Hierarchical Synthesis of Coastal Ecosystem Health Indicators at Karimunjawa National Marine Park

Science.gov (United States)

Danu Prasetya, Johan; Ambariyanto; Supriharyono; Purwanti, Frida

2018-02-01

The coastal ecosystem of Karimunjawa National Marine Park (KNMP) is facing various pressures, including from human activity. Monitoring the health condition of coastal ecosystems periodically is needed as an evaluation of the ecosystem condition. Systematic and consistent indicators are needed in monitoring of coastal ecosystem health. This paper presents hierarchical synthesis of coastal ecosystem health indicators using Analytic Hierarchy Process (AHP) method. Hierarchical synthesis is obtained from process of weighting by paired comparison based on expert judgments. The variables of coastal ecosystem health indicators in this synthesis consist of 3 level of variable, i.e. main variable, sub-variable and operational variable. As a result of assessment, coastal ecosystem health indicators consist of 3 main variables, i.e. State of Ecosystem, Pressure and Management. Main variables State of Ecosystem and Management obtain the same value i.e. 0.400, while Pressure value was 0.200. Each main variable consist of several sub-variable, i.e. coral reef, reef fish, mangrove and seagrass for State of Ecosystem; fisheries and marine tourism activity for Pressure; planning and regulation, institutional and also infrastructure and financing for Management. The highest value of sub-variable of main variable State of Ecosystem, Pressure and Management were coral reef (0.186); marine tourism pressure (0.133) and institutional (0.171), respectively. The highest value of operational variable of main variable State of Ecosystem, Pressure and Management were percent of coral cover (0.058), marine tourism pressure (0.133) and presence of zonation plan, regulation also socialization of monitoring program (0.53), respectively. Potential pressure from marine tourism activity is the variable that most affect the health of the ecosystem. The results of this research suggest that there is a need to develop stronger conservation strategies to facing with pressures from marine tourism

Coastal Zone Act Reauthorization Amendments (CZARA) Section 6217

Science.gov (United States)

The Coastal Nonpoint Pollution Control Program (Section 6217) addresses nonpoint pollution problems in coastal waters.In its program, a state or territory describes how it will implement nonpoint source pollution controls, known as management measures.

Study on the cumulative impact of reclamation activities on ecosystem health in coastal waters.

Science.gov (United States)

Shen, Chengcheng; Shi, Honghua; Zheng, Wei; Li, Fen; Peng, Shitao; Ding, Dewen

2016-02-15

The purpose of this study is to develop feasible tools to investigate the cumulative impact of reclamations on coastal ecosystem health, so that the strategies of ecosystem-based management can be applied in the coastal zone. An indicator system and model were proposed to assess the cumulative impact synthetically. Two coastal water bodies, namely Laizhou Bay (LZB) and Tianjin coastal waters (TCW), in the Bohai Sea of China were studied and compared, each in a different phase of reclamations. Case studies showed that the indicator scores of coastal ecosystem health in LZB and TCW were 0.75 and 0.68 out of 1.0, respectively. It can be concluded that coastal reclamations have a historically cumulative effect on benthic environment, whose degree is larger than that on aquatic environment. The ecosystem-based management of coastal reclamations should emphasize the spatially and industrially intensive layout. Copyright © 2015 Elsevier Ltd. All rights reserved.

76 FR 80342 - Coastal Zone Management Program: Illinois

Science.gov (United States)

2011-12-23

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Coastal Zone Management... program under the Coastal Zone Management Act (CZMA), as amended at 16 U.S.C. 1451-1466, and the...). SUPPLEMENTARY INFORMATION: The Coastal Zone Management Act authorizes the Secretary of Commerce (Secretary) to...

24 CFR 574.645 - Coastal barriers.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Coastal barriers. 574.645 Section....645 Coastal barriers. In accordance with the Coastal Barrier Resources Act, 16 U.S.C. 3501, no financial assistance under this part may be made available within the Coastal Barrier Resources System. ...

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.

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.

Proxy measures of fitness suggest coastal fish farms can act as population sources and not ecological traps for wild gadoid fish.

Directory of Open Access Journals (Sweden)

Tim Dempster

Full Text Available BACKGROUND: Ecological traps form when artificial structures are added to natural habitats and induce mismatches between habitat preferences and fitness consequences. Their existence in terrestrial systems has been documented, yet little evidence suggests they occur in marine environments. Coastal fish farms are widespread artificial structures in coastal ecosystems and are highly attractive to wild fish. METHODOLOGY/PRINCIPAL FINDINGS: To investigate if coastal salmon farms act as ecological traps for wild Atlantic cod (Gadus morhua and saithe (Pollachius virens, we compared proxy measures of fitness between farm-associated fish and control fish caught distant from farms in nine locations throughout coastal Norway, the largest coastal fish farming industry in the world. Farms modified wild fish diets in both quality and quantity, thereby providing farm-associated wild fish with a strong trophic subsidy. This translated to greater somatic (saithe: 1.06-1.12 times; cod: 1.06-1.11 times and liver condition indices (saithe: 1.4-1.8 times; cod: 2.0-2.8 times than control fish caught distant from farms. Parasite loads of farm-associated wild fish were modified from control fish, with increased external and decreased internal parasites, however the strong effect of the trophic subsidy overrode any effects of altered loads upon condition. CONCLUSIONS AND SIGNIFICANCE: Proxy measures of fitness provided no evidence that salmon farms function as ecological traps for wild fish. We suggest fish farms may act as population sources for wild fish, provided they are protected from fishing while resident at farms to allow their increased condition to manifest as greater reproductive output.

Mercury speciation in coastal sediments from the central east coast of India by modified BCR method.

Digital Repository Service at National Institute of Oceanography (India)

Chakraborty, P.; Babu, P.V.R.; Vudamala, K.; Ramteke, D.; Chennuri, K.

pervasiveness and adverse effects on wildlife and human health (US EPA, 1997). The high biomagnifications rate of Hg in food chain, makes this metal of the most environmental concern (Fitzgerald et al., 2007; Morel et al., 1998). Global oceans, coastal zones... been reported that coastal sediments act both as a sink and source for toxic metals (Chakraborty et al., 2012b). Sediment contamination in the coastal areas is a major environmental issue because of its potential toxic effects on biological resources...

Quantification of risks to coastal areas and development: wave run-up and erosion

CSIR Research Space (South Africa)

Theron, A

2010-09-01

Full Text Available In support of the effective implementation of the Integrated Coastal Management Act (Act No 24 of 2008), a review is presented of coastal hazard assessment methods. In particular the ICM Act legislates the establishment or change of coastal setback...

Coastal Wetlands Protection Act: Case of Apalachicola-Chattahoochee-Flint (ACF) River

OpenAIRE

Latif Gürkan KAYA

2007-01-01

Coastal wetlands, being important components of estuarine and coastal systems, stand for all publicly owned lands subject to the ebb and flow of the tide. They are below the watermark of ordinary high tide. The coastal wetlands contain a vital natural resource system. The coastal wetlands resource system, unless impossible, to reconstruct or rehabilitate once adversely affected by human. In the USA, the Apalachicola-Chattahoochee-Flint (ACF) river states (i.e. Georgia, Alabama and Florida) ha...

78 FR 7402 - Proposed Information Collection; Comment Request; Paperwork Submissions Under the Coastal Zone...

Science.gov (United States)

2013-02-01

... Collection; Comment Request; Paperwork Submissions Under the Coastal Zone Management Act Federal Consistency... collection. A number of paperwork submissions are required by the Coastal Zone Management Act (CZMA) federal... used by coastal states with federally-approved Coastal Zone Management Programs to determine if Federal...

32 CFR 643.33 - Policy-Coastal zone management.

Science.gov (United States)

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Policy-Coastal zone management. 643.33 Section... PROPERTY REAL ESTATE Policy § 643.33 Policy—Coastal zone management. (a) The Coastal Zone Management Act of... affecting the coastal zone of a state, to conduct or support those activities in a manner which is, to the...

Coastal Wetlands Protection Act: Case of Apalachicola-Chattahoochee-Flint (ACF River

Directory of Open Access Journals (Sweden)

Latif Gürkan KAYA

2007-01-01

Full Text Available Coastal wetlands, being important components of estuarine and coastal systems, stand for all publicly owned lands subject to the ebb and flow of the tide. They are below the watermark of ordinary high tide. The coastal wetlands contain a vital natural resource system. The coastal wetlands resource system, unless impossible, to reconstruct or rehabilitate once adversely affected by human. In the USA, the Apalachicola-Chattahoochee-Flint (ACF river states (i.e. Georgia, Alabama and Florida have variation in the structure and the function of their wetland program affecting the ACF river basins' wetlands. Although some states have no special wetlands program, they have permits and water quality certification for these areas. Some state programs affect state agencies while local government implements other programs.

Long-term spatiotemporal trends and health risk assessment of oyster arsenic levels in coastal waters of northern South China Sea.

Science.gov (United States)

Wang, Xuefeng; Wang, Lifei; Jia, Xiaoping; Jackson, Donald A

2017-09-01

Long-term spatiotemporal trends and health risk assessment of oyster arsenic levels in the coastal waters of northern South China Sea were investigated in order to help improve the quality and safety control and sustainable aquaculture for mollusks in China. Cultured oysters (Crassostrea rivularis) collected from the waters of 23 bays, harbors, and estuaries along the coast of northern South China Sea from 1989 to 2012 were examined for spatial patterns and long-term temporal trends of oyster arsenic levels. Single-factor index and health risk assessment were used to quantify arsenic exposure to human health through oyster consumption. Overall, arsenic was detected in 97.4% of the oyster samples, and oyster arsenic levels were non-detectable-2.51 mg/kg with an average of 0.63 ± 0.54 mg/kg. Oyster arsenic levels in the coastal waters of northern South China Sea showed an overall decline from 1989 to 2012, remained relatively low since 2005, and slightly increased after 2007. Oyster arsenic levels in Guangdong coastal waters were much higher with more variation than in Guangxi and Hainan coastal waters, and the long-term trends of oyster arsenic levels in Guangdong coastal waters dominated the overall trends of oyster arsenic levels in the coastal waters of northern South China Sea. Within Guangdong Province, oyster arsenic levels were highest in east Guangdong coastal waters, followed by the Pearl River estuary and west Guangdong coastal waters. Single-factor index ranged between 0.27 and 0.97, and average health risk coefficient was 3.85 × 10 -5 , both suggesting that oyster arsenic levels in northern South China Sea are within the safe range for human consumption. However, long-term attention should be given to seafood market monitoring in China and the risk of arsenic exposure to human health through oyster consumption.

Vancouver Coastal Health's Second Generation Health Strategy: A need for a reboot?

Science.gov (United States)

Masuda, Jeffrey R; Chan, Sophy

2017-03-01

In this commentary, we consider the motivations and implications of Vancouver Coastal Health's place-based population health strategy called the Downtown Eastside Second Generation Health Strategy (2GHS) in light of a broader historical view of shifting values in population and public health and structural health reforms in Canada over the past three decades. We argue that the tone and content of the 2GHS signals a shift towards a neoliberal clientelist model of health that treats people as patients and the DTES as a site of clinical encounter rather than as a community in its own right. In its clinical emphasis, the 2GHS fails to recognize the political dimension of health and well-being in the DTES, a community that faces compounding health risks associated with colonialism, gentrification, human displacement, the criminalization of poverty, sex work, and the street economy. Furthermore, we suggest that in its emphasis on allocating funding based on a rationalist model of health system access, the 2GHS undermines well-established insights and best practices from community-driven health initiatives. Our aim is to provide a provocation that will encourage public health policy-makers to embrace community-based leadership as well as the broader structural health determinants that are at the root of the current circumstances of people in the DTES and other marginalized communities in Canada.

Dental health and alimentation among the Quintana Roo Mayas: coastal and inland sites of the classic-postclassic periods.

Science.gov (United States)

Ortega-Muñoz, Allan

2015-01-01

The goal of this study is to compare both dental and skeletal stress indicators of the Classic and Postclassic coastal and inland sites of the State of Quintana Roo, Mexico. The hypothesis is that coastal populations will show osteo and dental pathologies characteristic of a primarily marine food source combined with a diet of horticultural resources. This kind of alimentation provides people with less environmental stress and therefore a better health status. However, over time, in the Postclassic period, the health conditions deteriorated among both coastal and inland inhabitants, according to the hierarchization of the society, militarization, and commercial activities of all the coastal sites. The sample was drawn from 19 sites (196 individuals of both sexes) from the east coast of the Yucatan Peninsula, as well as from inland localities within the boundaries of Quintana Roo. Both dental and osteological stress indicators were analyzed, and crosstabs were applied for absolute and relative frequencies and their corresponding χ(2) and F Fisher analyses. The osteopathological index of the coastal and inland sites of the Classic period were compared over time between the Classic coastal inhabitants and the Postclassic coastal inhabitants so as to understand how life conditions changed over time. The Mantel-Haenszel odds ratio, with the crosstabs controlling for sex (males and females), was also carried out. There are low frequencies of dental pathologies and anemia present in both the coastal and inland populations of Quintana Roo in the Classic and Postclassic times. Only the presence of periostitis is highly common in both types of site, and this is the only indicator with significant differences. The dental pathologies, anemia and periostitis, in general, present a slight upward trend in both the coastal and inland populations over time. The coastal populations have fewer frequencies of the above than the inland sites whilst, in the Postclassic period, both the

75 FR 22103 - Atlantic Coastal Fisheries Cooperative Management Act Provisions; Atlantic Coastal Shark Fishery

Science.gov (United States)

2010-04-27

... species of sharks, including basking, great hammerhead, scalloped hammerhead, white, dusky, tiger, sand... Plan for Atlantic Coastal Sharks (Plan) and that the measures New Jersey has failed to implement and enforce are necessary for the conservation of the shark resource. This determination is consistent with...

40 CFR 131.41 - Bacteriological criteria for those states not complying with Clean Water Act section 303(i)(1)(A).

Science.gov (United States)

2010-07-01

... Act for use for swimming, bathing, surfing, or similar water contact activities. Coastal recreation... indicator densities are not indicative of a human health risk. (2) Marine waters: AIndicator BGeometric mean... epidemiological study shows that the indicator densities are not indicative of a human health risk. (3) As an...

32 CFR 644.318 - Compliance with State Coastal Zone Management Programs.

Science.gov (United States)

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Compliance with State Coastal Zone Management... (CONTINUED) REAL PROPERTY REAL ESTATE HANDBOOK Disposal § 644.318 Compliance with State Coastal Zone Management Programs. Subpart H will outline the provisions of the Coastal Zone Management Act of 1972, as...

Nigeria's national health act 2014: a review of some of its ...

African Journals Online (AJOL)

Nigeria's National Health Act 2014 was enacted on the 31st of October, 2014. The Act which provides a legal framework for the regulation and management of Nigeria's national health system, bristles with implications such as the need for improved political commitment by government to the health of Nigerians, improved ...

Coastal terrorism: using tabletop discussions to enhance coastal community infrastructure through relationship building.

Science.gov (United States)

Richter, Jane; Livet, Melanie; Stewart, Jill; Feigley, Charles E; Scott, Geoff; Richter, Donna L

2005-11-01

The unique vulnerability of the nation's ports to terrorist attacks and other major disasters requires development of specialized training approaches that integrate and connect critical stakeholders. In 2003, the University of South Carolina Center for Public Health Preparedness developed and held its first Coastal Terrorism workshop in conjunction with the National Oceanic and Atmospheric Administration. Key federal, regional, state, and coastal agency leaders were invited to the 2-day event to explore, in a no-risk environment, the crucial role that public health agencies would play in a covert biological agent incident aboard a cruise ship. The incident began as a possible outbreak of a Norwalk-like viral agent; however, as the scenario unfolded, evidence of a terrorist plot emerged. This immediately shifted the scenario from a public health-dominated incident to one directed by law enforcement. Communication and coordination issues surfaced illustrating potential conflicts between disciplines and jurisdictions in terms of roles and responsibilities of responding agencies. The goals of the workshop were to facilitate communication and interagency networking among coastal stakeholders while assessing their training and research needs and increasing their familiarity with resources and protocols regarding a bioterrorist coastal event. Positive systems changes were observed.

Environmental perverse incentives in coastal monitoring.

Science.gov (United States)

Gibbs, Mark T

2013-08-15

It can be argued that the intensity of monitoring of coastal marine environments lags behind the equivalent terrestrial environments. This results in a paucity of long-term time series of key environmental parameters such as turbidity. This lack of management information of the sources and sinks, and causes and impacts of stressors to the coastal marine environment, along with a lack of co-ordination of information collection is compromising the ability of environmental impact assessments of major coastal developments to discriminate between local and remote anthropogenic impacts, and natural or background processes. In particular, the quasi outsourcing of the collection of coastal information can lead to a perverse incentive whereby in many cases nobody is actively or consistently monitoring the coastal marine environment effectively. This is particularly the case with regards to the collection of long-term and whole-of-system scale data. This lack of effective monitoring can act to incentivise poor environmental performance. Copyright © 2013 Elsevier Ltd. All rights reserved.

Acceptance and Commitment Group Therapy (ACT-G) for health anxiety.

Science.gov (United States)

Eilenberg, Trine

2016-10-01

Health anxiety is prevalent (5-9%) in all healthcare settings and in the general population, may have an early onset, and a poor prognosis is seen in severe cases if untreated. Research shows that health anxiety is rarely diagnosed though it causes great suffering for the individual and constitutes a substantial socio-economic burden. Studies have shown that individual cognitive behavioural therapy can relieve health anxiety, but these studies are affected by methodological problems, among others, struggling with patients declining participation, high dropout rates, and some patients not responding to the treatment. Moreover, the impact of health anxiety on sick leave is only scarcely examined. This thesis examines the effect of a new treatment approach, group-based Acceptance & Commitment Therapy (ACT-G) for patients with severe health anxiety in an uncontrolled pilot study and a randomised controlled study (RCT) on ACT-G compared with a 10-month waitlist control condition (paper I and II). Also, the thesis comprises a study on sick leave in patients with health anxiety compared with the general population during a 5-year period and the effect of ACT-G on sick leave. The findings from this study are described in paper III. Patients (age 20-60 years) consecutively referred from general practitioners from Jutland and Funen in the period of March 2010 - April 2012  (approx. 2.5 million citizens) to the Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, were included. The pilot study included 34 patients, the RCT on ACT-G included 126 patients. In the RCT, patients were block-randomised to either ACT-G and received treatment in 7 groups of each 9 patients in the period of December 2010 - October 2012, or to a 10-month waitlist control group. The primary outcome measure was the Whiteley-7 paper and pencil index for illness worrying. The last paper is based on data on sickness-related benefits from the DREAM social register of

Recent Cases: Administrative Law--Occupational Safety and Health Act

Science.gov (United States)

Harvard Law Review, 1976

1976-01-01

Implications of the Occupational Safety and Health Act of 1970 are described in two cases: Brennan v. Occupational Safety and Health Review Commission (Underhill Construction Corp.), and Anning-Johnson Co. v. United States Occupational Safety and Health Review Commission. (LBH)

Legislation Amendment Impact on Coastal Management Pattern: An Edge of Chaos towards Punctuated Equilibrium

Science.gov (United States)

Rahmawati, Dian

2017-07-01

Management of coastal areas and small islands in Indonesia refers to a set of coordination consists of planning, utilizing, monitoring, and controlling coastal resources that are carried out by every level of the government and many related sectors. An alteration has occurred in National Act about Local Government, Act No. 23/2014, which has the implications in the coastal management territorial zone. The issues started by the shifting of the seaward delineation authorities, it is stated that from 0 - 12 Nautical Miles (nmi) are under provincial government which previously 0 - 4 nmi were under city government, and 4 - 12 nmi were under provincial government. That said, there are no territorial management that is handled by the city/local government, including permit regulation. In hierarchy, provincial government are in upper level than city government. Chaos are happening especially in the context of authorities’ management level, but to reach the main purpose of the National Act there should be an equilibrium point to normalize the situation and get the stakeholders understand the principles and keep engaged in the new form of management. This article aims to assess the impact of the National Act alteration to the sustainability of coastal management. A case study to simplify the model is in the East Java province. Theoretical framework to assess the alteration impact were related to Integrated Coastal Zone Management principles and regulatory review of the coastal zones. The analytical methods used in this article is descriptive comparative to observe the alteration in the pattern of coastal zone management variables. The comparative study was then mapped in a flow diagram to be compared on different management situation. As a result, significant changes were revealed in the pattern of the coastal management factors: (i) Authorities delineation; (ii) Planning documents; (iii) Permit system; (iv) Control; and (iii) Program Accreditation.

Coastal proximity and physical activity: Is the coast an under-appreciated public health resource?

Science.gov (United States)

White, Mathew P; Wheeler, Benedict W; Herbert, Stephen; Alcock, Ian; Depledge, Michael H

2014-12-01

Recent findings suggest that individuals living near the coast are healthier than those living inland. Here we investigated whether this may be related to higher levels of physical activity among coastal dwellers in England, arising in part as a result of more visits to outdoor coastal settings. Participants (n=183,755) were drawn from Natural England's Monitor of Engagement with the Natural Environment Survey (2009-2012). Analyses were based on self-reported physical activity for leisure and transport. A small, but significant coastal proximity gradient was seen for the likelihood of achieving recommended guidelines of physical activity a week after adjusting for relevant area and individual level controls. This effect was statistically mediated by the likelihood of having visited the coast in the last seven days. Stratification by region, however, suggested that while the main effect was relatively strong for west coast regions, it was not significant for those in the east. In general, our findings replicate and extend work from Australia and New Zealand. Further work is needed to explain the marked regional differences in the relationship between coastal proximity and physical activity in England to better understand the coast's potential role as a public health resource. Copyright © 2014. Published by Elsevier Inc.

Environmental modeling and health risk analysis (ACTS/RISK)

National Research Council Canada - National Science Library

Aral, M. M

2010-01-01

... presents a review of the topics of exposure and health risk analysis. The Analytical Contaminant Transport Analysis System (ACTS) and Health RISK Analysis (RISK) software tools are an integral part of the book and provide computational platforms for all the models discussed herein. The most recent versions of these two softwa...

Health (Radiation Safety) Act 1983 (Victoria) No. 9889 of 17 May 1983

International Nuclear Information System (INIS)

1983-01-01

This Act amends the Health Act 1958 by adding a new Section entitled ''Radiation Safety''. In addition to establishing guidelines for the registration and licensing of certain radiation apparatus and sealed radioactive sources, this new Section authorises the Governor in Council to make regulations concerning, inter alia, transport and disposal of radioactive substances and public health and safety. The Act also sets up a Radiation Advisory Committee and a Radiographers and Radiation Technologists Registration Board of Victoria and amends the Nuclear Activities (Prohibitions) Act 1983 in respect of certain licensing provisions. (NEA) [fr

77 FR 70583 - Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review

Science.gov (United States)

2012-11-26

... Parts 144, 147, 150, et al. Patient Protection and Affordable Care Act; Health Insurance Market Rules... and 156 [CMS-9972-P] RIN 0938-AR40 Patient Protection and Affordable Care Act; Health Insurance Market... Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal...

The Danish patient safety experience: the Act on Patient Safety in the Danish Health care system

DEFF Research Database (Denmark)

Lundgaard, Mette; Rabøl, Louise; Jensen, Elisabeth Agnete Brøgger

2005-01-01

This paper describes the process that lead to the passing of the Act for Patient Safety in the Danisk health care sytem, the contents of the act and how the act is used in the Danish health care system. The act obligates frontline health care personnel to report adverse events, hospital owners...... to act on the reports and the National Board of Health to commuicate the learning nationally. The act protects health care providers from sanctions as a result of reporting. In January 2004, the Act on Patient Safety in the Danish health care system was put into force. In the first twelve months 5740...... adverse events were reported. the reports were analyzed locally (hospital and region), anonymized ad then sent to the National Board af Health. The Act on Patient Safety has driven the work with patient safety forward but there is room for improvement. Continuous and improved feedback from all parts...

Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification rules under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; other modifications to the HIPAA rules.

Science.gov (United States)

2013-01-25

The Department of Health and Human Services (HHS or ``the Department'') is issuing this final rule to: Modify the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Enforcement Rules to implement statutory amendments under the Health Information Technology for Economic and Clinical Health Act (``the HITECH Act'' or ``the Act'') to strengthen the privacy and security protection for individuals' health information; modify the rule for Breach Notification for Unsecured Protected Health Information (Breach Notification Rule) under the HITECH Act to address public comment received on the interim final rule; modify the HIPAA Privacy Rule to strengthen the privacy protections for genetic information by implementing section 105 of Title I of the Genetic Information Nondiscrimination Act of 2008 (GINA); and make certain other modifications to the HIPAA Privacy, Security, Breach Notification, and Enforcement Rules (the HIPAA Rules) to improve their workability and effectiveness and to increase flexibility for and decrease burden on the regulated entities.

[Animal Health Law-- the National Animal Health Act and the European Animal Health Law].

Science.gov (United States)

Bätza, Hans-Joachim; Mettenleiter, Thomas

2013-01-01

The Animal Health Act that replaces the Animal Disease Act, which is currently in force, creates a regulatory framework in order to not only, as has been the case so far, control animal diseases that had already broken out, but in order to already prevent in advance possible outbreaks of animal diseases by means of preventive measures. The instruments to this effect are described here. At European level, too, the idea of prevention is set to play a greater role in the future, with the draft EU legal instrument on animal health, that has to date only been discussed at Commission level, also contributing to a simplification and easier implementation by the persons subject to law by harmonising the currently fragmented Community law. It remains to be seen when the deliberations in the Council and European Parliament will begin.

20 CFR 726.203 - Federal Coal Mine Health and Safety Act endorsement.

Science.gov (United States)

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Federal Coal Mine Health and Safety Act endorsement. 726.203 Section 726.203 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS; REQUIREMENTS FOR...

75 FR 27348 - Public Health Services Act; Delegation of Authority

Science.gov (United States)

2010-05-14

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Public Health Services Act; Delegation of Authority Notice is hereby given that I have delegated to the Director, Office of Public Health Preparedness and Response (OPHPR), with authority to redelegate, the authority to...

Urban Dynamics and Networking in Coastal Cities -The case of tourism

OpenAIRE

Economou, Dimitrios; Vrassida, Maria

2005-01-01

Traditionally coastal cities had a role as trading ports or gates of entry connecting the hinterland other parts of the world or the country, and acting as points of departure or arrival for goods and people. Trade and industry, were the spine of the economy for many years and a network was created between ports and coastal cities in order to move people (workforce), goods, and materials. Tourism is a dynamic spontaneous phenomenon, which creates opportunities for many coastal cities to parti...

Eicosapentaenoic and docosahexaenoic acids enriched polyunsaturated fatty acids from the coastal marine fish of Bay of Bengal and their therapeutic value.

Science.gov (United States)

Bera, Rabindranath; Dhara, Tushar K; Bhadra, Ranjan; Majumder, Gopal C; Sen, Parimal C

2010-12-01

Eicosapentaenoic acid (EPA)/docosahexaenoic acid (DHA) enriched polyunsaturated fatty acids (PUFA) significantly present in marine fish oil emerge as preventive agents for combating many health problems specially in chronic or metabolic disorders. The fish in the coastal area of Bay of Bengal has remained unexplored with respect to EPA/DHA enriched PUFA content in its oils, although it may be a potential source in harnessing the health benefit. In this study, seven varieties of the coastal fish were analysed for the content of EPA/DHA. The one locally known as lotte, (Harpadon nehereus) though has low content of total lipids, was found to have high EPA/DHA in its oil. The phospholipids rich fraction was extracted from the total fish oil. The EPA/DHA enriched PUFA was isolated to investigate the potential use for health benefits. EPA/DHA is found to act as protective agent against mercury poisoning studied in cell culture as well as in animal mode. It is found to be highly preventive in diabetes. The lotte is available in the coastal area of Bay of Bengal adjoining West Bengal, India in large scale and it is the first report showing EPA/DHA enriched PUFA in these fish oil that can be availed to harness in important health benefits.

The roles of large top predators in coastal ecosystems: new insights from long term ecological research

Science.gov (United States)

Rosenblatt, Adam E.; Heithaus, Michael R.; Mather, Martha E.; Matich, Philip; Nifong, James C.; Ripple, William J.; Silliman, Brian R.

2013-01-01

During recent human history, human activities such as overhunting and habitat destruction have severely impacted many large top predator populations around the world. Studies from a variety of ecosystems show that loss or diminishment of top predator populations can have serious consequences for population and community dynamics and ecosystem stability. However, there are relatively few studies of the roles of large top predators in coastal ecosystems, so that we do not yet completely understand what could happen to coastal areas if large top predators are extirpated or significantly reduced in number. This lack of knowledge is surprising given that coastal areas around the globe are highly valued and densely populated by humans, and thus coastal large top predator populations frequently come into conflict with coastal human populations. This paper reviews what is known about the ecological roles of large top predators in coastal systems and presents a synthesis of recent work from three coastal eastern US Long Term Ecological Research (LTER) sites where long-term studies reveal what appear to be common themes relating to the roles of large top predators in coastal systems. We discuss three specific themes: (1) large top predators acting as mobile links between disparate habitats, (2) large top predators potentially affecting nutrient and biogeochemical dynamics through localized behaviors, and (3) individual specialization of large top predator behaviors. We also discuss how research within the LTER network has led to enhanced understanding of the ecological roles of coastal large top predators. Highlighting this work is intended to encourage further investigation of the roles of large top predators across diverse coastal aquatic habitats and to better inform researchers and ecosystem managers about the importance of large top predators for coastal ecosystem health and stability.

Acceptance and commitment therapy (ACT) for clinically distressed health care workers: Waitlist-controlled evaluation of an ACT workshop in a routine practice setting.

Science.gov (United States)

Waters, Cerith S; Frude, Neil; Flaxman, Paul E; Boyd, Jane

2018-03-01

To examine the effects of a 1-day acceptance and commitment therapy (ACT) workshop on the mental health of clinically distressed health care employees, and to explore ACT's processes of change in a routine practice setting. A quasi-controlled design, with participants block allocated to an ACT intervention or waiting list control group based on self-referral date. Participants were 35 health care workers who had self-referred for the ACT workshop via a clinical support service for staff. Measures were completed by ACT and control group participants at pre-intervention and 3 months post-intervention. Participants allocated to the waitlist condition went on to receive the ACT intervention and were also assessed 3 months later. At 3 months post-intervention, participants in the ACT group reported a significantly lower level of psychological distress compared to the control group (d = 1.41). Across the 3-month evaluation period, clinically significant change was exhibited by 50% of ACT participants, compared to 0% in the control group. When the control group received the same ACT intervention, 69% went on to exhibit clinically significant change. The ACT intervention also resulted in significant improvements in psychological flexibility, defusion, and mindfulness skills, but did not significantly reduce the frequency of negative cognitions. Bootstrapped mediation analyses indicated that the reduction in distress in the ACT condition was primarily associated with an increase in mindfulness skills, especially observing and non-reactivity. These findings provide preliminary support for providing brief ACT interventions as part of routine clinical support services for distressed workers. A 1-day ACT workshop delivered in the context of a routine staff support service was effective for reducing psychological distress among health care workers. The brief nature of this group intervention means it may be particularly suitable for staff support and primary care mental

The South African traditional health practitioner as a beneficiary of and provider to medical funds and schemes through the traditional health practitioners Act (Act No 22, 2007: A present-day perspective

Directory of Open Access Journals (Sweden)

Gabriel Louw

2017-01-01

Full Text Available Background Payments to traditional health practitioners for services rendered from medical funds and schemes, as envisaged by the Traditional Health Practitioners Act (Act No 22, 2007, is controversial and a point of contention. Such policy was followed before in South Africa in the 1990s when some funds and schemes offered limited alternative healthcare benefits for members consulting traditional healers. Aims The study aimed to offer a contemporary view of the South African traditional health practitioner as a provider to and beneficiary of the medical funds and schemes through the Traditional Health Practitioners Act (No 22, 2007. Methods This is an exploratory and descriptive study that makes use of an historical approach by means of investigation and a literature review. The emphasis is on using current documentation like articles, books and newspapers as primary sources to reflect on the South African traditional health practitioner as a provider to and beneficiary of the medical schemes and funds through the Traditional Health Practitioners Act (No 22, 2007. The findings are offered in narrative form. Results It seems as if the South African authorities completely misunderstand the future implications of the Traditional Health Practitioners Act (No 22, 2007 on healthcare. This is specifically true when it comes to the right to claim from medical funds and schemes for services rendered by traditional health practitioners and the possible extra costs for these medical schemes and funds. Conclusion The implications of Section 42(2 of the Traditional Health Practitioners Act (No 22, 2007 which aims to set up a claiming process for traditional health practitioners, seems to be very problematic. The fact that Act No 22 (2007 has not been enacted properly nine years after its promulgation has put a halt on the professionalization of traditional healers until 2015. This also affected their status as a beneficiary of and service provider to the

Classifications for Coastal Wetlands Planning, Protection and Restoration Act site-specific projects: 2008 and 2009

Science.gov (United States)

Jones, William R.; Garber, Adrienne

2012-01-01

The Coastal Wetlands Planning, Protection and Restoration Act (CWPPRA) funds over 100 wetland restoration projects across Louisiana. Integral to the success of CWPPRA is its long-term monitoring program, which enables State and Federal agencies to determine the effectiveness of each restoration effort. One component of this monitoring program is the analysis of high-resolution, color-infrared aerial photography at the U.S. Geological Survey's National Wetlands Research Center in Lafayette, Louisiana. Color-infrared aerial photography (9- by 9-inch) is obtained before project construction and several times after construction. Each frame is scanned on a photogrametric scanner that produces a high-resolution image in Tagged Image File Format (TIFF). By using image-processing software, these TIFF files are then orthorectified and mosaicked to produce a seamless image of a project area and its associated reference area (a control site near the project that has common environmental features, such as marsh type, soil types, and water salinities.) The project and reference areas are then classified according to pixel value into two distinct classes, land and water. After initial land and water ratios have been established by using photography obtained before and after project construction, subsequent comparisons can be made over time to determine land-water change. Several challenges are associated with the land-water interpretation process. Primarily, land-water classifications are often complicated by the presence of floating aquatic vegetation that occurs throughout the freshwater systems of coastal Louisiana and that is sometimes difficult to differentiate from emergent marsh. Other challenges include tidal fluctuations and water movement from strong winds, which may result in flooding and inundation of emergent marsh during certain conditions. Compensating for these events is difficult but possible by using other sources of imagery to verify marsh conditions for other

77 FR 28854 - Proposed Information Collection; Comment Request; Coastal Zone Management Program Administration

Science.gov (United States)

2012-05-16

... because of the importance of U.S. coastal areas, the U.S. Congress passed the Coastal Zone Management Act... (CZMP) Performance Management System; revise assessment document and multi-year strategy; submit.... Method of Collection Respondents have a choice of electronic or paper formats for submitting program...

75 FR 40842 - Public Health Service Act (PHS), Delegation of Authority

Science.gov (United States)

2010-07-14

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Public Health Service Act (PHS), Delegation of Authority Notice is hereby given that I have delegated to the Director... Secretary of Health and Human Services under the following section under Title XXVI of the Public Health...

OCCUPATIONAL HEALTH AND SAFETY ACT NO.6331 AND TOXICOLOGY

OpenAIRE

AYAN, Burak

2018-01-01

Workers exposureto variety of hazardous chemicals related to the type of work carried out. Regulationsabout chemicals which may be unsafe for workers is regulated at theOccupational Health and Safety Act No.6331.In this review regulatory framework of occupational health and safety forchemicals are assessed in order for chemicals to be used properly andsafely. 

Linking restoration ecology with coastal dune restoration

Science.gov (United States)

Lithgow, D.; Martínez, M. L.; Gallego-Fernández, J. B.; Hesp, P. A.; Flores, P.; Gachuz, S.; Rodríguez-Revelo, N.; Jiménez-Orocio, O.; Mendoza-González, G.; Álvarez-Molina, L. L.

2013-10-01

Restoration and preservation of coastal dunes is urgently needed because of the increasingly rapid loss and degradation of these ecosystems because of many human activities. These activities alter natural processes and coastal dynamics, eliminate topographic variability, fragment, degrade or eliminate habitats, reduce diversity and threaten endemic species. The actions of coastal dune restoration that are already taking place span contrasting activities that range from revegetating and stabilizing the mobile substrate, to removing plant cover and increasing substrate mobility. Our goal was to review how the relative progress of the actions of coastal dune restoration has been assessed, according to the ecosystem attributes outlined by the Society of Ecological Restoration: namely, integrity, health and sustainability and that are derived from the ecological theory of succession. We reviewed the peer reviewed literature published since 1988 that is listed in the ISI Web of Science journals as well as additional references, such as key books. We exclusively focused on large coastal dune systems (such as transgressive and parabolic dunefields) located on natural or seminatural coasts. We found 150 articles that included "coastal dune", "restoration" and "revegetation" in areas such as title, keywords and abstract. From these, 67 dealt specifically with coastal dune restoration. Most of the studies were performed in the USA, The Netherlands and South Africa, during the last two decades. Restoration success has been assessed directly and indirectly by measuring one or a few ecosystem variables. Some ecosystem attributes have been monitored more frequently (ecosystem integrity) than others (ecosystem health and sustainability). Finally, it is important to consider that ecological succession is a desirable approach in restoration actions. Natural dynamics and disturbances should be considered as part of the restored system, to improve ecosystem integrity, health and

Health status of school children in rural area of coastal Karnataka

Directory of Open Access Journals (Sweden)

Muralidhar M Kulkarni

2016-01-01

Full Text Available Introduction: Children are the foundation of a strong and healthy nation. Morbidity among school-going children adversely affects their normal growth and development and hence is a major public health concern. School health program was started as an important component of total health care delivery system in the country with a purpose of addressing the health needs of children. Aim: To assess the morbidity pattern and nutritional status among school children. Materials and Methods: Study design: A cross-sectional study. Study period: 1-year from 1 st July 2012 to 30 th June 2013. Study setting: 14 schools with a total strength of 909 children in a rural area of coastal Karnataka. Data collection: Health examination of the school children was carried out by a trained team. Data regarding anthropometric measurements, refractory error, medical problems and minor ailments were collected using a predesigned proforma. Results: A total of 797 children were examined. Dental caries was the most common ailment observed in 31.86% of children 43.32% of the children were underweight, 53.03% were normal, and 3.65% were overweight for age. Conclusion: The school health program provides a good opportunity to screen, identify and impart education regarding health related issues. The common morbidities found were dental caries, pallor, upper respiratory tract infection and refractory error. Overweight was also observed in the school children and needs to be addressed. There is a scope of providing comprehensive school health services by incorporating dental care.

The Occupational Safety and Health Act: Implications for School Administration.

Science.gov (United States)

Licht, Kenneth F.

The Occupational Safety and Health Act (1970) concerns private schools but does not directly affect the operations of public schools or colleges. The intent, however, is to have the States develop and administer their own health and safety programs. Administrators should, therefore, initiate a comprehensive, districtwide safety education and…

Coastal Morphology and Coastal Protection

NARCIS (Netherlands)

Van de Graaff, J.

2009-01-01

Lecture notes ct5309. Tides, currents and water; coastal problems; sediment transport processes; coastal transport modes; longshore transport; cross-shore transport; fundamentals of mud; channels and trenches; coastal protection; application of structures; application of nourishments.

Transitions in state public health law: comparative analysis of state public health law reform following the Turning Point Model State Public Health Act.

Science.gov (United States)

Meier, Benjamin Mason; Hodge, James G; Gebbie, Kristine M

2009-03-01

Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and state case studies, we investigated how the Turning Point Act's model legal language has been considered for incorporation into state law and analyzed key facilitating and inhibiting factors for public health law reform. Our findings provide the practice community with a research base to facilitate further law reform and inform future scholarship on the role of law as a determinant of the public's health.

75 FR 19335 - Premium Review Process; Request for Comments Regarding Section 2794 of the Public Health Service Act

Science.gov (United States)

2010-04-14

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Parts 146 and 148 Premium Review Process; Request for Comments Regarding Section 2794 of the Public Health Service Act AGENCY..., which added Section 2794 to the Public Health Service Act (the PHS Act). Section 2794 of the PHS Act...

Coastal ecosystems: Attempts to manage a threatened resource

International Nuclear Information System (INIS)

Lundin, C.G.; Linden, O.

1993-01-01

Tropical coastal zones are productive ecosystems that currently face severe environmental threats, particularly from organic pollution. The role of the coastal ecosystems is analyzed and the relationship between coastal ecosystem health and fisheries productivity is explained. Ecological disturbances from organic sources like sewage and siltation is highlighted. The issues of integrated coastal zone management (ICZM) are discussed, particularly in the context of conserving natural ecosystems or transforming them to managed systems. Issues of population density, management capacity, and socioeconomic conditions are discussed. The possibilities for closing carbon cycles currently leaking organic materials to the coastal waters are pursued. Finally, examples of ICZM initiatives in the ASEAN countries and East Africa are presented. 42 refs

Occupational Safety and Health Act: A Responsibility for Science Teachers

Science.gov (United States)

Science Teacher, 1974

1974-01-01

Presents implications of the Occupational Safety and Health Act for science teachers both as workers and as they encourage, in students, the development of positive safety attitudes for future occupations. (PEB)

National Coastal Condition Assessment

Science.gov (United States)

The NCCA is a collaborative, statistical survey of the nation's coastal waters and the Great Lakes. It is one of four national surveys that EPA and its partners conduct to assess the condition and health of the nation's water resources.

The Occupational Safety and Health Act: Its Goals and Its Achievements. Evaluative Studies Series.

Science.gov (United States)

Smith, Robert Stewart

The safety and health mandate of the Occupational Safety and Health Act of 1970 is examined in reference to its effectiveness in reducing injuries and its consistency with the goal of promoting general welfare. Chapter 1 describes the essential features of the act and its administration to date, and analyzes the mandate as revealed by legislative…

Coastal Geographic Structures in Coastal-Marine Environmental Management

Science.gov (United States)

Baklanov, P. Ya.; Ganzei, K. S.; Ermoshin, V. V.

2018-01-01

It has been proposed to distinguish the coastal geographic structures consisting of a spatial combination of three interconnected and mutually conditioned parts (coastal-territorial, coastal, coastal-marine), which are interlinked with each other by the cumulative effect of real-energy flows. Distinguishing specific resource features of the coastal structures, by which they play a connecting role in the complex coastalmarine management, has been considered. The main integral resource feature of the coastal structures is their connecting functions, which form transitional parts mutually connecting the coastal-territorial and coastalmarine environmental management.

Deciphering the Sunshine Act: Transparency Regulation and Financial Conflicts in Health Care.

Science.gov (United States)

Saver, Richard S

2017-11-01

The Physician Payments Sunshine Act ("Sunshine Act"), enacted to address financial conflicts in health care, is the first comprehensive federal legislation mandating public reporting of payments between drug companies, device manufacturers, and medicine. This article analyzes the Sunshine Act's uneven record, exploring how the law serves as an intriguing example of the uncertain case for transparency regulation in health care. The Sunshine Act's bumpy rollout demonstrates that commanding transparency through legislation can be arduous because of considerable implementation challenges. Capturing all the relevant information about financial relationships and reporting it with sufficient contextual and comparative data has proven disappointingly difficult. In addition, the law suffers from uncertainty and poor design as to the intended audience. Indeed, there is strong reason to believe that it will not significantly impact decision-making of primary recipients like patients. Yet the Sunshine Act nonetheless retains important and perhaps underappreciated value. From the almost four years of information generated, we have learned that industry-medicine financial ties vary significantly by physician specialty, and somewhat by physician gender. In many medical fields the distribution of top dollar payments tends to be heavily skewed to a few recipients, all of which have important implications for optimal management of financial conflicts and for health policy more generally. Accordingly, the Sunshine Act's greatest potential is not guiding decisions of individual patients or physicians, but its downstream effects. This Article traces how secondary audiences, such as regulators, watchdogs, and counsel are already starting to make productive use of Sunshine Act information. Public reporting has, for example, made more feasible linking industry payment information with Medicare reimbursement data. As a result, policymakers can more closely examine correlations between

The Affordable Care Act and Health Insurance Exchanges: Advocacy Efforts for Children's Oral Health.

Science.gov (United States)

Orynich, C Ashley; Casamassimo, Paul S; Seale, N Sue; Litch, C Scott; Reggiardo, Paul

2015-01-01

To evaluate legislative differences in defining the Affordable Care Act's (ACA) pediatric dental benefit and the role of pediatric advocates across states with different health insurance Exchanges. Data were collected through public record investigation and confidential health policy expert interviews conducted at the state and federal level. Oral health policy change by the pediatric dental profession requires advocating for the mandatory purchase of coverage through the Exchange, tax subsidy contribution toward pediatric dental benefits, and consistent regulatory insurance standards for financial solvency, network adequacy and provider reimbursement. The pediatric dental profession is uniquely positioned to lead change in oral health policy amidst health care reform through strengthening state-level formalized networks with organized dentistry and commercial insurance carriers.

Implications of the 2017 Tax Cuts and Jobs Act for Public Health.

Science.gov (United States)

Glied, Sherry

2018-03-22

The recently passed Tax Cuts and Jobs Act will reduce total federal revenues by about 4% between 2018 and 2027. The law makes multiple changes to the taxation of individuals and corporations. It also repeals the Affordable Care Act's (ACA's) individual mandate penalties, which will erase some of the gains in insurance coverage achieved since implementation of the ACA's coverage expansions. The resulting increases in rates of uninsurance will likely lead to increased uncompensated care and deflect hospitals and health departments from addressing other prevention and public health needs. In addition, the law is expected to lead to substantial increases in the federal debt and, consequently, to calls for reductions in spending on entitlement programs, particularly Medicare, and on discretionary programs, including public health. Many other provisions of the law could also have second-order effects on public health. (Am J Public Health. Published online ahead of print March 22, 2018: e1-e3. doi:10.2105/AJPH.2018.304388).

Circumpolar Biodiversity Monitoring Programme coastal biodiversity monitoring background paper

Science.gov (United States)

McLennan, Donald; Anderson, Rebecca D.; Wegeberg, S.; Pettersvik Arvnes, Maria; Sergienko, Liudmila; Behe, Carolina; Moss-Davies, Pitseolak; Fritz, S.; Markon, Carl J.; Christensen, T.; Barry, T.; Price, C.

2016-01-01

In 2014, the United States (U.S.) and Canada agreed to act as co-lead countries for the initial development of the Coastal Expert Monitoring Group (CEMG) as part of the Circumpolar Biodiversity Monitoring Program (CBMP, www. cbmp.is) under the Arctic Council’s Conservation of Arctic Flora and Fauna (CAFF, www.caff.is) working group. The CAFF Management Board approved Terms of Reference for the CEMG in the spring of 2014. The primary goal of the CEMG is to develop a long term, integrated, multi-disciplinary, circumpolar Arctic Coastal Biodiversity Monitoring Plan (the Coastal Plan) that relies on science and Traditional Knowledge, and has direct and relevant application for communities, industry, government decision makers, and other users. In addition to the monitoring plan, the CAFF working group has asked the CBMP, and thus the CEMG, to develop an implementation plan that identifies timeline, costs, organizational structure and partners. This background paper provides a platform for the guidance for the development of the Coastal Plan and is produced by the CEMG with assistance from a number of experts in multiple countries.

Evaluation of the health status of a coastal ecosystem in southeast Mexico: Assessment of water quality, phytoplankton and submerged aquatic vegetation.

