reports as well as holding a series of consultation meetings, a list of critical infrastructure was developed and shared with stakeholders for their consideration. An indicator-based vulnerability model (SIVM) was developed in collaboration with stakeholders to assess the vulnerability of selected infrastructure systems on the Samoan Islands. Damage costs were extracted from the Cyclone Evan recovery needs document. Additionally, data on criticality and capacity to repair damage were collected from stakeholders. Having stakeholder perspectives on these two issues was important because (a) criticality of a given infrastructure could be viewed differently among different stakeholders, and (b) stakeholders were the best available source (in this study) to estimate the capacity to repair non-physical damage to such infrastructure. Analysis of the results suggested a ranking of sectors from the most vulnerable to least vulnerable are: the transportation sector, the power sector, the water supply sector and the sewerage system.

  20. Supporting adaptation decisions to address climate related impacts and hazards in the Caribbean (the CARIWIG project)

    Science.gov (United States)

    Burton, Aidan

    2015-04-01

    -of-region between stakeholders and research institutes concerned with environmental hazards and impacts. The project seeks to provide locally relevant present and future-scenario climatic data through an intuitive web service. Present climate summary data, based on meteorological station observations, is provided for locations across the region. Relatively high resolution (25km) PRECIS regional climate projections (1961-2100) are available for the region conditioned with the HadCM3Q0 and ECHAM5 GCM using the A1B SRES emissions scenario. Bias corrected control and future climate scenarios (for 30-year time slices centred on the 2020s, 2050s and 2080s) comprising timeseries of daily meteorological variables are then simulated using the EARWIG and UKCP09 statistical downscaling approach adapted for the Caribbean. A novel modelling tool provides a basis for testing vulnerability to tailored scenarios of tropical cyclone hazard. The CARIWIG project seeks to provide a lasting impact through an emphasis on building regional stakeholder capacity and through technological design that allows the flexibility to include additional meteorological records and new climate projections as they become available.

  1. VuWiki: An Ontology-Based Semantic Wiki for Vulnerability Assessments

    Science.gov (United States)

    Khazai, Bijan; Kunz-Plapp, Tina; Büscher, Christian; Wegner, Antje

    2014-05-01

    The concept of vulnerability, as well as its implementation in vulnerability assessments, is used in various disciplines and contexts ranging from disaster management and reduction to ecology, public health or climate change and adaptation, and a corresponding multitude of ideas about how to conceptualize and measure vulnerability exists. Three decades of research in vulnerability have generated a complex and growing body of knowledge that challenges newcomers, practitioners and even experienced researchers. To provide a structured representation of the knowledge field "vulnerability assessment", we have set up an ontology-based semantic wiki for reviewing and representing vulnerability assessments: VuWiki, www.vuwiki.org. Based on a survey of 55 vulnerability assessment studies, we first developed an ontology as an explicit reference system for describing vulnerability assessments. We developed the ontology in a theoretically controlled manner based on general systems theory and guided by principles for ontology development in the field of earth and environment (Raskin and Pan 2005). Four key questions form the first level "branches" or categories of the developed ontology: (1) Vulnerability of what? (2) Vulnerability to what? (3) What reference framework was used in the vulnerability assessment?, and (4) What methodological approach was used in the vulnerability assessment? These questions correspond to the basic, abstract structure of the knowledge domain of vulnerability assessments and have been deduced from theories and concepts of various disciplines. The ontology was then implemented in a semantic wiki which allows for the classification and annotation of vulnerability assessments. As a semantic wiki, VuWiki does not aim at "synthesizing" a holistic and overarching model of vulnerability. Instead, it provides both scientists and practitioners with a uniform ontology as a reference system and offers easy and structured access to the knowledge field of

  2. Region 9 - Social Vulnerability Index

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Social Vulnerability Index is derived from the 2000 US Census data. The fields included are percent minority, median household income, age (under 18 and over...

  3. VT - Vermont Heat Vulnerability Index

    Data.gov (United States)

    Vermont Center for Geographic Information — This map shows: The overall vulnerability of each town to heat related illness. This index is a composite of the following themes: Population Theme, Socioeconomic...

  4. Vulnerability of pipelines

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2006-07-01

    Although pipelines may be damaged due to natural sources such as stress corrosion cracking (SCC) or hydrogen-induced cracking (HIC), most pipeline damages are a result of third-party interference, such as unauthorized construction in a right of way. Pipelines are also among the prime targets for sabotage because interruptions in energy distribution can render large segments of a population debilitated. The importance of protecting critical infrastructure was emphasized in this theme issue which disseminated information on vulnerability of pipelines due to third-party intrusions, both intentional and unintentional. It summarized the 10 presentations that were delivered at a pipelines security forum in Calgary, Alberta, addressing Canadian and U.S. government and industry approaches to oil and natural gas pipeline security. The opening keynote address remarked on the evolution of international terror networks, the targeting of the energy sector, and the terrorist threat and presence in Canada. Policies towards critical energy infrastructure protection (CIP) were then examined in light of these threats. A policy shift away from traditional defensive protective security towards an offensive intelligence-led strategy to forestall terrorist threats was advocated. Energy sector representatives agreed that Canada needs an effective national lead agency to provide threat assessments, alert notification, and coordination of information pertaining to CIP. It was agreed that early warning information must come from Canadian as well as U.S. sources in order to be pertinent. The conference session on information collection concentrated on defining what sort of threat information is needed by the energy sector, who should collect it and how should it be shared. It was emphasized that government leadership should coordinate threat reporting and disseminate information, set standards, and address the issues of terrorism risk insurance. Concern was raised about the lack of

  5. Vulnerability Assessments in Ethical Hacking

    OpenAIRE

    2016-01-01

    Ethical hackers use the same methods and techniques to test and bypass a system's defenses as their less-principled counterparts, but rather than taking advantage of any vulnerabilities found, they document them and provide actionable advice on how to fix them so the organization can improve its overall security. The purpose of ethical hacking is to evaluate the security of a network or system's infrastructure. It entails finding and attempting to exploit any vulnerabilities to de...

  6. Impacts, Perceptions and Management of Climate-Related Risks to Cage Aquaculture in the Reservoirs of Northern Thailand

    Science.gov (United States)

    Lebel, Louis; Lebel, Phimphakan; Lebel, Boripat

    2016-12-01

    Weather is suspected to influence fish growth and survival, and be a factor in mass mortality events in cage aquaculture in reservoirs. The purpose of this study was to identify the important climate-related risks faced by cage aquaculture farms; evaluate how these risks were currently being managed; and explore how farmers might adapt to the effects of climate change. Fish farmers were interviewed across the northern region of Thailand to get information on impacts, perceptions and practices. Drought or low water levels, heat waves, cold spells and periods with dense cloud cover, each caused significant financial losses. Perceptions of climate-related risks were consistent with experienced impacts. Risks are primarily managed in the short-term with techniques like aeration and reducing feed. In the mid-term farmers adjust stocking calendars, take financial measures and seek new information. Farmers also emphasize the importance of maintaining good relations with other stakeholders and reservoir management. Larger farms placed greater importance on risk management than small farms, even though types and levels of risk perceived were very similar. Most fish farms were managed by men alone, or men and women working together. Gender differences in risk perception were not detected, but women judged a few risk management practices as more important than men. Fish farmers perceived that climate is changing, but their perceptions were not strongly associated with recently having suffered impacts from extreme weather. The findings of this study provide important inputs to improving risk management under current and future climate.

  7. Climate-related hazards: a method for global assessment of urban and rural population exposure to cyclones, droughts, and floods.

    Science.gov (United States)

    Christenson, Elizabeth; Elliott, Mark; Banerjee, Ovik; Hamrick, Laura; Bartram, Jamie

    2014-02-21

    Global climate change (GCC) has led to increased focus on the occurrence of, and preparation for, climate-related extremes and hazards. Population exposure, the relative likelihood that a person in a given location was exposed to a given hazard event(s) in a given period of time, was the outcome for this analysis. Our objectives were to develop a method for estimating the population exposure at the country level to the climate-related hazards cyclone, drought, and flood; develop a method that readily allows the addition of better datasets to an automated model; differentiate population exposure of urban and rural populations; and calculate and present the results of exposure scores and ranking of countries based on the country-wide, urban, and rural population exposures to cyclone, drought, and flood. Gridded global datasets on cyclone, drought and flood occurrence as well as population density were combined and analysis was carried out using ArcGIS. Results presented include global maps of ranked country-level population exposure to cyclone, drought, flood and multiple hazards. Analyses by geography and human development index (HDI) are also included. The results and analyses of this exposure assessment have implications for country-level adaptation. It can also be used to help prioritize aid decisions and allocation of adaptation resources between countries and within a country. This model is designed to allow flexibility in applying cyclone, drought and flood exposure to a range of outcomes and adaptation measures.

  8. Vulnerability of Korean water resources to climate change and population growth.

    Science.gov (United States)

    Chang, H; Franczyk, J; Im, E-S; Kwon, W-T; Bae, D-H; Jung, I-W

    2007-01-01

    Freshwater availability is affected by changes in climate and growth. We assessed the freshwater vulnerability for five major Korean river basins for 2015 and 2030. We used a regional climate model based on the IPCC SRES A2 scenario, US Geological Survey's Precipitation Rainfall Simulation Model, and population and industrial growth scenarios for impact assessment. The model simulation results suggest increasing spatial and temporal variations of water stress for the basins that are already developed. While freshwater is more vulnerable to growth scenarios than the climate change scenario, climate change alone could decrease mean annual runoff by 10% in four major river basins by 2030. As the first national assessment of climate change, we suggest possible adaptive water resource management and policy strategies for reducing climate related risks in Korea.

  9. The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment

    Science.gov (United States)

    This assessment strengthens and expands our understanding of climate-related health impacts by providing a more definitive description of climate-related health burdens in the United States. It builds on the 2014 USGCRP National Climate Assessment and reviews and synthesizes key ...

  10. A Climate Change Vulnerability Assessment Report for the National Renewable Energy Laboratory: May 23, 2014 -- June 5, 2015

    Energy Technology Data Exchange (ETDEWEB)

    Vogel, J. [Abt Environmental Research, Boulder, CO (United States); O' Grady, M. [Abt Environmental Research, Boulder, CO (United States); Renfrow, S. [Abt Environmental Research, Boulder, CO (United States)

    2015-09-03

    The U.S. Department of Energy's (DOE's) National Renewable Energy Laboratory (NREL), in Golden, Colorado, focuses on renewable energy and energy efficiency research. Its portfolio includes advancing renewable energy technologies that can help meet the nation's energy and environmental goals. NREL seeks to better understand the potential effects of climate change on the laboratory--and therefore on its mission--to ensure its ongoing success. Planning today for a changing climate can reduce NREL's risks and improve its resiliency to climate-related vulnerabilities. This report presents a vulnerability assessment for NREL. The assessment was conducted in fall 2014 to identify NREL's climate change vulnerabilities and the aspects of NREL's mission or operations that may be affected by a changing climate.

  11. Communicating effectively with vulnerable populations during water contamination events.

    Science.gov (United States)

    Nsiah-Kumi, Phyllis A

    2008-01-01

    Water contamination events are a public health concern worldwide with significant potential to impact the global community. When communicating with the public during these crisis situations, it is vital to consider the multiple audiences who receive the messages. Before developing or delivering messages to a particular community, it is essential to be familiar with the community's characteristics, needs, concerns, and who is considered credible to that community. Vulnerable populations are those with difficulties in comprehension or accessibility that may limit their full understanding of risks and may mitigate the effectiveness of public health strategies. Vulnerable populations include, but are not limited to, the urban/rural poor, those who are mentally ill, intellectually disabled, medically vulnerable, at the extremes of age (children and the elderly), racial/ethnic minorities, and those with low literacy or limited English proficiency.A water contamination event poses a unique opportunity to work with diverse populations to effectively convey important health messages. Each population needs to receive appropriate public health messages. Becoming familiar with vulnerable populations and their needs prior to a water contamination event will help in identifying barriers and developing and refining effective messages in such a crisis. In water contamination crises, our publics' health depends on effective, targeted crisis communication.

  12. [Volunteers and their vulnerability to stress: the impact of personality].

    Science.gov (United States)

    Nunes, Madalena; Afonso, Anabela; Castanheira, Cláudia; Ferreira, Dora; Fernandes, Liliana

    2005-01-01

    Volunteerism assumes a growing importance in the context of health, due to the significant number of practitioners and to the contribution given by the volunteers in the humanization of health care. However, as the continued interaction with the sick person might also originate negative emotions, we looked up in this article to describe the main results about vulnerability to stress in volunteers. The results revealed that 30.00% of volunteers were vulnerable to stress. We also observed that the civil state, socio-economic level and familiar functionality variables revealed to be protectors of the occurrence of stress. On the other side, the predominance of neuroticism as a personality trace was associated to a higher vulnerability to stress.

  13. Vulnerability assessment of atmospheric environment driven by human impacts.

    Science.gov (United States)

    Zhang, Yang; Shen, Jing; Ding, Feng; Li, Yu; He, Li

    2016-11-15

    Atmospheric environment quality worsening is a substantial threat to public health worldwide, and in many places, air pollution due to the intensification of the human activity is increasing dramatically. However, no studies have been investigated the integration of vulnerability assessment and atmospheric environment driven by human impacts. The objective of this study was to identify and prioritize the undesirable environmental changes as an early warning system for environment managers and decision makers in term of human, atmospheric environment, and social economic elements. We conduct a vulnerability assessment method of atmospheric environment associated with human impact, this method integrates spatial context of Geographic Information System (GIS) tool, multi-criteria decision analysis (MCDA) method, ordered weighted averaging (OWA) operators under the Exposure-Sensitivity- Adaptive Capacity (ESA) framework. Decision makers can find out relevant vulnerability assessment results with different vulnerable attitudes. In the Beijing-Tianjin-Hebei (BTH) region, China, we further applied this developed method and proved it to be reliable and consistent with the China Environmental Status Bulletin. Results indicate that the vulnerability of atmospheric environment in the BTH region is not optimistic, and environment managers should do more about air pollution. Thus, the most appropriate strategic decision and development program of city or state can be picked out assisting by the vulnerable results.

  14. Bridging the digital divide: reaching vulnerable populations.

    Science.gov (United States)

    Chang, Betty L; Bakken, Suzanne; Brown, S Scott; Houston, Thomas K; Kreps, Gary L; Kukafka, Rita; Safran, Charles; Stavri, P Zoe

    2004-01-01

    The AMIA 2003 Spring Congress entitled "Bridging the Digital Divide: Informatics and Vulnerable Populations" convened 178 experts including medical informaticians, health care professionals, government leaders, policy makers, researchers, health care industry leaders, consumer advocates, and others specializing in health care provision to underserved populations. The primary objective of this working congress was to develop a framework for a national agenda in information and communication technology to enhance the health and health care of underserved populations. Discussions during four tracks addressed issues and trends in information and communication technologies for underserved populations, strategies learned from successful programs, evaluation methodologies for measuring the impact of informatics, and dissemination of information for replication of successful programs. Each track addressed current status, ideal state, barriers, strategies, and recommendations. Recommendations of the breakout sessions were summarized under the overarching themes of Policy, Funding, Research, and Education and Training. The general recommendations emphasized four key themes: revision in payment and reimbursement policies, integration of health care standards, partnerships as the key to success, and broad dissemination of findings including specific feedback to target populations and other key stakeholders.

  15. Vulnerabilities to misinformation in online pharmaceutical marketing.

    Science.gov (United States)

    De Freitas, Julian; Falls, Brian A; Haque, Omar S; Bursztajn, Harold J

    2013-05-01

    Given the large percentage of Internet users who search for health information online, pharmaceutical companies have invested significantly in online marketing of their products. Although online pharmaceutical marketing can potentially benefit both physicians and patients, it can also harm these groups by misleading them. Indeed, some pharmaceutical companies have been guilty of undue influence, which has threatened public health and trust. We conducted a review of the available literature on online pharmaceutical marketing, undue influence and the psychology of decision-making, in order to identify factors that contribute to Internet users' vulnerability to online pharmaceutical misinformation. We find five converging factors: Internet dependence, excessive trust in the veracity of online information, unawareness of pharmaceutical company influence, social isolation and detail fixation. As the Internet continues to change, it is important that regulators keep in mind not only misinformation that surrounds new web technologies and their contents, but also the factors that make Internet users vulnerable to misinformation in the first place. Psychological components are a critical, although often neglected, risk factor for Internet users becoming misinformed upon exposure to online pharmaceutical marketing. Awareness of these psychological factors may help Internet users attentively and safely navigate an evolving web terrain.

  16. Are Vulnerability Disclosure Deadlines Justified?

    Energy Technology Data Exchange (ETDEWEB)

    Miles McQueen; Jason L. Wright; Lawrence Wellman

    2011-09-01

    Vulnerability research organizations Rapid7, Google Security team, and Zero Day Initiative recently imposed grace periods for public disclosure of vulnerabilities. The grace periods ranged from 45 to 182 days, after which disclosure might occur with or without an effective mitigation from the affected software vendor. At this time there is indirect evidence that the shorter grace periods of 45 and 60 days may not be practical. However, there is strong evidence that the recently announced Zero Day Initiative grace period of 182 days yields benefit in speeding up the patch creation process, and may be practical for many software products. Unfortunately, there is also evidence that the 182 day grace period results in more vulnerability announcements without an available patch.

  17. Land tenure, disasters and vulnerability.

    Science.gov (United States)

    Reale, Andreana; Handmer, John

    2011-01-01

    Although often overlooked, land tenure is an important variable impacting on vulnerability to disaster. Vulnerability can occur either where land tenure is perceived to be insecure, or where insecure tenure results in the loss of land, especially when alternative livelihood and housing options are limited. Disasters often provide the catalyst for such loss. This paper avoids making generalisations about the security of particular types of tenure, but instead explores factors that mediate tenure security, particularly in the wake of a disaster. The paper identifies five mediating factors: (1) the local legal system; (2) government administrative authority; (3) the economy; (4) evidence of tenure, and; (5) custom and dominant social attitudes. It is shown that some mediating factors are more salient for particular types of tenure than others. The paper will highlight the importance of land tenure in any assessment of vulnerability, and conclude with suggestions for further research.

  18. Stressful Segregation Housing and Psychosocial Vulnerability in Prison Suicide Ideators

    Science.gov (United States)

    Bonner, Ronald L.

    2006-01-01

    Psychosocially vulnerable prisoners under stressful conditions of confinement are ill prepared to cope and at risk for developing suicide intention. The present study examined the relationships of depression, hopelessness, reasons for living, mental health problem history, suicide attempt lethality history, and stressful segregation housing with…

  19. Vulnerability for cocaine dependence / Involvement of µ-opioid receptors

    NARCIS (Netherlands)

    Lesscher, Heidi Maria Bonifacio

    2004-01-01

    Drug dependence is a major health issue worldwide, which is characterised by its persistence and high rates of relapse. Individual differences exist in the vulnerability for drug dependence after first exposure to drugs of abuse like cocaine. A likely risk factor for drug dependence is the sensitivi

  20. Mental Illness May Make Teens Vulnerable to Drugs, Alcohol

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_160284.html Mental Illness May Make Teens Vulnerable to Drugs, Alcohol Brazilian study found half of those who smoked, drank, did pot had symptoms of psychological ... -- Teens who are struggling with mental health disorders are more likely to smoke cigarettes, ...

  1. Managing a network vulnerability assessment

    CERN Document Server

    Peltier, Thomas R; Blackley, John A

    2003-01-01

    Managing a Network Vulnerability Assessment provides a formal framework for finding and eliminating network security threats, ensuring that no vulnerabilities are overlooked. This thorough overview focuses on the steps necessary to successfully manage an assessment, including the development of a scope statement, the understanding and proper use of assessment methodology, the creation of an expert assessment team, and the production of a valuable response report. The book also details what commercial, freeware, and shareware tools are available, how they work, and how to use them.

  2. Higher-order risk vulnerability

    OpenAIRE

    Huang,Xiaoping; Stapleton, Richard Christopher

    2017-01-01

    We add an independent unfair background risk to higher-order risk-taking models in the current literature and examine its interaction with the main risk under consideration. Parallel to the well-known concept of risk vulnerability, which is defined by Gollier and Pratt (Econometrica 64:1109–1123, 1996), an agent is said to have a type of higher-order risk vulnerability if adding an independent unfair background risk to wealth raises his level of this type of higher-order risk aversion. We der...

  3. Policies and Processes for Social Inclusion: Using EquiFrame and EquIPP for Policy Dialogue; Comment on “Are Sexual and Reproductive Health Policies Designed for All? Vulnerable Groups in Policy Documents of Four European Countries and Their Involvement in Policy Development”

    Directory of Open Access Journals (Sweden)

    Malcolm MacLachlan

    2016-03-01

    Full Text Available The application of EquiFrame in the analysis of sexual and reproductive health policies by Ivanova et al to a new thematic area, their selection of only some of the Core Concepts of human rights in health service provision and the addition of new vulnerable groups relevant to the purpose of their analysis, are all very welcome developments. We also applaud their application of EquiFrame to policies in countries where it has not previously been used, along with their use of interviews with policy-makers to produce a deeper understanding of policy processes. We argue that clear justification for the inclusion of additional, or replacement of some exiting vulnerable groups within EquiFrame should be accompanied by clear definitions of such groups, along with the evidence-base that justifies their classification as a vulnerable or marginalised group. To illustrate the versatility of EquiFrame, we summarise a range of ways in which it has been used across a number of regions; including a brief Case Study of its use to develop the National Health Policy of Malawi. While EquiFrame focuses on policy content, we preview a new policy analysis tool – Equity and Inclusion in Policy Processes (EquIPP – which assesses the extent of equity and inclusion in broader policy processes. Together, EquiFrame and EquIPP can be used to help governments and civil society ensure that policies are addressing the much stronger emphasis on social inclusion, now apparent in the Sustainable Development Goals (SDGs.

  4. Policies and Processes for Social Inclusion: Using EquiFrame and EquIPP for Policy Dialogue Comment on "Are Sexual and Reproductive Health Policies Designed for All? Vulnerable Groups in Policy Documents of Four European Countries and Their Involvement in Policy Development".

    Science.gov (United States)

    MacLachlan, Malcolm; Mannan, Hasheem; Huss, Tessy; Munthali, Alister; Amin, Mutamad

    2015-11-16

    The application of EquiFrame in the analysis of sexual and reproductive health policies by Ivanova et al to a new thematic area, their selection of only some of the Core Concepts of human rights in health service provision and the addition of new vulnerable groups relevant to the purpose of their analysis, are all very welcome developments. We also applaud their application of EquiFrame to policies in countries where it has not previously been used, along with their use of interviews with policy-makers to produce a deeper understanding of policy processes. We argue that clear justification for the inclusion of additional, or replacement of some exiting vulnerable groups within EquiFrame should be accompanied by clear definitions of such groups, along with the evidence-base that justifies their classification as a vulnerable or marginalised group. To illustrate the versatility of EquiFrame, we summarise a range of ways in which it has been used across a number of regions; including a brief Case Study of its use to develop the National Health Policy of Malawi. While EquiFrame focuses on policy content, we preview a new policy analysis tool - Equity and Inclusion in Policy Processes (EquIPP) - which assesses the extent of equity and inclusion in broader policy processes. Together, EquiFrame and EquIPP can be used to help governments and civil society ensure that policies are addressing the much stronger emphasis on social inclusion, now apparent in the Sustainable Development Goals (SDGs).

  5. Social vulnerability as criteria used in student assistance policy: an analysis of conceptual and empirical

    Directory of Open Access Journals (Sweden)

    Junia Zacour del Giúdice

    2014-12-01

    Full Text Available The criterion of social vulnerability is embedded in different programs for the analysis of poverty and social exclusion. For the present study, we sought to examine conceptually and empirically, the criterion of social vulnerability adopted in student assistance from the Federal University of Viçosa / MG for selection of students benefited by means of literature and questionnaire. Related to social vulnerability and social exclusion risks and addressed the students' perception of the subject. We conclude that the empirical approach refers to the conceptual, social vulnerability being concentrated on economic and social indicators, represented by income, ownership of assets, work, health and family structure.

  6. Autonomy, Vulnerability, Recognition, and Justice

    NARCIS (Netherlands)

    Anderson, J.H.; Honneth, A.

    2005-01-01

    One of liberalism’s core commitments is to safeguarding individuals’ autonomy. And a central aspect of liberal social justice is the commitment to protecting the vulnerable. Taken together, and combined with an understanding of autonomy as an acquired set of capacities to lead one’s own life, these

  7. Cognitive vulnerability and dental fear

    Directory of Open Access Journals (Sweden)

    Spencer A John

    2008-01-01

    Full Text Available Abstract Background The Cognitive Vulnerability Model proposes that perceptions of certain characteristics of a situation are critical determinants of fear. Although the model is applicable to all animal, natural environment and situational fears, it has not yet been applied specifically to dental fear. This study therefore aimed to examine the association between dental fear and perceptions of dental visits as uncontrollable, unpredictable and dangerous. Methods The study used a clustered, stratified national sample of Australians aged 15 years and over. All participants were asked in a telephone interview survey to indicate their level of dental fear. Participants who received an oral examination were subsequently provided with a self-complete questionnaire in which they rated their perceptions of uncontrollability, unpredictability and dangerousness associated with dental visiting. Results 3937 participants were recruited. Each of the three vulnerability-related perceptions was strongly associated with the prevalence of high dental fear. In a logistic regression analysis, uncontrollability and dangerousness perceptions were significantly associated with high dental fear after controlling for age and sex. However, unpredictability perceptions did not have a statistically significant independent association with dental fear after controlling for all other variables. Conclusion Results are mostly consistent with the Cognitive Vulnerability Model of the etiology of fear, with perceptions of uncontrollability, unpredictability and dangerousness each showing a strong bivariate relationship with high dental fear prevalence. However, more extensive measures of vulnerability perceptions would be valuable in future investigations.

  8. The brain norepinephrine system, stress and cardiovascular vulnerability.

    Science.gov (United States)

    Wood, Susan K; Valentino, Rita J

    2017-03-01

    Chronic exposure to psychosocial stress has adverse effects on cardiovascular health, however the stress-sensitive neurocircuitry involved remains to be elucidated. The anatomical and physiological characteristics of the locus coeruleus (LC)-norepinephrine (NE) system position it to contribute to stress-induced cardiovascular disease. This review focuses on cardiovascular dysfunction produced by social stress and a major theme highlighted is that differences in coping strategy determine individual differences in social stress-induced cardiovascular vulnerability. The establishment of different coping strategies and cardiovascular vulnerability during repeated social stress has recently been shown to parallel a unique plasticity in LC afferent regulation, resulting in either excitatory or inhibitory input to the LC. This contrasting regulation of the LC would translate to differences in cardiovascular regulation and may serve as the basis for individual differences in the cardiopathological consequences of social stress. The advances described suggest new directions for developing treatments and/or strategies for decreasing stress-induced cardiovascular vulnerability.

  9. Vulnerability to climate change: people, place and exposure to hazard

    Science.gov (United States)

    Hutton, C. W.; Kienberger, S.; Amoako Johnson, F.; Allan, A.; Giannini, V.; Allen, R.

    2011-04-01

    The Human Dimension of the Twinning European and South Asian River Basins to Enhance Capacity and Implement Adaptive Management Approaches Project (EC-Project BRAHMATWINN) is aimed at developing socio-economic tools and context for the effective inclusion of the "Human Dimension" or socio-economic vulnerability into the overall assessment of climate risk in the twinned basins of the Upper Brahmaputra River Basin (UBRB), and the Upper Danube River Basin (UDRB) . This work is conducted in the light of stakeholder/actor analysis and the prevailing legal framework. In order to effectively achieve this end, four key research and associated activities were defined: 1. Identifying stakeholders and actors including: implement an approach to ensure a broad spread of appropriate stakeholder input to the assessment of vulnerability undertaken in Asia and Europe within the research activities of the project. 2. Contextualising legal framework: to provide an assessment of the governance framework relating to socio-environmental policy development within the study site administrative areas leading to the specific identification of related policy and legal recommendations. 3. Spatial analysis and mapping of vulnerability: providing a spatial assessment of the variation of vulnerability to pre-determined environmental stressors across the study areas with an additional specific focus on gender. 4. Inclusion of findings with the broader context of the BRAHMATWINN risk of climate change study through scenarios of hazard and vulnerability (subsequent chapters). This study utilises stakeholder inputs to effectively identify and map relative weightings of vulnerability domains, such as health and education in the context of pre-specified hazards such as flood. The process is underpinned by an adaptation of the IPCC (2001) which characterizes Risk as having the components of Hazard (physiographic component) and Vulnerability (socio-economic component).

  10. Linking local vulnerability to climatic hazard damage assessment for integrated river basin management

    Science.gov (United States)

    Hung, Hung-Chih; Liu, Yi-Chung; Chien, Sung-Ying

    2015-04-01

    1. Background Major portions of areas in Asia are expected to increase exposure and vulnerability to climate change and weather extremes due to rapid urbanization and overdevelopment in hazard-prone areas. To prepare and confront the potential impacts of climate change and related hazard risk, many countries have implemented programs of integrated river basin management. This has led to an impending challenge for the police-makers in many developing countries to build effective mechanism to assess how the vulnerability distributes over river basins, and to understand how the local vulnerability links to climatic (climate-related) hazard damages and risks. However, the related studies have received relatively little attention. This study aims to examine whether geographic localities characterized by high vulnerability experience significantly more damages owing to onset weather extreme events at the river basin level, and to explain what vulnerability factors influence these damages or losses. 2. Methods and data An indicator-based assessment framework is constructed with the goal of identifying composite indicators (including exposure, biophysical, socioeconomic, land-use and adaptive capacity factors) that could serve as proxies for attributes of local vulnerability. This framework is applied by combining geographical information system (GIS) techniques with multicriteria decision analysis (MCDA) to evaluate and map integrated vulnerability to climatic hazards across river basins. Furthermore, to explain the relationship between vulnerability factors and disaster damages, we develop a disaster damage model (DDM) based on existing disaster impact theory. We then synthesize a Zero-Inflated Poisson regression model with a Tobit regression analysis to identify and examine how the disaster impacts and vulnerability factors connect to typhoon disaster damages and losses. To illustrate the proposed methodology, the study collects data on the vulnerability attributes of

  11. Assessing European wild fire vulnerability

    Science.gov (United States)

    Oehler, F.; Oliveira, S.; Barredo, J. I.; Camia, A.; Ayanz, J. San Miguel; Pettenella, D.; Mavsar, R.

    2012-04-01

    Wild fire vulnerability is a measure of potential socio-economic damage caused by a fire in a specific area. As such it is an important component of long-term fire risk management, helping policy-makers take informed decisions about adequate expenditures for fire prevention and suppression, and to target those regions at highest risk. This paper presents a first approach to assess wild fire vulnerability at the European level. A conservative approach was chosen that assesses the cost of restoring the previous land cover after a potential fire. Based on the CORINE Land Cover, a restoration cost was established for each land cover class at country level, and an average restoration time was assigned according to the recovery capacity of the land cover. The damage caused by fire was then assessed by discounting the cost of restoring the previous land cover over the restoration period. Three different vulnerability scenarios were considered assuming low, medium and high fire severity causing different levels of damage. Over Europe, the potential damage of wild land fires ranges from 10 - 13, 732 Euro*ha-1*yr-1 for low fire severity, 32 - 45,772 Euro*ha-1*yr-1 for medium fire severity and 54 - 77,812 Euro*ha-1*yr-1 for high fire severity. The least vulnerable are natural grasslands, moors and heathland and sclerophyllous vegetation, while the highest cost occurs for restoring broad-leaved forest. Preliminary validation comparing these estimates with official damage assessments for past fires shows reasonable results. The restoration cost approach allows for a straightforward, data extensive assessment of fire vulnerability at European level. A disadvantage is the inherent simplification of the evaluation procedure with the underestimation of non-markets goods and services. Thus, a second approach has been developed, valuing individual wild land goods and services and assessing their annual flow which is lost for a certain period of time in case of a fire event. However

  12. Flood vulnerability of critical infrastructure in Cork, Ireland

    Directory of Open Access Journals (Sweden)

    de Bruijn Karin M.

    2016-01-01

    Full Text Available Recent flood events in Ireland and particularly in County Cork have caused significant disruption to health service provisions, interruption of water and power supplies, and damage to roads and other transportation infrastructure, affecting the lives of hundreds of thousands of people over a prolonged period of weeks. These events clearly reveal- the vulnerability of the critical infrastructure to flooding and the dependence of society on critical infrastructure. In order to reduce the flood vulnerability and increase the resilience of the critical infrastructure networks in the future, detailed evidence-based analysis and assessment is essential. To this end a case study has been carried out on Cork City which analyses this vulnerability as it was in 2009, and as it is currently, and identifies adaptation options to reduce the future vulnerability of critical infrastructure to flooding and to build a more resilient society. This paper describes the storyline approach and CIrcle tool and their application to Cork City which focused on the analysis of the flood vulnerability of critical infrastructure and the impacts of failure of the infrastructure for other critical functions and on society.

  13. Infrastructure Vulnerability Assessment Model (I-VAM).

    Science.gov (United States)

    Ezell, Barry Charles

    2007-06-01

    Quantifying vulnerability to critical infrastructure has not been adequately addressed in the literature. Thus, the purpose of this article is to present a model that quantifies vulnerability. Vulnerability is defined as a measure of system susceptibility to threat scenarios. This article asserts that vulnerability is a condition of the system and it can be quantified using the Infrastructure Vulnerability Assessment Model (I-VAM). The model is presented and then applied to a medium-sized clean water system. The model requires subject matter experts (SMEs) to establish value functions and weights, and to assess protection measures of the system. Simulation is used to account for uncertainty in measurement, aggregate expert assessment, and to yield a vulnerability (Omega) density function. Results demonstrate that I-VAM is useful to decisionmakers who prefer quantification to qualitative treatment of vulnerability. I-VAM can be used to quantify vulnerability to other infrastructures, supervisory control and data acquisition systems (SCADA), and distributed control systems (DCS).

  14. Protection of vulnerable adults: an interdisciplinary workshop.

    Science.gov (United States)

    Day, Mary Rose; Bantry-White, Eleanor; Glavin, Pauline

    2010-09-01

    This paper reports on the development, delivery, content and student evaluation of a comprehensive elder abuse and self-neglect workshop for public health nursing and social work students.The workshop provided an interdisciplinary shared learning experience for the students to prepare them for their critical role in safeguarding vulnerable adults. The aim of the workshop was to increase knowledge, awareness and understanding of roles and responsibilities and critical practice problems in the prevention and management of elder abuse and self-neglect. The shared learning approach provided clarity on roles and responsibility, valuing and respecting the contribution of each team member. The importance of building communication and trust with team members and clients was seen as critical. Through case studies and group discussion, assessment and practice skills were developed and awareness heightened on the complexity of the critical practice problems and ethical issues.

  15. Measuring Vulnerability in the Food System

    OpenAIRE

    Paloviita, Ari; Puupponen, Antti; Kortetmäki, Teea; Silvasti, Tiina

    2015-01-01

    Food system vulnerability is an emerging concept for food security policies and food supply chain management. Hence, measuring food system vulnerability is necessary for developing appropriate food security policies and managing food supply chain vulnerabilities. In this paper, we aim to clarify the development process of food system vulnerability indicators. We conducted an abducted qualitative content analysis based on public documents of various Finnish organizations, including mi...

  16. Climate vulnerability, communities' resilience and child labour

    OpenAIRE

    Boutin, Delphine

    2014-01-01

    This article clarifies and quantifies the causal impact of climate change vulnerability on child labour incidence and intensity. For this purpose, we create an index of vulnerability to climate change, composed of biophysical vulnerability and communities' resilience. Both, participation to economic activities and to household chores have been taken into account. We find that climate vulnerability negatively affects child labour incidence and intensity, while has no significant impact on hous...

  17. Soil vulnerability for cesium transfer.

    Science.gov (United States)

    Vandenhove, Hildegarde; Sweeck, Lieve

    2011-07-01

    The recent events at the Fukushima Daiichi nuclear power plant in Japan have raised questions about the accumulation of radionuclides in soils and the possible impacts on agriculture surrounding nuclear power plants. This article summarizes the knowledge gained after the nuclear power plant accident in Chernobyl, Ukraine, on how soil parameters influence soil vulnerability for radiocesium bioavailability, discusses some potential agrochemical countermeasures, and presents some predictions of radiocesium crop concentrations for areas affected by the Fukushima accident.

  18. Vulnerabilities

    Science.gov (United States)

    2009-05-04

    May 1, 2006)”, http://www.mod.go.jp/e/d_policy/dp13.html (accessed 1 April 2009). 6 ibid 7 Hongo , Jun. “Japan, U.S. sign accord on forces,” The...Jacobs, G. Keith. "Guam Becoming US Pacific Linchpin." Asia-Pacific Defence Reporter 29 (2003): 38-39. Jun, Hongo . "Japan, U.S. sign accord on forces

  19. Vulnerability Assessments in Ethical Hacking

    Directory of Open Access Journals (Sweden)

    Ashiqur Rahman ,

    2016-06-01

    Full Text Available Ethical hackers use the same methods and techniques to test and bypass a system's defenses as their less-principled counterparts, but rather than taking advantage of any vulnerabilities found, they document them and provide actionable advice on how to fix them so the organization can improve its overall security. The purpose of ethical hacking is to evaluate the security of a network or system's infrastructure. It entails finding and attempting to exploit any vulnerabilities to determine whether unauthorized access or other malicious activities are possible. Vulnerabilities tend to be found in poor or improper system configuration, known and unknown hardware or software flaws, and operational weaknesses in process or technical countermeasures. One of the first examples of ethical hacking occurred in the 1970s, when the United States government used groups of experts called "red teams" to hack its own computer systems. It has become a sizable sub-industry within the information security market and has expanded to also cover the physical and human elements of an organization's defenses. A successful test doesn't necessarily mean a network or system is 100% secure, but it should be able to withstand automated attacks and unskilled hackers.

  20. Assessing vulnerability of urban African communities

    DEFF Research Database (Denmark)

    Karlsson Nyed, Patrik; Jean-Baptiste, Nathalie; Herslund, Lise Byskov

    2014-01-01

    East African cities are in the process of assessing their vulnerabilities to climate change, but face difficulties in capturing the complexity of the various facets of vulnerability. This holistic approach, captures four different dimensions of vulnerability to flooding - Assets, Institutions...... to flooding across the city, at the finest administrative level....

  1. "Você aprende. A gente ensina?": interrogando relações entre educação e saúde desde a perspectiva da vulnerabilidade "You learn, we teach"?: questioning relations between education and health from the perspective of vulnerability

    Directory of Open Access Journals (Sweden)

    Dagmar E. Estermann Meyer

    2006-06-01

    Full Text Available Neste artigo, a exploração dos sentidos associados à frase-síntese de uma campanha promovida no Dia Mundial Sem Tabaco instiga a discussão das principais ênfases constitutivas do campo da educação em saúde, no Brasil. Retoma-se o conceito de vulnerabilidade para situar/explorar suas interseções com o educativo para, então, apontar a produtividade teórico-prática e política da articulação entre educação em saúde e estudos de vulnerabilidade. Conclui-se que a necessária renovação das práticas de saúde em geral e, particularmente, das práticas de educação em saúde, pode beneficiar-se grandemente do referencial da vulnerabilidade, na medida em que ele delineia um novo horizonte para situar e articular riscos, "causalidades" e "determinações", trazendo a saúde ­ assim como a possibilidade de adoecer ­ para o campo da vida real, para o mundo dos sujeitos em relação, no qual esses processos ganham sentidos singulares.This article explores the meanings associated with the motto used in a World No-Tobacco Day campaign to stimulate a discussion of the principal underlying messages in the field of health education in Brazil. The study focuses on the concept of vulnerability to contextualize and explore its interfaces with education in order to highlight the theoretical, practical, and political productivity of the link between health education and studies on vulnerability. In conclusion, the necessary renewal of health practices in general and health education practices in particular can benefit tremendously from the vulnerability reference, to the extent that it demarcates a new horizon for situating and linking risks, "causalities", and "determinations", drawing health ­ as well as the possibility of illness ­ into the field of real life, into the world of inter-subjective relations, where these processes gain unique meanings.

  2. Population-focused nursing: advocacy for vulnerable populations in an RN-BSN program.

    Science.gov (United States)

    Jones, Melissa; Smith, Paul

    2014-01-01

    The purpose of this article is to describe an innovative learning activity for online RN-BSN students designed to foster advocacy for vulnerable populations. The Vulnerable Population Advocacy Assignment, included as a component of the online Population-Focused Nursing class, provides students with the opportunity to identify and develop an awareness of issues impacting vulnerable populations and to advocate for policy changes that will influence the health of individuals, families, and populations. RN-BSN students build on previous knowledge and skills in professional communication and advocacy as they develop a policy statement designed to address health disparities impacting local, national, and global populations.

  3. Vulnerability Is Dynamic! Conceptualising a Dynamic Approach to Coastal Tourism Destinations’ Vulnerability

    NARCIS (Netherlands)

    Student, J.R.; Amelung, B.; Lamers, M.A.J.

    2016-01-01

    Coastal regions and islands are among the most popular tourist destinations.
    They are also highly vulnerable to climate change. Much of the literature on
    vulnerability, including IPCC reports, states that vulnerability is dynamic. However,
    vulnerability conceptualisations in the tourism

  4. Measuring vulnerability to disaster displacement

    Science.gov (United States)

    Brink, Susan A.; Khazai, Bijan; Power, Christopher; Wenzel, Friedemann

    2015-04-01

    Large scale disasters can cause devastating impacts in terms of population displacement. Between 2008 and 2013, on average 27 million people were displaced annually by disasters (Yonetani 2014). After large events such as hurricane Katrina or the Port-au-Prince earthquake, images of inadequate public shelter and concerns about large scale and often inequitable migration have been broadcast around the world. Population displacement can often be one of the most devastating and visible impacts of a natural disaster. Despite the importance of population displacement in disaster events, measures to understand the socio-economic vulnerability of a community often use broad metrics to estimate the total socio-economic risk of an event rather than focusing on the specific impacts that a community faces in a disaster. Population displacement is complex and multi-causal with the physical impact of a disaster interacting with vulnerability arising from the response, environmental issues (e.g., weather), cultural concerns (e.g., expectations of adequate shelter), and many individual factors (e.g., mobility, risk perception). In addition to the complexity of the causes, population displacement is difficult to measure because of the wide variety of different terms and definitions and its multi-dimensional nature. When we speak of severe population displacement, we may refer to a large number of displaced people, an extended length of displacement or associated difficulties such as poor shelter quality, risk of violence and crime in shelter communities, discrimination in aid, a lack of access to employment or other difficulties that can be associated with large scale population displacement. We have completed a thorough review of the literature on disaster population displacement. Research has been conducted on historic events to understand the types of negative impacts associated with population displacement and also the vulnerability of different groups to these impacts. We

  5. Vulnerability Analysis in Web Distributed Applications

    Directory of Open Access Journals (Sweden)

    Ion Ivan

    2011-03-01

    Full Text Available The paper analyze vulnerabilities found on web based distributed applications from different perspectives. Classes of vulnerabilities types are identified in order to cope with their different characteristics that each one develops. Methods for analyzing vulnerabilities of an authentication process are developed and solutions are proposed. A model for vulnerability minimization is discussed based on an indicator built on the amount of sensitive data revealed to the end users. Risks are analyzed together with the vulnerabilities that they exploit and measures are identified to combat these pairs.

  6. Developing a Relative Ranking of Social Vulnerability of Governorates of Yemen to Humanitarian Crisis

    Directory of Open Access Journals (Sweden)

    Joseph Kandeh

    2015-09-01

    Full Text Available The social vulnerability of the Yemeni population to humanitarian emergencies is not evenly distributed between the governorates. Some governorates may be more susceptible to the impacts than others, based on the circumstances of the people residing within them. In this paper, we present a methodology for assessing social vulnerability of governorates of Yemen to humanitarian emergencies using a Geographic Information Systems approach. We develop a spatial index of social vulnerability from an initial list of 80 variables that were reduced to 12 factors through Principal Component Analysis. Our findings show that the differences in social vulnerability between governorates are primarily driven by 12 factors, of which education, lack of basic services in health, water and sanitation, electricity, housing quality, poverty, limited livelihood opportunities, and internal and external displacement are the major determinants. The results show that the factors that contribute to social vulnerability are different for each governorate, underpinning the need for context-specific vulnerability reduction approaches. The most vulnerable governorates are characterized by conflicts, armed clashes and violence. The geographic variability in social vulnerability further underpins the need for different mitigation, humanitarian response and recovery actions. The use of Geographic Information Systems approach has contributed to our understanding of the geographies of vulnerability to humanitarian emergencies in Yemen.

  7. Community vulnerability to climate change in the context of other exposure-sensitivities in Kugluktuk, Nunavut

    Directory of Open Access Journals (Sweden)

    Laura Tozer

    2011-07-01

    Full Text Available Climate change in the Canadian north is, and will be, managed by communities that are already experiencing social, political, economic and other environmental changes. Hence, there is a need to understand vulnerability to climate change in the context of multiple exposure-sensitivities at the community level. This article responds to this perceived knowledge need based on a case study of the community of Kugluktuk in Nunavut, Canada. An established approach for vulnerability assessment is used to identify current climatic and non-climatic exposure-sensitivities along with their associated contemporary adaptation strategies. This assessment of current vulnerability is used as a basis to consider Kugluktuk's possible vulnerability to climatic change in the future. Current climate-related exposure-sensitivities in Kugluktuk relate primarily to subsistence harvesting and community infrastructure. Thinner and less stable ice conditions and unpredictable weather patterns are making travel and harvesting more dangerous and some community infrastructure is sensitive to permafrost melt and extreme weather events (e.g., flash floods. The ability of individuals and households to adapt to these and other climatic exposure-sensitivities is influenced by non-climatic factors that condition adaptive capacity including substance abuse, the erosion of traditional knowledge and youth suicide. These and other non-climatic factors often underpin adaptive capacity to deal with and adapt to changing conditions and must be considered in an assessment of vulnerability. This research argues that Northern communities are challenged by multiple exposure-sensitivities—beyond just those posed by climate—and effective adaptation to climate change requires consideration if not resolution of socio-economic and other issues in communities.

  8. Research on security vulnerability of chip

    Science.gov (United States)

    Chen, Zhifeng; Li, Qingbao; Li, Zhou

    2013-03-01

    The 21st century is the information era. IC (Integrated Circuit) is the basis of the modern information industry. The security vulnerability or back door of IC is directly related to the entire information system security. From the perspective of information security, security vulnerability of chip is led out through the practical examples and then the importance of security vulnerability of chip is emphasized. By comparing the security vulnerability of chip with the software virus, the characteristics of the chip vulnerabilities are summed up. Moreover, this paper describes the security vulnerability models of different control logic chips, combinational and sequential logic chips models. Finally it puts forward two kinds of detecting methods of security vulnerability of chip against the two models.

  9. Wireless LAN Security Threats & Vulnerabilities

    Directory of Open Access Journals (Sweden)

    Md. Waliullah

    2014-01-01

    Full Text Available Wireless LANs are everywhere these days from home to large enterprise corporate networks due to the ease of installation, employee convenience, avoiding wiring cost and constant mobility support. However, the greater availability of wireless LANs means increased danger from attacks and increased challenges to an organisation, IT staff and IT security professionals. This paper discusses the various security issues and vulnerabilities related to the IEEE 802.11 Wireless LAN encryption standard and common threats/attacks pertaining to the home and enterprise Wireless LAN system and provide overall guidelines and recommendation to the home users and organizations.

  10. Symbian `vulnerability' and Mobile Threats

    CERN Document Server

    Gharibi, Wajeb

    2012-01-01

    Modern technologies are becoming ever more integrated with each other. Mobile phones are becoming increasing intelligent, and handsets are growing ever more like computers in functionality. We are entering a new era - the age of smart houses, global advanced networks which encompass a wide range of devices, all of them exchanging data with each other. Such trends clearly open new horizons to malicious users, and the potential threats are self evident. In this paper, we study and discuss one of the most famous mobile operating systems 'Symbian'; its vulnerabilities and recommended protection technologies.

  11. Assessing the vulnerability of women to sexually transmitted diseases STDS/ HIV: construction and validation of markers

    Directory of Open Access Journals (Sweden)

    Mónica Cecilia De la Torre Ugarte Guanilo

    2014-08-01

    Full Text Available Objective To construct and validate markers of vulnerability of women to STDs/HIV, taking into consideration the importance of STDs/HIV. Method Methodological study carried out in three stages: 1 systematic review and identification of elements of vulnerability in the scientific production; 2 selection of elements of vulnerability, and development of markers; 3 establishment of the expert group and validation of the markers (content validity. Results Five markers were validated: no openness in the relationship to discuss aspects related to prevention of STDs/HIV; no perception of vulnerability to STDs/HIV; disregard of vulnerability to STDs/ HIV; not recognizing herself as the subject of sexual and reproductive rights; actions of health professionals that limit women’s access to prevention of STDs/HIV. Each marker contains three to eleven components. Conclusion The construction of such markers constituted an instrument, presented in another publication, which can contribute to support the identification of vulnerabilities of women in relation to STDs/HIV in the context of primary health care services. The markers constitute an important tool for the operationalization of the concept of vulnerability in primary health care and to promote inter/multidisciplinary and inter/multi-sectoral work processes.

  12. Vulnerabilidade e sofrimento no trabalho do agente comunitário de saúde no Programa de Saúde da Família Vulnerabilidad y sufrimiento en el trabajo del agente comunitario de salud en el Programa Salud de la Familia Vulnerability and suffering in the work of a community health agent in the Family Health Program

    Directory of Open Access Journals (Sweden)

    Wânia Regina Veiga Martines

    2007-09-01

    ajenos a su espectro de alcance, que incluyen las limitaciones del modelo asistencial propuesto por el PSF.This qualitative research was aimed at investigating the representations and significations that a group of community health agents (CHAs has concerning the vulnerabilities for suffering in their work to which they are exposed to, as well as the manifestations of this suffering as they perform their actions in the Family Health Program (PSF, in the Portuguese language acronym. The semi-structured interview with the group of agents explored the meaning of being a CHA and their perception of their work organization; the analysis was based on the hermeneutics theoretical-methodology referential and on the theories related to labor psychodynamics. The findings show the existence of considerable suffering vulnerability, generated by an idealized ideation of the practice and by the scarce perspective for rearranging the constitutive ingredients of work organization, since these professionals depend on factors that are beyond their grasp, which include the limitations of the assistential model proposed by the PSF.

  13. CSRF Vulnerabilities and Defensive Techniques

    Directory of Open Access Journals (Sweden)

    Rupali D. Kombade

    2012-02-01

    Full Text Available Web applications are now part of day to day life due to their user friendly environment as well as advancement of technology to provide internet facilities, but these web applications brought lot of threats with them and these threats are continuously growing, one of the these threat is Cross Site Request Forgery(CSRF. CSRF attack is immerged as serious threat to web applications which based on the vulnerabilities present in the normal request response pattern of HTTP protocol. It is difficult to detect and hence it is present in most of the existing web applications. CSRF attack occurs when a malicious web site causes a user’s web browser to perform an unwanted action on a trusted site. It is listed in OWASP’s top ten Web Application attacks list. In this survey paper we will study CSRF attack, CSRF vulnerabilities and its defensive measures. We have compared various defense mechanisms to analyse the best defense mechanism. This study will help us to build strong and robust CSRF protection mechanism.

  14. Dynamics of immune system vulnerabilities

    Science.gov (United States)

    Stromberg, Sean P.

    The adaptive immune system can be viewed as a complex system, which adapts, over time, to reflect the history of infections experienced by the organism. Understanding its operation requires viewing it in terms of tradeoffs under constraints and evolutionary history. It typically displays "robust, yet fragile" behavior, meaning common tasks are robust to small changes but novel threats or changes in environment can have dire consequences. In this dissertation we use mechanistic models to study several biological processes: the immune response, the homeostasis of cells in the lymphatic system, and the process that normally prevents autoreactive cells from entering the lymphatic system. Using these models we then study the effects of these processes interacting. We show that the mechanisms that regulate the numbers of cells in the immune system, in conjunction with the immune response, can act to suppress autoreactive cells from proliferating, thus showing quantitatively how pathogenic infections can suppress autoimmune disease. We also show that over long periods of time this same effect can thin the repertoire of cells that defend against novel threats, leading to an age correlated vulnerability. This vulnerability is shown to be a consequence of system dynamics, not due to degradation of immune system components with age. Finally, modeling a specific tolerance mechanism that normally prevents autoimmune disease, in conjunction with models of the immune response and homeostasis we look at the consequences of the immune system mistakenly incorporating pathogenic molecules into its tolerizing mechanisms. The signature of this dynamic matches closely that of the dengue virus system.

  15. Scenarios for coastal vulnerability assessment

    Science.gov (United States)

    Nicholls, Robert J.; Woodroffe, Colin D.; Burkett, Virginia; Hay, John; Wong, Poh Poh; Nurse, Leonard; Wolanski, Eric; McLusky, Donald S.

    2011-01-01

    Coastal vulnerability assessments tend to focus mainly on climate change and especially on sea-level rise. Assessment of the influence of nonclimatic environmental change or socioeconomic change is less well developed and these drivers are often completely ignored. Given that the most profound coastal changes of the twentieth century due to nonclimate drivers are likely to continue through the twenty-first century, this is a major omission. It may result in not only overstating the importance of climate change but also overlooking significant interactions of climate change and other drivers. To support the development of policies relating to climate change and coastal management, integrated assessments of climatic change in coastal areas are required, including the effects of all the relevant drivers. This chapter explores the development of scenarios (or "plausible futures") of relevant climate and nonclimate drivers that can be used for coastal analysis, with an emphasis on the nonclimate drivers. It shows the importance of analyzing the impacts of climate change and sea-level rise in a broader context of coastal change and all its drivers. This will improve the analysis of impacts, key vulnerabilities, and adaptation needs and, hence, inform climate and coastal policy. Stakeholder engagement is important in the development of scenarios, and the underlying assumptions need to be explicit, transparent, and open to scientific debate concerning their uncertainties/realism and likelihood.

  16. Climate-related Indicators and Data Provenance: Evaluating Coupled Boundary Objects for Science, Innovation, and Decision-Making

    Science.gov (United States)

    Wiggins, A.; Young, A.; Brody, C.; Gerst, M.; Kenney, M. A.; Lamoureux, A.; Rice, A.; Wolfinger, F.

    2015-12-01

    Boundary object theory focuses on the role of artifacts, such as indicator images, in translation and communication across the boundaries of social groups. We use this framework for understanding how data can communicate across contexts to answer the question: Can coupling climate-related indicators with data provenance support scientific innovation and science translation? To address this question we conducted a study to understand the features and capabilities necessary for indicators and data provenance for scientific uses, using the recently online-released U.S. Global Change Research Program (USGCRP) Indicators and Global Change Information System (GCIS) as linked boundary objects. We conducted semi-structured interviews with professional researchers in which we asked the researchers to explore and describe what they observed that was useful or frustrating for a subset of the USGCRP Indicators, related GCIS content, and other similar indicator and metadata websites. Participants found these sites' navigation and the labeling and description of their assets frustrating and confusing, but were able to clearly articulate the metadata and provenance information they needed to both understand and trust the indicators. In addition to identifying desired features that are likely to be specific to this audience (e.g., references or citations for indicators), scientists wanted clear, easier-to-access provenance information of the type usually recommended for documenting research data. Notably, they felt the information would be best presented in a fashion accessible to a broader audience, as those with more technical expertise should be able to infer additional contextual details given the provenance information that they had identified as key. Such results are useful for the improvement of indicator systems, such as the prototype released by USGCRP. We note in particular that the consistency of responses across the multi-disciplinary sample, which included scholars in

  17. Vulnerability assessment to Drought in Various Provinces, approach towards risk management in the country

    Directory of Open Access Journals (Sweden)

    F. Nasrnia

    2016-05-01

    deal with drought in the community and reflect the effects of drought on people's ability to cope with the event. The physical vulnerability is related to the characteristics and the structure of society, infrastructure and services that are the result of the damage caused by drought. In the present study, the economic dimension of vulnerability, including GDP per capita, value added in agriculture, value added in industry and the impact of drought on the GDP. Under the criteria of social vulnerability, population density, population growth, the rate of literacy, vulnerable populations, the costs of health and safety and the impact of drought on employment were considered. The physical dimensions of vulnerability include the rate of irrigated land and road density since the objective of this study was to assess vulnerability to drought in various provinces of the country, the required data for all provinces except for Alborz province was collected in 1391 from intelligence sources. To determine the importance of different dimensions of vulnerability as well as the sub-phase in each dimension, the questionnaire was used for paired comparisons. As for the tens of experts, specialists and professionals who have expertise using the Delphi method is incorporated. In general, the importance of physical vulnerability is more than economic and social vulnerability. On the other hand, according to the results the economic and social vulnerability is important, too. The results of this study showed that the importance of the physical vulnerability was more than the economic and social vulnerability and economic vulnerability and social importance were the same. In the economic vulnerability sub-criteria of per capita GDP, in the social vulnerability sub-criteria of population density and in the physical vulnerability sub-criteria of road density have the most importance. These findings may reflect the fact that when drought occurs, access to infrastructure, services and markets

  18. An holistic view on aquifer vulnerability based on a distinction of different types of vulnerability

    Science.gov (United States)

    De Luca, Domenico Antonio; Lasagna, Manuela; Franchino, Elisa

    2016-04-01

    AN HOLISTIC VIEW ON AQUIFER VULNERABILITY BASED ON A DISTINCTION OF DIFFERENT TYPES OF VULNERABILITY D.A. De Luca1 , M. Lasagna1, E. Franchino1 1Department of Earth Sciences, University of Turin The concept of vulnerability is certainly useful in the field of groundwater protection. Nevertheless, within the scientific community, the definition of groundwater vulnerability is still debatable and not clear and conclusive. This is probably due to the fact that researchers often have very different experiences and education. A positive effect of it is a constant exchange of ideas, but there are also negative consequences and difficulties in deepening the issue. The different approaches are very important but they are usable only if the concept of vulnerability is standardized: thus, for the sake of clarity, a number of definitions should be laid down, based on the different types of vulnerability. These definitions can then provide the necessary holistic view for the aquifer vulnerability assessment. Nowadays vulnerability methods focus on the degree of vulnerability and the parameters needed for its evaluation, often neglecting to clarify what is the type of vulnerability the proposed methods are referred. The type of vulnerability, indeed, is both logically and hierarchically superior to the degree of vulnerability. More specifically the type of vulnerability represents the evaluation of the hydrogeological conditions considered in the vulnerability assessment and able to influence the way in which the contamination can take place. Currently the only distinction, based on of the type of vulnerability, is referred to intrinsic and specific vulnerability. Intrinsic vulnerability assesses the susceptibility of the receptor based on the natural properties of the land and subsurface; specific vulnerability also includes properties of the analyzed contaminant. This distinction is useful but not exhaustive. In addition to this, e.g., a distinction of vertical vulnerability

  19. Feeling “overloaded” and “shortcomings”: milieu therapists’ experiences of vulnerability in caring for severely mentally ill patients

    Science.gov (United States)

    Bachmann, Liv; Michaelsen, Ragnhild A; Vatne, Solfrid

    2016-01-01

    Background Milieu therapists’ relationships with patients with severe mental illnesses are viewed as challenging. Elucidating vulnerability from their perspective in daily face-to-face encounters with patients might contribute to extending our knowledge about milieu therapists’ vulnerability and the dynamics of the interaction between patients in mental health services and expertise in building caring and therapeutic relationships. The aim of this project was to study educated milieu therapists’ experiences of their own vulnerability in their interactions with patients in mental health services. Materials and methods The data collection method was focus-group interviews. Thirteen part-time master’s in mental health students (eight nurses, three social workers, two social educators) participated. All participants had experience with community or specialized mental health services (2–8 years). Results The milieu therapists mainly related their experiences of vulnerability to negative feelings elicited by challenging work conditions, disclosed as two main themes: 1) “overloaded”, by the possibility of being physically and mentally hurt and the burdens of long-lasting close relationships; milieu therapists were extremely vulnerable because of their difficulty in protecting themselves; and 2) “shortcomings”, connected to feelings of despair associated with not acting in concordance with their professional standards and insecurity about their skills to handle challenging situations, which was a threat to their professional integrity. There seemed to be coherence between vulnerability and professional inauthenticity. A misunderstanding that professionalism refers to altruism seems to increase milieu therapist vulnerability. Conclusion Vulnerability in health care is of interest to multiple disciplines, and is of relevance for knowledge development in higher education. Extended knowledge and understanding about milieu therapists’ vulnerability might

  20. Secure Web Development Based on Vulnerabilities

    Directory of Open Access Journals (Sweden)

    Ms. Daljit Kaur Dr. Parminder Kaur

    2012-02-01

    Full Text Available This paper is an effort to develop secure web applications based on known vulnerabilities. It has been seen that in the rapid race of developing web applications in minimum time and budget, security is given least importance as consequence of which web applications are developed and hosted with number of vulnerabilities in them. And in this race, one thing is constant that attackers take advantage of weaknesses existing in technology for financial gain and theft of intellectual property. In this proposed method of secure web development, most common vulnerabilities and their occurrence in development process is discussed. Mapping vulnerabilities to the actions needed to take during development process may help developers to understand vulnerability and avoid vulnerabilities in application.

  1. Optimal redundancy against disjoint vulnerabilities in networks

    CERN Document Server

    Krause, Sebastian M; Zlatić, Vinko

    2015-01-01

    Redundancy is commonly used to guarantee continued functionality in networked systems. However, often many nodes are vulnerable to the same failure or adversary. A "backup" path is not sufficient if both paths depend on nodes which share a vulnerability.For example, if two nodes of the Internet cannot be connected without using routers belonging to a given untrusted entity, then all of their communication-regardless of the specific paths utilized-will be intercepted by the controlling entity.In this and many other cases, the vulnerabilities affecting the network are disjoint: each node has exactly one vulnerability but the same vulnerability can affect many nodes. To discover optimal redundancy in this scenario, we describe each vulnerability as a color and develop a "color-avoiding percolation" which uncovers a hidden color-avoiding connectivity. We present algorithms for color-avoiding percolation of general networks and an analytic theory for random graphs with uniformly distributed colors including critic...

  2. Assessing the Security Vulnerabilities of Correctional Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Morrison, G.S.; Spencer, D.S.

    1998-10-27

    The National Institute of Justice has tasked their Satellite Facility at Sandia National Laboratories and their Southeast Regional Technology Center in Charleston, South Carolina to devise new procedures and tools for helping correctional facilities to assess their security vulnerabilities. Thus, a team is visiting selected correctional facilities and performing vulnerability assessments. A vulnerability assessment helps to identi~ the easiest paths for inmate escape, for introduction of contraband such as drugs or weapons, for unexpected intrusion fi-om outside of the facility, and for the perpetration of violent acts on other inmates and correctional employees, In addition, the vulnerability assessment helps to quantify the security risks for the facility. From these initial assessments will come better procedures for performing vulnerability assessments in general at other correctional facilities, as well as the development of tools to assist with the performance of such vulnerability assessments.

  3. Mining Bug Databases for Unidentified Software Vulnerabilities

    Energy Technology Data Exchange (ETDEWEB)

    Dumidu Wijayasekara; Milos Manic; Jason Wright; Miles McQueen

    2012-06-01

    Identifying software vulnerabilities is becoming more important as critical and sensitive systems increasingly rely on complex software systems. It has been suggested in previous work that some bugs are only identified as vulnerabilities long after the bug has been made public. These vulnerabilities are known as hidden impact vulnerabilities. This paper discusses the feasibility and necessity to mine common publicly available bug databases for vulnerabilities that are yet to be identified. We present bug database analysis of two well known and frequently used software packages, namely Linux kernel and MySQL. It is shown that for both Linux and MySQL, a significant portion of vulnerabilities that were discovered for the time period from January 2006 to April 2011 were hidden impact vulnerabilities. It is also shown that the percentage of hidden impact vulnerabilities has increased in the last two years, for both software packages. We then propose an improved hidden impact vulnerability identification methodology based on text mining bug databases, and conclude by discussing a few potential problems faced by such a classifier.

  4. ICMPv6 RA Flooding Vulnerability Research

    Directory of Open Access Journals (Sweden)

    Linas Jočys

    2016-06-01

    Full Text Available ICMPv6 is the newest version of internet control message protocol, whose main purpose is to send error message indicating packet processing failure. It is know that ICMPv6 is technologically vulnerable. One of those vulnerabilities is the ICMPv6 RA flooding vulnerability, which can lead to systems in Local Area Network slow down or full stop. This paper will discuss Windows (XP, 7, 8.1 and Linux Ubuntu 14 operating systems resistance to RA flooding attack research and countermeasures to minimize this vulnerability.

  5. Vulnerability analysis of three remote voting methods

    CERN Document Server

    Enguehard, Chantal

    2009-01-01

    This article analyses three methods of remote voting in an uncontrolled environment: postal voting, internet voting and hybrid voting. It breaks down the voting process into different stages and compares their vulnerabilities considering criteria that must be respected in any democratic vote: confidentiality, anonymity, transparency, vote unicity and authenticity. Whether for safety or reliability, each vulnerability is quantified by three parameters: size, visibility and difficulty to achieve. The study concludes that the automatisation of treatments combined with the dematerialisation of the objects used during an election tends to substitute visible vulnerabilities of a lesser magnitude by invisible and widespread vulnerabilities.

  6. The ethics and regulatory landscape of including vulnerable populations in pragmatic clinical trials.

    Science.gov (United States)

    Welch, Mary Jane; Lally, Rachel; Miller, Jennifer E; Pittman, Stephanie; Brodsky, Lynda; Caplan, Arthur L; Uhlenbrauck, Gina; Louzao, Darcy M; Fischer, James H; Wilfond, Benjamin

    2015-10-01

    Policies have been developed to protect vulnerable populations in clinical research, including the US federal research regulations (45 Code of Federal Regulations 46 Subparts B, C, and D). These policies generally recognize vulnerable populations to include pregnant women, fetuses, neonates, children, prisoners, persons with physical handicaps or mental disabilities, and disadvantaged persons. The aim has been to protect these populations from harm, often by creating regulatory and ethical checks that may limit their participation in many clinical trials. The recent increase in pragmatic clinical trials raises at least two questions about this approach. First, is exclusion itself a harm to vulnerable populations, as these groups may be denied access to understanding how health interventions work for them in clinical settings? Second, are groups considered vulnerable in traditional clinical trials also vulnerable in pragmatic clinical trials? We argue first that excluding vulnerable subjects from participation in pragmatic clinical trials can be harmful by preventing acquisition of data to meaningfully inform clinical decision-making in the future. Second, we argue that protections for vulnerable subjects in traditional clinical trial settings may not be translatable, feasible, or even ethical to apply in pragmatic clinical trials. We conclude by offering specific recommendations for appropriately protecting vulnerable research subjects in pragmatic clinical trials, focusing on pregnant women, fetuses, neonates, children, prisoners, persons with physical handicaps or mental disabilities, and disadvantaged persons.

  7. Attack Vulnerability of Network Controllability.

    Science.gov (United States)

    Lu, Zhe-Ming; Li, Xin-Feng

    2016-01-01

    Controllability of complex networks has attracted much attention, and understanding the robustness of network controllability against potential attacks and failures is of practical significance. In this paper, we systematically investigate the attack vulnerability of network controllability for the canonical model networks as well as the real-world networks subject to attacks on nodes and edges. The attack strategies are selected based on degree and betweenness centralities calculated for either the initial network or the current network during the removal, among which random failure is as a comparison. It is found that the node-based strategies are often more harmful to the network controllability than the edge-based ones, and so are the recalculated strategies than their counterparts. The Barabási-Albert scale-free model, which has a highly biased structure, proves to be the most vulnerable of the tested model networks. In contrast, the Erdős-Rényi random model, which lacks structural bias, exhibits much better robustness to both node-based and edge-based attacks. We also survey the control robustness of 25 real-world networks, and the numerical results show that most real networks are control robust to random node failures, which has not been observed in the model networks. And the recalculated betweenness-based strategy is the most efficient way to harm the controllability of real-world networks. Besides, we find that the edge degree is not a good quantity to measure the importance of an edge in terms of network controllability.

  8. Spent Fuel Working Group report on inventory and storage of the Department`s spent nuclear fuel and other reactor irradiated nuclear materials and their environmental, safety and health vulnerabilities. Volume 3, Site team reports

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    A self assessment was conducted of those Hanford facilities that are utilized to store Reactor Irradiated Nuclear Material, (RINM). The objective of the assessment is to identify the Hanford inventories of RINM and the ES & H concerns associated with such storage. The assessment was performed as proscribed by the Project Plan issued by the DOE Spent Fuel Working Group. The Project Plan is the plan of execution intended to complete the Secretary`s request for information relevant to the inventories and vulnerabilities of DOE storage of spent nuclear fuel. The Hanford RINM inventory, the facilities involved and the nature of the fuel stored are summarized. This table succinctly reveals the variety of the Hanford facilities involved, the variety of the types of RINM involved, and the wide range of the quantities of material involved in Hanford`s RINM storage circumstances. ES & H concerns are defined as those circumstances that have the potential, now or in the future, to lead to a criticality event, to a worker radiation exposure event, to an environmental release event, or to public announcements of such circumstances and the sensationalized reporting of the inherent risks.

  9. An exploration of the connection between two meaning perspectives: an evidence-based approach to health information delivery to vulnerable groups of Arabic- and Somali-speaking asylum seekers in a Swedish context.

    Science.gov (United States)

    Ekblad, Solvig; Linander, Andrea; Asplund, Maria

    2012-09-01

    The right to health care is significant for asylum seekers, particularly as many of them have experienced traumatic life events in their home country, during flight or in their host country. Post-migration living conditions have more impact than pre-migration conditions on ill health among asylum seekers, which underscores the importance of health care-related refugee reception policies. The purpose of this article is to explore the perceived meaning of comprehensive health information provided by a nurse to Arabic- and Somali-speaking adult asylum seekers, in a Swedish context, during its introduction at the Migration Board. In our study, the endpoint was whether asylum seekers found such health information relevant, understandable and respectful. Following an oral presentation, participants filled in a questionnaire consisting of three close-ended questions. A total of 39 groups of presentation attendees included 626 asylum seekers (415 Arabic- and 211 Somali-speaking). Data were analysed with descriptive statistics. Comments underwent content analysis. We also present some socio-demographic data on these asylum seekers. Independently of gender and language, the participants expressed their gratitude for and the meaningfulness of receiving professional, fact-based information, as well as being treated with concern and respect. They indicated a great need for this and felt relieved by being listened to. They liked the pedagogic group method, the opportunity for dialogue and to practice exercising their rights. These promising results indicate that exercising the asylum-seekers' right to receive such health information would improve future reception policies not only in Sweden, but throughout the EU. A renewed focus on communication and pedagogic skills, instead of just cultural training, should be considered for health care professionals assisting asylum seekers.

  10. Climate Vulnerability Assessments : An Assessment of Climate Change Vulnerability, Risk, and Adaptation in Albania's Energy Sector

    OpenAIRE

    World Bank

    2009-01-01

    Many countries are increasingly vulnerable to destructive weather events, floods, droughts, windstorms, or other parameters. The vulnerability is driven in part by recent extremes in climate variability but also by countries' sensitivity to events exacerbated by past practices, socioeconomic conditions, or legacy issues. The degree to which vulnerability to weather affects the countries' e...