Science.gov (United States)

Herrera-Silveira, Jorge A; Morales-Ojeda, Sara M

2009-01-01

The coastal environment of the Yucatan Peninsula (SE, Mexico) includes a wide variety of ecosystems ranging from mangroves to coral reefs, resulting in a heterogeneous landscape. Specifically, the marine system is characterized by environmental differences which respond to regional and local forcing functions such as marine currents and groundwater discharges (GD). Such functional characteristics were used here to define four subregions across the Yucatan coast and diagnose the health status of this coastal marine ecosystem. To achieve this goal, we conducted an analysis and integration of water quality variables, an eutrophic assessment, evaluated changes in submerged aquatic vegetation (SAV), and analyzed the community structure and distribution of harmful phytoplankton. The first step was to determine the reference values for each subregion based on data previously collected from 2002 to 2006 along the coast of Yucatan, 200m offshore. The trophic index (TRIX) and Canadian index for aquatic life (CCMEWQI) were used to diagnose each subregion and then the ASSETS approach was conducted for Dzilam and Progreso, sampling localities on each end of the health status continuum (those with the best and worst conditions). Overall, results indicated that the marine coastal ecosystem of Yucatan is in good condition; however, differences were observed between subregions that can be attributed to local forcing functions and human impacts. Specifically, the central region (zone HZII, Progreso-Telchac) showed symptoms of initial eutrophication due to nutrient inputs from human activities. The eastern region (zone HZ III, Dzilam-Las Bocas) showed a meso-eutrophic condition linked to natural groundwater discharges, while the other two subregions western (zone HZI Celestun-Palmar) and caribbean (zone HZ IV Ria Lagartos-El Cuyo) exhibited symptoms of oligo-mesotrophic condition. These findings may be considered baseline information for coastal ecosystem monitoring programs in

Will the Traditional Health Practitioners Act (Act No 22, 2007 challenge the holy grails of South African medical doctors?

Directory of Open Access Journals (Sweden)

Gabriel Louw

2017-02-01

Full Text Available Background The South African healthcare establishment is primarily managed and overseen by medical doctors. This powerbase was established over many years, especially after the early 1930s. World War II gave doctors the final approval to take this supervisory and sole decision-making role regarding healthcare training, practice models and other health workers in South Africa. This phenomenon led initially to doctors having a certain jurisdiction to set the pace and to make the rules. This jurisdiction became more comprehensive and extent with time in South Africa to include a collection of unique medical traditions, customs, privileges, habits, healthcare rights and empowerment as well as exclusive medical training and practice models to become known as the holy grails of the South African medical doctors. The power of these holy grails has become untouchable to anyone outside the medical domain. Since the 1980s, some powers vested in these holy grails have been lost to the allied health professions and to other insiders of the HPCSA brotherhood itself. The recognition of traditional healers by means of the Traditional Health Practitioners Act (Act No 22, 2007 seems to challenge these holy grails of medical doctors. This may also create internal conflict in the South African medical brotherhood that can cost medical doctors more ground. Aims The study aimed to determine if the Traditional Health Practitioners Act No 22 (2007 challenges the holy grails of South African medical doctors, subsequently affecting the long-established management and guardian system of the medical field within South Africa or the practice rights of medical doctors. Methods This is an exploratory and descriptive study that makes use of an historical approach by means of investigation and a literature review. The emphasis is on using current documentation like articles, books and newspapers as primary sources to reflect on the possible effect of the Traditional Health

Awareness of Consumer Protection Act among dental health professionals in dental schools of Ghaziabad, India.

Science.gov (United States)

Prasad, Sumanth; Menon, Ipseeta; Dhingra, Chandan; Anand, Richa

2013-12-01

The study aimed to assess the awareness of the Consumer Protection Act among dental health professionals in dental schools of Ghaziabad, India. A cross-sectional questionnaire survey was carried out on dental health professionals in dental schools of Ghaziabad, India. A total of 348 dental health professionals (170 males and 178 females) were surveyed, out of which 116 were MDS faculty, 45 were BDS faculty and 187 were pursuing post graduation. The questionnaire comprised of 24 questions about the awareness of consumer protection act. Statistical analysis was done using Chi-square test, student's t test and ANOVA. A total of 84.8% (n=295) reported to be aware of consumer protection act. Amongst them, MDS faculty showed more awareness as compared to BDS faculty and those pursuing post-graduation. Considering the present scenario, MDS faculty dental professionals have more awareness of consumer protection act compared to other dental professionals. So, we must upgrade our knowledge on consumer protection act at all levels of our profession and change our attitude by inculcating a practice to spread the message of consumer protection act for delivering quality dental care.

The Mental Health Care Act: Stakeholder compliance with Section ...

African Journals Online (AJOL)

Objective. To determine compliance with Section 40 (1-3) of the Mental Health Care Act (MHCA) No 17 of 2002, viz. handing over custody by the South African Police Service (SAPS) of suspected mentally ill patients to medical services at Chris Hani Baragwanath Hospital (CHBH). Methods. The study was a retrospective ...

Infiltration of stormwater from highway operations to reduce coastal pollution.

Science.gov (United States)

2012-12-01

The coastal waters of Hawaii are extremely important for recreation as well as for the health of : the marine environment. Runoff from the construction and operation of highways can be a : source of pollution to coastal waters. Individual states in t...

The 21st Century Cures Act Implications for the Reduction of Racial Health Disparities in the US Criminal Justice System: a Public Health Approach.

Science.gov (United States)

Cole, Donna M; Thomas, Dawna Marie; Field, Kelsi; Wool, Amelia; Lipiner, Taryn; Massenberg, Natalie; Guthrie, Barbara J

2017-11-09

Past drug epidemics have disproportionately criminalized drug addiction among African Americans, leading to disparate health outcomes, increased rates of HIV/AIDS, and mass incarceration. Conversely, the current opioid addiction crisis in the USA focuses primarily on white communities and is being addressed as a public health problem. The 21st Century Cures Act has the potential to reduce racial health disparities in the criminal justice system through the Act's public health approach to addiction and mental health issues. The 21st Century Cures Act is a progressive step in the right direction; however, given the historical context of segregation and the criminalization of drug addiction among African Americans, the goals of health equity are at risk of being compromised. This paper discusses the implications of this landmark legislation and its potential to decrease racial health disparities, highlighting the importance of ensuring that access to treatment and alternatives to incarceration must include communities of color. In this paper, the authors explain the key components of the 21st Century Cures Act that are specific to criminal justice reform, including a key objective, which is treatment over incarceration. We suggest that without proper attention to how, and where, funding mechanisms are distributed, the 21st Century Cures Act has the potential to increase racial health disparities rather than alleviate them.

Implementing the Mental Health Act 2007 in British general practice: Lessons from Ireland.

Science.gov (United States)

Jabbar, Faraz; Doherty, Anne M; Aziz, Muniba; Kelly, Brendan D

2011-01-01

Changes in mental health legislation (e.g. Mental Health Act 2007 in England and Wales, Mental Health Act 2001 in Ireland) have generally improved adherence to international human rights standards, but also present challenges to primary care providers. When mental health legislation was substantially reformed in Ireland, 62.9% of general practitioners (GPs) felt the new legislation was not user-friendly. Majorities of GPs who felt the legislation affected their practice reported increased workloads (85%) and various other difficulties (53%). GPs who had received training about the legislation were more likely to find it user-friendly (43% versus 30.9%), and informal training (e.g. from colleagues) was just as likely as formal training to be associated with a GP finding it user-friendly. With similar changes to mental health legislation being introduced in England and Wales, it is significant that informal training is just as good as formal training in helping GPs work with new mental health legislation. Copyright © 2011 Elsevier Ltd. All rights reserved.

A Cross-Sectional Analysis of Acute Hepatitis B Virus Reported to the Vancouver Coastal Health Authority from 2000 to 2003

Directory of Open Access Journals (Sweden)

Yvette Leung

2006-01-01

Full Text Available BACKGROUND: Acute hepatitis B virus (HBV transmission remains a significant public health problem despite effective vaccination and prophylaxis strategies. Vancouver, British Columbia, has a large ethnic community from endemic areas, which may further impact on the epidemiology of acute HBV. A cross-sectional study of factors associated with acute HBV cases reported to the Vancouver Coastal Health Authority (Vancouver, British Columbia from 2000 to 2003 is reported.

Coastal climate is associated with elevated solar irradiance and higher 25(OH)D level.

Science.gov (United States)

Cherrie, M P C; Wheeler, B W; White, M P; Sarran, C E; Osborne, N J

2015-04-01

There is evidence that populations living close to the coast have improved health and wellbeing. Coastal environments are linked to promotion of physical activity through provision of safe, opportune, aesthetic and accessible spaces for recreation. Exposure to coastal environments may also reduce stress and induce positive mood. We hypothesised that coastal climate may influence the vitamin D status of residents and thus partly explain benefits to health. Ecological and cross-sectional analyses were designed to elucidate the connection between coastal residence and vitamin D status. We divided residential data, from developed land use areas and the Lower Super Output Areas or Data Zones (Scotland) of the 1958 Birth Cohort participants, into the following coastal bands: 50 km. This relationship was modified by latitude with settlements at a lower latitude exhibiting a greater effect. Individuals living closer to the coast in England had higher vitamin D levels than those inland, particularly in autumn. Geographic location may influence biochemistry and health outcomes due to environmental factors. This can provide benefits in terms of vitamin D status but may also pose a risk due to higher skin cancer risk. We provide further evidence in support of the claim that coastal environments can provide opportunities for health and wellbeing. Copyright © 2015 Elsevier Ltd. All rights reserved.

Proposed amendments to the Accord Acts to incorporate an offshore occupational health and safety regime

Energy Technology Data Exchange (ETDEWEB)

NONE

2010-04-15

The Canada Atlantic Accords signed in 1985 with Newfoundland and Labrador and in 1986 with Nova Scotia facilitate the orderly development of petroleum resources in Canada's Atlantic offshore area. These accords established the Canada-Newfoundland and Labrador Offshore Petroleum Board and the Canada-Nova Scotia Offshore Petroleum Board and made them responsible, on behalf of the federal government and the respective provincial government, for the joint management of petroleum resources in the offshore area. While the federal and provincial governments are responsible for establishing the regime for operational safety and occupational health and safety to be administered by the 2 boards, there is no division of responsibilities between the provincial occupational health and safety regime and the Accord Acts. There is agreement amongst governments that the accord acts should be amended to clarify responsibilities and vest sole authority for occupational health and safety in the accord acts. This document outlined the policy intent of the proposed amendments to the Accord Acts to ground an occupational health and safety regime for the east coast offshore areas in legislation. The document discussed legislation to be amended; governance; and provisions of the occupational health and safety regime. General matters such as the application of the policy, allocation of responsibility and interpretation were also discussed. The general duties of the operators were identified along with specific duties of operators; duties related to transportation; occupational health and safety policy; health and safety management system; codes of practice; notification of accidents; duties of employers; and occupational health and safety program. Compliance and enforcement provisions were also summarized.

The Mental Health Care Act No 17 – South Africa. Trials and triumphs

African Journals Online (AJOL)

This paper will describe the impact of the Act on mental health care service delivery in ... basic principles of community psychiatry as well as .... allocation, mental health policy, quality assurance and ... Community psychiatry: An audit of the.

Disentangling physical and biological drivers of phytoplankton dynamics in a coastal system.

Science.gov (United States)

Cianelli, Daniela; D'Alelio, Domenico; Uttieri, Marco; Sarno, Diana; Zingone, Adriana; Zambianchi, Enrico; d'Alcalà, Maurizio Ribera

2017-11-20

This proof-of-concept study integrates the surface currents measured by high-frequency coastal radars with plankton time-series data collected at a fixed sampling point from the Mediterranean Sea (MareChiara Long Term Ecological Research site in the Gulf of Naples) to characterize the spatial origin of phytoplankton assemblages and to scrutinize the processes ruling their dynamics. The phytoplankton community generally originated from the coastal waters whereby species succession was mainly regulated by biological factors (life-cycle processes, species-specific physiological performances and inter-specific interactions). Physical factors, e.g. the alternation between coastal and offshore waters and the horizontal mixing, were also important drivers of phytoplankton dynamics promoting diversity maintenance by i) advecting species from offshore and ii) diluting the resident coastal community so as to dampen resource stripping by dominant species and thereby increase the numerical importance of rarer species. Our observations highlight the resilience of coastal communities, which may favour their persistence over time and the prevalence of successional events over small time and space scales. Although coastal systems may act differently from one another, our findings provide a conceptual framework to address physical-biological interactions occurring in coastal basins, which can be generalised to other areas.

78 FR 35217 - Atlantic Coastal Fisheries Cooperative Management Act Provisions; American Lobster Fishery

Science.gov (United States)

2013-06-12

... Clerical Appeal would allow NMFS to correct clerical and mathematical errors that sometimes inadvertently occur when applications are processed. It is not an appeal on the merits and would involve no analysis... database is being created by the Atlantic Coastal Cooperative Statistics Program (ACCSP) and is a critical...

[Scientific basis of environmental health contingency planning for a coastal oil spill].

Science.gov (United States)

Kim, Young Min; Cheong, Hae Kwan; Kim, Jong Ho; Kim, Jong Hun; Ko, Kumsook; Ha, Mina

2009-03-01

This study presents a scientific basis for the establishment of an environmental health contingency plan for dealing with accidental coastal oil spills and suggests some strategies for use in an environmental health emergency. We reviewed the existing literature, and analyzed the various fundamental factors involved in response strategies for oil spill. Our analysis included data derived from Hebei Spirit oil spill and used air dispersion modeling. Spill amounts of more than 1,000 kl can affect the health of residents along the coast, especially those who belong to vulnerable groups. Almost 30% of South Korean population lives in the vicinity of the coast. The area that is at the highest risk for a spill and that has the greatest number of people at risk is the stretch of coastline from Busan to Tongyeong. The most prevalent types of oil spilt in Korean waters have been crude oil and bunker-C oil, both of which have relatively high specific gravity and contain volatile organic compounds, polycyclic aromatic hydrocarbons, and metals. In the case of a spill of more than 1,000 kl, it may be necessary to evacuate vulnerable and sensitive groups. The government should establish environmental health planning that considers the spill amount, the types of oil, and the distance between the spot of the accident and the coast, and should assemble a response team that includes environmental health specialists to prepare for the future oil spill.

The multilevel analysis of surface acting and mental health: A moderation of positive group affective tone

Science.gov (United States)

Lee, Meng-Shiu; Huang, Jui-Chan; Wu, Tzu-Jung

2017-06-01

The purpose of this study is to investigate the relationship among surface acting, mental health, and positive group affective tone. According to the prior theory, this study attempts to establish a comprehensive research framework among these variables, and furthermore tests the moderating effect of positive group affective tone. Data were collected from 435 employees in 52 service industrial companies by questionnaire, and this study conducted multilevel analysis. The results showed that surface acting will negatively affect the mental health. In addition, the positive group affective tone have significant moderating effect on the relationship among surface acting and mental health. Finally, this study discusses managerial implications and highlights future research suggestions.

Coastal marine contamination in Colombia

International Nuclear Information System (INIS)

Garay T, Jesus A; Marin Z, Bienvenido; Velez G, Ana Maria

2002-01-01

The paper tries about the problem of the marine contamination and their marked influence in the health of the coastal ecosystems, of their narrow relationship with the growing increase of the populations that they inhabit the coastal areas and of equal it forms, with the increment of the domestic, agricultural and industrial activities that, for the wrong handling and inadequate control of the solid and liquid waste, they affect the marine environment with significant implications at ecological, socioeconomic level and of health. Another component of the environmental problem of the marine ecosystems in the country, resides in that don't exist in general normative on the chemical quality and sanitary for its marine waters, that which limits the categorization of this agreement ecosystems with its environmental quality, conditioning this the lack of adequate mechanisms to mitigate the causes that originate the deterioration of the quality of the Colombian coasts

75 FR 75469 - Priority Setting for the Children's Health Insurance Program Reauthorization Act (CHIPRA...

Science.gov (United States)

2010-12-03

... Advisor, Child Health and Quality Improvement, Office of Extramural Research, Education, and Priority...: Importance has several dimensions: To what extent is the topic important to children's health outcomes... Setting for the Children's Health Insurance Program Reauthorization Act (CHIPRA) Pediatric Quality...

The Future of Nearshore Processes Research: U.S. Integrated Coastal Research Program

Science.gov (United States)

Elko, N.; Feddersen, F.; Foster, D. L.; Hapke, C. J.; Holman, R. A.; McNinch, J.; Mulligan, R. P.; Ozkan-Haller, H. T.; Plant, N. G.; Raubenheimer, B.

2016-02-01

The authors, representing the acting Nearshore Advisory Council, have developed an implementation plan for a U.S. Nearshore Research Program based on the 2015 Future of Nearshore Processes report that was authored by the nearshore community. The objectives of the plan are to link research programs across federal agencies, NGOs, industry, and academia into an integrated national program and to increase academic and NGO participation in federal agency nearshore processes research. A primary recommendation is interagency collaboration to build a research program that will coordinate and fund U.S. nearshore processes research across three broad research themes: 1) long-term coastal evolution due to natural and anthropogenic processes; 2) extreme events; and 3) physical, biological and chemical processes impacting human and ecosystem health. The plan calls for a new program to be developed by an executive committee of federal agency leaders, NGOs, and an academic representative, created similarly to the existing NOPP program. This leadership will be established prior to the 2016 Ocean Sciences meeting and will have agreed on responsibilities and a schedule for development of the research program. To begin to understand the scope of today's U.S. coastal research investment, a survey was distributed to ten federal agency R&D program heads. Six of the ten agencies indicated that they fund coastal research, with a combined annual coastal research budget of nearly 100 million (NSF has not responded). The priority of the three research themes were ranked nearly equally and potential research support ranged from 15-19 million for each theme, with approximately 12 million as direct contribution to academic research. Beyond addressing our fundamental science questions, it is critical that the nearshore community stay organized to represent academic interests on the new executive committee. The program goal is the integration of academic, NGO, and federal agencies.

The Mental Health Care Act: Stakeholder compliance with respect to Section 40 of the Act.

Directory of Open Access Journals (Sweden)

Greg Wayne Jonsson

2009-06-01

Full Text Available Objective. To determine compliance with Section 40 (1-3 of the Mental Health Care Act (MHCA No 17 of 2002, viz. handing over custody by the South African Police Service (SAPS of suspected mentally ill patients to medical services at Chris Hani Baragwanath Hospital (CHBH. Methods. The study was a retrospective record review of patients who were 18 years and older, referred by SAPS to CHBH. In accordance with Section 40 of the MHCA, a MHCA form 22 is completed when suspected mentally ill patients are handed over by SAPS to the medical services. MHCA forms 22 that were completed during the period July 2007 to December 2007 were obtained from hospital records and analysed to determine the compliance of SAPS and medical practitioners in completing them. Results. During the study period, 708 of the 718 patients handed over by SAPS to the Emergency Department of CHBH were entered on MHCA forms 22. SAPS officials had correctly completed 86% of the forms, whereas the medical practitioners had only correctly completed 9.9% of the forms. Of the 718 patients handed over by SAPS, 319 (44% were discharged for outpatient care. Conclusion. The findings of this study suggest that not all parties fully comply with Section 40 of the Mental Health Care Act No 17 of 2002. We suggest that the situation can be improved by training of all parties; amendments to the MHCA form 22; partnership between mental health care practitioners and members of SAPS; and combining resources towards implementing a crisis intervention model similar to that in other countries.

The Slovenian Mental Health Act de lege ferenda.

Science.gov (United States)

Ivanc, Blaz

2008-06-01

This article analyzes the case-law of the Constitutional Court of the Republic of Slovenia relating to the protection of mentally ill persons. In case No. U-I-60/03 the Constitutional Court declared that the provisions of Arts. 70 to 81 of the Non-litigious Civil Procedure Act (a Chapter on involuntary Commitment to the closed wards of psychiatric hospitals) are not in conformity with the Constitution. As an interim measure the Constitutional Court instructed the regular Courts (in the procedure for the involuntary commitment of persons to a mental institution) to ensure the following: an ex officio counsel must be appointed for an involuntarily committed person upon the commencement of proceedings; and the notification of detention that the authorised mental institution is obliged to submit to the court must contain reasons substantiating the necessity of detention. The Legislature's intention is to enact a special Law (Mental Health Act) that will not only deal with the procedural questions, but also with all other constitutional and statutory rights and freedoms of the mentally ill patients. It should also deal with other forms of institutional and non-institutional care for mentally ill persons. The author discusses the Ombudsman's control over the rights and freedoms of involuntary committed in-patients. Finally, the author discusses some of the most problematic issues of the Slovenian Mental Health Actde lege ferenda.

Coastal wetland adaptation to sea level rise: Quantifying potential for landward migration and coastal squeeze

Science.gov (United States)

Borchert, Sinéad M.; Osland, Michael J.; Enwright, Nicholas M.; Griffith, Kereen

2018-01-01

Coastal wetland ecosystems are expected to migrate landwards in response to rising seas. However, due to differences in topography and coastal urbanization, estuaries vary in their ability to accommodate migration. Low‐lying urban areas can constrain migration and lead to wetland loss (i.e. coastal squeeze), especially where existing wetlands cannot keep pace with rising seas via vertical adjustments. In many estuaries, there is a pressing need to identify landward migration corridors and better quantify the potential for landward migration and coastal squeeze.We quantified and compared the area available for landward migration of tidal saline wetlands and the area where urban development is expected to prevent migration for 39 estuaries along the wetland‐rich USA Gulf of Mexico coast. We did so under three sea level rise scenarios (0.5, 1.0, and 1.5 m by 2100).Within the region, the potential for wetland migration is highest within certain estuaries in Louisiana and southern Florida (e.g. Atchafalaya/Vermilion Bays, Mermentau River, Barataria Bay, and the North and South Ten Thousand Islands estuaries).The potential for coastal squeeze is highest in estuaries containing major metropolitan areas that extend into low‐lying lands. The Charlotte Harbor, Tampa Bay, and Crystal‐Pithlachascotee estuaries (Florida) have the highest amounts of urban land expected to constrain wetland migration. Urban barriers to migration are also high in the Galveston Bay (Texas) and Atchafalaya/Vermilion Bays (Louisiana) estuaries.Synthesis and applications. Coastal wetlands provide many ecosystem services that benefit human health and well‐being, including shoreline protection and fish and wildlife habitat. As the rate of sea level rise accelerates in response to climate change, coastal wetland resources could be lost in areas that lack space for landward migration. Migration corridors are particularly important in highly urbanized estuaries where, due to low‐lying coastal

Village Dogs in Coastal Mexico

NARCIS (Netherlands)

Ruiz Izaguirre, Eliza; Hebinck, P.G.M.; Eilers, C.H.A.M.

2018-01-01

Village dogs are important for households in coastal Mexico, yet they are seen as out of place by etic stakeholders (public health and wildlife experts, and animal welfarists). Caregivers of village dogs are considered irresponsible, a view that is reinforced by Mexican policy. We describe two

Our evolving conceptual model of the coastal eutrophication problem

Science.gov (United States)

Cloern, James E.

2001-01-01

A primary focus of coastal science during the past 3 decades has been the question: How does anthropogenic nutrient enrichment cause change in the structure or function of nearshore coastal ecosystems? This theme of environmental science is recent, so our conceptual model of the coastal eutrophication problem continues to change rapidly. In this review, I suggest that the early (Phase I) conceptual model was strongly influenced by limnologists, who began intense study of lake eutrophication by the 1960s. The Phase I model emphasized changing nutrient input as a signal, and responses to that signal as increased phytoplankton biomass and primary production, decomposition of phytoplankton-derived organic matter, and enhanced depletion of oxygen from bottom waters. Coastal research in recent decades has identified key differences in the responses of lakes and coastal-estuarine ecosystems to nutrient enrichment. The contemporary (Phase II) conceptual model reflects those differences and includes explicit recognition of (1) system-specific attributes that act as a filter to modulate the responses to enrichment (leading to large differences among estuarine-coastal systems in their sensitivity to nutrient enrichment); and (2) a complex suite of direct and indirect responses including linked changes in: water transparency, distribution of vascular plants and biomass of macroalgae, sediment biogeochemistry and nutrient cycling, nutrient ratios and their regulation of phytoplankton community composition, frequency of toxic/harmful algal blooms, habitat quality for metazoans, reproduction/growth/survival of pelagic and benthic invertebrates, and subtle changes such as shifts in the seasonality of ecosystem functions. Each aspect of the Phase II model is illustrated here with examples from coastal ecosystems around the world. In the last section of this review I present one vision of the next (Phase III) stage in the evolution of our conceptual model, organized around 5

[Diffusion of clinical governance among the Italian Local Health Units (LHUs). Analysis of the Health Surveys, the Firm Acts and the Health Plans].

Science.gov (United States)

de Belvis, A G; Biasco, A; Pelone, F; Romaniello, A; De Micco, F; Volpe, M; Ricciardi, W

2009-01-01

The objective of our research is to report on the diffusion of Clinical Governance, as introduced with the National Health Plan 2006-2008, by analysing the planning instruments set up by each Region (Regional Health Plans and Emergency Plans in regions with budget deficit), the organizational frameworks (Atti Aziendali, firm acts), and the surveys on performance and quality of healthcare among the Italian Local Health Units (Health Surveys). Our research was realized on September-December 2007 and consisted of the collection of all retrieved documents available on the web and on the online public access catalog (OPAC SBN) of the National Library Service. Futhermore, each document has been classified and analysed according to Chambers' Clinical Governance definition. A descriptive statistical and inferential analysis by applying the Chi-2 Test was performed to test the correlation between the diffusion of such a classified documents and the geographical partition of each LHU. Our results show a scarce diffusion of Firm acts (43%) and Health Surveys (24.9% of the total). Any remind to Clinical Governance instruments and methods inside each document resulted even poorer among both the organizational and performance surveys and the regional health planning frameworks, respectively.

Coastal biodiversity and ecosystem services flows at the landscape scale: The CBESS progamme.

Science.gov (United States)

Paterson, David; Bothwell, John; Bradbury, Richard; Burrows, Michael; Burton, Niall; Emmerson, Mark; Garbutt, Angus; Skov, Martin; Solan, Martin; Spencer, Tom; Underwood, Graham

2015-04-01

The health of the European coastline is inextricably linked to the economy and culture of coastal nations but they are sensitive to climate change. As global temperatures increase, sea levels will rise and the forces experienced where land meets sea will become more destructive. Salt marshes, mudflats, beaches will be affected. These landscapes support a wide range of economically valuable animal and plant species, but also act as sites of carbon storage, nutrient recycling, and pollutant capture and amelioration. Their preservation is of utmost importance. Our programme: "A hierarchical approach to the examination of the relationship between biodiversity and ecosystem service flows across coastal margins" (CBESS) is designed to understand the landscape-scale links between the functions that these systems provide (ecosystem service flows) and the organisms that provide these services (biodiversity stocks) and moves beyond most previous studies, conducted at smaller scales. Our consortium of experts ranges from microbial ecologists, through environmental economists, to mathematical modellers, and organisations (RSPB, BTO, CEFAS, EA) with vested interest in the sustainable use of coastal wetlands. CBESS spans the landscape scale, investigating how biodiversity stocks provide ecosystem services (cf. National Ecosystem Assessment: Supporting services; Provisioning services; Regulating services; and Cultural services). CBESS combined a detailed study of two regional landscapes with a broad-scale UK-wide study to allow both specific and general conclusions to be drawn. The regional study compares two areas of great UK national importance: Morecambe Bay on the west coast and the Essex coastline on the east. We carried out biological and physical surveys at more than 600 stations combined with in situ measures of ecosystem funtction to clarify how biodiversity can provide these important ecosystem functions across scales. This information will be shared with those

Respiratory Problems Associated with Surfing in Coastal Waters

OpenAIRE

O Halloran, C; Silver, MW; Lahiff, M; Colford, J

2017-01-01

© 2016, International Association for Ecology and Health. A pilot project was conducted to examine the health status and possible adverse health effects associated with seawater exposure (microbial water-quality indicators and phytoplankton abundance and their toxins) of surfers in Monterey Bay, Central California coastal waters. Forty-eight surfers enrolled in the study and completed an initial health background survey and weekly health surveys online using Survey Monkey. Descriptive statist...

Coastal ecosystems, productivity and ecosystem protection: Coastal ecosystem management

International Nuclear Information System (INIS)

Ngoile, M.A.K.; Horrill, C.J.

1993-01-01

The coastal zone is a complex ecosystem under the influence of physical, chemical and biological processes. Under natural conditions these processes interact and maintain an equilibrium in the coastal ecosystem. Man makes a variety of important uses of coastal resources, ranging from harvesting of living resources, extraction of nonliving resources, and recreation, to the disposal of wastes. Man's extensive use of the oceans introduces factors which bring about an imbalance in the natural processes, and may result in harmful and hazardous effects to life hindering further use. Man's pressure on the resources of the coastal zone is already manifest and will increase manifold. This calls for an immediate solution to the protection and sustainable use of coastal resources. The current sectorized approach to the management of human activities will not solve the problem because the different resources of the coastal zone interact in such a manner that disturbances in one cause imbalance in the others. This is further complicated by the sectorized approach to research and limited communication between policy makers, managers, and scientists. This paper discusses strategies for managing coastal-resources use through an integrated approach. The coastal zone is presented as a unified ecosystem in equilibrium and shows that man's extensive use of the coastal resources destabilizes this equilibrium. Examples from the East Africa Region are presented. 15 refs, 2 figs, 3 tabs

The Validity of Warrantless Searches under the Occupational Safety and Health Act of 1970

Science.gov (United States)

Shanks, Michael D.

1975-01-01

One of the most controversial federal acts providing for random administrative searches is the Occupational Safety and Health Act of 1970 (OSHA). The author reviews the search and seizure law and concludes that abandonment of Fourth Amendment rights should not be predicated on the mere convenience of even a justifiable regulatory scheme. (JT)

The Children's Health Insurance Program Reauthorization Act Evaluation Findings on Children's Health Insurance Coverage in an Evolving Health Care Landscape.

Science.gov (United States)

Harrington, Mary E

2015-01-01

The Children's Health Insurance Program (CHIP) Reauthorization Act (CHIPRA) reauthorized CHIP through federal fiscal year 2019 and, together with provisions in the Affordable Care Act, federal funding for the program was extended through federal fiscal year 2015. Congressional action is required or federal funding for the program will end in September 2015. This supplement to Academic Pediatrics is intended to inform discussions about CHIP's future. Most of the new research presented comes from a large evaluation of CHIP mandated by Congress in the CHIPRA. Since CHIP started in 1997, millions of lower-income children have secured health insurance coverage and needed care, reducing the financial burdens and stress on their families. States made substantial progress in simplifying enrollment and retention. When implemented optimally, Express Lane Eligibility has the potential to help cover more of the millions of eligible children who remain uninsured. Children move frequently between Medicaid and CHIP, and many experienced a gap in coverage with this transition. CHIP enrollees had good access to care. For nearly every health care access, use, care, and cost measure examined, CHIP enrollees fared better than uninsured children. Access in CHIP was similar to private coverage for most measures, but financial burdens were substantially lower and access to weekend and nighttime care was not as good. The Affordable Care Act coverage options have the potential to reduce uninsured rates among children, but complex transition issues must first be resolved to ensure families have access to affordable coverage, leading many stakeholders to recommend funding for CHIP be continued. Copyright © 2015 Academic Pediatric Association. All rights reserved.

Satellite Remote Sensing Detection of Coastal Pollution in Southern California: Stormwater Runoff and Wastewater Plumes

Science.gov (United States)

Trinh, R. C.; Holt, B.; Gierach, M.

2016-02-01

Coastal pollution poses a major health and environmental hazard, not only for beach goers and coastal communities but for marine organisms as well. Stormwater runoff is the largest source of environmental pollution in coastal waters of the Southern California Bight (SCB) and is of great concern in increasingly urbanized areas. Buoyant wastewater plumes also pose a marine environmental risk. In this study we provide a comprehensive overview of satellite remote sensing capabilities in detecting buoyant coastal pollutants in the form of stormwater runoff and wastewater effluent. The SCB is the final destination of four major urban rivers that act as channels for runoff and pollution during and after rainstorms. We analyzed and compared sea surface roughness data from various Synthetic Aperture Radar (SAR) instruments to ocean color data from the Moderate Imaging System (MODIS) sensor on board the Aqua satellite and correlated the results with existing environmental data in order to create a climatology of naturally occurring stormwater plumes in coastal waters after rain events, from 1992 to 2014 from four major rivers in the area. Heat maps of the primary extent of stormwater plumes were constructed to specify areas that may be subject to the greatest risk of coastal contamination. In conjunction with our efforts to monitor coastal pollution and validate the abilities of satellite remote sensing, a recent Fall 2015 wastewater diversion from the City of Los Angeles Hyperion Treatment Plant (HTP) provided the opportunity to apply these remote sensing methodologies of plume detection to wastewater. During maintenance of their 5-mile long outfall pipe, wastewater is diverted to a shorter outfall pipe that terminates 1-mile offshore and in shallower waters. Sea surface temperature (SST), chlorophyll-a (chl-a) fluorescence, remote sensing reflectance and particulate backscatter signatures were analyzed from MODIS. Terra-ASTER and Landsat-8 thermal infrared data were also

78 FR 13405 - Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review

Science.gov (United States)

2013-02-27

... Parts 144, 147, 150, et al. Patient Protection and Affordable Care Act; Health Insurance Market Rules... Insurance Market Rules; Rate Review AGENCY: Department of Health and Human Services. ACTION: Final rule. SUMMARY: This final rule implements provisions related to fair health insurance premiums, guaranteed...

Slovak Republic Act No. 126/2006 Coll. of 2 February 2006 on public health and the amendment certain laws

International Nuclear Information System (INIS)

2006-01-01

This Act provides (a) the organization and execution of public health; (b) the conditions of public health characteristics and determinants of health; (c) measures of state administration in the field of public health (hereinafter 'public health authority') in emergencies; (d) the conditions for prevention of human diseases; (e) the rights and obligations of natural persons and legal persons in public health; (f) performance of national health surveillance; (g) penalties for violation of obligations in the field of public health. This Act came into force on June 1, 2006.

Toward a community coastal sediment transport modeling system: the second workshop

Science.gov (United States)

Sherwood, Christopher R.; Harris, Courtney K.; Geyer, W. Rockwell; Butman, Bradford

2002-01-01

Models for transport and the long-term fate of particles in coastal waters are essential for a variety of applications related to commerce, defense, public health, and the quality of the marine environment. Examples include: analysis of waste disposal and transport and the fate of contaminated materials; evaluation of burial rates for naval mines or archaeological artifacts; prediction of water-column optical properties; analysis of transport and the fate of biological particles; prediction of coastal flooding and coastal erosion; evaluation of impacts of sea-level or wave-climate changes and coastal development; planning for construction and maintenance of navigable waterways; evaluation of habitat for commercial fisheries; evaluation of impacts of natural or anthropogenic changes in coastal conditions on recreational activities; and design of intakes and outfalls for sewage treatment, cooling systems, and desalination plants.

Grey mullet (Mugilidae) as possible indicators of global warming in South African estuaries and coastal waters.

Science.gov (United States)

James, Nicola C; Whitfield, Alan K; Harrison, Trevor D

2016-12-01

The grey mullet usually occur in large numbers and biomass in the estuaries of all three South African biogeographic regions, thus making it an ideal family to use in terms of possibly acting as an environmental indicator of global warming. In this analysis the relative estuarine abundance of the dominant three groups of mugilids, namely tropical, warm-water and cool-water endemics, were related to sea surface coastal temperatures. The study suggests a strong link between temperature and the distribution and abundance of the three mullet groups within estuaries and indicates the potential of this family to act as an indicator for future climate change within these systems and adjacent coastal waters. Copyright © 2016 Elsevier Ltd. All rights reserved.

Assessing Hazard Vulnerability, Habitat Conservation, and Restoration for the Enhancement of Mainland China's Coastal Resilience

Science.gov (United States)

Sajjad, Muhammad; Li, Yangfan; Tang, Zhenghong; Cao, Ling; Liu, Xiaoping

2018-03-01

Worldwide, humans are facing high risks from natural hazards, especially in coastal regions with high population densities. Rising sea levels due to global warming are making coastal communities' infrastructure vulnerable to natural disasters. The present study aims to provide a coupling approach of vulnerability and resilience through restoration and conservation of lost or degraded coastal natural habitats to reclamation under different climate change scenarios. The integrated valuation of ecosystems and tradeoffs model is used to assess the current and future vulnerability of coastal communities. The model employed is based on seven different biogeophysical variables to calculate a natural hazard index and to highlight the criticality of the restoration of natural habitats. The results show that roughly 25% of the coastline and more than 5 million residents are in highly vulnerable coastal areas of mainland China, and these numbers are expected to double by 2100. Our study suggests that restoration and conservation in recently reclaimed areas have the potential to reduce this vulnerability by 45%. Hence, natural habitats have proved to be a great defense against coastal hazards and should be prioritized in coastal planning and development. The findings confirm that natural habitats are critical for coastal resilience and can act as a recovery force of coastal functionality loss. Therefore, we recommend that the Chinese government prioritizes restoration (where possible) and conservation of the remaining habitats for the sake of coastal resilience to prevent natural hazards from escalating into disasters.

Coastal Innovation Imperative

Directory of Open Access Journals (Sweden)

Bruce C. Glavovic

2013-03-01

Full Text Available This is the second of two articles that explores the coastal innovation paradox and imperative. Paradoxically, innovation is necessary to escape the vulnerability trap created by past innovations that have degraded coastal ecosystems and imperil coastal livelihoods. The innovation imperative is to reframe and underpin business and technology with coherent governance innovations that lead to social transformation for coastal sustainability. How might coastal management help to facilitate this transition? It is argued that coastal management needs to be reconceptualised as a transformative practice of deliberative coastal governance. A foundation comprising four deliberative or process outcomes is posited. The point of departure is to build human and social capital through issue learning and improved democratic attitudes and skills. Attention then shifts to facilitating community-oriented action and improving institutional capacity and decision-making. Together, these endeavours enable improved community problem-solving. The ultimate process goal is to build more collaborative communities. Instituting transformative deliberative coastal governance will help to stimulate innovations that chart new sustainability pathways and help to resolve the coastal problems. This framework could be adapted and applied in other geographical settings.

The Consumer Protection Act: No-fault liability of health care providers

OpenAIRE

Slabbert, M Nöthling; Pepper, Michael S

2011-01-01

The introduction of no-fault or strict liability by the Consumer Protection Act 68 of 2008 (CPA) poses serious problems in the health care context. With a patient as a consumer' in terms of the CPA, health care practitioners may find themselves as suppliers' or retailers' as part of a supply chain, and potentially liable for harm and loss suffered by a patient in terms of the new no-fault liability provision. The claimant (patient) can sue anyone in the supply chain in terms of this provision...

[The number of deaths by suicide after the Great East Japan Earthquake based on demographic statistics in the coastal and non-coastal areas of Iwate, Miyagi, and Fukushima prefectures].

Science.gov (United States)

Masaki, Naoko; Hashimoto, Shuji; Kawado, Miyuki; Ojima, Toshiyuki; Takeshima, Tadashi; Matsubara, Miyuki; Mitoku, Kazuko; Ogata, Yukiko

2018-01-01

Objective　The number of deaths by suicide after the Great East Japan Earthquake was surveyed based on demographic statistics. In particular, this study examined whether or not there were excessive deaths due to suicide (excluding people who were injured in the earthquake) after the Great East Japan Earthquake disaster. This examination surveyed municipalities in coastal and non-coastal areas of Iwate, Miyagi, and Fukushima prefectures (referred to below as the "three prefectures").Methods　The demographic statistics questionnaire survey information supplied by Article 33 of the Statistics Act (Ministry of Health, Labour and Welfare's published statistics Vol. 0925 No.4, September 25 th , 2014) were used as the basic data with particular reference to the information on the deaths from January 1 st , 2010 to March 31 st , 2013. The information obtained included the date of death, the municipality where the address of the deceased was registered, the gender of the deceased, age at the time of death, and cause of death codes (International Classification of Disease Codes 10 th revision: ICD-10). Additionally, information was gathered about the population based on the resident register from 2009 to 2013 and the 2010 National Census; the number of deaths by suicide was then totalled by period and area. The areas were classified as municipalities within three prefectures and those located elsewhere using the municipality where the address of the deceased was registered.Results　The SMR for suicides did not show a tendency to increase for coastal or non-coastal areas throughout the two-year period after the earthquake disaster (from March 2011 to February 2013).　The SMR for the three prefectures 0-1 years after the disaster compared with the year before the disaster was 0.92 and for 1-2 years after the disaster was 0.93. Both these values were significantly low. Looking at both the non-coastal and coastal areas from each of the three prefectures, the SMR for suicides

Coastal sediment elevation change following anthropogenic mangrove clearing

Science.gov (United States)

Hayden, Heather L.; Granek, Elise F.

2015-11-01

Coastal mangrove forests along tropical shorelines serve as an important interface between land and sea. They provide a physical buffer protecting the coastline from erosion and act as sediment "traps" catching terrestrial sediment, thus preventing smothering of subtidal coral reefs. Coastal development that removes mangrove habitat may impact adjacent nearshore coral reefs through sedimentation and nutrient loading. We examined differences in sediment elevation change between patches of open-coast intact and anthropogenically cleared red mangroves (Rhizophora mangle) on the east side of Turneffe Atoll, Belize, to quantify changes following mangrove clearing. Samples were collected over a 24 month period at five study sites, each containing paired intact (+mangrove) and cleared (-mangrove) plots. Five sediment elevation pins were deployed in each plot: behind areas cleared of mangroves (-mangrove) and behind adjacent intact mangroves (+mangrove). Sediment elevation increased at intact mangrove sites (M = +3.83 mm, SE = 0.95) whereas cleared mangrove areas suffered elevation loss (M = -7.30 mm, SE = 3.38). Mangroves inshore of partial or continuous gaps in the adjacent fringing reefs had higher rates of elevation loss (M = -15.05 mm) than mangroves inshore of continuous fringing reefs (M = -1.90 mm). Our findings provide information on potential effects of mangrove clearing and the role of offshore habitat characteristics on coastal sediment trapping and maintenance of sediment elevation by mangroves. With implications for coastline capacity to adjust to sea level rise, these findings are relevant to management of coastal fringing mangrove forests across the Caribbean.

75 FR 50987 - Privacy Act System of Records; National Animal Health Laboratory Network (NAHLN)

Science.gov (United States)

2010-08-18

...The U.S. Department of Agriculture (USDA) proposes to add a new Privacy Act system of records to its inventory of records systems subject to the Privacy Act of 1974, as amended, and invites public comment on this new records system. The system of records being proposed is the National Animal Health Laboratory Network. This notice is necessary to meet the requirements of the Privacy Act to publish in the Federal Register notice of the existence and character of record systems maintained by the agency. Although the Privacy Act requires only that the portion of the system that describes ``routine uses'' of the system be published for comment, USDA invites comment on all portions of this notice.

Large-scale coastal behaviour in relation to coastal zone management

NARCIS (Netherlands)

Stive, M.J.F.

1990-01-01

The development of coastal erosion management - addressing typical traditional erosion problems - towards coastal zone management addressing the evaluation of alternative solutions to guarantee a variety of coastal zone functions on their economic time scale - has necessitated the formulation of

Land-based sources of marine pollution: Pesticides, PAHs and phthalates in coastal stream water, and heavy metals in coastal stream sediments in American Samoa

International Nuclear Information System (INIS)

Polidoro, Beth A.; Comeros-Raynal, Mia T.; Cahill, Thomas; Clement, Cassandra

2017-01-01

The island nations and territories of the South Pacific are facing a number of pressing environmental concerns, including solid waste management and coastal pollution. Here we provide baseline information on the presence and concentration of heavy metals and selected organic contaminants (pesticides, PAHs, phthalates) in 7 coastal streams and in surface waters adjacent to the Futiga landfill in American Samoa. All sampled stream sediments contained high concentrations of lead, and some of mercury. Several coastal stream waters showed relatively high concentrations of diethyl phthalate and of organophosphate pesticides, above chronic toxicity values for fish and other aquatic organisms. Parathion, which has been banned by the US Environmental Protection Agency since 2006, was detected in several stream sites. Increased monitoring and initiatives to limit non-point source land-based pollution will greatly improve the state of freshwater and coastal resources, as well as reduce risks to human health in American Samoa. - Highlights: • Several coastal stream sediments in American Samoa are high in lead and mercury. • Organophosphate pesticides, including Parathion, are present in coastal streams. • More research is needed on the sources, fate and impacts of these contaminants.

All About OSHA: The Who, What, Where, When, Why and How of the Occupational Safety and Health Act of 1970.

Science.gov (United States)

Occupational Safety and Health Administration, Washington, DC.

The pamphlet summarizes the operations of the Occupational Safety and Health Administration (OSHA) and the provisions of the Occupational Safety and Health Act of 1970. OSHA's mission is to assure safe and healthful working conditions and to preserve human resources. Employers and employees who are covered by the act and employer and employee…

Maternal care of undocumented pregnant women under the Fees Act (Medical) for Foreigners 1951. Perspectives of health and non-health actors

OpenAIRE

Loo, Pei Shan

2017-01-01

With the unprecedented international migration around the world, policies that restrict immigrants' health care access have become prevailing. In 2014, the amendment to The Fees Act (Medical) for Foreigners 1951 had further hindered the health care access of undocumented pregnant women. This qualitative study aimed to obtain perspectives of health and non-health actors regarding the implications of the amendment to the undocumented pregnant women. Ten semi-structured interviews were conducted...

Egyptian coastal regions development through economic diversity for its coastal cities

Directory of Open Access Journals (Sweden)

Tarek AbdeL-Latif

2012-12-01

This study examines the structure of the coastal cities industry, the main types, the impacts (economic, environmental, and social of coastal cities, and the local trends in development in the Egyptian coastal cities and its regions. It will also analyze coastal and marine tourism in several key regions identified because of the diversity of life they support, and the potential destruction they could face. This paper confirms that economic diversification in coastal cities is more effective than developments in only one economic sector, even if this sector is prominent and important.

Coastal estuaries and lagoons: The delicate balance at the edge of the sea

Science.gov (United States)

Conrads, Paul A.; Rodgers, Kirk D.; Passeri, Davina L.; Prinos, Scott T.; Smith, Christopher; Swarzenski, Christopher M.; Middleton, Beth A.

2018-04-19

Coastal communities are increasingly concerned about the dynamic balance between freshwater and saltwater because of its implications for societal, economic, and ecological resources. While the mixing of freshwater and saltwater sources defines coastal estuaries and lagoons, sudden changes in this balance can have a large effect on critical ecosystems and infrastructure. Any change to the delivery of water from either source has the potential to affect the health of both humans and natural biota and also to damage coastal infrastructure. This fact sheet discusses the potential of major shifts in the dynamic freshwater-saltwater balance to alter the environment and coastal stability.

COASTAL, Pacific, Washington

Data.gov (United States)

Federal Emergency Management Agency, Department of Homeland Security — Coastal study data as defined in FEMA Guidelines and Specifications, Appendix D: Guidance for Coastal Flooding Analyses and Mapping, submitted as a coastal study.

Carbon degradation in agricultural soils flooded with seawater after managed coastal realignment

Science.gov (United States)

Sjøgaard, Kamilla S.; Treusch, Alexander H.; Valdemarsen, Thomas B.

2017-09-01

Permanent flooding of low-lying coastal areas is a growing threat due to climate change and related sea-level rise. An increasingly common solution to protect coastal areas lying below sea level is intentional flooding by "managed coastal realignment". However, the biogeochemical implications of flooding agricultural soils with seawater are still not well understood. We conducted a 1-year mesocosm experiment to investigate microbial carbon degradation processes in soils flooded with seawater. Agricultural soils were sampled on the northern coast of the island Fyn (Denmark) at Gyldensteen Strand, an area that was subsequently flooded in a coastal realignment project. We found rapid carbon degradation to TCO2 1 day after experimental flooding and onwards and microbial sulfate reduction established quickly as an important mineralization pathway. Nevertheless, no free sulfide was observed as it precipitated as Fe-S compounds with Fe acting as a natural buffer, preventing toxic effects of free sulfide in soils flooded with seawater. Organic carbon degradation decreased significantly after 6 months, indicating that most of the soil organic carbon was refractory towards microbial degradation under the anoxic conditions created in the soil after flooding. During the experiment only 6-7 % of the initial soil organic carbon pools were degraded. On this basis we suggest that most of the organic carbon present in coastal soils exposed to flooding through sea-level rise or managed coastal realignment will be permanently preserved.

Defining and Acting on Global Health: The Case of Japan and the Refugee Crisis

Directory of Open Access Journals (Sweden)

Claire Leppold

2016-08-01

Full Text Available What counts as global health? There has been limited discourse to date on the ways in which country-level contexts may shape positioning in global health agendas. By reviewing Japan’s response to the refugee crisis, we demonstrate a clash between rhetoric and action on global responsibility, and suggest that cultural and historical factors may be related to the ways of perceiving and acting upon global health.

The Health Care Strengthening Act: The next level of integrated care in Germany.

Science.gov (United States)

Milstein, Ricarda; Blankart, Carl Rudolf

2016-05-01

The lack of integration of health-care sectors and specialist groups is widely accepted as a necessity to effectively address the most urgent challenges in modern health care systems. Germany follows a more decentralized approach that allows for many degrees of freedom. With its latest bill, the German government has introduced several measures to explicitly foster the integration of health-care services. This article presents the historic development of integrated care services and offers insights into the construction of integrated care programs in the German health-care system. The measures of integrated care within the Health Care Strengthening Act are presented and discussed in detail from the perspective of the provider, the payer, and the political arena. In addition, the effects of the new act are assessed using scenario technique based on an analysis of the effects of previously implemented health policy reforms. Germany now has a flourishing integrated care scene with many integrated care programs being able to contain costs and improve quality. Although it will be still a long journey for Germany to reach the coordination of care standards set by leading countries such as the United Kingdom, New Zealand or Switzerland, international health policy makers may deliberately and selectively adopt elements of the German approach such as the extensive freedom of contract, the strong patient-focus by allowing for very need-driven and regional solutions, or the substantial start-up funding allowing for more unproven and progressive endeavors to further improve their own health systems. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Observed and projected impacts of climate change on marine fisheries, aquaculture, coastal tourism, and human health: an update

Directory of Open Access Journals (Sweden)

Lauren V Weatherdon

2016-04-01

uncertain, and may detrimentally affect human health. Climate change may also induce changes in tourism flows, leading to substantial geospatial shifts in economic costs and benefits associated with tourism revenue and coastal infrastructure protection and repairs. While promising, ecosystem-based coastal adaptation approaches are still emerging, and require an improved understanding of key ecosystem services and values for coastal communities in order to assess risk, aid coastal development planning, and build decision support systems.

Family structure and health, how companionship acts as a buffer against ill health

Directory of Open Access Journals (Sweden)

Kizuki Masashi

2007-11-01

Full Text Available Abstract Background Health and well-being are the result of synergistic interactions among a variety of determinants. Family structure and composition are social determinants that may also affect health behaviours and outcomes. This study was performed to examine the associations between family structure and health and to determine the protective effects of support mechanisms to improve quality of health outcome. Methods Six hundred people, selected by multistage sampling to obtain a representative population of men and women aged 20–60 living in communities in Japan, were included in this study. Data regarding subjective views of one's own health, family structure, lifestyle and social support were collected through structured face-to-face interviews on home visits. Systolic and diastolic blood pressures, height and weight were measured by trained examiners. The associations between family structure and health after controlling for demographics, lifestyle and social support were examined using logistic and linear regression analyses. Results Subjects living alone were significantly more likely to be in ill health, as determined using the General Health Questionnaire, in comparison to those in extended families (OR = 3.14. Subjects living alone or as couples were significantly more likely to suffer from severe hypertension in comparison to those living in extended families (OR = 8.25, OR = 4.90. These associations remained after controlling for the influence of lifestyle. Subjects living only with spouse or in nuclear family had higher probabilities of mental ill health in the absence than in the presence of people showing concern for their well-being. Conclusion The results of this study infers that a support mechanism consisting of companionship and the presence of family or other people concerned for one's well being acts as a buffer against deleterious influence of living in small family that will lead to improved quality of health outcome.

Widespread local chronic stressors in Caribbean coastal habitats.

Science.gov (United States)

Chollett, Iliana; Collin, Rachel; Bastidas, Carolina; Cróquer, Aldo; Gayle, Peter M H; Jordán-Dahlgren, Eric; Koltes, Karen; Oxenford, Hazel; Rodriguez-Ramirez, Alberto; Weil, Ernesto; Alemu, Jahson; Bone, David; Buchan, Kenneth C; Creary Ford, Marcia; Escalante-Mancera, Edgar; Garzón-Ferreira, Jaime; Guzmán, Hector M; Kjerfve, Björn; Klein, Eduardo; McCoy, Croy; Potts, Arthur C; Ruíz-Rentería, Francisco; Smith, Struan R; Tschirky, John; Cortés, Jorge

2017-01-01

Coastal ecosystems and the livelihoods they support are threatened by stressors acting at global and local scales. Here we used the data produced by the Caribbean Coastal Marine Productivity program (CARICOMP), the longest, largest monitoring program in the wider Caribbean, to evidence local-scale (decreases in water quality) and global-scale (increases in temperature) stressors across the basin. Trend analyses showed that visibility decreased at 42% of the stations, indicating that local-scale chronic stressors are widespread. On the other hand, only 18% of the stations showed increases in water temperature that would be expected from global warming, partially reflecting the limits in detecting trends due to inherent natural variability of temperature data. Decreases in visibility were associated with increased human density. However, this link can be decoupled by environmental factors, with conditions that increase the flush of water, dampening the effects of human influence. Besides documenting environmental stressors throughout the basin, our results can be used to inform future monitoring programs, if the desire is to identify stations that provide early warning signals of anthropogenic impacts. All CARICOMP environmental data are now available, providing an invaluable baseline that can be used to strengthen research, conservation, and management of coastal ecosystems in the Caribbean basin.

The unwritten new practice rights of the traditional health practitioner as stipulated by the Traditional Health Practitioners Act No 22 (2007 of South Africa

Directory of Open Access Journals (Sweden)

Gabriel Louw

2016-11-01

Full Text Available Background In 2007, a practice directive was issued for the new legal entity traditional health practitioner with the promulgation of the Traditional Health Practitioners Act (No 22 of 2007 in the Republic of South Africa. Although the Act describes this new pathway in terms of various definitions, the future practice rights and impact on healthcare were left undefined and unwritten. To date the negative legal implications and career consequences that the Act has for the regulated health practitioners, have gone unnoticed. The derogation and degrading of their work domains and rights, seem of no concern.1 Aims The aim of the present study is to determine and describe the unwritten new practice rights of the traditional health practitioner. Methods This is an exploratory and descriptive study in line with the modern historical approach of investigation by means of a literature review. The emphasis is on using documentation such as articles, books and newspapers as primary resources to reflect on the traditional health practitioner’s new unsaid and unwritten future practice rights. Results The future practice and services of traditional health practitioners seem to incorporate many new unwritten practice rights and activities, which is contrary to the Act’s written intentions. Conclusion The new traditional health practitioner‘s future practice rights are legally comprehensive and masked. It holds serious consequences for the practices of the established healthcare professions.

Diurnal variability of CO2 flux at coastal zone of Taiwan based on eddy covariance observation

Science.gov (United States)

Chien, Hwa; Zhong, Yao-Zhao; Yang, Kang-Hung; Cheng, Hao-Yuan

2018-06-01

In this study, we employed shore-based eddy covariance systems for a continuous measurement of the coastal CO2 flux near the northwestern coast of Taiwan from 2011 to 2015. To ensure the validity of the analysis, the data was selected and filtered with a footprint model and an empirical mode decomposition method. The results indicate that the nearshore air-sea and air-land CO2 fluxes exhibited a significant diurnal variability and a substantial day-night difference. The net air-sea CO2 flux was -1.75 ± 0.98 μmol-C m-2 s-1, whereas the net air-land CO2 flux was 0.54 ± 7.35 μmol-C m-2 s-1, which indicated that in northwestern Taiwan, the coastal water acts as a sink of atmospheric CO2 but the coastal land acts as a source. The Random Forest Method was applied to hierarchize the influence of Chl-a, SST, DO, pH and U10 on air-sea CO2 fluxes. The result suggests that the strength of the diurnal air-sea CO2 flux is strongly influenced by the local wind speed.

Quantifying the effectiveness of shoreline armoring removal on coastal biota of Puget Sound.

Science.gov (United States)

Lee, Timothy S; Toft, Jason D; Cordell, Jeffery R; Dethier, Megan N; Adams, Jeffrey W; Kelly, Ryan P

2018-01-01

Shoreline armoring is prevalent around the world with unprecedented human population growth and urbanization along coastal habitats. Armoring structures, such as riprap and bulkheads, that are built to prevent beach erosion and protect coastal infrastructure from storms and flooding can cause deterioration of habitats for migratory fish species, disrupt aquatic-terrestrial connectivity, and reduce overall coastal ecosystem health. Relative to armored shorelines, natural shorelines retain valuable habitats for macroinvertebrates and other coastal biota. One question is whether the impacts of armoring are reversible, allowing restoration via armoring removal and related actions of sediment nourishment and replanting of native riparian vegetation. Armoring removal is targeted as a viable option for restoring some habitat functions, but few assessments of coastal biota response exist. Here, we use opportunistic sampling of pre- and post-restoration data for five biotic measures (wrack % cover, saltmarsh % cover, number of logs, and macroinvertebrate abundance and richness) from a set of six restored sites in Puget Sound, WA, USA. This broad suite of ecosystem metrics responded strongly and positively to armor removal, and these results were evident after less than one year. Restoration responses remained positive and statistically significant across different shoreline elevations and temporal trajectories. This analysis shows that removing shoreline armoring is effective for restoration projects aimed at improving the health and productivity of coastal ecosystems, and these results may be widely applicable.

Quantifying the effectiveness of shoreline armoring removal on coastal biota of Puget Sound

Directory of Open Access Journals (Sweden)

Timothy S. Lee

2018-02-01

Full Text Available Shoreline armoring is prevalent around the world with unprecedented human population growth and urbanization along coastal habitats. Armoring structures, such as riprap and bulkheads, that are built to prevent beach erosion and protect coastal infrastructure from storms and flooding can cause deterioration of habitats for migratory fish species, disrupt aquatic–terrestrial connectivity, and reduce overall coastal ecosystem health. Relative to armored shorelines, natural shorelines retain valuable habitats for macroinvertebrates and other coastal biota. One question is whether the impacts of armoring are reversible, allowing restoration via armoring removal and related actions of sediment nourishment and replanting of native riparian vegetation. Armoring removal is targeted as a viable option for restoring some habitat functions, but few assessments of coastal biota response exist. Here, we use opportunistic sampling of pre- and post-restoration data for five biotic measures (wrack % cover, saltmarsh % cover, number of logs, and macroinvertebrate abundance and richness from a set of six restored sites in Puget Sound, WA, USA. This broad suite of ecosystem metrics responded strongly and positively to armor removal, and these results were evident after less than one year. Restoration responses remained positive and statistically significant across different shoreline elevations and temporal trajectories. This analysis shows that removing shoreline armoring is effective for restoration projects aimed at improving the health and productivity of coastal ecosystems, and these results may be widely applicable.

Coal Mine Health and Safety Regulation 2006 under the Coal Mine Health and Safety Act 2002

Energy Technology Data Exchange (ETDEWEB)

NONE

2006-12-22

The aim of the Act is to secure the health, safety and welfare of people in connection with coal operations (which include all places of work where coal is mined and certain other places). The Regulation contains provisions about the following matters: (a) places of work to which the Act does not apply, (b) duties relating to health, welfare and safety at coal operations, including the following: (i) the nomination of the operator of a coal operation and the provision of health and safety information for incoming operators, (ii) the contents of health and safety management systems for coal operations, (iii) major hazards and the contents of major hazard management plans for coal operations, (iv) duties relating to contractors, (v) the contents of management structures and emergency management systems for coal operations, escape and rescue plans and fire fighting plans and high risk activities, (c) notifications, including (i) notification of incidents, (ii) inquiries, (iii) notification of other matters to the Chief Inspector), (d) aspects of safety at coal operations, including the following: (i) controlled materials, plants and practices, (ii) coal dust explosion prevention and suppression, (iii) ventilation at coal operations, (iv) escape from coal operations, (v) the operation of transport at coal operations, (vi) surveys and certified plans, (vii) employment at coal operations, (e) the licensing of certain activities, (f) competence standards, (g) the Coal Competence Board, (h) check inspectors, (i) exemptions from provisions of this Regulation, (j) the following miscellaneous matters concerning coal mine health and safety: (i) the keeping of records and reporting, (ii) penalties, the review of decisions by the Administrative Decisions Tribunal, fees and charges, consultation, information and other miscellaneous matters, (k) savings and transitional provisions.

Defining and Acting on Global Health: The Case of Japan and the Refugee Crisis.

Science.gov (United States)

Leppold, Claire; Ozaki, Akihiko; Shimada, Yuki; Morita, Tomohiro; Tanimoto, Tetsuya

2016-05-31

What counts as global health? There has been limited discourse to date on the ways in which country-level contexts may shape positioning in global health agendas. By reviewing Japan's response to the refugee crisis, we demonstrate a clash between rhetoric and action on global responsibility, and suggest that cultural and historical factors may be related to the ways of perceiving and acting upon global health. © 2016 by Kerman University of Medical Sciences.

Coastal Engineering

NARCIS (Netherlands)

Van der Velden, E.T.J.M.

1989-01-01

Introduction, waves, sediment transport, littoral transport, lonshore sediment transport, onshore-offshore sediment transport, coastal changes, dune erosion and storm surges, sedimentation in channels and trenches, coastal engineering in practice.

Coastal Adaptation: The Case of Ocean Beach, San Francisco

Science.gov (United States)

Cheong, S.

2012-12-01

Coastal erosion, storms, sea-level rise, and tsunamis all lead to inundation that puts people and communities at risk. Adapting to these coastal hazards has gained increasing attention with climate change. Instead of promoting one particular strategy such as seawalls or defending against one type of hazard, scholars and practitioners encourage a combination of existing methods and strategies to promote synergistic effects. The recently published Intergovernmental Panel on Climate Change (IPCC) Special Report on climate extremes reflects this trend in the integration of disaster risk management and climate change adaptation. This paper focuses on the roles, compatibilities, and synergies of three coastal adaptation options - engineering, vegetation, and policy - in the case of Ocean Beach in San Francisco. Traditionally engineering approach and ecosystem conservation often have stood in opposition as hard shoreline structures destroy coastal habitats, worsen coastal erosion, divert ocean currents, and prevent the natural migration of shores. A natural migration of shores without structure translates into the abandonment of properties in the coastal zone, and is at odds with property rights and development. For example, policies of relocation, retreat, and insurance may not be popular given the concerns of infrastructure and coastal access. As such, engineering, natural defense, and policy can be more conflictual than complementary. Nonetheless, all these responses are used in combination in many locations. Complementarities and compatibilities, therefore, must be assessed when considering the necessity of engineering responses, natural defense capabilities, and policy options. In this light, the question is how to resolve the problem of mixed responses and short- and long-term interests and values, identify compatibilities, and generate synergies. In the case of Ocean Beach, recent erosions that endangered San Francisco's wastewater treatment system acted as major

Medicaid and Children's Health Insurance Programs; Mental Health Parity and Addiction Equity Act of 2008; the Application of Mental Health Parity Requirements to Coverage Offered by Medicaid Managed Care Organizations, the Children's Health Insurance Program (CHIP), and Alternative Benefit Plans. Final rule.

Science.gov (United States)

2016-03-30

This final rule will address the application of certain requirements set forth in the Public Health Service Act, as amended by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, to coverage offered by Medicaid managed care organizations, Medicaid Alternative Benefit Plans, and Children’s Health Insurance Programs.

Environmental planning and the siting of nuclear facilities: the integration of water, air, coastal, and comprehensive planning into the nuclear siting process. Improving regulatory effectiveness in federal/state siting actions

International Nuclear Information System (INIS)

Noble, J.B.; Epting, J.T.; Blumm, M.C.; Ackerman, S.; Laist, D.W.

1977-02-01

The National Environmental Policy Act, the Coastal Zone Management Act, the Federal Water Pollution Control Act, the Clean Air Act Amendments, and the Housing and Urban 701 Comprehensive Planning Assistance Program are discussed in relation to the planning and siting of nuclear facilities

The Use of Science in Environmental Advocacy for Coastal Resource Management

Directory of Open Access Journals (Sweden)

Maria Maida Aguinaldo

2000-12-01

Full Text Available Environmental advocacy in Bolinao has played an important role in the prevention, remediation, and rehabilitation of potential and felt impacts of the various activities in the coastal zone. Most initiatives have been spurred by the sharing of knowledge and information in mobilizing community advocates. Facilitating action in four key areas–development planning, coastal aquaculture, concession systems, and tourism– involved the provision of venues for information transfer. These included the conduct of orientations and consultations, sharing of results of research project undertaken, lobbying, and use of primers, newsletters, and theater. Mechanisms for sustaining these actions and upholding the Coastal Resource Management (CRM principles (sustainable, equitable, empowering long after projects have been phased out were initiated through the establishment of a Coastal Resource Management Center, and the institutionalization activities through existing institutions, such as the local government, academic institutions, and peoples’ organizations.Maximizing knowledge and information, popularizing information, and sharing this with members of the community and getting them to use it, as well as enjoining them to act, are the challenges that must be faced. Environmental advocacy, as a tool for empowering different community sectors in evolving a consensus for CRM has become an integral feature of development work in Bolinao.

Do ENSO and Coastal Development Enhance Coastal Burial of Terrestrial Carbon?

Science.gov (United States)

Macreadie, Peter I; Rolph, Timothy C; Boyd, Ron; Schröder-Adams, Claudia J; Skilbeck, Charles G

2015-01-01

Carbon cycling on the east coast of Australia has the potential to be strongly affected by El Niño-Southern Oscillation (ENSO) intensification and coastal development (industrialization and urbanization). We performed paleoreconstructions of estuarine sediments from a seagrass-dominated estuary on the east coast of Australia (Tuggerah Lake, New South Wales) to test the hypothesis that millennial-scale ENSO intensification and European settlement in Australia have increased the transfer of organic carbon from land into coastal waters. Our data show that carbon accumulation rates within coastal sediments increased significantly during periods of maximum millennial-scale ENSO intensity ("super-ENSO") and coastal development. We suggest that ENSO and coastal development destabilize and liberate terrestrial soil carbon, which, during rainfall events (e.g., La Niña), washes into estuaries and becomes trapped and buried by coastal vegetation (seagrass in this case). Indeed, periods of high carbon burial were generally characterized as having rapid sedimentation rates, higher content of fine-grained sediments, and increased content of wood and charcoal fragments. These results, though preliminary, suggest that coastal development and ENSO intensification--both of which are predicted to increase over the coming century--can enhance capture and burial of terrestrial carbon by coastal ecosystems. These findings have important relevance for current efforts to build an understanding of terrestrial-marine carbon connectivity into global carbon budgets.

New York's Health Care Workforce Recruitment and Retention Act: an investigation of the effects of nonrecurring increases in health worker wage on health worker supply.

Science.gov (United States)

Patel, Kavin

2014-01-01

This article analyzes New York's Health Care Workforce Recruitment and Retention Act of 2002. The analysis comes in 4 parts: part 1 provides a brief overview of New York's economy as it relates to health care, a feel for the political climate at the time, and a detailed presentation of the chain of events that connect this climate to the birth of the Health Care Workforce Recruitment and Retention Act of 2002; part 2 consists of a breakdown of the provisions contained within bill, including major and minor goals, intended effects, and the mechanics behind raising supporting funds; part 3 explores what actually happened by evaluating available data to determine whether the bill's 2 major goals of workforce recruitment and retention were fulfilled; and finally, part 4 will take all the aforementioned information to determine the overall success of the bill, the implications, and specific suggestions for future policy changes that time has revealed since its inception.

Accelerating Research Impact in a Learning Health Care System: VA's Quality Enhancement Research Initiative in the Choice Act Era.

Science.gov (United States)

Kilbourne, Amy M; Elwy, A Rani; Sales, Anne E; Atkins, David

2017-07-01

Since 1998, the Veterans Health Administration (VHA) Quality Enhancement Research Initiative (QUERI) has supported more rapid implementation of research into clinical practice. With the passage of the Veterans Access, Choice and Accountability Act of 2014 (Choice Act), QUERI further evolved to support VHA's transformation into a Learning Health Care System by aligning science with clinical priority goals based on a strategic planning process and alignment of funding priorities with updated VHA priority goals in response to the Choice Act. QUERI updated its strategic goals in response to independent assessments mandated by the Choice Act that recommended VHA reduce variation in care by providing a clear path to implement best practices. Specifically, QUERI updated its application process to ensure its centers (Programs) focus on cross-cutting VHA priorities and specify roadmaps for implementation of research-informed practices across different settings. QUERI also increased funding for scientific evaluations of the Choice Act and other policies in response to Commission on Care recommendations. QUERI's national network of Programs deploys effective practices using implementation strategies across different settings. QUERI Choice Act evaluations informed the law's further implementation, setting the stage for additional rigorous national evaluations of other VHA programs and policies including community provider networks. Grounded in implementation science and evidence-based policy, QUERI serves as an example of how to operationalize core components of a Learning Health Care System, notably through rigorous evaluation and scientific testing of implementation strategies to ultimately reduce variation in quality and improve overall population health.

Coastal nutrification and coral health at Porto Seguro reefs, Brazil

Science.gov (United States)

Costa, O.; Attrill, M.; Nimmo, M.

2003-04-01

Human activities have substantially increased the natural flux of nutrients to coastal systems worldwide. In Brazilian reefs, all major stresses (sedimentation, overfishing, tourism-related activities and nutrification) are human induced. To assess nutrification levels in Brazilian coastal reefs, measurements of the distribution patterns of nutrients and chlorophyll concentrations were conducted in three nearshore and offshore reefs with distinct nutrient inputs along the south coast of Bahia State. Seawater and porewater samples were analysed for soluble reactive phosphorus, total oxidised nitrogen and reactive silica. Benthic surveys were performed at all sites to investigate the relationships between benthic community composition and nutrient and chlorophyll concentrations. Sampling was undertaken in dry and rainy seasons. Results of both seawater and porewater nutrient measurements revealed the occurrence of consistent spatial and temporal patterns. An inshore-offshore gradient reflects the occurrence of land-based point sources, with significant amount of nutrients being delivered by human activities on the coast (untreated sewage and groundwater seepage). Another spatial gradient is related to distance from a localized source of pollution (an urban settlement without sewerage treatment) with two nearshore reefs presenting distinct nutrient and chlorophyll concentrations. Seasonal variations suggest that submarine groundwater discharge (SGD) is the primary source of nutrients for the coastal reefs during rainy season. The data also suggests that the SGD effect is not restricted to nearshore reefs, and may be an important factor controlling the differences between landward and seaward sides on the offshore reef. Benthic community assessment revealed that turf alga is the dominant group in all studied reefs and that zoanthids are the organisms most adapted to take advantage of nutrient increase in coastal areas. At nearshore reefs, there was a negative

Land-based sources of marine pollution: Pesticides, PAHs and phthalates in coastal stream water, and heavy metals in coastal stream sediments in American Samoa.

Science.gov (United States)

Polidoro, Beth A; Comeros-Raynal, Mia T; Cahill, Thomas; Clement, Cassandra

2017-03-15

The island nations and territories of the South Pacific are facing a number of pressing environmental concerns, including solid waste management and coastal pollution. Here we provide baseline information on the presence and concentration of heavy metals and selected organic contaminants (pesticides, PAHs, phthalates) in 7 coastal streams and in surface waters adjacent to the Futiga landfill in American Samoa. All sampled stream sediments contained high concentrations of lead, and some of mercury. Several coastal stream waters showed relatively high concentrations of diethyl phthalate and of organophosphate pesticides, above chronic toxicity values for fish and other aquatic organisms. Parathion, which has been banned by the US Environmental Protection Agency since 2006, was detected in several stream sites. Increased monitoring and initiatives to limit non-point source land-based pollution will greatly improve the state of freshwater and coastal resources, as well as reduce risks to human health in American Samoa. Copyright © 2016 Elsevier Ltd. All rights reserved.

Identifying patterns of non-communicable diseases in developed eastern coastal China: a longitudinal study of electronic health records from 12 public hospitals.

Science.gov (United States)

Yu, Dehua; Shi, Jianwei; Zhang, Hanzhi; Wang, Zhaoxin; Lu, Yuan; Zhang, Bin; Pan, Ying; Wang, Bo; Sun, Pengfei

2017-10-05

Few studies have examined the spectrum and trends of non-communicable diseases (NCDs) in inpatients in eastern coastal China, which is transforming from an industrial economy to a service-oriented economy and is the most economically developed region in the country. This study aimed to dynamically elucidate the spectrum and characteristics of severe NCDs in eastern coastal China by analysing patients' longitudinal electronic health records (EHRs). To monitor the spectrum of NCDs dynamically, we extracted the EHR data from 12 general tertiary hospitals in eastern coastal China from 2003 to 2014. The rankings of and trends in the proportions of different NCDs presented by inpatients in different gender and age groups were calculated and analysed. We obtained a total sample of 1 907 484 inpatients with NCDs from 2003 to 2014, 50.05% of whom were men and 81.53% were aged 50 years or older. There was an increase in the number of total NCD inpatients in eastern coastal China from 2003 to 2014. However, the proportion of chronic respiratory diseases and cancer inpatients decreased over the 12-year period. Compared with men, women displayed a significant increase in the proportion of mental and behavioural disorders (pdeveloping prevention guides for regions experiencing transition. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

77 FR 52701 - Board on Coastal Engineering Research

Science.gov (United States)

2012-08-30

... Environment and Human Health, and panel presentations dealing with Challenges to Ports and Navigation and Challenges to Beaches and Coastal Risk. Presentations dealing with Challenges to Ports and Navigation include Strategic Environmental Issues in Southeastern Dredging Operations; Mobile Bay Sediment Management Program...

Physicochemical parameters and seasonal variation of coastal water from Balochistan coast, Pakistan

Directory of Open Access Journals (Sweden)

Naeema Elahi

2015-03-01

Full Text Available Objective: To determine common physico-chemical parameters of coastal water. Methods: Physicochemical properties of water were determined according to the standards of the American Public Health Association. Generally, all those parameters were recorded a small variation between stations. The variation in physico-chemical parameters like salinity, temperature, dissolved oxygen and pH at Gwadar (Coastal water of Balochistan were recorded. Results: The range of air temperature of coastal water of Balochistan during 2004 and 2006 varies from 25 ºC to 37 ºC, water temperature ranged from 15.00 ºC to 33.00 ºC, pH ranged from 7.08 to 8.95, salinity ranged from 37.4‰ to 41.3‰ and dissolved oxygen ranged from 5.32 to 8.67 mg/L. Conclusions: Results showed that these parameters of Balochistan coast of Pakistan is not dangerous for marine habitat and the use of these parameters in monitoring programs to assess ecosystem health has the potential to inform the general public and decision-makers about the state of the coastal ecosystems. To save this vital important habitat, the government agencies and scientists should work with proper attention.

Environmental Consequences of the Failure of the New Orleans Levee System During Hurricane Katrina; Microbiological Analysis

Science.gov (United States)

2007-06-01

composi- tion in the sediment of three Brazilian coastal lagoons – District of Macaé, Rio de Janeiro (Brazil). Annals of the Brazilian Academy of... Coastal Ecology Branch, Ecosystem Evaluation and Engi- neering Division, EL, was the ERDC point of contact for the environmental consequences work of...1986 recommendations. The amendment to the Clean Water Act known as the Beaches Environ- ment Assessment and Coastal Health (BEACH) Act required

Albemarle Sound demonstration study of the national monitoring network for US coastal waters and their tributaries

Science.gov (United States)

Michelle Moorman; Sharon Fitzgerald; Keith Loftin; Elizabeth Fensin

2016-01-01

The U.S. Geological Survey’s (USGS) is implementing a demonstration project in the Albemarle Sound for the National Monitoring Network for U.S. coastal waters and their tributaries. The goal of the National Monitoring Network is to provide information about the health of our oceans and coastal ecosystems and inland influences on coastal waters for improved resource...

Implications of the 21st Century Cures Act for the Behavioral and Social Sciences at the National Institutes of Health

Science.gov (United States)

Riley, William T.; Blizinsky, Katherine D.

2017-01-01

The 21st Century Cures Act provides funding for key initiatives relevant to the behavioral and social sciences and includes administrative provisions that facilitate health research and increase the privacy protections of research participants. At about the same time as the passage of the Act, the National Institutes of Health Office of Behavioral…

A potential Human Rights Act in Queensland and inclusion of the right to health.

Science.gov (United States)

Brolan, Claire E; Herron, Lisa; Carney, Anna; Fritz, Eva M; James, Judy; Margetts, Miranda

2018-04-01

To identify the level of public support for a Human Rights Act for Queensland (HRAQ) and for inclusion of the right to health by participants in a public inquiry process. We reviewed the 492 written submissions to the Legal Affairs and Community Safety Committee's Inquiry into a potential HRAQ and the transcripts documenting the public hearings held by the Committee in 2016. A total of 465 written submissions were analysed; 419 (90%) were for a HRAQ. More than 80% of the 'for' submissions advocated the right to health's inclusion. At the seven public hearings, 72 persons made verbal submissions and most supported a HRAQ. Five major themes were identified in our synthesis of the public hearing transcripts. Three related specifically to health and human rights: 1) the need to consider the holistic health and human rights of Indigenous Queenslanders and Indigenous Queensland communities; 2) instilling a human rights culture in Queensland; and 3) access to health care and the underlying determinants of health. The other two themes related to the conduct of the Inquiry: 4) the importance of community participation in developing a HRAQ; and 5) concerns about the public consultation processes. This study found strong support in the majority of submissions for the Queensland Parliament to draft and enact a HRAQ, and for the inclusion of the right to health in such legislation. Implications for public health: The Queensland Parliament's enactment of a HRAQ that expressly included the right to health would increase the accountability and transparency of government health (and related) decision making and resource allocation, and would better identify and address health inequities across the state. This Act is imperative for improving the health and wellbeing of all Queenslanders, particularly rural and remote and Aboriginal and Torres Strait Islander Queenslanders. © 2017 The Authors.

The present and future roles of Traditional Health Practitioners within the formal healthcare sector of South Africa, as guided by the Traditional Health Practitioners Act No 22 (2007

Directory of Open Access Journals (Sweden)

Gabriel Louw

2016-12-01

Full Text Available Background The promulgation of the Traditional Health Practitioners Act No 22 (2007 was seen as the long awaited start-up of the traditional healing profession in South Africa. Act No 22 (2007 was strongly politically driven from the late 1960s onward. Many of these political motivators were based upon outdated cultural ideas, customs and traditions, rooted outside the modern day healthcare needs and demands of the particular population that traditional healing intends to serve. An in-depth needs and skills analysis, to test the viability and sustainability of the South African traditional healers as well as their positions and roles as health practitioners inside the formal healthcare sector, as guided and stipulated by the Traditional Health Practitioners Act No 22 (2007, was lacking in this early development and start-up process. This resulted in the traditional healers’ present and future roles as specific healthcare practitioners being both undefined and insufficiently formulated. In addition their existing education, training, skills and abilities to compete in the formal healthcare sector were ignored. Therefore, since the promulgation of the Act in 2007, there was limited professional-development for traditional healers, to improve their immediate professionalism and thus to promote effective role-playing and management in the formal healthcare sector. The South African traditional healing professional model is still in the foundational stage of its professional development; a stage which the other registered/regulated healthcare practitioners of the country surpassed long ago, making them well-equipped for role-playing and management as health professionals in the formal healthcare sector. The whole venture of the statutory recognition of the traditional health practitioners in 2007 as new healthcare professionals with the promulgation of the Traditional Health Practitioners Act No 22 (2007 seems to increasingly be a failure. There is

Occupational Safety and Health Act Handbook for Vocational and Technical Education Teachers.

Science.gov (United States)

Shashack, Willard F., Ed.

The purpose of the handbook is to assist the school shop teacher in participating in voluntary compliance with the standards and regulations of the Occupational Safety and Health Act of 1970. The first major section deals with general shop safety and how the shop teacher can use the checklist to control possible safety violations in his shop. The…

Health status of the coastal waters of Mumbai and regions around

Digital Repository Service at National Institute of Oceanography (India)

Zingde, M.D.; Govindan, K.

in the drainage zones also contribute to pollution loads. These inputs have affected the water quality, sediment quality and biological characteristics of receiving waters to varying degrees. BOD in coastal water is often high and water is enriched in dissolved...

Atomic Act amended

International Nuclear Information System (INIS)

Drabova, D.

2002-01-01

In the paper by the chairwoman of the Czech nuclear regulatory authority, the history of Czech nuclear legislation is outlined, the reasons for the amendment of the Atomic Act (Act No. 18/1997) are explained, and the amendments themselves are highlighted. The Act No. 13/2002 of 18 December 2001 is reproduced from the official Collection of Acts of the Czech Republic in the facsimile form. The following acts were thereby amended: Atomic Act No. 18/1997, Metrology Act No. 505/1990, Public Health Protection Act No. 258/2000, and Act No. 2/1969 on the Establishment of Ministries and Other Governmental Agencies of the Czech Republic. (P.A.)

Coastal Inlet Model Facility

Data.gov (United States)

Federal Laboratory Consortium — The Coastal Inlet Model Facility, as part of the Coastal Inlets Research Program (CIRP), is an idealized inlet dedicated to the study of coastal inlets and equipped...

76 FR 31941 - Atlantic Coastal Fisheries Cooperative Management Act Provisions; Horseshoe Crabs; Application...

Science.gov (United States)

2011-06-02

.... SUMMARY: The Acting Director, Office of Sustainable Fisheries, has made a preliminary determination that... Court House, NJ, contains all the required information and warrants further consideration. The proposed... should be sent to Emily Menashes, Acting Director, Office of Sustainable Fisheries, NMFS, 1315 East-West...

How sea level rise and storm climate impact the looming morpho-economic bubble in coastal property value.

Science.gov (United States)

McNamara, D.; Keeler, A.; Smith, M.; Gopalakrishnan, S.; Murray, A.

2012-12-01

In the United States, the coastal region is now the most densely populated zone in the country and as a result has become a significant source of tax revenue and has some of the highest property values in the country. The loss of land at the coastline from erosion and damage to property from storms has always been a source of vulnerability to coastal economies. To manage this vulnerability, humans have long engaged in the act of nourishing the coastline - placing sand, typically from offshore sources, onto the beach to widen the beach and increase the height of dunes. As humans alter natural coastal dynamics by nourishing, the altered natural dynamics then influence future beach management decisions. In this way human-occupied coastlines are a strongly coupled dynamical system and because of this coupling, the act of nourishment has become an intrinsic part of the economic value of a coastline. Predictions of increased rates of sea level rise and changing storminess suggest that coastal vulnerability is likely to increase. The evolving vulnerability of the coast has already caused changes to occur in the way humans manage the coastline. For example, the federal government has recently reduced subsidies to help coastal communities nourish their beaches. With a future of changing environmental forcing from sea level and storms, the prospect of changes in nourishment cost could have profound consequences on coastal value and sustainability. We utilize two modeling approaches to investigate how disappearing nourishment subsidies reduce coastal property value and to explore the potential for a bubble and subsequent crash in coastal property value as subsidies dwindle and vulnerability rises. The first model is an optimal control model that couples a cost benefit analysis to coastline dynamics. In the second model, we couple a numerical coastline model with an agent-based model for real estate markets. Results from both models suggest the total present value of coastal

Slovak Republic Act No. 124/2006 Coll. of 2 February 2006 on safety and health at work and amending some laws

International Nuclear Information System (INIS)

2006-01-01

This Act establishes the general principles of prevention and basic conditions for ensuring safety and health at work and to eliminate the risk factors and conditioning the occurrence of occupational accidents, occupational diseases and other health damage. This Act came into force on July 1, 2006.

Local television news coverage of President Clinton's introduction of the Health Security Act.

Science.gov (United States)

Dorfman, L; Schauffler, H H; Wilkerson, J; Feinson, J

1996-04-17

To investigate how local television news reported on health system reform during the week President Clinton presented his health system reform bill. Retrospective content analysis of the 1342-page Health Security Act of 1993, the printed text of President Clinton's speech before Congress on September 22, 1993, and a sample of local television news stories on health system reform broadcast during the week of September 19 through 25, 1993. The state of California. During the week, 316 television news stories on health system reform were aired during the 166 local news broadcasts sampled. Health system reform was the second most frequently reported topic, second to stories on violent crime. News stories on health system reform averaged 1 minute 38 seconds in length, compared with 57 seconds for violent crime. Fifty-seven percent of the local news stories focused on interest group politics. Compared with the content of the Health Security Act, local news broadcasts devoted a significantly greater portion of their stories to financing, eligibility, and preventive services. Local news stories gave significantly less attention to cost-saving mechanisms, long-term care benefits, and changes in Medicare and Medicaid, and less than 2% of stories mentioned quality assurance mechanisms, malpractice reform, or new public health initiatives. Of the 316 televised news stories, 53 reported on the president's speech, covering many of the same topics emphasized in the speech (financing, organization and administration, and eligibility) and de-emphasizing many of the same topics (Medicare and Medicaid, quality assurance, and malpractice reform). Two percent of the president's speech covered partisan politics; 45% of the local news stories on the speech featured challenges from partisan politicians. Although health system reform was the focus of a large number of local television news stories during the week, in-depth explanation was scarce. In general, the news stories provided

Coastal Analysis, Nassau,NY

Data.gov (United States)

Federal Emergency Management Agency, Department of Homeland Security — Coastal study as defined in FEMA Guides and Specifications, Appendix D: Guidance for coastal Flooding Analyses and Mapping submitted as a result of a coastal study....

Coastal Dynamics

NARCIS (Netherlands)

Roelvink, J.A.; Steetzel, H.J.; Bliek, A.; Rakhorst, H.D.; Roelse, P.; Bakker, W.T.

1998-01-01

This book deals on "Coastal Dynamics", which will be defined in a narrow sense as a mathematical theory, which starts from given equations of motion for the sediment, which leads with the continuity equation and given boundary conditions to a calculated (eventually schematized) coastal topography,

Preliminary assessment of coastal erosion and local community adaptation in Sayung coastal area, central Java – Indonesia

OpenAIRE

Marfai, Muh Aris

2012-01-01

Dynamic environment in coastal area, especially due to coastal erosion process, has negative impact on human environment. Sayung coastal area, located in Central Java-Indonesia, has experienced severe impact of coastal erosion. As the result of the coastal erosion, hundreds of settlement located in coastal area has been destructed. Moreover, fishponds as the land use dominated in the coastal area also has been severely destroyed. Besides the coastal erosion, increasing of inundated area due t...

Southern African Coastal vulnerability assessment

CSIR Research Space (South Africa)

Rautenbach, C

2015-10-01

Full Text Available or business. The CSIR coastal systems group uses specialist skills in coastal engineering, geographic engineering systems and numerical modelling to assess and map vulnerable coastal ecosystems to develop specific adaptation measures and coastal protection...

The Coastal Ocean Prediction Systems program: Understanding and managing our coastal ocean

International Nuclear Information System (INIS)

Eden, H.F.; Mooers, C.N.K.

1990-06-01

The goal of COPS is to couple a program of regular observations to numerical models, through techniques of data assimilation, in order to provide a predictive capability for the US coastal ocean including the Great Lakes, estuaries, and the entire Exclusive Economic Zone (EEZ). The objectives of the program include: determining the predictability of the coastal ocean and the processes that govern the predictability; developing efficient prediction systems for the coastal ocean based on the assimilation of real-time observations into numerical models; and coupling the predictive systems for the physical behavior of the coastal ocean to predictive systems for biological, chemical, and geological processes to achieve an interdisciplinary capability. COPS will provide the basis for effective monitoring and prediction of coastal ocean conditions by optimizing the use of increased scientific understanding, improved observations, advanced computer models, and computer graphics to make the best possible estimates of sea level, currents, temperatures, salinities, and other properties of entire coastal regions

Resilience from coastal protection.

Science.gov (United States)

Ewing, Lesley C

2015-10-28

Coastal areas are important residential, commercial and industrial areas; but coastal hazards can pose significant threats to these areas. Shoreline/coastal protection elements, both built structures such as breakwaters, seawalls and revetments, as well as natural features such as beaches, reefs and wetlands, are regular features of a coastal community and are important for community safety and development. These protection structures provide a range of resilience to coastal communities. During and after disasters, they help to minimize damages and support recovery; during non-disaster times, the values from shoreline elements shift from the narrow focus on protection. Most coastal communities have limited land and resources and few can dedicate scarce resources solely for protection. Values from shore protection can and should expand to include environmental, economic and social/cultural values. This paper discusses the key aspects of shoreline protection that influence effective community resilience and protection from disasters. This paper also presents ways that the economic, environmental and social/cultural values of shore protection can be evaluated and quantified. It presents the Coastal Community Hazard Protection Resilience (CCHPR) Index for evaluating the resilience capacity to coastal communities from various protection schemes and demonstrates the use of this Index for an urban beach in San Francisco, CA, USA. © 2015 The Author(s).

Predicting impact of SLR on coastal flooding in Banda Aceh coastal defences

Science.gov (United States)

Al'ala, Musa; Syamsidik, Kato, Shigeru

2017-10-01

Banda Aceh is a low-lying city located at the northern tip of Sumatra Island and situated at the conjuncture of Malacca Strait and the Andaman Sea. A Sea Level Rise (SLR) rate at 7 mm/year has been observed around this region. In the next 50 years, this city will face a serious challenge to encounter impacts of the sea level rise, such as frequent coastal floodings. This study is aimed at estimating impacts of the sea level rise induced coastal floodings on several types of coastal structures and city drainage system. Numerical simulations of Delft3D were applied to investigate the influence of the gradual sea level rise in 50 years. The hydrodynamic process of coastal flooding and sediment transport were simulated by Delft3D-Flow. Topography and bathymetry data were collected from GEBCO and updated with the available nautical chart (DISHIDROS, JICA, and field measurements). Hydrodynamic process gains the flow process revealing the level of the sea water intrusion also observed in the model. Main rivers (Krueng Aceh, Krueng Neng, and Alue Naga Flood Canal) and the drainage system were observed to see the tides effects on coastal structures and drainage system. The impact on coastal community focusing on affected area, shoreline retreat, the rate of sea intrusion was analyzed with spatial tools. New coastal line, coastal flooding vulnerable area, and the community susceptibility properties map influenced by 50 years sea level rise is produced. This research found that the city needs to address strategies to anticipate the exacerbating impacts of the sea level rise by managing its coastal spatial planning and modify its drainage system, especially at the drainage outlets.

Coastal zone

International Nuclear Information System (INIS)

2002-01-01

The report entitled Climate Change Impacts and Adaptation : A Canadian Perspective, presents a summary of research regarding the impacts of climate change on key sectors over the past five years as it relates to Canada. This chapter on the coastal zone focuses on the impact of climate change on Canada's marine and Great Lakes coasts with tips on how to deal with the impacts associated with climate change in sensitive environments. This report is aimed at the sectors that will be most affected by adaptation decisions in the coastal zone, including fisheries, tourism, transportation and water resources. The impact of climate change in the coastal zone may include changes in water levels, wave patterns, storm surges, and thickness of seasonal ice cover. The Intergovernmental Panel on Climate Change projects global average sea level will rise between 9 and 88 centimetres between 1990 to 2100, but not all areas of Canada will experience the same rate of future sea level change. The main physical impact would be shoreline change that could result in a range of biophysical and socio-economic impacts, some beneficial, some negative. The report focuses on issues related to infrastructure and communities in coastal regions. It is noted that appropriate human adaptation will play a vital role in reducing the extent of potential impacts by decreasing the vulnerability of average zone to climate change. The 3 main trends in coastal adaptation include: (1) increase in soft protection, retreat and accommodation, (2) reliance on technology such as geographic information systems to manage information, and (3) awareness of the need for coastal adaptation that is appropriate for local conditions. 61 refs., 7 figs

Coastal Forests and Groundwater: Using Case Studies to Understand the Effects of Drivers and Stressors for Resource Management

Directory of Open Access Journals (Sweden)

Timothy J. Callahan

2017-03-01

Full Text Available Forests are receiving more attention for the ecosystem goods and services they provide and the potential change agents that may affect forest health and productivity. Highlighting case examples from coastal forests in South Carolina, USA, we describe groundwater processes with respect to stressors and potential responses of a wetland-rich forested landscape, the roles that this area has served, and the need for water resource data to inform forest management decisions. Forested lands in the southeastern U.S. coastal plain provide a rich set of goods and services for the region, and in one case, the Francis Marion National Forest acts as a buffer to urbanization from the surrounding Charleston metropolitan area. Information from two decades of studies in the forested watersheds there may inform scientists and managers in other coastal forested systems. The common hydrological theme in this region, which has a higher average annual rainfall (1370 mm than the annual potential evapotranspiration (PET = 1135 mm, is a shallow (<3 m water table condition that supports a large range of natural wetlands and also creates management challenges across the region. Modest changes in the position of the water table can lead to either groundwater flooding and concomitant management challenges for forest services, or ecosystem stresses related to dry conditions in wetlands during times of below-normal precipitation or due to groundwater withdrawal. Development pressures have also stressed forest resources through the extraction of materials such as timber and sand mining, and the conversion to housing construction materials. These areas are also targeted for land development, to meet housing demands. In this paper, we discuss the role of groundwater in coastal forests and highlight opportunities for collaborative studies to better inform forest resource management.

Occurrence and transport of 17 perfluoroalkyl acids in 12 coastal rivers in south Bohai coastal region of China with concentrated fluoropolymer facilities

International Nuclear Information System (INIS)

Wang, Pei; Lu, Yonglong; Wang, Tieyu; Fu, Yaning; Zhu, Zhaoyun; Liu, Shijie; Xie, Shuangwei; Xiao, Yang; Giesy, John P.

2014-01-01

Perfluoroalkyl acids (PFAAs) are emerging contaminants that have raised great concern in recent years. While PFAAs manufacturing becomes regulated in developed countries, production has been partly shifted to China. Eight fluoropolymer manufacturing facilities located in the South Bohai coastal region, one of the most populated areas of China, have been used to manufacture PFAA-related substances since 2001. The environmental consequence of the intensive production of PFAAs in this region remains largely unknown. We analyzed 17 PFAAs in twelve coastal rivers of this region, and found staggeringly high concentrations of perfluorooctanoic acid (PFOA) ranging from 0.96 to 4534.41 ng/L. The highest concentration was observed in the Xiaoqing River which received effluents from certain fluoropolymer facilities. Principal component analysis indicated similar sources of several perfluoroalkyl carboxylic acids (PFCAs) in all rivers, which indicated that atmospheric transport, wastewater treatment and surface runoff also acted as important supplements to direct discharge to surface water. - Highlights: • PFAAs were detected in rapidly urbanized regions. • PFOA was found predominant followed by short chain PFCAs. • Fluoropolymer facilities were associated with PFAAs contamination. • Higher PFAAs levels were found near the PTFE production facilities. • Diffusion of PFAAs from rivers to the sea was influenced by tide and current. - High level of PFOA was detected in the river water due to the fluoropolymer industries in South Bohai coastal region

The Consumer Protection Act: no-fault liability of health care providers.

Science.gov (United States)

Slabbert, M Nöthling; Pepper, Michael S

2011-11-01

The introduction of no-fault or strict liability by the Consumer Protection Act 68 of 2008 (CPA) poses serious problems in the health care context. With a patient as a 'consumer' in terms of the CPA, health care practitioners may find themselves as 'suppliers' or 'retailers' as part of a supply chain, and potentially liable for harm and loss suffered by a patient in terms of the new no-fault liability provision. The claimant (patient) can sue anyone in the supply chain in terms of this provision, which places the health care practitioner who delivered the care in a very difficult position, as he or she is the most easily and often only identifiable person in the supply chain. Although the causal link between the harm suffered by the complainant will still need to be established on a balance of probabilities, the traditional common law obstacle requiring proof of negligence no longer applies. The article argues that this situation is unsatisfactory, as it places an increasingly onerous burden on certain health care practitioners.

Exploring primary care activities in ACT teams.