  11. Multidimensional perfectionism and narcissism: Grandiose or vulnerable?

    OpenAIRE

    Stoeber, Joachim; Sherry, Simon B.; Logan J Nealis

    2015-01-01

    Multidimensional perfectionism is related to grandiose narcissism, with other-oriented perfectionism showing the strongest, most consistent relationships. The relationships with vulnerable narcissism, however, are unclear. Our study investigated how three forms of perfectionism--self-oriented, other-oriented, and socially prescribed perfectionism (Hewitt & Flett, 1991)--are related to narcissistic grandiosity and vulnerability. A sample of 375 university students completed the Narcissistic Pe...

  12. Towards Individualized Vulnerability in Migration Policies

    NARCIS (Netherlands)

    Flegar, Veronika

    2016-01-01

    The Dutch parliament recently pledged for separate reception centres for vulnerable asylum seekers. In a reaction, the Dutch State Secretary of Security and Justice Klaas Dijkhoff objected to this claim, arguing that placing “vulnerable groups” into separate reception centres is stigmatizing. Instea

  13. IT Security Vulnerability and Incident Response Management

    NARCIS (Netherlands)

    Hafkamp, W.H.M.; Paulus, S.; Pohlman, N.; Reimer, H.

    2006-01-01

    This paper summarises the results of a Dutch PhD research project on IT security vulnerability and incident response management, which is supervised by the University of Twente in the Netherlands and which is currently in its final stage. Vulnerabilities are ‘failures or weaknesses in computer (appl

  14. Predicting Vulnerability Risks Using Software Characteristics

    Science.gov (United States)

    Roumani, Yaman

    2012-01-01

    Software vulnerabilities have been regarded as one of the key reasons for computer security breaches that have resulted in billions of dollars in losses per year (Telang and Wattal 2005). With the growth of the software industry and the Internet, the number of vulnerability attacks and the ease with which an attack can be made have increased. From…

  15. Alternative Education Programs in B.C.: Meeting the Needs of Vulnerable Students

    Science.gov (United States)

    Peled, Maya; Smith, Annie

    2010-01-01

    Education plays a key role in young people's healthy development. Research conducted by the McCreary Centre Society (a British Columbia non-profit organization concerned with youth health) has shown that even the most vulnerable youth who feel connected to school are more likely to report better health and above average marks, and to engage in…

  16. RSLR-induced increase of vulnerability to storms along the Catalan coast (NW Mediterranean)

    Science.gov (United States)

    Bosom, Eva; Jiménez, José A.; Nicholls, Robert J.

    2014-05-01

    Climate-related hazards are affecting coasts worldwide and they are likely to increase during the next decades (Nicholls et al., 2007). If we also consider that values at exposure are also increasing, coastal areas will very likely be exposed to increasing risks. Due to this, to properly develop sustainable coastal risk management plans it is necessary to consider climate-change induced effects as an additional forcing. Within this context, vulnerability assessment is a useful tool to help managers to make decisions in resource allocation and development of DRR plans. Vulnerability can be simply defined as the potential of a coastal system to be harmed by a given hazard. The negative contribution (susceptibility) is characterized through the magnitude of main induced processes (erosion and inundation) whereas the positive one (resilience) is parameterized in function of beach geomorphology. With respect to extreme events, Bosom and Jiménez (2011) presented a framework to assess coastal vulnerability to storms at regional scale adopting a probabilistic approach. In this work, this framework is enlarged by including the potential effects of RSLR on the vulnerability assessment. Thus, RSLR-driven processes (erosion and inundation) are accounted through their induced modifications on beach morphology that can affect the beach capacity of response or, in other words, its adaptation capacity. The inclusion of this effect in the vulnerability framework significantly changes coastal vulnerability values to storms at any probability of occurrence without the need of considering any change in storminess. The magnitude of the vulnerability increase depends on the considered RSLR scenario and the coastal geomorphology. This integrated framework has been applied to 219 km of the Catalan coast (NW Mediterranean) considering different RSLR scenarios and time projections. Preliminary results obtained for a Tr = 50-y and the medium RSLR scenario (3.8 mm/y + subsidence) indicate a

  17. Oxytocin and vulnerable romantic relationships.

    Science.gov (United States)

    Grebe, Nicholas M; Kristoffersen, Andreas Aarseth; Grøntvedt, Trond Viggo; Thompson, Melissa Emery; Kennair, Leif Edward Ottesen; Gangestad, Steven W

    2017-02-27

    Oxytocin (OT) has been implicated in the formation and maintenance of various social relationships, including human romantic relationships. Competing models predict, alternatively, positive or negative associations between naturally-occurring OT levels and romantic relationship quality. Empirical tests of these models have been equivocal. We propose a novel hypothesis ('Identify and Invest') that frames OT as an allocator of psychological investment toward valued, vulnerable relationships, and test this proposal in two studies. In one sample of 75 couples, and a second sample of 148 romantically involved individuals, we assess facets of relationships predicting changes in OT across a thought-writing task regarding one's partner. In both studies, participants' OT change across the task corresponded positively with multiple dimensions of high relationship involvement. However, increases in participants' OT also corresponded to their partners reporting lower relationship involvement. OT increases, then, reflected discrepancies between assessments of self and partner relationship involvement. These findings are robust in a combined analysis of both studies, and do not significantly differ between samples. Collectively, our findings support the 'Identify and Invest' hypothesis in romantic couples, and we argue for its relevance across other types of social bonds.

  18. Vulnerability of pension fund balances

    Directory of Open Access Journals (Sweden)

    Ólafur Ísleifsson

    2012-12-01

    Full Text Available Although the Icelandic general labour market pension funds are built on the proviso that pension schemes are fully funded these funds are still grappling with the devastating financial effects of the 2008 economic collapse that rendered most of them in a significant actuarial deficit. The public sector pension funds are based on an employer guarantee that makes up for any lack of funding that historically has been quite significant. We identify the relatively high actuarial discount rate and increasing longevity as two factors that add to the vulnerability of the Icelandic pension system. We present a stochastic model in order to obtain reasonably sound estimates of the effect of revising such key parameters of the actuarial assessments of the pension funds and thus obtain a view of the viability of the Icelandic pension system when confronted with the potential necessity of such parameter shifts. We present results of stochastic simulations of this models made to assess effects of changes in these major financial and demographic assumptions in actuarial evaluations of pension fund balances. Our results suggest that the Icelandic pension funds may be significantly less well funded than is generally perceived.

  19. GIS-Mapping and Statistical Analyses to Identify Climate-Vulnerable Communities and Populations Exposed to Superfund Sites

    Science.gov (United States)

    Climate change-related cumulative health risks are expected to be disproportionately greater for overburdened communities, due to differential proximity and exposures to chemical sources and flood zones. Communities and populations vulnerable to climate change-associated impacts ...

  20. Groundwater vulnerability mapping of Qatar aquifers

    Science.gov (United States)

    Baalousha, Husam Musa

    2016-12-01

    Qatar is one of the most arid countries in the world with limited water resources. With little rainfall and no surface water, groundwater is the only natural source of fresh water in the country. Whilst the country relies mainly on desalination of seawater to secure water supply, groundwater has extensively been used for irrigation over the last three decades, which caused adverse environmental impact. Vulnerability assessment is a widely used tool for groundwater protection and land-use management. Aquifers in Qatar are carbonate with lots of fractures, depressions and cavities. Karst aquifers are generally more vulnerable to contamination than other aquifers as any anthropogenic-sourced contaminant, especially above a highly fractured zone, can infiltrate quickly into the aquifer and spread over a wide area. The vulnerability assessment method presented in this study is based on two approaches: DRASTIC and EPIK, within the framework of Geographical Information System (GIS). Results of this study show that DRASTIC vulnerability method suits Qatar hydrogeological settings more than EPIK. The produced vulnerability map using DRASTIC shows coastal and karst areas have the highest vulnerability class. The southern part of the country is located in the low vulnerability class due to occurrence of shale formation within aquifer media, which averts downward movement of contaminants.

  1. Transdisciplinary knowledge integration : cases from integrated assessment and vulnerability assessment

    NARCIS (Netherlands)

    Hinkel, J.

    2008-01-01

    Keywords: climate change, integrated assessment, knowledge integration, transdisciplinary research, vulnerability, vulnerability assessment. This thesis explores how transdisciplinary knowledge integration can be facilitated in the context of integrated assessments and vulnerability assessments of

  2. Women´s vulnerability to violence and health damages under the perspective of rural social movements Vulnerabilidad de las mujeres a la violencia y daños de salud bajo la perspectiva de los movimientos sociales rurales Vulnerabilidade das mulheres à violência e danos à saúde na perspectiva dos movimentos sociais rurais

    Directory of Open Access Journals (Sweden)

    Elisiane Gomes Bonfim

    2013-07-01

    Full Text Available This text analyzes the situations of vulnerability to violence and damage to health from the perspective of women in rural settings. It appears that even with the participation in rural social movements and the struggle for better working conditions, women have greater social vulnerability in rural areas expressed by the inequality of access to state public services, as well as unequal access the labor market and land tenure, which is reflected in inequalities in health. It was observed that women were exposed to different vulnerabilities and to violence resulting in murder and other situations that affect the health and reflect inequalities of gender, race and class. It was evident that much stills needs to be modified so that the hierarchies of gender are reduced in Brazil. In this sense, it appears that both in the state, and in the Academy this is an issue that still needs to be contextualized and developed, aiming at the structuring of public policy.Este é um texto reflexivo que analisa as situações de vulnerabilidade à violência e danos à saúde na perspectiva de mulheres em cenários rurais. Constata-se que mesmo com a participação nos movimentos sociais rurais e na luta por melhores condições de trabalho, as mulheres apresentam maior vulnerabilidade social no meio rural, expressa pela desigualdade de acesso aos serviços estatais públicos, assim como a desigualdade de acesso ao mercado de trabalho e a posse da terra, que se reflete em desigualdades nas condições de saúde. Observou-se que as mulheres estiveram expostas a diferentes vulnerabilidades e à violência, resultando em assassinatos e em outras situações de comprometimento da saúde que refletem as iniqüidades de gênero, raça e classe. Evidenciou-se que muito necessita ser modificado para que as hierarquias de gênero sejam reduzidas no Brasil. Nesse sentido, constata-se que tanto no âmbito do Estado, quanto no âmbito da Academia essa é uma temática que

  3. Safeguarding vulnerable families: work with refugees and asylum seekers.

    Science.gov (United States)

    Burchill, John

    2011-02-01

    This paper will highlight one of the key findings of a qualitative study based on the analysis of in-depth interviews with 14 health visitors describing their experiences working with refugees and asylum seekers. Despite changes in government legislation to improve children's services in order to prevent harm to children, this recent study demonstrated that health visitors were working with the complexities of needs among refugees and asylum seekers related to safeguarding both children and vulnerable women. The health visitors often worked with families and individuals with no support from other professional services, they worked with failed asylum seekers who were unable to access other forms of support and they worked with women and children who were caught in a cycle of domestic abuse due to their immigration status. They were also working with families who would disappear from the systems in place to safeguard children.

  4. The vulnerability of Palestinian refugees from Syria

    Directory of Open Access Journals (Sweden)

    Leah Morrison

    2014-09-01

    Full Text Available While Syrian nationals may eventually return to their home country, the future for Palestinians from Syria is increasingly uncertain. Meanwhile they are more vulnerable than, and treated worse than, most other refugees from the Syrian conflict.

  5. Aquifer vulnerability for Colorado and New Mexico

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The U.S. Geological Survey Data Series provides raster data representing an estimate of aquifer vulnerability calculated for each 30-meter raster cell. Depth to...

  6. Violence and vulnerabilities: Afghans in Pakistan

    Directory of Open Access Journals (Sweden)

    Sanaa Alimia

    2014-05-01

    Full Text Available Given that the majority of Afghans who live in Pakistan today are unlikely to return to Afghanistan, more needs to be done to address their vulnerabilities and protect them from harassment and violence.

  7. Blast vulnerability assessment : challenges and myths

    Energy Technology Data Exchange (ETDEWEB)

    Braimah, A.; Contestabile, E. [Natural Resources Canada, Ottawa, ON (Canada). Canadian Explosives Research Laboratory

    2007-07-01

    Challenges related to the creation of a comprehensive blast vulnerability assessment program for Canadian buildings was presented. Many building owners are now seeking to assess the vulnerability of their structures to blast loads, and wish to increase the survivability of both occupants and structures. However, the engineering community has not yet incorporated existing physical security measures into comprehensive mitigation strategies and designs. Different institutions are currently using varying amounts of explosives in vulnerability assessments, and there is an urgent need for information on terrorist capabilities in both the present and the future. Pressure-impulse diagrams are now used by engineers to assess component responses to blasts. However, pressure-impulse diagrams are based on single modes of failure, and may not be capable of capturing all failure modes of building components, nor are they able to ensure that vulnerability assessments do not overestimate the blast load resistance of buildings.

  8. Vulnerability of Energy Consumers - National Security Issue

    Directory of Open Access Journals (Sweden)

    Musatescu Virgil

    2016-04-01

    Full Text Available Energy providing is a complex problem, which includes both common features for all categories of consumers and particularities, which emerge from the declaration on human rights. As an index of the level of heat using the concept of 'energy poverty'. In counterbalance, this concept proposes the use of the notion of "vulnerability" for these purposes. The concept of "vulnerable consumer" point of view of energy is still defined in the 2012 electricity law in Romania. In this context, the paper examines the vulnerability characteristics indicating meanings on widening energy paradigm by replacing the phrase "energy poverty" by "energy welfare". The paper presents quantitative issues regarding the current situation in Romania with explaining the need treatment paradigm change simplistic approach to the problem of vulnerable consumers, which really is a matter of national security.

  9. [Aged woman's vulnerability related to AIDS].

    Science.gov (United States)

    Silva, Carla Marins; Lopes, Fernanda Maria do Valle Martins; Vargens, Octavio Muniz da Costa

    2010-09-01

    This article is a systhematic literature review including the period from 1994 to 2009, whose objective was to discuss the aged woman's vulnerability in relation to Acquired Imunodeficiency Syndrome (Aids). The search for scientific texts was accomplished in the following databases: Biblioteca Virtual em Saúde, Scientific Eletronic Library Online (SciELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE). The descriptors used were vulnerability, woman and Aids. Eighteen texts were analyzed, including articles in scientific journals, thesis and dissertations. As a conclusion, it was noted that aged women and vulnerability to Aids are directly related, through gender characteristics including submission and that were built historical and socially. We consider as fundamental the development of studies which may generate publications accessible to women, in order to help them see themselves as persons vulnerable to Aids contagion just for being women.

  10. Coastal vulnerability assessment for Egypt's Mediterranean coast

    Directory of Open Access Journals (Sweden)

    Mohamed E. Hereher

    2015-05-01

    Full Text Available The Egyptian Mediterranean coast was examined for the vulnerability to sea-level rise using the coastal vulnerability index (CVI, which was derived from the geologic and physical characteristics of the coast. This paper is the first to apply the CVI along the Egyptian coasts. The coast has different geomorphologic aspects ranging from steep-slope-rocky cliffs to gentle sloping deltaic sediments. Although the coast is under low tidal effect and low height waves, results showed that more than one-third of the 1000 km long coast is severely vulnerable to sea-level rise. Unfortunately, the area under high vulnerability to sea-level rise comprises the densely populated Nile Delta coast. National actions should be implemented to safeguard the entire coast at the threatened locations.

  11. Indicators of Terrorism Vulnerability in Africa

    Science.gov (United States)

    2015-03-26

    INDICATORS OF TERRORISM VULNERABILITY IN AFRICA THESIS MARCH 2015 Raymond J. Hill, Second Lieutenant, USAF AFIT-ENS-MS-15-M-125 DEPARTMENT OF THE AIR...actual mission capability or limitations. AFIT-ENS-MS-15-M-125 INDICATORS OF TERRORISM VULNERABILITY IN AFRICA THESIS Presented to the Faculty...IN AFRICA THESIS Raymond J. Hill, BS Second Lieutenant, USAF Committee Membership: Maj Jennifer L. Geffre, Ph.D. (Chairman) Raymond Hill, Ph.D

  12. Designing For- and With- Vulnerable People

    OpenAIRE

    2013-01-01

    Ubiquitous technology, coupled with a surge in empirical research on people that engages people with multiple challenges in their lives, is increasingly revealing the potential for HCI to enrich the lives of vulnerable people. Designing for people with vulnerabilities requires an approach to participation that is sensitive to the risks of possible stigmatization and an awareness of the challenges for participant involvement. This workshop will bring together researchers and practitioners to e...

  13. Climate challenges, vulnerabilities, and food security

    OpenAIRE

    Margaret C. Nelson; Ingram, Scott E.; Dugmore, Andrew J.; Streeter, Richard; Matthew A. Peeples; McGovern, Thomas H.; Hegmon, Michelle; Arneborg, Jette; Keith W. Kintigh; Brewington, Seth; Spielmann, Katherine A.; Simpson, Ian A; Strawhacker, Colleen; Comeau, Laura E. L.; Torvinen, Andrea

    2015-01-01

    Climate-induced disasters are impacting human well-being in ever-increasing ways. Disaster research and management recognize and emphasize the need to reduce vulnerabilities, although extant policy is not in line with this realization. This paper assesses the extent to which vulnerability to food shortage, as a result of social, demographic, and resource conditions at times of climatic challenge, correlates with subsequent declines in social and food security. Extreme climate challenges are i...

  14. Spatial-temporal analysis of dengue deaths: identifying social vulnerabilities

    Directory of Open Access Journals (Sweden)

    Maria do Socorro da Silva

    Full Text Available Abstract: INTRODUCTION Currently, dengue fever, chikungunya fever, and zika virus represent serious public health issues in Brazil, despite efforts to control the vector, the Aedes aegypti mosquito. METHODS: This was a descriptive and ecological study of dengue deaths occurring from 2002 to 2013 in São Luis, Maranhão, Brazil. Geoprocessing software was used to draw maps, linking the geo-referenced deaths with urban/social data at census tract level. RESULTS: There were 74 deaths, concentrated in areas of social vulnerability. CONCLUSIONS: The use of geo-technology tools pointed to a concentration of dengue deaths in specific intra-urban areas.

  15. Assessment of social support and its association to depression, self-perceived health and chronic diseases in elderly individuals residing in an area of poverty and social vulnerability in rio de janeiro city, Brazil.

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    Valeria T S Lino

    Full Text Available OBJECTIVES: Social support (SS influences the elderly ability to cope with the losses of ageing process. This study was aimed at assessing SS among elderly users of a primary healthcare unit in a poor and violent area of Rio de Janeiro City, and at verifying its association with depression, self-perceived health (SPH, marital status and chronic illnesses. METHODS: A cross-sectional study was performed based on a convenience sample of 180 individuals aged 60 years or older. SS was measured with part of the Brazilian version of Medical Outcomes Study's SS scale, and SPH and depression were assessed, respectively, through one question and the Brazilian version of the Structured Clinical Interview for DSM-IV Axis I Disorders. SS medians were calculated for the categories of SPH, depression, marital status and chronic illnesses variables, and differences were evaluated with the Kruskal-Wallis and Mann-Whitney tests. Additionally, Pearson's chi-square test and logistic regression were employed to identify unadjusted and adjusted associations between SS and those variables. RESULTS: The participant's mean age was 73 years old, and level of education was 3 years of school education on average. They were predominantly females (73.3%, and non-married (55.0%. Among them, 74.4% perceived their SS as satisfactory, 55.0% perceived their health as good, 27.8% were diagnosed with major depression and 83.3% had hypertension. Especially for those depressed and with bad SPH, the medians of SS measure were much lower than for others, reaching an unsatisfactory level. Moreover, controlling for other factors, non-depressed individuals were more likely (OR = 2.32 to have satisfactory SS. CONCLUSION: in the violent and poor area explored in this research low SS is highly prevalent in the elderly. Depressed individuals are more likely to have low SS and this condition should be investigated in depressed elderly. The reduced scale is useful for low education

  16. Rockfall vulnerability assessment for reinforced concrete buildings

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    O. Mavrouli

    2010-10-01

    Full Text Available The vulnerability of buildings to the impact of rockfalls is a topic that has recently attracted increasing attention in the scientific literature. The quantification of the vulnerability, when based on empirical or heuristic approaches requires data recorded from historical rockfalls, which are not always available. This is the reason why appropriate alternatives are required. The use of analytical and numerical models can be one of them. In this paper, a methodology is proposed for the analytical evaluation of the vulnerability of reinforced concrete buildings. The vulnerability is included in the risk equation by incorporating the uncertainty of the impact location of the rock block and the subsequent damage level. The output is a weighted vulnerability that ranges from 0 to 1 and expresses the potential damage that a rock block causes to a building in function of its velocity and size. The vulnerability is calculated by the sum of the products of the probability of block impact on each element of the building and its associated damage state, the latter expressed in relative recovery cost terms. The probability of exceeding a specific damage state such as non-structural, local, partial, extensive or total collapse is also important for the quantification of risk and to this purpose, several sets of fragility curves for various rock diameters and increasing velocities have been prepared. An example is shown for the case of a simple reinforced concrete building and impact energies from 0 to 4075 kJ.

  17. Drought vulnerability assesssment and mapping in Morocco

    Science.gov (United States)

    Imani, Yasmina; Lahlou, Ouiam; Bennasser Alaoui, Si; Naumann, Gustavo; Barbosa, Paulo; Vogt, Juergen

    2014-05-01

    Drought vulnerability assessment and mapping in Morocco Authors: Yasmina Imani 1, Ouiam Lahlou 1, Si Bennasser Alaoui 1 Paulo Barbosa 2, Jurgen Vogt 2, Gustavo Naumann 2 1: Institut Agronomique et Vétérinaire Hassan II (IAV Hassan II), Rabat Morocco. 2: European Commission, Joint Research Centre (JRC), Institute for Environment and Sustainability (IES), Ispra, Italy. In Morocco, nearly 50% of the population lives in rural areas. They are mostly small subsistent farmers whose production depends almost entirely on rainfall. They are therefore very sensitive to drought episodes that may dramatically affect their incomes. Although, as a consequence of the increasing frequency, length and severity of drought episodes in the late 90's, the Moroccan government decided, to move on from a crisis to a risk management approach, drought management remains in practice mainly reactive and often ineffective. The lack of effectiveness of public policy is in part a consequence of the poor understanding of drought vulnerability at the rural community level, which prevents the development of efficient mitigation actions and adaptation strategies, tailored to the needs and specificities of each rural community. Thus, the aim of this study is to assess and map drought vulnerability at the rural commune level in the Oum Er-Rbia basin which is a very heterogeneous basin, showing a big variability of climates, landscapes, cropping systems and social habits. Agricultural data collected from the provincial and local administrations of Agriculture and socio-economic data from the National Department of Statistics were used to compute a composite vulnerability index (DVI) integrating four different components: (i) the renewable natural capacity, (ii) the economic capacity, (iii) human and civic resources, and (iv) infrastructure and technology. The drought vulnerability maps that were derived from the computation of the DVI shows that except very specific areas, most of the Oum er Rbia

  18. "It's at a time in your life when you are most vulnerable": a qualitative exploration of the financial impact of a cancer diagnosis and implications for financial protection in health.

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    Aileen Timmons

    Full Text Available Although cancer patients may incur a wide range of cancer-related out-of-pocket costs and experience reduced income, the consequences of this financial burden are poorly understood. We investigated: financial adjustments needed to cope with the cancer-related financial burden; financial distress (defined as a reaction to the state of personal finances; and factors that increase risk of financial difficulties. Two sets of semi-structured face-to-face interviews were conducted with 20 patients with breast, lung and prostate cancer and 21 hospital-based oncology social workers (OSWs in Ireland, which has a mixed public-private healthcare system. Participants were asked about: strategies to cope with the cancer-related financial burden; the impact of the financial burden on the family budget, other aspects of daily life, and wellbeing. OSWs were also asked about patient groups they thought were more likely to experience financial difficulties. The two interview sets were analysed separately using a thematic approach. Financial adjustments included: using savings; borrowing money; relying on family and friends for direct and indirect financial help; and cutting back on household spending. Financial distress was common. Financial difficulties were more likely for patients who were older or younger, working at diagnosis, lacked social support, had dependent children, had low income or had few savings. These issues often interacted with one another. As has been seen in predominantly publically and predominantly privately-funded healthcare settings, a complex mixed public-private healthcare system does not always provide adequate financial protection post-cancer. Our findings highlight the need for a broader set of metrics to measure the financial impact of cancer (and to assess financial protection in health more generally; these should include: out-of-pocket direct medical and non-medical costs; changes in income; financial adjustments (including

  19. "It's at a time in your life when you are most vulnerable": a qualitative exploration of the financial impact of a cancer diagnosis and implications for financial protection in health.

    Science.gov (United States)

    Timmons, Aileen; Gooberman-Hill, Rachael; Sharp, Linda

    2013-01-01

    Although cancer patients may incur a wide range of cancer-related out-of-pocket costs and experience reduced income, the consequences of this financial burden are poorly understood. We investigated: financial adjustments needed to cope with the cancer-related financial burden; financial distress (defined as a reaction to the state of personal finances); and factors that increase risk of financial difficulties. Two sets of semi-structured face-to-face interviews were conducted with 20 patients with breast, lung and prostate cancer and 21 hospital-based oncology social workers (OSWs) in Ireland, which has a mixed public-private healthcare system. Participants were asked about: strategies to cope with the cancer-related financial burden; the impact of the financial burden on the family budget, other aspects of daily life, and wellbeing. OSWs were also asked about patient groups they thought were more likely to experience financial difficulties. The two interview sets were analysed separately using a thematic approach. Financial adjustments included: using savings; borrowing money; relying on family and friends for direct and indirect financial help; and cutting back on household spending. Financial distress was common. Financial difficulties were more likely for patients who were older or younger, working at diagnosis, lacked social support, had dependent children, had low income or had few savings. These issues often interacted with one another. As has been seen in predominantly publically and predominantly privately-funded healthcare settings, a complex mixed public-private healthcare system does not always provide adequate financial protection post-cancer. Our findings highlight the need for a broader set of metrics to measure the financial impact of cancer (and to assess financial protection in health more generally); these should include: out-of-pocket direct medical and non-medical costs; changes in income; financial adjustments (including financial coping

  20. A knowledge integration approach to flood vulnerability

    Science.gov (United States)

    Mazzorana, Bruno; Fuchs, Sven

    2014-05-01

    Understanding, qualifying and quantifying vulnerability is an essential need for implementing effective and efficient flood risk mitigation strategies; in particular if possible synergies between different mitigation alternatives, such as active and passive measures, should be achieved. In order to combine different risk management options it is necessary to take an interdisciplinary approach to vulnerability reduction, and as a result the affected society may be willing to accept a certain degree of self-responsibility. However, due to differing mono-disciplinary approaches and regional foci undertaken until now, different aspects of vulnerability to natural hazards in general and to floods in particular remain uncovered and as a result the developed management options remain sub-optimal. Taking an even more fundamental viewpoint, the empirical vulnerability functions used in risk assessment specifically fail to capture physical principles of the damage-generating mechanisms to the build environment. The aim of this paper is to partially close this gap by discussing a balanced knowledge integration approach which can be used to resolve the multidisciplinary disorder in flood vulnerability research. Modelling techniques such as mathematical-physical modelling of the flood hazard impact to and response from the building envelope affected, and formative scenario analyses of possible consequences in terms of damage and loss are used in synergy to provide an enhanced understanding of vulnerability and to render the derived knowledge into interdisciplinary mitigation strategies. The outlined formal procedure allows for a convincing knowledge alignment of quantified, but partial, information about vulnerability as a result of the application of physical and engineering notions and valuable, but often underspecified, qualitative argumentation strings emerging from the adopted socio-economic viewpoint.

  1. Levantamento sobre uso de álcool e outras drogas e vulnerabilidades relacionadas de estudantes de escolas públicas participantes do programa saúde do escolar/saúde e prevenção nas escolas no município de Florianópolis Survey on drug use and vulnerabilities among students from public schools participating in the school health program / ​​health and prevention in schools in the city of Florianópolis

    Directory of Open Access Journals (Sweden)

    Andréia Isabel Giacomozzi

    2012-09-01

    Full Text Available Esta pesquisa investigou o uso de álcool e outras drogas e as vulnerabilidades relacionadas de estudantes de nove escolas públicas participantes do Programa Saúde do Escolar/Saúde e Prevenção nas Escolas no município de Florianópolis. Participaram 789 alunos entre o sétimo ano do Ensino Fundamental e o terceiro ano do Ensino Médio. O álcool foi utilizado por 30,1% dos participantes, o tabaco por 20,1%, a maconha por 7%, a cocaína por 1,3% e o crack por 0,6%. Os estudantes que utilizam álcool e outras drogas mataram mais aulas, participaram mais de brigas, são sexualmente mais ativos e declararam que se arriscaram mais frente ao HIV/Aids. Observou-se a importância da família tanto como fator de influência nos comportamentos do uso de álcool e outras drogas, como de proteção frente a este uso.This research investigated the use of alcohol and other drugs and related vulnerabilities among students from nine public schools participating in Projeto Saúde e Prevenção na Escola (SPE -Health and Prevention at School Project and in Programa Saúde na Escola (PSE -Health at School Program in the city of Florianópolis (Southern Brazil. The sample comprises 789 students ranging from the 7th grade (Elementary School to the 3rd grade (High School. Main results: Tobacco was used by 20.1% of the students, 7% reported marijuana use, 1.3% used cocaine and 0.6% used crack at least once. Alcohol was the most frequently used drug: 30.1% of all students reported binge drinking. Students who make use of alcohol and other drugs are in a vulnerable situation: they skip more classes, get involved in fights more often, are sexually more active and admittedly take risks regarding HIV infection. Family influence is relevant, both protecting from drug use and leading to practices.

  2. Comprehensiveness and programmatic vulnerability to stds/hiv/aids in primary care

    Directory of Open Access Journals (Sweden)

    Luciane Ferreira do Val

    2014-08-01

    Full Text Available This study aimed to identify programmatic vulnerability to STDs/HIV/AIDS in primary health centers (PHCs. This is a descrip - tive and quantitative study carried out in the city of São Paulo. An online survey was applied (FormSUS platform, involving administrators from 442 PHCs in the city, with responses received from 328 of them (74.2%, of which 53.6% were nurses. At - tention was raised in relation to program - matic vulnerability in the PHCs regarding certain items of infrastructure, prevention, treatment, prenatal care and integration among services on STDs/HIV/AIDS care. It was concluded that in order to reach comprehensiveness of actions for HIV/ AIDS in primary health care, it is necessary to consider programmatic vulnerability, in addition to more investment and reor - ganization of services in a dialogue with the stakeholders (users, multidisciplinary teams, and managers, among others.

  3. [Information hygiene and regulation of information for vulnerable groups of the population].

    Science.gov (United States)

    Denisov, E I; Eremin, A L; Sivochalova, O V; Kurerov, N N

    2014-01-01

    Development of information society engenders the problem of hygienic regulation of information load for the population, first of all for vulnerable groups. There are presented international and Russian normative legal documents and experience in this area, there are described the negative effects of information (such as stress, depression, suicidal ideations). There are considered social-psychological characteristics of vulnerable groups that requires their best protection from loads of information, doing harm, particularly in terms of reproductive health, family relationships, children, etc. There was noted the desirability of improvement of sanitary, legislation on the regulation of the information load on the population, especially in vulnerable groups, in terms of optimization of parameters of the signal-carriers on volume, brightness and the adequacy of the volume and content of information in radio and television broadcasting, in an urban environment and at the plant to preserve the health and well-being of the population.

  4. Vulnerability and self-perceived health status among light and heavy smokers: the relationship to short-term fear appeal tobacco control messages Vulnerabilidade e percepção de saúde auto-referida entre fumantes leves e pesados: a relação com mensagens anti-fumo voltadas para o apelo ao medo imediato

    Directory of Open Access Journals (Sweden)

    André Salem Szklo

    2009-07-01

    Full Text Available It is important to stimulate smokers to acquire some level of risk perception associated with their current behavior in order to motivate smoking cessation. The present article attempts to understand how the content of short-term fear appeal government tobacco messages may interact with different levels of daily cigarette consumption in order to affect smokers' vulnerabilities, expressed by self-perceived health status. A Poisson model was used to estimate the prevalence ratio of fair or poor self-perceived health status (FPHS according to daily cigarette consumption. We also calculated the proportions of smokers who stated that selected health warning pictures on cigarette packets encourage people to quit smoking, stratified by self-perceived health status and daily cigarette consumption. The proportion of smokers with FPHS was 25% higher among those who smoked > 20 cigarettes/day (p = 0.01. Among smokers with FPHS, heavy smokers showed the highest proportions of responses in favor of selected warning pictures most closely related to losses in ordinary daily living, such as shortness of breath and being bothered by cigarette addiction. Short-term loss-framed tobacco control messages seem to have raised awareness of vulnerability among heavier smokers.É importante incentivar os fumantes a adquirir algum nível de percepção do risco associado ao seu comportamento atual, para motivá-los a parar de fumar. O artigo procura elucidar em que medida o conteúdo do apelo ao medo imediato contido em mensagens anti-fumo nas campanhas governamentais pode interagir com o consumo diário de cigarros, no sentido de afetar as vulnerabilidades dos fumantes, expressas pela percepção de saúde auto-referida. Um modelo de Poisson foi utilizado para estimar a razão de prevalências de percepção de saúde auto-referida regular ou ruim, segundo consumo diário de cigarros. Calculou-se também a proporção de fumantes que afirmou que mensagens anti

  5. The use of whey or skimmed milk powder in fortified blended foods for vulnerable groups.

    Science.gov (United States)

    Hoppe, Camilla; Andersen, Gregers S; Jacobsen, Stine; Mølgaard, Christian; Friis, Henrik; Sangild, Per T; Michaelsen, Kim F

    2008-01-01

    Fortified blended foods (FBF), especially corn soy blend, are used as food aid for millions of people worldwide, especially malnourished individuals and vulnerable groups. There are only a few studies evaluating the effect of FBF on health outcomes, and the potential negative effect of antinutrients has not been examined. Different lines of evidence suggest that dairy proteins have beneficial effects on vulnerable groups. Here we review the evidence on the effects of adding whey or skimmed milk powder to FBF used for malnourished infants and young children or people living with HIV or AIDS. Adding whey or skimmed milk powder to FBF improves the protein quality, allowing a reduction in total amount of protein, which could have potential metabolic advantages. It also allows for a reduced content of soy and cereal and thereby a reduction of potential antinutrients. It is possible that adding milk could improve weight gain, linear growth, and recovery from malnutrition, but this needs to be confirmed. Bioactive factors in whey might have beneficial effects on the immune system and muscle synthesis, but evidence from vulnerable groups is lacking. Milk proteins will improve flavor, which is important for acceptability in vulnerable groups. The most important disadvantage is a considerable increase in price. Adding 10-15% milk powder would double the price, which means that such a product should be used only in well-defined vulnerable groups with special needs. The potential beneficial effects of adding milk protein and lack of evidence in vulnerable groups call for randomized intervention studies.

  6. Windows Server 2012 vulnerabilities and security

    Directory of Open Access Journals (Sweden)

    Gabriel R. López

    2015-09-01

    Full Text Available This investigation analyses the history of the vulnerabilities of the base system Windows Server 2012 highlighting the most critic vulnerabilities given every 4 months since its creation until the current date of the research. It was organized by the type of vulnerabilities based on the classification of the NIST. Next, given the official vulnerabilities of the system, the authors show how a critical vulnerability is treated by Microsoft in order to countermeasure the security flaw. Then, the authors present the recommended security approaches for Windows Server 2012, which focus on the baseline software given by Microsoft, update, patch and change management, hardening practices and the application of Active Directory Rights Management Services (AD RMS. AD RMS is considered as an important feature since it is able to protect the system even though it is compromised using access lists at a document level. Finally, the investigation of the state of the art related to the security of Windows Server 2012 shows an analysis of solutions given by third parties vendors, which offer security products to secure the base system objective of this study. The recommended solution given by the authors present the security vendor Symantec with its successful features and also characteristics that the authors considered that may have to be improved in future versions of the security solution.

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

    Directory of Open Access Journals (Sweden)

    Madhuri .

    2014-03-01

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

  8. European information on climate change impacts, vulnerability and adaptation

    Science.gov (United States)

    Jol, A.; Isoard, S.

    2010-09-01

    Vulnerability to natural and technological disasters is increasing due to a combination of intensifying land use, increasing industrial development, further urban expansion and expanding infrastructure and also climate change. At EU level the European Commission's White Paper on adaptation to climate change (published in 2009) highlights that adaptation actions should be focused on the most vulnerable areas and communities in Europe (e.g. mountains, coastal areas, river flood prone areas, Mediterranean, Arctic). Mainstreaming of climate change into existing EU policies will be a key policy, including within the Water Framework Directive, Marine Strategy Framework Directive, Nature protection and biodiversity policies, integrated coastal zone management, other (sectoral) policies (agriculture, forestry, energy, transport, health) and disaster risk prevention. 2010 is the international year on biodiversity and the Conference of Parties of the biodiversity convention will meet in autumn 2010 (Japan) to discuss amongst other post-2010 strategies, objectives and indicators. Both within the Biodiversity Convention (CBD) and the Climate Change Convention (UNFCCC) there is increasing recognition of the need for integration of biodiversity conservation into climate change mitigation and adaptation activities. Furthermore a number of European countries and also some regions have started to prepare and/or have adopted national adaptation plans or frameworks. Sharing of good practices on climate change vulnerability methods and adaptation actions is so far limited, but is essential to improve such plans, at national, sub national and local level where much of the adaptation action is already taking place and will be expanding in future, also involving increasingly the business community. The EU Clearinghouse on CC impacts, vulnerability and adaptation should address these needs and it is planned to be operational end of 2011. The EEA is expected to have a role in its

  9. Vulnerabilidade de puérperas na visão de Equipes de Saúde da Família: ênfase em aspectos geracionais e adolescência Vulnerabilidad de puérperas en la visión de Equipos de Salud de la Familia: énfasis en aspectos generacionales y adolescencia Women's vulnerability in the puerperium from the view of Family Health Teams: emphasis on generational aspects and adolescence

    Directory of Open Access Journals (Sweden)

    Fernanda Beheregaray Cabral

    2010-06-01

    sugieren la necesidad de una reorientación de las prácticas de educación y promoción de la salud de las ESFs dirigidas a puérperas adolescentes más allá del mero componente informativo y la incorporación de la perspectiva de la vulnerabilidad en el planeamiento de estas acciones.The paper analyzes the emphasis of the professionals of Family Health Teams (FHTs on adolescent women's puerperium as a period in which women are particularly vulnerable. The adolescent women's special vulnerability in the puerperium period is justified by their way of living, showing a natural tendency to making the adolescence phenomenon something natural. The analysis was performed on some results from a qualitative study performed with FHTs of Santa Maria/RS, which used the focus groups strategy and content analysis. This study adds important contributions to the work of health professionals, indicating and giving visibility to the circumstances and elements implied in the production of adolescent women's vulnerability in the puerperium. Results suggest that a reorientation of education and health promotion practices that goes beyond the informative component are needed. In addition, there is a need to incorporate the vulnerability perspective in the planning of those actions.

  10. A cross-sectional, randomized cluster sample survey of household vulnerability to extreme heat among slum dwellers in ahmedabad, india.

    Science.gov (United States)

    Tran, Kathy V; Azhar, Gulrez S; Nair, Rajesh; Knowlton, Kim; Jaiswal, Anjali; Sheffield, Perry; Mavalankar, Dileep; Hess, Jeremy

    2013-06-18

    Extreme heat is a significant public health concern in India; extreme heat hazards are projected to increase in frequency and severity with climate change. Few of the factors driving population heat vulnerability are documented, though poverty is a presumed risk factor. To facilitate public health preparedness, an assessment of factors affecting vulnerability among slum dwellers was conducted in summer 2011 in Ahmedabad, Gujarat, India. Indicators of heat exposure, susceptibility to heat illness, and adaptive capacity, all of which feed into heat vulnerability, was assessed through a cross-sectional household survey using randomized multistage cluster sampling. Associations between heat-related morbidity and vulnerability factors were identified using multivariate logistic regression with generalized estimating equations to account for clustering effects. Age, preexisting medical conditions, work location, and access to health information and resources were associated with self-reported heat illness. Several of these variables were unique to this study. As sociodemographics, occupational heat exposure, and access to resources were shown to increase vulnerability, future interventions (e.g., health education) might target specific populations among Ahmedabad urban slum dwellers to reduce vulnerability to extreme heat. Surveillance and evaluations of future interventions may also be worthwhile.

  11. Vulnerabilities in Academic E-governance Portals

    Directory of Open Access Journals (Sweden)

    Subhash Chander

    2013-03-01

    Full Text Available Internet has become one of the most versatile sources of information and on the other way it has become source of various security threats. Various existing vulnerabilities in the web portals are compromised easily by hackers sitting at their places. There are so many vulnerabilities available in various websites in case of government sectors may be because of financial constraints or other. E-government is a new fast growing area in developing as well as in developed countries. New e-governance applications are emerging and being implemented and utilized by the common man. Providing government information and services on the web has resulted in mushrooming of websites with very little attention is paid to security issues of these websites. This paper discusses certain security issues & vulnerabilities in websites of educational institutes. The organizations taken into consideration are educational institutes of Haryana.

  12. Implementing Security in a Vulnerable CRM

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    Alexandru Valentin Besciu

    2015-03-01

    Full Text Available This paper work objective is to scan and analyze a web application developed in early 2013 by the author of this paperwork. The application has been improved constantly since then, but without having a security plan included. Unfortunately the application arrived at a point where the security isn’t optional anymore and it needs to be improved. In order to do this I scanned the web application files with Acunetix Web Vulnerabilities Scanner. After the analysis the results pointed which vulnerabilities the application has and how to fix them. After I had fixed the vulnerabilities I rescanned the application to see if there were any others which appeared because of the new code. After the scanning the results were good, Acunetix WVS showing only notices.

  13. Narcissistic grandiosity and narcissistic vulnerability in psychotherapy.

    Science.gov (United States)

    Pincus, Aaron L; Cain, Nicole M; Wright, Aidan G C

    2014-10-01

    This article briefly summarizes the empirical and clinical literature underlying a contemporary clinical model of pathological narcissism. Unlike the DSM Narcissistic Personality Disorder (NPD), this clinical model identifies and differentiates between two phenotypic themes of dysfunction-narcissistic grandiosity and narcissistic vulnerability-that can be expressed both overtly and covertly in patients' ways of thinking, feeling, behaving, and participating in treatment. Clinical recognition that narcissistic patients can and often do present for psychotherapy in vulnerable states of depression, anxiety, shame, and even suicidality increases the likelihood of accurate diagnosis and effective treatment planning. This article provides case examples derived from psychotherapies with narcissistic patients to demonstrate how narcissistic grandiosity and narcissistic vulnerability concurrently present in patients who seek treatment.

  14. Creativity and psychopathology: a shared vulnerability model.

    Science.gov (United States)

    Carson, Shelley H

    2011-03-01

    Creativity is considered a positive personal trait. However, highly creative people have demonstrated elevated risk for certain forms of psychopathology, including mood disorders, schizophrenia spectrum disorders, and alcoholism. A model of shared vulnerability explains the relation between creativity and psychopathology. This model, supported by recent findings from neuroscience and molecular genetics, suggests that the biological determinants conferring risk for psychopathology interact with protective cognitive factors to enhance creative ideation. Elements of shared vulnerability include cognitive disinhibition (which allows more stimuli into conscious awareness), an attentional style driven by novelty salience, and neural hyperconnectivity that may increase associations among disparate stimuli. These vulnerabilities interact with superior meta-cognitive protective factors, such as high IQ, increased working memory capacity, and enhanced cognitive flexibility, to enlarge the range and depth of stimuli available in conscious awareness to be manipulated and combined to form novel and original ideas.

  15. Mental vulnerability and survival after cancer

    DEFF Research Database (Denmark)

    Nakaya, Naoki; Bidstrup, Pernille E; Eplov, Lene F

    2009-01-01

    BACKGROUND: It has been hypothesized that personality traits affect survival after cancer, but studies have produced inconsistent results. This study examined the association between mental vulnerability and survival after cancer in Denmark in a prospective cohort study. METHODS: Between 1976...... and 2001, 12733 residents of Copenhagen completed a questionnaire eliciting information on a 12-item mental vulnerability scale, as well as various personal data. Follow-up in the Danish Cancer Registry until 2003 identified 884 incident cases of primary cancer, and follow-up for death from the date...... of cancer diagnosis until 2003 identified 382 deaths. Mental vulnerability scores were divided into 4 approximately equal-sized groups. Cox proportional hazards regression models were used to estimate the hazard ratio (HR) of all-cause mortality. RESULTS: Multivariate HR for all-cause mortality for persons...

  16. Mapping Regional Drought Vulnerability: a Case Study

    Science.gov (United States)

    Karamouz, M.; Zeynolabedin, A.; Olyaei, M. A.

    2015-12-01

    Drought is among the natural disaster that causes damages and affects many people's life in many part of the world including in Iran. Recently, some factors such as climate variability and the impact of climate change have influenced drought frequency and intensity in many parts of the world. Drought can be divided into four categories of meteorological, hydrological, agricultural and social-economic. In meteorological the important feature is lack of rainfall. In hydrological drought river flows and dam storage are considered. Lack of soil moisture is the key factor in agricultural droughts while in social-economic type of drought the relation between supply and demand and social-economic damages due to water deficiency is studied. While the first three types relates to the lack of some hydrological characteristics, social-economic type of drought is actually the consequence of other types expressed in monetary values. Many indices are used in assessing drought; each has its own advantages and disadvantages and can be used for specific types of drought. Therefore knowing the types of drought can provide a better understanding of shortages and their characteristics. Drought vulnerability is a concept which shows the likelihood of damages from hazard in a particular place by focusing on the system status prior to the disaster. Drought vulnerability has been viewed as a potential for losses in the region due to water deficiency at the time of drought. In this study the application of vulnerability concept in drought management in East Azarbaijan province in Iran is investigated by providing vulnerability maps which demonstrates spatial characteristics of drought vulnerability. In the first step, certain governing parameters in drought analysis such as precipitation, temperature, land use, topography, solar radiation and ground water elevation have been investigated in the region. They are described in details and calculated in suitable time series. Vulnerabilities

  17. MAPPING REGIONAL DROUGHT VULNERABILITY: A CASE STUDY

    Directory of Open Access Journals (Sweden)

    M. Karamouz

    2015-12-01

    Full Text Available Drought is among the natural disaster that causes damages and affects many people’s life in many part of the world including in Iran. Recently, some factors such as climate variability and the impact of climate change have influenced drought frequency and intensity in many parts of the world. Drought can be divided into four categories of meteorological, hydrological, agricultural and social-economic. In meteorological the important feature is lack of rainfall. In hydrological drought river flows and dam storage are considered. Lack of soil moisture is the key factor in agricultural droughts while in social-economic type of drought the relation between supply and demand and social-economic damages due to water deficiency is studied. While the first three types relates to the lack of some hydrological characteristics, social-economic type of drought is actually the consequence of other types expressed in monetary values. Many indices are used in assessing drought; each has its own advantages and disadvantages and can be used for specific types of drought. Therefore knowing the types of drought can provide a better understanding of shortages and their characteristics. Drought vulnerability is a concept which shows the likelihood of damages from hazard in a particular place by focusing on the system status prior to the disaster. Drought vulnerability has been viewed as a potential for losses in the region due to water deficiency at the time of drought. In this study the application of vulnerability concept in drought management in East Azarbaijan province in Iran is investigated by providing vulnerability maps which demonstrates spatial characteristics of drought vulnerability. In the first step, certain governing parameters in drought analysis such as precipitation, temperature, land use, topography, solar radiation and ground water elevation have been investigated in the region. They are described in details and calculated in suitable time

  18. Measuring Road Network Vulnerability with Sensitivity Analysis

    Science.gov (United States)

    Jun-qiang, Leng; Long-hai, Yang; Liu, Wei-yi; Zhao, Lin

    2017-01-01

    This paper focuses on the development of a method for road network vulnerability analysis, from the perspective of capacity degradation, which seeks to identify the critical infrastructures in the road network and the operational performance of the whole traffic system. This research involves defining the traffic utility index and modeling vulnerability of road segment, route, OD (Origin Destination) pair and road network. Meanwhile, sensitivity analysis method is utilized to calculate the change of traffic utility index due to capacity degradation. This method, compared to traditional traffic assignment, can improve calculation efficiency and make the application of vulnerability analysis to large actual road network possible. Finally, all the above models and calculation method is applied to actual road network evaluation to verify its efficiency and utility. This approach can be used as a decision-supporting tool for evaluating the performance of road network and identifying critical infrastructures in transportation planning and management, especially in the resource allocation for mitigation and recovery. PMID:28125706

  19. Sensible aging : nutrient dense foods and physical exercise for the vulnerable elderly

    NARCIS (Netherlands)

    Jong, de N.

    1999-01-01

    As a consequence of present western health policy, an increasing number of elderly people live in the community. A particularly vulnerable group among the total elderly population are the so-called 'frail elderly' who have a reduced physiologic reserve and are classified at risk. Increasing knowledg

  20. Climate challenges, vulnerabilities, and food security.

    Science.gov (United States)

    Nelson, Margaret C; Ingram, Scott E; Dugmore, Andrew J; Streeter, Richard; Peeples, Matthew A; McGovern, Thomas H; Hegmon, Michelle; Arneborg, Jette; Kintigh, Keith W; Brewington, Seth; Spielmann, Katherine A; Simpson, Ian A; Strawhacker, Colleen; Comeau, Laura E L; Torvinen, Andrea; Madsen, Christian K; Hambrecht, George; Smiarowski, Konrad

    2016-01-12

    This paper identifies rare climate challenges in the long-term history of seven areas, three in the subpolar North Atlantic Islands and four in the arid-to-semiarid deserts of the US Southwest. For each case, the vulnerability to food shortage before the climate challenge is quantified based on eight variables encompassing both environmental and social domains. These data are used to evaluate the relationship between the "weight" of vulnerability before a climate challenge and the nature of social change and food security following a challenge. The outcome of this work is directly applicable to debates about disaster management policy.

  1. Earthquake vulnerability evaluation Faizabad district of Kermanshah

    Directory of Open Access Journals (Sweden)

    Saba Naderi

    2014-07-01

    Full Text Available This paper as examplehas been studied Faizabad district of Kermanshah and to reach its main purpose, which is reducing the damagecaused by the earthquake on the Faizabad district is been providedand in subsidiary purposes part the research is tried identify factors influence in vulnerability earthquakes,pay to provide the factors required; All these factors havean impact on reducing earthquake vulnerability. This data using geological data, soil texture, getting satelliteimages and layering over Arc Gis software identified and for long term periods donepredict using relation kernel PSHA also. In determining the level ofenvironmental risk is to use software crisis. Finally, by recognizing the riskzone, solutions for Faizabad district offered.

  2. Chikotsa--secrets, silence, and hiding: social risk and reproductive vulnerability in central Mozambique.

    Science.gov (United States)

    Chapman, Rachel R

    2006-12-01

    In this article, I examine pregnancy narratives and patterns of reproductive health seeking among women of fertile age in central Mozambique. I map the interplay between gendered economic marginalization, maternal risk perceptions, and pregnancy management strategies. By interpreting my data in light of Shona illness theories, I illuminate the ways that embodied experiences of reproductive vulnerability, risk perceptions, and social inequalities are linked: women attribute the most serious maternal complications to human- or spirit-induced reproductive threats of witchcraft and sorcery. This construction of reproductive vulnerability as social threats related to material and social competition significantly influences prenatal health seeking. Data reveal the structural and cognitive gap between biomedical constructions of risk and lay social threat perceptions. Plural health care systems are strategically utilized by women seeking to minimize both social and biological harm. On-the-ground ethnography shows that maternal health initiatives must take this plurality into full and accommodative account to achieve viable improvements in reproductive care and outcomes.

  3. Climate vulnerability of drinking water supplies

    Science.gov (United States)

    Selmeczi, Pál; Homolya, Emese; Rotárné Szalkai, Ágnes

    2016-04-01

    Extreme weather conditions in Hungary led to difficulties in drinking water management on diverse occasions in the past. Due to reduced water resources and the coexisting high demand for drinking water in dry summer periods the availability of a number of water supplies became insufficient therefore causing limitations in water access. In some other cases, as a result of floods and flash floods over karstic areas evolving in consequence of excessive precipitation, several water supplies had to be excluded in order to avoid the risk of infections. More frequent occurrence of extreme weather conditions and further possible changes in the future induce the necessity for an analysis of the vulnerability of drinking water resources to climate change. Since 95% of the total drinking water supply in Hungary originates from subsurface layers, significance of groundwater resources is outstanding. The aim of our work carried out in the frames of the NAGiS (National Adaptation Geo-information System) project was to build up a methodology for the study and determination of the vulnerability of drinking water supplies to climate. The task covered analyses of climatic parameters influencing drinking water supplies principally and hydrogeological characteristics of the geological media that significantly determines vulnerability. Effects on drinking water resources and their reduction or exclusion may imply societal and economic consequences therefore we extended the analyses to the investigation of possibilities concerning the adaptation capacity to changed conditions. We applied the CIVAS (Climate Impact and Vulnerability Assessment Scheme) model developed in the frames of the international climate research project CLAVIER (Climate Change and Variability: Impact on Central and Eastern Europe) to characterize climate vulnerability of drinking water supplies. The CIVAS model, being based on the combined evaluation of exposure, sensitivity and adaptability, provides a unified

  4. Promoción de la salud y prevención escolar del consumo de drogas en contextos de vulnerabilidad social Promoção da saúde e prevenção escolar do consumo de drogas em contextos de vulnerabilidade social Promoting Health and Drug-Use Prevention at Schools in Socially Vulnerable Areas

    Directory of Open Access Journals (Sweden)

    Ariana De Vincenzi

    2011-12-01

    estratégia de estudo de casos comparativos sobre uma amostra não probabilística composta por 634 crianças. A abordagem metodológica se baseou em um desenho de pesquisa descritivo-analítico, longitudinal, quase experimental do tipo: ensaios comunitários. Entre as conclusões encontra-se que o programa tende a melhorar significativamente o domínio das áreas em questão: conhecimento sobre si mesmo (53% dos estudantes apresentam indicadores de melhoria, cuidados da saúde (73% e habilidades para a vida (74%. Ao fazer o estudo segundo o gênero, observa-se que as mulheres obtêm mais benefícios no eixo conhecimento de si mesmo, enquanto os homens têm melhores conquistas no eixo cuidados da saúde e habilidades para a vida.The article presents the results of a program developed between 2002 and 2009 to promote healthy and sustainable lifestyles and to prevent drug use at primary schools in vulnerable communities in two Argentine provinces (Buenos Aires and Santa Fe. The objective was to study a group of primary school students ages six to 14 so as to identify changes in what they know about themselves, about health care and about social skills. This was accomplished though the implementation of a health care and drug prevention program. The strategy involved comparative case studies on a non-probability sample comprised 634 youngsters. The methodological approach was based on a longitudinal, descriptive-analytical research design of a quasi-experimental nature; specifically, community trials. Among the conclusions, it was found the program tends to bring about a significant improvement in mastery of the areas in question; that is, students knowledge about themselves (53% demonstrated signs of improvement, health care (73% and life skills (74%. A breakdown by gender shows females derive more benefit with respect to knowledge about themselves, while males do better in health care and life skills.

  5. Social Adversity in Adolescence Increases the Physiological Vulnerability to Job Strain in Adulthood : A Prospective Population-Based Study

    OpenAIRE

    Hugo Westerlund; Gustafsson, Per E.; Töres Theorell; Urban Janlert; Anne Hammarström

    2012-01-01

    Background: It has been argued that the association between job strain and health could be confounded by early life exposures, and studies have shown early adversity to increase individual vulnerability to later stress. We therefore investigated if early life exposure to adversity increases the individual's physiological vulnerability job strain in adulthood. Methodology/Principal Findings: In a population-based cohort (343 women and 330 men, 83% of the eligible participants), we examined the...

  6. Intracoronary Thermography: a vulnerable Plaque Detection Technique?

    NARCIS (Netherlands)

    A.G. ten Have (Anna)

    2006-01-01

    textabstractThe studies reported in this thesis were performed to answer the central question: can intracoronary thermography be used for vulnerable plaque detection? To answer this question, we have identified parameters that influence intracoronary thermography measurements, and have studied to w

  7. Assessing infrastructure vulnerability to major floods

    Energy Technology Data Exchange (ETDEWEB)

    Jenssen, Lars

    1998-12-31

    This thesis proposes a method for assessing the direct effects of serious floods on a physical infrastructure or utility. This method should be useful in contingency planning and in the design of structures likely to be damaged by flooding. A review is given of (1) methods of floodplain management and strategies for mitigating floods, (2) methods of risk analysis that will become increasingly important in flood management, (3) methods for hydraulic computations, (4) a variety of scour assessment methods and (5) applications of geographic information systems (GIS) to the analysis of flood vulnerability. Three computer codes were developed: CULVCAP computes the headwater level for circular and box culverts, SCOUR for assessing riprap stability and scour depths, and FASTFLOOD prepares input rainfall series and input files for the rainfall-runoff model used in the case study. A road system in central Norway was chosen to study how to analyse the flood vulnerability of an infrastructure. Finally, the thesis proposes a method for analysing the flood vulnerability of physical infrastructure. The method involves a general stage that will provide data on which parts of the infrastructure are potentially vulnerable to flooding and how to analyse them, and a specific stage which is concerned with analysing one particular kind of physical infrastructure in a study area. 123 refs., 59 figs., 17 tabs= .

  8. Vulnerability Assessment Tools for Complex Information Networks

    Science.gov (United States)

    2007-11-02

    Chi Ho, Avrom Pfeffer Harvard University Office of Sponsored Research 1350 Massachusetts Ave. Holyoke 727 Cambridge, MA 02138 - Vulnerability...security to allow network administrators to determine when a security problem exists; Identification of actual, possible, or potential areas of...domain; the identification and exploitation of architectural structures that facilitate security modeling testing and management decomposition; the

  9. Urbanising Thailand: Implications for climate vulnerability assessment

    NARCIS (Netherlands)

    R. Friend; C. Choosuk; K. Hutanuwatr; Y. Inmuong; J. Kittitornkool; B. Lambregts; B. Promphakping; T. Roachanakanan; P. Thiengburanathum; S. Siriwattanaphaiboon

    2016-01-01

    This report summarises a series of studies carried out by a multi-disciplinary team of Thai scholars. It focuses on the dynamics of urbanisation and climate change risks, and on the linkages between urbanisation, climate change and emerging patterns of urban poverty and vulnerability. It provides ne

  10. Development on Vulnerability Assessment Methods of PPS

    Institute of Scientific and Technical Information of China (English)

    MIAO; Qiang; ZHANG; Wen-liang; BU; Li-xin; YIN; Hong-he; LI; Xin-jun; FANG; Xin

    2013-01-01

    Through investigating information from domestic and abroad,joint the domestic assessment experience,we present a set of physical protection system(PPS)vulnerability assessment methods for on-operating nuclear power plants and for on-designing nuclear facilities.The methods will help to strengthen and upgrade the security measures of the nuclear facilities,improve the effectiveness and

  11. Consumer Vulnerability to Fraud: Influencing Factors.

    Science.gov (United States)

    Lee, Jinkook; Soberon-Ferrer, Horacio

    1997-01-01

    A questionnaire on market knowledge and awareness of unfair business practices was completed by 464 adults aged 18-64 and by 493 over 64. Consumers were more susceptible to fraud if they were older, poor, less educated, and/or living without spouses. Gender and race were not significant predictors of vulnerability. (SK)

  12. A physical approach on flood risk vulnerability

    Science.gov (United States)

    Mazzorana, Bruno; Fuchs, Sven; Keiler, Margreth

    2013-04-01

    The design of efficient flood risk mitigation strategies and their subsequent implementation relies on a careful vulnerability analysis of the elements exposed to flood hazard. Recently, extensive research efforts were undertaken to develop and refine empirical relationships linking the structural vulnerability of buildings to the intensity of the impacting water-related hazard processes. These empirical vulnerability functions allow for an estimation of the expected direct losses as a result of the hazard scenario on the basis of a spatially explicit representation of the process patterns and the elements at risk, and improve both risk assessments and cost-benefit analyses of planned mitigation strategies. However, due to the underlying empiricism of such vulnerability functions, the physics of the damage generating mechanisms remain unveiled, and, as such, the applicability of the empirical approach for planning hazard-proof residential buildings is rather limited. Therefore, we propose a conceptual assessment scheme to close this gap. This assessment scheme comprises distinct analytical steps: (a) modelling the process intensity and (b) the impact on the element at risk exposed, (c) the physical response of the building envelope, (d) the damage accounting and (f) the economic damage valuation. This dynamic assessment supports all relevant planning activities with respect to a minimisation of flood hazard losses, and can be implemented in the operational risk assessment procedure.

  13. The Mental Vulnerability Questionnaire: a psychometric evaluation

    DEFF Research Database (Denmark)

    Eplov, Lene Falgaard; Petersen, Janne; Jørgensen, Torben

    2010-01-01

    0.30 for the 12 and the 22 item scales. All five Mental Vulnerability scales had positively skewed score distributions which were associated significantly with both SCL-90-R symptom scores and NEO-PI-R personality scales (primarily Neuroticism and Extraversion). Coefficient alpha was highest...

  14. Structural vulnerability assessment of electric power grids

    NARCIS (Netherlands)

    Koç, Y.; Warnier, M.; Kooij, R.E.; Brazier, F.

    2014-01-01

    Cascading failures are the typical reasons of blackouts in power grids. The grid topology plays an important role in determining the dynamics of cascading failures in power grids. Measures for vulnerability analysis are crucial to assure a higher level of robustness of power grids. Metrics from Comp

  15. Vulnerability of tanks under seismic actions

    Energy Technology Data Exchange (ETDEWEB)

    Rocha, L.E.P.R.; Nuno, I.E.A.N.; Torres, M.A.F.T. [Electrical Research Inst., Cuernavaca, Morelos (Mexico)

    2010-07-01

    The purpose of this study was to create a simplified procedure to predict the accelerations in which some failure modes are presented and to build vulnerability curves in terms of the probability that the identified failure modes would be presented. The paper presented a procedure to examine the vulnerability of tanks under seismic load. The study considered seismic intensity, ground dynamic conditions, soil-structure interaction effects and structural dynamic behavior. Tanks were characterized by their aspect ratio and capacity. Vulnerability was defined as the probability of failure function, whose main parameter was the acceleration that led to the failure mode of interest. A part of the study focused on the description of the main failure modes, such as circumferential collapse, elastic failure and elastoplastic failure and with the determination of the corresponding accelerations and the calculation of the vulnerability curves. An example was presented. It was concluded that the collapse acceleration suit corresponding to rock condition was used to get the collapse acceleration of a tank in soft soil without and with soil-structure interaction. Errors were less than five percent. 9 refs., 1 fig.

  16. Chemical Safety Vulnerability Working Group Report

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-01

    This report marks the culmination of a 4-month review conducted to identify chemical safety vulnerabilities existing at DOE facilities. This review is an integral part of DOE's efforts to raise its commitment to chemical safety to the same level as that for nuclear safety.

  17. Vulnerability--A New View of Schizophrenia

    Science.gov (United States)

    Zubin, Joseph; Spring, Bonnie

    1977-01-01

    Although descriptive and etiological approaches to psychopathology have made notable advances, they seem to have reached a plateau. After reviewing the six approaches to etiology that now preempt the field--ecological, developmental, learning, genetic, internal environment, and neurophysiological models--a second-order model, vulnerability, is…

  18. Vulnerability of several conifers to air embolism.

    Science.gov (United States)

    Cochard, H

    1992-07-01

    Hydraulic properties of xylem in seven species of conifer were studied during late winter and early spring 1991. Vulnerability to cavitation and air embolism was investigated using hydraulic conductivity and acoustic techniques. Embolisms were induced in branches excised from mature trees by air-drying them in the laboratory. Both techniques gave comparable results indicating that they both assess the same phenomenon. Within a tree, vulnerability was related to the permeability of the xylem, the largest stems tended to cavitate before the smallest ones when water deficits developed in a branch. Interspecific comparisons showed large differences in the xylem water potential needed to induce significant embolism, values ranged from -2.5 MPa in Pinus sylvestris to -4 MPa in Cedrus atlantica, but these differences did not correlate with differences in the xylem permeability of the species. The vulnerability of a species to air embolism was found to be consistent with its ecophysiological behavior in the presence of water stress, drought-tolerant species being less vulnerable than drought-avoiding species.

  19. USMLE Step 1 Examination: Legal Vulnerability.

    Science.gov (United States)

    Templeton, Bryce

    1996-01-01

    In 1994 the Federation of State Medical Boards and the National Board of Medical Examiners instituted a three-step U.S. Medical Licensing Examination (USMLE). Step one of the USMLE may be vulnerable to legal challenge on the basis of minority group bias and lack of construct validity. (SLD)

  20. Specific vulnerability of substantia nigra compacta neurons

    NARCIS (Netherlands)

    Smidt, M.P.; Giovanni, G.; Di Matteo, V.; Esposito, E.

    2009-01-01

    The specific loss of substantia nigra compacta (SNc) neurons in Parkinson’s disease (PD) has been the main driving force in initiating research efforts to unravel the apparent SNc-specific vulnerability. Initially, metabolic constraints due to high dopamine turnover have been the main focus in the a

  1. Analysis of computational vulnerabilities in digital repositories

    Directory of Open Access Journals (Sweden)

    Valdete Fernandes Belarmino

    2015-04-01

    Full Text Available Objective. Demonstrates the results of research that aimed to analyze the computational vulnerabilities of digital directories in public Universities. Argues the relevance of information in contemporary societies like an invaluable resource, emphasizing scientific information as an essential element to constitute scientific progress. Characterizes the emergence of Digital Repositories and highlights its use in academic environment to preserve, promote, disseminate and encourage the scientific production. Describes the main software for the construction of digital repositories. Method. The investigation identified and analyzed the vulnerabilities that are exposed the digital repositories using Penetration Testing running. Discriminating the levels of risk and the types of vulnerabilities. Results. From a sample of 30 repositories, we could examine 20, identified that: 5% of the repositories have critical vulnerabilities, 85% high, 25% medium and 100% lowers. Conclusions. Which demonstrates the necessity to adapt actions for these environments that promote informational security to minimizing the incidence of external and / or internal systems attacks.Abstract Grey Text – use bold for subheadings when needed.

  2. Seismic vulnerability assessments in risk analysis

    Science.gov (United States)

    Frolova, Nina; Larionov, Valery; Bonnin, Jean; Ugarov, Alexander

    2013-04-01

    The assessment of seismic vulnerability is a critical issue within natural and technological risk analysis. In general, there are three common types of methods used for development of vulnerability functions of different elements at risk: empirical, analytical and expert estimations. The paper addresses the empirical methods for seismic vulnerability estimation for residential buildings and industrial facilities. The results of engineering analysis of past earthquake consequences, as well as the statistical data on buildings behavior during strong earthquakes presented in the different seismic intensity scales, are used to verify the regional parameters of mathematical models in order to simulate physical and economic vulnerability for different building types classified according to seismic scale MMSK-86. Verified procedure has been used to estimate the physical and economic vulnerability of buildings and constructions against earthquakes for the Northern Caucasus Federal region of the Russian Federation and Krasnodar area, which are characterized by rather high level of seismic activity and high population density. In order to estimate expected damage states to buildings and constructions in the case of the earthquakes according to the OSR-97B (return period T=1,000 years) within big cities and towns, they were divided into unit sites and their coordinates were presented as dots located in the centers of unit sites. Then the indexes obtained for each unit site were summed up. The maps of physical vulnerability zoning for Northern Caucasus Federal region of the Russian Federation and Krasnodar area includes two elements: percent of different damage states for settlements with number of inhabitants less than 1,000 and vulnerability for cities and towns with number of inhabitants more than 1,000. The hypsometric scale is used to represent both elements on the maps. Taking into account the size of oil pipe line systems located in the highly active seismic zones in

  3. Vulnerable Consumers in the Deregulated Dutch Health System

    NARCIS (Netherlands)

    Booltink, L.; Genugten, M.L. van; Lako, C.J.

    2015-01-01

    Public service deregulation is favoured for motivating providers to offer consumers better price-quality services. Consequently, consumers are enabled to make informed choices and choose for the best service provider. However, recent publications reveal that consumers are not capable of exercising o

  4. Completing Northeast Regional Vulnerability Assessment Incorporating the NatureServe Climate Change Vulnerability Index

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — NatureServe and Heritage Program collaborators have developed a Climate Change Vulnerability Index (CCVI) to provide a rapid, scientifically defensible assessment of...

  5. A Contamination Vulnerability Assessment for the Sacramento Area Groundwater Basin

    Energy Technology Data Exchange (ETDEWEB)

    Moran, J E; Hudson, G B; Eaton, G F; Leif, R

    2004-03-10

    In response to concerns expressed by the California Legislature and the citizenry of the State of California, the State Water Resources Control Board (SWRCB), implemented a program to assess groundwater quality, and provide a predictive capability for identifying areas that are vulnerable to contamination. The program was initiated in response to concern over public supply well closures due to contamination by chemicals such as MtBE from gasoline, and solvents from industrial operations. As a result of this increased awareness regarding groundwater quality, the Supplemental Report of the 1999 Budget Act mandated the SWRCB to develop a comprehensive ambient groundwater-monitoring plan, and led to the initiation of the Ambient Groundwater Monitoring and Assessment (GAMA) Program. The primary objective of the GAMA Program is to assess the water quality and to predict the relative susceptibility to contamination of groundwater resources throughout the state of California. Under the GAMA program, scientists from Lawrence Livermore National Laboratory (LLNL) collaborate with the SWRCB, the U.S. Geological Survey, the California Department of Health Services (DHS), and the California Department of Water Resources (DWR) to implement the groundwater assessment program in cooperation with local water purveyors. In 2001 and 2002, LLNL carried out this vulnerability study in the groundwater basin of Sacramento suburban area, located to the north of the American River and to the east of the Sacramento River. The goal of the study is to provide a probabilistic assessment of the relative vulnerability of groundwater used for the public water supply to contamination from surface sources. This assessment of relative contamination vulnerability is made based on the results of two types of analyses that are not routinely carried out at public water supply wells: ultra low-level measurement of volatile organic compounds (VOCs), and groundwater age dating (using the tritium-helium-3

  6. Community perspectives on research consent involving vulnerable children in Western Kenya.

    Science.gov (United States)

    Vreeman, Rachel; Kamaara, Eunice; Kamanda, Allan; Ayuku, David; Nyandiko, Winstone; Atwoli, Lukoye; Ayaya, Samuel; Gisore, Peter; Scanlon, Michael; Braitstein, Paula

    2012-10-01

    Involving vulnerable pediatric populations in international research requires culturally appropriate ethical protections. We sought to use mabaraza, traditional East African community assemblies, to understand how a community in western Kenya viewed participation of children in health research and informed consent and assent processes. Results from 108 participants revealed generally positive attitudes towards involving vulnerable children in research, largely because they assumed children would directly benefit. Consent from parents or guardians was understood as necessary for participation while gaining child assent was not. They felt other caregivers, community leaders, and even community assemblies could participate in the consent process. Community members believed research involving orphans and street children could benefit these vulnerable populations, but would require special processes for consent.