Science.gov (United States)

Vanderlip, Erik R; Williams, Nancy A; Fiedorowicz, Jess G; Katon, Wayne

2014-05-01

People with serious mental illness often receive inadequate primary and preventive care services. Federal healthcare reform endorses team-based care that provides high quality primary and preventive care to at risk populations. Assertive community treatment (ACT) teams offer a proven, standardized treatment approach effective in improving mental health outcomes for the seriously mentally ill. Much is known about the effectiveness of ACT teams in improving mental health outcomes, but the degree to which medical care needs are addressed is not established. The purpose of this study was to explore the extent to which ACT teams address the physical health of the population they serve. ACT team leaders were invited to complete an anonymous, web-based survey to explore attitudes and activities involving the primary care needs of their clients. Information was collected regarding the use of health screening tools, physical health assessments, provision of medical care and collaboration with primary care systems. Data was analyzed from 127 team leaders across the country, of which 55 completed the entire survey. Nearly every ACT team leader believed ACT teams have a role in identifying and managing the medical co-morbidities of their clientele. ACT teams report participation in many primary care activities. ACT teams are providing a substantial amount of primary and preventive services to their population. The survey suggests standardization of physical health identification, management or referral processes within ACT teams may result in improved quality of medical care. ACT teams are in a unique position to improve physical health care by virtue of having medically trained staff and frequent, close contact with their clients.

Health-care reform or labor market reform? A quantitative analysis of the affordable care act

OpenAIRE

Nakajima, Makoto; Tuzemen, Didem

2015-01-01

The Patient Protection and Affordable Care Act (ACA) requires all individuals to have health insurance, and introduces penalties to large firms that do not offer affordable coverage to their employees. While the possible effects of the ACA on the insurance decision of individuals have been studied, what is less studied is how the ACA can affect labor demand. In particular, since the ACA does not require small firms to offer health insurance, and does not require firms to offer health insuranc...

Type A natural resource damage assessment models for Great Lakes environments (NRDAM/GLE) and coastal and marine environments (NRDAM/CME)

International Nuclear Information System (INIS)

French, D.P.; Reed, M.

1993-01-01

A computer model of the physical fates, biological effects, and economic damages resulting from releases of oil and other hazardous materials has been developed by ASA to be used in Type A natural resource damage assessments under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). Natural Resource Damage Assessment Models for Great Lakes Environments (NRDAM/GLE) and for Coastal and Marine Environments (NRDAM/GLE) and for Coastal and Marine Environments (NRDAM/CME) will become available. These models will also support NOAA's damage assessment regulations under the Oil Pollution Act of 1990. The physical and biological models are three-dimensional. Direct mortality from toxic concentrations and oiling, impacts of habitat loss, and food web losses are included in the model. Estimation of natural resource damages is based both on the lost value of injured resources and on the costs for restoration or replacement of those resources. A coupled geographical information system (GIS) allows gridded representation of complex coastal boundaries, variable bathymetry, shoreline types, and multiple biological habitats. The models contain environmental, geographical, chemical, toxicological, biological, restoration and economic databases with the necessary information to estimate damages. Chemical and toxicological data are included for about 470 chemicals and oils. Biological data are unique to 77 coastal and marine plus 11 Great Lakes provinces, and to habitat type. Restoration and economic valuations are also regionally specific

Socially cooperative choices: An approach to achieving resource sustainability in the coastal zone

Science.gov (United States)

Crance, Colin; Draper, Dianne

1996-03-01

Achieving resource sustainability, particularly in the coastal zone, is complicated by a variety of interdependencies and trade-offs between economic, social, and ecological variables. Although trade-offs between each of these variables are important, this paper emphasizes the social components of resource management. In this regard a distinction is made between individual and cooperative choices. Individual choices frequently are made from a shortterm, self-interested perspective, whereas cooperative choices are made from a long-term, community and resource-sustainability perspective. Typically, when presented with a spectrum of resource management decisions, individuals have a tendency to act in a self-interested manner. Thus, cooperative benefits, such as reduced conflict and improved resource certainty, are not realized. An overview of selected aspects of social dilemma theory suggests that socially cooperative choice outcomes are attainable in coastal zone management by integrating structural and behavioral solutions in resource use decision making. Three barriers to successful integration of structural and behavioral solutions are identified as self-interest, mistrust, and variable perceptions of resource amenities. Examples from coastal zone management indicate that these barriers may be overcome using approaches such as scopereduction, co-management, community education, and local participation. The paper also provides comment on the potential benefits of integrating structural and behavioral solutions in international coastal zone management efforts.

Review on the Significance of Local Plan for Coastal Reclamation Development: The Case of Malacca, Malaysia

Directory of Open Access Journals (Sweden)

Ishak Nor Syafa’ah

2016-01-01

Full Text Available A Development Plan acts as a planning and controlling instrument that helps to guide in decision making of current and future development. Therefore, in the Malaysian Town and Country Planning Act 1976 (Act 172, the provision of development plan from each level of the planning administration is stated in the Act under Section 6B till Section 16B. In examining the significance of one of the many development plans in Malaysia, i.e. the local plan, this paper therefore, focuses on the provision of a local plan by the Local Planning Authority (LPA of the said area. This paper, thus, aims to evaluate the Central Malacca Local Plan since Malacca is currently experiencing rapid growth in development along the coastal area. The primary data was obtained from interviews with the related planning authorities via face-to-face method. While, secondary data was gathered from related legal documents, policies and guidelines, as well as the existing development plan for the purpose of an in-depth data. Findings revealed incapability of the existing local plan to assist the development control in deciding the planning permission for reclaimed area. The existing local plan shows no zoning for coastal reclamation area because of the rapid growing development and time consuming procedure to amend the local plan according to the Act 172. In addition, the Act 172 and the process in amending the local plan should be more flexible and able to address the current issue efficiently. Finally, the paper concludes with a suggestion for further exploration in order to achieve an operative development process and functioning practice of the local plan.

75 FR 54028 - Technical Revisions To Conform With the Veterans' Mental Health Care Act of 2008 and Other Laws

Science.gov (United States)

2010-09-03

...,'' authorizing VA to exercise discretion to provide certain mental health services, counseling, and training for... Health and Medical Program of the Department of Veterans Affairs, which provides health benefits for... the Veterans' Mental Health Care Act of 2008 and Other Laws AGENCY: Department of Veterans Affairs...

Annual report on the administration of the Radiation Control for Health and Safety Act of 1968, Public Law 90-602, (1988), April 1, 1989. Annual report

International Nuclear Information System (INIS)

1989-01-01

The Secretary of Health and Human Services is required by Subpart 3, Part F of Title III of the Public Health Service Act; 42 USC 263b et seq. (Public Law 90-602) to submit an annual report to the President for transmittal to the Congress on or before April 1 on the administration of the Radiation Control for Health and Safety Act. The detailed information required in the report is outlined in Section 360D of the Public Health Service Act. The Food and Drug Administration, through its Center for Devices and Radiological Health, is responsible for the day-to-day administration of the Radiation Control for Health and Safety Act of 1968. The report provides a summary of the operations of the Center in carrying out that responsibility for calendar year 1988. In reviewing the operations of the Center for Devices and Radiological Health as reported in the document, it should be kept in mind that the day-to-day administration of the Act is only part of the Center's function. Other responsibilities include the administration and enforcement of the 1976 Medical Device Amendments to the Federal Food, Drug, and Cosmetic Act (not covered in the report)

The Patient Protection and Affordable Care Act and the regulation of the health insurance industry.

Science.gov (United States)

Jha, Saurabh; Baker, Tom

2012-12-01

The Patient Protection and Affordable Care Act is a comprehensive and multipronged reform of the US health care system. The legislation makes incremental changes to Medicare, Medicaid, and the market for employer-sponsored health insurance. However, it makes substantial changes to the market for individual and small-group health insurance. The purpose of this article is to introduce the key regulatory reforms in the market for individual and small-group health insurance and explain how these reforms tackle adverse selection and risk classification and improve access to health care for the hitherto uninsured or underinsured population. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

A different kind of 'new federalism'? The Health Insurance Portability and Accountability Act of 1996.

Science.gov (United States)

Nichols, L M; Blumberg, L J

1998-01-01

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 has been praised and criticized for asserting federal authority to regulate health insurance. We review the history of federalism and insurance regulation and find that HIPAA is less of a departure from traditional federal authority than it is an application of existing tools to meet evolving health policy goals. This interpretation could clarify future health policy debates about appropriate federal and state responsibilities. We also report on the insurance environments and the HIPAA implementation choices of thirteen states. We conclude with criteria for judging the success of HIPAA and the evolving federal/state partnership in health insurance regulation.

Toward a better guard of coastal water safety—Microbial distribution in coastal water and their facile detection

International Nuclear Information System (INIS)

Xie, Yunxuan; Qiu, Ning; Wang, Guangyi

2017-01-01

Prosperous development in marine-based tourism has raised increasing concerns over the sanitary quality of coastal waters with potential microbial contamination. The World Health Organization has set stringent standards over a list of pathogenic microorganisms posing potential threats to people with frequent coastal water exposure and has asked for efficient detection procedures for pathogen facile identification. Inspection of survey events regarding the occurrence of marine pathogens in recreational beaches in recent years has reinforced the need for the development of a rapid identification procedure. In this review, we examine the possibility of recruiting uniform molecular assays to identify different marine pathogens and the feasibility of appropriate biomarkers, including enterochelin biosynthetic genes, for general toxicity assays. The focus is not only on bacterial pathogens but also on other groups of infectious pathogens. The ultimate goal is the development of a handy method to more efficiently and rapidly detect marine pathogens. - Highlights: • Culture-based approaches and molecular approaches can be used to describe pathogenic microbial distribution in coastal area. • Beach sand is a hidden habitat for pathogenic microorganisms. • qPCR is an efficient detection technique to identify pathogenic microbes and their potential pathogenicity. • Enterochelin synthase gene can be used as single molecular biomarker for multiple pathogen identification.

Coastal defence and societal activities in the coastal zone: Compatible or conflicting interests?

NARCIS (Netherlands)

van Vuren, Saskia; Kok, Matthijs; Jorissen, Richard E.

2004-01-01

World-wide coastal zones are subject to physical and societal changes. Due to climate change sea level is expected to rise and storm conditions may become more intensive. Both may lead to shore erosion intensification in the coastal zone. Moreover, the coastal zone is intensely used for societal

Land crabs as key drivers in tropical coastal forest recruitment

Science.gov (United States)

Lindquist, E.S.; Krauss, K.W.; Green, P.T.; O'Dowd, D. J.; Sherman, P.M.; Smith, T. J.

2009-01-01

Plant populations are regulated by a diverse assortment of abiotic and biotic factors that influence seed dispersal and viability, and seedling establishment and growth at the microsite. Rarely does one animal guild exert as significant an influence on different plant assemblages as land crabs. We review three tropical coastal ecosystems-mangroves, island maritime forests, and mainland coastal terrestrial forests-where land crabs directly influence forest composition by limiting tree establishment and recruitment. Land crabs differentially prey on seeds, propagules and seedlings along nutrient, chemical and physical environmental gradients. In all of these ecosystems, but especially mangroves, abiotic gradients are well studied, strong and influence plant species distributions. However, we suggest that crab predation has primacy over many of these environmental factors by acting as the first limiting factor of tropical tree recruitment to drive the potential structural and compositional organisation of coastal forests. We show that the influence of crabs varies relative to tidal gradient, shoreline distance, canopy position, time, season, tree species and fruiting periodicity. Crabs also facilitate forest growth and development through such activities as excavation of burrows, creation of soil mounds, aeration of soils, removal of leaf litter into burrows and creation of carbon-rich soil microhabitats. For all three systems, land crabs influence the distribution, density and size-class structure of tree populations. Indeed, crabs are among the major drivers of tree recruitment in tropical coastal forest ecosystems, and their conservation should be included in management plans of these forests. ?? 2009 Cambridge Philosophical Society.

Knowledge, Attitudes and Practices of Coastal Communities on Waste Management in Ghana

OpenAIRE

Essuman, Nasir

2017-01-01

Waste management has been a worldwide issue which most countries are finding the best ways of dealing with. Managing waste improperly poses threat to the health of individuals and the environment. Ghana as a developing country, its coastal communities are faced with a lot of challenges regarding waste management due to actions towards waste management. This research seeks to examine the knowledge, attitudes and practices of coastal communities on waste management and how their actions have a...

Macro and micro plastics sorb and desorb metals and act as a point source of trace metals to coastal ecosystems.

Science.gov (United States)

Munier, B; Bendell, L I

2018-01-01

Nine urban intertidal regions in Burrard Inlet, Vancouver, British Columbia, Canada, were sampled for plastic debris. Debris included macro and micro plastics and originated from a wide diversity of uses ranging from personal hygiene to solar cells. Debris was characterized for its polymer through standard physiochemical characteristics, then subject to a weak acid extraction to remove the metals, zinc, copper, cadmium and lead from the polymer. Recently manufactured low density polyethylene (LDPE), nylon, polyethylene terephthalate (PET), polypropylene (PP), polystyrene (PS) and polyvinyl chloride (PVC) were subject to the same extraction. Data was statistically analyzed by appropriate parametric and non-parametric tests when needed with significance set at P Plastic debris will affect metals within coastal ecosystems by; 1) providing a sorption site (copper and lead), notably for PVC 2) desorption from the plastic i.e., the "inherent" load (cadmium and zinc) and 3) serving as a point source of acute trace metal exposure to coastal ecosystems. All three mechanisms will put coastal ecosystems at risk to the toxic effects of these metals.

Mental health nursing and the problematic of supervision as a confessional act.

Science.gov (United States)

Banks, D; Clifton, A V; Purdy, M J; Crawshaw, P

2013-09-01

Mental health nurses frequently draw on self-disclosure practices within their working relationships. These 'confessional' acts can in turn be predicated on traditional assumptions of moral authority exercised by more senior colleagues. More broadly, attention has been drawn to the increasing significance of 'technologies of the self' inside neo-liberal regimes of governance. Through various forms of self-disclosure people are obliged 'to speak the truth about themselves'. By publically declaring themselves as 'fit for purpose' nurses are required to be reflexive, self-monitoring individuals, capable of constructing their own identities and biographies, and guided by expert knowledges. In this way, risk becomes a form of governance, as the individuals continually find themselves balancing risks and opportunities. Foucault's insights into the importance of 'care of the self' and 'surveillance of the self' to systems of social order and governance, such as mental health services, are significant in identifying nursing as a potential form of confessional practice. 'Reflective practice' and 'clinical supervision' are therefore 'technologies', functioning as 'modes of surveillance', and as 'confessional practices'. So 'clinical supervision' may be understood as part of a process of 'governance' that does not necessarily empower nurses, but can act to guide, correct and modify ways in which they conduct themselves. © 2012 John Wiley & Sons Ltd.

Healh and Safety at Work etc. Act 1974

International Nuclear Information System (INIS)

1974-01-01

The main purpose of this Act is to provide a single comprehensive and integrated system of law dealing with the health, safety and welfare of workpeople, and the health and safety of the public as affected by work activities. The Act establishes a Health and Safety Commission and a Health and Safety Executive to be generally responsible for administering health and safety legislation, including those provisions of the Nuclear Installations Act 1965 governing the licensing of nuclear installations, a function which was exercised by the Secretary of State for Energy and the Secretary of State for Scotland. The provisions of the Nuclear Installations Act 1965 and 1969 which give effect to the Paris Convention and the Brussels Supplementary Convention are not affected by the Act. (NEA) [fr

Integrated conceptual ecological model and habitat indices for the southwest Florida coastal wetlands

Science.gov (United States)

Wingard, G. Lynn; Lorenz, J. L.

2014-01-01

The coastal wetlands of southwest Florida that extend from Charlotte Harbor south to Cape Sable, contain more than 60,000 ha of mangroves and 22,177 ha of salt marsh. These coastal wetlands form a transition zone between the freshwater and marine environments of the South Florida Coastal Marine Ecosystem (SFCME). The coastal wetlands provide diverse ecosystem services that are valued by society and thus are important to the economy of the state. Species from throughout the region spend part of their life cycle in the coastal wetlands, including many marine and coastal-dependent species, making this zone critical to the ecosystem health of the Everglades and the SFCME. However, the coastal wetlands are increasingly vulnerable due to rising sea level, changes in storm intensity and frequency, land use, and water management practices. They are at the boundary of the region covered by the Comprehensive Everglades Restoration Plan (CERP), and thus are impacted by both CERP and marine resource management decisions. An integrated conceptual ecological model (ICEM) for the southwest coastal wetlands of Florida was developed that illustrates the linkages between drivers, pressures, ecological process, and ecosystem services. Five ecological indicators are presented: (1) mangrove community structure and spatial extent; (2) waterbirds; (3) prey-base fish and macroinvertebrates; (4) crocodilians; and (5) periphyton. Most of these indicators are already used in other areas of south Florida and the SFCME, and therefore will allow metrics from the coastal wetlands to be used in system-wide assessments that incorporate the entire Greater Everglades Ecosystem.

75 FR 9012 - Privacy Act of 1974, as Amended; Computer Matching Program (SSA/U.S. Department of Health and...

Science.gov (United States)

2010-02-26

... INFORMATION: A. General The Computer Matching and Privacy Protection Act of 1988 (Pub. L. 100-503), amended... SOCIAL SECURITY ADMINISTRATION [Docket No. SSA-2009-0052] Privacy Act of 1974, as Amended; Computer Matching Program (SSA/ U.S. Department of Health and Human Services (HHS), Administration for...

Coastal Analysis, Mathews County, VA

Data.gov (United States)

Federal Emergency Management Agency, Department of Homeland Security — Coastal study as defined in FEMA Guides and Specifications, Appendix D: Guidance for coastal Flooding Analyses and Mapping submitted as a result of a coastal study....

Coastal zones : shifting shores, sharing adaptation strategies for coastal environments

Energy Technology Data Exchange (ETDEWEB)

Hay, J.E. [Waikato Univ. (New Zealand); Morneau, F.; Savard, J.P. [Ouranos, Montreal, PQ (Canada); Madruga, R.P. [Centre of Investigation on the Global Economy (Cuba); Leslie, K.R. [Caribbean Community Climate Change Centre (Belize); Agricole, W. [Ministry of Environment and Natural Resources (Seychelles); Burkett, V. [United States Geological Survey (United States)

2006-07-01

A parallel event to the eleventh Conference of Parties (COP) to the United Nations Framework Convention of Climate Change was held to demonstrate examples of adaptation from around the world in the areas of food security, water resources, coastal zones, and communities/infrastructure. Panels on each theme presented examples from developing countries, countries in economic transition, and developed countries. These 4 themes were chosen because both mitigation and adaptation are essential to meeting the challenge of climate change. The objective of the event was to improve the knowledge of Canada's vulnerabilities to climate change, identify ways to minimize the negative effects of future impacts, and explore opportunities that take advantage of any positive impacts. This third session focused on how coastal communities are adapting to climate change in such places as Quebec, the Caribbean, and small Island States. It also presented the example of how a developed country became vulnerable to Hurricane Katrina which hit the coastal zone in the United States Gulf of Mexico. The presentations addressed the challenges facing coastal communities along with progress in risk assessment and adaptation both globally and in the Pacific. Examples of coastal erosion in Quebec resulting from climate change were presented along with climate change and variability impacts over the coastal zones of Seychelles. Cuba's vulnerability and adaptation to climate change was discussed together with an integrated operational approach to climate change, adaptation, biodiversity and land utilization in the Caribbean region. The lessons learned from around the world emphasize that adaptation is needed to reduce unavoidable risks posed by climate change and to better prepare for the changes ahead. refs., tabs., figs.

Factors regulating early life history dispersal of Atlantic cod (Gadus morhua) from coastal Newfoundland.

Science.gov (United States)

Stanley, Ryan R E; deYoung, Brad; Snelgrove, Paul V R; Gregory, Robert S

2013-01-01

To understand coastal dispersal dynamics of Atlantic cod (Gadus morhua), we examined spatiotemporal egg and larval abundance patterns in coastal Newfoundland. In recent decades, Smith Sound, Trinity Bay has supported the largest known overwintering spawning aggregation of Atlantic cod in the region. We estimated spawning and dispersal characteristics for the Smith Sound-Trinity Bay system by fitting ichthyoplankton abundance data to environmentally-driven, simplified box models. Results show protracted spawning, with sharply increased egg production in early July, and limited dispersal from the Sound. The model for the entire spawning season indicates egg export from Smith Sound is 13%•day(-1) with a net mortality of 27%•day(-1). Eggs and larvae are consistently found in western Trinity Bay with little advection from the system. These patterns mirror particle tracking models that suggest residence times of 10-20 days, and circulation models indicating local gyres in Trinity Bay that act in concert with upwelling dynamics to retain eggs and larvae. Our results are among the first quantitative dispersal estimates from Smith Sound, linking this spawning stock to the adjacent coastal waters. These results illustrate the biophysical interplay regulating dispersal and connectivity originating from inshore spawning of coastal northwest Atlantic.

Factors regulating early life history dispersal of Atlantic cod (Gadus morhua from coastal Newfoundland.

Directory of Open Access Journals (Sweden)

Ryan R E Stanley

Full Text Available To understand coastal dispersal dynamics of Atlantic cod (Gadus morhua, we examined spatiotemporal egg and larval abundance patterns in coastal Newfoundland. In recent decades, Smith Sound, Trinity Bay has supported the largest known overwintering spawning aggregation of Atlantic cod in the region. We estimated spawning and dispersal characteristics for the Smith Sound-Trinity Bay system by fitting ichthyoplankton abundance data to environmentally-driven, simplified box models. Results show protracted spawning, with sharply increased egg production in early July, and limited dispersal from the Sound. The model for the entire spawning season indicates egg export from Smith Sound is 13%•day(-1 with a net mortality of 27%•day(-1. Eggs and larvae are consistently found in western Trinity Bay with little advection from the system. These patterns mirror particle tracking models that suggest residence times of 10-20 days, and circulation models indicating local gyres in Trinity Bay that act in concert with upwelling dynamics to retain eggs and larvae. Our results are among the first quantitative dispersal estimates from Smith Sound, linking this spawning stock to the adjacent coastal waters. These results illustrate the biophysical interplay regulating dispersal and connectivity originating from inshore spawning of coastal northwest Atlantic.

Reducing Ex-offender Health Disparities through the Affordable Care Act: Fostering Improved Health Care Access and Linkages to Integrated Care

Directory of Open Access Journals (Sweden)

Lacreisha Ejike-King

2014-04-01

Full Text Available Despite steadily declining incarceration rates overall, racial and ethnic minorities, namely African Americans, Latinos, and American Indians and Alaska Natives, continue to be disproportionately represented in the justice system. Ex-offenders commonly reenter communities with pressing health conditions but encounter obstacles to accessing care and remaining in care. The lack of health insurance coverage and medical treatment emerge as the some of the most reported reentry health needs and may contribute to observed health disparities. Linking ex-offenders to care and services upon release increases the likelihood that they will remain in care and practice successful disease management. The Affordable Care Act (ACA offers opportunities to address health disparities experienced by the reentry population that places them at risk for negative health outcomes and recidivism. Coordinated efforts to link ex-offenders with these newly available opportunities may result in a trajectory for positive health and overall well-being as they reintegrate into society.

Going coastal: shared evolutionary history between coastal British Columbia and Southeast Alaska wolves (Canis lupus.

Directory of Open Access Journals (Sweden)

Byron V Weckworth

2011-05-01

Full Text Available Many coastal species occupying the temperate rainforests of the Pacific Northwest in North America comprise endemic populations genetically and ecologically distinct from interior continental conspecifics. Morphological variation previously identified among wolf populations resulted in recognition of multiple subspecies of wolves in the Pacific Northwest. Recently, separate genetic studies have identified diverged populations of wolves in coastal British Columbia and coastal Southeast Alaska, providing support for hypotheses of distinct coastal subspecies. These two regions are geographically and ecologically contiguous, however, there is no comprehensive analysis across all wolf populations in this coastal rainforest.By combining mitochondrial DNA datasets from throughout the Pacific Northwest, we examined the genetic relationship between coastal British Columbia and Southeast Alaska wolf populations and compared them with adjacent continental populations. Phylogenetic analysis indicates complete overlap in the genetic diversity of coastal British Columbia and Southeast Alaska wolves, but these populations are distinct from interior continental wolves. Analyses of molecular variation support the separation of all coastal wolves in a group divergent from continental populations, as predicted based on hypothesized subspecies designations. Two novel haplotypes also were uncovered in a newly assayed continental population of interior Alaska wolves.We found evidence that coastal wolves endemic to these temperate rainforests are diverged from neighbouring, interior continental wolves; a finding that necessitates new international strategies associated with the management of this species.

Coastal Adaptation Planning for Sea Level Rise and Extremes: A Global Model for Adaptation Decision-making at the Local Level Given Uncertain Climate Projections

Science.gov (United States)

Turner, D.

2014-12-01

Understanding the potential economic and physical impacts of climate change on coastal resources involves evaluating a number of distinct adaptive responses. This paper presents a tool for such analysis, a spatially-disaggregated optimization model for adaptation to sea level rise (SLR) and storm surge, the Coastal Impact and Adaptation Model (CIAM). This decision-making framework fills a gap between very detailed studies of specific locations and overly aggregate global analyses. While CIAM is global in scope, the optimal adaptation strategy is determined at the local level, evaluating over 12,000 coastal segments as described in the DIVA database (Vafeidis et al. 2006). The decision to pursue a given adaptation measure depends on local socioeconomic factors like income, population, and land values and how they develop over time, relative to the magnitude of potential coastal impacts, based on geophysical attributes like inundation zones and storm surge. For example, the model's decision to protect or retreat considers the costs of constructing and maintaining coastal defenses versus those of relocating people and capital to minimize damages from land inundation and coastal storms. Uncertain storm surge events are modeled with a generalized extreme value distribution calibrated to data on local surge extremes. Adaptation is optimized for the near-term outlook, in an "act then learn then act" framework that is repeated over the model time horizon. This framework allows the adaptation strategy to be flexibly updated, reflecting the process of iterative risk management. CIAM provides new estimates of the economic costs of SLR; moreover, these detailed results can be compactly represented in a set of adaptation and damage functions for use in integrated assessment models. Alongside the optimal result, CIAM evaluates suboptimal cases and finds that global costs could increase by an order of magnitude, illustrating the importance of adaptive capacity and coastal policy.

77 FR 40586 - Coastal Programs Division

Science.gov (United States)

2012-07-10

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration Coastal Programs Division AGENCY: Coastal Programs Division, Office of Ocean and Coastal Resource Management, National Ocean.... FOR FURTHER INFORMATION CONTACT: Kerry Kehoe, Coastal Programs Division (NORM/3), Office of Ocean and...

Understanding Title V of the Social Security Act: A Guide to the Provisions of the Federal Maternal and Child Health Block Grant.

Science.gov (United States)

Health Resources and Services Administration (DHHS/PHS), Washington, DC. Maternal and Child Health Bureau.

The Maternal and Child Health (MCH) Services Block Grant (Title V of the Social Security Act) has operated as a federal-state partnership since the Social Security Act was passed in 1935. Through Title V, the federal government pledged its support of state efforts to extend health and welfare services for mothers and children. Title V has been…

Do Negative Acts in Italian Academia Have a Quadratic Relationship with Determinants of Health?

Science.gov (United States)

Fadda, Salvatore; Giorgi, Gabriele; Benitez Muñoz, Juan Luis; Justicia Justicia, Fernando; Solinas, Giuliana

2015-01-01

Purpose: The purpose of this paper is to investigate the prevalence of workplace bullying in an Italian university. Design/methodology/approach: More than 200 workers have completed the Italian version of the Negative Acts Questionnaire and the General Health Questionnaire. Findings: The results show a spread of low to medium negative actions in…

Implementation of Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) Health Authority by the Agency for Toxic Substances and Disease Registry

International Nuclear Information System (INIS)

Siegel, M.R.

1990-01-01

The Superfund Amendments and Reauthorization Act (SARA) of 1986 greatly expanded the health authority of the Comprehensive Environmental Response, Compensation, and Liability Act. One of the federal agencies most affected by SARA is the Agency for Toxic Substances and Disease Registry (ATSDR) of the U.S. Public Health Service. Among other responsibilities, ATSDR was mandated to conduct health assessments within strict time frames for each site on or proposed for the U.S. Environmental Protection Agency's National Priorities List. The author will review ATSDR's efforts to address this new statutory mandate, especially for federal facilities, and will focus on different conceptual frameworks for implementing the health assessment program

Drinking water contributes to high salt consumption in young adults in coastal Bangladesh.

Science.gov (United States)

Talukder, Mohammad Radwanur Rahman; Rutherford, Shannon; Phung, Dung; Malek, Abdul; Khan, Sheela; Chu, Cordia

2016-04-01

Increasing salinity of freshwater from environmental and anthropogenic influences is threatening the health of 35 million inhabitants in coastal Bangladesh. Yet little is known about the characteristics of their exposure to salt (sodium), a major risk factor for hypertension and related chronic diseases. This research examined sodium consumption levels and associated factors in young adults. We assessed spot urine samples for 282 participants (19-25 years) during May-June 2014 in a rural sub-district in southwestern coastal Bangladesh and measured sodium levels of their potable water sources. The significant factors associated with high sodium consumption were determined from logistic regression analyses. Mean sodium content in tube-well water (885 mg/L) was significantly higher than pond water (738 mg/L) (P = 0.01). Fifty three percent of subjects were consuming sodium at levels above the WHO recommended level (≥2 g/day). The users of tube-well water were more likely to consume sodium above this recommended level than pond water users. Salinity problems are projected to increase with climate change, and with large populations potentially at risk, appropriate public health and behavior-change interventions are an urgent priority for this vulnerable coastal region along with targeted research to better understand sodium exposure pathways and health benefits of alternative water supplies.

Going coastal: Shared evolutionary history between coastal British Columbia and Southeast Alaska wolves (canis lupus)

Science.gov (United States)

Weckworth, B.V.; Dawson, N.G.; Talbot, S.L.; Flamme, M.J.; Cook, J.A.

2011-01-01

Background: Many coastal species occupying the temperate rainforests of the Pacific Northwest in North America comprise endemic populations genetically and ecologically distinct from interior continental conspecifics. Morphological variation previously identified among wolf populations resulted in recognition of multiple subspecies of wolves in the Pacific Northwest. Recently, separate genetic studies have identified diverged populations of wolves in coastal British Columbia and coastal Southeast Alaska, providing support for hypotheses of distinct coastal subspecies. These two regions are geographically and ecologically contiguous, however, there is no comprehensive analysis across all wolf populations in this coastal rainforest. Methodology/Principal Findings: By combining mitochondrial DNA datasets from throughout the Pacific Northwest, we examined the genetic relationship between coastal British Columbia and Southeast Alaska wolf populations and compared them with adjacent continental populations. Phylogenetic analysis indicates complete overlap in the genetic diversity of coastal British Columbia and Southeast Alaska wolves, but these populations are distinct from interior continental wolves. Analyses of molecular variation support the separation of all coastal wolves in a group divergent from continental populations, as predicted based on hypothesized subspecies designations. Two novel haplotypes also were uncovered in a newly assayed continental population of interior Alaska wolves. Conclusions/Significance: We found evidence that coastal wolves endemic to these temperate rainforests are diverged from neighbouring, interior continental wolves; a finding that necessitates new international strategies associated with the management of this species. ?? 2011 This is an open-access article.

Five years after implementation: A review of the Irish Mental Health Act 2001.

LENUS (Irish Health Repository)

Ramsay, Hugh

2013-01-01

The Mental Health Act 2001 (MHA 2001) was implemented in November 2006. Since that time, there has been considerable research into its impact, including the impact on service provision, use of coercive practices and the perceptions by key stakeholders. Our objective is to present a summary of research into the MHA 2001 since its implementation in the Irish state in the context of international standards and practice.

Accumulation of Mercury (Hg) and Methyl Mercury (Me Hg) Concentrations In Selected Marine Biota From Manjung Coastal Area

International Nuclear Information System (INIS)

Anisa Abdullah; Zaini Hamzah; Ahmad Saat; Ahmad Saat; Abd Khalik Wood; Masitah Alias

2015-01-01

Level of mercury (Hg) and methyl mercury (Me Hg) in marine ecosystem has been intensively studied as these toxic substances could be accumulated in the marine biota. This study is focusing on the Hg and Me Hg content in marine biota in Manjung coastal area. This area has high potential being affected by rapid socio-economic development of Manjung area such as heavy industrial activities (coal fired power plant, iron foundries, port development and factories), agricultural runoff, waste and toxic discharge, quarries, housing constructions. It may has a potential risk when released into the atmosphere and dispersed on the surface of water and continue deposited at the bottom of the water and sediment and being absorbed by marine biota. The concentrations of Hg and Me Hg in marine ecosystem can be adversely affect human health when it enters the food chain. In this study, five species of marine biota including Johnius dussumieri (Ikan Gelama), Pseudorhombus malayanus (Ikan Sebelah), Arius maculatus (Ikan Duri), Portunus pelagicus (Ketam Renjong) and Charybdis natator (Ketam Salib) were collected during rainy and dry seasons. Measurements were carried out using inductively coupled plasma mass spectrometry (ICP-MS) technique. The Hg concentrations for dry and rainy season are in the range 65.13-102.12 μg/ kg and 75.75-106.10 μg/ kg respectively, while for MeHg concentrations for dry and rainy seasons are in the range 4.35-6.26 μg/ kg and 5.42-6.46 μg/ kg, respectively. These results are below the limit set by Malaysia Food Act (1983). Generally, marine biota from the Manjung coastal area is safe to consume due to low value of ingestion dose rate and health risk index (HRI) for human health. (author)

Staff's awareness of abuse in health care varies according to context and possibilities to act.

Science.gov (United States)

Swahnberg, Katarina; Wijma, Barbro

2011-06-01

The aim of this study was to explore awareness of abuse in health care (AHC) from a staff perspective. Patient evaluation studies often focus on patient satisfaction, and serious negative experiences might therefore be obscured. In our research, we have found that abuse in health care (AHC) is commonly reported by male and female patients, when asked for in a strait way, but so far no intervention studies against AHC have been published. Investigating staff's awareness of AHC is our first step toward developing interventions against AHC. Data were collected at a Swedish clinic of obstetrics and gynecology. Qualitative interviews with 21 informants were analysed with constant comparative analyses. The core category - 'Staff's awareness of AHC varies according to context and possibilities to act' - was derived from the interaction between five categories; Moral imagination, Relativism, Explanations, Dissociation from AHC and Acting against AHC. Awareness of AHC was not a permanent state that did/did not exist as all participants displayed both high and low awareness; depending on the context. Staff's awareness depends on more than personal characteristics; therefore, AHC interventions have to target individual behavior as well as cultures and structures in health care.

The tidal hydrodynamics modeling of the Topolobampo coastal lagoon system and the implications for pollutant dispersion

International Nuclear Information System (INIS)

Montano-Ley, Y.; Peraza-Vizcarra, R.; Paez-Osuna, F.

2007-01-01

The tidal hydrodynamics of the Topolobampo coastal lagoon system (Mexico) has been investigated through a modified two dimensional non-linear hydrodynamic finite difference model. The advective and diffusive process acting over a hypothetical pollutant released into the coastal lagoon have also been simulated. Maxima tidal currents (0.85 m/s) were predicted within the main channel, in agree with direct measurements. The direction of the observed fastest currents (SW), also agree quite well with the direction of the strongest tidal current predicted in this investigation, which occur during the ebb when the water of the coastal lagoon is discharged into the Gulf of California. Residual currents (0.01-0.05 m/s) were also predicted. The hypothetical pollutant released within the Topolobampo Harbor would spread to both Ohuira and Topolobampo sections, reaching the inlet after approximately 12 days. - A model has been developed to simulate the tidal hydrodynamics and the behavior of a pollutant in the Topolobampo lagoon

Vulnerability of Coastal Communities from Storm Surge and Flood Disasters

Science.gov (United States)

Bathi, Jejal Reddy; Das, Himangshu S.

2016-01-01

Disasters in the form of coastal storms and hurricanes can be very destructive. Preparing for anticipated effects of such disasters can help reduce the public health and economic burden. Identifying vulnerable population groups can help prioritize resources for the most needed communities. This paper presents a quantitative framework for vulnerability measurement that incorporates both socioeconomic and flood inundation vulnerability. The approach is demonstrated for three coastal communities in Mississippi with census tracts being the study unit. The vulnerability results are illustrated as thematic maps for easy usage by planners and emergency responders to assist in prioritizing their actions to vulnerable populations during storm surge and flood disasters. PMID:26907313

Microlevel mapping of coastal geomorphology and coastal resources of Rameswaram island, India: A remote sensing and GIS perspective

Digital Repository Service at National Institute of Oceanography (India)

Nobi, E.P.; Shivaprasad, A.; Karikalan, R.; Dilipan, E.; Thangaradjou, T.; Sivakumar, K.

Coastal areas are facing serious threats from both manmade and natural disturbances; coastal erosion, sea-level variation, and cyclones are the major factors that alter the coastal topography and coastal resources of the island ecosystems...

Organized labor and the origins of the Occupational Safety and Health Act.

Science.gov (United States)

Asher, Robert

2014-11-01

New Solutions is republishing this 1991 article by Robert Asher, which reviews the history of organized labor's efforts in the United States to secure health and safety protections for workers. The 1877 passage of the Massachusetts factory inspection law and the implementation of primitive industrial safety inspection systems in many states paralleled labor action for improved measures to protect workers' health and safety. In the early 1900s labor was focusing on workers' compensation laws. The New Deal expanded the federal government's role in worker protection, supported at least by the Congress of Industrial Organizations (CIO), but challenged by industry and many members of the U.S. Congress. The American Federation of Labor (AFL) and the CIO backed opposing legal and inspection strategies in the late 1940s and through the 1950s. Still, by the late 1960s, several unions were able to help craft the Occupational Safety and Health Act of 1970 and secure new federal protections for U.S. workers.

Future coastal population growth and exposure to sea-level rise and coastal flooding--a global assessment.

Directory of Open Access Journals (Sweden)

Barbara Neumann

Full Text Available Coastal zones are exposed to a range of coastal hazards including sea-level rise with its related effects. At the same time, they are more densely populated than the hinterland and exhibit higher rates of population growth and urbanisation. As this trend is expected to continue into the future, we investigate how coastal populations will be affected by such impacts at global and regional scales by the years 2030 and 2060. Starting from baseline population estimates for the year 2000, we assess future population change in the low-elevation coastal zone and trends in exposure to 100-year coastal floods based on four different sea-level and socio-economic scenarios. Our method accounts for differential growth of coastal areas against the land-locked hinterland and for trends of urbanisation and expansive urban growth, as currently observed, but does not explicitly consider possible displacement or out-migration due to factors such as sea-level rise. We combine spatially explicit estimates of the baseline population with demographic data in order to derive scenario-driven projections of coastal population development. Our scenarios show that the number of people living in the low-elevation coastal zone, as well as the number of people exposed to flooding from 1-in-100 year storm surge events, is highest in Asia. China, India, Bangladesh, Indonesia and Viet Nam are estimated to have the highest total coastal population exposure in the baseline year and this ranking is expected to remain largely unchanged in the future. However, Africa is expected to experience the highest rates of population growth and urbanisation in the coastal zone, particularly in Egypt and sub-Saharan countries in Western and Eastern Africa. The results highlight countries and regions with a high degree of exposure to coastal flooding and help identifying regions where policies and adaptive planning for building resilient coastal communities are not only desirable but essential

Future coastal population growth and exposure to sea-level rise and coastal flooding--a global assessment.

Science.gov (United States)

Neumann, Barbara; Vafeidis, Athanasios T; Zimmermann, Juliane; Nicholls, Robert J

2015-01-01

Coastal zones are exposed to a range of coastal hazards including sea-level rise with its related effects. At the same time, they are more densely populated than the hinterland and exhibit higher rates of population growth and urbanisation. As this trend is expected to continue into the future, we investigate how coastal populations will be affected by such impacts at global and regional scales by the years 2030 and 2060. Starting from baseline population estimates for the year 2000, we assess future population change in the low-elevation coastal zone and trends in exposure to 100-year coastal floods based on four different sea-level and socio-economic scenarios. Our method accounts for differential growth of coastal areas against the land-locked hinterland and for trends of urbanisation and expansive urban growth, as currently observed, but does not explicitly consider possible displacement or out-migration due to factors such as sea-level rise. We combine spatially explicit estimates of the baseline population with demographic data in order to derive scenario-driven projections of coastal population development. Our scenarios show that the number of people living in the low-elevation coastal zone, as well as the number of people exposed to flooding from 1-in-100 year storm surge events, is highest in Asia. China, India, Bangladesh, Indonesia and Viet Nam are estimated to have the highest total coastal population exposure in the baseline year and this ranking is expected to remain largely unchanged in the future. However, Africa is expected to experience the highest rates of population growth and urbanisation in the coastal zone, particularly in Egypt and sub-Saharan countries in Western and Eastern Africa. The results highlight countries and regions with a high degree of exposure to coastal flooding and help identifying regions where policies and adaptive planning for building resilient coastal communities are not only desirable but essential. Furthermore, we

Future Coastal Population Growth and Exposure to Sea-Level Rise and Coastal Flooding - A Global Assessment

Science.gov (United States)

Neumann, Barbara; Vafeidis, Athanasios T.; Zimmermann, Juliane; Nicholls, Robert J.

2015-01-01

Coastal zones are exposed to a range of coastal hazards including sea-level rise with its related effects. At the same time, they are more densely populated than the hinterland and exhibit higher rates of population growth and urbanisation. As this trend is expected to continue into the future, we investigate how coastal populations will be affected by such impacts at global and regional scales by the years 2030 and 2060. Starting from baseline population estimates for the year 2000, we assess future population change in the low-elevation coastal zone and trends in exposure to 100-year coastal floods based on four different sea-level and socio-economic scenarios. Our method accounts for differential growth of coastal areas against the land-locked hinterland and for trends of urbanisation and expansive urban growth, as currently observed, but does not explicitly consider possible displacement or out-migration due to factors such as sea-level rise. We combine spatially explicit estimates of the baseline population with demographic data in order to derive scenario-driven projections of coastal population development. Our scenarios show that the number of people living in the low-elevation coastal zone, as well as the number of people exposed to flooding from 1-in-100 year storm surge events, is highest in Asia. China, India, Bangladesh, Indonesia and Viet Nam are estimated to have the highest total coastal population exposure in the baseline year and this ranking is expected to remain largely unchanged in the future. However, Africa is expected to experience the highest rates of population growth and urbanisation in the coastal zone, particularly in Egypt and sub-Saharan countries in Western and Eastern Africa. The results highlight countries and regions with a high degree of exposure to coastal flooding and help identifying regions where policies and adaptive planning for building resilient coastal communities are not only desirable but essential. Furthermore, we

Coastal Erosion Armoring 2005

Data.gov (United States)

California Natural Resource Agency — Coastal armoring along the coast of California, created to provide a database of all existing coastal armoring based on data available at the time of creation....

Inventory of coastal protected areas and historical heritage sites (North Bulgarian coast)

Science.gov (United States)

Palazov, Atanas; Stancheva, Margarita; Stanchev, Hristo; Krastev, Anton; Peev, Preslav

2015-04-01

Coastal protected areas and historical heritage sites in Bulgaria are established by national policy instruments/laws and EU Directives to protect a wide range of natural and cultural resources along the coast. Within the framework of HERAS Project (Submarine Archaeological Heritage of the Western Black Sea Shelf), financed by European Union under the CBC Program Romania-Bulgaria, we made an inventory and identification of protected areas, nature reserves, monuments, parks and onshore historical sites along the North Bulgarian coast (NUTS III level). The adjacent coastline is 96 km long between cape Sivriburun to the border of Romania on the north and cape Ekrene on the south. Coastal zone here is mostly undeveloped and low urbanized compared to other coastal regions in Bulgaria. It comprises of large sand beaches, vast sand dunes, up to 70 m spectacular high limestone cliffs, coastal fresh-water lakes, wetlands etc. This coastal section includes also one of the most important wetlands and it is migration corridor for many protected birds in Bulgaria, that host one of the rarest ecosystem types with national and international conservational value. Added to ecosystem values, the region is also an archeologically important area, where numerous underwater and coastal archaeological sites from different periods have been discovered - Prehistory, Antiquity (ancient Greek, Hellenistic, Roman), Mediaeval (Early Byzantium, Bulgarian). Research was made within 2100 m zone from the coastline (in accordance with zones defined by the Black Sea Coastal Development Act) for territories with protected status in the framework of many national laws and EU Directives. The total area of this strip zone is 182, 6 km2 and around 67% is under protection. There are 11 unique NATURA 2000 protected areas (6 Special Protection Areas (SPAs) and 5 Sites of Communities Importance (SCI), 2 nature reserves and 1 Nature Park. Some of them are also onshore historical sites. In Bulgaria such sites

Administration of the Radiation Control for Health and Safety Act of 1968, Public Law 90-602, April 1, 1975. Annual report, Jan--Dec 1974

International Nuclear Information System (INIS)

1974-01-01

The Secretary of Health, Education, and Welfare is required, Subpart 3, Section 2, Part F of Title III of the Public Health Service Act; 42 USC et seq. (Public Law 90-602), to submit an annual report to the President for transmittal to the Congress on or before April 1 on the adminstration of the Radiation Control for Health and Safety Act. The detailed information required to be included in the report is outlined in Section 360D of Public Law 90-602. The Food and Drug Administration, through its Bureau of Radiological Health, has been delegated the authority for the day-to-day administration of the Act. This report covers the detailed operation of the Agency in carrying out that responsibility for calendar year 1974

From frequent hurricanes to the Deepwater Horizon oil spill in coastal Louisiana: the impact of regulatory change

Directory of Open Access Journals (Sweden)

So-Min Cheong

2014-06-01

Full Text Available The issue of whether adaptations to past disasters can impede adaptation to new disasters of a different type or intensity will be analyzed by examining the transition from frequent hurricanes to the Deepwater Horizon oil spill in coastal Louisiana. In particular, the effects of changed regulatory structures from the Stafford Act to the Oil Pollution Act of 1990 in response to the Deepwater Horizon oil spill are investigated. The article describes how the federal, state, and local governments adjust. In addition, it illustrates the shifting focus on the environment with the activation of the Oil Pollution Act and the Clean Water Act. It wraps up with a discussion of the uncertainty that is pervasive in the case of the oil spill derived from changed regulations and the novelty of the disaster.

Act No. 11/87 of 7 april - Basic environment act

International Nuclear Information System (INIS)

1987-04-01

The purpose of this Act is to provide the basis for an environmental policy in Portugal. Section 25 of the Act deals with radioactive substances. It provides that any contamination likely to be caused by these substances should be controlled with a view to preventing its effects on the health and welfare of the population and specifies the methods for such control [fr

Coastal knickpoints and the competition between fluvial and wave-driven erosion on rocky coastlines

Science.gov (United States)

Limber, Patrick; Barnard, Patrick

2018-01-01

Active margin coastlines are distinguished by rock erosion that acts in two different directions: waves erode the coast horizontally or landwards, a process that creates sea cliffs; and rivers and streams erode the landscape vertically via channel incision. The relative rates of each process exert a dominant control on coastline morphology. Using a model of river channel incision and sea-cliff retreat, we explore how terrestrial and marine erosion compete to shape coastal topography, and specifically what conditions encourage the development of coastal knickpoints (i.e., a river or stream channels that end at a raised sea-cliff edge). We then compare results to actual landscapes. Model results and observations show that coastal knickpoint development is strongly dependent on drainage basin area, where knickpoints typically occur in drainage basins smaller than 5 × 105–6 × 106 m2, as well as channel geometry and sea-cliff retreat rate. In our study area, coastal knickpoints with persistent flow (waterfalls) are uncommon and form only within a small morphological window when 1) drainage basin area is large enough to sustain steady stream discharge, but not large enough to out-compete sea-cliff formation, 2) sea-cliff retreat is rapid, and 3) channel concavity is low so that channel slopes at the coast are high. This particular geomorphic combination can sustain sea-cliff formation even when streams tap into larger drainage basins with greater discharge and more stream power, and provides an initial explanation of why persistent coastal waterfalls are, along many coastlines, relatively rare features.