  7. [Panaceas disseminated over the Internet and vulnerable patients: how to check a market of illusions?].

    Science.gov (United States)

    Vasconcellos-Silva, Paulo R; Castiel, Luis David; Bagrichevsky, Marcos; Griep, Rosane Harter

    2011-06-01

    This article discusses the proliferation of medical quackery and fraud appearing and disappearing daily on the Internet. The customers of these scams, made vulnerable by disease or the prospect of death, use the Internet to buy products that would probably be ignored in other contexts. This vulnerability is linked to strenuous physical demands that compromise the ability to make decisions. The attempt to control the phenomenon of fraud as strictly rational, without taking into account the vulnerability of consumers who have little to lose and not considering their demands for comprehensive care, can lead to disappointing results, since these nostrums seem to be filling the gaps left by health care structures that have been insensitive to the immaterial nature of human fears.

  8. Assessing social capacity and vulnerability of private households to natural hazards - integrating psychological and governance factors

    Science.gov (United States)

    Werg, J.; Grothmann, T.; Schmidt, P.

    2013-06-01

    People are unequally affected by extreme weather events in terms of mortality, morbidity and financial losses; this is the case not only for developing, but also for industrialized countries. Previous research has established indicators for identifying who is particularly vulnerable and why, focusing on socio-demographic factors such as income, age, gender, health and minority status. However, these factors can only partly explain the large disparities in the extent to which people are affected by natural hazards. Moreover, these factors are usually not alterable in the short to medium term, which limits their usefulness for strategies of reducing social vulnerability and building social capacity. Based on a literature review and an expert survey, we propose an approach for refining assessments of social vulnerability and building social capacity by integrating psychological and governance factors.

  9. Multiple vulnerabilities and maternal healthcare in Vietnam: findings from the Multiple Indicator Cluster Surveys, 2000, 2006, and 2011

    Directory of Open Access Journals (Sweden)

    Hoang Van Minh

    2016-02-01

    Full Text Available Background: Knowledge of the aggregate effects of multiple socioeconomic vulnerabilities is important for shedding light on the determinants of growing health inequalities and inequities in maternal healthcare. Objective: This paper describes patterns of inequity in maternal healthcare utilization and analyzes associations between inequity and multiple socioeconomic vulnerabilities among women in Vietnam. Design: This is a repeated cross-sectional study using data from the Vietnam Multiple Indicator Cluster Surveys 2000, 2006, and 2011. Two maternal healthcare indicators were selected: (1 skilled antenatal care and (2 skilled delivery care. Four types of socioeconomic vulnerabilities – low education, ethnic minority, poverty, and rural location – were assessed both as separate explanatory variables and as composite indicators (combinations of three and four vulnerabilities. Pairwise comparisons and adjusted odds ratios were used to assess socioeconomic inequities in maternal healthcare. Results: In all three surveys, there were increases across the survey years in both the proportions of women who received antenatal care by skilled staff (68.6% in 2000, 90.8% in 2006, and 93.7% in 2011 and the proportions of women who gave birth with assistance from skilled staff (69.9% in 2000, 87.7% in 2006, and 92.9% in 2011. The receipt of antenatal care by skilled staff and birth assistance from skilled health personnel were less common among vulnerable women, especially those with multiple vulnerabilities. Conclusions: Even though Vietnam has improved its coverage of maternal healthcare on average, policies should target maternal healthcare utilization among women with multiple socioeconomic vulnerabilities. Both multisectoral social policies and health policies are needed to tackle multiple vulnerabilities more effectively by identifying those who are poor, less educated, live in rural areas, and belong to ethnic minority groups.

  10. Rice Production Vulnerability to Climate Change in Indonesia: An Overview on Community-based Adaptation

    Science.gov (United States)

    Komaladara, A. A. S. P.; Budiasa, I. W.; Ambarawati, I. G. A. A.

    2015-12-01

    Rice remains to be a major crop and staple food in Indonesia. The task to ensure that rice production meets the demand of a growing population continues to engage the attention of national planners and policy makers. However, the adverse effects of climate change on agriculture production have presented Indonesia with yet another significant challenge. The exposure of rice crops to climate-related hazards such as temperature stress, floods, and drought, may lead to lower yield and self-sufficiency rate. This study explores the vulnerability of rice production to the effects of climate change in Indonesia. Considering the vast geographical span of the country and varying exposure, sensitivity, and adaptive capacity to climate change at regional level, this study emphasize the importance of community-based adaptation. Results from a simulation based on production and climate data from 1984 to 2014 indicates that rice production is sensitive to variation in growing season temperature and precipitation. A projection of these climate factors in 2050 has a significant impact on the major rice crop. To manage the impact of climate change, this study turns to the potential roles of farmer organizations, such as Subak, in adaptation strategies. The Subak in Bali is recognized for its cultural and organizational framework that highlights the sharing of knowledge and local wisdom in rice production. This is demonstrated by its efficient community-based irrigation management system, leading to sustainable rice production. Keywords: rice production, climate change, community-based adaptation, Indonesia

  11. Modelling farm vulnerability to flooding: A step toward vulnerability mitigation policies appraisal

    Science.gov (United States)

    Brémond, P.; Abrami, G.; Blanc, C.; Grelot, F.

    2009-04-01

    Recent catastrophic flood events such as Elbe in 2002 or Rhône in 2003 have shown limits of flood management policies relying on dykes protection: worsening of flood impacts downstream, increased damage by dykes rupture. Those events, among others, contributes to radical changes on the philosophy of flood prevention, with the promotion of new orientations for mitigating flood exposition. Two new trends may have a significant impact on rural areas: floodplain restoration and vulnerability mitigation. The Rhône River program, which is an contract of objectives signed between French Government and local collectivites, is highly illustrative of these new trends and their impact on agricultural sector. In this program, it appears that areas to be concerned by floodplain restoration are agricultural ones, because their supposed vulnerability to flood is expected to be less important to urban areas. As a consequence, agricultural sector is particularly concerned by planned actions on mitigation of assets vulnerability, an important part of the program (financial support of European Union of 7.5 Million euros). Mitigation of agricultural assets vulnerability reveals particularly interesting for two following reasons. Firstly, it is a way to maintain agricultural activities in floodplains yet existing, without promoting flood protection. Secondly, in case of floodplain restoration, vulnerability mitigation is a way for local authorities to compensate over-flooding impacts. In practice, local authorities may financially support farmers for implementing measures to mitigate their farm vulnerability. On the Rhône River, an important work has already been done to identify farm vulnerability to flooding, and propose measures to mitigate it. More than 3 000 farms exposed to flood risk have been identified representing 88 690 ha of agricultural areas which is estimated to generate damage between 400 and 800 Million euros depending on the season of occurrence for a catastrophic

  12. National legal system in relation to vulnerable population groups

    Directory of Open Access Journals (Sweden)

    Sjeničić Marta

    2015-01-01

    Full Text Available Vulnerable social groups can be recognized in everyday life, and local legal regulations identify them as well. Strategies and laws clearly identify the increased needs of vulnerable groups. Local legislation, for example, observes comparative law trends and attempts to prevent discrimination of persons with disabilities, emphasizes their human rights and creates the legal framework for taking these persons out of the institutional form of protection and including them into the community. In Serbia however, strategies and laws, as well as by-laws, are written in sectors, and not in cross-sectors manner. Proper caring for persons with disabilities, including persons with mental disabilities, requires an integral approach, namely a mutual approach of the social, health, educational and other sectors. True enough, local regulations stress the need for an intersectional approach, but such an approach is scantily applied in practice, so the comprehensive care that would satisfy the multiple needs of persons with mental disabilities often turns out to be less than expected in the community. Pursuant to national laws and basic ethic principals, all citizens of the Republic of Serbia have the right to health protection without discrimination. Therefore, methods for using health protection, easier than the existing ones, should be found for certain vulnerable groups, depending on their characteristics, and so for the Roma as well, and bearing in mind that systemic health regulations in Serbia open the door to special treatment of these groups. The inaccessible approach to health care of the Roma population persists primarily due to insufficient basic health documentation and basic personal documentation. Personal documents are linked with the registered place of residence, which the Roma, largely do not have. The problem is thus on a wider scale and is not only focused on the health sector. As such, it requires a wider, intersectional approach and a

  13. Vulnerability Assessment of Agri-ecotourism Communities as Influenced by Climate Change

    Directory of Open Access Journals (Sweden)

    Hanilyn A. Hidalgo

    2015-01-01

    Full Text Available The growth of tourism in the Philippines can be largely attributed to nature-based destinations but communities in these areas largely depend on farming and fishing to sustain their day-to-day needs.  The need to capacitate the community’s social and human capital in addressing climate change impacts to their livelihood, properties and natural environment is deemed necessary to lessen their vulnerability issues in the management of agriecotourism destinations. The study aimed to 1. characterize and rank hazards that are likely to affect the nature-based tourism communities, 2. describe the nature-based tourism communities’ current sensitivity and exposure to climate stresses; and 3. estimate future vulnerability and risks of nature-based tourism communities.  Three agri-ecotourism communities were selected using five criteria such as attraction uniqueness, hazard type, risk level, tourism dependency and market potential.  The areas were subjected to tourism vulnerability case assessment focusing on services and energy; human health; food, security, water and agriculture; business and continuity; and biodiversity and culture.   Calaguas Island’s top hazards are typhoon, drought and strong wind.  Pecuaria Farm’s main hazards are drought, rat infestation and grass fire while Bulusan Lake’s major hazards are heavy rains and ash falls brought by volcanic eruption.  Generally, vulnerability is high in the human health, services and energy sectors of tourism. The vulnerability of the three agri-ecotourism sites was intensified by factors that merely characterize the kind of community they have: a high marketing dependency, b poor political will, c low level of awareness and preparedness, d poor farming practices and e lack of tourism-related livelihood options. Destinations with functioning agricultural areas are the most affected sites due to an estimated increase in the temperature and increase in rainfall precipitations.  Poverty

  14. Vulnerability to the mortality effects of warm temperature in the districts of England and Wales

    Science.gov (United States)

    Bennett, James E.; Blangiardo, Marta; Fecht, Daniela; Elliott, Paul; Ezzati, Majid

    2014-04-01

    Warm temperatures adversely affect disease occurrence and death, in extreme conditions as well as when the temperature changes are more modest. Therefore climate change, which is expected to affect both average temperatures and temperature variability, is likely to impact health even in temperate climates. Climate change risk assessment is enriched if there is information on vulnerability and resilience to effects of temperature. Some studies have analysed socio-demographic characteristics that make individuals vulnerable to adverse effects of temperature. Less is known about community-level vulnerability. We used geo-coded mortality and environmental data and Bayesian spatial methods to conduct a national small-area analysis of the mortality effects of warm temperature for all 376 districts in England and Wales. In the most vulnerable districts, those in London and south/southeast England, odds of dying from cardiorespiratory causes increased by more than 10% for 1 °C warmer temperature, compared with virtually no effect in the most resilient districts, which were in the far north. A 2 °C warmer summer may result in 1,552 (95% credible interval 1,307-1,762) additional deaths, about one-half of which would occur in 95 districts. The findings enable risk and adaptation analyses to incorporate local vulnerability to warm temperature and to quantify inequality in its effects.

  15. Heat Death Associations with the built environment, social vulnerability and their interactions with rising temperature.

    Science.gov (United States)

    Eisenman, David P; Wilhalme, Holly; Tseng, Chi-Hong; Chester, Mikhail; English, Paul; Pincetl, Stephanie; Fraser, Andrew; Vangala, Sitaram; Dhaliwal, Satvinder K

    2016-09-01

    In an extreme heat event, people can go to air-conditioned public facilities if residential air-conditioning is not available. Residences that heat slowly may also mitigate health effects, particularly in neighborhoods with social vulnerability. We explored the contributions of social vulnerability and these infrastructures to heat mortality in Maricopa County and whether these relationships are sensitive to temperature. Using Poisson regression modeling with heat-related mortality as the outcome, we assessed the interaction of increasing temperature with social vulnerability, access to publicly available air conditioned space, home air conditioning and the thermal properties of residences. As temperatures increase, mortality from heat-related illness increases less in census tracts with more publicly accessible cooled spaces. Mortality from all internal causes of death did not have this association. Building thermal protection was not associated with mortality. Social vulnerability was still associated with mortality after adjusting for the infrastructure variables. To reduce heat-related mortality, the use of public cooled spaces might be expanded to target the most vulnerable.

  16. Effectiveness of the Comprehensive Childhood Protection System for vulnerable mothers and children

    Directory of Open Access Journals (Sweden)

    Estela Arcos

    2013-09-01

    Full Text Available OBJECTIVES: to establish the effectiveness of the public benefits and services of the "Chile Grows with You" and "Protect Network" programs for socially vulnerable women and children in an urban community in the Metropolitan Region of Chile. METHOD: Descriptive study employing a questionnaire. The sample consisted of 132 mothers and their 133 infants, all grouped according to social vulnerability. Primary data were collected via a structured interview of the mothers and were complemented with institutional (secondary data. Descriptive and associative analyses were performed. RESULTS: the perception of social vulnerability by the professionals was low at the time of admission into the program. The effectiveness of the universal and specific benefits was low, with better results for the children than for the mothers. However, no significant differences were observed according to vulnerability. Another finding was the low access to specific benefits for children with psychosocial risk and psychomotor delay, especially in the most vulnerable group. CONCLUSION: the results revealed a gap in the access to the benefits guaranteed by law. To overcome this situation, nurses must strengthen their skills in contextualized health practices and the comprehensive administration of interdisciplinary and intersectoral networks.

  17. 77 FR 28894 - Maritime Vulnerability Self-Assessment Tool

    Science.gov (United States)

    2012-05-16

    ... SECURITY Transportation Security Administration Maritime Vulnerability Self-Assessment Tool AGENCY: Transportation Security Administration, DHS. ACTION: Notice of removal of TSA's maritime vulnerability self... Self-Assessment Risk Module (TMSARM), developed to support the United States Coast Guard's...

  18. Identifying institutional vulnerability : The importance of language, and system boundaries

    NARCIS (Netherlands)

    Dolfsma, Wilfred; Finch, John; McMaster, Robert

    2011-01-01

    Taking the idea that institutional reproduction is not obvious and that institutions are vulnerable has significant conceptual implications. Institutional vulnerability can arise through communication between actors in a common language. To apprehend this requires an elaboration of John Searle's (19

  19. Cognitive vulnerability to depression : genetic and environmental influences

    NARCIS (Netherlands)

    Antypa, Niki

    2011-01-01

    This thesis explores cognitive vulnerability to depression and the interplay between genetic and environmental influences. Cognitive vulnerability to depression is characterized by negative patterns of information processing. One aspect is cognitive reactivity - the tendency to respond with maladapt

  20. Red Team Operations to Assess Information Technology Vulnerabilities

    NARCIS (Netherlands)

    Veltman, M.; Parker, R.L.

    1999-01-01

    All Information and Communication Technology (ICT) systems have vulnerabilities. Weaknesses in these systems are introduced either during the specification, implementation or operational phase. Leaving aside these introduced vulnerabilities are intentional or unintentional, the fact remains that the

  1. Psychological Vulnerability to Completed Suicide: A Review of Empirical Studies.

    Science.gov (United States)

    Conner, Kenneth R.; Duberstein, Paul R.; Conwell, Yeates; Seidlitz, Larry; Caine, Eric D.

    2001-01-01

    This article reviews empirical literature on psychological vulnerability to completed suicide. Five constructs have been consistently associated with completed suicide: impulsivity/aggression; depression; anxiety; hopelessness; and self-consciousness/social disengagement. Current knowledge of psychological vulnerability could inform social…

  2. Vulnerability curves vs. vulnerability indicators: application of an indicator-based methodology for debris-flow hazards

    Science.gov (United States)

    Papathoma-Köhle, Maria

    2016-08-01

    The assessment of the physical vulnerability of elements at risk as part of the risk analysis is an essential aspect for the development of strategies and structural measures for risk reduction. Understanding, analysing and, if possible, quantifying physical vulnerability is a prerequisite for designing strategies and adopting tools for its reduction. The most common methods for assessing physical vulnerability are vulnerability matrices, vulnerability curves and vulnerability indicators; however, in most of the cases, these methods are used in a conflicting way rather than in combination. The article focuses on two of these methods: vulnerability curves and vulnerability indicators. Vulnerability curves express physical vulnerability as a function of the intensity of the process and the degree of loss, considering, in individual cases only, some structural characteristics of the affected buildings. However, a considerable amount of studies argue that vulnerability assessment should focus on the identification of these variables that influence the vulnerability of an element at risk (vulnerability indicators). In this study, an indicator-based methodology (IBM) for mountain hazards including debris flow (Kappes et al., 2012) is applied to a case study for debris flows in South Tyrol, where in the past a vulnerability curve has been developed. The relatively "new" indicator-based method is being scrutinised and recommendations for its improvement are outlined. The comparison of the two methodological approaches and their results is challenging since both methodological approaches deal with vulnerability in a different way. However, it is still possible to highlight their weaknesses and strengths, show clearly that both methodologies are necessary for the assessment of physical vulnerability and provide a preliminary "holistic methodological framework" for physical vulnerability assessment showing how the two approaches may be used in combination in the future.

  3. Association of Type D personality with increased vulnerability to depression

    DEFF Research Database (Denmark)

    van Dooren, Fleur E P; Verhey, Frans R J; Pouwer, Frans

    2016-01-01

    is associated with inflammation or endothelial dysfunction, and (3) these biomarkers alter the possible association between Type D and depression. METHODS: In the Maastricht Study, 712 subjects underwent assessment of NA, SI and Type D personality (DS14), depressive disorder (Mini-International Neuropsychiatric...... Interview) and depressive symptoms (Patient Health Questionnaire-9). Plasma biomarkers of inflammation (hsCRP, SAA, sICAM-1, IL-6, IL-8, TNF-α) and endothelial dysfunction (sVCAM-1, sICAM-1, E-selectin, vWF) were measured with sandwich immunoassays or ELISA and combined into standardized sumscores. RESULTS...... was associated with inflammation (β=0.228, p=0.014) and endothelial dysfunction (β=0.216, p=0.022). After adjustment for these biomarkers, Type D remained independently associated with increased vulnerability to depressive disorder (OR=13.20, pdepressive symptoms (β=3.87, p

  4. Techniques for Finding Vulnerabilities in Web Applications

    Directory of Open Access Journals (Sweden)

    Mihai Sandulescu

    2014-03-01

    Full Text Available The current trend is to move everything on the Internet. Because a lot of companies store sensitive user information, security has become mandatory. Usually, software developers don’t follow some basic practices in order to secure their applications. This paper will present in the second chapter, the white-box, black-box and gray-box methods which can be used in order to test applications for possible vulnerabilities. It focuses on fuzz testing, which is a black-box testing method, presented in the third chapter. The fourth chapter presents the stages of a fuzzing test and in the final chapter, we show a basic practical example on how to use the Burp Suite[8] fuzzer to find a vulnerability.

  5. Noninvasive diagnosis of vulnerable coronary plaque

    Science.gov (United States)

    Pozo, Eduardo; Agudo-Quilez, Pilar; Rojas-González, Antonio; Alvarado, Teresa; Olivera, María José; Jiménez-Borreguero, Luis Jesús; Alfonso, Fernando

    2016-01-01

    Myocardial infarction and sudden cardiac death are frequently the first manifestation of coronary artery disease. For this reason, screening of asymptomatic coronary atherosclerosis has become an attractive field of research in cardiovascular medicine. Necropsy studies have described histopathological changes associated with the development of acute coronary events. In this regard, thin-cap fibroatheroma has been identified as the main vulnerable coronary plaque feature. Hence, many imaging techniques, such as coronary computed tomography, cardiac magnetic resonance or positron emission tomography, have tried to detect noninvasively these histomorphological characteristics with different approaches. In this article, we review the role of these diagnostic tools in the detection of vulnerable coronary plaque with particular interest in their advantages and limitations as well as the clinical implications of the derived findings. PMID:27721935

  6. Resilience and Vulnerability: Complementary or Conflicting Concepts?

    Directory of Open Access Journals (Sweden)

    Tom Downing

    2010-09-01

    Full Text Available Resilience and vulnerability represent two related yet different approaches to understanding the response of systems and actors to change; to shocks and surprises, as well as slow creeping changes. Their respective origins in ecological and social theory largely explain the continuing differences in approach to social-ecological dimensions of change. However, there are many areas of strong convergence. This paper explores the emerging linkages and complementarities between the concepts of resilience and vulnerability to identify areas of synergy. We do this with regard to theory, methodology, and application. The paper seeks to go beyond just recognizing the complementarities between the two approaches to demonstrate how researchers are actively engaging with each field to coproduce new knowledge, and to suggest promising areas of complementarity that are likely to further research and action in the field.

  7. Terminological Ontologies for Risk and Vulnerability Analysis

    DEFF Research Database (Denmark)

    Madsen, Bodil Nistrup; Erdman Thomsen, Hanne

    2014-01-01

    Risk and vulnerability analyses are an important preliminary stage in civil contingency planning. The Danish Emergency Management Agency has developed a generic model and a set of tools that may be used in the preparedness planning, i.e. for identifying and describing society’s critical functions......, for formulating threat scenarios and for assessing consequences. Terminological ontologies, which are systems of domain specific concepts comprising concept relations and characteristics, are useful, both when describing the central concepts of risk and vulnerability analysis (meta concepts), and for further...... structuring and enriching the taxonomies of society’s critical functions and threats, which form an important part of the model. Creating terminological ontologies is a time consuming work, and therefore there is a need for automatic tools for extraction of terms, concept relations and characteristics...

  8. Urban Vulnerability and Climate Change in Africa

    DEFF Research Database (Denmark)

    Jørgensen, Gertrud

    Urbanisation and climate change are among the major challenges for sustainable development in Africa. The overall aim of this book is to present innovative approaches to vulnerability analysis and for enhancing the resilience of African cities against climate change-induced risks. Locally adapted...... IPCC climate change scenarios, which also consider possible changes in urban population, have been developed. Innovative strategies to land use and spatial planning are proposed that seek synergies between the adaptation to climate change and the need to solve social problems. Furthermore, the book...... explores the role of governance in successfully coping with climate-induced risks in urban areas. The book is unique in that it combines: a top-down perspective of climate change modeling with a bottom-up perspective of vulnerability assessment; quantitative approaches from engineering sciences...

  9. Mental vulnerability as a risk factor for depression

    DEFF Research Database (Denmark)

    Østergaard, Ditte; Dalton, Susanne Oksbjerg; Bidstrup, Pernille Envold;

    2012-01-01

    Mental vulnerability (i.e. a tendency to experience psychosomatic symptoms, mental symptoms or interpersonal problems) is associated with various diseases. This study investigated whether mental vulnerability is associated with hospitalization for depression.......Mental vulnerability (i.e. a tendency to experience psychosomatic symptoms, mental symptoms or interpersonal problems) is associated with various diseases. This study investigated whether mental vulnerability is associated with hospitalization for depression....

  10. Vulnerabilidade das crianças com necessidades especiais de saúde: implicações para a enfermagem Vulnerabilidad de los niños con necesidades especiales de atención médica: implicaciones para enfermería Vulnerability of children with special health care needs: implications for nursing

    Directory of Open Access Journals (Sweden)

    Andressa da Silveira

    2012-12-01

    profesionales de enfermería proporcionen a los familiares/cuidadores momentos de escucha, reconociendo, en la subjetividad de atención desarrollado por la familia en el hogar.This qualitative-based, descriptive, exploratory research aimed to provide an account of the vulnerability of children with special health needs in terms of required care and everyday life support. The subjects were ten family members/caregivers of children who were approached in a pediatric admission unit of a teaching hospital. Data were produced by means of the creative and sensitive method, mediated by creativity and sensitivity group dynamics and submitted to French discourse analysis. Results pointed out that the individual, social and programmatic vulnerability of children was translated into their clinical frailty, difficulty in gaining access to healthcare services, and absence of specific public policies. The study recommends that the referral and counter-referral system, as well as the specific healthcare public programs and policies aimed at this clientele, be restructured. For this purpose, nursing professionals should strive to actively listen to family members/caregivers and subjectively recognize the home-based caregiving process carried out by the families.

  11. Health vulnerabilities in adolescence: socioeconomic conditions, social networks, drugs and violence Vulnerabilidades a la salud en la adolescencia: condiciones socioeconómicas, redes sociales, drogas y violencia Vulnerabilidades à saúde na adolescência: condições socioeconômicas, redes sociais, drogas e violência

    Directory of Open Access Journals (Sweden)

    Dener Carlos dos Reis

    2013-04-01

    Full Text Available OBJECTIVE: to analyze the health vulnerabilities in adolescence associated with socioeconomic conditions, social networks, drugs and violence from the perspective of students. METHOD: cross-sectional study with 678 students between 14-15 years old in Contagem, Brazil. A self-administered questionnaire divided into modules by subject was used. Quantitative, descriptive and stratified analyses were performed by sex. RESULTS: high percentage of adolescents (40.4% were beneficiaries of Government financial support called "Bolsa Família" and 14.6% had a job, 57.1% and 23.6% had tried alcohol and tobacco, respectively. We identified 15% of aggression and 26.7% of bullying. The majority informed they never/rarely talk to parents about the daily difficulties (64.5% and 22% reported insomnia and/or feelings of loneliness. CONCLUSION: the results indicated that there is a need to intensify educational activities that seek to develop cognitive, affective and social skills aimed at improving the way adolescents face the vulnerabilities, in these activities, nursing has a fundamental role. OBJETIVO: analizar las vulnerabilidades a la salud en la adolescencia asociadas a las condiciones socioeconómicas, redes sociales, drogas y violencia, en la perspectiva de escolares. MÉTODO: estudio transversal con una muestra de 678 escolares, con edad entre 14 y 15 años, en la ciudad de Contagem, Minas Gerais, Brasil. Se utilizó un cuestionario autoaplicable dividido en módulos por asunto. Se realizaron análisis cuantitativo y descriptivo, estratificado por sexo. RESULTADOS: un porcentaje elevado de adolescentes (40,4% eran beneficiados por el Programa Bolsa Familia, 14,6% trabajaban, 57,1% y 23,6% ya habían experimentado bebida alcohólica y tabaco, respectivamente. Se identificaron 15% de relatos de agresión y 26,7% de bullying. La mayoría informó nunca/raramente conversar con los padres sobre las dificultades cotidianas (64,5% y 22% de las adolescentes

  12. Detecting short spatial scale local adaptation and epistatic selection in climate-related candidate genes in European beech (Fagus sylvatica) populations.

    Science.gov (United States)

    Csilléry, Katalin; Lalagüe, Hadrien; Vendramin, Giovanni G; González-Martínez, Santiago C; Fady, Bruno; Oddou-Muratorio, Sylvie

    2014-10-01

    Detecting signatures of selection in tree populations threatened by climate change is currently a major research priority. Here, we investigated the signature of local adaptation over a short spatial scale using 96 European beech (Fagus sylvatica L.) individuals originating from two pairs of populations on the northern and southern slopes of Mont Ventoux (south-eastern France). We performed both single and multilocus analysis of selection based on 53 climate-related candidate genes containing 546 SNPs. FST outlier methods at the SNP level revealed a weak signal of selection, with three marginally significant outliers in the northern populations. At the gene level, considering haplotypes as alleles, two additional marginally significant outliers were detected, one on each slope. To account for the uncertainty of haplotype inference, we averaged the Bayes factors over many possible phase reconstructions. Epistatic selection offers a realistic multilocus model of selection in natural populations. Here, we used a test suggested by Ohta based on the decomposition of the variance of linkage disequilibrium. Overall populations, 0.23% of the SNP pairs (haplotypes) showed evidence of epistatic selection, with nearly 80% of them being within genes. One of the between gene epistatic selection signals arose between an FST outlier and a nonsynonymous mutation in a drought response gene. Additionally, we identified haplotypes containing selectively advantageous allele combinations which were unique to high or low elevations and northern or southern populations. Several haplotypes contained nonsynonymous mutations situated in genes with known functional importance for adaptation to climatic factors.

  13. Current status of vulnerable plaque detection.

    LENUS (Irish Health Repository)

    Sharif, Faisal

    2012-02-01

    Critical coronary stenoses have been shown to contribute to only a minority of acute coronary syndromes (ACS) and sudden cardiac death. Autopsy studies have identified a subgroup of high-risk patients with disrupted vulnerable plaque and modest stenosis. Consequently, a clinical need exists to develop methods to identify these plaques prospectively before disruption and clinical expression of disease. Recent advances in invasive and noninvasive imaging techniques have shown the potential to identify these high-risk plaques. The anatomical characteristics of the vulnerable plaque such as thin cap fibroatheroma and lipid pool can be identified with angioscopy, high frequency intravascular ultrasound, intravascular MRI, and optical coherence tomography. Efforts have also been made to recognize active inflammation in high-risk plaques using intravascular thermography. Plaque chemical composition by measuring electromagnetic radiation using spectroscopy is also an emerging technology to detect vulnerable plaques. Noninvasive imaging with MRI, CT, and PET also holds the potential to differentiate between low and high-risk plaques. However, at present none of these imaging modalities are able to detect vulnerable plaque neither has been shown to definitively predict outcome. Nevertheless in contrast, there has been a parallel development in the physiological assessment of advanced atherosclerotic coronary artery disease. Thus recent trials using fractional flow reserve in patients with modest non flow-limiting stenoses have shown that deferral of PCI with optimal medical therapy in these patients is superior to coronary intervention. Further trials are needed to provide more information regarding the natural history of high-risk but non flow-limiting plaque to establish patient-specific targeted therapy and to refine plaque stabilizing strategies in the future.

  14. Commercial Air Carrier Vulnerabilities to Information Operations

    Science.gov (United States)

    2007-11-02

    GMO /ENS/02E-11 DEPARTMENT OF THE AIR FORCE AIR UNIVERSITY AIR FORCE INSTITUTE OF TECHNOLOGY Wright-Patterson Air Force Base, Ohio...AFIT/ GMO /ENS/02E-11 COMMERCIAL AIR CARRIER VULNERABILITIES TO INFORMATION OPERATIONS...networks that without them, “there is no water coming out of your tap; there is no electricity lighting your room; there is no food being transported to

  15. HIV and Mexican migrant workers in the United States: a review applying the vulnerable populations conceptual model.

    Science.gov (United States)

    Albarrán, Cynthia R; Nyamathi, Adeline

    2011-01-01

    Mexican migrant workers residing in the United States are a vulnerable population at high risk for HIV infection. This article critically appraises the published data surrounding HIV prevalence in this vulnerable group, as seen through the lens of the Vulnerable Populations Conceptual Model. This model demonstrates how exposure to risk and resource availability affect health status. The health status of Mexican migrants in the United States is compromised by a number of factors that increase risk of HIV: limited access to health services, multiple sexual partners, low rates of condom use, men having sex with men, and lay injection practices. Migration from Mexico to the United States has increased the prevalence of HIV in rural Mexico, making this an issue of urgent binational concern. This review highlights the implications for further nursing research, practice, and policy.

  16. 6 CFR 27.400 - Chemical-terrorism vulnerability information.

    Science.gov (United States)

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Chemical-terrorism vulnerability information. 27... FACILITY ANTI-TERRORISM STANDARDS Other § 27.400 Chemical-terrorism vulnerability information. (a... that constitute Chemical-terrorism Vulnerability Information (CVI), as defined in § 27.400(b)....

  17. An Empirical Measure of Computer Security Strength for Vulnerability Remediation

    Science.gov (United States)

    Villegas, Rafael

    2010-01-01

    Remediating all vulnerabilities on computer systems in a timely and cost effective manner is difficult given that the window of time between the announcement of a new vulnerability and an automated attack has decreased. Hence, organizations need to prioritize the vulnerability remediation process on their computer systems. The goal of this…

  18. Migrant Health: a value for Public Health

    Directory of Open Access Journals (Sweden)

    Patrizia Laurenti

    2012-09-01

    Full Text Available The health matters associated with migration are crucial public health challenges faced by both governments and societies. According to United Nations estimates, 120 million of the approximately 175 million migrants worldwide are migrant workers with their families (1. Legal and illegal workers have a different status and, therefore, varying levels of access to social and health services. The collective health needs and implications of this sizeable population are considerable, and different health determinants and levels of vulnerability could impact on their health (2. The main public health goal is to avoid disparities in health status and access to health services between migrants and the host population (3. The second, closely associated principle, is to ensure migrants’ health rights, as stated during the 4th Conference on Migrant and Ethnic Minority Health in Europe which took place from 21st to 23rd June 2012 in Milan, where Migrants and ethnic minorities were confirmed as a benefit to the society (4.

  19. What the eye does not see: a critical interpretive synthesis of European Union policies addressing sexual violence in vulnerable migrants.

    Science.gov (United States)

    Keygnaert, Ines; Guieu, Aurore

    2015-11-01

    In Europe, refugees, asylum seekers and undocumented migrants are more vulnerable to sexual victimisation than European citizens. They face more challenges when seeking care. This literature review examines how legal and policy frameworks at national, European and international levels condition the prevention of and response to sexual violence affecting these vulnerable migrant communities living in the European Union (EU). Applying the Critical Interpretive Synthesis method, we reviewed 187 legal and policy documents and 80 peer-reviewed articles on migrant sexual health for elements on sexual violence and further analysed the 37 legal and 12 peer-reviewed articles among them that specifically focused on sexual violence in vulnerable migrants in the EU-27 States. Legal and policy documents dealing with sexual violence, particularly but not exclusively in vulnerable migrants, apply 'tunnel vision'. They ignore: a) frequently occurring types of sexual violence, b) victimisation rates across genders and c) specific risk factors within the EU such as migrants' legal status, gender orientation and living conditions. The current EU policy-making paradigm relegates sexual violence in vulnerable migrants as an 'outsider' and 'female only' issue while EU migration and asylum policies reinforce its invisibility. Effective response must be guided by participatory rights- and evidence-based policies and a public health approach, acknowledging the occurrence and multiplicity of sexual victimisation of vulnerable migrants of all genders within EU borders.

  20. Masculinity, vulnerability and prevention of STD/HIV/AIDS among male adolescents: social representations in a land reform settlement

    Directory of Open Access Journals (Sweden)

    Camila de Oliveira Arraes

    2013-12-01

    Full Text Available OBJECTIVE: to analyze the relationship of masculinity, vulnerability and prevention of STD / HIV / AIDS among adolescent males of a land reform settlement in central Brazil. METHOD: a qualitative study using as precepts the strands of social representations with teenagers between 12 to 24 years. RESULTS: three categories emerged - Perception of vulnerability; Gender and vulnerability; and, Prevention and vulnerability to STD / HIV / AIDS. Adolescents felt invulnerable to sexually transmitted diseases anchored in the social representations in favor of the male hegemony. An ignorance about forms of prevention for STD / HIV / AIDS was demonstrated in their statements. It is believed that institutional projects such as the School Health Program and the Men's Health Care Program constitute essential tools to minimize factors of vulnerability in this population, since the school is recognized as a social facility that promotes socialization of experiences and contributes to the construction of the identity of the adolescent. CONCLUSION: the social representations of masculinity collaborate for the vulnerable behavior of the adolescents for the acquisition of sexually transmitted diseases. One hopes that this study can contribute to the production of knowledge and technical-scientific improvement of the professionals, especially the nurse, in order to discuss issues related to male sexuality of adolescents in the situation of the land reform settlement.

  1. [Social, individual and programmatic vulnerability among the elderly in the community: data from the FIBRA Study conducted in Campinas, São Paulo, Brazil].

    Science.gov (United States)

    Rodrigues, Natália Oliveira; Neri, Anita Liberalesso

    2012-08-01

    Sociocultural and economic conditions interact with biological processes throughout the course of life determining vulnerability or resilience in old age. The scope of this study was to investigate relationships between social vulnerability (gender, age and income); individual vulnerability (comorbidities, signs and symptoms, functional ability, perceived social support and perceived health), and programmatic vulnerability (indices of dependence on the public health system, social vulnerability and access to health services) in a sample of individuals aged 65 and more. 688 elderly people were interviewed in a single data gathering session in their homes in 88 selected urban census sectors in Campinas. 470 of the interviewees were women, with more comorbidities and more signals and symptoms, though more socially engaged in AADL and IADL than men. Mean age was 72.28 ± 5.41; mean family income = 4.72 ± 5.28 minimum wages. The variables with most explanatory power over the joint variation of the data were access and use of health services, levels of social vulnerability and dependence on public healthcare services, and family income. Social conditions as well as family income coexist with individual vulnerability in old age.

  2. Web Vulnerability Scanner (WVS: A Tool for detecting Web Application Vulnerabilities

    Directory of Open Access Journals (Sweden)

    Shivam Swarup

    2014-03-01

    Full Text Available Abstract: In recent years, internet applications have became enormously well-liked, and today they're habitually employed in security-critical environments, like medical, financial, and military systems. Because the use of internet applications has increased, the amount and class of attacks against these applications have also matured. Moreover, the research community primarily targeted on detecting vulnerabilities, which results from insecure information flow in internet applications like cross-site scripting and SQL injection have also increased. Injection Attacks exploit vulnerabilities of websites by inserting and executing malicious code (e.g., information query, JavaScript functions in unsuspecting users, computing surroundings or on a web server. Such attacks compromise user’s information, system resources and cause a significant threat to private and business assets. We tend to investigate and develop a tool Web Vulnerability Scanner (WVS which queries the vulnerable fragments of applications (written in query and application languages and are then identified and analyzed offline (statically. Results show the effectiveness of our Tool, compared to the present ones in dimensions alike, it has been observed that vulnerabilities go undetected once the existing ways of area unit used; it makes offline analysis of applications time efficient; and finally, it reduces the runtime observation overhead.

  3. Unified Approach to Vulnerability Analysis of Web Applications

    Science.gov (United States)

    Le, H. T.; Loh, P. K. K.

    2008-11-01

    Web vulnerabilities in web-based applications may be detected, classified and documented. Several Web scanners exist for vulnerabilities in Web applications implemented via different technologies. However, none of them provides the technology-independent, generic coverage of possible vulnerabilities. In this project that is funded by Mindef Singapore, we propose a new approach for Web application security and vulnerability analysis. The design addresses the categorization of scanner results with a generic data model and the design of a language-independent rule-based engine that detects, analyses and reports suspected vulnerabilities in web-based applications.

  4. Dynamic Assessment on Ecosystem Vulnerability in Dashanbao Wetland

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    [Objective] The aim was to assess the ecosystem vulnerability of Dashanbao wetland.[Method] The evaluation index system of ecosystem vulnerability of Dashanbao wetland was constructed by using analytic hierarchy process(AHP),and the ecosystem vulnerability of Dashanbao wetland from 2002 to 2008 was assessed based on vulnerable degree of ecosystem.[Result] The vulnerable degree of ecosystem of Dashanbao wetland from 2002 to 2008 was 0.560 0,0.513 7,0.516 4,0.465 4,0.476 0,0.449 2 and 0.400 6 respectively,tha...

  5. Karst morphology and groundwater vulnerability of high alpine karst plateaus

    Science.gov (United States)

    Plan, Lukas; Decker, Kurt; Faber, Robert; Wagreich, Michael; Grasemann, Bernhard

    2009-07-01

    High alpine karst plateaus are recharge areas for major drinking water resources in the Alps and many other regions. Well-established methods for the vulnerability mapping of groundwater to contamination have not been applied to such areas yet. The paper characterises this karst type and shows that two common vulnerability assessment methods (COP and PI) classify most of the areas with high vulnerability classes. In the test site on the Hochschwab plateau (Northern Calcareous Alps, Austria), overlying layers are mostly absent, not protective or even enhance point recharge, where they have aquiclude character. The COP method classifies 82% of the area as highly or extremely vulnerable. The resulting maps are reasonable, but do not differentiate vulnerabilities to the extent that the results can be used for protective measures. An extension for the upper end of the vulnerability scale is presented that allows identifying ultra vulnerable areas. The proposed enhancement of the conventional approach points out that infiltration conditions are of key importance for vulnerability. The method accounts for karst genetical and hydrologic processes using qualitative and quantitative properties of karst depressions and sinking streams including parameters calculated from digital elevations models. The method is tested on the Hochschwab plateau where 1.7% of the area is delineated as ultra vulnerable. This differentiation could not be reached by the COP and PI methods. The resulting vulnerability map highlights spots of maximum vulnerability and the combination with a hazard map enables protective measures for a manageable area and number of sites.

  6. Aren't we all vulnerable: why do vulnerability analysis?

    Energy Technology Data Exchange (ETDEWEB)

    Moench, Marcus

    2011-11-15

    The idea of 'vulnerability' is widely-used shorthand for the disproportionate impacts that climate change will have on high-risk groups and fragile ecosystems. Decision makers increasingly want to target adaptation funding to those people and environments most affected by climate change. They must also be able to monitor the effectiveness of their investments. Vulnerability analysis is sometimes presented as the solution to these wants and needs — but existing approaches are often of little use: at best, they reiterate what we already know; at worst, they are used to justify entrenched agendas. To be truly useful as a basis for dialogue, action and accountability, the meaning of 'vulnerability' must be clarified and the methods for analysing it greatly strengthened. This means establishing standard, replicable approaches that differentiate between the roles and exposure of stakeholders, systems and institutions.

  7. I-C-SEA Change: A participatory tool for rapid assessment of vulnerability of tropical coastal communities to climate change impacts.

    Science.gov (United States)

    Licuanan, Wilfredo Y; Samson, Maricar S; Mamauag, Samuel S; David, Laura T; Borja-Del Rosario, Roselle; Quibilan, Miledel Christine C; Siringan, Fernando P; Sta Maria, Ma Yvainne Y; España, Norievill B; Villanoy, Cesar L; Geronimo, Rollan C; Cabrera, Olivia C; Martinez, Renmar Jun S; Aliño, Porfirio M

    2015-12-01

    We present a synoptic, participatory vulnerability assessment tool to help identify the likely impacts of climate change and human activity in coastal areas and begin discussions among stakeholders on the coping and adaptation measures necessary to minimize these impacts. Vulnerability assessment tools are most needed in the tropical Indo-Pacific, where burgeoning populations and inequitable economic growth place even greater burdens on natural resources and support ecosystems. The Integrated Coastal Sensitivity, Exposure, and Adaptive Capacity for Climate Change (I-C-SEA Change) tool is built around a series of scoring rubrics to guide non-specialists in assigning scores to the sensitivity and adaptive capacity components of vulnerability, particularly for coral reef, seagrass, and mangrove habitats, along with fisheries and coastal integrity. These scores are then weighed against threat or exposure to climate-related impacts such as marine flooding and erosion. The tool provides opportunities for learning by engaging more stakeholders in participatory planning and group decision-making. It also allows for information to be collated and processed during a "town-hall" meeting, facilitating further discussion, data validation, and even interactive scenario building.

  8. Extending Vulnerability Assessment to Include Life Stages Considerations.

    Directory of Open Access Journals (Sweden)

    Emma E Hodgson

    Full Text Available Species are experiencing a suite of novel stressors from anthropogenic activities that have impacts at multiple scales. Vulnerability assessment is one tool to evaluate the likely impacts that these stressors pose to species so that high-vulnerability cases can be identified and prioritized for monitoring, protection, or mitigation. Commonly used semi-quantitative methods lack a framework to explicitly account for differences in exposure to stressors and organism responses across life stages. Here we propose a modification to commonly used spatial vulnerability assessment methods that includes such an approach, using ocean acidification in the California Current as an illustrative case study. Life stage considerations were included by assessing vulnerability of each life stage to ocean acidification and were used to estimate population vulnerability in two ways. We set population vulnerability equal to: (1 the maximum stage vulnerability and (2 a weighted mean across all stages, with weights calculated using Lefkovitch matrix models. Vulnerability was found to vary across life stages for the six species explored in this case study: two krill-Euphausia pacifica and Thysanoessa spinifera, pteropod-Limacina helicina, pink shrimp-Pandalus jordani, Dungeness crab-Metacarcinus magister and Pacific hake-Merluccius productus. The maximum vulnerability estimates ranged from larval to subadult and adult stages with no consistent stage having maximum vulnerability across species. Similarly, integrated vulnerability metrics varied greatly across species. A comparison showed that some species had vulnerabilities that were similar between the two metrics, while other species' vulnerabilities varied substantially between the two metrics. These differences primarily resulted from cases where the most vulnerable stage had a low relative weight. We compare these methods and explore circumstances where each method may be appropriate.

  9. Integrated flash flood vulnerability assessment: Insights from East Attica, Greece

    Science.gov (United States)

    Karagiorgos, Konstantinos; Thaler, Thomas; Heiser, Micha; Hübl, Johannes; Fuchs, Sven

    2016-10-01

    In the framework of flood risk assessment, vulnerability is a key concept to assess the susceptibility of elements at risk. Besides the increasing amount of studies on flash floods available, in-depth information on vulnerability in Mediterranean countries was missing so far. Moreover, current approaches in vulnerability research are driven by a divide between social scientists who tend to view vulnerability as representing a set of socio-economic factors, and natural scientists who view vulnerability in terms of the degree of loss to an element at risk. Further, vulnerability studies in response to flash flood processes are rarely answered in the literature. In order to close this gap, this paper implemented an integrated vulnerability approach focusing on residential buildings exposed to flash floods in Greece. In general, both physical and social vulnerability was comparable low, which is interpreted as a result from (a) specific building regulations in Greece as well as general design principles leading to less structural susceptibility of elements at risk exposed, and (b) relatively low economic losses leading to less social vulnerability of citizens exposed. The population show high risk awareness and coping capacity to response to natural hazards event and in the same time the impact of the events are quite low, because of the already high use of local protection measures. The low vulnerability score for East Attica can be attributed especially to the low physical vulnerability and the moderate socio-economic well-being of the area. The consequence is to focus risk management strategies mainly in the reduction of the social vulnerability. By analysing both physical and social vulnerability an attempt was made to bridge the gap between scholars from sciences and humanities, and to integrate the results of the analysis into the broader vulnerability context.

  10. Extending Vulnerability Assessment to Include Life Stages Considerations

    Science.gov (United States)

    Hodgson, Emma E.; Essington, Timothy E.; Kaplan, Isaac C.

    2016-01-01

    Species are experiencing a suite of novel stressors from anthropogenic activities that have impacts at multiple scales. Vulnerability assessment is one tool to evaluate the likely impacts that these stressors pose to species so that high-vulnerability cases can be identified and prioritized for monitoring, protection, or mitigation. Commonly used semi-quantitative methods lack a framework to explicitly account for differences in exposure to stressors and organism responses across life stages. Here we propose a modification to commonly used spatial vulnerability assessment methods that includes such an approach, using ocean acidification in the California Current as an illustrative case study. Life stage considerations were included by assessing vulnerability of each life stage to ocean acidification and were used to estimate population vulnerability in two ways. We set population vulnerability equal to: (1) the maximum stage vulnerability and (2) a weighted mean across all stages, with weights calculated using Lefkovitch matrix models. Vulnerability was found to vary across life stages for the six species explored in this case study: two krill–Euphausia pacifica and Thysanoessa spinifera, pteropod–Limacina helicina, pink shrimp–Pandalus jordani, Dungeness crab–Metacarcinus magister and Pacific hake–Merluccius productus. The maximum vulnerability estimates ranged from larval to subadult and adult stages with no consistent stage having maximum vulnerability across species. Similarly, integrated vulnerability metrics varied greatly across species. A comparison showed that some species had vulnerabilities that were similar between the two metrics, while other species’ vulnerabilities varied substantially between the two metrics. These differences primarily resulted from cases where the most vulnerable stage had a low relative weight. We compare these methods and explore circumstances where each method may be appropriate. PMID:27416031

  11. 通用Web漏洞库%Common Web Vulnerability Database

    Institute of Scientific and Technical Information of China (English)

    张昊星; 孙应飞

    2013-01-01

    Based on the research of Web vulnerability database and the situation of vulnerability database construction at home and aboard, the paper designed and implemented a vulnerability database focused on Web vulnerabilities. In consideration of both the features of Web vulnerability and the differences with traditional vulnerability, the paper designed the Web vulnerability database description model, enriched the ways of Web vulnerability collection, redefined the Web vulnerability scoring attributes and added the Web vulnerability reproduce function. The Web vulnerability database guarantees the comprehensive collection of Web vulnerability information and the standard release of Web vulnerability information, helps analyze the Web vulnerability information and data better, and provides a powerful technical support to Web security.%本文研究了国内外Web漏洞库及建设的现状,设计并实现了一个专注于Web漏洞发布的Web漏洞数据库。文中兼顾了Web漏洞的固有特点及其与传统漏洞的属性差别,设计了Web漏洞库描述模型,丰富了Web漏洞的收集方法,定义了Web漏洞的漏洞评价属性标准,并在Web漏洞库中添加了Web漏洞重现模块。我们所设计的Web漏洞库确保了全面的Web漏洞信息收集和Web漏洞信息发布的标准化,可更好地对Web漏洞信息和数据进行分析研究,也为Web安全提供了有力的技术支撑。

  12. Ruptures of vulnerability: Linda Stein's Knight Series.

    Science.gov (United States)

    Bible, Ann Vollmann

    2010-01-01

    Drawing on the work of Monique Wittig, this article understands Linda Stein's Knight Series as a lacunary writing communicating both her challenges to come to representation and her creative registration of subjectivity. The argument is grounded in an exploration of the rich interplay of power and vulnerability across the series as against the discourse of escapist fashion. Specifically, Stein's critical contradictions of inside and outside, conflated temporality, disjunctions between decoration and abstraction, and fluidity of sex and gender are examined. The discussion is elaborated through consideration of the work of Julia Kristeva, Elizabeth Grosz, and Hayao Miyazaki.

  13. Mechanical model of vulnerable atherosclerotic plaque rupture

    Institute of Scientific and Technical Information of China (English)

    SU; Haijun; ZHANG; Mei; ZHANG; Yun

    2004-01-01

    Rupture of atherosclerotic plaque is the main trigger of acute cardiovascular events, but the mechanism of plaque rupture is still unknown. We have constructed a model describing the motion of the fibrous cap of the plaque using the theory of elastic mechanics and studied the stability of the plaque theoretically. It has shown that plaque rupture is the result of a dynamic interplay between factors intrinsic to the plaque itself and extrinsic factors. We have proposed a new mechanism of plaque rupture, given a new explanation about the nonlinear dynamic progress of atherosclerosis and suggested a method to identify the vulnerable plaques to manage atherosclerosis.

  14. Vulnerability and Post-Stroke Experiences of Working-Age Survivors During Recovery

    Directory of Open Access Journals (Sweden)

    Barbara Wolfenden

    2015-10-01

    Full Text Available Survivors who experience stroke of mild to moderate severity are typically discharged home quickly, with only minimal referral for rehabilitation follow-up or support to meet specific needs in recovery. Particular vulnerabilities of younger, higher functioning stroke survivors have received some recognition in international literature in recent years. This article reports on findings of a small Australian qualitative study focusing on recovery and return to work experiences of young higher functioning female stroke survivors, in particular exploring experiences of post-stroke vulnerability from participants’ own perspectives. Our research adds depth and nuance to this developing area of interest and research. Our findings include survivors’ reflections on the consequences of delayed diagnosis, the impacts of empowering and disempowering interactions with health care professionals, a general lack of access to psychosocial rehabilitation, and frustrations of financial hardship. Implications for health professionals, service systems, and income support provision are discussed, along with directions for future research.

  15. The representations of human vulnerability held by health workers - development and validation of a scale La representación de la vulnerabilidad humana en cuidadores de la salud - construcción y validación de una escala A representação da vulnerabilidade humana em cuidadores de saúde - construção e validação de uma escala

    Directory of Open Access Journals (Sweden)

    Carlos Manuel Torres Almeida

    2013-02-01

    Full Text Available OBJECTIVES: This study's objective consisted of the construction and validation of a scale to identify the representation of human vulnerability in the health field. METHOD: its development was divided into three steps: a bibliographic review and exploratory interviews were conducted to establish the items and their subsequent aggregation into dimensions; evaluation by an expert committee; and pre-test. The scale's psychometric properties were evaluated based on its application to a sample of individuals (nurses, physicians, and senior nursing and medical undergraduate students. Validity, reliability, and internal consistency tests were performed. RESULTS: the scale obtained consists of four dimensions (knowledge of intrinsic vulnerability, knowledge of extrinsic vulnerability, experience of vulnerability, and perception of vulnerability in patients. The scale presents good internal consistency with high Cronbach's alpha coefficient values. CONCLUSION: The Representation of Human Vulnerability in Health Workers Scale is easy to apply and presents reliable psychometric properties. It is an innovative tool that can be used in the development of studies addressing human vulnerability.OBJETIVOS: El objetivo de este estudio consistió en la construcción y validación de una escala para la "Representación de la vulnerabilidad humana en la salud". MÉTODO: Se realizaron los siguientes pasos: Revisión bibliográfica y entrevistas exploratorias que llevaron a la formulación de Ítems y posterior agregación en dimensiones; evaluación por un comité de especialistas y un pre examen. Las propiedades psicométricas de la escala fueron evaluadas a partir de su aplicación a una muestra de 342 individuos: enfermeros, médicos y estudiantes (estos últimos finalistas en enfermería y medicina. Fueron hechos estudios de validez, de fiabilidad y consistencia interna. RESULTADOS: Se obtuvo una escala constituida por cuatro dimensiones (Conocimiento de la

  16. Perceptions about prenatal care: views of urban vulnerable groups

    Directory of Open Access Journals (Sweden)

    Hatcher Barbara

    2002-11-01

    Full Text Available Abstract Background In the United States, infant mortality rates remain more than twice as high for African Americans as compared to other racial groups. Lack of adherence to prenatal care schedules in vulnerable, hard to reach, urban, poor women is associated with high infant mortality, particularly for women who abuse substances, are homeless, or live in communities having high poverty and high infant mortality. This issue is of concern to the women, their partners, and members of their communities. Because they are not part of the system, these womens' views are often not included in other studies. Methods This qualitative study used focus groups with four distinct categories of people, to collect observations about prenatal care from various perspectives. The 169 subjects included homeless women; women with current or history of substance abuse; significant others of homeless women; and residents of a community with high infant mortality and poverty indices, and low incidence of adequate prenatal care. A process of coding and recoding using Ethnograph and counting ensured reliability and validity of the process of theme identification. Results Barriers and motivators to prenatal care were identified in focus groups. Pervasive issues identified were drug lifestyle, negative attitudes of health care providers and staff, and non-inclusion of male partners in the prenatal experience. Conclusions Designing prenatal care relevant to vulnerable women in urban communities takes creativity, thoughtfulness, and sensitivity. System changes recommended include increased attention to substance abuse treatment/prenatal care interaction, focus on provider/staff attitudes, and commitment to inclusion of male partners.

  17. Unpacking Mobility, Sex Trafficking, and HIV Vulnerability in Two Mexico-U.S. Border Cities

    OpenAIRE

    Goldenberg, Shira Miriam

    2011-01-01

    Background: Sex trafficking is a human rights abuse that carries particularly negative health and social consequences, including HIV and sexually transmitted infections (STIs). While HIV/STI infection and sex trafficking have been linked in Asia, the context of these associations and their applicability in Mexico is poorly understood.Aims: Aims of this dissertation were to (1) Critically review evidence linking mobility, trafficking, and HIV vulnerability in Mexico and Central America; (2) Ex...

  18. [Neuroethics and Human Vulnerability in Philosophical Perspective].

    Science.gov (United States)

    Marcos, Alfredo

    2015-01-01

    This article tries to assess the potentials and limits of neuroethics. It argues that neuroscience and ethics should collaborate each other with mutual respect and preservation of their respective identities, scientific in the first case and philosophical in the second one ( neuroethics as cooperation). The text develops also a criticism in front of any attempt to replace the philosophical ethics by the neurosciences ( neuroethics as substitution). Consequently, the most appropriate ontological and anthropological foundations are explored to develop a cooperative neuroethics. These foundations refer to the Aristotelian hylomorphic conception of the substances. On such foundations it is possible to develop a collaborative neuroethics which includes two aspects: on the one hand, we have an ethics of neuroscience and, on the other one, a neuroscience of ethics. The first one shows us how to conduct neuroscience while preserving human dignity. The second one teaches us about the neurobiological basis of our moral agency. These bases enable our moral behavior without determining it. By studying them our vulnerability as moral agents emerges as evidence. This vulnerability, which is rooted in the very human nature, must be, as it is argued along the last pages of the text, recognized as well as mitigated.

  19. Addressing the vulnerabilities of pass-thoughts

    Science.gov (United States)

    Fernandez, Gabriel C.; Danko, Amanda S.

    2016-05-01

    As biometrics become increasingly pervasive, consumer electronics are reaping the benefits of improved authentication methods. Leveraging the physical characteristics of a user reduces the burden of setting and remembering complex passwords, while enabling stronger security. Multi-factor systems lend further credence to this model, increasing security via multiple passive data points. In recent years, brainwaves have been shown to be another feasible source for biometric authentication. Physically unique to an individual in certain circumstances, the signals can also be changed by the user at will, making them more robust than static physical characteristics. No paradigm is impervious however, and even well-established medical technologies have deficiencies. In this work, a system for biometric authentication via brainwaves is constructed with electroencephalography (EEG). The efficacy of EEG biometrics via existing consumer electronics is evaluated, and vulnerabilities of such a system are enumerated. Impersonation attacks are performed to expose the extent to which the system is vulnerable. Finally, a multimodal system combining EEG with additional factors is recommended and outlined.

  20. Contract gangs: race, gender and vulnerability

    Directory of Open Access Journals (Sweden)

    Heather Goodall

    2015-12-01

    Full Text Available While violence directed at Indian students in Australian cities has been highlighted in the Indian and Australian press, far less attention has been paid to the violence directed at Indians in rural areas. This has most often involved Indians employed in contract labour in seasonal industries like fruit or vegetable picking. This article reviews various media accounts, both urban and rural, of violence directed at Indians from 2009 to 2012. It draws attention to the far longer history of labour exploitation which has taken place in rural and urban Australia in contract labour conditions and the particular invisibility of rural settings for such violence. Racial minorities, like Aboriginal and Chinese workers, and women in agriculture and domestic work, have seldom had adequate power to respond industrially or politically. This means that in the past, these groups been particularly vulnerable to such structural exploitation. The paper concludes by calling for greater attention not only to the particular vulnerability of Indians in rural settings but to the wider presence of racialised and gendered exploitation enabled by contract labour structures.

  1. Evaluating operating system vulnerability to memory errors.

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Kurt Brian; Bridges, Patrick G. (University of New Mexico); Pedretti, Kevin Thomas Tauke; Mueller, Frank (North Carolina State University); Fiala, David (North Carolina State University); Brightwell, Ronald Brian

    2012-05-01

    Reliability is of great concern to the scalability of extreme-scale systems. Of particular concern are soft errors in main memory, which are a leading cause of failures on current systems and are predicted to be the leading cause on future systems. While great effort has gone into designing algorithms and applications that can continue to make progress in the presence of these errors without restarting, the most critical software running on a node, the operating system (OS), is currently left relatively unprotected. OS resiliency is of particular importance because, though this software typically represents a small footprint of a compute node's physical memory, recent studies show more memory errors in this region of memory than the remainder of the system. In this paper, we investigate the soft error vulnerability of two operating systems used in current and future high-performance computing systems: Kitten, the lightweight kernel developed at Sandia National Laboratories, and CLE, a high-performance Linux-based operating system developed by Cray. For each of these platforms, we outline major structures and subsystems that are vulnerable to soft errors and describe methods that could be used to reconstruct damaged state. Our results show the Kitten lightweight operating system may be an easier target to harden against memory errors due to its smaller memory footprint, largely deterministic state, and simpler system structure.

  2. Framework for Vulnerability Assessment of Coastal Infrastructure

    Science.gov (United States)

    Obrien, P. S.; Moritz, H. R.; White, K. D.

    2015-12-01

    Coastal infrastructure can be highly vulnerable to changing climate, including increasing sea levels and altered frequency and intensity of coastal storms. Existing coastal infrastructure may be of a sufficient age that it is already experiencing noticeable impacts from global sea level rise, and require a variety of potential preparedness and resilience measures to adapt to changing climate. Methods to determine vulnerability to changing sea level and support planning of potential future adaptation measures are needed for application to projects having multiple purposes (e.g., navigation, coastal risk reduction). Here we describe a potential framework for assessing projects with several components typical of existing coastal infrastructure spanning a range of engineering disciplines (e.g., hydrology, geotechnical, structural, electrical, and mechanical). The US Army Corps of Engineers (USACE) Climate Preparedness and Resilience Register (CPRR) framework is currently under development. It takes a tiered approach as described in earlier USACE guidance (Engineer Technical Letter 1100-2-1) using the three scenarios prescribed by Engineer Regulation ER 1100-2-8162. Level 1 is a qualitative assessment defining the major sea level change-related impacts and ranks them in order of soonest occurrence. Level 2 is a quantitative evaluation that analyzes current and future performance of individual project components, including electrical, mechanical and structural components and functions using the sea level change scenarios prescribed by ER 1100-2-8162. Level 3 proposes adaptation measures per ETL 1100-2-1 and evaluates changes in sea level change-related impacts.

  3. Mapping of earthquakes vulnerability area in Papua

    Science.gov (United States)

    Muhammad Fawzy Ismullah, M.; Massinai, Muh. Altin

    2016-05-01

    Geohazard is a geological occurrence which may lead to a huge loss for human. A mitigation of these natural disasters is one important thing to be done properly in order to reduce the risks. One of the natural disasters that frequently occurs in the Papua Province is the earthquake. This study applies the principle of Geospatial and its application for mapping the earthquake-prone area in the Papua region. It uses earthquake data, which is recorded for 36 years (1973-2009), fault location map, and ground acceleration map of the area. The earthquakes and fault map are rearranged into an earthquake density map, as well as an earthquake depth density map and fault density map. The overlaid data of these three maps onto ground acceleration map are then (compiled) to obtain an earthquake unit map. Some districts area, such as Sarmi, Nabire, and Dogiyai, are identified by a high vulnerability index. In the other hand, Waropen, Puncak, Merauke, Asmat, Mappi, and Bouven Digoel area shows lower index. Finally, the vulnerability index in other places is detected as moderate.

  4. Regionalisation of global insights into dryland vulnerability: Better reflecting smallholders' vulnerability in Northeast Brazil

    NARCIS (Netherlands)

    Sietz, D.

    2014-01-01

    Global analyses of vulnerability reveal generic insights into the relation between socio-ecological systems and the stress impacting upon them including climate and market variability. They thus provide a valuable basis for better understanding and comparing the evolution of socio-ecological systems

  5. Predictors of distress in hospital physicians: protective and vulnerability factors

    Directory of Open Access Journals (Sweden)

    Fermín Martínez-Zaragoza

    2014-05-01

    Full Text Available This study investigates the relationship between protective and vulnerability factors affecting health (distréss in medical staff. Participants were 127 doctors from four public hospitals, who were administered the Occupational Stress in Health Professionals Inventory, the Ways of Coping Questionnaire, the Maslach Burnout Inventory, the Symptom Check-list-90 Revised Questionnaire, and the Flow Trait Scale-2. Following the methodology of Partial Least Squares modeling (PLS, an explanation is given for distréss in hospital physicians, where the avoidance coping strategy produces distréss directly (β = .296 and indirectly (β = .139 th rough its influence on the increase of burnout (β = .314, which in turn is increased by occupational stress (β = .209. Professional flow, measured by professional efficacy and flow, acts as a good protector against distréss (β = -.133, partly compensating the effects of the variables which have an increasing impact on an individual's distréss (GoF = .983. To sum up, when trying to predict a physician's distréss, four key elements should be considered: avoidance coping and its indirect effect through burnout on distréss; the burnout construct itself and professional flow.

  6. Tobacco Retail Outlets and Vulnerable Populations in Ontario, Canada

    Directory of Open Access Journals (Sweden)

    Michael O. Chaiton

    2013-12-01

    Full Text Available Interest has been increasing in regulating the location and number of tobacco vendors as part of a comprehensive tobacco control program. The objective of this paper is to examine the distribution of tobacco outlets in a large jurisdiction, to assess: (1 whether tobacco outlets are more likely to be located in vulnerable areas; and (2 what proportion of tobacco outlets are located close to schools. Retail locations across the Province of Ontario from Ministry of Health Promotion data were linked to 2006 Census data at the neighbourhood level. There was one tobacco retail outlet for every 1,000 people over age 15 in Ontario. Density of outlets varied by public health unit, and was associated with the number of smokers. Tobacco outlets were more likely to be located in areas that had high neighbourhood deprivation, in both rural and urban areas. Outlets were less likely to be located in areas with high immigrant populations in urban areas, with the reverse being true for rural areas. Overall, 65% of tobacco retailers were located within 500 m of a school. The sale of tobacco products is ubiquitous, however, neighbourhoods with lower socio-economic status are more likely to have easier availability of tobacco products and most retailers are located within walking distance of a school. The results suggest the importance of policies to regulate the location of tobacco retail outlets.

  7. Vulnerability of housing buildings in Bucharest, Romania

    Science.gov (United States)

    Bostenaru, M.

    2009-04-01

    The author participates to the World Housing Encyclopedia project (www.world-housing.net), an internet based database of housing buildings in earthquake prone areas of the world. This is a voluntary project run by the Earthquake Engineering Research Institute, Oakland, California and the International Association of Earthquake Engineering, financial means being available only for the website where the information is shared. For broader dissemination in 2004 a summary publication of the reports to date was published. The database can be querried for various parameters and browsed after geographic distribution. Participation is open to any housing experts. Between 2003 and 2006 the author was also member of the editorial board. The author contributed numerous reports about building types in Romania, and each one about building types in Germany and Switzerland. This presentation will be about the contributed reports on building types in Romania. To the Encyclopedia eight reports on building types from Bucharest were contributed, while in further research of the author one more was similarly described regarding the vulnerability and the seismic retrofit. The selection of these types was done considering the historic development of the built substance in Bucharest from 1850 on, time from which a representative amount of housing buildings which can be classified in typologies can be found in Bucharest. While the structural types are not necessarily characteristic for the style, since the style has other time limits, often appearing before the type became common and then remaining being practiced also after another style gained ground, a historic succession can be seen also in this case. The nine types considered can be grouped in seven time categories: - the time 1850-1880, for a vernacular housing type with masonry load bearing walls and timber floors, - the time 1880-1920, for the type of two storey or multi-storey house with masonry walls and timber floors (in which

  8. Social vulnerability assessment: a growing practice in Europe?

    Science.gov (United States)

    Tapsell, S.; McC arthy, S.

    2012-04-01

    This paper builds upon work on social vulnerability from the CapHaz-Net consortium, an ongoing research project funded by the European Commission in its 7th Framework Programme. The project focuses on the social dimensions of natural hazards, as well as on regional practices of risk prevention and management, and aims at improving the resilience of European societies to natural hazards, paying particular attention to social capacity building. The topic of social vulnerability is one of seven themes being addressed in the project. There are various rationales for examining the relevance of social vulnerability to natural hazards. Vulnerability assessment has now been accepted as a requirement for the effective development of emergency management capability, and assessment of social vulnerability has been recognised as being integral to understanding the risk to natural hazards. The aim of our research was to examine social vulnerability, how it might be understood in the context of natural hazards in Europe, and how social vulnerability can be addressed to increase social capacity. The work comprised a review of research on social vulnerability to different natural hazards within Europe and included concepts and definitions of social vulnerability (and related concepts), the purpose of vulnerability assessment and who decides who is vulnerable, different approaches to assessing or measuring social vulnerability (such as the use of 'classical' quantitative vulnerability indicators and qualitative community-based approaches, along with the advantages and disadvantages of both), conceptual frameworks for assessing social vulnerability and three case studies of social vulnerability studies within Europe: flash floods in the Italian Alps, fluvial flooding in Germany and heat waves in Spain. The review reveals variable application of social vulnerability analysis across Europe and there are indications why this might be the case. Reasons could range from the scale of

  9. Differential Vulnerability to Hurricanes in Cuba, Haiti, and the Dominican Republic: The Contribution of Education

    Directory of Open Access Journals (Sweden)

    Adelheid Pichler

    2013-09-01

    Full Text Available The possible impacts of the level of formal education on different aspects of disaster management, prevention, alarm, emergency, or postdisaster activities, were studied in a comparative perspective for three countries with a comparable exposure to hurricane hazards but different capacities for preventing harm. The study focused on the role of formal education in reducing vulnerability operating through a long-term learning process and put particular emphasis on the education of women. The comparative statistical analysis of the three countries was complemented through qualitative studies in Cuba and the Dominican Republic collected in 2010-2011. We also analyzed to what degree targeted efforts to reduce vulnerability were interconnected with other policy domains, including education and science, health, national defense, regional development, and cultural factors. We found that better education in the population had clear short-term effects on reducing vulnerability through awareness about crucial information, faster and more efficient responses to alerts, and better postdisaster recuperation. However, there were also important longer term effects of educational efforts to reduce social vulnerability through the empowerment of women, its effect on the quality of institutions and social networks for mutual assistance creating a general culture of safety and preparedness. Not surprisingly, on all three accounts Cuba clearly did the best; whereas Haiti was worst, and the Dominican Republic took an intermediate position.

  10. Childhood physical abuse and aggression: Shame and narcissistic vulnerability.

    Science.gov (United States)

    Keene, Amanda C; Epps, James

    2016-01-01

    This study examined narcissistic vulnerability and shame-proneness as potential mediators between childhood physical abuse (CPA) and adult anger and aggression. Participants were 400 undergraduate students, 134 of whom had a history of CPA. All participants completed self-report questionnaires assessing history of CPA, shame-proneness, narcissistic vulnerability, physical aggression, trait anger, and hostility. Results indicated abused participants were more angry and aggressive and experienced higher levels of shame-proneness and narcissistic vulnerability than nonabused participants. Multiple mediation analyses showed that narcissistic vulnerability, but not shame-proneness, partially mediated the relation between abuse and physical aggression. However, narcissistic vulnerability and shame-proneness both emerged as partial mediators between abuse and the anger and hostility variables. These findings suggest that narcissistic vulnerability and shame-proneness may function as mediators of adjustment following childhood maltreatment. Study limitations and recommendations for future research are discussed.

  11. Analysis of Zero-Day Vulnerabilities in Java

    Directory of Open Access Journals (Sweden)

    Marius Popa

    2013-09-01

    Full Text Available The zero-day vulnerability is a security lack of the computer system that is unknown to software vendor. This kind of vulnerability permits building attack strategies for gaining the access to the resources and data of a computer system. The main issue of the topic is how a computer system can be protected by zero-day vulnerabilities using the actual security procedures and tools for identifying the potential attacks that exploit the vulnerabilities unknown to computer users and software providers. The paper highlights the main features of such kind of vulnerabilities, some exploitation methods and examples of them for Java zero-day vulnerabilities and how protection strategies can be built on intelligence extracted from attack anatomy analysis.