Coastal knickpoints and the competition between fluvial and wave-driven erosion on rocky coastlines

Science.gov (United States)

Limber, Patrick W.; Barnard, Patrick L.

2018-04-01

Active margin coastlines are distinguished by rock erosion that acts in two different directions: waves erode the coast horizontally or landwards, a process that creates sea cliffs; and rivers and streams erode the landscape vertically via channel incision. The relative rates of each process exert a dominant control on coastline morphology. Using a model of river channel incision and sea-cliff retreat, we explore how terrestrial and marine erosion compete to shape coastal topography, and specifically what conditions encourage the development of coastal knickpoints (i.e., a river or stream channels that end at a raised sea-cliff edge). We then compare results to actual landscapes. Model results and observations show that coastal knickpoint development is strongly dependent on drainage basin area, where knickpoints typically occur in drainage basins smaller than 5 × 105-6 × 106 m2, as well as channel geometry and sea-cliff retreat rate. In our study area, coastal knickpoints with persistent flow (waterfalls) are uncommon and form only within a small morphological window when 1) drainage basin area is large enough to sustain steady stream discharge, but not large enough to out-compete sea-cliff formation, 2) sea-cliff retreat is rapid, and 3) channel concavity is low so that channel slopes at the coast are high. This particular geomorphic combination can sustain sea-cliff formation even when streams tap into larger drainage basins with greater discharge and more stream power, and provides an initial explanation of why persistent coastal waterfalls are, along many coastlines, relatively rare features.

The Mental Health Care Act: challenges and opportunities

African Journals Online (AJOL)

Adele

psychiatry ward at George Mukhari hospital, the concerns about ... Resources must be available and ... of highlighting deficiencies, the report did not call for increased .... administrative burden of the Act is highly problematic, the Act itself.

In Search for Sustainable Coastal Management: A Case Study of Semarang, Indonesia

Science.gov (United States)

Hadi, Sudharto P.

2017-02-01

As a coastal town, Semarang is currently facing environmental problems such as flood, tidal flood (locally called rob), coastal abrasion, emerging land, land subsidence and sea water intrusion. These phenomena severely affect to citizen, community and corporate, disrupting day to day activities, threatening people’s health, causing economics’ burden and reducing property value. Government policies in dealing with these problem are focused on its phenomena such as normalizing river for flood and building polder systems for tidal flood. Impacted people have been implementing various initiatives. People in Tanah Mas Estate set up collective efforts to reduce tidal flood by building pumping system project, while people in Kampong Tambaklorok conduct a regular mutual assistance in cleaning of waste and sedimentation, rehabilitating of local drainages and dikes, reconstructing of local streets and also maintaining of pumping system. People in Mangunharjo, the district of Tugu build a coastal belt and cultivate mangrove. Various government and local initiatives have been effective in dealing with flood and tidal flood temporarily. More comprehensive approaches and focused on the sources of problems are required to achieve sustainable coastal management.

Decision-Making Behaviour under the Mental Health Act 1983 and Its Impact on Mental Health Tribunals: An English Perspective

Directory of Open Access Journals (Sweden)

Nicola Glover-Thomas

2018-03-01

Full Text Available In England and Wales, the Mental Health Act 1983 (MHA 1983 provides the legal framework which governs decisions made concerning the care and treatment of those suffering from mental disorders, where they may pose a risk to themselves or others. The perspective of the patient and the care provider may conflict and can be a source of tension and challenge within mental health law. Through access to a mental health tribunal, patients are offered the apparatus to review and challenge their detention. With detention rates under the mental health legislation rising exponentially, this is having a knock-on effect upon tribunal application numbers. As there is a legal requirement to review all cases of individuals detained under the MHA 1983, understanding the key drivers for this increase in detention is essential in order to understand how to better manage both detention rates and the upsurge in tribunal caseloads. With the increase in overall activity, mental health tribunal workloads present significant practical challenges and has downstream cost implications.

The Coastal Ocean Prediction Systems program: Understanding and managing our coastal ocean

International Nuclear Information System (INIS)

1990-01-01

This document is a compilation of summaries of papers presented at the Coastal Ocean Prediction Systems workshop. Topics include; marine forecasting, regulatory agencies and regulations, research and application models, research and operational observing, oceanic and atmospheric data assimilation, and coastal physical processes

Airway Clearance Techniques (ACTs)

Medline Plus

Full Text Available ... NACFC Carolyn and C Richard Mattingly Leadership in Mental Health Care Award Mary M. Kontos Award NACFC Reflections ... CF Community in Health Care Reform Milestones in Health Care Reform How Tax Reform Could ... Act Our Advocacy Work Advocacy Achievements ...

The Politics of Native American Health Care and the Affordable Care Act.

Science.gov (United States)

Skinner, Daniel

2016-02-01

This article examines an important but largely overlooked dimension of the Patient Protection and Affordable Care Act (ACA), namely, its significance for Native American health care. The author maintains that reading the ACA against the politics of Native American health care policy shows that, depending on their regional needs and particular contexts, many Native Americans are well-placed to benefit from recent Obama-era reforms. At the same time, the kinds of options made available by the ACA constitute a departure from the service-based (as opposed to insurance-based) Indian Health Service (IHS). Accordingly, the author argues that ACA reforms--private marketplaces, Medicaid expansion, and accommodations for Native Americans--are best read as potential "supplements" to an underfunded IHS. Whether or not Native Americans opt to explore options under the ACA will depend in the long run on the quality of the IHS in the post-ACA era. Beyond understanding the ACA in relation to IHS funding, the author explores how Native American politics interacts with the key tenets of Obama-era health care reform--especially "affordability"--which is critical for understanding what is required from and appropriate to future Native American health care policy making. Copyright © 2016 by Duke University Press.

[Psychiatric care act of Ukraine and issues concerning reformation of the mental health protection service].

Science.gov (United States)

Moskalenko, V F; Gorban', E N; Tabachnikov, S I; Syropiatov, O G; Shtengelov, V V

2000-01-01

An analysis was performed of the conception and content of a new Psychiatric Care Act by making a comparison with data from published literature and the present-day status of the mental health protection service. The main features of the crisis of psychiatry in Ukraine are characterized together with possible ways of resolving it. Main trends in reformation of the psychiatric service are identified that are to be secured by relevant acts of departmental and interdepartmental character based on law. Priority is emphasized to defence of the patients' rights and liberties together with a need for a guarantee of a highly skilled medical care to be provided for mental patients.

A methodological framework for coastal development assessment: A case study of Fujian Province, China.

Science.gov (United States)

Tian, Haiyan; Lindenmayer, David B; Wong, Gabriel T W; Mao, Zhu; Huang, Yi; Xue, Xiongzhi

2018-02-15

Decision-makers often have to make trade-offs between economic growth and environmental conservation when developing and managing coastal environments. Coastal development and management need to be subject to rigorous assessments to determine if they are sustainable over time. We propose a methodological framework - the Coastal Development Index (CDI) for the assessment of the changes in sustainability of coastal development over time. CDI is a modified version of the Ocean Health Index (OHI) but with two new indicators - ecological and environmental indicators (EEI), and social and economic indicators (SEI), both of which comprise three sub-indicators (coastal protection, clean waters and species protection for EEI, and food provision, coastal livelihoods and economies and tourism and recreation for SEI). The six sub-indicators represent key aspects of coastal development and the level of exploitation of natural resources that have previously been missing in other conceptual frameworks. We demonstrate the value of CDI with a detailed case study of Fujian Province in China, 2000-2013. The scores of CDI decreased from 1.01 in 2000 to 0.42 in 2013 suggesting that the Fujian coastal zone has experienced unsustainable development in that time. Meanwhile, the scores of EEI decreased from 22.1 to 20.4 while the scores of SEI increased from 21.9 to 48.1 suggesting that environmental values have been eroded by economic growth. Analysis of the scores of sub-indicators reveals a need to integrate economic growth and social development with environmental conservation on Fujian coastal management. Our case study highlights the potential value of the CDI for improving the ecological sustainability of coastal zone management and development practices. Copyright © 2017 Elsevier B.V. All rights reserved.

Australian Radiation Protection and Nuclear Safety Act 1998. Act No 133

International Nuclear Information System (INIS)

1999-01-01

A set of legislation consisting of three Acts in the field of radiation protection and nuclear safety was passed by both Houses of Parliament on 10 December 1998 and was proclaimed on 5 February 1999. Act No. 133 - Australian Radiation Protection and Nuclear Safety Act, which is a framework Law, established the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) as the regulatory body for radiation protection and nuclear safety, in place of the Nuclear Safety Bureau. The Chief Executive Officer of ARPANSA, who is appointed by the Governor-General for a term of up to 5 years, is obliged to submit annual and quarterly reports to the Minister on the operations of the Chief Executive Officer, ARPANSA, the Council, the Radiation Health Committee and the Nuclear Safety Committee. The Council is a consultative body which examines issues relating to radiation protection and nuclear safety and advises the Chief Executive Officer on these issues as well as on the adoption of recommendations, policies and codes. The Radiation Health Committee and the Nuclear Safety Committee are to be established as advisory committees to the Chief Executive Officer or the Council. Both committees should draft national policies, codes and standards in their respective fields and review their effectiveness periodically. The second in this series of legislation, Act No. 134, Australian Radiation Protection and Nuclear Safety (License Charges) Act requires holders of both facility and source licenses to pay an annual charge, to be prescribed by the regulations. The third, Act No. 135 , Australian Radiation Protection and Nuclear Safety (Consequential Amendments) Act repeals those provisions of the 1987 Australian Nuclear Science and Technology Organisation Act which concern the Nuclear Safety Bureau, and the 1978 Environment Protection Act as a whole

Australian Radiation Protection and Nuclear Safety Act 1998. Act No 133

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-11-01

A set of legislation consisting of three Acts in the field of radiation protection and nuclear safety was passed by both Houses of Parliament on 10 December 1998 and was proclaimed on 5 February 1999. Act No. 133 - Australian Radiation Protection and Nuclear Safety Act, which is a framework Law, established the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) as the regulatory body for radiation protection and nuclear safety, in place of the Nuclear Safety Bureau. The Chief Executive Officer of ARPANSA, who is appointed by the Governor-General for a term of up to 5 years, is obliged to submit annual and quarterly reports to the Minister on the operations of the Chief Executive Officer, ARPANSA, the Council, the Radiation Health Committee and the Nuclear Safety Committee. The Council is a consultative body which examines issues relating to radiation protection and nuclear safety and advises the Chief Executive Officer on these issues as well as on the adoption of recommendations, policies and codes. The Radiation Health Committee and the Nuclear Safety Committee are to be established as advisory committees to the Chief Executive Officer or the Council. Both committees should draft national policies, codes and standards in their respective fields and review their effectiveness periodically. The second in this series of legislation, Act No. 134, Australian Radiation Protection and Nuclear Safety (License Charges) Act requires holders of both facility and source licenses to pay an annual charge, to be prescribed by the regulations. The third, Act No. 135 , Australian Radiation Protection and Nuclear Safety (Consequential Amendments) Act repeals those provisions of the 1987 Australian Nuclear Science and Technology Organisation Act which concern the Nuclear Safety Bureau, and the 1978 Environment Protection Act as a whole

Hospital and Health Plan Partnerships: The Affordable Care Act's Impact on Promoting Health and Wellness

Science.gov (United States)

Vu, Michelle; White, Annesha; Kelley, Virginia P.; Hopper, Jennifer Kuca; Liu, Cathy

2016-01-01

Background The Affordable Care Act (ACA) healthcare reforms, centered on achieving the Centers for Medicare & Medicaid Services (CMS) Triple Aim goals of improving patient care quality and satisfaction, improving population health, and reducing costs, have led to increasing partnerships between hospitals and insurance companies and the implementation of employee wellness programs. Hospitals and insurance companies have opted to partner to distribute the risk and resources and increase coordination of care. Objective To examine the ACA's impact on the health and wellness programs that have resulted from the joint ventures of hospitals and health plans based on the published literature. Method We conducted a review of the literature to identify successful mergers and best practices of health and wellness programs. Articles published between January 2007 and January 2015 were compiled from various search engines, using the search terms “corporate,” “health and wellness program,” “health plan,” “insurance plan,” “hospital,” “joint venture,” and “vertical merger.” Publications that described consolidations or wellness programs not tied to health insurance plans were excluded. Noteworthy characteristics of these programs were summarized and tabulated. Results A total of 44 eligible articles were included in the analysis. The findings showed that despite rising healthcare costs, joint ventures prevent hospitals from trading-off quality and services for cost reductions. Administrators believed that partnering would allow the companies to meet ACA standards for improving clinical outcomes at reduced costs. Before the implementation of the ACA, some employers had wellness programs, but these were not standardized and did not need to produce measurable results. The ACA encouraged improvement of employee wellness programs by providing funding for expanded health services and by mandating quality care. Successful workplace health and wellness

Study on ecological regulation of coastal plain sluice

Science.gov (United States)

Yu, Wengong; Geng, Bing; Yu, Huanfei; Yu, Hongbo

2018-02-01

Coastal plains are densely populated and economically developed, therefore their importance is self-evident. However, there are some problems related with water in coastal plains, such as low flood control capacity and severe water pollution. Due to complicated river network hydrodynamic force, changeable flow direction and uncertain flood concentration and propagation mechanism, it is rather difficult to use sluice scheduling to realize flood control and tackle water pollution. On the base of the measured hydrological data during once-in-a-century Fitow typhoon in 2013 in Yuyao city, by typical analysis, theoretical analysis and process simulation, some key technologies were researched systematically including plain river network sluice ecological scheduling, “one tide” flood control and drainage scheduling and ecological running water scheduling. In the end, single factor health diagnostic evaluation, unit hydrograph of plain water level and evening tide scheduling were put forward.

Radioactivity and natural radionuclides distribution in river water, coastal water, sediment and Eichornia Crassipes (Mart) solms and their accumulation factor at Surabaya area

International Nuclear Information System (INIS)

Agus Taftazani; Sumining; Muzakky

2002-01-01

Distributions of radioactivity and natural radionuclides in water, sediment and eichornia crassipes (mart) solms from Surabaya River and coastal area have been evaluated. Five sampling locations were selected to represent fresh water and coastal water environment. The samples consist of water (fresh & coastal), bottom surface sediment and eichornia crassipes (mart) solms. The result showed that the gross-β activity from water environment were lower than the threshold value of Environmental Minister Act. Kep.02/MENKLH/I/1988 (1000 mBq/L) and indicated that β-radio ecological quality of water were still good. But the activity of the gross-α of water environment were higher than the threshold value of Environmental Minister Act. Kep.02/MENKLH/I/1988 (100 mBq/L). The eichornia crassipes (mart) solms (gross) activity were higher than water and sediment activities and indicated that transfer of radio nuclides from water to sediment and organism can be detected in water environment. Two natural radionuclide can be identified by γ-Spectrometric technique, they were K"4"0 and Tl"2"0"8. Generally the distribution factors F_D were smaller than bioaccumulation factor F_B. (author)

Investigating extreme event loading on coastal bridges using wireless sensor technology

Science.gov (United States)

Gelineau, Douglas A.; Davis, Justin R.; Rice, Jennifer A.

2017-04-01

Coastal infrastructure, such as bridges, are susceptible to many forms of coastal hazards: particularly hurricane surge and wave loading. These two forms of loading can cause catastrophic damage to aging highway infrastructure. It is estimated that storm damage costs the United States about $50 Billion per year. In light of this, it is crucial that we understand the damaging forces placed on infrastructure during storm events so that we can develop safer and more resilient coastal structures. This paper presents the ongoing research to enable the efficient collection of extreme event loads acting on both the substructure and superstructure of low clearance, simple span, reinforced concrete bridges. Bridges of this type were commonly constructed during the 1950's and 60's and are particularly susceptible to deck unseating caused by hurricane surge and wave loading. The sensing technology used to capture this data must be ruggedized to survive in an extremely challenging environment, be designed to allow for redundancy in the event of sensors or other network components being lost in the storm, and be relatively low cost to allow for more bridges to be instrumented per storm event. The prototype system described in this paper includes wireless technology, rapid data transmission, and, for the sensors, self-contained power. While this specific application focuses on hurricane hazards, the framework can be extended to include other natural hazards.

THE AUSTRALASIAN APPROACH TO THE DEFINITION OF MENTAL DISORDER IN A MENTAL HEALTH ACT.

Science.gov (United States)

Dawson, John B

2017-12-27

How should the mental element be defined in the legal standards governing a person's 'sectioning' or placement under the Mental Health Act (MHA)? This article considers how this mental element is defined in many MHAs in Australasia: via a statutory list of disorders of mental function said to 'characterise' the necessary state of mind. This article assesses the assumptions behind the adoption of this approach. It discusses the views of several English law reform committees that have explored how the mental element should be defined. It examines the philosophy of psychiatry, expounded clearly by Aubrey Lewis, that lies behind the Australasian approach, one that emphasises the need to identify mental disturbance by reference to disorders of 'part-function of the mind', not by reference to behaviour alone. It considers how the Australasian statutes address the question of personality disorder's covered by the Act. In conclusion, it endorses cautiously the Australasian approach, principally on the ground that it may contribute positively to the conduct of review proceedings for compulsory patients under the Act. It may concentrate the attention of tribunals on particular features of the patient's mental state, on how those features are linked to associated dangers or risks, and on how the presence of those features may justify placing decisions about the patient's treatment in others' hands. Throughout, comparisons are made with the manner in which the mental element has been defined in mental health legislation for England and Wales. © The Author 2017. Published by Oxford University Press; all rights reserved. For Permissions, please email: journals.permissions@oup.com.

Coastal Economic Trends for Coastal Geographies

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — These market data provide a comprehensive set of measures of changes in economic activity throughout the coastal regions of the United States. In regard to the...

Airway Clearance Techniques (ACTs)

Medline Plus

Full Text Available ... CF Community in Health Care Reform Milestones in Health Care Reform How Tax Reform Could Impact People With CF The Preserving Employee Wellness Programs Act Our Advocacy Work Advocacy Achievements ...

The Coastal Hazard Wheel system for coastal multi-hazard assessment & management in a changing climate

DEFF Research Database (Denmark)

Appelquist, Lars Rosendahl; Halsnæs, Kirsten

2015-01-01

This paper presents the complete Coastal Hazard Wheel (CHW) system, developed for multi-hazard-assessment and multi-hazard-management of coastal areas worldwide under a changing climate. The system is designed as a low-tech tool that can be used in areas with limited data availability...... screening and management. The system is developed to assess the main coastal hazards in a single process and covers the hazards of ecosystem disruption, gradual inundation, salt water intrusion, erosion and flooding. The system was initially presented in 2012 and based on a range of test......-applications and feedback from coastal experts, the system has been further refined and developed into a complete hazard management tool. This paper therefore covers the coastal classification system used by the CHW, a standardized assessment procedure for implementation of multi-hazard-assessments, technical guidance...

PENATAAN RUANG LAUT BERDASARKAN INTEGRATED COASTAL MANAGEMENT

Directory of Open Access Journals (Sweden)

Dina Sunyowati

2008-10-01

Full Text Available The planning of coastal spatial arrangement must be put in the valid spatial planning system. Law Number 26 of 2007 on Spatial Planning and it is in fact related with land spatial planning, although that ocean and air spatial management will be arranged in separate law. The legal for coastal zone management is determined by using the principles of integrated coastal management by focusing on area or zone authority system. The integrated of coastal zones management regulations should be followed by the planning of coastal spatial arrange­ment. Therefore, certain synchronization at coastal zones governance is very important issue since by integrating and coordinating other related regulations and therefore conflict of norm can be minimized in the spatial planning coastal zone.

Prevalence of microplastics in Singapore's coastal marine environment

International Nuclear Information System (INIS)

Ng, K.L.; Obbard, J.P. . E-mail esejpo@nus.edu.sg

2006-01-01

Microplastics have been recently identified as marine pollutants of significant concern due to their persistence, ubiquity and potential to act as vectors for the transfer and exposure of persistent organic pollutants to marine organisms. This study documents, for the first time, the presence and abundance of microplastics (>1.6 μm) in Singapore's coastal environment. An optimized sampling protocol for the collection and analysis of microplastics was developed, and beach sediments and seawater (surface microlayer and subsurface layer) samples were collected from nine different locations around the coastline. Low density microplastics were separated from sediments by flotation and polymer types were identified using Fourier transform infrared (FTIR) spectrometry. Synthetic polymer microplastics identified in beach sediments included polyethylene, polypropylene, polystyrene, nylon, polyvinyl alcohol and acrylonitrile butadiene styrene. Microplastics were detected in samples from four out of seven beach environments, with the greatest quantity found in sediments from two popular beaches in the eastern part of Singapore. Polyethylene, polypropylene and polystyrene microplastics were also found in the surface microlayer (50-60 μm) and subsurface layer (1 m) of coastal waters. The presence of microplastics in sediments and seawater is likely due to on-going waste disposal practices from industries and recreational activities, and discharge from shipping

The Traditional Health Practitioners Act No 22 (2007 of South Africa: Its history, resolutions and implementations in perspective (Part 3: Implementations

Directory of Open Access Journals (Sweden)

Gabriel Louw

2016-11-01

Full Text Available Background The registration of an alleged 200,000 or more unregulated traditional healers in terms of the Traditional Health Practitioners Act (Act No 22, 2007 seems a challenging task. Section 1 of the Act prescribes clear legal guidelines for the registration of traditional healers on completion of a prescribed learning and training programme at an approved institution. The section also offers stipulations to acknowledge prior learning. Aims This study aimed to determine the various options open to traditional healers to obtain formal registration as traditional health practitioners. Methods This is an exploratory and descriptive study that follows the modern historical approach of investigation by means of a literature review. The emphasis is on using current documentation, like articles, books and news papers, as primary resources to reflect on the options available for the registration of traditional healers. It also puts the options for future registration of traditional healers in perspective. The findings are offered in narrative form. Results An inquiry into the Traditional Health Practitioners Act No 22 seems to reveal that its prescribed legal guidelines are too strict and too comprehensive to allow all ±200,000 traditional healers who are practising at present into the system. However, Act No 22 does make provision for other less rigid options, like acknowledging prior learning. This can allow the aspiring traditional health practitioner to obtain full or provincial registration. Conclusion There are implementation options available to accommodate a large number of unregistered healers into the system. The grandfather clause for instance recognizes prior learning and training. Another possibility is special entrance examinations.

Heavy metal pollution in coastal areas of South China: a review.

Science.gov (United States)

Wang, Shuai-Long; Xu, Xiang-Rong; Sun, Yu-Xin; Liu, Jin-Ling; Li, Hua-Bin

2013-11-15

Coastal areas of South China face great challenges due to heavy metal contamination caused by rapid urbanization and industrialization. In this paper, more than 90 articles on levels, distributions, and sources of heavy metals in sediments and organisms were collected to review the status of heavy metal pollution along coastal regions of South China. The results show that heavy metal levels were closely associated with local economic development. Hong Kong and the Pearl River Estuary were severely contaminated by heavy metals. However, concentrations of heavy metals in sediments from Hong Kong have continually decreased since the early 1990 s. High levels of heavy metals were found in biota from Lingdingyang in Guangdong province. Mollusks had higher concentrations of heavy metals than other species. Human health risk assessments suggested that levels of heavy metals in some seafood from coastal areas of South China exceeded the safety limit. Copyright © 2013 Elsevier Ltd. All rights reserved.

Assessing the Nation's Coastal Waters....Better

Science.gov (United States)

The USEPA has been assessing estuarine and coastal condition in the United States since 1999 via the National Coastal Assessment (NCA) and National Aquatic Resources Surveys (NARS) programs. Approximately 1500 randomly selected coastal sites were surveyed annually during summers ...

Sediment quality in the north coastal basin of Massachusetts, 2003

Science.gov (United States)

Breault, Robert F.; Ashman, Mary S.; Heath, Douglas

2004-01-01

The U.S. Geological Survey, in cooperation with the Massachusetts Department of Environmental Protection, completed a reconnaissance-level study of bottom-sediment quality in selected lakes, rivers, and estuaries in the North Coastal Basin of Massachusetts. Bottom-sediment grab samples were collected from 20 sites in the North River, Lake Quannapowitt, Saugus River, Mill River, Shute Brook, Sea Plane Basin, Pines River, and Bear Creek. The samples were tested for various types of potentially harmful contaminants? including 33 elements, 17 polyaromatic hydrocarbons (PAHs), 22 organochlorine pesticides, and 7 polychlorinated biphenyl (PCB) mixtures (Aroclors)?to benthic organisms (bottom-dwelling) and humans. The results were compared among sampling sites, to background concentrations, and to concen-trations measured in other urban rivers, and sediment-quality guidelines were used to predict toxicity at the sampling sites to benthic organisms and humans. Because there are no standards for human toxicity for aquatic sediment, standards for contaminated upland soil were used. Contaminant concentrations measured in sediment collected from the North Coastal Basin generally were equal to or greater than concentrations in sediment from uncontaminated rivers throughout New England. Contaminants in North Coastal Basin sediment with elevated concentrations (above back-ground levels) included arsenic, chromium, copper, lead, nickel, and zinc, some of the PAHs, dichlorodiphenyltrichloro-ethane (DDT) and its metabolites, and dieldrin. No PCBs were measured above the detection limits. Measured concentrations of arsenic, chromium, and lead were also generally greater than those measured in other urban rivers throughout the conter-minous United States. With one exception (arsenic), local con-centrations measured in sediment samples collected from the North Coastal Basin were lower than concentrations measured in sediment collected from two of three urban rivers draining to Boston

Progress and Impact. A Report of Programs Funded for 1995-96 by the Comprehensive Health Education Act of 1990.

Science.gov (United States)

Terrill, Jerry L.; Connell, Karen

During the 1995-96 school year, the Colorado Department of Education supported Comprehensive Health Education Programs as authorized by the Comprehensive Health Education Act of 1990. This report summarizes the projects funded under that grant along with additional observations and recommendations regarding the operation of such grants. Grant…

ENVIRONMENTAL ATTITUDES OF ALABAMA COASTAL RESIDENTS: PUBLIC OPINION POLLS AND ENVIRONMENTAL POLICY

Science.gov (United States)

Given these conclusions at the national level, it follows that the continued health and vitality of the Alabama coastal zone is associated with the current environmental knowledge of Mobile and Baldwin county residents. In this research, we collected information from coa...

Black Sea coastal forecasting system

Directory of Open Access Journals (Sweden)

A. I. Kubryakov

2012-03-01

Full Text Available The Black Sea coastal nowcasting and forecasting system was built within the framework of EU FP6 ECOOP (European COastalshelf sea OPerational observing and forecasting system project for five regions: the south-western basin along the coasts of Bulgaria and Turkey, the north-western shelf along the Romanian and Ukrainian coasts, coastal zone around of the Crimea peninsula, the north-eastern Russian coastal zone and the coastal zone of Georgia. The system operates in the real-time mode during the ECOOP project and afterwards. The forecasts include temperature, salinity and current velocity fields. Ecosystem model operates in the off-line mode near the Crimea coast.

ACT Test

Science.gov (United States)

... to clot, the higher the degree of clotting inhibition. During surgery, the ACT is kept above a ... What is ECLS? An Introduction to Extracorporeal Life Support. University of Michigan Health System [On-line information]. ...

National Coastal Condition Report I Factsheet

Science.gov (United States)

The National Coastal Condition Report describes the ecological and environmental conditions in U.S. coastal waters. This first-of-its-kind Report, presents a broad baseline picture of the overall condition of U.S. coastal waters as fair to poor.

Coastal remote sensing – towards integrated coastal research and management

CSIR Research Space (South Africa)

Lück-Vogel, Melanie

2012-10-01

Full Text Available coastal resources and anthropogenic infrastructure for a safer future. What is the role of remote sensing? The coastal zone connects terrestrial biophysical systems with marine systems. Some marine ecosystems cannot function without intact inland... for the development of sound integrated management solutions. To date, however, remote sensing applications usually focus on areas landward from the highwater line (?terrestrial? remote sensing), while ?marine? remote sensing does not pay attention to the shallow...

'Admit voluntary, schedule if tries to leave': placing Mental Health Acts in the context of mental health law and human rights.

Science.gov (United States)

Wand, Anne; Wand, Timothy

2013-04-01

Most postgraduate training for clinicians in Australia and New Zealand regarding mental health legislation focuses on the relevant Mental Health Acts (MHAs) rather than the broader principles of mental health law. Key concepts include treatment in the least restrictive environment, voluntary access to mental health services, treatability, reciprocity and due process. Lack of awareness of these principles may result in a more risk-averse interpretation of MHAs, which is inconsistent with the spirit of mental health law and the promotion of human rights. The aim of this paper is to present some fundamental principles of mental health law, which are essential to proper clinical application of MHAs, and to demonstrate why they should form part of the curriculum for psychiatry training and continuing professional development for psychiatrists. A sound understanding of the principles of mental health law is essential for all clinicians who may be enacting aspects of MHAs. This provides the necessary platform to safeguard human rights and optimise the care of people with a mental illness.

The new Euskalmet coastal-maritime warning system

Science.gov (United States)

Gaztelumendi, Santiago; Egaña, Joseba; Liria, Pedro; Gonzalez, Manuel; Aranda, José Antonio; Anitua, Pedro

2016-06-01

This work presents the main characteristics of the Basque Meteorology Agency (Euskalmet) maritime-coastal risk warning system, with special emphasis on the latest updates, including a clear differentiation on specific warning messages addressing sea conditions for navigation purposes in the first 2 nautical miles, and expected coastal impacts. Some details of the warning bulletin for maritime and coastal risk situations are also presented, together with other communication products and strategies used in coastal and maritime severe episodes at the Basque coast. Today, three different aspects are included in the coastal-maritime risk warning system in Basque Country, related to the main potential severe events that affecting coastal activities. - "Galerna" risk relates to a sudden wind reversal that can severely affect coastal navigation and recreational activities. - "Navigation" risk relates to severe sea state conditions for 0-2 miles, affecting different navigation activities. - "Coastal impact" risk relates to adverse wave characteristics and tidal surges that induce flooding events and different impacts in littoral areas.

10 years beyond the Health Security Act failure: subsequent developments and persistent problems.

Science.gov (United States)

Budetti, Peter P

2004-10-27

Ten years after the failure of President Clinton's Health Security Act (HSA), the United States continues to face multiple stresses in health care, including large numbers of uninsured individuals, increasing costs, questions about quality, and dissatisfaction with managed care. Using the framework of the HSA-particularly universal coverage, spending and managed competition, insurance for low-income persons, and patients' rights-the post-HSA evolution and current status of the US health care system is traced and lessons to guide future actions are outlined. Neither incremental legislation nor private sector changes in health care organization and financing during the past decade have ameliorated the problems addressed by the HSA, and new troubles have emerged. These problems affect every group in the country and continue to deteriorate health care, yet there has been no political support for large-scale reform. The core components of a vision for future action-universal coverage, quality improvement, cost containment, and subsidies for the economically vulnerable-are essential. There is a pressing need to construct a clear vision that would tie together incremental steps into a rational approach to comprehensive reform and to actually move toward the realization of that vision.

Risk Analysis of Coastal hazard Considering Sea-level Rise and Local Environment in Coastal Area

Science.gov (United States)

Sangjin, P.; Lee, D. K.; KIM, H.; Ryu, J. E.; Yoo, S.; Ryoo, H.

2014-12-01

Recently, natural hazards has been more unpredictable with increasing frequency and strength due to climate change. Especially, coastal areas would be more vulnerable in the future because of sea-level rise (SLR). In case of Korea, it is surrounded by oceans and has many big cities at coastal area, thus a hazard prevention plan in coastal area is absolutely necessary. However, prior to making the plan, finding areas at risk would be the first step. In order to find the vulnerable area, local characteristics of coastal areas should also be considered along with SLR. Therefore, the objective of the research is to find vulnerable areas, which could be damaged by coastal hazards considering local environment and SLR of coastal areas. Spatial scope of the research was set up as 1km from the coastline according to the 'coastal management law' in Korea. The assessment was done up to the year of 2050, and the highest sea level rise scenario was used. For risk analysis, biophysical and socioeconomic characteristics were considered as to represent local characteristics of coastal area. Risk analysis was carried out through the combination of 'possibility of hazard' and the 'level of damages', and both of them reflect the above-mentioned regional characteristics. Since the range of inundation was narrowed down to the inundation from typhoon in this research, the possibility of inundation caused by typhoon was estimated by using numerical model, which calculated the height of storm surge considering wave, tide, sea-level pressure and SLR. Also the level of damage was estimated by categorizing the socioeconomic character into four factors; human, infrastructure, ecology and socioeconomic. Variables that represent each factor were selected and used in damage estimation with their classification and weighting value. The result shows that the urban coastal areas are more vulnerable and hazardous than other areas because of socioeconomic factors. The east and the south coast are

Depression, substance abuse and stigma among men who have sex with men in coastal Kenya

NARCIS (Netherlands)

Secor, Andrew M.; Wahome, Elizabeth; Micheni, Murugi; Rao, Deepa; Simoni, Jane M.; Sanders, Eduard J.; Graham, Susan M.

2015-01-01

Mental health conditions can erode quality of life and interfere with health-related behaviours such as medication adherence. We aimed to determine the prevalence and correlates of depression and other psychosocial factors among self-identified men who have sex with men (MSM) in coastal Kenya. A

Radioactivity and Natural Radio nuclides Distribution in River Water, Coastal Water, Sediment and Eichornia Crassipes (Mart) Sloms and Their Accumulation Factor at Surabaya Area

International Nuclear Information System (INIS)

Agus Taftazani; Sumining; Muzakky

2002-01-01

Distribution of radioactivity and natural radionuclide in water, sediment and eichornia crassipes (mart) sloms from Surabaya river and coastal area have been evaluated. Five sampling locations were selected to represent fresh water and coastal water environment. The samples consist of water (fresh and coastal), bottom surface sediment and eichornia crassipes (mart) sloms The result showed that the gross-β activity from water environment were lower than the threshold value of Environmental Minister Act. Kep.02/MENKLH/I/1988 (1000 mBq/L) and indicated that β-radioecological quality of water were still good. But the activity of the gross-α of water environment were higher than the threshold value of Environmental Minister Act. Kep.02/MENKLH/I/1988 (100 mBq/L). The eichornia crassipes (mart) sloms (gross) activity were higher than water and sediment activities and indicated that transfer of radionuclides from water to sediment and organism can be detected in water environment. Two natural radionuclides can be identified by γ-Spectrometric technique, they were K-40 and TI-208. Generally the distribution factor F D were smaller than bioaccumulation factor F B . (author)

The Coastal Ocean Prediction Systems program: Understanding and managing our coastal ocean

International Nuclear Information System (INIS)

1990-01-01

The proposed COPS (Coastal Ocean Prediction Systems) program is concerned with combining numerical models with observations (through data assimilation) to improve our predictive knowledge of the coastal ocean. It is oriented toward applied research and development and depends upon the continued pursuit of basic research in programs like COOP (Coastal Ocean Processes); i.e., to a significant degree it is involved with ''technology transfer'' from basic knowledge to operational and management applications. This predictive knowledge is intended to address a variety of societal problems: (1) ship routing, (2) trajectories for search and rescue operations, (3) oil spill trajectory simulations, (4) pollution assessments, (5) fisheries management guidance, (6) simulation of the coastal ocean's response to climate variability, (7) calculation of sediment transport, (8) calculation of forces on structures, and so forth. The initial concern is with physical models and observations in order to provide a capability for the estimation of physical forces and transports in the coastal ocean. For all these applications, there are common needs for physical field estimates: waves, tides, currents, temperature, and salinity, including mixed layers, thermoclines, fronts, jets, etc. However, the intent is to work with biologists, chemists, and geologists in developing integrated multidisciplinary prediction systems as it becomes feasible to do so. From another perspective, by combining observations with models through data assimilation, a modern approach to monitoring is provided through whole-field estimation

Coastal erosion problem, modelling and protection

Science.gov (United States)

Yılmaz, Nihal; Balas, Lale; İnan, Asu

2015-09-01

Göksu Delta, located in the south of Silifke County of Mersin on the coastal plain formed by Göksu River, is one of the Specially Protected Areas in Turkey. Along the coastal area of the Delta, coastline changes at significant rates are observed, concentrating especially at four regions; headland of İncekum, coast of Paradeniz Lagoon, river mouth of Göksu and coast of Altınkum. The coast of Paradeniz Lagoon is suffering significantly from erosion and the consequent coastal retreating problem. Therefore, the narrow barrier beach which separates Paradeniz Lagoon from the Mediterranean Sea is getting narrower, creating a risk of uniting with the sea, thus causing the disappearance of the Lagoon. The aim of this study was to understand the coastal transport processes along the coastal area of Göksu Delta to determine the coastal sediment transport rates, and accordingly, to propose solutions to prevent the loss of coastal lands in the Delta. To this end, field measurements of currents and sediment grain sizes were carried out, and wind climate, wave climate, circulation patterns and longshore sediment transport rates were numerically modeled by HYDROTAM-3D, which is a three dimensional hydrodynamic transport model. Finally, considering its special importance as an environmentally protected region, some coastal structures of gabions were proposed as solutions against the coastal erosion problems of the Delta. The effects of proposed structures on future coastline changes were also modeled, and the coastlines predicted for the year 2017 are presented and discussed in the paper.

Integrated socio-environmental modelling: A test case in coastal Bangladesh

Science.gov (United States)

Lazar, Attila

2013-04-01

Delta regions are vulnerable with their populations and ecosystems facing multiple threats in the coming decades through extremes of poverty, environmental and ecological stress and land degradation. External and internal processes initiate these threats/changes and results in for example water quality and health risk issues, declining agricultural productivity and sediment starvation all of which directly affecting the local population. The ESPA funded "Assessing Health, Livelihoods, Ecosystem Services and Poverty Alleviation In Populous Deltas" project (2012-16) aims to provide policy makers with the knowledge and tools to enable them to evaluate the effects of policy decisions on people's livelihoods. It considers coastal Bangladesh in the Ganges-Brahmaputra-Meghna Delta: one of the world's most dynamic and significant deltas. This is being done by a multidisciplinary and multinational team of policy analysts, social and natural scientists and engineers using a participatory, holistic approach to formally evaluate ecosystem services and poverty in the context of the wide range of changes that are occurring. An integrated model with relevant feedbacks is being developed to explore options for management strategies and policy formulation for ecosystem services, livelihoods and health in coastal Bangladesh. This requires the continuous engagement with stakeholders through the following steps: (1) system characterisation, (2) research question definition, (3) data and model identification, (4) model validation and (5) model application. This presentation will focus on the first three steps. Field-based social science and governance related research are on the way. The bio-physical models have been selected and some are already set up for the study area. These allow preliminary conceptualisation of the elements and linkages of the deltaic socio-environmental system and thus the preliminary structure of the integrated model. This presentation describes these steps

Coastal Hazards: Hurricanes, Tsunamis, Coastal Erosion.

Science.gov (United States)

Vandas, Steve

1998-01-01

Details an ocean-based lesson and provides background information on the designation of 1998 as the "Year of the Ocean" by the United Nations. Contains activities on the poster insert that can help raise student awareness of coastal-zone hazards. (DDR)

Heavy metal pollution in coastal areas of South China: A review

International Nuclear Information System (INIS)

Wang, Shuai-Long; Xu, Xiang-Rong; Sun, Yu-Xin; Liu, Jin-Ling; Li, Hua-Bin

2013-01-01

Highlights: • Heavy metal contamination in coastal areas of South China has been reviewed. • Heavy metal levels were closely related to economic development in past decades. • Heavy metal levels from Hong Kong continually decreased from the early 1990s. • Higher concentrations of heavy metals were found in mollusk. • Levels of heavy metals in part of seafood exceeded the safety limit. -- Abstract: Coastal areas of South China face great challenges due to heavy metal contamination caused by rapid urbanization and industrialization. In this paper, more than 90 articles on levels, distributions, and sources of heavy metals in sediments and organisms were collected to review the status of heavy metal pollution along coastal regions of South China. The results show that heavy metal levels were closely associated with local economic development. Hong Kong and the Pearl River Estuary were severely contaminated by heavy metals. However, concentrations of heavy metals in sediments from Hong Kong have continually decreased since the early 1990s. High levels of heavy metals were found in biota from Lingdingyang in Guangdong province. Mollusks had higher concentrations of heavy metals than other species. Human health risk assessments suggested that levels of heavy metals in some seafood from coastal areas of South China exceeded the safety limit

Observations of inner shelf cross-shore surface material transport adjacent to a coastal inlet in the northern Gulf of Mexico

Science.gov (United States)

Roth, Mathias K.; MacMahan, Jamie; Reniers, Ad; Özgökmen, Tamay M.; Woodall, Kate; Haus, Brian

2017-04-01

Motivated by the Deepwater Horizon oil spill, the Surfzone and Coastal Oil Pathways Experiment obtained Acoustic Doppler Current Profiler (ADCP) Eulerian and GPS-drifter based Lagrangian "surface" (Mexico to describe the influence of small-scale river plumes on surface material transport pathways in the nearshore. Lagrangian paths are qualitatively similar to surface pathlines derived from non-traditional, near-surface ADCP velocities, but both differ significantly from depth-averaged subsurface pathlines. Near-surface currents are linearly correlated with wind velocities (r =0.76 in the alongshore and r =0.85 in the cross-shore) at the 95% confidence level, and are 4-7 times larger than theoretical estimates of wind and wave-driven surface flow in an un-stratified water column. Differences in near-surface flow are attributed to the presence of a buoyant river plume forced by winds from passing extratropical storms. Plume boundary fronts induce a horizontal velocity gradient where drifters deployed outside of the plume in oceanic water routinely converge, slow, and are re-directed. When the plume flows west parallel to the beach, the seaward plume boundary front acts as a coastal barrier that prevents 100% of oceanic drifters from beaching within 27 km of the inlet. As a result, small-scale, wind-driven river plumes in the northern Gulf of Mexico act as coastal barriers that prevent offshore surface pollution from washing ashore west of river inlets.

Human recreational exposure to antibiotic resistant bacteria in coastal bathing waters.

Science.gov (United States)

Leonard, Anne F C; Zhang, Lihong; Balfour, Andrew J; Garside, Ruth; Gaze, William H

2015-09-01

Infections caused by antibiotic resistant bacteria (ARB) are associated with poor health outcomes and are recognised globally as a serious health problem. Much research has been conducted on the transmission of ARB to humans. Yet the role the natural environment plays in the spread of ARB and antibiotic resistance genes is not well understood. Antibiotic resistant bacteria have been detected in natural aquatic environments, and ingestion of seawater during water sports is one route by which many people could be directly exposed. The aim was to estimate the prevalence of resistance to one clinically important class of antibiotics (third-generation cephalosporins (3GCs)) amongst Escherichia coli in coastal surface waters in England and Wales. Prevalence data was used to quantify ingestion of 3GC-resistant E. coli (3GCREC) by people participating in water sports in designated coastal bathing waters. A further aim was to use this value to derive a population-level estimate of exposure to these bacteria during recreational use of coastal waters in 2012. The prevalence of 3GC-resistance amongst E. coli isolated from coastal surface waters was estimated using culture-based methods. This was combined with the density of E. coli reported in designated coastal bathing waters along with estimations of the volumes of water ingested during various water sports reported in the literature to calculate the mean number of 3GCREC ingested during different water sports. 0.12% of E. coli isolated from surface waters were resistant to 3GCs. This value was used to estimate that in England and Wales over 6.3 million water sport sessions occurred in 2012 that resulted in the ingestion of at least one 3GCREC. Despite the low prevalence of resistance to 3GCs amongst E. coli in surface waters, there is an identifiable human exposure risk for water users, which varies with the type of water sport undertaken. The relative importance of this exposure is likely to be greater in areas where a

Annual report on the administration of the Radiation Control for health and Safety Act of 1968, Public Law 90-602, April 1, 1991. Rept. for Jan-Dec 90

International Nuclear Information System (INIS)

1991-01-01

The Secretary of Health and Human Services is required by Subpart 3, Part F of Title III of the Public Health Service Act; 42 USC 263b et seq. (Public Law 90-602) to submit an annual report to the President for transmittal to the Congress on or before April 1 on the administration of the Radiation Control for Health and Safety Act. The detailed information required in the report is outlined in Section 360D of the Public Health Service Act. The Food and Drug Administration, through its Center for Devices and Radiological Health, is responsible for the day-to-day administration of the Radiation Control for Health and Safety Act of 1968. The report provides a summary of the operations of the Center in carrying out that responsibility for calendar year 1990. In reviewing the operations of the Center for Devices and Radiological Health as reported in the document, it should be kept in mind that the day-to-day administration of the Act is only part of the Center's function. Other responsibilities include the administration and enforcement of the 1976 Medical Device Amendments to the Federal Food, Drug, and Cosmetic Act (not covered in the report). Manufacturers of electronic products are required by 21 CFR 1002.20 to report accidental radiation occurrences to the Center for Devices and Radiological Health. The Center no longer maintains a Radiation Incidents Registry, since accidental radiation occurrences are reported through the Device Experience Network (DEN) and through the requirements of the Medical Device Reporting (MDR) Regulations

76 FR 37761 - Fisheries Off West Coast States; Coastal Pelagic Species Fisheries; Amendment 13 to the Coastal...

Science.gov (United States)

2011-06-28

.... 110606318-1319-01] RIN 0648-BA68 Fisheries Off West Coast States; Coastal Pelagic Species Fisheries; Amendment 13 to the Coastal Pelagic Species Fishery Management Plan; Annual Catch Limits AGENCY: National... the Coastal Pelagic Species (CPS) Fishery Management Plan (FMP). This proposed rule will implement...

76 FR 33189 - Fisheries Off West Coast States; Coastal Pelagic Species Fisheries; Amendment 13 to the Coastal...

Science.gov (United States)

2011-06-08

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration 50 CFR Part 660 RIN 0648-BA68 Fisheries Off West Coast States; Coastal Pelagic Species Fisheries; Amendment 13 to the Coastal... Pacific Fishery Management Council (Council) has submitted Amendment 13 to the Coastal Pelagic Species...

Eastern Africa Coastal Forest Programme

OpenAIRE

Younge, A.

2002-01-01

The eastern African coastal forest ecoregion is recognised as one of Africa’s centres of species endemism, and is distributed over six countries (Somalia, Kenya, Tanzania, Mozambique, Zimbabwe and Malawi). Most is found in Kenya, Tanzania and Mozambique, which form our focal region. The coastal forests are fragmented, small and surrounded by poor communities that have a high demand for land and forest resources. Although coastal forests have significant cultural and traditional...

Proceedings of a workshop on coastal impacts and adaptation related to climate change : the C-CIARN Coastal Node

International Nuclear Information System (INIS)

2001-03-01

Coastal zones are sensitive to increases in air, sea and ground temperatures as well as to variations in sea level, precipitation, ice thickness, and storm intensity. In order to address concerns regarding climate change in coastal areas, the government of Canada established a Coastal Node as part of the Canadian Climate Impact and Adaptation Research Network (C-CIARN). The role of C-CIARN Coastal Node was recently outlined in a workshop aimed at providing guidelines and research priorities for stakeholders from all coastal regions of Canada. The workshop considered the integration of the node function with one or more of the regional nodes or with the fisheries node. Topics of discussion included both direct impacts on coastal infrastructure or human-use activities as well as indirect impacts resulting from changes in the ecosystem. refs., tabs

27 CFR 9.207 - Outer Coastal Plain.

Science.gov (United States)

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Outer Coastal Plain. 9.207... Outer Coastal Plain. (a) Name. The name of the viticultural area described in this section is “Outer Coastal Plain”. For purposes of part 4 of this chapter, “Outer Coastal Plain” is a term of viticultural...

Enviromental Health Risks on Community in Coastal Area As a Results The Presence of Pb in Sea Water and Drinking Water.