  12. Benchmark analysis for quantifying urban vulnerability to terrorist incidents.

    Science.gov (United States)

    Piegorsch, Walter W; Cutter, Susan L; Hardisty, Frank

    2007-12-01

    We describe a quantitative methodology to characterize the vulnerability of U.S. urban centers to terrorist attack, using a place-based vulnerability index and a database of terrorist incidents and related human casualties. Via generalized linear statistical models, we study the relationships between vulnerability and terrorist events, and find that our place-based vulnerability metric significantly describes both terrorist incidence and occurrence of human casualties from terrorist events in these urban centers. We also introduce benchmark analytic technologies from applications in toxicological risk assessment to this social risk/vulnerability paradigm, and use these to distinguish levels of high and low urban vulnerability to terrorism. It is seen that the benchmark approach translates quite flexibly from its biological roots to this social scientific archetype.

  13. Mental vulnerability as a predictor of early mortality

    DEFF Research Database (Denmark)

    Eplov, Lene Falgaard; Jørgensen, Torben; Birket-Smith, Morten;

    2005-01-01

    pressure, lipid levels), and lifestyle factors. We determined vital status of the study sample through linkage to the Civil Registration System until 2001 and to the Cause of Death Registry until 1998. The mean follow-up time was 15.9 years for analysis of total mortality and 13.6 years for analysis...... of mortality as the result of natural causes. The association between mental vulnerability and survival was examined using Kaplan-Meir plots and Cox proportional-hazard models adjusting for possible confounding factors. RESULTS: With respect to mental vulnerability, 79% of the sample was classified...... as not vulnerable, 13% as moderately vulnerable, and 8% as highly vulnerable. Compared with the nonvulnerable group, highly vulnerable persons showed increased total mortality (hazard ratio = 1.6; 95% confidence interval = 1.3-1.9) and increased mortality from natural causes (1.6; 1.2-2.0). The inclusion...

  14. Intravascular probe for detection of vulnerable plaque

    Science.gov (United States)

    Patt, Bradley E.; Iwanczyk, Jan S.; MacDonald, Lawrence R.; Yamaguchi, Yuko; Tull, Carolyn R.; Janecek, Martin; Hoffman, Edward J.; Strauss, H. William; Tsugita, Ross; Ghazarossian, Vartan

    2001-12-01

    Coronary angiography is unable to define the status of the atheroma, and only measures the luminal dimensions of the blood vessel, without providing information about plaque content. Up to 70% of heart attacks are caused by minimally obstructive vulnerable plaques, which are too small to be detected adequately by angiography. We have developed an intravascular imaging detector to identify vulnerable coronary artery plaques. The detector works by sensing beta or conversion electron radiotracer emissions from plaque-binding radiotracers. The device overcomes the technical constraints of size, sensitivity and conformance to the intravascular environment. The detector at the distal end of the catheter uses six 7mm long by 0.5mm diameter scintillation fibers coupled to 1.5m long plastic fibers. The fibers are offset from each other longitudinally by 6mm and arranged spirally around a guide wire in the catheter. At the proximal end of the catheter the optical fibers are coupled to an interface box with a snap on connector. The interface box contains a position sensitive photomultiplier tube (PSPMT) to decode the individual fibers. The whole detector assembly fits into an 8-French (2.7 mm in diameter) catheter. The PSPMT image is further decoded with software to give a linear image, the total instantaneous count rate and an audio output whose tone corresponds to the count rate. The device was tested with F-18 and Tl-204 sources. Spectrometric response, spatial resolution, sensitivity and beta to background ratio were measured. System resolution is 6 mm and the sensitivity is >500 cps / micrometers Ci when the source is 1 mm from the detector. The beta to background ratio was 11.2 for F-18 measured on a single fiber. The current device will lead to a system allowing imaging of labeled vulnerable plaque in coronary arteries. This type of signature is expected to enable targeted and cost effective therapies to prevent acute coronary artery diseases such as: unstable angina

  15. A physical approach on flood risk vulnerability of buildings

    OpenAIRE

    B. Mazzorana; S. Simoni; Scherer, C.; B. Gems; Fuchs, S.; Keiler, M.

    2014-01-01

    The design of efficient hydrological risk mitigation strategies and their subsequent implementation relies on a careful vulnerability analysis of the elements exposed. Recently, extensive research efforts were undertaken to develop and refine empirical relationships linking the structural vulnerability of buildings to the impact forces of the hazard processes. These empirical vulnerability functions allow estimating the expected direct losses as a result of the hazard scenar...

  16. A physical approach on flood risk vulnerability of buildings

    OpenAIRE

    B. Mazzorana; S. Simoni; Scherer, C.; B. Gems; Fuchs, S.; Keiler, Margreth

    2014-01-01

    The design of efficient hydrological risk mitigation strategies and their subsequent implementation relies on a careful vulnerability analysis of the elements exposed. Recently, extensive research efforts were undertaken to develop and refine empirical relationships linking the structural vulnerability of buildings to the impact forces of the hazard processes. These empirical vulnerability functions allow estimating the expected direct losses as a result of the hazard scenario based on spatia...

  17. Quantifying social vulnerability for flood disasters of insurance company

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Social vulnerability assessments are largely ignored when compared with biophysical vulnerability assessments. This is mainly due to the fact that there are more difficulties in quantifying them. Aiming at several pitfalls still existing in the Hoovering approach which is widely accepted, a suitable modified model is provided. In this modified model, the integrated vulnerability is made an analogy to the elasticity coefficient of a spring, and an objective evaluation criterion is established. With the evalu...

  18. Sense in Sensitivity: Assessing Species Vulnerability to Climate Change

    OpenAIRE

    Mcdougall, Amy

    2013-01-01

    This thesis investigates the impact of future climate change upon species vulnerability. Reports of shifts in species distributions are already numerous, but the pattern of change is not fully understood. This thesis looks to predict which species are likely to be most at risk under climate change and why? This thesis takes the equation; Vulnerability= Sensitivity + Exposure to better discover which species are most vulnerable to climate change. Additionally, this research explores how mitiga...

  19. Depression in Youth with Autism Spectrum Disorder: The Role of ASD Vulnerabilities and Family-Environmental Stressors

    Science.gov (United States)

    Fung, Stephanie; Lunsky, Yona; Weiss, Jonathan A.

    2015-01-01

    Individuals with autism spectrum disorder (ASD) are at an increased risk of mental health problems, with depression being one of the most common presenting issues. The current study used a diathesis-stress model to investigate stressors (parent distress and negative life events [NLE]) and vulnerabilities (youth age and intellectual functioning) as…

  20. Mapping disaster vulnerability in India using analytical hierarchy process

    Directory of Open Access Journals (Sweden)

    Anusheema Chakraborty

    2016-01-01

    Full Text Available Disasters are the coincidences between hazardous events, elements at risk, and conditions of vulnerability. Vulnerability integrates social and environmental systems to reduce the intensity and frequency of these risks. By categorizing regions according to their level of vulnerability, one can examine and assess the possible impacts of developmental and environmental degradation processes. This study is an attempt to map the sub-national areas (districts in India that are vulnerable to natural and climate-induced disasters. The assessment is considered under the framework of Intergovernmental Panel on Climate Change definition of vulnerability. Using analytical hierarchy process as a multi-criteria decision-mapping method, vulnerability is measured in terms of exposure, sensitivity, and adaptive capacity. Based on this mapping assessment, districts in the state of Arunachal Pradesh, Assam, Bihar, Himachal Pradesh, Jharkhand, Manipur, Meghalaya, Mizoram, Uttar Pradesh, Uttarakhand, and West Bengal are the most vulnerable regions; while districts in the state of Punjab, Haryana, Gujarat, Tamil Nadu, Maharashtra, Goa, Andhra Pradesh, Kerala, and Karnataka are among the least vulnerable regions. The results of this study can serve as the basis for targeting prioritization efforts, emergency response measures, and policy interventions at district level for mitigating disaster vulnerability in the country.

  1. Human Rights and Vulnerability. Examples of Sexism and Ageism

    Directory of Open Access Journals (Sweden)

    Mª DEL CARMEN BARRANCO AVILÉS

    2015-12-01

    Full Text Available A human rights based approach applied to the idea of ‘vulnerable group’ connects vulnerability and structural discrimination. The Convention on the Rights of Persons with Disability provides some elements that allow to state that we are facing a new paradigm in the International Human Rights Law. One of the keys for the understanding of this new framework is the assumption of the disadvantage related to vulnerability as, at least in a part, socially built and ideologically justified. Sexism and ageism are examples of how ideologies reinforce vulnerability of women, children and aged persons transforming them in groups which members are in risk of discrimination.

  2. Scheduler Vulnerabilities and Attacks in Cloud Computing

    CERN Document Server

    Zhou, Fangfei; Desnoyers, Peter; Sundaram, Ravi

    2011-01-01

    In hardware virtualization a hypervisor provides multiple Virtual Machines (VMs) on a single physical system, each executing a separate operating system instance. The hypervisor schedules execution of these VMs much as the scheduler in an operating system does, balancing factors such as fairness and I/O performance. As in an operating system, the scheduler may be vulnerable to malicious behavior on the part of users seeking to deny service to others or maximize their own resource usage. Recently, publically available cloud computing services such as Amazon EC2 have used virtualization to provide customers with virtual machines running on the provider's hardware, typically charging by wall clock time rather than resources consumed. Under this business model, manipulation of the scheduler may allow theft of service at the expense of other customers, rather than merely reallocating resources within the same administrative domain. We describe a flaw in the Xen scheduler allowing virtual machines to consume almost...

  3. Method and tool for network vulnerability analysis

    Science.gov (United States)

    Swiler, Laura Painton; Phillips, Cynthia A.

    2006-03-14

    A computer system analysis tool and method that will allow for qualitative and quantitative assessment of security attributes and vulnerabilities in systems including computer networks. The invention is based on generation of attack graphs wherein each node represents a possible attack state and each edge represents a change in state caused by a single action taken by an attacker or unwitting assistant. Edges are weighted using metrics such as attacker effort, likelihood of attack success, or time to succeed. Generation of an attack graph is accomplished by matching information about attack requirements (specified in "attack templates") to information about computer system configuration (contained in a configuration file that can be updated to reflect system changes occurring during the course of an attack) and assumed attacker capabilities (reflected in "attacker profiles"). High risk attack paths, which correspond to those considered suited to application of attack countermeasures given limited resources for applying countermeasures, are identified by finding "epsilon optimal paths."

  4. Vulnerable Subjects: Why Does Informed Consent Matter?

    Science.gov (United States)

    Goodwin, Michele

    2016-09-01

    This special issue of the Journal Law, Medicine & Ethics takes up the concern of informed consent, particularly in times of controversy. The dominant moral dilemmas that frame traditional bioethical concerns address medical experimentation on vulnerable subjects; physicians assisting their patients in suicide or euthanasia; scarce resource allocation and medical futility; human trials to develop drugs; organ and tissue donation; cloning; xenotransplantation; abortion; human enhancement; mandatory vaccination; and much more. The term "bioethics" provides a lens, language, and guideposts to the study of medical ethics. It is worth noting, however, that medical experimentation is neither new nor exclusive to one country. Authors in this issue address thorny subjects that span borders and patients: from matters dealing with children and vaccination to the language and perception of consent.

  5. Exploiting epigenetic vulnerabilities for cancer therapeutics.

    Science.gov (United States)

    Mair, Barbara; Kubicek, Stefan; Nijman, Sebastian M B

    2014-03-01

    Epigenetic deregulation is a hallmark of cancer, and there has been increasing interest in therapeutics that target chromatin-modifying enzymes and other epigenetic regulators. The rationale for applying epigenetic drugs to treat cancer is twofold. First, epigenetic changes are reversible, and drugs could therefore be used to restore the normal (healthy) epigenetic landscape. However, it is unclear whether drugs can faithfully restore the precancerous epigenetic state. Second, chromatin regulators are often mutated in cancer, making them attractive drug targets. However, in most instances it is unknown whether cancer cells are addicted to these mutated chromatin proteins, or whether their mutation merely results in epigenetic instability conducive to the selection of secondary aberrations. An alternative incentive for targeting chromatin regulators is the exploitation of cancer-specific vulnerabilities, including synthetic lethality, caused by epigenetic deregulation. We review evidence for the hypothesis that mechanisms other than oncogene addiction are a basis for the application of epigenetic drugs, and propose future research directions.

  6. Hierarchical model of vulnerabilities for emotional disorders.

    Science.gov (United States)

    Norton, Peter J; Mehta, Paras D

    2007-01-01

    Clark and Watson's (1991) tripartite model of anxiety and depression has had a dramatic impact on our understanding of the dispositional variables underlying emotional disorders. More recently, calls have been made to examine not simply the influence of negative affectivity (NA) but also mediating factors that might better explain how NA influences anxious and depressive syndromes (e.g. Taylor, 1998; Watson, 2005). Extending preliminary projects, this study evaluated two hierarchical models of NA, mediating factors of anxiety sensitivity and intolerance of uncertainty, and specific emotional manifestations. Data provided a very good fit to a model elaborated from preliminary studies, lending further support to hierarchical models of emotional vulnerabilities. Implications for classification and diagnosis are discussed.

  7. Representações culturais de saúde, doença e vulnerabilidade sob a ótica de mulheres adolescentes Representaciones culturales de salud: enfermedad y vulnerabilidad bajo la óptica de mujeres adolescentes Cultural representations of health, disease and vulnerability from the point of view of teenage women

    Directory of Open Access Journals (Sweden)

    Lucia Beatriz Ressel

    2009-09-01

    recognizing how culture influences the teenagers' behavior and, how it contributes to their vulnerability. This study discusses the view of teenager women, who are taking part in a teaching and extension project developed in junior high schools from the North Sanitary Region of the city of Santa Maria, Rio Grande do Sul State. To do so, a semi-structured interview with questions that featured the purpose of the investigation was used as instrument for obtaining the required information. The results indicated the importance of structuring educative processes with teenagers aiming at constructing abilities for life that would allow them to withstand the pressure in adopting risk behaviors that may affect their health and development.

  8. Physical, Structural and Operational Vulnerability of Critical Facilities in Valle de Chalco Solidaridad, Estado de Mexico, Mexico. Case of study: Avándaro, San Isidro and El Triunfo

    Science.gov (United States)

    Garcia Payne, D. G.; Novelo-Casanova, D. A.; Ponce-Pacheco, A. B.; Espinosa-Campos, O.; Huerta-Parra, M.; Reyes-Pimentel, T.; Rodriguez, F.; Benitez-Olivares, I.

    2010-12-01

    Valle de Chalco Solidaridad is located in Mexico City Metropolitan Area in Estado de Mexico, Mexico. In this town there is a sewage canal called “La Compañía”. A wall of this canal collapsed on February 5, 2010 due to heavy rains creating the flooding of four surrounding communities. It is important to point out that this area is frequently exposed to floods. In this work, we consider a critical facility as an essential structure for performance, health care and welfare within a community or/and as a place that can be used as shelter in case of emergency or disaster. Global vulnerability (the sum of the three measured vulnerabilities) of the 25 critical facilities identified in the locations of Avándaro, San Isidro and El Triunfo was assessed using the Community Vulnerability Assessment Tool developed by the National Oceanic and Atmospheric Administration (NOAA). For each critical facility we determined its operational, structural and physical vulnerabilities. For our analysis, we considered the four main natural hazards to which Valle de Chalco is exposed: earthquakes, floods, landslides and sinking. We considered five levels of vulnerability using a scale from 1 to 5, where values range from very low to very high vulnerability, respectively. A critical facilities database was generated by collecting general information for three categories: schools, government and church. Each facility was evaluated considering its location in relation to identified high-risk areas. Our results indicate that in average, the global vulnerability of all facilities is low, however, there are particular cases in which this global vulnerability is high. The average operational vulnerability of the three communities is moderate. The global structural vulnerability (sum of the structural vulnerability for the four analyzed hazards) is moderate. In particular, the structural vulnerability to earthquakes is low, to landslides is very low, to flooding is moderate and to sinking is

  9. Ecosystems Vulnerability Challenge and Prize Competition

    Science.gov (United States)

    Smith, J. H.; Frame, M. T.; Ferriter, O.; Recker, J.

    2014-12-01

    Stimulating innovation and private sector entrepreneurship is an important way to advance the preparedness of communities, businesses and individuals for the impacts of climate change on certain aspects of ecosystems, such as: fire regimes; water availability; carbon sequestration; biodiversity conservation; weather-related hazards, and the spread of invasive species. The creation of tools is critical to help communities and natural resource managers better understand the impacts of climate change on ecosystems and the potential resulting implications for ecosystem services and conservation efforts. The Department of the Interior is leading an interagency effort to develop the Ecosystems Vulnerability theme as part of the President's Climate Action Plan. This effort will provide seamless access to relevant datasets that can help address such issues as: risk of wildfires to local communities and federal lands; water sensitivity to climate change; and understanding the role of ecosystems in a changing climate. This session will provide an overview of the proposed Ecosystem Vulnerability Challenge and Prize Competition, outlining the intended audience, scope, goals, and overall timeline. The session will provide an opportunity for participants to offer new ideas. Through the Challenge, access will be made available to critical datasets for software developers, engineers, scientists, students, and researchers to develop and submit applications addressing critical science issues facing our Nation today. Application submission criteria and guidelines will also be discussed. The Challenge will be open to all sectors and organizations (i.e. federal, non-federal, private sector, non-profits, and universities) within the United States. It is anticipated the Challenge will run from early January 2015 until spring of 2015.

  10. Global trends and vulnerabilities of mangrove forests

    Science.gov (United States)

    Simard, M.; Fatoyinbo, T. E.; Rivera-Monroy, V. H.; Castaneda, E.; Roy Chowdhury, R.

    2015-12-01

    Mangrove forests are located along Earth's coastlines and estuaries within tropical and subtropical latitudes. They provide numerous services functioning as an extraordinary carbon sequestration system and serving as habitat and nursery for fish, crustaceans and amphibians. To coastal populations, they provide livelihood, food, lumber and act as an effective protection against tsunamis, storm surges and hurricanes. Their vulnerability to sea level rise is strongly related to their extraordinary ability to accumulate soils, which is in part related to their productivity and therefore canopy structure. As a first step to understand their vulnerability, we seek to understand mangrove dependencies on environmental and geophysical setting. To achieve this, we mapped mangrove canopy height and above ground biomass (AGB) at the Global scale. To identify mangrove forests, existing maps derived from a collection of Landsat data around the 2000 era were used. Using the Shuttle Radar Topography Mission elevation data collected in February of 2000, we produced a Global map of mangrove canopy height. The estimated heights were validated with the ICESat/Geoscience Altimeter System (GLAS) and in situ field data. Most importantly, field data were also used to derive relationships between canopy height and AGB. While the geographical coverage of in situ data is limited, ICESat/GLAS data provided extensive geographical coverage with independent estimates of maximum canopy height. These estimates were used to calibrate SRTM-estimates of height at the Global scale. We found the difference between GLAS RH100 and SRTM resulted from several sources of uncertainty that are difficult to isolate. These include natural variations of canopy structure with time, system errors from GLAS and SRTM, geo-location errors and discrepancies in spatial resolution. The Global canopy height map was trnasormed into AGB using the field-derived allometry. Depending on the scale of analysis and geographical

  11. Assessing Hydro-Ecological Vulnerability from Space

    Science.gov (United States)

    Stampoulis, D.; Andreadis, K.; Granger, S. L.; Fisher, J. B.; Turk, F. J.; Behrangi, A.; Das, N. N.; Ines, A.

    2015-12-01

    The main driver of economic growth in East Africa is agriculture. However, climate change and the resulting intensification of the hydrologic cycle will increase water limitation in this already drought-burdened region, and the challenge of ensuring food security is bound to become critical. Efforts must, therefore, be made to develop appropriate adaptation strategies for agriculture in such regions. Assessing and predicting ecosystem responses to global environmental change can advance management and decision support systems that would improve food security and economic development. The current study uses a plethora of multi-year remote sensing earth observations to study the hydro-ecological vulnerability of the various ecosystems in the water-stressed East African region to droughts. More specifically, we assess the hydrologic sensitivity and resilience of soil moisture and vegetation water content (derived from NRL's WindSat radiometer), during dry spells, for different dry-period durations, and for various vegetation categories. Spatiotemporal patterns and characteristics of the response of the two aforementioned variables to sustained precipitation deficits (derived from TRMM 3B42 V7), as well as their persistence in maintaining their stability are identified. We also assess changes, in space and time, in the normalized radar surface-backscattering cross-sections from NASA's QuikSCAT Scatterometer, to obtain information on the vegetation regimes, as well as changes in vegetation phenometrics using the enhanced vegetation index (EVI) derived from MODIS. Quantifying the response and characterizing the resilience of the two aforementioned major hydrological attributes using various remote sensing techniques that complement each other, can provide critical insight into the region's vulnerability and adaptive capacity with respect to rainfall variability.

  12. An Integrated Approach for Urban Earthquake Vulnerability Analyses

    Science.gov (United States)

    Düzgün, H. S.; Yücemen, M. S.; Kalaycioglu, H. S.

    2009-04-01

    The earthquake risk for an urban area has increased over the years due to the increasing complexities in urban environments. The main reasons are the location of major cities in hazard prone areas, growth in urbanization and population and rising wealth measures. In recent years physical examples of these factors are observed through the growing costs of major disasters in urban areas which have stimulated a demand for in-depth evaluation of possible strategies to manage the large scale damaging effects of earthquakes. Understanding and formulation of urban earthquake risk requires consideration of a wide range of risk aspects, which can be handled by developing an integrated approach. In such an integrated approach, an interdisciplinary view should be incorporated into the risk assessment. Risk assessment for an urban area requires prediction of vulnerabilities related to elements at risk in the urban area and integration of individual vulnerability assessments. However, due to complex nature of an urban environment, estimating vulnerabilities and integrating them necessities development of integrated approaches in which vulnerabilities of social, economical, structural (building stock and infrastructure), cultural and historical heritage are estimated for a given urban area over a given time period. In this study an integrated urban earthquake vulnerability assessment framework, which considers vulnerability of urban environment in a holistic manner and performs the vulnerability assessment for the smallest administrative unit, namely at neighborhood scale, is proposed. The main motivation behind this approach is the inability to implement existing vulnerability assessment methodologies for countries like Turkey, where the required data are usually missing or inadequate and decision makers seek for prioritization of their limited resources in risk reduction in the administrative districts from which they are responsible. The methodology integrates socio

  13. Sea Level Rise Decision Support Tools for Adaptation Planning in Vulnerable Coastal Communities

    Science.gov (United States)

    Rozum, J. S.; Marcy, D.

    2015-12-01

    NOAA is involved in a myriad of climate related research and projects that help decision makers and the public understand climate science as well as climate change impacts. The NOAA Office for Coastal Management (OCM) provides data, tools, trainings and technical assistance to coastal resource managers. Beginning in 2011, NOAA OCM began developing a sea level rise and coastal flooding impacts viewer which provides nationally consistent data sets and analyses to help communities with coastal management goals such as: understanding and communicating coastal flood hazards, performing vulnerability assessments and increasing coastal resilience, and prioritizing actions for different inundation/flooding scenarios. The Viewer is available on NOAA's Digital Coast platform: (coast.noaa.gov/ditgitalcoast/tools/slr). In this presentation we will share the lessons learned from our work with coastal decision-makers on the role of coastal flood risk data and tools in helping to shape future land use decisions and policies. We will also focus on a recent effort in California to help users understand the similarities and differences of a growing array of sea level rise decision support tools. NOAA staff and other partners convened a workshop entitled, "Lifting the Fog: Bringing Clarity to Sea Level Rise and Shoreline Change Models and Tools," which was attended by tool develops, science translators and coastal managers with the goal to create a collaborative communication framework to help California coastal decision-makers navigate the range of available sea level rise planning tools, and to inform tool developers of future planning needs. A sea level rise tools comparison matrix will be demonstrated. This matrix was developed as part of this effort and has been expanded to many other states via a partnership with NOAA, Climate Central, and The Nature Conservancy.

  14. The interaction of affective states and cognitive vulnerabilities in the prediction of non-suicidal self-injury.

    Science.gov (United States)

    Cohen, Jonah N; Stange, Jonathan P; Hamilton, Jessica L; Burke, Taylor A; Jenkins, Abigail; Ong, Mian-Li; Heimberg, Richard G; Abramson, Lyn Y; Alloy, Lauren B

    2015-01-01

    Non-suicidal self-injury (NSSI) is a serious public health concern and remains poorly understood. This study sought to identify both cognitive and affective vulnerabilities to NSSI and examine their interaction in the prediction of NSSI. A series of regressions indicated that low levels of positive affect (PA) moderated the relationships between self-criticism and brooding and NSSI. The associations of self-criticism and brooding with greater frequency of NSSI were attenuated by higher levels of PA. The interaction of cognitive and affective vulnerabilities is discussed within the context of current NSSI theory.

  15. Child health care in Brazil: aspects of program vulnerability and human rights Atención a la salud del niño en Brasil: aspectos de la vulnerabilidad programática y de los derechos humanos Atenção à saúde da criança no Brasil: aspectos da vulnerabilidade programática e dos direitos humanos

    Directory of Open Access Journals (Sweden)

    Glória Lúcia Alves Figueiredo

    2007-12-01

    Full Text Available This study aimed to examine the epidemiological approach in Brazilian child health programs, towards the reflection on current guidelines from the perspective of program vulnerability and human rights. A descriptive study was carried out, based on the analysis of official documents elaborated by the Brazilian Ministry of Health. The expansion and reorganization of family health practices and integrated care for prevailing childhood diseases are aimed at promoting health and quality of life to children and families. Health professionals, imbued with observation and intervention, can be considered agents to respect, protect and implement human rights.La finalidad de este estudio es investigar la aproximación epidemiológica en los programas de salud del niño en Brasil, con vistas a la reflexión de las directivas actuales en la perspectiva de la vulnerabilidad programática y de los derechos humanos. Realizamos un estudio descriptivo, basado en el análisis de documentos oficiales elaborados por el Ministerio de la Salud, en Brasil. Verificamos que los objetivos de la amplificación y reorganización de las prácticas de salud de la familia y de la atención integrada a las enfermedades prevalecientes en la infancia son las de promover la salud y cualidad de vida de niños y familias. Los profesionales deben ser agentes públicos imbuidos de observación e intervención para respetar, proteger y efectuar derechos humanos.Este estudo tem como objetivo examinar a abordagem epidemiológica nos programas brasileiros de saúde da criança, com vistas à reflexão das atuais diretrizes na perspectiva da vulnerabilidade e dos direitos humanos. Trata-se de estudo descritivo, alicerçado na análise de documentos oficiais veiculados pelo Ministério da Saúde, Brasil. Verificou-se que a ampliação e reorganização das práticas de saúde da família e da atenção integrada às doenças prevalentes na infância preconizam a promoção da saúde e

  16. Vulnerability to food insecurity in urban slums: experiences from Nairobi, Kenya.

    Science.gov (United States)

    Kimani-Murage, E W; Schofield, L; Wekesah, F; Mohamed, S; Mberu, B; Ettarh, R; Egondi, T; Kyobutungi, C; Ezeh, A

    2014-12-01

    Food and nutrition security is critical for economic development due to the role of nutrition in healthy growth and human capital development. Slum residents, already grossly affected by chronic poverty, are highly vulnerable to different forms of shocks, including those arising from political instability. This study describes the food security situation among slum residents in Nairobi, with specific focus on vulnerability associated with the 2007/2008 postelection crisis in Kenya. The study from which the data is drawn was nested within the Nairobi Urban Health and Demographic Surveillance System (NUHDSS), which follows about 70,000 individuals from close to 30,000 households in two slums in Nairobi, Kenya. The study triangulates data from qualitative and quantitative sources. It uses qualitative data from 10 focus group discussions with community members and 12 key-informant interviews with community opinion leaders conducted in November 2010, and quantitative data involving about 3,000 households randomly sampled from the NUHDSS database in three rounds of data collection between March 2011 and January 2012. Food security was defined using the Household Food Insecurity Access Scale (HFIAS) criteria. The study found high prevalence of food insecurity; 85% of the households were food insecure, with 50% being severely food insecure. Factors associated with food security include level of income, source of livelihood, household size, dependence ratio; illness, perceived insecurity and slum of residence. The qualitative narratives highlighted household vulnerability to food insecurity as commonplace but critical during times of crisis. Respondents indicated that residents in the slums generally eat for bare survival, with little concern for quality. The narratives described heightened vulnerability during the 2007/2008 postelection violence in Kenya in the perception of slum residents. Prices of staple foods like maize flour doubled and simultaneously household

  17. How Leaders Communicate Their Vulnerability: Implications for Trust Building

    Science.gov (United States)

    Meyer, Frauke; Le Fevre, Deidre M.; Robinson, Viviane M. J.

    2017-01-01

    Purpose: The notion of vulnerability underlies relationships of trust. Trust between leaders and staff is needed to solve concerns that hinder equity and excellence in teaching and learning. The purpose of this paper is to examine whether and how leaders show vulnerability by disclosing own possible contributions to concerns they try to resolve.…

  18. Vulnerability Assessment Models to Drought: Toward a Conceptual Framework

    Directory of Open Access Journals (Sweden)

    Kiumars Zarafshani

    2016-06-01

    Full Text Available Drought is regarded as a slow-onset natural disaster that causes inevitable damage to water resources and to farm life. Currently, crisis management is the basis of drought mitigation plans, however, thus far studies indicate that effective drought management strategies are based on risk management. As a primary tool in mitigating the impact of drought, vulnerability assessment can be used as a benchmark in drought mitigation plans and to enhance farmers’ ability to cope with drought. Moreover, literature pertaining to drought has focused extensively on its impact, only awarding limited attention to vulnerability assessment as a tool. Therefore, the main purpose of this paper is to develop a conceptual framework for designing a vulnerability model in order to assess farmers’ level of vulnerability before, during and after the onset of drought. Use of this developed drought vulnerability model would aid disaster relief workers by enhancing the adaptive capacity of farmers when facing the impacts of drought. The paper starts with the definition of vulnerability and outlines different frameworks on vulnerability developed thus far. It then identifies various approaches of vulnerability assessment and finally offers the most appropriate model. The paper concludes that the introduced model can guide drought mitigation programs in countries that are impacted the most by drought.

  19. Direction Happiness. Improving well-being of vulnerable groups

    NARCIS (Netherlands)

    Weiss, Laura Anne

    2016-01-01

    In the PhD-thesis ‘Direction: Happiness. Improving well-being of vulnerable groups’, the effects of the Happiness Route, a positive psychology intervention, were examined. The intervention is directed at a vulnerable group with an accumulation of risk factors for a low well-being; lonely people wit

  20. Direction: happiness : improving well-being of vulnerable groups

    NARCIS (Netherlands)

    Weiss, Laura Anne

    2016-01-01

    In the PhD-thesis ‘Direction: Happiness. Improving well-being of vulnerable groups’, the effects of the Happiness Route, a positive psychology intervention, were examined. The intervention is directed at a vulnerable group with an accumulation of risk factors for a low well-being; lonely people wit

  1. Vulnerability to Poverty in select Central Asian Countries

    Directory of Open Access Journals (Sweden)

    Raghbendra Jha

    2009-06-01

    Full Text Available In the extant literature either income or consumption expenditures as measured over short periods of time have been regarded as a proxy for the material well-being of households. However, economists have long recognized that a household's sense of well-being depends not just on its average income or expenditures, but also on the risks it faces and its ability to deal with these risks. Hence vulnerability is a more satisfactory measure of welfare. In this study we used the concept of vulnerability as expected poverty to assess the household vulnerability to poverty in four Central Asian countries: Azerbaijan, Kazakhstan, Kyrgyzstan, and Tajikistan. Except for Tajikistan, headcount poverty and vulnerability rates are significantly different. We also find that vulnerability differs significantly across households by location and selected household characteristics. In this paper we use a simple empirical measurement that allows estimating the headcount vulnerability to poverty using cross-section data. This measurement is based on the strong assumption that households have the same conditional distribution of consumption in a stationary environment. While this approach cannot capture all dimensions of vulnerability, it at least begins to raise the policy issue that vulnerability should be considered alongside poverty.

  2. Assessing local vulnerability to climate change in Ecuador.

    Science.gov (United States)

    Fernandez, Mario Andres; Bucaram, Santiago J; Renteria, Willington

    2015-01-01

    Vulnerability assessments have become necessary to increase the understanding of climate-sensitive systems and inform resource allocation in developing countries. Challenges arise when poor economic and social development combines with heterogeneous climatic conditions. Thus, finding and harmonizing good-quality data at local scale may be a significant hurdle for vulnerability research. In this paper we assess vulnerability to climate change at a local level in Ecuador. We take Ecuador as a case study as socioeconomic data are readily available. To incorporate the spatial and temporal pattern of the climatic variables we use reanalysis datasets and empirical orthogonal functions. Our assessment strategy relies on the statistical behavior of climatic and socioeconomic indicators for the weighting and aggregation mechanism into a composite vulnerability indicator. Rather than assuming equal contribution to the formation of the composite indicator, we assume that the weights of the indicators vary inversely as the variance over the cantons (administrative division of Ecuador). This approach captures the multi-dimensionality of vulnerability in a comprehensive form. We find that the least vulnerable cantons concentrate around Ecuador's largest cities (e.g. Quito and Guayaquil); however, approximately 20 % of the national population lives in other cantons that are categorized as highly and very highly vulnerable to climate change. Results also show that the main determinants of high vulnerability are the lack of land tenure in agricultural areas and the nonexistence of government-funded programs directed to environmental and climate change management.

  3. A Formal Classification of Internet Banking Attacks and Vulnerabilities

    Directory of Open Access Journals (Sweden)

    Laerte Peotta

    2011-02-01

    Full Text Available A formal classification of attacks and vulnerabilities that affect current internet banking systems is presented along with two attacks which demonstrate the insecurity of such systems. Based ona thoroughanalysis of current security models, we propose a guidelines for designing secure internet banking systems which are not affected by the presented attacks and vulnerabilities.

  4. Landslide vulnerability criteria: a case study from Umbria, central Italy.

    Science.gov (United States)

    Galli, Mirco; Guzzetti, Fausto

    2007-10-01

    Little is known about the vulnerability to landslides, despite landslides causing frequent and widespread damage to the population and the built-up environment in many areas of the world. Lack of information about vulnerability to landslides limits our ability to determine landslide risk. This paper provides information on the vulnerability of buildings and roads to landslides in Umbria, central Italy. Information on 103 landslides of the slide and slide-earth flow types that have resulted in damage to buildings and roads at 90 sites in Umbria is used to establish dependencies between the area of the landslide and the vulnerability to landslides. The dependencies obtained are applied in the hills surrounding the town of Collazzone, in central Umbria, an area for which a detailed landslide inventory map is available. By exploiting the landslide inventory and the established vulnerability curves, the geographical distribution of the vulnerability to landslides is mapped and statistics of the expected damage are calculated. Reliability and limits of the vulnerability thresholds and of the obtained vulnerability assessment are discussed.

  5. Categorisation of typical vulnerability patterns in global drylands

    NARCIS (Netherlands)

    Sietz, D.; Lûdeke, M.K.B.; Walther, C.

    2011-01-01

    Drylands display specific vulnerability-creating mechanisms which threaten ecosystems and human well-being. The upscaling of successful interventions to reduce vulnerability arises as an important, but challenging aim, since drylands are not homogenous. To support this aim, we present the first atte

  6. Climate change vulnerability in Ethiopia : disaggregation of Tigray Region

    NARCIS (Netherlands)

    Gebrehiwot, T.G.; Veen, van der A.

    2013-01-01

    Climate change and variability severely affect rural livelihoods and agricultural productivity, yet they are causes of stress vulnerable rural households have to cope with. This paper investigated farming communities' vulnerability to climate change and climate variability across 34 agricultural-bas

  7. Households' vulnerability and responses to shocks: evidence from rural Kenya

    NARCIS (Netherlands)

    Ndirangu, L.

    2007-01-01

    Key words: Vulnerability, HIV/AIDS, weather shocks, risk management, coping strategies, rural households, gender.   Empirical investigation on household’s responses to sources of vulnerability is important for designing and implementation of social policies. The design of an effective re

  8. Vulnerabilities and responsibilities: dealing with monsters in computer security

    NARCIS (Netherlands)

    Pieters, W.; Consoli, L.