Science.gov (United States)

Malem Indirawati, Sri; Pandia, Setiaty; Mawengkang, Herman; Hasan, Wirsal

2018-01-01

The burden of pollution due to industrial waste, ports, community activities and marine intrusion further exacerbate environmental quality. This pollution causes drinking water sources polluted. This study aims to analyze Pb contamination in marine, and drinking water from wellbores and measure the magnitude of health risks. This is cross sectional study and quantitative research that analyzes Pb concentrations in marine and drinking water. The sample are 250 people who live in coastal area and drink water from wellbores. Water samples were examined in certified laboratories by using Atomic Absorbstion Spectrophotometer method, health risk was analyzed by the environmental health risk (EHRA) method. Pb concentrations average in marine is 52 μgl-1 . Pb concentration from 92 samples of drinking water average is 4.5 μgl-1 and range 5.4 - 26.2 μgl-1. The amount of health risk RQ <1, which means that it has not shown risk yet. Pb exceeded the environmental quality standard in marine, There are 14.7% of people consuming Pb contaminated drinking water. Community complaints found at the study sites were diarrhea 22.8% and dizziness 17.2% and skin disease 17.2%, upper respiratory tract infection, rheumatism and hypertension.

High school students in a health career promotion program report fewer acts of aggression and violence.

Science.gov (United States)

Oscós-Sánchez, Manuel Ángel; Lesser, Janna; Oscós-Flores, L Dolores

2013-01-01

This study examined the effects of two school-based programs on the perpetration of nonphysical aggression, physical violence, and intimate partner violence among high-risk secondary school students in an economically disadvantaged and predominantly Latino school district. The intervention program was El Joven Noble, and the control program was the Teen Medical Academy. The study used a repeated-measures quasi-experimental intervention/control design. The participants self-reported the previous 30 days' acts of nonphysical aggression, physical violence, and intimate partner violence at baseline and at 3 and 9 months after enrollment. Program- and grade-level effects at 3 and 9 months were examined using three-factor analyses of covariance models with one factor for repeated measures. The covariate in each of the models was the baseline measure of the dependent outcomes. No significant baseline differences were found between the participants in the intervention (n = 96) and control (n = 127) programs. At 9 months after enrollment in the study, high school students who participated in the Teen Medical Academy reported fewer acts of nonphysical aggression (p violence (p = .002) than high school students who participated in El Joven Noble. Students who participated in the Teen Medical Academy also reported fewer acts of intimate partner violence (p = .02) than students who participated in El Joven Noble. High school students who participated in a health career promotion program reported fewer acts of aggression and violence as compared with high school students who participated in a culturally tailored character development program. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Airway Clearance Techniques (ACTs)

Medline Plus

Full Text Available ... CF Community in Health Care Reform Milestones in Health Care Reform How Tax Reform Could Impact People With CF The Preserving Employee Wellness Programs Act Our Advocacy Work Advocacy Achievements Advocacy News Briefings, Testimonies, and Regulatory ...

Knowledge about persons with disability act (1995) among health care professionals dealing with persons affected by disabilities.

Science.gov (United States)

Berry, B S; Devapitchai, K S; Raju, M S

2009-01-01

To assess the level of awareness about the different provisions of the persons with Disability Act (1995) among the health care professionals, 201 health care professionals dealing with the disabled persons from different parts of India were interviewed using structured interview checklist. The data were analysed through statistical package of social sciences software. Chi-square test were applied on the variables and the Pvalues were ascertained. The results show that 48.3% knew about administration hierarchy, 53.7% of respondents were aware of the free education available for the disabled, 68.5% were aware of the employment scheme, 62.7% about poverty alleviation schemes, 59.2% know about the traveling benefits, 56.2% of professionals were aware of the benefits for people with low vision. Only 29.9% of respondents knew about provisions to overcome architectural barriers. 43.8% of them knew about the least disability percentage whereas only 28.4% were aware of research and manpower schemes. Regarding affirmative action, 32.17% told correctly and 52.7% of the professionals responded correctly with respectto non- discrimination schemes. The level of awareness among the professionals working in rural regions is lower with regard to administration hierarchy and poverty alleviation schemes. Informations regarding disabled friendly environments and research and manpower development were found to be low among respondents of all professions which need to be effectively intervened. Gender did not show any influence with respect to the components of the act. The study showed that there is an ample need for educational interventions among the health care professionals in all socio-demography. Inclusion of PWD Act in the curriculum of medical schools as a topic in conferences and workshops for health care professionals are suggested.

Need Analysis of Coastal Fisherman empowerment Based on Economics education and Potential Coastal in Minahasa Regency of North Sulawesi

Science.gov (United States)

Wantah, Edwin; Djatmika, Ery Tri; Witjaksono, Mit; Wahyono, Hari

2018-05-01

This research article aims to describe the need analysis process of coastal fisherman empowerment in North Minahasa Regency of North Sulawesi Province through internalization of economics education and technical training based on potential coastal.This research used descriptive qualitative research design by using survey, field observational interview and Focus Group Discussion (FGD) method. The research subjects were 40 coastal fishermen in North Minahasa Regency spread in two sub-districts, namely Wori Sub-district and Kema Sub-district in North Minahasa Regency, who have capture capacity of 10 gross ton sand below. The results of needs analysis were identified in observation, in-depth interview, and Focus Group Discussion (FGD), which was confirmed by the survey results indicating that 87.5% of the coastal fishermen need knowledge and understanding of characteristics, attitudes and principles to become successful entrepreneurs, which can be implemented in productive business activities on coastal area, while 92.5% of the coastal fishermen require an understanding of creativity and innovation and its implementation, 90% of the coastal fishermen require knowledge of business diversification based on coastal area and marine potentials, 90% of the fishermen stated that they need knowledge and understanding of the process of processed fish products because of the abundant raw materials, 80% of the coastal fishermen said that they need an understanding of the way to establish business partnerships and business networks with other business groups, 90% of the coastal fishermen stated that they need an understanding of the way to form fishermen joint business groups and the way to develop the business group. 92.5% of the coastal fishermen need an understanding of business capital and the way to access business capital, and 85% of the coastal fishermen said that they need to understand money management, the way to plan proper financial allocations, and saving procedures

NOAA's Coastal Change Analysis Program (C-CAP) 2010 Forest Fragmentation Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 2006 Forest Fragmentation Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 1985 Forest Fragmentation Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 1996 Forest Fragmentation Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

Reducing Employee Health Insurance Benefits: The Effect of McGann and the Americans with Disabilities Act.

Science.gov (United States)

Julian, Frank H.

1994-01-01

The impact of a court decision (McGann vs. H&H Music) concerning reduction of employee health insurance benefits in a case of Acquired Immune Deficiency Syndrome (AIDS) and the federal Americans with Disabilities Act on college decisions regarding reduction of benefits is examined. Recommendations for college are offered. (MSE)

Global challenges in integrated coastal zone management

DEFF Research Database (Denmark)

integration of data and information in policy and management, combining expertise from nature and social science, to reach a balanced and sustainable development of the coastal zone. This important book comprises the proceedings of The International Symposium on Integrated Coastal Zone Management, which took....../mitigation to change in coastal systems Coastal governance Linking science and management Comprising a huge wealth of information, this timely and well-edited volume is essential reading for all those involved in coastal zone management around the globe. All libraries in research establishments and universities where...

Occurrence of lead-related symptoms below the current occupational safety and health act allowable blood lead levels.

Science.gov (United States)

Rosenman, Kenneth D; Sims, Amy; Luo, Zhehui; Gardiner, Joseph

2003-05-01

To determine the occurrence of symptoms of lead toxicity at levels below the current allowable Occupational Safety and Health Act blood lead level of 50 micrograms/dL, standardized telephone interviews were conducted of individuals reported to a statewide laboratory-based surveillance system. Four hundred and ninety-seven, or 75%, of the eligible participants were interviewed. Gastrointestinal, musculoskeletal, and nervous system symptoms increased with increasing blood lead levels. Nervous, gastrointestinal, and musculoskeletal symptoms all began to be increased in individuals with blood leads between 30-39 micrograms/dL and possibly at levels as low as 25-30 micrograms/dL for nervous system symptoms. The results of this study of increased symptoms are consistent with and provide added weight to previous results showing subclinical changes in the neurologic and renal systems and sperm counts at blood lead levels currently allowed by the Occupational Safety and Health Act.

The Arctic Coastal Erosion Problem

Energy Technology Data Exchange (ETDEWEB)

Frederick, Jennifer M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Thomas, Matthew Anthony [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Bull, Diana L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Jones, Craig A. [Integral Consulting Inc., San Francisco, CA (United States); Roberts, Jesse D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2016-09-01

Permafrost-dominated coastlines in the Arctic are rapidly disappearing. Arctic coastal erosion rates in the United States have doubled since the middle of the twentieth century and appear to be accelerating. Positive erosion trends have been observed for highly-variable geomorphic conditions across the entire Arctic, suggesting a major (human-timescale) shift in coastal landscape evolution. Unfortunately, irreversible coastal land loss in this region poses a threat to native, industrial, scientific, and military communities. The Arctic coastline is vast, spanning more than 100,000 km across eight nations, ten percent of which is overseen by the United States. Much of area is inaccessible by all-season roads. People and infrastructure, therefore, are commonly located near the coast. The impact of the Arctic coastal erosion problem is widespread. Homes are being lost. Residents are being dispersed and their villages relocated. Shoreline fuel storage and delivery systems are at greater risk. The U.S. Department of Energy (DOE) and Sandia National Laboratories (SNL) operate research facilities along some of the most rapidly eroding sections of coast in the world. The U.S. Department of Defense (DOD) is struggling to fortify coastal radar sites, operated to ensure national sovereignty in the air, against the erosion problem. Rapid alterations to the Arctic coastline are facilitated by oceanographic and geomorphic perturbations associated with climate change. Sea ice extent is declining, sea level is rising, sea water temperature is increasing, and permafrost state is changing. The polar orientation of the Arctic exacerbates the magnitude and rate of the environmental forcings that facilitate coastal land area loss. The fundamental mechanics of these processes are understood; their non-linear combination poses an extreme hazard. Tools to accurately predict Arctic coastal erosion do not exist. To obtain an accurate predictive model, a coupling of the influences of

Coastal Thematic Exploitation Platform (C-TEP): An innovative and collaborative platform to facilitate Big Data coastal research

Science.gov (United States)

Tuohy, Eimear; Clerc, Sebastien; Politi, Eirini; Mangin, Antoine; Datcu, Mihai; Vignudelli, Stefano; Illuzzi, Diomede; Craciunescu, Vasile; Aspetsberger, Michael

2017-04-01

The Coastal Thematic Exploitation Platform (C-TEP) is an on-going European Space Agency (ESA) funded project to develop a web service dedicated to the observation of the coastal environment and to support coastal management and monitoring. For over 20 years ESA satellites have provided a wealth of environmental data. The availability of an ever increasing volume of environmental data from satellite remote sensing provides a unique opportunity for exploratory science and the development of coastal applications. However, the diversity and complexity of EO data available, the need for efficient data access, information extraction, data management and high spec processing tools pose major challenges to achieving its full potential in terms of Big Data exploitation. C-TEP will provide a new means to handle the technical challenges of the observation of coastal areas and contribute to improved understanding and decision-making with respect to coastal resources and environments. C-TEP will unlock coastal knowledge and innovation as a collaborative, virtual work environment providing access to a comprehensive database of coastal Earth Observation (EO) data, in-situ data, model data and the tools and processors necessary to fully exploit these vast and heterogeneous datasets. The cloud processing capabilities provided, allow users to perform heavy processing tasks through a user-friendly Graphical User Interface (GUI). A connection to the PEPS (Plateforme pour l'Exploitation des Produits Sentinel) archive will provide data from Sentinel missions 1, 2 and 3. Automatic comparison tools will be provided to exploit the in-situ datasets in synergy with EO data. In addition, users may develop, test and share their own advanced algorithms for the extraction of coastal information. Algorithm validation will be facilitated by the capabilities to compute statistics over long time-series. Finally, C-TEP subscription services will allow users to perform automatic monitoring of some key

Management Restoration Plans for Coastal Villages

Directory of Open Access Journals (Sweden)

Rudianto Rudianto

2017-03-01

Full Text Available The village is located in the coastal area up to this time has decreased the quality of the coastal environment either caused by the process of natural or anthropogenic processes. Coastal damage Persistent will affect people's lives. Based on studies conducted by Rudianto (2013 and continued research by Rudianto (2014 on the institutional model for implementing the strategy, the resulting output coast of research called restoration plan for coastal villages or R2DP coastal villages. The objective of R2DP is helping the village administration to alleviate the problems of coastal areas. R2DP is a guideline that will be used by the village government based on a legal framework called the village regulations. The method used to compile R2DP is descriptive method. By using the method of Miles and Huberman (1984 used data reduction techniques. This technique is to pick and choose which data is critical to focus on the purpose of research. the results of research to produce findings about the restoration plan or a coastal village called R2DP. The essence of the mechanism and procedure R2DP is doing the restoration work by using institutions as a means of restoration.

Southern Alaska Coastal Relief Model

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NOAA's National Geophysical Data Center (NGDC) is building coastal-relief models (CRM) for select U.S. coastal regions. Bathymetric, topographic, and shoreline data...

Analyzing coastal turbidity under complex terrestrial loads characterized by a 'stress connectivity matrix' with an atmosphere-watershed-coastal ocean coupled model

Science.gov (United States)

Yamamoto, Takahiro; Nadaoka, Kazuo

2018-04-01

Atmospheric, watershed and coastal ocean models were integrated to provide a holistic analysis approach for coastal ocean simulation. The coupled model was applied to coastal ocean in the Philippines where terrestrial sediment loads provided from several adjacent watersheds play a major role in influencing coastal turbidity and are partly responsible for the coastal ecosystem degradation. The coupled model was validated using weather and hydrologic measurement to examine its potential applicability. The results revealed that the coastal water quality may be governed by the loads not only from the adjacent watershed but also from the distant watershed via coastal currents. This important feature of the multiple linkages can be quantitatively characterized by a "stress connectivity matrix", which indicates the complex underlying structure of environmental stresses in coastal ocean. The multiple stress connectivity concept shows the potential advantage of the integrated modelling approach for coastal ocean assessment, which may also serve for compensating the lack of measured data especially in tropical basins.

Introduction to the Special Issue: Coastal GIS

Directory of Open Access Journals (Sweden)

Timothy Nyerges

2014-09-01

Full Text Available This special issue of the ISPRS International Journal of Geographic Information about “Coastal GIS” is motivated by many circumstances. More than one-half of the world’s human population lives in coastal areas (within 200 kilometers of coast as of 2000 [1]. The trend toward coastal habitation is expected to continue in the US with the total being 75 percent by 2025, meaning that coastal human–environment interactions will likely increase and intensify [2]. Geographic information systems (GIS are being developed and used by technical specialists, stakeholder publics, and executive/policy decision makers for improving our understanding and management of coastal areas, separately and together as more organizations focus on improving the sustainability and resilience of coastal systems. Coastal systems—defined as the area of land closely connected to the sea, including barrier islands, wetlands, mudflats, beaches, estuaries, cities, towns, recreational areas, and maritime facilities, the continental seas and shelves, and the overlying atmosphere—are subject to complex and dynamic interactions among natural and human-driven processes. Coastal systems are crucial to regional and national economies, hosting valued human-built infrastructure and providing ecosystem services that sustain human well-being. This special issue of IJGI about coastal GIS presents a collection of nine papers that address many of the issues mentioned above. [...

76 FR 7862 - Implementation of the James Zadroga 9/11 Health and Compensation Act of 2010 (Pub. L. 111-347)

Science.gov (United States)

2011-02-11

... brief introduction by Federal officials, followed by presentations from attendees who register to speak...), Department of Health and Human Services (HHS) announces a public meeting for receiving comments from the public on implementing the provisions of the James Zadroga 9/11 Health and Compensation Act of 2010 (Pub...

Coastal sediment dynamics in Spitsbergen

Science.gov (United States)

Deloffre, J.; Lafite, R.; Baltzer, A.; Marlin, C.; Delangle, E.; Dethleff, D.; Petit, F.

2010-12-01

In arctic knowledge on coastal sediment dynamics and sedimentary processes is limited. The studied area is located in the microtidal Kongsfjorden glacial fjord on the North-western coast of Spitsbergen in the Artic Ocean (79°N). In this area sediment contributions to the coastal zone is provided by small temporary rivers that flows into the fjord. The objectives of this study are to (i) assess the origin and fate of fine-grained particles (sea ice cover on sediment dynamics. The sampling strategy is based on characterization of sediment and SPM (grain-size, X-rays diffraction, SEM images, carbonates and organic matter contents) from the glacier to the coastal zone completed by a bottom-sediment map on the nearshore using side-scan sonar validated with Ekman binge sampling. River inputs (i.e. river plumes) to the coastal zone were punctually followed using CTD (conductivity, temperature, depth and turbidity) profiles. OBS (water level, temperature and turbidity) operating at high-frequency and during at least 1 years (including under sea ice cover) was settled at the mouth of rivers at 10m depth. In the coastal zone the fine-grained sediment deposit is limited to mud patches located at river mouths that originate the piedmont glacier. However a significant amount of sediment originates the coastal glacier located in the eastern part of the fjord via two processes: direct transfer and ice-drop. Results from turbidity measurements show that the sediment dynamics is controlled by river inputs in particular during melting period. During winter sediment resuspension can occurs directly linked to significant wind-events. When the sea ice cover is present (January to April) no sediment dynamics is observed. Sediment processes in the coastal zone of arctic fjords is significant however only a small amount of SPM that originates the river plume settles in the coastal zone; only the coarser material settles at the mouth of the river while the finer one is deposited further

Multiple stressors, nonlinear effects and the implications of climate change impacts on marine coastal ecosystems.

Science.gov (United States)

Hewitt, Judi E; Ellis, Joanne I; Thrush, Simon F

2016-08-01

Global climate change will undoubtedly be a pressure on coastal marine ecosystems, affecting not only species distributions and physiology but also ecosystem functioning. In the coastal zone, the environmental variables that may drive ecological responses to climate change include temperature, wave energy, upwelling events and freshwater inputs, and all act and interact at a variety of spatial and temporal scales. To date, we have a poor understanding of how climate-related environmental changes may affect coastal marine ecosystems or which environmental variables are likely to produce priority effects. Here we use time series data (17 years) of coastal benthic macrofauna to investigate responses to a range of climate-influenced variables including sea-surface temperature, southern oscillation indices (SOI, Z4), wind-wave exposure, freshwater inputs and rainfall. We investigate responses from the abundances of individual species to abundances of functional traits and test whether species that are near the edge of their tolerance to another stressor (in this case sedimentation) may exhibit stronger responses. The responses we observed were all nonlinear and some exhibited thresholds. While temperature was most frequently an important predictor, wave exposure and ENSO-related variables were also frequently important and most ecological variables responded to interactions between environmental variables. There were also indications that species sensitive to another stressor responded more strongly to weaker climate-related environmental change at the stressed site than the unstressed site. The observed interactions between climate variables, effects on key species or functional traits, and synergistic effects of additional anthropogenic stressors have important implications for understanding and predicting the ecological consequences of climate change to coastal ecosystems. © 2015 John Wiley & Sons Ltd.

Megacities and large urban agglomerations in the coastal zone: interactions between atmosphere, land, and marine ecosystems.

Science.gov (United States)

von Glasow, Roland; Jickells, Tim D; Baklanov, Alexander; Carmichael, Gregory R; Church, Tom M; Gallardo, Laura; Hughes, Claire; Kanakidou, Maria; Liss, Peter S; Mee, Laurence; Raine, Robin; Ramachandran, Purvaja; Ramesh, R; Sundseth, Kyrre; Tsunogai, Urumu; Uematsu, Mitsuo; Zhu, Tong

2013-02-01

Megacities are not only important drivers for socio-economic development but also sources of environmental challenges. Many megacities and large urban agglomerations are located in the coastal zone where land, atmosphere, and ocean meet, posing multiple environmental challenges which we consider here. The atmospheric flow around megacities is complicated by urban heat island effects and topographic flows and sea breezes and influences air pollution and human health. The outflow of polluted air over the ocean perturbs biogeochemical processes. Contaminant inputs can damage downstream coastal zone ecosystem function and resources including fisheries, induce harmful algal blooms and feedback to the atmosphere via marine emissions. The scale of influence of megacities in the coastal zone is hundreds to thousands of kilometers in the atmosphere and tens to hundreds of kilometers in the ocean. We list research needs to further our understanding of coastal megacities with the ultimate aim to improve their environmental management.

76 FR 57022 - Coastal Zone Management Program: Illinois

Science.gov (United States)

2011-09-15

... DEPARTMENT OF COMMERCE National Oceanic And Atmospheric Administration Coastal Zone Management Program: Illinois AGENCY: Office of Ocean and Coastal Resource Management (OCRM), National Oceanic and...: Illinois has submitted a coastal management program to NOAA for approval under the Coastal Zone Management...

COASTAL STUDY, LINCOLN COUNTY, USA

Data.gov (United States)

Federal Emergency Management Agency, Department of Homeland Security — Coastal study data as defined in FEMA Guidelines and Specifications, Appendix D: Guidance for Coastal Flooding Analyses and Mapping, submitted as a result of a...

COASTAL STUDY, SOLANO COUNTY, CALIFORNIA

Data.gov (United States)

Federal Emergency Management Agency, Department of Homeland Security — Coastal study data as defined in FEMA Guidelines and Specifications, Appendix D: Guidance for Coastal Flooding Analyses and Mapping, submitted as a result of a...

Beneficence vs. obligation: challenges of the Americans with Disabilities Act for consumer employment in mental health services.

Science.gov (United States)

Francis, Linda E; Colson, Paul W; Mizzi, Pamela

2002-04-01

Involvement of mental health service consumers in the provision of mental health services is a growing model in community mental health. It is, however, a complicated issue, made ever more so by the passage of the Americans with Disabilities Act. In this ethnographic case study, we seek to explore the changes one social services agency has made to adjust to the requirements of the ADA and the impact of these changes on their consumer employees. Our results indicate potential for positive progress as a result of the ADA, but also unexpected pitfalls as organizational cultures change as well.

U.S. Coastal Relief Model

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

Multidsciplinary Approaches to Coastal Adaptation - Aplying Machine Learning Techniques to assess coastal risk in Latin America and The Caribbean

Science.gov (United States)

Calil, J.

2016-12-01

The global population, currently at 7.3 billion, is increasing by nearly 230,000 people every day. As the world's population grows to an estimated 11.2 billion by 2100, the number of people living in low elevation areas, exposed to coastal hazards, is continuing to increase. In 2013, 22 million people were displaced by extreme weather events, with 37 events displacing at least 100,000 people each. Losses from natural disasters and disaster risk are determined by a complex interaction between physical hazards and the vulnerability of a society or social-ecological system, and its exposure to such hazards. Impacts from coastal hazards depend on the number of people, value of assets, and presence of critical resources in harm's way. Moreover, coastal risks are amplified by challenging socioeconomic dynamics, including ill-advised urban development, income inequality, and poverty level. Our results demonstrate that in Latin America and the Caribbean (LAC), more than half a million people live in areas where coastal hazards, exposure (of people, assets and ecosystems), and poverty converge, creating the ideal conditions for a perfect storm. In order to identify the population at greatest risk to coastal hazards in LAC, and in response to a growing demand for multidisciplinary coastal adaptation approaches, this study employs a combination of machine learning clustering techniques (K-Means and Self Organizing Maps), and a spatial index, to assess coastal risks on a comparative scale. Data for more than 13,000 coastal locations in LAC were collected and allocated into three categories: (1) Coastal Hazards (including storm surge, wave energy and El Niño); (2) Geographic Exposure (including population, agriculture, and ecosystems); and (3) Vulnerability (including income inequality, infant mortality rate and malnutrition). This study identified hotspots of coastal vulnerability, the key drivers of coastal risk at each geographic location. Our results provide important

Medicaid's Role in Financing Health Care for Children with Behavioral Health Care Needs in the Special Education System: Implications of the Deficit Reduction Act

Science.gov (United States)

Mandell, David S.; Machefsky, Aliza; Rubin, David; Feudtner, Chris; Pita, Susmita; Rosenbaum, Sara

2008-01-01

Background: Recent changes to Medicaid policy may have unintended consequences in the education system. This study estimated the potential financial impact of the Deficit Reduction Act (DRA) on school districts by calculating Medicaid-reimbursed behavioral health care expenditures for school-aged children in general and children in special…

Issues in ecology: Nutrient pollution of coastal rivers, bays, and seas

Science.gov (United States)

Howarth, Robert W.; Anderson, D. B.; Cloern, James E.; Elfring, Chris; Hopkinson, Charles S.; Lapointe, Brian; Maloney, Thomas J.; Marcus, Nancy; McGlathery, Karen; Sharpley, A.N.; Walker, D.

2000-01-01

nutrient levels and the changes they cause in water quality and the makeup of the algal community are detrimental to the health of coral reefs and the diversity of animal life supported by seagrass and kelp communi- ties. Research during the past decade confirms that N is the chief culprit in eutrophication and other impacts of nutrient over-enrichment in temperate coastal waters, while P is most problematic in eutrophication of freshwa- ter lakes. Human conversion of atmospheric N into biologically useable forms, principally synthetic inorganic fertilizers, now matches the natural rate of biological N fixation from all the land surfaces of the earth. Both agriculture and the burning of fossil fuels contribute significantly to nonpoint flows of N to coastal waters, either as direct runoff or airborne pollutants. N from animal wastes that leaks directly to surface waters or is volatilized to the atmosphere as ammonia may be the largest single source of N that moves from agricultural operations into coastal waters. The National Research Council report recommended that, as a minimum goal, the nation should work to reverse nutrient should be taken to assure that the 40 percent of coastal areas now ranked as healthy do not develop symptoms of nutrient pollution in 10 percent of its degraded coastal systems by 2010 and 25 percent of them by 2020. Also, action should be taken to assure that the 40 percent of coastal areas now ranked as healthy do not develop symptoms of nutrient pollution.  Meeting these goals will require an array of strategies and approaches tailored to specific regions and coastal ecosystems. There is an urgent need for development and testing of techniques that can reliably pinpoint the sources of N pollutants to an estuary. For some coastal systems, N removal during treatment of human sewage may be sufficient to reverse nutrient pollution. For most coastal systems, however, the solutions will be more complex and may involve controls on N compounds emitted

75 FR 31421 - Atlantic Coastal Fisheries Cooperative Management Act Provisions; Application for Exempted...

Science.gov (United States)

2010-06-03

... comments. SUMMARY: The Acting Director, Office of Sustainable Fisheries, has made a preliminary... Cape May Court House, New Jersey, contains all the required information and warrants further..., Office of Sustainable Fisheries, NMFS, 1315 East-West Highway, Room 13362, Silver Spring, MD 20910. Mark...

Reliability-Based Design of Coastal Structures

DEFF Research Database (Denmark)

Burcharth, H. F.

1997-01-01

The objective of this paper is to introduce the application of reliability theory for conceptual design and evaluation of coastal structures. It is without the scope to discuss the validity and quality of the various design formulae available for coastal structures. The contents of the paper is a....... Proceedings Conference of Port and Coastal Engineering in developing countries. Rio de Janeiro, Brazil, 1995....

Freedom of conscience and health care in the United States of america: the conflict between public health and religious liberty in the patient protection and affordable care act.

Science.gov (United States)

West-Oram, Peter

2013-09-01

The recent confirmation of the constitutionality of the Obama administration's Patient Protection and Affordable Care Act (PPACA) by the US Supreme Court has brought to the fore long-standing debates over individual liberty and religious freedom. Advocates of personal liberty are often critical, particularly in the USA, of public health measures which they deem to be overly restrictive of personal choice. In addition to the alleged restrictions of individual freedom of choice when it comes to the question of whether or not to purchase health insurance, opponents to the PPACA also argue that certain requirements of the Act violate the right to freedom of conscience by mandating support for services deemed immoral by religious groups. These issues continue the long running debate surrounding the demands of religious groups for special consideration in the realm of health care provision. In this paper I examine the requirements of the PPACA, and the impacts that religious, and other ideological, exemptions can have on public health, and argue that the exemptions provided for by the PPACA do not in fact impose unreasonable restrictions on religious freedom, but rather concede too much and in so doing endanger public health and some important individual liberties.

Phosphorus storage and mobilization in coastal Phragmites wetlands: Influence of local-scale hydrodynamics

Science.gov (United States)

Karstens, Svenja; Buczko, Uwe; Glatzel, Stephan

2016-04-01

Coastal Phragmites wetlands are at the interface between terrestrial and aquatic ecosystems and are of paramount importance for nutrient regulation. They can act both as sinks and sources for phosphorus, depending on environmental conditions, sediment properties as well as on antecedent nutrient loading and sorption capacity of the sediments. The Darss-Zingst Bodden Chain is a shallow lagoon system at the German Baltic Sea coast with a long eutrophication history. It is lined almost at its entire length by reed wetlands. In order to elucidate under which conditions these wetlands act as sources or sinks for phosphorus, in-situ data of chemo-physical characteristics of water and sediment samples were combined with hydrodynamic measurements and laboratory experiments. Small-scale basin structures within the wetland serve as sinks for fine-grained particles rich in phosphorus, iron, manganese and organic matter. Without turbulent mixing the bottom water and the sediment surface lack replenishment of oxygen. During stagnant periods with low water level, low turbulence and thus low-oxygen conditions phosphorus from the sediments is released. But the sediments are capable of becoming sinks again once oxygen is resupplied. A thin oxic sediment surface layer rich in iron and manganese adsorbs phosphorus quickly. We demonstrate that sediments in coastal Phragmites wetlands can serve both as sources and sinks of soluble reactive phosphorus on a very short time-scale, depending on local-scale hydrodynamics and the state of the oxic-anoxic sediment interface.

The Lancet Countdown on health benefits from the UK Climate Change Act: a modelling study for Great Britain.

Science.gov (United States)

Williams, Martin L; Lott, Melissa C; Kitwiroon, Nutthida; Dajnak, David; Walton, Heather; Holland, Mike; Pye, Steve; Fecht, Daniela; Toledano, Mireille B; Beevers, Sean D

2018-05-01

Climate change poses a dangerous and immediate threat to the health of populations in the UK and worldwide. We aimed to model different scenarios to assess the health co-benefits that result from mitigation actions. In this modelling study, we combined a detailed techno-economic energy systems model (UK TIMES), air pollutant emission inventories, a sophisticated air pollution model (Community Multi-scale Air Quality), and previously published associations between concentrations and health outcomes. We used four scenarios and focused on the air pollution implications from fine particulate matter (PM 2·5 ), nitrogen dioxide (NO 2 ) and ozone. The four scenarios were baseline, which assumed no further climate actions beyond those already achieved and did not meet the UK's Climate Change Act (at least an 80% reduction in carbon dioxide equivalent emissions by 2050 compared with 1990) target; nuclear power, which met the Climate Change Act target with a limited increase in nuclear power; low-greenhouse gas, which met the Climate Change Act target without any policy constraint on nuclear build; and a constant scenario that held 2011 air pollutant concentrations constant until 2050. We predicted the health and economic impacts from air pollution for the scenarios until 2050, and the inequalities in exposure across different socioeconomic groups. NO 2 concentrations declined leading to 4 892 000 life-years saved for the nuclear power scenario and 7 178 000 life-years saved for the low-greenhouse gas scenario from 2011 to 2154. However, the associations that we used might overestimate the effects of NO 2 itself. PM 2·5 concentrations in Great Britain are predicted to decrease between 42% and 44% by 2050 compared with 2011 in the scenarios that met the Climate Change Act targets, especially those from road traffic and off-road machinery. These reductions in PM 2·5 are tempered by a 2035 peak (and subsequent decline) in biomass (wood burning), and by a large

Iodine-mediated coastal particle formation: an overview of the Reactive Halogens in the Marine Boundary Layer (RHaMBLe Roscoff coastal study

Directory of Open Access Journals (Sweden)

G. McFiggans

2010-03-01

Full Text Available This paper presents a summary of the measurements made during the heavily-instrumented Reactive Halogens in the Marine Boundary Layer (RHaMBLe coastal study in Roscoff on the North West coast of France throughout September 2006. It was clearly demonstrated that iodine-mediated coastal particle formation occurs, driven by daytime low tide emission of molecular iodine, I₂, by macroalgal species fully or partially exposed by the receding waterline. Ultrafine particle concentrations strongly correlate with the rapidly recycled reactive iodine species, IO, produced at high concentrations following photolysis of I₂. The heterogeneous macroalgal I₂ sources lead to variable relative concentrations of iodine species observed by path-integrated and in situ measurement techniques.

Apparent particle emission fluxes were associated with an enhanced apparent depositional flux of ozone, consistent with both a direct O₃ deposition to macroalgae and involvement of O₃ in iodine photochemistry and subsequent particle formation below the measurement height. The magnitude of the particle formation events was observed to be greatest at the lowest tides with the highest concentrations of ultrafine particles growing to the largest sizes, probably by the condensation of anthropogenically-formed condensable material. At such sizes the particles should be able to act as cloud condensation nuclei at reasonable atmospheric supersaturations.

Geomorphometry in coastal morphodynamics

Science.gov (United States)

Guisado-Pintado, Emilia; Jackson, Derek

2017-04-01

Geomorphometry is a cross-cutting discipline that has interwoven itself into multiple research themes due to its ability to encompass topographic quantification on many fronts. Its operational focus is largely defined as the extraction of land-surface parameters and earth surface characterisation. In particular, the coastal sciences have been enriched by the use of digital terrain production techniques both on land and in the nearshore/marine area. Numerous examples exist in which the utilisation of field instrumentation (e.g. LIDAR, GPS, Terrestrial Laser Scanning, multi-beam echo-sounders) are used for surface sampling and development of Digital Terrain Models, monitoring topographic change and creation of nearshore bathymetry, and have become central elements in modern investigations of coastal morphodynamics. The coastal zone is a highly dynamic system that embraces variable and at times, inter-related environments (sand dunes, sandy beaches, shoreline and nearshore) all of which require accurate and integrated monitoring. Although coastal studies can be widely diverse (with interconnected links to other related disciplines such as geology or biology), the characterisation of the landforms (coastal geomorphology) and associated processes (morphodynamics, hydrodynamics, aeolian processes) is perhaps where geomorphometry (topo-bathymetry quantification) is best highlighted. In this respect, many tools have been developed (or improved upon) for the acquisition of topographic data that now commands a high degree of accuracy, simplicity, and ultimately acquisition cost reduction. We present a series of field data acquisitions examples that have produced land surface characterisation using a range of techniques including traditional GPS surveys to more recent Terrestrial Laser Scanning and airborne LIDAR. These have been conducted within beach and dune environments and have helped describe erosion and depositional processes driven by wind and wave energy (high

NOAA's Coastal Change Analysis Program (C-CAP) 2001 Regional Land Cover Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 2016 Regional Land Cover Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 2006 Regional Land Cover Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 1985 Regional Land Cover Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 1996 Regional Land Cover Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 1992 Regional Land Cover Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

Satellite Remote Sensing for Coastal Management: A Review of Successful Applications.

Science.gov (United States)

McCarthy, Matthew J; Colna, Kaitlyn E; El-Mezayen, Mahmoud M; Laureano-Rosario, Abdiel E; Méndez-Lázaro, Pablo; Otis, Daniel B; Toro-Farmer, Gerardo; Vega-Rodriguez, Maria; Muller-Karger, Frank E

2017-08-01

Management of coastal and marine natural resources presents a number of challenges as a growing global population and a changing climate require us to find better strategies to conserve the resources on which our health, economy, and overall well-being depend. To evaluate the status and trends in changing coastal resources over larger areas, managers in government agencies and private stakeholders around the world have increasingly turned to remote sensing technologies. A surge in collaborative and innovative efforts between resource managers, academic researchers, and industry partners is becoming increasingly vital to keep pace with evolving changes of our natural resources. Synoptic capabilities of remote sensing techniques allow assessments that are impossible to do with traditional methods. Sixty years of remote sensing research have paved the way for resource management applications, but uncertainties regarding the use of this technology have hampered its use in management fields. Here we review examples of remote sensing applications in the sectors of coral reefs, wetlands, water quality, public health, and fisheries and aquaculture that have successfully contributed to management and decision-making goals.

Satellite Remote Sensing for Coastal Management: A Review of Successful Applications

Science.gov (United States)

McCarthy, Matthew J.; Colna, Kaitlyn E.; El-Mezayen, Mahmoud M.; Laureano-Rosario, Abdiel E.; Méndez-Lázaro, Pablo; Otis, Daniel B.; Toro-Farmer, Gerardo; Vega-Rodriguez, Maria; Muller-Karger, Frank E.

2017-08-01

Management of coastal and marine natural resources presents a number of challenges as a growing global population and a changing climate require us to find better strategies to conserve the resources on which our health, economy, and overall well-being depend. To evaluate the status and trends in changing coastal resources over larger areas, managers in government agencies and private stakeholders around the world have increasingly turned to remote sensing technologies. A surge in collaborative and innovative efforts between resource managers, academic researchers, and industry partners is becoming increasingly vital to keep pace with evolving changes of our natural resources. Synoptic capabilities of remote sensing techniques allow assessments that are impossible to do with traditional methods. Sixty years of remote sensing research have paved the way for resource management applications, but uncertainties regarding the use of this technology have hampered its use in management fields. Here we review examples of remote sensing applications in the sectors of coral reefs, wetlands, water quality, public health, and fisheries and aquaculture that have successfully contributed to management and decision-making goals.

Economic development and coastal ecosystem change in China

Science.gov (United States)

He, Qiang; Bertness, Mark D.; Bruno, John F.; Li, Bo; Chen, Guoqian; Coverdale, Tyler C.; Altieri, Andrew H.; Bai, Junhong; Sun, Tao; Pennings, Steven C.; Liu, Jianguo; Ehrlich, Paul R.; Cui, Baoshan

2014-01-01

Despite their value, coastal ecosystems are globally threatened by anthropogenic impacts, yet how these impacts are driven by economic development is not well understood. We compiled a multifaceted dataset to quantify coastal trends and examine the role of economic growth in China's coastal degradation since the 1950s. Although China's coastal population growth did not change following the 1978 economic reforms, its coastal economy increased by orders of magnitude. All 15 coastal human impacts examined increased over time, especially after the reforms. Econometric analysis revealed positive relationships between most impacts and GDP across temporal and spatial scales, often lacking dropping thresholds. These relationships generally held when influences of population growth were addressed by analyzing per capita impacts, and when population density was included as explanatory variables. Historical trends in physical and biotic indicators showed that China's coastal ecosystems changed little or slowly between the 1950s and 1978, but have degraded at accelerated rates since 1978. Thus economic growth has been the cause of accelerating human damage to China's coastal ecosystems. China's GDP per capita remains very low. Without strict conservation efforts, continuing economic growth will further degrade China's coastal ecosystems. PMID:25104138

Economic development and coastal ecosystem change in China.

Science.gov (United States)

He, Qiang; Bertness, Mark D; Bruno, John F; Li, Bo; Chen, Guoqian; Coverdale, Tyler C; Altieri, Andrew H; Bai, Junhong; Sun, Tao; Pennings, Steven C; Liu, Jianguo; Ehrlich, Paul R; Cui, Baoshan

2014-08-08

Despite their value, coastal ecosystems are globally threatened by anthropogenic impacts, yet how these impacts are driven by economic development is not well understood. We compiled a multifaceted dataset to quantify coastal trends and examine the role of economic growth in China's coastal degradation since the 1950s. Although China's coastal population growth did not change following the 1978 economic reforms, its coastal economy increased by orders of magnitude. All 15 coastal human impacts examined increased over time, especially after the reforms. Econometric analysis revealed positive relationships between most impacts and GDP across temporal and spatial scales, often lacking dropping thresholds. These relationships generally held when influences of population growth were addressed by analyzing per capita impacts, and when population density was included as explanatory variables. Historical trends in physical and biotic indicators showed that China's coastal ecosystems changed little or slowly between the 1950s and 1978, but have degraded at accelerated rates since 1978. Thus economic growth has been the cause of accelerating human damage to China's coastal ecosystems. China's GDP per capita remains very low. Without strict conservation efforts, continuing economic growth will further degrade China's coastal ecosystems.

Monitoring the change of coastal zones from space

Science.gov (United States)

Cazenave, A. A.; Le Cozannet, G.; Benveniste, J.; Woodworth, P. L.

2017-12-01

The world's coastal zones, where an important fraction of the world population is currently living, are under serious threat because of coastal erosion, cyclones, storms, and salinization of estuaries and coastal aquifers. In the future, these hazards are expected to increase due to the combined effects of sea level rise, climate change, human activities and population increase. The response of coastal environments to natural and anthropogenic forcing factors (including climate change) depends on the characteristics of the forcing agents, as well as on the internal properties of the coastal systems, that remain poorly known and mostly un-surveyed at global scale. To better understand changes affecting coastal zones and to provide useful information to decision makers, various types of observations with global coverage need to be collected and analysed. Observations from space appear as an important complement to existing in situ observing systems (e.g., regional tide gauge networks). In this presentation, we discuss the benefit of systematic coastal monitoring from space, addressing both observations of forcing agents and of the coastal response. We highlight the need for a global coastal sea level data set based on retracked nadir altimetry missions and new SAR technology.

Urbanisation, coastal development and vulnerability, and catchments

CSIR Research Space (South Africa)

Ntombela, Cebile

2015-01-01

Full Text Available The growth of urban areas that form coastal cities, especially in the WIO, places an increasing demand on natural coastal extractive and non-extractive resources. The use and conversion of coastal land and catchments is considered a permanent effect...

15 CFR 930.151 - Interstate coastal effect.

Science.gov (United States)

2010-01-01

... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Interstate coastal effect. 930.151...) NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT FEDERAL CONSISTENCY WITH APPROVED COASTAL MANAGEMENT PROGRAMS Consistency of Federal Activities...

Pan-European Coastal Erosion and Accretion: translating incomplete data and information for coastal reslience assessments

Science.gov (United States)

van Heteren, Sytze; Moses, Cherith; van der Ven, Tamara

2017-04-01

EMODnet has changed the face of the European marine data landscape and is developing tools to connect national data and information resources to make them easily available for multiple users, for multiple purposes. Building on the results of EUROSION, an EU-project completed some ten years ago, EMODnet-Geology has been compiling coastal erosion and sedimentation data and information for all European shorelines. Coverage is being expanded, and data and information are being updated. Challenges faced during this compilation phase are posed by a) differences between parameters used as indicators of shoreline migration, b) restricted access to third-party data, and c) data gaps. There are many indicators of coastal behaviour, with inherent incompatibilities and variations between low-lying sediment and cliffed rock shorelines. Regionally, low data availability and limited access result in poor coverage. With Sentinel data expected to become increasingly available, it is time to invest in automated methods to derive coastal-erosion data from satellite monitoring. Even so, consistency of data and derived information on coastal erosion and accretion does not necessarily translate into usability in pan-European coastal-zone management. Indicators of shoreline change need to be assessed and weighted regionally in light of other parameters in order to be of value in assessing coastal resilience or vulnerability. There is no single way to portray coastal vulnerability for all of Europe in a meaningful way. A common legend, however attractive intuitively, results in data products that work well for one region but show insufficient or excessive detail elsewhere. For decision making, uniform products are often not very helpful. The ability to zoom in on different spatial levels is not a solution either. It is better to compile and visualize vulnerability studies with different legends, and to provide each map with a confidence assessment and other relevant metadata.

ECOLOGICAL INTELLIGENCE OF COASTAL COMMUNITY ON BIODIVERSITY CONSERVATION (Case Study of Bajau Coastal Communities, Gorontalo

Directory of Open Access Journals (Sweden)

Ramli Utina

2017-04-01

Full Text Available Human behavior is a part of the ecological system, therefore overcoming the ecological crisis and living resources need to explore human traditions, way of life and human behavior toward natural resources. Understanding and translation of human harmonious relationship with all elements along with other living beings is a form of human ecological intelligence. The objective of this study was to describe the traditions and coastal communities behavior that contains the value of ecological intelligence in coastal biodiversity conservation. The study was based on observation, focus group discussion and identification of Bajau coastal community tradition in their lives and livelihoods on fishing, as well as the behavior toward biological resources. Bajau coastal communities settled in three villages in Pohuwato regency, Gorontalo. There are two themes that contains the value of ecological intelligence of  Bajau communities in the conservation of biodiversity, namely; mamia kadialo in tradition of fishing, and fishing behavior. The prohibition in the tradition of mamia kadialo contains the value of conservation of biodiversity. Usage of simple equipment on fishing activities provide a positive ecological consequences for the conservation of coastal biodiversity.

77 FR 5793 - Beaches Environmental Assessment and Coastal Health Act; Availability of BEACH Act Grants

Science.gov (United States)

2012-02-06

... sources of pollution; and (D) Any effect of storm events on the waters; (4)(A) The methods to be used for...) Measures for prompt communication of the occurrence, nature, location, pollutants involved, and extent of... Grants (EPA-823-B-02-004) specific requirements and recommendations associated with measures for prompt...

Concepts and theoretical specifications of a Coastal Vulnerability Dynamic Simulator (COVUDS): A multi-agent system for simulating coastal vulnerability towards management of coastal ecosystem services

Science.gov (United States)

Orencio, P. M.; Endo, A.; Taniguchi, M.

2014-12-01

Disaster-causing natural hazards such as floods, erosions, earthquakes or slope failures were particularly observed to be concentrated in certain geographical regions. In the Asia-pacific region, coastal ecosystems were suffering because of perennial threats driven by chronic fluctuations in climate variability (e.g., typhoons, ENSO), or by dynamically occurring events (e.g., earthquakes, tsunamis). Among the many people that were found prone to such a risky condition were the ones inhabiting near the coastal areas. Characteristically, aside from being located at the forefront of these events, the coastal communities have impacted the resource by the kind of behavioral patterns they exhibited, such as overdependence and overexploitation to achieve their wellbeing. In this paper, we introduce the development of an approach to an assessment of the coupled human- environment using a multi- agent simulation (MAS) model known as Coastal Vulnerability Dynamic Simulator (COVUDS). The COVUDS comprised a human- environmental platform consisting multi- agents with corresponding spatial- based dynamic and static variables. These variables were used to present multiple hypothetical future situations that contribute to the purpose of supporting a more rational management of the coastal ecosystem and their environmental equities. Initially, we present the theoretical and conceptual components that would lead to the development of the COVUDS. These consisted of the human population engaged in behavioral patterns affecting the conditions of coastal ecosystem services; the system of the biophysical environment and changes in patches brought by global environment and local behavioral variations; the policy factors that were important for choosing area- specific interventions; and the decision- making mechanism that integrates the first three components. To guide a future scenario-based application that will be undertaken in a coastal area in the Philippines, the components of the

Administration of the Radiation Control for Health and Safety Act of 1968, Public Law 90-602, April 1, 1985 (1984 annual report). Report for 1 January-31 December 1984

International Nuclear Information System (INIS)

1985-01-01

The Secretary of Health and Human Services is required by Subpart 3, Part F of Title III of the Public Health Service Act; 42 USC 263b et seq. (Public Law 90-602) to submit an annual report to the President for transmittal to the Congress on or before April 1 on the administration of the Radiation Control for Health and Safety Act. The detailed information required to be included in the report is outlined in Section 360D of the Public Health Service Act. The Food and Drug Administration, through its Center for Devices and Radiological Health, is responsible for the day-to-day administration of the Act. The report covers the detailed operation of the Agency in carrying out that responsibility for calendar year 1984. Manufacturers of electronic products are required by 21 CFR 1002.20 to report accidental radiation occurrences to the CDRH, FDA. During the calendar year 1984, the Radiation Incidents Registry received 11 reports alleging injury involving 235 persons

Microbial processes in coastal pollution

International Nuclear Information System (INIS)

Capone, D.G.; Bauer, J.E.

1992-01-01

In this chapter, the authors describe the nature and range of some of the interactions that can occur between the microbiota and environmental contaminants in coastal areas. The implications of such interactions are also discussed. Pollutant types include inorganic nutrients, heavy metals, bulk organics, organic contaminants, pathogenic microorganisms and microbial pollutants. Both the effects of pollutants such as petroleum hydrocarbons on natural microbial populations and the mitigation of contaminant effects by complexation and biodegradation are considered. Finally, several areas of emerging concerns are presented that involve a confluence of biogeochemistry, microbial ecology and applied and public health microbiology. These concerns range in relevance from local/regional to oceanic/global scales. 308 ref

International cooperation for integrated management of coastal regions

International Nuclear Information System (INIS)

Bosc, E.; Houlbreque, F.; Boisson, F.; Scholten, J.; Betti, M.

2010-01-01

Coastal zones which comprise < 20% of the earth surface are one of the most dynamic areas of the world. Housing more than 50% of the earth's population, the coastal zones are affected by natural and anthropogenic induced pressures which challenge the sustainability of the coastal environment and its resources. Most of the environmental pressures originate from outside the coastal zones thus requiring an inter-regional approach for coastal environmental assessments. It is one of the missions of the Marine Environment Laboratories (MEL) of the International Atomic Energy Agency to assist Member States in coastal zone management by applying nuclear and isotopic techniques. These techniques are used in many ways at MEL to enhance the understanding of marine ecosystems and to improve their management and protection. The article gives an overview of MEL's current marine coastal projects and research activities. (author)

Intensified coastal development in beach-nourishment zones

Science.gov (United States)

Lazarus, E.; Armstrong, S.; Limber, P. W.; Goldstein, E. B.; Ballinger, R.

2016-12-01

Population density, housing development, and property values in coastal counties along the U.S. Atlantic and Gulf Coasts continue to rise despite increasing hazard from storm impacts. Beach nourishment, a method for mitigating coastal storm damage or chronic erosion by deliberately replacing sand on an eroded beach, has been the leading form of coastal protection in the U.S. since the 1970s. However, investment in hazard protection can have the unintended consequence of encouraging development in places especially vulnerable to damage. To quantitatively compare development in nourishing and non-nourishing zones, we examine the parcel-scale housing stock of all shorefront single-family homes in the state of Florida. We find that houses in nourishing zones are significantly larger and more numerous than in non-nourishing zones. Florida represents both an advanced case of coastal risk and an exemplar of ubiquitous, fundamental challenges in coastal management. The predominance of larger homes in nourishing zones indicates a positive feedback between nourishment and development that is compounding coastal risk in zones already characterized by high vulnerability. We offer that this phenomenon represents a variant of Jevons' paradox, a theoretical argument from environmental economics in which more efficient use of a resource spurs an increase in its consumption. Here, we suggest reductions in coastal risk through hazard protection are ultimately offset or reversed by increased coastal development.

Balancing Demand and Supply for Veterans' Health Care: A Summary of Three RAND Assessments Conducted Under the Veterans Choice Act.

Science.gov (United States)

Farmer, Carrie M; Hosek, Susan D; Adamson, David M

2016-06-20

In response to concerns that the Department of Veterans Affairs (VA) has faced about veterans' access to care and the quality of care delivered, Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 ("Veterans Choice Act") in August 2014. The law was passed to help address access issues by expanding the criteria through which veterans can seek care from civilian providers. In addition, the law called for a series of independent assessments of the VA health care system across a broad array of topics related to the delivery of health care services to veterans in VA-owned and -operated facilities, as well as those under contract to VA. RAND conducted three of these assessments: Veteran demographics and health care needs (A), VA health care capabilities (B), and VA authorities and mechanisms for purchasing care (C). This article summarizes the findings of our assessments and includes recommendations from the reports for improving the match between veterans' needs and VA's capabilities, including VA's ability to purchase necessary care from the private sector.

Across Hydrological Interfaces from Coastal Watersheds to the Open Lake: Finding Landscape Signals in the Great Lakes Coastal Zone

Science.gov (United States)

Over the past decade, our group has been working to bring coastal ecosystems into integrated basin-lakewide monitoring and assessment strategies for the Great Lakes. We have conducted a wide range of research on coastal tributaries, coastal wetlands, semi-enclosed embayments an...

Hurricane Sandy science plan: coastal impact assessments

Science.gov (United States)

Stronko, Jakob M.

2013-01-01

Hurricane Sandy devastated some of the most heavily populated eastern coastal areas of the Nation. With a storm surge peaking at more than 19 feet, the powerful landscape-altering destruction of Hurricane Sandy is a stark reminder of why the Nation must become more resilient to coastal hazards. In response to this natural disaster, the U.S. Geological Survey (USGS) received a total of $41.2 million in supplemental appropriations from the Department of the Interior (DOI) to support response, recovery, and rebuilding efforts. These funds support a science plan that will provide critical scientific information necessary to inform management decisions for recovery of coastal communities, and aid in preparation for future natural hazards. This science plan is designed to coordinate continuing USGS activities with stakeholders and other agencies to improve data collection and analysis that will guide recovery and restoration efforts. The science plan is split into five distinct themes: coastal topography and bathymetry, impacts to coastal beaches and barriers, impacts of storm surge, including disturbed estuarine and bay hydrology, impacts on environmental quality and persisting contaminant exposures, impacts to coastal ecosystems, habitats, and fish and wildlife. This fact sheet focuses assessing impacts to coastal beaches and barriers.

Coastal Risk Management in a Changing Climate

DEFF Research Database (Denmark)

Burcharth, Hans F.; Zanuttigh, Barbara; Andersen, Thomas Lykke

2014-01-01

Existing coastal management and defense approaches are not well suited to meet the challenges of climate change and related uncertanities. Professionals in this field need a more dynamic, systematic and multidisciplinary approach. Written by an international group of experts, Coastal Risk...... Management in a Changing Climate provides innovative, multidisciplinary best practices for mitigating the effects of climate change on coastal structures. Based on the Theseus program, the book includes eight study sites across Europe, with specific attention to the most vulnerable coastal environments...

THE CHARACTERISTICS OF THE SELF-SUPPORT STILT-HOUSES TOWARDS THE DISASTER POTENTIALITY AT THE CAMBAYA COASTAL AREA, MAKASSAR

Directory of Open Access Journals (Sweden)

Isfa Sastrawati

2009-07-01

Full Text Available Self-support stilt-houses at the coastal area have environment characteristics that are different from inland houses, and they have the disaster potentiality such as hurricanes, tidal waves, abrasion, earthquakes, and even tsunami. The stilt houses are very adaptable to climatic conditions and coastal disasters. The shape of the stilt houses at the coastal area must comply with aspects of safety, security, comfort, and health. This paper examines the characteristics of the stilt houses at the coastal area of Cambaya, Makassar, especially in terms of safety and security aspects. The aspects of safety and security include the resistance of the building construction towards disasters. Along with the development of the urban area, the demanding needs and limited financial-abilities, the owners of the houses at the Cambaya coastal area develop their houses by utilizing the empty space at the coastal area and the space under floor of the stilt house. The change of the building shape gives an effect on the poor quality of the building, building safety, and security. However, there are several stilt houses at Cambaya which could reduce the impacts of disasters on the safety of the residents through their local wisdom.

Toward a Global Classification of Coastal Anthromes

Directory of Open Access Journals (Sweden)

Eli D. Lazarus

2017-02-01

Full Text Available Given incontrovertible evidence that humans are the most powerful agents of environmental change on the planet, research has begun to acknowledge and integrate human presence and activity into updated descriptions of the world’s biomes as “anthromes”. Thus far, a classification system for anthromes is limited to the terrestrial biosphere. Here, I present a case for the consideration and validity of coastal anthromes. Every coastal environment on Earth is subject to direct and indirect human modification and disturbance. Despite the legacy, ubiquity, and pervasiveness of human interactions with coastal ecosystems, coastal anthromes still lack formal definition. Following the original argument and framework for terrestrial anthromes, I outline a set of coastal anthrome classifications that dovetail with terrestrial and marine counterparts. Recognising coastal environments as complex and increasingly vulnerable anthropogenic systems is a fundamental step toward understanding their modern dynamics—and, by extension, realising opportunities for and limits to their resilience.

The Development of Coastal and Marine

Directory of Open Access Journals (Sweden)

Suharto Widjojo

2004-01-01

Full Text Available Planning and development process of oastaland marine resources tends centralized and adopted top down policy, without any active participations from coastal and marine communities. In order to reach integrated and sustainable development in coastaland marine areas, people should have both complete and up to date information, so that planning and decision making for all aspect of the environment can be done easily. People should give a high attention of surveis, mappings, as well as science and technology of coastal and marine sectors, in order to change the paradigm of development from inland to coastal and marine. Moreover, people should give high attention of potential resources of coastal and marine areas.

Building Blocks: A Quantitative Approach for Evaluating Coastal Vulnerability

Directory of Open Access Journals (Sweden)

Komali Kantamaneni

2017-11-01

Full Text Available Climate change and associated factors such as global and regional sea-level rise; the upsurge in high-intensity flooding events; and coastal erosion are pulse and press disturbances that threaten to increase landslides in coastal regions. Under these circumstances; a rigorous framework is required to evaluate coastal vulnerability in order to plan for future climate change scenarios. A vast majority of coastal vulnerability assessments across the globe are evaluated at the macro level (city scale but not at the micro level (small town scale; particularly in the United Kingdom (UK. In order to fill this vital research gap; the current study established a coastal vulnerability index termed here as the Micro Town Coastal Vulnerability Index (MTCVI and then applied it to Barton-on-Sea; which is a small coastal town of the Hampshire region; England; UK. MTCVI was evaluated for Barton-on-Sea coastal vulnerability by integrating both novel and existing parameters. Results suggest that the entire shoreline frontage (2 km exhibits very high coastal vulnerability and is prone to various coastal hazards such as landslides; erosion; and wave intrusion. This suggests that Barton-on-Sea coastal amenities will require a substantial improvement in shoreline protection measures. In this study; GIS (geographic information system coastal vulnerability and landslide maps were generated; and these maps can be used by the local authorities; district councils; coastal engineers; and planners to improve and design coastal management strategies under the climate change scenarios. Meanwhile; the methodology used in this study could also be applied to any other suitable location in the world depending on the availability of the data.

Trends in the Mental Health Act Review Tribunals: a Welsh experience 2004-2008.

Science.gov (United States)

Aziz, V M

2009-10-01

This study aims at identifying any local trend in the appeal process and to determine if we are complying with the MHA 1983 and the Code of Practice by reviewing all the appeals to Mental Health Review Tribunals in a psychiatric hospital in South Wales for the period from 2004 to 2008. The total numbers of sections and appeals remain steady over the years. Men are slightly more detained than women mainly under Sections 2 and 3 of the MH Act 1983. The main diagnoses for detention were: bipolar affective disorder, schizophrenia and psychosis. 95% of cases had appeals and 5% referrals. A hearing was held in 52% of cases (n=60), the RMO discharged 38% of patients and the patient withdrew appeal in 10% of cases. 95% of cases were British White ethnicity. Single men tended to appeal more than women 68% vs. 32%. There was no observed trend in the result of the appeals and the proportions of appeal discharged by the hearing remained unchanged. The results of the appeals were not associated with gender, ethnicity, marital status, age or the type of section involved. The patients who were previously detained tend to appeal more, i.e. the more number of detentions, the more number of appeals. In only 12% of cases who had the hearings, the appeal was successful and the patients were discharged from their sections. The study shows steady volume of sections and appeals and the appeals are no more likely to result in discharge. The amendments of the Act 2007 also attract an increase in the appeal process especially in relation to the Community Treatment Orders and the Deprivation of Liberty. The use of both the Act and the Mental Capacity Act 2005 will increase workload for all involved practitioners. 2009 Elsevier Ltd and Faculty of Forensic and Legal Medicine.

Essential health benefits and the Affordable Care Act: law and process.

Science.gov (United States)

Bagley, Nicholas; Levy, Helen

2014-04-01

Starting in 2014, the Affordable Care Act (ACA) will require private insurance plans sold in the individual and small-group markets to cover a roster of "essential health benefits." Precisely which benefits should count as essential, however, was left to the discretion of the Department of Health and Human Services (HHS). The matter was both important and controversial. Nonetheless, HHS announced its policy by posting on the Internet a thirteen-page bulletin stating that it would allow each state to define essential benefits for itself. On both substance and procedure, the move was surprising. The state-by-state approach departed from the uniform, federal standard that the ACA appears to anticipate and that informed observers expected HHS to adopt. And announcing the policy through an Internet bulletin appeared to allow HHS to sidestep traditional administrative procedures, including notice and comment, immediate review in the courts, and White House oversight. This article explores two questions. First, is the state-by-state approach a lawful exercise of HHS's authority? Second, did HHS in fact evade the procedural obligations that are meant to shape the exercise of its discretion?

Intensified coastal development behind nourished beaches

Science.gov (United States)

Armstrong, Scott; Lazarus, Eli; Limber, Patrick; Goldstein, Evan; Thorpe, Curtis; Ballinger, Rhoda

2016-04-01

Population density, housing development, and property values in coastal counties along the U.S. Atlantic and Gulf Coasts continue to rise despite increasing hazard from storm impacts. Since the 1970s, beach nourishment, which involves importing sand to deliberately widen an eroding beach, has been the main strategy in the U.S. for protecting coastal properties from erosion and flooding hazards. Paradoxically, investment in hazard protection may intensify development. Here, we examine the housing stock of all existing shorefront single-family homes in Florida - a microcosm of U.S. coastal hazards and development - to quantitatively compare development in nourishing and non-nourishing towns. We find that nourishing towns now account for more than half of Florida's coastline, and that houses in nourishing towns are larger and more numerous. Even as the mean size of single-family homes nationwide has grown steadily since 1970, Florida's shorefront stock has exceeded the national average by 34%, and in nourishing towns by 45%. This emergent disparity between nourishing and non-nourishing towns in Florida demonstrates a pattern of intensifying coastal risk, and is likely representative of a dominant trend in coastal development more generally. These data lend empirical support to the hypothesis that US coastal development and hazard mitigation through beach nourishment have become dynamically coupled.

A comparison of the causes, effects and aftermaths of the coastal flooding of England in 1953 and France in 2010

Directory of Open Access Journals (Sweden)

D. M. Lumbroso

2011-08-01

Full Text Available This paper provides a comparison of the causes, effects and aftermaths of the coastal flooding that occurred on the east coast of England in 1953 and the west coast of France in 2010 that resulted in 307 and 47 deaths respectively. The causes of both events are strikingly similar. Both were caused by a combination of high tides, low atmospheric pressure, high winds and the failure of poorly maintained flood defences. In both cases the number of deaths was related to the vulnerability of the buildings and people. Buildings in the flood zones were often single storey bungalows and the people who died were mostly over 60 yr of age. Both tragedies were national disasters. The 1953 flood in England acted as a catalyst for an acceleration in flood risk management policy and practice. It resulted in: the development of a Storm Tide Warning System for the east coast of England; the setting of new design standards for coastal flood defences; increased investment in improving coastal defences; and a substantial new research effort into coastal processes, protection and forecasting. In France there has also been an episodic shift in flood risk management policy with the focus falling on: control of urban developments in areas at risk of flooding; improved coastal forecasting and warning; strengthening of flood defences; and developing a "culture of risk awareness". This paper outlines the lessons that can be learnt from the two events and provides recommendations concerning how future loss of life as a result of coastal flooding can be reduced.

Coastal Risk Management in a Changing Climate

DEFF Research Database (Denmark)

Existing coastal management and defense approaches are not well suited to meet the challenges of climate change and related uncertanities. Professionals in this field need a more dynamic, systematic and multidisciplinary approach. Written by an international group of experts, "Coastal Risk...... Management in a Changing Climate" provides innovative, multidisciplinary best practices for mitigating the effects of climate change on coastal structures. Based on the Theseus program, the book includes eight study sites across Europe, with specific attention to the most vulnerable coastal environments...... such as deltas, estuaries and wetlands, where many large cities and industrial areas are located. Integrated risk assessment tools for considering the effects of climate change and related uncertainties. Presents latest insights on coastal engineering defenses. Provides integrated guidelines for setting up...

Equality Act 2010: knowledge, perceptions and practices of occupational physicians.

Science.gov (United States)

Masupe, T; Parker, G

2013-04-01

Historically, many prospective employees in Great Britain have undergone pre-employment health screening (PEHS) assessments before a job offer. Section 60 of the Equality Act 2010 stipulates that PEHS assessments before a job offer may contravene the disability provisions of the Act except under specific circumstances. PEHS assessments in the current format may not fully comply with the provisions of the legislation. To describe the knowledge, perceptions and practices of occupational health physicians in UK following implementation of the Equality Act 2010. Data were collected through an anonymous online survey of occupational health physicians (OHPs) actively reporting to the Occupational Physicians Reporting Activity (OPRA) at the Centre for Occupational and Environmental Health, the University of Manchester. There were 126 responses available for analysis (response rate 43%). Most participants (81%) were accredited occupational health specialists providing occupational health advice to various industry sectors; 96% reported involvement in PEHS assessments; 81% reported awareness of section 60 of the Equality Act 2010. Further analysis of these participants revealed varying knowledge levels and practices relating to specific requirements of section 60. Changes in professional practice resulting from the Act were reported by 38%, while 46% reported no change. There have been minimal immediate changes to PEHS practices by OHPs in response to section 60 of the Act. Some OHPs displayed inadequate knowledge of specific requirements of section 60 of the Act. OHPs could benefit from further training on specific requirements of this legislation.

Older Californians and the Mental Health Services Act: Is an Older Adult System of Care Supported?

Science.gov (United States)

Kietzman, Kathryn G; Dupuy, Danielle; Damron-Rodriguez, JoAnn; Palimaru, Alina; del Pino, Homero E; Frank, Janet C

2018-01-01

This policy brief summarizes findings from the first study to evaluate how California's public mental health delivery system has served older adults (60 years of age and over) since the passage of the Mental Health Services Act (MHSA) in 2004. Study findings indicate that there are unmet needs among older adults with mental illness in the public mental health delivery system. There are deficits in the involvement of older adults in the required MHSA planning processes and in outreach and service delivery, workforce development, and outcomes measurement and reporting. There is also evidence of promising programs and strategies that counties have advanced to address these deficits. Recommendations for improving mental health services for older adults include designating a distinct administrative and leadership structure for older adult services in each county; enhancing older adult outreach and documentation of unmet need; promoting standardized geriatric training of providers; instituting standardized data-reporting requirements; and increasing service integration efforts, especially between medical, behavioral health, aging, and substance use disorder services.

The potential accumulation of polycyclic aromatic hydrocarbons in phytoplankton and bivalves in Can Gio coastal wetland, Vietnam.

Science.gov (United States)

Thuy, Hoang Thi Thanh; Loan, Tu Thi Cam; Phuong, Trinh Hong

2018-05-12

Polycyclic aromatic hydrocarbons (PAHs) are one of the most important classes of anthropogenic persistent organic contaminants in the marine environment. This review discusses a whole range of findings that address various aspects of the bioaccumulation of PAHs in two common marine biota (phytoplankton and bivalves) globally and especially for Can Gio coastal wetland, Vietnam. The published information and collected data on the bioconcentration and accumulation mechanisms of PAHs as well as implications for Can Gio coastal wetland are compiled for phytoplankton and bivalves. PAHs are still released to Can Gio coastal environments from various sources and then transported to coastal environments through various physical processes; they may enter marine food chains and be highly accumulated in phytoplankton and bivalves. Thus, PAHs' bioaccumulation should be considered as one important criterion to assess the water's quality, directly linked to human health due to seafood consumption. Ecologically, Can Gio coastal wetland plays an important role to the South Vietnam key economic zone. However, it is also an area of potential PAHs inputs. With the abundant phytoplankton and bivalves in Can Gio coastal wetland, the PAHs bioaccumulation in these biota is inevitably detected. Thus, further study on the bioavailability of these contaminants is urgently needed in order to mitigate their negative effects and protect the ecosystems.

CBO and JCT's Estimates of the Effects of the Affordable Care Act on the Number of People Obtaining Employment-Based Health Insurance

OpenAIRE

Congressional Budget Office

2012-01-01

CBO and the Joint Committee on Taxation (JCT) continue to expect that the Affordable Care Act (ACA)—the health care legislation enacted in March 2010—will lead to a small reduction in the number of people receiving employment-based health insurance.

Nurse Reinvestment Act. Public Law.

Science.gov (United States)

Congress of the U.S., Washington, DC.

This document contains the text of the Nurse Reinvestment Act, which amends the Public Health Service Act to address the increasing shortage of registered nurses by instituting a series of policies to improve nurse recruitment and nurse retention. Title I details two initiatives to boost recruitment of nurses. The first initiative includes the…

Demand for long acting contraceptive methods and associated factors among family planning service users, Northwest Ethiopia: a health facility based cross sectional study.

Science.gov (United States)

Yalew, Saleamlak Adbaru; Zeleke, Berihun Megabiaw; Teferra, Alemayehu Shimeka

2015-02-04

Demand for long acting contraceptive methods is one of the key factors for total fertility rate and reproductive health issues. Increased demand for these methods can decline fertility rate through spacing and limiting family size in turn improving maternal and family health and socioeconomic development of a country. The aim of this study was to assess demand for long acting contraceptives and associated factors among family planning users in Debre-Tabor Town, Northwest Ethiopia. Facility based cross-sectional study was conducted from July to August 2013. Data was collected on 487 current family planning users through face to face interview using structured questionnaire. Study participants were selected by systematic sampling method. Data were entered in to Epi Info and analyzed by using SPSS version 20. Bi-variable and multi-variable regression analyses were done to identify factors associated with demand for long acting contraceptive methods. Odds ratio with 95% CI was used to assess the association between the independent variables and demand for long acting family planning methods. The study showed that, demand for long acting contraceptives was 17%. Only 9.2% of the women were using long acting contraceptive methods (met need). About 7.8% of women were using short acting methods while they actually want to use long acting methods (unmet need). Demand for LACMs was positively associated 3 with being a daily labour (AOR = 3.87, 95% CI = [1.06, 14.20]), being a student (AOR = 2.64, 95% CI = [1.27, 5.47]), no future birth intensions (AOR = 2.17, 95% CI = [1.12, 4.23]), having five or more children (AOR = 1.67, 95% CI = [1.58, 4.83]), deciding together with husbands for using the methods (AOR = 2.73, 95% CI = [1.40, 5.32]) and often having discussion with husband (AOR = 3.89, 95% CI = [1.98, 7.65]). Clients treated poorly by the health care providers during taking the services was negatively associated with demand for LACMs (AOR = 0.42, 95% CI = [0.24, 0

Demarcation of coastal vulnerability line along the Indian coast

Digital Repository Service at National Institute of Oceanography (India)

Ajai; Baba, M.; Unnikrishnan, A.S.; Rajawat, A.S.; Bhattacharya, S.; Ratheesh, R.; Kurian, N.P.; Hameed, S.; Sundar, D.

been considered. Changes along the shoreline are considered as net impact of dynamic coastal processes and are mapped using multidate satellite data. Vulnerability due to coastal erosion has been assessed based on rate of coastal erosion. Coastal...

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;

Implementing a Mentally Healthy Schools Framework Based on the Population Wide Act-Belong-Commit Mental Health Promotion Campaign: A Process Evaluation

Science.gov (United States)

Anwar-McHenry, Julia; Donovan, Robert John; Nicholas, Amberlee; Kerrigan, Simone; Francas, Stephanie; Phan, Tina

2016-01-01

Purpose: Mentally Healthy WA developed and implemented the Mentally Healthy Schools Framework in 2010 in response to demand from schools wanting to promote the community-based Act-Belong-Commit mental health promotion message within a school setting. Schools are an important setting for mental health promotion, therefore, the Framework encourages…

Critical Care Implications of the Affordable Care Act.

Science.gov (United States)

Dogra, Anjali P; Dorman, Todd

2016-03-01

To provide an overview of key elements of the Affordable Care Act. To evaluate ways in which the Affordable Care Act will likely impact the practice of critical care medicine. To describe strategies that may help health systems and providers effectively adapt to changes brought about by the Affordable Care Act. Data sources for this concise review include search results from the PubMed and Embase databases, as well as sources relevant to public policy such as the text of the Patient Protection and Affordable Care Act and reports of the Congressional Budget Office. As all of the Affordable Care Act's provisions will not be fully implemented until 2019, we also drew upon cost, population, and utilization projections, as well as the experience of existing state-based healthcare reforms. The Affordable Care Act represents the furthest reaching regulatory changes in the U.S. healthcare system since the 1965 Medicare and Medicaid provisions of the Social Security Act. The Affordable Care Act aims to expand health insurance coverage to millions of Americans and place an emphasis on quality and cost-effectiveness of care. From models which link pay and performance to those which center on episodic care, the Affordable Care Act outlines sweeping changes to health systems, reimbursement structures, and the delivery of critical care. Staffing models that include daily rounding by an intensivist, palliative care integration, and expansion of the role of telemedicine in areas where intensivists are inaccessible are potential strategies that may improve quality and profitability of ICU care in the post-Affordable Care Act era.

Coastal Fog As a System: Defining an Interdisciplinary Research Agenda (Invited)

Science.gov (United States)

Weathers, K. C.

2013-12-01

Fog is a graphic and charismatic phenomenon that is commonplace in coastal geographies around the globe. Some of the first concerns about fog and human health arose over 50 years ago in foggy cities around the world, such as London and Los Angeles, where thousands of excess deaths have been attributed to the presence of acidic fog particles. Further, the mere presence of fog also results in airplane, ship, and automobile traffic delays and accidents, especially in coastal areas. In many Pacific coastal systems, fog is the primary--sometimes the only--source of water, it is a fundamental moderator of local and regional climate, and it influences productivity of near-coast ecosystems. In recent years fog has been identified as a vector for limiting nutrients (e.g., nitrogen and phosphorus), pollutants (e.g., mercury), and microbes (including human pathogens), all of whose origin is thought to be biologically controlled in the ocean. Researchers have also started inquiring into the importance of fog in modulating weather as well as local, regional and, global climate dynamics. However, from its formation in marine systems to deposition in terrestrial systems, understanding the fog system is an intellectual and interdisciplinary challenge that, to date, has gone unmet. This is in part because the fog system is complex: it involves feedbacks and coupling between physical, chemical, and biological systems in the ocean, atmosphere, and near-coast terrestrial systems. In addition, its formation is the result of global processes, yet its distribution as well as its impacts are local, and extremely spatially and temporally heterogeneous within and across landscapes. Here we describe a systems approach and framework for understanding the controls on fog formation as well as feedbacks to its formation, dissipation, distribution, flows, and stocks or pools. In addition, an interdisciplinary research agenda for coastal fog as a system will be described based on the outcome of a

A Perspective on Sea Level Rise and Coastal Storm Surge from Southern and Eastern Africa: A Case Study Near Durban, South Africa

Directory of Open Access Journals (Sweden)

Derek D. Stretch

2012-03-01

Full Text Available Recent coastal storms in southern Africa have highlighted the need for more proactive management of the coastline. Within the southern and eastern African region the availability of coastal information is poor. The greatest gap in information is the likely effects of a combination of severe sea storms and future sea level rise (SLR on the shoreline. This lack of information creates a barrier to informed decision making. This research outlines a practical localized approach to this problem, which can be applied as a first order assessment within the region. In so doing it provides a cost effective and simple decision support tool for the built environment and disaster professionals in development and disaster assessments. In a South African context the newly promulgated Integrated Coastal Management Act requires that all proposed coastal developments take into consideration future SLR, however such information currently does not exist, despite it being vital for informed planning in the coastal zone. This practical approach has been applied to the coastline of Durban, South Africa as a case study. The outputs are presented in a Geographic Information System (GIS based freeware viewer tool enabling ease of access to both professionals and laypersons. This demonstrates that a simple approach can provide valuable information about the current and future risk of flooding and coastal erosion under climate change to buildings, infrastructure as well as natural features along the coast.

Do recreational activities affect coastal biodiversity?

Science.gov (United States)

Riera, Rodrigo; Menci, Cristiano; Sanabria-Fernández, José Antonio; Becerro, Mikel A.

2016-09-01

Human activities are largely affecting coastal communities worldwide. Recreational perturbations have been overlooked in comparison to other perturbations, yet they are potential threats to marine biodiversity. They affect coastal communities in different ways, underpinning consistent shifts in fish and invertebrates assemblages. Several sites were sampled subjected to varying effects by recreational fishermen (low and high pressure) and scuba divers (low and high) in an overpopulated Atlantic island. Non-consistent differences in ecological, trophic and functional diversity were found in coastal communities, considering both factors (;diving; and ;fishing;). Multivariate analyses only showed significant differences in benthic invertebrates between intensively-dived and non-dived sites. The lack of clear trends may be explained by the depletion of coastal resources in the study area, an extensively-affected island by overfishing.

Integrated coastal management in Uruguay

International Nuclear Information System (INIS)

2011-01-01

Integrated coastal management in Uruguay Carmelo includes the following areas-Nueva Palmira challenges and opportunities for local development in a context of large-scale industrial (Conchillas Uruguay), coastal management and stream Arroyo Solis Solis Chico Grande, Punta Colorada and Punta Negra, Maldonado Province Arroyo Valizas and sustainable tourism.

Prevalence of microplastics in Singapore's coastal marine environment

Energy Technology Data Exchange (ETDEWEB)

Ng, K.L. [Division of Environmental Science and Engineering, Faculty of Engineering, National University of Singapore, 9 Engineering Drive 1, Singapore 117576 (Singapore); Obbard, J.P. [Division of Environmental Science and Engineering, Faculty of Engineering, National University of Singapore, 9 Engineering Drive 1, Singapore 117576 (Singapore)]. E-mail esejpo@nus.edu.sg

2006-07-15

Microplastics have been recently identified as marine pollutants of significant concern due to their persistence, ubiquity and potential to act as vectors for the transfer and exposure of persistent organic pollutants to marine organisms. This study documents, for the first time, the presence and abundance of microplastics (>1.6 {mu}m) in Singapore's coastal environment. An optimized sampling protocol for the collection and analysis of microplastics was developed, and beach sediments and seawater (surface microlayer and subsurface layer) samples were collected from nine different locations around the coastline. Low density microplastics were separated from sediments by flotation and polymer types were identified using Fourier transform infrared (FTIR) spectrometry. Synthetic polymer microplastics identified in beach sediments included polyethylene, polypropylene, polystyrene, nylon, polyvinyl alcohol and acrylonitrile butadiene styrene. Microplastics were detected in samples from four out of seven beach environments, with the greatest quantity found in sediments from two popular beaches in the eastern part of Singapore. Polyethylene, polypropylene and polystyrene microplastics were also found in the surface microlayer (50-60 {mu}m) and subsurface layer (1 m) of coastal waters. The presence of microplastics in sediments and seawater is likely due to on-going waste disposal practices from industries and recreational activities, and discharge from shipping.

The missing millions: organized labor, business, and the defeat of Clinton's Health Security Act.

Science.gov (United States)

Gottschalk, M

1999-06-01

During the battle over comprehensive health care reform in the early 1990s, organized labor was not only unable to put together a winning coalition but also found itself divided and on the defensive as it struggled to prevent any further erosion of the private-sector safety net of the U.S. welfare state. Labor's relative ineffectiveness has deep institutional and political roots and was not merely a consequence of its dwindling membership base. Several key institutions of the private welfare state, notably the Taft-Hartley health and welfare funds and the Employment Retirement Income Security Act (ERISA) preemption, brought the interests of organized labor more closely in line with those of large employers and commercial insurers and aggravated divisions within organized labor and between unions and public interest groups. In addition, several political factors conspired to reinforce labor's tendency to stick to a policy path on health care issues that was predicated on an employer-mandate solution and that had been charted primarily by business and leading Democrats. As a result, organized labor did not emerge from the 1993-1994 struggle with its political base fortified nor with a viable long-term political strategy to achieve universal health care and to shift the political debate over health policy in a more desirable direction.

Reflexivity and the "Acting Subject": Conceptualizing the Unit of Analysis in Qualitative Health Research.

Science.gov (United States)

Shaw, James A

2016-07-06

The ways in which social scientists conceptualize the "reflexive" human subject have important consequences for how we go about our research. Whether and how we understand human subjects to be the authors of our own actions helps to structure what we say about health, health care, and the many other topics addressed in qualitative health research. In this article, I critically discuss assumptions of human reflexivity that are built into qualitative social science of health and medicine. I describe three alternative ways of understanding reflexive thought and human action derived from the theoretical works of Pierre Bourdieu, Bruno Latour, and George Lakoff and Mark Johnson, respectively. I then apply these three different ways of thinking about reflexivity and the acting subject to the analysis of an excerpt of participant observation data from a health services research study of transitions from hospital to home, illuminating the different kinds of analyses that arise from each perspective. I conclude with a call for social scientists to commit to the search for better ways of understanding the human subject, resisting the temptation to "settle" on theoretical statements that close down the path to more sophisticated conceptualizations of human thought and action. © The Author(s) 2016.

Hurricane Ike: Observations and Analysis of Coastal Change

Science.gov (United States)

Doran, Kara S.; Plant, Nathaniel G.; Stockdon, Hilary F.; Sallenger, Asbury H.; Serafin, Katherine A.

2009-01-01

Understanding storm-induced coastal change and forecasting these changes require knowledge of the physical processes associated with the storm and the geomorphology of the impacted coastline. The primary physical processes of interest are the wind field, storm surge, and wave climate. Not only does wind cause direct damage to structures along the coast, but it is ultimately responsible for much of the energy that is transferred to the ocean and expressed as storm surge, mean currents, and large waves. Waves and currents are the processes most responsible for moving sediments in the coastal zone during extreme storm events. Storm surge, the rise in water level due to the wind, barometric pressure, and other factors, allows both waves and currents to attack parts of the coast not normally exposed to those processes. Coastal geomorphology, including shapes of the shoreline, beaches, and dunes, is equally important to the coastal change observed during extreme storm events. Relevant geomorphic variables include sand dune elevation, beach width, shoreline position, sediment grain size, and foreshore beach slope. These variables, in addition to hydrodynamic processes, can be used to predict coastal vulnerability to storms The U.S. Geological Survey's (USGS) National Assessment of Coastal Change Hazards Project (http://coastal.er.usgs.gov/hurricanes), strives to provide hazard information to those interested in the Nation's coastlines, including residents of coastal areas, government agencies responsible for coastal management, and coastal researchers. As part of the National Assessment, observations were collected to measure coastal changes associated with Hurricane Ike, which made landfall near Galveston, Texas, on September 13, 2008. Methods of observation included aerial photography and airborne topographic surveys. This report documents these data-collection efforts and presents qualitative and quantitative descriptions of hurricane-induced changes to the shoreline

Behavioral health problems, ex-offender reentry policies, and the "Second Chance Act".

Science.gov (United States)

Pogorzelski, Wendy; Wolff, Nancy; Pan, Ko-Yu; Blitz, Cynthia L

2005-10-01

The federal "Second Chance Act of 2005" calls for expanding reentry services for people leaving prison, yet existing policies restrict access to needed services for those with criminal records. We examined the interaction between individual-level characteristics and policy-level restrictions related to criminal conviction, and the likely effects on access to resources upon reentry, using a sample of prisoners with Axis I mental disorders (n=3073). We identified multiple challenges related to convictions, including restricted access to housing, public assistance, and other resources. Invisible punishments embedded within existing policies were inconsistent with the call for second chances. Without modification of federal and state policies, the ability of reentry services to foster behavioral health and community reintegration is limited.

Monitoring Coastal Change after the Tsunami in Thailand

International Nuclear Information System (INIS)

Pantanahiran, W

2014-01-01

The tsunami on December 26, 2004 caused widespread devastation along the coast of Thailand, especially in Ban Nam Khem, Phang Nga province. This disaster claimed more than 941 lives, with 502 other people missing when the storm surge caught the residents of this area. The coastal geomorphology was impacted by this disaster. The objectives of the research were to study the effect of the tsunami on coastal change and the recovery of coastal areas. Six time-series datasets of aerial photographs and satellite images from 2002, 2004, 2005, 2006, 2009, and 2010 were compared using the Geographic Information System (GIS). The results showed the effect of the tsunami on the buildings in the area. Fifty-eight point sixty-three percent of the buildings in the urban area were destroyed by the tsunami and constructions was raised to 103.60% and 197.12% between 2004 and 2010, thus indicating the recovery of the local community. Geomorphological change in Ko Kho Khao (the island) was found after the tsunami disaster, including coastal erosion and coastal deposition. The balance of nature played a major role in controlling the erosion and deposition. The coastal deposits were the highest in 2005; however, deposition was not found in 2004. The erosion rate from 2002-2003 was the highest (48.10 meter per year) and higher than 2003-2004 (39.03 meters per year), 2004-2009 (15.64 meters per year) and 2009-2010 (29.49 meters per year). The coastal area was more severe eroded than the estuary area, and severe coastal erosion caused the loss of coastal area, approximately 0.28 ha. Severe coastal erosion has been repeatedly found since 2005 in the lower part of the area, and hard structures such as concrete seawalls might have been affected by coastal erosion. In addition, extrapolation of coastal erosion at the rate of 30 meters per year showed that the lower part of Ko Kho Khao should disappear in 2015

Groundwater quality in the Coastal Los Angeles Basin, California

Science.gov (United States)

Fram, Miranda S.; Belitz, Kenneth

2012-01-01

The Coastal Los Angeles Basin study unit is approximately 860 square miles and consists of the Santa Monica, Hollywood, West Coast, Central, and Orange County Coastal Plain groundwater basins (California Department of Water Resources, 2003). The basins are bounded in part by faults, including the Newport-Inglewood fault zone, and are filled with Holocene-, Pleistocene-, and Pliocene-age marine and alluvial sediments. The Central Basin and Orange County Coastal Plain are divided into a forebay zone on the northeast and a pressure zone in the center and southwest. The forebays consist of unconsolidated coarser sediment, and the pressure zones are characterized by lenses of coarser sediment divided into confined to semi-confined aquifers by lenses of finer sediments. The primary aquifer system in the study unit is defined as those parts of the aquifer system corresponding to the perforated intervals of wells listed in the California Department of Public Health (CDPH) database of public-supply wells. The majority of public-supply wells are drilled to depths of 510 to 1,145 feet, consist of solid casing from the land surface to a depth of about 300 to 510 feet, and are perforated below the solid casing. Water quality in the primary aquifer system may differ from that in the shallower and deeper parts of the aquifer systems.

Hurricane Isaac: observations and analysis of coastal change

Science.gov (United States)

Guy, Kristy K.; Stockdon, Hilary F.; Plant, Nathaniel G.; Doran, Kara S.; Morgan, Karen L.M.

2013-01-01

Understanding storm-induced coastal change and forecasting these changes require knowledge of the physical processes associated with a storm and the geomorphology of the impacted coastline. The primary physical process of interest is sediment transport that is driven by waves, currents, and storm surge associated with storms. Storm surge, which is the rise in water level due to the wind, barometric pressure, and other factors, allows both waves and currents to impact parts of the coast not normally exposed to these processes. Coastal geomorphology reflects the coastal changes associated with extreme-storm processes. Relevant geomorphic variables that are observable before and after storms include sand dune elevation, beach width, shoreline position, sediment grain size, and foreshore beach slope. These variables, in addition to hydrodynamic processes, can be used to quantify coastal change and are used to predict coastal vulnerability to storms (Stockdon and others, 2007). The U.S. Geological Survey (USGS) National Assessment of Coastal Change Hazards (NACCH) project (http://coastal.er.usgs.gov/national-assessment/) provides hazard information to those concerned about the Nation’s coastlines, including residents of coastal areas, government agencies responsible for coastal management, and coastal researchers. Extreme-storm research is a component of the NACCH project (http://coastal.er.usgs.gov/hurricanes/) that includes development of predictive understanding, vulnerability assessments using models, and updated observations in response to specific storm events. In particular, observations were made to determine morphological changes associated with Hurricane Isaac, which made landfall in the United States first at Southwest Pass, at the mouth of the Mississippi River, at 0000 August 29, 2012 UTC (Coordinated Universal Time) and again, 8 hours later, west of Port Fourchon, Louisiana (Berg, 2013). Methods of observation included oblique aerial photography

Long-acting family planning method switching among revisit clients of public health facilities in Dire Dawa, Ethiopia.

Science.gov (United States)

Atnafe, Meselu; Assefa, Nega; Alemayehu, Tadesse

2016-01-01

"Contraceptive switching" from one method to another is a common phenomenon. Switching from a more effective long-acting method to a less effective method exposes women for unplanned pregnancy. The aim of this study was to assess the level and factors associated with long-acting family planning method switching to other methods. A facility-based cross-sectional study was conducted from January to March 2013 on 634 women attending public health facilities in Dire Dawa City Administration, Ethiopia. Participants of the study were revisit clients of family planning service and were interviewed as they appear in the clinics. Data were analyzed using crude and adjusted logistic regression, and results were reported using OR and corresponding 95 % CI. Long-acting family planning method switching among revisit clients was 40.4 %; switching from implant was 29.8 % and from IUCD, it was 10.6 %. The main reasons for methods switching were side effects of the methods such as bleeding, weight loss, and feeling of arm numbness. The tendency of switching was less among married women (AOR = 2.41, 95 % CI: 1.01, 5.74), women who had 2-4 and 5 and more children (AOR 3.00, 95 % CI: 1.59, 5.67) and (AOR 2.07, 95 % CI: 1.17, 3.66), respectively. It was also less among women who want to stop birth (AOR 5.11, 95 % CI: 1.15, 24.8), among those who mentioned health care providers as source of information for family planning (AOR 1.88, 95 % CI: 1.18, 3.01), and among women whose husbands were aware of their use of the methods (AOR 3.05, 95 % CI: 1.88, 4.94). Method switching from long-acting contraceptives to less effective methods is high. Method switching was significant among unmarried women, who had one child, plan to postpone fertility, and whose husbands were not aware of their wive's use of the method. In the provision of family planning service, the health care providers should give adequate information about each method and risks of method switching. Appropriate family

Nudging best practice: the HITECH act and behavioral medicine

OpenAIRE

Hesse, Bradford William; Ahern, David K; Woods, Susan S

2010-01-01

In February 2009, the US Congress passed the Health Information Technology for Economic and Consumer Health (HITECH) Act in order to stimulate the “meaningful use” of health information technology within medical practice. Economists have noted that other sectors in the economy have demonstrated substantive productivity improvements from investments in information technology but that the health sector lags behind. The “meaningful use” stipulation of the HITECH Act focuses systems redesign with...

Reproductive health issues emanating from the Children's Act No ...

African Journals Online (AJOL)

The study took as its point of departure the Children's Act No, 38 of 2005 implemented in 2010, which aims to promote the preservation and strengthening of families and to give effect to the rights of children as enshrined in the Constitution of the Republic of South Africa. When the Act was introduced certain segments of ...

76 FR 35050 - Privacy Act of 1974: New System of Records

Science.gov (United States)

2011-06-15

.../Central-15, Health Claims Data Warehouse, to its inventory of records systems subject to the Privacy Act.... The data warehouse will be fully compliant with all applicable provisions of the Privacy Act, Health... fully compliant with all applicable provisions of the Privacy Act, Federal Information Security...

Qualitative exploration of stakeholders' perspectives of involuntary admission under the Mental Health Act 2001 in Ireland.

Science.gov (United States)

Smyth, Siobhán; Casey, Dympna; Cooney, Adeline; Higgins, Agnes; McGuinness, David; Bainbridge, Emma; Keys, Mary; Georgieva, Irina; Brosnan, Liz; Beecher, Claire; Hallahan, Brian; McDonald, Colm; Murphy, Kathy

2017-12-01

There is international interest in, and continued concern about, the potential long-term impact of involuntary admission to psychiatric institutions, and the effect this coercive action has on a person's well-being and human rights. Involuntary detention in hospital remains a controversial process that involves stakeholders with competing concerns and who often describe negative experiences of the process, which can have long-lasting effects on the therapeutic relationship with service users. The aim of the present study was to explore the perspectives of key stakeholders involved in the involuntary admission and detention of people under the Mental Health Act 2001 in Ireland. Focus groups were used to collect data. Stakeholders interviewed were service users, relatives, general practitioners, psychiatrists, mental health nurses, solicitors, tribunal members, and police. Data were analysed using a general inductive approach. Three key categories emerged: (i) getting help; (ii) detention under the Act; and (iii) experiences of the tribunal process. This research highlights gaps in information and uncertainty about the involuntary admission process for stakeholders, but particularly for service users who are most affected by inadequate processes and supports. Mental health law has traditionally focussed on narrower areas of detention and treatment, but human rights law requires a greater refocussing on supporting service users to ensure a truly voluntary approach to care. The recent human rights treaty, the UN Convention on the Rights of Persons with Disabilities, is to guarantee a broad range of fundamental rights, such as liberty and integrity, which can be affected by coercive processes of involuntary admission and treatment. © 2016 Australian College of Mental Health Nurses Inc.

The Affordable Care Act: a case study for understanding and applying complexity concepts to health care reform.

Science.gov (United States)

Larkin, D Justin; Swanson, R Chad; Fuller, Spencer; Cortese, Denis A

2016-02-01

The current health system in the United States is the result of a history of patchwork policy decisions and cultural assumptions that have led to persistent contradictions in practice, gaps in coverage, unsustainable costs, and inconsistent outcomes. In working toward a more efficient health system, understanding and applying complexity science concepts will allow for policy that better promotes desired outcomes and minimizes the effects of unintended consequences. This paper will consider three applied complexity science concepts in the context of the Patient Protection and Affordable Care Act (PPACA): developing a shared vision around reimbursement for value, creating an environment for emergence through simple rules, and embracing transformational leadership at all levels. Transforming the US health system, or any other health system, will be neither easy nor quick. Applying complexity concepts to health reform efforts, however, will facilitate long-term change in all levels, leading to health systems that are more effective, efficient, and equitable. © 2014 John Wiley & Sons, Ltd.

An innovative approach to determine economically optimal coastal setback lines for risk informed coastal zone management

NARCIS (Netherlands)

Ranasinghe, R.; Jongejan, R.B.; Callaghan, D.; Vrijling, J.K.

2012-01-01

Current methods used to determine Coastal setback lines have several limitations. Furthermore, the historical practice of defining setback lines based on a single deterministic estimate is also proving inadequate with the emergence of risk management style coastal planning frameworks which require

Coastal and Marine Environment Problems in East Kalimantan Province

OpenAIRE

Supriharyono

2000-01-01

Coastal and marine problems were collected from the coastal community in area of the Municipality of Balikpapan East Kalimantan Province, from fishermen, NGO's and government officials. The technique used was that of the Field Participatory Workshop's. the result of the study revealed some coastal community awarenees, coastal resources USAge, and governmental policy. The local government's failure to solve those problems was mainly due to lack of social awarenees for environmental coastal man...

Supporting Mental Health and Wellbeing at a Whole-School Level: Listening to and Acting upon Children's Views

Science.gov (United States)

Hall, Sarah

2010-01-01

This project was conducted as a response to a primary school identifying a need to listen to and act upon children's views in relation to social and emotional aspects of learning. The consideration of children's views links to recent national emphasis on the importance of pupil voice. Mental health and wellbeing are also highlighted as a recent…

Predicting Disturbance-driven Impacts on Ecosystem Services in Coastal Wetlands

Science.gov (United States)

Rajan, S.; Crawford, P.; Kleinhuizen, A.; Mortazavi, B.; Sobecky, P.

2017-12-01

Natural and human-induced disturbances pose significant threats to the health and long-term productivity of Alabama coastal wetlands. As wetlands are a vital state resource, decisions on management, restoration, and remediation require actionable data if socio-economic demands are to be balanced with efforts to sustain these habitats. In 2010, the BP oil spill was a large and severe disturbance that threatened coastal Gulf ecosystem services. The largest marine oil spill to date served to highlight fundamental gaps in our knowledge of oil-induced disturbances and the resiliency and restoration of coastal Alabama wetland functions. To address these gaps, a year-long mesocosm study was conducted to investigate oil-induced effects on (i) plant-microbial interactions, (ii) microbial and plant biodiversity, and, (iii) the contributions of microbial genetic biodiversity to ecosystems services. In this study, Avicennia germinans (black mangrove), a C3 plant that grows from the tropics to warm temperate latitudes, were grown with or without mono- and polyculture mixtures of Spartina alterniflora, a C4 plant. At an interval of 3-months, oil was introduced as a pulse disturbance to achieve a concentration of 4000 ppm. Molecular-based analyses of microbial community biodiversity, genetic diversity, and functional metabolic genes were compared to controls (i.e., no oil disturbance). To assess the oil-induced effects on the nitrogen (N) cycle, measurements of denitrification and N fixation processes were conducted. Our results showed that community diversity and phylogenetic diversity significantly changed and that the oil disturbance contributed to the creation of niches for distinct microbial types. The abundance of N-fixing microbial types increased as the abundance of denitrifying microbial types decreased as a result of the oil disturbance. As denitrification is an ecosystem service that directly contributes to removing nitrate (NO3-) loading to coastal zones, impairment

60 years of Health Protection under the Clean Air Acts

OpenAIRE

Longhurst, J.