    2009-01-01

    Purpose – The purpose of this paper is to analyze information security assessment in terms of cultural categories and virtue ethics, in order to explain the cultural origin of certain types of security vulnerabilities, as well as to enable a proactive attitude towards preventing such vulnerabilities

  9. Scenario-based Storm Surge Vulnerability Assessment of Catanduanes

    Science.gov (United States)

    Suarez, J. K. B.

    2015-12-01

    After the devastating storm surge effect of Typhoon Haiyan, the public recognized an improved communication about risks, vulnerabilities and what is threatened by storm surge. This can be provided by vulnerability maps which allow better visual presentations and understanding of the risks and vulnerabilities. Local implementers can direct the resources needed for protection of these areas. Moreover, vulnerability and hazard maps are relevant in all phases of disaster management designed by the National Disaster Risk Reduction Council (NDRRMC) - disaster preparedness, prevention and mitigation and response and recovery and rehabilitation. This paper aims to analyze the vulnerability of Catanduanes, a coastal province in the Philippines, to storm surges in terms of four parameters: population, built environment, natural environment and agricultural production. The vulnerability study relies on the storm surge inundation maps based on the Department of Science and Technology Nationwide Operational Assessment of Hazards' (DOST-Project NOAH) proposed four Storm Surge Advisory (SSA) scenarios (1-2, 3, 4, and 5 meters) for predicting storm surge heights. To determine total percent affected for each parameter elements, an overlay analysis was performed in ArcGIS Desktop. Moreover, vulnerability and hazard maps are generated as a final output and a tool for visualizing the impacts of storm surge event at different surge heights. The result of this study would help the selected province to know their present condition and adapt strategies to strengthen areas where they are found to be most vulnerable in order to prepare better for the future.

  10. Methodology for identifying vulnerable sections in a National Road Network

    NARCIS (Netherlands)

    Tampere, C.M.J.; Stada, J.; Immers, L.H.

    2007-01-01

    Under the authority of the Flemish Traffic Centre a study was carried out aiming at the identification of road sections that are vulnerable to major incidents. The primary objective of the study was to develop a methodology capable of rapidly scanning a large network for the most vulnerable sections

  11. [Development and validation of the Family Vulnerability Index to Disability and Dependence (FVI-DD)].

    Science.gov (United States)

    Amendola, Fernanda; Alvarenga, Márcia Regina Martins; Latorre, Maria do Rosário Dias de Oliveira; Oliveira, Maria Amélia de Campos

    2014-02-01

    This exploratory, descriptive, cross-sectional, and quantitative study aimed to develop and validate an index of family vulnerability to disability and dependence (FVI-DD). This study was adapted from the Family Development Index, with the addition of social and health indicators of disability and dependence. The instrument was applied to 248 families in the city of Sao Paulo, followed by exploratory factor analysis. Factor validation was performed using the concurrent and discriminant validity of the Lawton scale and Katz Index. The descriptive level adopted for the study was p DD was validated using both the Lawton scale and Katz Index. We conclude that FVI-DD can accurately and reliably assess family vulnerability to disability and dependence.

  12. Caring for vulnerable children: challenges of mothering in the Australian foster care system.

    Science.gov (United States)

    Blythe, Stacy L; Halcomb, Elizabeth J; Wilkes, Lesley; Jackson, Debra

    2013-04-01

    Foster carers have a significant responsibility in caring for vulnerable children. In order to support and facilitate foster carers it is important to understand how they perceive and fulfil this responsibility. A qualitative story-telling study, informed by feminist perspectives, was used to conduct in-depth, semi-structured interviews with 20 women providing long-term foster care in Australia. Thematic analysis revealed these women characterised themselves as mothers, rather than paid carers, to the long-term foster children in their care. Using this maternal self-perception as the starting point, this paper reveals some of the challenges and difficulties participants encountered when mothering within the confines of the child protection system. Implications for nursing practice are discussed. These implications focus on ways that nurses can effectively support foster carers, thus optimising the health and well-being of the vulnerable children in their care.

  13. Advances in the mechanisms of atherosclerosis vulnerable plague and endoplasmic reticulum stress

    Institute of Scientific and Technical Information of China (English)

    Zhong Zhang; Ruo-Lan Huang; Ru Mo; Ling Wang; Xiao Chang; Mu-Juan Xu

    2016-01-01

    Objective:Ischemic stroke and coronary heart disease occupy the first two place of world health economic burden, atherosclerotic vulnerable plaque rupture as the common factor of these diseases, is thought to be a key target of ischemic cardiovascular and cerebrovascular disease control. Endoplasmic reticulum stress is one of the classical pathway of cell apoptosis. More and more studies have indicated that the endoplasmic reticulum stress pathway was involved in the development of atherosclerotic plaque rupture. In this paper, the three main signal pathways of endoplasmic reticulum stress, including Protein kinase RNA-like ER kinase (PERK), Activating transcription factor 6 (ATF6) and Inositol-requiring protein 1αα(IRE1α) were reviewed. The relationship between the risk factors of atherosclerosis (including hyperlipidemia, hypertension and hyperglycemia) and endoplasmic reticulum stress, and the relationship between major cellular components (macrophages, vascular endothelial cells, vascular smooth muscle cells and vascular smooth muscle cells) of vulnerable plaque and endoplasmic reticulum stress were reviewed.

  14. Coping with global environmental change, disasters and security. Threats, challenges, vulnerabilities and risks

    Energy Technology Data Exchange (ETDEWEB)

    Brauch, Hans Guenter [Freie Univ. Berlin (Germany). Dept. of Political and Social Sciences; UNU-EHS, Bonn (DE). College of Associated Scientists and Advisors (CASA); Oswald Spring, Ursula [National Univ. of Mexico, Cuernavaca (MX). Regional Multidisciplinary Research Centre (CRIM); Mesjasz, Czeslaw [Cracow Univ. of Exonomics (Poland). Faculty of Management; Grin, John [Amsterdam Univ. (Netherlands). Dept. of Political Science; Dutch Knowledge network for Systems Innovations and Transitions (KSI), Amsterdam (Netherlands); Kameri-Mbote, Patricia [Strathmore Univ., Nairobi (Kenya). Dept. of Law; International Environmental Law Research Centre, Nairobi (Kenya); Chourou, Bechir [Univ. of Tunis-Carthage, Hammam-Chatt (Tunisia); Dunay, Pal [Geneva Centre for Security Policy (Switzerland). International Training Course in Security Policy; Birkmann, Joern (eds.) [United Nations Univ. (UNU), Bonn (DE). Inst. for Environment and Human Security (EHS)

    2011-07-01

    This policy-focused Global Environmental and Human Security Handbook for the Anthropo-cene (GEHSHA) addresses new security threats, challenges, vulnerabilities and risks posed by global environmental change and disasters. In 6 forewords, 5 preface essays 95 peer reviewed chapcountries analyse in 10 parts concepts of military and political hard security and economic, social, environmental soft security with a regional focus on the Near East, North and Sub-Sahara Africa and Asia and on hazards in urban centres. The major focus is on coping with global environmental change: climate change, desertification, water, food and health and with hazards and strategies on social vulnerability and resilience building and scientific, international, regional and national political strategies, policies and measures including early warning of conflicts and hazards. The book proposes a political geo-ecology and discusses a 'Fourth Green Revolution' for the Anthropocene era of earth history. (orig.)

  15. Gender Gap in Most Vulnerable Population in India

    Directory of Open Access Journals (Sweden)

    Barun Kumar Mukhopadhyay

    2013-05-01

    Full Text Available Gender bias of some particular section of population is nowadays regarded as an important social issue especially in developing countries. It is overwhelmingly observed mercilessly killing of female fetus even in high societies so on to the extent of young girls where rampant practice of trafficking is happening particularly in some pockets by the so called international agencies. Atrocities of female children starts right from the household level to overall societies where they are considered as economic burden even if they have for long time come under the purview of international bodies like UNICEF, WHO, World Bank and others. The present paper tries to investigate some of the important classifications in regard to the extent and variation of gender issues of population of vulnerable age below 15 years in India. The study analyses the data from the Censuses, National Sample Survey Organization and Sample Registration System of India for various years and tries to see the extent of dissimilarity between male and female children right from their early lives, missing numbers in census, status of health, education and child employment over time. An index of dissimilarity (ID has been used to facilitate the analysis of the data. The study shows that significant gender difference existed in some cases or did not in others in the past. Presently there seem to exist both balance and imbalance between the two sexes in so far as the present data are concerned. Normal 0 false false false EN-US X-NONE AR-SA

  16. Assessment of Vulnerability to Extreme Flash Floods in Design Storms

    Directory of Open Access Journals (Sweden)

    Hyun Il Choi

    2011-07-01

    Full Text Available There has been an increase in the occurrence of sudden local flooding of great volume and short duration caused by heavy or excessive rainfall intensity over a small area, which presents the greatest potential danger threat to the natural environment, human life, public health and property, etc. Such flash floods have rapid runoff and debris flow that rises quickly with little or no advance warning to prevent flood damage. This study develops a flash flood index through the average of the same scale relative severity factors quantifying characteristics of hydrographs generated from a rainfall-runoff model for the long-term observed rainfall data in a small ungauged study basin, and presents regression equations between rainfall characteristics and the flash flood index. The aim of this study is to develop flash flood index-duration-frequency relation curves by combining the rainfall intensity-duration-frequency relation and the flash flood index from probability rainfall data in order to evaluate vulnerability to extreme flash floods in design storms. This study is an initial effort to quantify the flash flood severity of design storms for both existing and planned flood control facilities to cope with residual flood risks due to extreme flash floods that have ocurred frequently in recent years.

  17. Assessment of vulnerability to extreme flash floods in design storms.

    Science.gov (United States)

    Kim, Eung Seok; Choi, Hyun Il

    2011-07-01

    There has been an increase in the occurrence of sudden local flooding of great volume and short duration caused by heavy or excessive rainfall intensity over a small area, which presents the greatest potential danger threat to the natural environment, human life, public health and property, etc. Such flash floods have rapid runoff and debris flow that rises quickly with little or no advance warning to prevent flood damage. This study develops a flash flood index through the average of the same scale relative severity factors quantifying characteristics of hydrographs generated from a rainfall-runoff model for the long-term observed rainfall data in a small ungauged study basin, and presents regression equations between rainfall characteristics and the flash flood index. The aim of this study is to develop flash flood index-duration-frequency relation curves by combining the rainfall intensity-duration-frequency relation and the flash flood index from probability rainfall data in order to evaluate vulnerability to extreme flash floods in design storms. This study is an initial effort to quantify the flash flood severity of design storms for both existing and planned flood control facilities to cope with residual flood risks due to extreme flash floods that have ocurred frequently in recent years.

  18. Molecular weapons against agricultural vulnerability and the war on terror.

    Science.gov (United States)

    Hietela, Sharon K; Ardans, Alex A

    2003-01-01

    The multiple reports in this issue of the Journal from the Agenda for Action conference, coupled with the analysis by the National Academy of Sciences, the National Research Council, and the Auditor General (UK) on bioterror preparedness and homeland security, highlight the immediate need for rapid disease detection and advanced diagnostic capabilities to protect the public health, animal agriculture, and the numerous associated economies in the United States. In response to the potentially devastating consequences that could arise, there is an acute need for rapid detection of a variety of the lethal foreign animal diseases, such as foot-and-mouth disease virus (FMDV), highly pathogenic strains of avian influenza, classical swine fever, rinderpest, exotic Newcastle disease virus (END), and domestic, vesicular look-alike diseases that include bluetongue, epizootic hemorrhagic disease, vesicular stomatitis, bovine herpes IBR, contagious ecthyma, bovine herpes mammilitis virus, vesicular exanthema, malignant catarrhal fever, and papular stomatitis. Some striking advances are occurring in the creation of rapid technology, including microfluidics, robotics, miniaturization, and biostabilization that are quickly being applied to the development of rapid microbial detection assays. These are now providing important weapons to combat this agricultural vulnerability.

  19. Identifying Vulnerabilities and Hardening Attack Graphs for Networked Systems

    Energy Technology Data Exchange (ETDEWEB)

    Saha, Sudip; Vullinati, Anil K.; Halappanavar, Mahantesh; Chatterjee, Samrat

    2016-09-15

    We investigate efficient security control methods for protecting against vulnerabilities in networked systems. A large number of interdependent vulnerabilities typically exist in the computing nodes of a cyber-system; as vulnerabilities get exploited, starting from low level ones, they open up the doors to more critical vulnerabilities. These cannot be understood just by a topological analysis of the network, and we use the attack graph abstraction of Dewri et al. to study these problems. In contrast to earlier approaches based on heuristics and evolutionary algorithms, we study rigorous methods for quantifying the inherent vulnerability and hardening cost for the system. We develop algorithms with provable approximation guarantees, and evaluate them for real and synthetic attack graphs.

  20. Vulnerable subjects? The case of nonhuman animals in experimentation.

    Science.gov (United States)

    Johnson, Jane

    2013-12-01

    The concept of vulnerability is deployed in bioethics to, amongst other things, identify and remedy harms to participants in research, yet although nonhuman animals in experimentation seem intuitively to be vulnerable, this concept and its attendant protections are rarely applied to research animals. I want to argue, however, that this concept is applicable to nonhuman animals and that a new taxonomy of vulnerability developed in the context of human bioethics can be applied to research animals. This taxonomy does useful explanatory work, helping to pinpoint the limitations of the 3Rs/welfare approach currently adopted in the context of animal experimentation. On this account, the 3Rs/welfare approach fails to deliver for nonhuman animals in experimentation because it effectively addresses only one element of their vulnerability (inherent) and paradoxically through the institution of Animal Ethics Committees intended to protect experimental animals in fact generates new vulnerabilities that exacerbate their already precarious situation.

  1. Study on Sustainable Development in Vulnerable Eco-areas

    Institute of Scientific and Technical Information of China (English)

    Zhang Juntao; Li Jin

    2004-01-01

    The vulnerable eco-area is one of the important research targets in the field of sustainable development. It is the requirement of building a welloff society in an all-round way that we should study more on the vulnerable eco-areas, deal with the relationship between environmental protection and economic development, speed up the economic development in these areas and increase the living standard of the local people. This paper puts forward the countermeasures of environment-economy coordination, on the basis of the recognition of ecoenvironment features and social economic conditions in the vulnerable eco-areas of China, in view of the progress in sustainable development studies of the vulnerable ones, taking the transitional areas of farming and pasturing in northeast China as an example to study the regional environment vulnerability.

  2. [Assessment of eco-environmental vulnerability of Hainan Island, China].

    Science.gov (United States)

    Huang, Bao-rong; Ouyang, Zhi-yun; Zhang, Hui-zhi; Zhang, Li-hua; Zheng, Hua

    2009-03-01

    Based on the assessment method of environmental vulnerability constructed by SOPAC and UNEP, this paper constructed an indicator system from three sub-themes including hazard, resistance, and damage to assess the eco-environmental vulnerability of Hainan Island. The results showed that Hainan Island was suffering a middling level eco-environmental hazard, and the main hazards came from some intensive human activities such as intensive agriculture, mass tourism, mining, and a mass of solid wastes thrown by islanders and tourists. Some geographical characters such as larger land area, larger altitude range, integrated geographical form, and abundant habitat types endowed Hainan Island higher resistance to environmental hazards. However, disturbed by historical accumulative artificial and natural hazards, the Island ecosystem had showed serious ecological damage, such as soil degradation and biodiversity loss. Comprehensively considered hazard, resistance, damage, and degradation, the comprehensive environmental vulnerability of the Island was at a middling level. Some indicators showed lower vulnerability, but some showed higher vulnerability.

  3. The Vulnerability of Some Networks including Cycles via Domination Parameters

    Directory of Open Access Journals (Sweden)

    Tufan Turaci

    2016-01-01

    Full Text Available Let G=(V(G,E(G be an undirected simple connected graph. A network is usually represented by an undirected simple graph where vertices represent processors and edges represent links between processors. Finding the vulnerability values of communication networks modeled by graphs is important for network designers. The vulnerability value of a communication network shows the resistance of the network after the disruption of some centers or connection lines until a communication breakdown. The domination number and its variations are the most important vulnerability parameters for network vulnerability. Some variations of domination numbers are the 2-domination number, the bondage number, the reinforcement number, the average lower domination number, the average lower 2-domination number, and so forth. In this paper, we study the vulnerability of cycles and related graphs, namely, fans, k-pyramids, and n-gon books, via domination parameters. Then, exact solutions of the domination parameters are obtained for the above-mentioned graphs.

  4. Analyses Of Two End-User Software Vulnerability Exposure Metrics

    Energy Technology Data Exchange (ETDEWEB)

    Jason L. Wright; Miles McQueen; Lawrence Wellman

    2012-08-01

    The risk due to software vulnerabilities will not be completely resolved in the near future. Instead, putting reliable vulnerability measures into the hands of end-users so that informed decisions can be made regarding the relative security exposure incurred by choosing one software package over another is of importance. To that end, we propose two new security metrics, average active vulnerabilities (AAV) and vulnerability free days (VFD). These metrics capture both the speed with which new vulnerabilities are reported to vendors and the rate at which software vendors fix them. We then examine how the metrics are computed using currently available datasets and demonstrate their estimation in a simulation experiment using four different browsers as a case study. Finally, we discuss how the metrics may be used by the various stakeholders of software and to software usage decisions.

  5. Clinical-Functional Vulnerability Index-20 (IVCF-20): rapid recognition of frail older adults

    Science.gov (United States)

    de Moraes, Edgar Nunes; do Carmo, Juliana Alves; de Moraes, Flávia Lanna; Azevedo, Raquel Souza; Machado, Carla Jorge; Montilla, Dalia Elena Romero

    2016-01-01

    ABSTRACT OBJECTIVE To evaluate the adequacy of the Clinical-Functional Vulnerability Index-20, a rapid triage instrument to test vulnerability in Brazilian older adults, for the use in primary health care. METHODS The study included convenience sample of 397 patients aged older than or equal to 60 years attended at Centro de Referência para o Idoso (Reference Center for Older Adults) and of 52 older adults the same age attended at the community. The results of the questionnaire, consisting of 20 questions, were compared with those of the Comprehensive Geriatric Assessment, considered a reference for identifying frail older adults. Spearman’s correlation was evaluated in the Clinical-Functional Vulnerability Index-20 with the Comprehensive Geriatric Assessment; the validity was verified by the area under the ROC curve; reliability was estimated by the percentage of agreement among evaluators and by the kappa coefficient, both with quadratic weighted. The cut-off point was obtained based on the higher accuracy criterion. Cronbach’s alpha, a measure of internal consistency, was estimated. RESULTS The Spearman’s correlation coefficient was high and positive for both groups (0.792 for older adults attended at the Reference Center and 0.305 for older adults from the community [p < 0.001]). The area under the ROC curve for older adults attended at the Reference Center was substantial (0.903). The cut-off point obtained was six, and older adults with scores in Clinical-Functional Vulnerability Index-20 above that value had strong possibility of being frail. For older adults from the community, the quadratic weighted agreement among evaluators was 99.5%, and the global quadratic weighted kappa coefficient was 0.94. Cronbach’s alpha was high for older adults attended at the Reference Center (0.861) and those attended at the community (0.740). CONCLUSIONS The Clinical-Functional Vulnerability Index-20 questionnaire, in the sample examined, turned out to be positively

  6. Application of Geographically Weighted Regression for Vulnerable Area Mapping of Leptospirosis in Bantul District

    Directory of Open Access Journals (Sweden)

    Prima Widayani

    2017-01-01

    Full Text Available Abstract Geographically Weighted Regression (GWR is regression model that developed for data modeling with continuous respond variable and considering the spatial or location aspect. Leptospirosis case happened in some regions in Indonesia, including in Bantul District, Special Region of Yogyakarta. The purpose of this study are to determine local and global variable in making vulnerable area model of Leptospirosis disease, determine the best type of weighting function and make vulnerable area map of Leptospirosis. Alos satelite imagery as primary data to get settlement and paddy fields area. The others variable are the percentage of population’s age, flood risk, and the number of health facility that obtained from secondary data. Determinant variables that affect locally are flood risk, health facility, percentage of age 25-50 years old and the percentage of settlement area. Meanwhile, independent variable that affects globally is the percentage of paddy fields area. Vulnerability map of Leptospirosis disease resulted from the best GWR model which used weighting function Fixed Bisquare. There are 3 vulnerable area of Leptospirosis disease, high vulnerability area located in the middle of Bantul District, meanwhile the medium and low vulnerability area showed clustered pattern in the side of Bantul District.   Abstrak Geographically Weighted Regression (GWR adalah model regresi yang dikembangkan untuk memodelkan data dengan variabel respon yang bersifat kontinu dan mempertimbangkan aspek spasial atau lokasi.  Kejadian Leptospirosis terjadi di beberapa wilayah di Indonesia termasuk di wilayah Kabupaten Bantul Daerah Istimewa Yogyakarta. Tujuan dari penelitian ini adalah menentukan variabel lokal dan global dalam membuat model  kerentanan Leptospirosis dan menentukan jenis fungsi pembobot yang terbaik serta membuat peta kerentanan wilayah Leptospirosis menggunakan aplikasi GWR. Citra Satelit Alos digunakan untuk mendapatkan data penggunaan

  7. Measuring total mercury due to small-scale gold mining activities to determine community vulnerability in Cihonje, Central Java, Indonesia.

    Science.gov (United States)

    Sari, Mega M; Inoue, Takanobu; Matsumoto, Yoshitaka; Yokota, Kuriko

    2016-01-01

    This research is comparative study of gold mining and non-gold mining areas, using four community vulnerability indicators. Vulnerability indicators are exposure degree, contamination rate, chronic, and acute toxicity. Each indicator used different samples, such as wastewater from gold mining process, river water from Tajum river, human hair samples, and health questionnaire. This research used cold vapor atomic absorption spectrometry to determine total mercury concentration. The result showed that concentration of total mercury was 2,420 times than the maximum content of mercury permitted in wastewater based on the Indonesian regulation. Moreover, the mercury concentration in river water reached 685 ng/l, exceeding the quality threshold standards of the World Health Organization (WHO). The mercury concentration in hair samples obtained from the people living in the research location was considered to identify the health quality level of the people or as a chronic toxicity indicator. The highest mercury concentration--i.e. 17 ng/mg, was found in the gold mining respondents. Therefore, based on the total mercury concentration in the four indicators, the community in the gold mining area were more vulnerable to mercury than communities in non-gold mining areas. It was concluded that the community in gold mining area was more vulnerable to mercury contamination than the community in non-gold mining area.

  8. Transplanting supersites of HIV-1 vulnerability.

    Directory of Open Access Journals (Sweden)

    Tongqing Zhou

    Full Text Available One strategy for isolating or eliciting antibodies against a specific target region on the envelope glycoprotein trimer (Env of the human immunodeficiency virus type 1 (HIV-1 involves the creation of site transplants, which present the target region on a heterologous protein scaffold with preserved antibody-binding properties. If the target region is a supersite of HIV-1 vulnerability, recognized by a collection of broadly neutralizing antibodies, this strategy affords the creation of "supersite transplants", capable of binding (and potentially eliciting antibodies similar to the template collection of effective antibodies. Here we transplant three supersites of HIV-1 vulnerability, each targeted by effective neutralizing antibodies from multiple donors. To implement our strategy, we chose a single representative antibody against each of the target supersites: antibody 10E8, which recognizes the membrane-proximal external region (MPER on the HIV-1 gp41 glycoprotein; antibody PG9, which recognizes variable regions one and two (V1V2 on the HIV-1 gp120 glycoprotein; and antibody PGT128 which recognizes a glycopeptide supersite in variable region 3 (glycan V3 on gp120. We used a structural alignment algorithm to identify suitable acceptor proteins, and then designed, expressed, and tested antigenically over 100-supersite transplants in a 96-well microtiter-plate format. The majority of the supersite transplants failed to maintain the antigenic properties of their respective template supersite. However, seven of the glycan V3-supersite transplants exhibited nanomolar affinity to effective neutralizing antibodies from at least three donors and recapitulated the mannose9-N-linked glycan requirement of the template supersite. The binding of these transplants could be further enhanced by placement into self-assembling nanoparticles. Essential elements of the glycan V3 supersite, embodied by as few as 3 N-linked glycans and ∼ 25 Env residues, can be

  9. Regional vulnerability of longitudinal cortical association connectivity

    Directory of Open Access Journals (Sweden)

    Rafael Ceschin

    2015-01-01

    Full Text Available Preterm born children with spastic diplegia type of cerebral palsy and white matter injury or periventricular leukomalacia (PVL, are known to have motor, visual and cognitive impairments. Most diffusion tensor imaging (DTI studies performed in this group have demonstrated widespread abnormalities using averaged deterministic tractography and voxel-based DTI measurements. Little is known about structural network correlates of white matter topography and reorganization in preterm cerebral palsy, despite the availability of new therapies and the need for brain imaging biomarkers. Here, we combined novel post-processing methodology of probabilistic tractography data in this preterm cohort to improve spatial and regional delineation of longitudinal cortical association tract abnormalities using an along-tract approach, and compared these data to structural DTI cortical network topology analysis. DTI images were acquired on 16 preterm children with cerebral palsy (mean age 5.6 ± 4 and 75 healthy controls (mean age 5.7 ± 3.4. Despite mean tract analysis, Tract-Based Spatial Statistics (TBSS and voxel-based morphometry (VBM demonstrating diffusely reduced fractional anisotropy (FA reduction in all white matter tracts, the along-tract analysis improved the detection of regional tract vulnerability. The along-tract map-structural network topology correlates revealed two associations: (1 reduced regional posterior–anterior gradient in FA of the longitudinal visual cortical association tracts (inferior fronto-occipital fasciculus, inferior longitudinal fasciculus, optic radiation, posterior thalamic radiation correlated with reduced posterior–anterior gradient of intra-regional (nodal efficiency metrics with relative sparing of frontal and temporal regions; and (2 reduced regional FA within frontal–thalamic–striatal white matter pathways (anterior limb/anterior thalamic radiation, superior longitudinal fasciculus and cortical spinal tract

  10. Democracy and Women's Health

    Directory of Open Access Journals (Sweden)

    Jalil Safaei

    2009-07-01

    Full Text Available New research on broader determinants of health has culminated into the new paradigm of social determinants of health. The fundamental view that underlies this new paradigm is that socioeconomic and political contexts in which people live have significant bearing upon their health and well-being. Unlike a wealth of research on socioeconomic determinants, few studies have focused on the role of political factors. Some of these studies examine the role of political determinants on health through their mediation with the labour environments and systems of welfare state. A few others study the relationship between polity regimes and population health more directly.However, none of them have a focus on women's health.This study explores the interactions, both direct and indirect, between democracy and women's health. In doing so, it identifies some of the main health vulnerabilities for women and explains, through a conceptual model, how democracy and respect for human rights interacts with women's health.

  11. Assessing social capacity and vulnerability of private households to natural hazards – integrating psychological and governance factors

    Directory of Open Access Journals (Sweden)

    J. Werg

    2013-06-01

    Full Text Available People are unequally affected by extreme weather events in terms of mortality, morbidity and financial losses; this is the case not only for developing, but also for industrialized countries. Previous research has established indicators for identifying who is particularly vulnerable and why, focusing on socio-demographic factors such as income, age, gender, health and minority status. However, these factors can only partly explain the large disparities in the extent to which people are affected by natural hazards. Moreover, these factors are usually not alterable in the short to medium term, which limits their usefulness for strategies of reducing social vulnerability and building social capacity. Based on a literature review and an expert survey, we propose an approach for refining assessments of social vulnerability and building social capacity by integrating psychological and governance factors.

  12. Assessing Vulnerability to Chronic Undernutrition among Under-Five Children in Egypt: Contextual Determinants of an Individual Consequence

    Directory of Open Access Journals (Sweden)

    Sumit Mazumdar

    2012-01-01

    Full Text Available Nutritional outcomes remain an important development indicator and reflect a household's vulnerability to improved quality of life. Drawing upon recent household survey data from Egypt, this paper applies hierarchical models to test the effect of contextual factors on chronic undernutrition among under-five children and identifies the demographic and socioeconomic characteristics that underscore such vulnerability. Results indicate considerable neighborhood effects influencing a household’s nutritional choices. However, no significant effect could be identified for mother’s education and women’s decision-making power, but a clear positive association is evident between nutritional status and better health service utilization as well as child care and feeding practices. Focused intervention strategies need to augment household level behavioral change for these identified factors and supplement such individual efforts with targeted strategies aimed at vulnerable Egyptian communities to reduce child undernutrition.

  13. A WebGIS tool for visualizing and exploring socioeconomic vulnerability to dengue fever in Cali, Colombia

    Directory of Open Access Journals (Sweden)

    Stefan Kienberger

    2013-11-01

    Full Text Available WebGIS tools have the potential to disseminate the outputs of spatial vulnerability assessments to a wide range of communities, including public health decision-makers. Based on a previous assessment of socioeconomic vulnerability to dengue fever in Cali, Colombia, we developed and used a WebGIS tool to facilitate the visualization, exploration and dissemination of prevailing vulnerabilities to dengue fever in an interactive online environment. Results show that the tool presented here has distinct implications for policy and decision-making as it facilitates spatial prioritisation, both with respect to the intervention areas and the intervention measures needed to reduce human susceptibility and strengthen resilience to the disease.

  14. Quantum key distribution: vulnerable if imperfectly implemented

    Science.gov (United States)

    Leuchs, G.

    2013-10-01

    We report several vulnerabilities found in Clavis2, the flagship quantum key distribution (QKD) system from ID Quantique. We show the hacking of a calibration sequence run by Clavis2 to synchronize the Alice and Bob devices before performing the secret key exchange. This hack induces a temporal detection efficiency mismatch in Bob that can allow Eve to break the security of the cryptosystem using faked states. We also experimentally investigate the superlinear behaviour in the single-photon detectors (SPDs) used by Bob. Due to this superlinearity, the SPDs feature an actual multi-photon detection probability which is generally higher than the theoretically-modelled value. We show how this increases the risk of detector control attacks on QKD systems (including Clavis2) employing such SPDs. Finally, we review the experimental feasibility of Trojan-horse attacks. In the case of Clavis2, the objective is to read Bob's phase modulator to acquire knowledge of his basis choice as this information suffices for constructing the raw key in the Scarani-Acin-Ribordy-Gisin 2004 (SARG04) protocol. We work in close collaboration with ID Quantique and for all these loopholes, we notified them in advance. Wherever possible, we or ID Quantique proposed countermeasures and they implemented suitable patches and upgrade their systems.

  15. Hunger mapping: food insecurity and vulnerability information.

    Science.gov (United States)

    1997-12-01

    Save the Children Foundation (SCF), a nongovernmental organization (NGO), developed the "household food economy analysis" to assess the needs of an area or population facing acute food insecurity. This method considers all of the ways people secure access to food and illustrates the distribution of various food supplies in pie charts that allow comparison of the percentage contribution of each option during a normal year and a "bad" year. Data are gathered through the use of key informants, and the analysis permits identification of ways to support local initiatives and to target assistance. As a result of this work, SCF and another NGO, Helen Keller International, attended a March 1997 expert consultation organized by the UN Food and Agriculture Organization (FAO) to create a workplan for the Food Insecurity and Vulnerability Information and Mapping System (FIVIMS) called for in the World Food Summit Plan of Action. The consultation adopted use of the FAO's food and balance sheet approach, despite its limitations, and determined that indicators should be location- and time-specific as well as 1) simple and reliable, 2) readily available, 3) social and anthropometric, and 4) found at all levels. The consultation also recommended combination of the key informant and the indicator approach to data collection. Finally, the consultation identified appropriate actions that should be accomplished before the 1998 meeting of the FAO's Committee on World Food Security.

  16. Vulnerability of particularly valuable areas. Summary

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-01

    This report is part of the scientific basis for the management plan for the North Sea and Skagerrak. The report focuses on the vulnerability of particularly valuable areas to petroleum activities, maritime transport, fisheries, land-based and coastal activities and long-range transboundary pollution. A working group with representatives from many different government agencies, headed by the Institute of Marine Research and the Directorate for Nature Management, has been responsible for drawing up the present report on behalf of the Expert Group for the North Sea and Skagerrak. The present report considers the 12 areas that were identified as particularly valuable during an earlier stage of the management plan process on the environment, natural resources and pollution. There are nine areas along the coast and three open sea areas in the North Sea that were identified according to the same predefined criteria as used for the management plans for the Barents Sea: Lofoten area and the Norwegian Sea. The most important criteria for particularly valuable areas are importance for biological production and importance for biodiversity.(Author)

  17. An integrated approach to vulnerability assessment.

    Energy Technology Data Exchange (ETDEWEB)

    Tidwell, Vincent Carroll; Jurado, Sariah Ruth (University of New Mexico, Albuquerque, NM); Silva, Consuelo Juanita

    2005-03-01

    How might the quality of a city's delivered water be compromised through natural or malevolent causes? What are the consequences of a contamination event? What water utility assets are at greatest risk to compromise? Utility managers have been scrambling to find answers to these questions since the events of 9/11. However, even before this date utility mangers were concerned with the potential for system contamination through natural or accidental causes. Unfortunately, an integrated tool for assessing both the threat of attack/failure and the subsequent consequence is lacking. To help with this problem we combine Markov Latent Effects modeling for performing threat assessment calculations with the widely used pipe hydraulics/transport code, EPANET, for consequences analysis. Together information from these models defines the risk posed to the public due to natural or malevolent contamination of a water utility system. Here, this risk assessment framework is introduced and demonstrated within the context of vulnerability assessment for water distribution systems.

  18. Tracking Nile Delta vulnerability to Holocene change.

    Directory of Open Access Journals (Sweden)

    Nick Marriner

    Full Text Available Understanding deltaic resilience in the face of Holocene climate change and human impacts is an important challenge for the earth sciences in characterizing the full range of present and future wetland responses to global warming. Here, we report an 8000-year mass balance record from the Nile Delta to reconstruct when and how this sedimentary basin has responded to past hydrological shifts. In a global Holocene context, the long-term decrease in Nile Delta accretion rates is consistent with insolation-driven changes in the 'monsoon pacemaker', attested throughout the mid-latitude tropics. Following the early to mid-Holocene growth of the Nile's deltaic plain, sediment losses and pronounced erosion are first recorded after ~4000 years ago, the corollaries of falling sediment supply and an intensification of anthropogenic impacts from the Pharaonic period onwards. Against the backcloth of the Saharan 'depeopling', reduced river flow underpinned by a weakening of monsoonal precipitation appears to have been particularly conducive to the expansion of human activities on the delta by exposing productive floodplain lands for occupation and irrigation agriculture. The reconstruction suggests that the Nile Delta has a particularly long history of vulnerability to extreme events (e.g. floods and storms and sea-level rise, although the present sediment-starved system does not have a direct Holocene analogue. This study highlights the importance of the world's deltas as sensitive archives to investigate Holocene geosystem responses to climate change, risks and hazards, and societal interaction.

  19. VULNERABILITIES IN ACHIEVING AGRICULTURAL POTENTIAL OF ROMANIA

    Directory of Open Access Journals (Sweden)

    Cristian TEODOR

    2014-10-01

    Full Text Available The land fund of Romania represents a huge potential for agriculture. The potential has proved difficult to achieve, and among the main vulnerabilities researched lately, we have identified the decline in consumption of vegetable crops, fruit and meat, determined by the declining purchasing power in Romania and the European Union's common market. Therefore the degree of achievement of the agricultural potential is directly influenced by economic developments in Romania and EU Member States. The technical endowment of Romanian farmers is an old and still unresolved problem. Even though Romania has benefited from EU pre-accession funds and still benefits from it, they proved to be a poor solution for Romanian farmers with farm machinery equipment. Indicator analysis of the evolution of the number