2016-01-01

2016 marks 60 years of UK Clean Air Acts. This presentation explores the challenges, opportunities and progress since the Clean Air Act, 1956. It reflects upon historical attempts to manage air pollution noting success factors and barriers to progress. Particular attention is given to the impact of the 1952 Great Smog and the role of National Smoke Abatement Society, the forerunner of Environmental Protection UK, in creating the momentum for the 1956 Act. The presentation concludes with a rev...

Coastal Community Group for Coastal Resilient in Timbulsloko Village, Sayung, Demak Regency, Indonesia

Science.gov (United States)

Purnaweni, Hartuti; Kismartini; Hadi, Sudharto P.; Soraya, Ike

2018-02-01

Coastal areas are very dynamic and fragile environment, demanding for policies to preserve these areas as materialized in the Resilient Coastal Development Program (PKPT) by the Indonesian government. Amongst the targeted area was Timbulsloko Village in Sayung District, Demak Regency, which coastal areas is severely damaged by erosion. This article analyzed the development of the Coastal Community Group (CCG) related to the PKPT program in Timbulsloko village, especially in how the group is empowered to increase the community's resilient in facing the disaster. This study, applied an analytical descriptive method, used the development of the CCG as phenomenon. Primary data was collected through observation and in-depth interviews with stakeholders, accompanying the secondary data. The result shows that the PKPT funding was mostly spent on infrastructure development and used for project management, not for optimizing local economic empowerment. After the completion of the PKPT, there are no actions or following programs to keep the physical results constructed by the CCG. Accordingly, the orientation towards the CCG building capacity for Timbulsloko community's ecological resilience had not been optimally implemented. This study recommended a "putting the last first" policy approach to preparing the local community. The government must play a stronger role in encouraging a self-help local group for strong human development

U.S. Coastal Relief Model - Hawaii

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — NGDC's U.S. Coastal Relief Model (CRM) provides the first comprehensive view of the U.S. coastal zone integrating offshore bathymetry with land topography into a...

National Coastal Condition Report IV Factsheet

Science.gov (United States)

Overall condition of the Nation’s coastal waters is fair. This rating is based on five indices of ecologicalcondition: water quality index, sediment quality index, benthic index, coastal habitat index, and fish tissue contaminants index.

Probabilistic estimation of dune erosion and coastal zone risk

NARCIS (Netherlands)

Li, F.

2014-01-01

Coastal erosion has gained global attention and has been studied for many decades. As a soft sea defence structure, coastal sandy dunes protect coastal zones all over the world, which usually are densely populated areas with tremendous economic value. The coastal zone of the Netherlands, one of the

Coastal erosion and accretion rates in Greece

Science.gov (United States)

Foteinis, Spyros; Papadopoulos, Costas; Koutsogiannaki, Irini; Synolakis, Costas

2010-05-01

Erosion threatens many coastal regions of Greece. Anthropogenic changes of landforms such as coastal roads built on even narrow beaches, sand mining for construction, poor design of coastal structures that interfere with sediment, and dams without sediment bypasses have significantly reduced beach widths. We present erosion rates for different beaches, some of which are in sensitive ecosystems, otherwise "protected" by local and EU ordinances. By comparing inferences of beach widths in varying intervals from 1933 to 2006, we infer that the construction of dams in Acheloos river in western Greece, built in a faraonic attempt to partially divert its flows to eastern Greece, this is responsible for up to 20m/year erosion rates observed in certain locales in the Acheloos delta. More characteristic erosion rates in the region are ~ 2m/year. By contrast, there appears rapid accretion of up to 4m/year in the beaches around the Nestos delta in northern Greece (Papadopoulos, 2009). In beaches that are not near large river deltas, erosion rates range from 0.5m/year to 1m/year. While we have not done comprehensive comparisons among coastlines with different levels of coastal development, it does appear that rapid coastal development correlates well with erosion rates. The underlying problem is the complete lack of any semblance of coastal zone management in Greece and substandard design of coastal structures, which are often sited without any measurements of waves and currents offshore (Synolakis et al, 2008). Beach maintenance remains an exotic concept for most local authorities, who invariably prefer to build hard coastal structures to "protect" versus nourish, siting lack of experience with nourishment and "environmental" concerns. In certain cases, choices are dictated by costs, the larger the cost the easier the project gets approved by regulatory authorities, hence the preference for concrete or rubble structures. We conclude that, unless urgent salvage measures are

The effect of drinking water salinity on blood pressure in young adults of coastal Bangladesh

International Nuclear Information System (INIS)

Talukder, Mohammad Radwanur Rahman; Rutherford, Shannon; Phung, Dung; Islam, Mohammad Zahirul; Chu, Cordia

2016-01-01

More than 35 million people in coastal Bangladesh are vulnerable to increasing freshwater salinization. This will continue to affect more people and to a greater extent as climate change projections are realised in this area in the future. However the evidence for health effects of consuming high salinity water is limited. This research examined the association between drinking water salinity and blood pressure in young adults in coastal Bangladesh. We conducted a cross-sectional study during May-June 2014 in a rural coastal sub-district of Bangladesh. Data on blood pressure (BP) and salinity of potable water sources was collected from 253 participants aged 19–25 years. A linear regression method was used to examine the association between water salinity exposure categories and systolic BP (SBP) and diastolic BP (DBP) level. Sixty five percent of the study population were exposed to highly saline drinking water above the Bangladesh standard (600 mg/L and above). Multivariable linear regression analyses identified that compared to the low water salinity exposure category (<600 mg/L), those in the high water salinity category (>600 mg/L), had statistically significantly higher SBP (B 3.46, 95% CI 0.75, 6.17; p = 0.01) and DBP (B 2.77, 95% CI 0.31, 5.24; p = 0.03). Our research shows that elevated salinity in drinking water is associated with higher BP in young coastal populations. Blood pressure is an important risk factor of hypertension and cardiovascular diseases. Given the extent of salinization of freshwater in many low-lying countries including in Bangladesh, and the likely exacerbation related to climate change-induced sea level rise, implementation of preventative strategies through dietary interventions along with promotion of low saline drinking water must be a priority in these settings. - Highlights: • Freshwater salinization will affect more people and to a greater extent as climate projections are realised in low-lying regions of the world. �

[Pierre Bourdieu and health: a sociological analysis of Actes de la Recherche en Sciences Sociales].

Science.gov (United States)

Montagner, Miguel Angelo

2008-07-01

This study aimed to highlight, illustrate, describe, and comment on the presence of the health category in the work of Pierre Bourdieu, by underlining the themes traditionally related to the sociology of the body. After a systematic analysis of his work in the sociology of medicine and health, the article also addresses the main vehicle for his line of thought, namely Actes de la Recherche en Sciences Sociales, viewed here as the prime channel for most of the research taking Bourdieu's "genetic structuralism" as the main theoretical reference. We analyze the articles published from 1975 to 2001, from the thematic and theoretical/conceptual perspective, by comparing the changes appearing in this journal in opposition to the model previously adopted by the Revue Française de Sociologie.

Hyperspectral Imager for the Coastal Ocean (HICO): Overview, Operational Updates, and Coastal Ocean Applications

Science.gov (United States)

Davis, Curtiss O.; Kappus, Mary E.; Bowles, Jeffrey H.; Evans, Cynthia A.; Stefanov, William L.

2014-01-01

The Hyperspectral Imager for the Coastal Ocean (HICO) was built to measure in-water properties of complex coastal regions. HICO enables synoptic coverage; 100-meter spatial resolution for sampling the variability and spatial irregularity of coastal waters; and high spectral resolution to untangle the signals from chlorophyll, colored dissolved organic matter, suspended sediments and varying bottom types. HICO was built by the Naval Research Laboratory, installed on the International Space Station (ISS) in September 2009, and operated for ONR for the first three years. In 2013, NASA assumed sponsorship of operations in order to leverage HICO's ability to address their Earth monitoring mission. This has opened up access of HICO data to the broad research community. Over 8000 images are now available on NASA's Ocean Color Website (http://oceancolor.gsfc.nasa.gov/cgi/browse.pl?sen=hi). Oregon State University's HICO website (http://hico.coas.oregonstate.edu) remains the portal for researchers to request new collections and access their requested data. We will present updates on HICO's calibration and improvements in geolocation and show examples of the use of HICO data to address issues in the coastal ocean and Great Lakes.

Coastal Inlets Research Program

Science.gov (United States)

2013-03-01

Geomorphic  Evolution • ADCP Currents  • ADCP Backscatter • Total Suspended  Solids • Turbidity  Sensor  Array • Wave Array • Light Attenuation • Surface...shore for both East and West Coastal and Hydraulics Laboratory 38 Coast Applications Summary and New Initiatives http://cirp.usace.army.milCIRP...Nearshore Berm Target Date: Sep FY15- Sep FY17 • Coastal experiments on Atlantic • Estuary experiments in Currituck Sound • Overland

Managing coastal resources in the 21st century

NARCIS (Netherlands)

Weinstein, Michael P.; Baird, Ronald C.; Conover, David O.; Gross, Matthias; Keulartz, Jozef; Loomis, David K.; Naveh, Zev; Peterson, Susan B.; Reed, Denise J.; Roe, Emery; Swanson, R. Lawrence; Swart, Jacques A. A.; Teal, John M.; Turner, R. Eugene; van der Windt, Henny J.

Coastal ecosystems are increasingly dominated by humans. Consequently, the human dimensions of sustainability science have become an integral part of emerging coastal governance and management practices. But if we are to avoid the harsh lessons of land management, coastal decision makers must

Uncertainty Analysis of Phytoplankton Dynamics in Coastal Waters

NARCIS (Netherlands)

Niu, L.

2015-01-01

There is an increasing concern about the interactions between phytoplankton and coastal ecosystems, especially on the negative effects from coastal eutrophication and phytoplankton blooms. As the key indicator of the coastal ecosystem, phytoplankton plays an important role in the whole impact-effect

An evolving research agenda for human-coastal systems

Science.gov (United States)

Lazarus, Eli D.; Ellis, Michael A.; Brad Murray, A.; Hall, Damon M.

2016-03-01

Within the broad discourses of environmental change, sustainability science, and anthropogenic Earth-surface systems, a focused body of work involves the coupled economic and physical dynamics of developed shorelines. Rapid rates of change in coastal environments, from wetlands and deltas to inlets and dune systems, help researchers recognize, observe, and investigate coupling in natural (non-human) morphodynamics and biomorphodynamics. This same intrinsic quality of fast-paced change also makes developed coastal zones exemplars of observable coupling between physical processes and human activities. In many coastal communities, beach erosion is a natural hazard with economic costs that coastal management counters through a variety of mitigation strategies, including beach replenishment, groynes, revetments, and seawalls. As cycles of erosion and mitigation iterate, coastline change and economically driven interventions become mutually linked. Emergent dynamics of two-way economic-physical coupling is a recent research discovery. Having established a strong theoretical basis, research into coupled human-coastal systems has passed its early proof-of-concept phase. This paper frames three major challenges that need resolving in order to advance theoretical and empirical treatments of human-coastal systems: (1) codifying salient individual and social behaviors of decision-making in ways that capture societal actions across a range of scales (thus engaging economics, social science, and policy disciplines); (2) quantifying anthropogenic effects on alongshore and cross-shore sediment pathways and long-term landscape evolution in coastal zones through time, including direct measurement of cumulative changes to sediment cells resulting from coastal development and management practices (e.g., construction of buildings and artificial dunes, bulldozer removal of overwash after major storms); and (3) reciprocal knowledge and data exchange between researchers in coastal

The Patient Protection and Affordable Care Act and Utilization of Preventive Health Care Services

Directory of Open Access Journals (Sweden)

Victor Eno

2016-02-01

Full Text Available We examined how (a health insurance coverage, and (b familiarity with the Patient Protection and Affordable Care Act (ACA’s or ObamaCare mandate of cost-free access to preventive health services, affect the use of preventive services by residents of a minority community. It was based on primary data collected from a survey conducted during March to April 2012 among a sample of self-identified African American adults in Tallahassee-Leon County area of northwest Florida. The Statistical Package for the Social Sciences (SPSS Version 22 was used for running frequency analysis on the data set and multivariable regression modeling. The results showed that of 524 respondents, 382 (73% had health insurance while 142 (27% lacked insurance. Majority of insured respondents, 332 (87%, used preventive health services. However, the remaining 13% of respondents did not use preventive services because they were unfamiliar with the ACA provision of free access to preventive services for insured people. Regression analysis showed a high (91.04% probability that, among the insured, the use of preventive health services depended on the person’s age, income, and education. For uninsured residents, the lack of health insurance was the key reason for non-use of preventive health services, while among the insured, lack of knowledge about the ACA benefit of free access contributed to non-use of preventive services. Expansion of Medicaid eligibility can increase insurance coverage rates among African Americans and other minority populations. Health promotion and awareness campaigns about the law’s benefits by local and state health departments can enhance the use of preventive services.

Affordable Care Act (ACA)

Data.gov (United States)

Social Security Administration — The Affordable Care Act (ACA) is a federal statute enacted with a goal of increasing the quality and affordability of health insurance. Through a web service, CMS...

STORMTOOLS: Coastal Environmental Risk Index (CERI

Directory of Open Access Journals (Sweden)

Malcolm L. Spaulding

2016-08-01

Full Text Available One of the challenges facing coastal zone managers and municipal planners is the development of an objective, quantitative assessment of the risk to structures, infrastructure, and public safety that coastal communities face from storm surge in the presence of changing climatic conditions, particularly sea level rise and coastal erosion. Here we use state of the art modeling tool (ADCIRC and STWAVE to predict storm surge and wave, combined with shoreline change maps (erosion, and damage functions to construct a Coastal Environmental Risk Index (CERI. Access to the state emergency data base (E-911 provides information on structure characteristics and the ability to perform analyses for individual structures. CERI has been designed as an on line Geographic Information System (GIS based tool, and hence is fully compatible with current flooding maps, including those from FEMA. The basic framework and associated GIS methods can be readily applied to any coastal area. The approach can be used by local and state planners to objectively evaluate different policy options for effectiveness and cost/benefit. In this study, CERI is applied to RI two communities; Charlestown representing a typical coastal barrier system directly exposed to ocean waves and high erosion rates, with predominantly low density single family residences and Warwick located within Narragansett Bay, with more limited wave exposure, lower erosion rates, and higher residential housing density. Results of these applications are highlighted herein.

The global coastal hazards data base

International Nuclear Information System (INIS)

Gornitz, V.; White, T.W.

1989-01-01

A rise of sea level between 0.5 and 1.5 m, caused by predicted climate warming in the next century, could jeopardize low-lying radioactive waste disposal sites near the coast, due to permanent and episodic inundation, increased shoreline retreat, and changes in the water table. The effects of global sea level rise on the shoreline will not be spatially uniform. Therefore, site selection will depend on assessment of these differential vulnerabilities, in order to avoid high-risk coasts. The coastal hazards data base described here could provide an appropriate framework. The coastal hazards data base integrates relevant topographic, geologic, geomorphologic, erosional and subsidence information in a Geographic Information System (GIS), to identify high-risk shorelines characterized by low coastal relief, an erodible substrate, present and past evidence of subsidence, extensive shoreline retreat, and high wave/tide energies. Data for seven variables relating to inundation and erosion hazards are incorporated into the ORNL ARC/INFO Geographic Information System (GIS). Data compilation has been completed for the US and is being extended to North America, and ultimately the world. A coastal vulnerability index (CVI) has been designed to flag high risk coastal segments. 17 refs., 2 figs., 2 tabs

Coastal Zone Hazards Related to Groundwater-Surface Water Interactions and Groundwater Flooding

Science.gov (United States)

Kontar, Y. A.; Ozorovich, Y. R.; Salokhiddinov, A. T.

2009-12-01

Worldwide, as many as half a million people have died in natural and man-made disasters since the turn of the 21st century (Wirtz, 2008). Further, natural and man-made hazards can lead to extreme financial losses (Elsner et al, 2009). Hazards, hydrological and geophysical risk analysis related to groundwater-surface water interactions and groundwater flooding have been to a large extent under-emphasized for coastal zone applications either due to economical limitations or underestimation of its significance. This is particularly true for tsunamis creating salt water intrusion to coastal aquifers, even though most tsunami hazard assessments have in the past relied on scenario or deterministic type models (Geist and Parsons, 2006), and to increasing mineralization of potable water because of intensive water diversions and also the abundance of highly toxic pollutants (mainly pesticides) in water, air and food, which contribute to the deterioration of the coastal population's health (Glantz, 2007). In the wake of pressing environmental and economic issues, it is of prime importance for the scientific community to shed light onto the great efforts by hydrologists and geophysicists to quantify conceptual uncertainties and to provide quality assurances of potential coastal zone hazard evaluation and prediction. This paper proposes consideration of two case studies which are important and significant for future development and essential for feasibility studies of hazards in the coastal zone. The territory of the Aral Sea Region in Central Asia is known as an ecological disaster coastal zone (Zavialov, 2005). It is now obvious that, in order to provide reasonable living conditions to the coastal zone population, it is first of all necessary to drastically improve the quality of the water dedicated to human needs. Due to their intensive pollution by industrial wastes and by drainage waters from irrigated fields, the Syr Darya and Amu Darya rivers can no longer be considered

Trends in the prevalence of hypertension in island and coastal areas of china: a systematic review with meta-analysis.

Science.gov (United States)

Chen, Xin; Wei, Wei; Zou, Safeng; Wu, Xiaomei; Zhou, Bo; Fu, Lingyu; Wang, Hailong; Shi, Jingpu

2014-12-01

With the economic development in recent years, there has been a dramatic increase in the prevalence of hypertension in some coastal cities of China; however, the number of reports regarding the prevalence of hypertension based on a nationwide study of island and coastal areas of China is limited. We estimated the prevalence and described the trends of hypertension during the last 3 decades in these specific areas. Authoritative databases were searched for cross-sectional studies reporting the prevalence of hypertension in island and coastal areas of China published in the past 3 decades, and 37 studies that involved 760,428 individuals representing 22 different locations were identified and included in our analysis. The estimated prevalence of hypertension was 9.8% (95% confidence interval (CI) = 6.3%-14.9%) in the 1980s, 18.5% (95% CI = 13.6%-24.8%) in the 1990s, and 30.0% (95% CI = 26.7%-33.6%) in the 2000s (χ(2) for trend: P = 0.00). In the 2000s, adjusted prevalence estimate of hypertension was 21.6% according to the national standard population composition in 1990, and the pooled prevalence estimate for the northern region in coastal areas of China was significantly higher than the southern region (36.2% vs. 26.2%; P = 0.002). Thus, the prevalence of hypertension in the island and coastal areas of China appears to have increased 21.5% in the last 3 decades; the increasing trend was observed in men and women. Our findings highlight the urgent need for public health strategies with more emphasis on improvement of primary health care in the island and coastal areas of China. © American Journal of Hypertension, Ltd 2014. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Keeping Food on the Table: Human Responses and Changing Coastal Fisheries in Solomon Islands.

Science.gov (United States)

Albert, Simon; Aswani, Shankar; Fisher, Paul L; Albert, Joelle

2015-01-01

Globally the majority of commercial fisheries have experienced dramatic declines in stock and catch. Likewise, projections for many subsistence fisheries in the tropics indicate a dramatic decline is looming in the coming decades. In the Pacific Islands coastal fisheries provide basic subsistence needs for millions of people. A decline in fish catch would therefore have profound impacts on the health and livelihoods of these coastal communities. Given the decrease in local catch rates reported for many coastal communities in the Pacific, it is important to understand if fishers have responded to ecological change (either by expanding their fishing range and/or increasing their fishing effort), and if so, to evaluate the costs or benefits of these responses. We compare data from fish catches in 1995 and 2011 from a rural coastal community in Solomon Islands to examine the potentially changing coastal reef fishery at these time points. In particular we found changes in preferred fishing locations, fishing methodology and catch composition between these data sets. The results indicate that despite changes in catch rates (catch per unit effort) between data collected in 2011 and 16 years previously, the study community was able to increase gross catches through visiting fishing sites further away, diversifying fishing methods and targeting pelagic species through trolling. Such insight into local-scale responses to changing resources and/or fisheries development will help scientists and policy makers throughout the Pacific region in managing the region's fisheries in the future.

Keeping Food on the Table: Human Responses and Changing Coastal Fisheries in Solomon Islands.

Directory of Open Access Journals (Sweden)

Simon Albert

Full Text Available Globally the majority of commercial fisheries have experienced dramatic declines in stock and catch. Likewise, projections for many subsistence fisheries in the tropics indicate a dramatic decline is looming in the coming decades. In the Pacific Islands coastal fisheries provide basic subsistence needs for millions of people. A decline in fish catch would therefore have profound impacts on the health and livelihoods of these coastal communities. Given the decrease in local catch rates reported for many coastal communities in the Pacific, it is important to understand if fishers have responded to ecological change (either by expanding their fishing range and/or increasing their fishing effort, and if so, to evaluate the costs or benefits of these responses. We compare data from fish catches in 1995 and 2011 from a rural coastal community in Solomon Islands to examine the potentially changing coastal reef fishery at these time points. In particular we found changes in preferred fishing locations, fishing methodology and catch composition between these data sets. The results indicate that despite changes in catch rates (catch per unit effort between data collected in 2011 and 16 years previously, the study community was able to increase gross catches through visiting fishing sites further away, diversifying fishing methods and targeting pelagic species through trolling. Such insight into local-scale responses to changing resources and/or fisheries development will help scientists and policy makers throughout the Pacific region in managing the region's fisheries in the future.

The near coastal environment monitored from space

International Nuclear Information System (INIS)

Szekielda, K.H.

1977-01-01

The optical information required for monitoring the marine environment from space is discussed and applied for the near coastal area. By categorizing coastal features it is possible to recognize coastal regions to a high degree and to indentify water masses derived from land sources and sewage dumping sites. It is concluded that monitoring from space can be used as a tool in environmental planning. (orig.) [de

Where the Sea Meets Land: The Coastal Zone

Science.gov (United States)

Environmental Science and Technology, 1976

1976-01-01

The first Coastal Society Conference discussed the present status of the coasts, coastal legislation, United States offshore oil policies, assessment of coastal environmental impacts and food and energy as resources or threats. The Society finds that management and legislation are needed for our coasts. (BT)

A survey of integrated coastal zone management experiences

NARCIS (Netherlands)

Stive, M.J.F.

1995-01-01

Coastal problems that stem from human activities are almost always rooted in resource use conflicts. Since the majority of the world's population lives in coastal areas, such conflicts can only be expected to increase. As population growth continues, the pressure to develop coastal areas for

Estimating total alkalinity for coastal ocean acidification monitoring at regional to continental scales in Australian coastal waters

KAUST Repository

Baldry, Kimberlee; Hardman-Mountford, Nick; Greenwood, Jim

2017-01-01

Owing to a lack of resources, tools, and knowledge, the natural variability and distribution of Total Alkalinity (TA) has been poorly characterised in coastal waters globally, yet variability is known to be high in coastal regions due to the complex interactions of oceanographic, biotic, and terrestrially-influenced processes. This is a particularly challenging task for the vast Australian coastline, however, it is also this vastness that demands attention in the face of ocean acidification (OA). Australian coastal waters have high biodiversity and endemism, and are home to large areas of coral reef, including the Great Barrier Reef, the largest coral reef system in the world. Ocean acidification threatens calcifying marine organisms by hindering calcification rates, threatening the structural integrity of coral reefs and other ecosystems. Tracking the progression of OA in different coastal regions requires accurate knowledge of the variability in TA. Thus, estimation methods that can capture this variability at synoptic scales are needed. Multiple linear regression is a promising approach in this regard. Here, we compare a range of both simple and multiple linear regression models to the estimation of coastal TA from a range of variables, including salinity, temperature, chlorophyll-a concentration and nitrate concentration. We find that regionally parameterised models capture local variability better than more general coastal or open ocean parameterised models. The strongest contribution to model improvement came through incorporating temperature as an input variable as well as salinity. Further improvements were achieved through the incorporation of either nitrate or chlorophyll-a, with the combination of temperature, salinity, and nitrate constituting the minimum model in most cases. These results provide an approach that can be applied to satellite Earth observation and autonomous in situ platforms to improve synoptic scale estimation of TA in coastal waters.

Estimating total alkalinity for coastal ocean acidification monitoring at regional to continental scales in Australian coastal waters

KAUST Repository

Baldry, Kimberlee

2017-06-01

Owing to a lack of resources, tools, and knowledge, the natural variability and distribution of Total Alkalinity (TA) has been poorly characterised in coastal waters globally, yet variability is known to be high in coastal regions due to the complex interactions of oceanographic, biotic, and terrestrially-influenced processes. This is a particularly challenging task for the vast Australian coastline, however, it is also this vastness that demands attention in the face of ocean acidification (OA). Australian coastal waters have high biodiversity and endemism, and are home to large areas of coral reef, including the Great Barrier Reef, the largest coral reef system in the world. Ocean acidification threatens calcifying marine organisms by hindering calcification rates, threatening the structural integrity of coral reefs and other ecosystems. Tracking the progression of OA in different coastal regions requires accurate knowledge of the variability in TA. Thus, estimation methods that can capture this variability at synoptic scales are needed. Multiple linear regression is a promising approach in this regard. Here, we compare a range of both simple and multiple linear regression models to the estimation of coastal TA from a range of variables, including salinity, temperature, chlorophyll-a concentration and nitrate concentration. We find that regionally parameterised models capture local variability better than more general coastal or open ocean parameterised models. The strongest contribution to model improvement came through incorporating temperature as an input variable as well as salinity. Further improvements were achieved through the incorporation of either nitrate or chlorophyll-a, with the combination of temperature, salinity, and nitrate constituting the minimum model in most cases. These results provide an approach that can be applied to satellite Earth observation and autonomous in situ platforms to improve synoptic scale estimation of TA in coastal waters.

Types and Functions of Coastal Structures

DEFF Research Database (Denmark)

Burcharth, H. F.; A. Hughes, Steven

2003-01-01

Coastal structures are used in coastal defence schemes with the objective of preventing shoreline erosion and flooding of the hinterland. Other objectives include sheltering of harbour basins and harbour entrances against waves, stabilization of navigation channels at inlets, and protection...

National Coastal Condition Report IV (2012)

Science.gov (United States)

The NCCR IV data shows an overall condition score of 3.0 for the nation’s coastal waters; although this score has improved substantially since 1990, the overall condition of the nation’s coastal resources continues to be rated fair.

137Cs activity and associated dose in the coastal marine environment of India

International Nuclear Information System (INIS)

Verma, G.P.; Sharma, D.N.; Jha, S.K.

2010-01-01

Coastal marine environment is important for India since a considerable percentage of the human population resides in coastal areas. Fallout radionuclides as well as non-radioactive substances have polluted the coastal marine environment of India. The introduction of 137 Cs, a fallout radionuclide, considered as global pollutant, into marine environment has created the need for marine environmental data. The main objective is to provide data on the present level of 137 Cs which is important from the standpoint of radiological health and dose associated with it. Such database will also provide benchmark which will be helpful in assessing the impact of additional contribution to marine radioactivity in the future. The results confirm that the mean annual individual dose from 137 Cs in seafood (fish) for the Indian subcontinent is 0.03 μSv. The highest annual individual dose for 137 Cs due to the ingestion offish is in the age group of 40 to 59 years which is due to the reason that the Indian annual dietary intake of fish is highest in this age group

Question of uncertainty : Transitioning from hurricanes to the BP Deepwater Horizon oil spill in coastal Louisiana

Science.gov (United States)

Cheong, S.

2013-12-01

Uncertainty is highlighted in the case of the oil spill. Hurricane is considered a known factor that people are used to and know how to handle. This uncertainty is primarily attributed to the magnitude of the spill. As the largest spill in the U.S., the long-term effects of the spill are difficult to assess. Uncertainty, however, has more to do with the novelty of the disaster and the accompanying regulatory change than the specific characteristics of this spill such as the size and longevity of the spill. The unfamiliarity with the Oil Pollution Act results in a lack of knowledge and uncertainty about local and state responses to the spill. The unpreparedness and unfamiliarity of this spill accompanied by different regulations underlie people's sense of uncertainty. This paper examines coastal Louisiana's shift from frequent hurricanes to the BP Deepwater Horizon oil spill in 2010, particularly focusing on the effects of changed regulations from the Stafford Act to the Oil Pollution Act. It documents how the federal, state, and local governments adjust, and discusses the shifting emphasis to the environment with the activation of the Oil Pollution Act and the Clean Water Act. One assumption is that people's established ways of behavior are commonly shaped by their previous experience of disasters, but this can paradoxically hinder their timely adaptation to new or different, high- impact environmental change. This leads to testing the hypothesis whether greater vulnerabilities result from adaptations to previous and well-known disasters. Results: The structural differences in regulations dictate the way governments and communities respond and adapt to the oil spill. The new set of regulations during the BP Deepwater Horizon oil spill unlike the ones during hurricanes served as barriers to adaptation. Governments at federal, state, and local levels had difficulties adjusting to new rules and changed authorities, and they, in turn, generated uncertainty and

Winter Activity of Coastal Plain Populations of Bat Species Affected by White-Nose Syndrome and Wind Energy Facilities.

Directory of Open Access Journals (Sweden)

John F Grider

Full Text Available Across the entire distribution of a species, populations may have variable responses to environmental perturbations. Many bat species experience mortality in large portions of their range during hibernation and along migratory paths to and from wintering grounds, from White-nose syndrome (WNS and wind energy development, respectively. In some areas, warm temperatures may allow bats to remain active through winter, thus decreasing their susceptibility to WNS and/or mortality associated with migration to wintering grounds. These areas could act as a refugia and be important for the persistence of local populations. To determine if warmer temperatures affect bat activity, we compared year-round activity of bat populations in the Coastal Plain and Piedmont of North Carolina, USA, two regions that differ in winter temperature. We established six recording stations, four along a 295-kilometer north-south transect in the Coastal Plain, and two in the Piedmont of North Carolina. We recorded bat activity over two years. We supplemented our recordings with mist-net data. Although bat activity was lower during winter at all sites, the odds of recording a bat during winter were higher at Coastal Plain sites when compared with Piedmont sites. Further, bats in the Piedmont had a lower level of winter activity compared to summer activity than bats in the Coastal Plain that had more similar levels of activity in the winter and summer. We found high bat species richness on the Coastal Plain in winter, with winter-active species including those known to hibernate throughout most of their range and others known to be long distance migrants. In particular, two species impacted by WNS, the northern long-eared bat (Myotis septentrionalis and tricolored bat (Perimyotis subflavus, were present year round in the Coastal Plain. The tricolored bat was also present year-round in the Piedmont. In the Coastal Plain, the long distance migratory hoary bat (Lasiurus cinereus

Winter Activity of Coastal Plain Populations of Bat Species Affected by White-Nose Syndrome and Wind Energy Facilities.

Science.gov (United States)

Grider, John F; Larsen, Angela L; Homyack, Jessica A; Kalcounis-Rueppell, Matina C

2016-01-01

Across the entire distribution of a species, populations may have variable responses to environmental perturbations. Many bat species experience mortality in large portions of their range during hibernation and along migratory paths to and from wintering grounds, from White-nose syndrome (WNS) and wind energy development, respectively. In some areas, warm temperatures may allow bats to remain active through winter, thus decreasing their susceptibility to WNS and/or mortality associated with migration to wintering grounds. These areas could act as a refugia and be important for the persistence of local populations. To determine if warmer temperatures affect bat activity, we compared year-round activity of bat populations in the Coastal Plain and Piedmont of North Carolina, USA, two regions that differ in winter temperature. We established six recording stations, four along a 295-kilometer north-south transect in the Coastal Plain, and two in the Piedmont of North Carolina. We recorded bat activity over two years. We supplemented our recordings with mist-net data. Although bat activity was lower during winter at all sites, the odds of recording a bat during winter were higher at Coastal Plain sites when compared with Piedmont sites. Further, bats in the Piedmont had a lower level of winter activity compared to summer activity than bats in the Coastal Plain that had more similar levels of activity in the winter and summer. We found high bat species richness on the Coastal Plain in winter, with winter-active species including those known to hibernate throughout most of their range and others known to be long distance migrants. In particular, two species impacted by WNS, the northern long-eared bat (Myotis septentrionalis) and tricolored bat (Perimyotis subflavus), were present year round in the Coastal Plain. The tricolored bat was also present year-round in the Piedmont. In the Coastal Plain, the long distance migratory hoary bat (Lasiurus cinereus) was active in the

Coastal resuspension

International Nuclear Information System (INIS)

Garland, J.A.

1991-11-01

There are several potential mechanisms for the suspension in air of radioactive or other pollutants from coastal sea water, beaches, mud banks and salt marshes. Available measurements rarely allow these mechanisms to be distinguished. The limited data show a broad spread of results. When normalised by the concentration of radionuclides in beach sediments most of the data indicate concentrations equivalent to 1 to 30 μg m -3 of sediment suspended in air, both for sampling sites on open coasts and near estuaries. Limited evidence for sampling sites located on salt marshes indicates about 0.2 μg m -3 of suspended sediment. These values represent the aggregate effect of the mechanisms that operate at a limited number of coastal locations. At other locations it is possible that additional mechanisms will contribute to the suspension of sediment. (Author)

Diabetic retinopathy and visual impairment in disaster prone coastal population of Bangladesh

Directory of Open Access Journals (Sweden)

M. Abu Sayeed

2016-01-01

Full Text Available Background and objective– Disaster prone coastal population has least accessibility to health care and very little is known about the prevalence of diabetes, diabetic retinopathy (DR and visual impairment. This study addressed the prevalence of visual impairment and DR and risk factors related to DR among population residing in disaster prone areas of Bangladesh. Methods: Thirty-two coastal communities in six coastal districts were purposively selected. All coastal people of age 18 years or more were considered eligible. Investigations included clinical history, anthropometry (height, weight, waist- and hip-girth, blood pressure and fasting blood glucose (FBG. The participants with hyperglycemia (FBG ≥5.6mmol/l were undertaken for eye examination. Visual acuity was measured bilaterally using the Snellen chart. An Early treatment diabetic retinopathy study (ETDRS cut out chart with E Optotypes was used. Results: A total of 7567 participants volunteered and 1540 had hyperglycemia (FBG ≥5.6mmol/l. Of the hyperglycemic participants, 1214 (91.7% participated for complete eye examination. Visual impairment of any type was found in 14.1%, any type cataract in 27.8% and any type DR in 18%. The participants of advancing age of higher social class and higher central obesity had excess risk for developing DR. The participants with known family history of diabetes also had greater risk. Compared with the group having FBG 5.6 – 6.9mmol/l those having FBG >6.9mmol/l had significant risk for DR (OR 3.11, 95%CI 2.04 – 4.76. Conclusion: The study concludes that visual impairment and cataract of any type is almost comparable with other coastal populations. The coastal people had higher prevalence of DR compared to rural population from other areas of Bangladesh and it was also higher than global estimate. The persons with higher age from higher social class with higher central obesity had excess risk for DR. The risk of DR increased with increasing

Modeling Coastal Vulnerability through Space and Time.

Science.gov (United States)

Hopper, Thomas; Meixler, Marcia S

2016-01-01

Coastal ecosystems experience a wide range of stressors including wave forces, storm surge, sea-level rise, and anthropogenic modification and are thus vulnerable to erosion. Urban coastal ecosystems are especially important due to the large populations these limited ecosystems serve. However, few studies have addressed the issue of urban coastal vulnerability at the landscape scale with spatial data that are finely resolved. The purpose of this study was to model and map coastal vulnerability and the role of natural habitats in reducing vulnerability in Jamaica Bay, New York, in terms of nine coastal vulnerability metrics (relief, wave exposure, geomorphology, natural habitats, exposure, exposure with no habitat, habitat role, erodible shoreline, and surge) under past (1609), current (2015), and future (2080) scenarios using InVEST 3.2.0. We analyzed vulnerability results both spatially and across all time periods, by stakeholder (ownership) and by distance to damage from Hurricane Sandy. We found significant differences in vulnerability metrics between past, current and future scenarios for all nine metrics except relief and wave exposure. The marsh islands in the center of the bay are currently vulnerable. In the future, these islands will likely be inundated, placing additional areas of the shoreline increasingly at risk. Significant differences in vulnerability exist between stakeholders; the Breezy Point Cooperative and Gateway National Recreation Area had the largest erodible shoreline segments. Significant correlations exist for all vulnerability (exposure/surge) and storm damage combinations except for exposure and distance to artificial debris. Coastal protective features, ranging from storm surge barriers and levees to natural features (e.g. wetlands), have been promoted to decrease future flood risk to communities in coastal areas around the world. Our methods of combining coastal vulnerability results with additional data and across multiple time

Coastal Community Group for Coastal Resilient in Timbulsloko Village, Sayung, Demak Regency, Indonesia

Directory of Open Access Journals (Sweden)

Purnaweni Hartuti

2018-01-01

Full Text Available Coastal areas are very dynamic and fragile environment, demanding for policies to preserve these areas as materialized in the Resilient Coastal Development Program (PKPT by the Indonesian government. Amongst the targeted area was Timbulsloko Village in Sayung District, Demak Regency, which coastal areas is severely damaged by erosion. This article analyzed the development of the Coastal Community Group (CCG related to the PKPT program in Timbulsloko village, especially in how the group is empowered to increase the community’s resilient in facing the disaster. This study, applied an analytical descriptive method, used the development of the CCG as phenomenon. Primary data was collected through observation and in-depth interviews with stakeholders, accompanying the secondary data. The result shows that the PKPT funding was mostly spent on infrastructure development and used for project management, not for optimizing local economic empowerment. After the completion of the PKPT, there are no actions or following programs to keep the physical results constructed by the CCG. Accordingly, the orientation towards the CCG building capacity for Timbulsloko community’s ecological resilience had not been optimally implemented. This study recommended a "putting the last first" policy approach to preparing the local community. The government must play a stronger role in encouraging a self-help local group for strong human development

Which moral hazard? Health care reform under the Affordable Care Act of 2010.

Science.gov (United States)

Mendoza, Roger Lee

2016-06-20

Purpose - Moral hazard is a concept that is central to risk and insurance management. It refers to change in economic behavior when individuals are protected or insured against certain risks and losses whose costs are borne by another party. It asserts that the presence of an insurance contract increases the probability of a claim and the size of a claim. Through the US Affordable Care Act (ACA) of 2010, this study seeks to examine the validity and relevance of moral hazard in health care reform and determine how welfare losses or inefficiencies could be mitigated. Design/methodology/approach - This study is divided into three sections. The first contrasts conventional moral hazard from an emerging or alternative theory. The second analyzes moral hazard in terms of the evolution, organization, management, and marketing of health insurance in the USA. The third explains why and how salient reform measures under the ACA might induce health care consumption and production in ways that could either promote or restrict personal health and safety as well as social welfare maximization. Findings - Insurance generally induces health care (over) consumption. However, not every additional consumption, with or without adverse selection, can be considered wasteful or risky, even if it might cost insurers more in the short run. Moral hazard can generate welfare and equity gains. These gains might vary depending on which ACA provisions, insured population, covered illnesses, treatments, and services, as well as health outcomes are taken into account, and because of the relative ambiguities surrounding definitions of "health." Actuarial risk models can nonetheless benefit from incorporating welfare and equity gains into their basic assumptions and estimations. Originality/value - This is the first study which examines the ACA in the context of the new or alternative theory of moral hazard. It suggests that containing inefficient moral hazard, and encouraging its desirable

National Coastal Condition Report III Factsheet

Science.gov (United States)

The National Coastal Condition Report III (NCCR III) is the third in a series of environmental assessments of U.S. coastal waters and the Great Lakes. The report includes assessments of the nation’s estuaries in the contiguous 48 states and Puerto Rico.

National Coastal Condition Report III (2008)

Science.gov (United States)

The National Coastal Condition Report III (NCCR III) is the third in a series of environmental assessments of U.S. coastal waters and the Great Lakes. The report includes assessments of the nation’s estuaries in the contiguous 48 states and Puerto Rico.

Statutory Instrument No. 1439 (C.26) The Health and Safety at Work etc. Act 1974 (Commencement No.1) Order 1974

International Nuclear Information System (INIS)

1974-01-01

This Order brings into operation progressively Parts I, II and IV of the Safety at Work etc. Act of 31 July 1974. Certain provisions entered into force as from 1 October 1974 and the remainder as from 1 April 1974; the provisions respectively relate to the establishment and functions of the Health and Safety Commission, the Health and Safety Executive and the general duties of employers. (NEA) [fr

Environmental literacy in agriculture and coastal areas

Science.gov (United States)

Pujianti, N.; Munandar, A.; Surakusumah, W.

2018-05-01

This research aim to investigate the environmental literacy of junior high school students in agricultural and coastal areas in Subang based on knowledge, cognitive skill and attitudes toward to environment. This research used descriptive method. The subjects of the research were 7 grade students of junior high school and involved 62 participants in agriculture area and 64 participants in coastal area. The instrument of environment literacy adapted from Middle School Environment Literacy Survey (MSELS) and adapted to the context of agricultural and coastal area. The results showed that: environmental literacy in agricultural areas is 169.30 with moderate category and environmental literacy in the coastal area is 152.61 in the moderate category.

29 CFR 1977.10 - Proceedings under or related to the Act.

Science.gov (United States)

2010-07-01

... OCCUPATIONAL SAFETY AND HEALTH ACT OF 1970 Specific Protections § 1977.10 Proceedings under or related to the... standard under section 6(f) of the Act and employee appeal of an Occupational Safety and Health Review... 1977.10 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION...

Radiation Safety Act 1975 - No 44 of 1975

International Nuclear Information System (INIS)

1975-01-01

This Act regulates the use of radioactive substances and irradiating apparatus, including particle accelerators as well as certain specified electronic products. The Act lays down a licensing and registration system for such substances and apparatus; it sets up a Radiological Council to administer the Act and to advise the Minister responsible for public health on matters of radiation safety. The radioactive Substances Act 1954 and the Amending Acts of 1960 and 1964 are repealed. (NEA) [fr

Strengthening HIV health care services for men who have sex with men in coastal Kenya

NARCIS (Netherlands)

van der Elst, E.M.

2015-01-01

This thesis describes work with Kenyan men who have sex with men (MSM) who are highly stigmatized and discriminated against in society, and have not been targeted in HIV prevention programming until recently. Initial work included a size estimation of MSM who sell sex in coastal Kenya in 2006, and a

Survey on the implementation of the Occupational Health and Safety Act at an academic hospital in Johannesburg.

Science.gov (United States)

Foromo, Muraga R; Chabeli, Mary; Satekge, Mpho M

2016-09-28

Despite the available research findings, recommendations and the South African Occupational Health and Safety Act (OHSA) (Act 85 of 1993), there are still challenges with regard to the implementation of selected sections and regulations of the OHSA. This is evidenced by the occupational injuries and illness claims registered with the compensation fund (South Africa, Department of Labour 1993). To determine the extent to which the OHSA was implemented at an academic hospital in Johannesburg, from the senior professional nurses and nursing managers' perspective, and to describe recommendations in order to facilitate the implementation of the Act. A contextual, quantitative, exploratory and descriptive survey was conducted. A purposive sampling method was used to select the participants that met the inclusion criteria. A structured Likert-scale questionnaire was used to collect data (Brink 2011). Stata version 12 was used to analyse the data. Cronbach's alpha, with a cut-off point of 0.7 was used to test for internal consistency. Ethical considerations were strictly adhered to. Results are presented in the form of graphs, frequency distributions and tables. The study revealed that overall there is 93.3% non-implementation of the selected sections and regulations of the OHSA. These results have serious implications on the health and safety of employees in the workplace. The study recommends that the replication of the study should be conducted in order to determine the extent of implementation of the selected sections and regulations of the OHSA in other government institutions.

(abstract) Seasonal Variability in Coastal Upwelling: A Comparison of Four Coastal Upwelling Sites from Space

Science.gov (United States)

Carr, Mary-Elena

1996-01-01

Coastal upwelling of subsurface nutrient-rich water occurs along the eastern boundary of the ocean basins and leads to high primary production and fish catches. In this study satellite observations are used to compare the seasonal cycle in wind forcing and in the oceanic and biological response of the major coastal upwelling regions associated with the Canary, Benguela, California, and Humboldt Currents.

Preface: Remote Sensing in Coastal Environments

Directory of Open Access Journals (Sweden)

Deepak R. Mishra

2016-08-01

Full Text Available The Special Issue (SI on “Remote Sensing in Coastal Environments” presents a wide range of articles focusing on a variety of remote sensing models and techniques to address coastal issues and processes ranging for wetlands and water quality to coral reefs and kelp habitats. The SI is comprised of twenty-one papers, covering a broad range of research topics that employ remote sensing imagery, models, and techniques to monitor water quality, vegetation, habitat suitability, and geomorphology in the coastal zone. This preface provides a brief summary of each article published in the SI.

Towards a more complete SOCCR: Establishing a Coastal Carbon Data Network

Science.gov (United States)

Pidgeon, E.; Howard, J.; Tang, J.; Kroeger, K. D.; Windham-Myers, L.

2015-12-01

The 2007 State of the Carbon Cycle Report (SOCCR) was highly influential in ensuring components of the carbon cycle were accounted for in national policy and related management. However, while SOCCR detailed the significance of North American coastal wetlands, it was not until recently that leading governments began to fully recognized these ecosystems for their carbon sequestration and storage capacity and hence the significant role coastal ecosystems can play in GHG emission reductions strategies, offset mechanisms, coastal management strategies and climate mitigation policy. The new attention on coastal carbon systems has exposed limitations in terms of data availability and data quality, as well as insufficient knowledge of coastal carbon distributions, characteristics and coastal carbon cycle processes. In addition to restricting scientific progress, lack of comprehensive, comparable, and quality-controlled coastal carbon data is hindering progress towards carbon based conservation and coastal management. To directly address those limitations, we are developing a Global Science and Data Network for Coastal "Blue" Carbon, with support from the Carbon Cycle Interagency Working Group. Goals include: • Improving basic and applied science on carbon and GHG cycling in vegetated coastal ecosystems; • Supporting a coastal carbon and associated GHG data archive for use by the science community, coastal and climate practitioners and other data users; • Building the capacity of coastal carbon stakeholders globally to collect and interpret high quality coastal carbon science and data; • Providing a forum and mechanism to promote exchange and collaboration between scientists and coastal carbon data users globally; and • Outreach activities to ensure the best available data are globally accessible and that science is responsive to the needs of coastal managers and policy-makers.

NOAA Integrated Ocean and Coastal Mapping (IOCM) orthorectified mosaic image tiles, coastal North Carolina, 2008 (NODC Accession 0074382)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — These data are a NOAA Integrated Ocean and Coastal Mapping (IOCM) Product collected from the coastal North Carolina (Pamlico Sound) region. Imagery products are true...

The Coastal Ocean Prediction Systems program: Understanding and managing our coastal ocean. Volume 1: Strategic summary

Energy Technology Data Exchange (ETDEWEB)

1990-05-15

The proposed COPS (Coastal Ocean Prediction Systems) program is concerned with combining numerical models with observations (through data assimilation) to improve our predictive knowledge of the coastal ocean. It is oriented toward applied research and development and depends upon the continued pursuit of basic research in programs like COOP (Coastal Ocean Processes); i.e., to a significant degree it is involved with ``technology transfer`` from basic knowledge to operational and management applications. This predictive knowledge is intended to address a variety of societal problems: (1) ship routing, (2) trajectories for search and rescue operations, (3) oil spill trajectory simulations, (4) pollution assessments, (5) fisheries management guidance, (6) simulation of the coastal ocean`s response to climate variability, (7) calculation of sediment transport, (8) calculation of forces on structures, and so forth. The initial concern is with physical models and observations in order to provide a capability for the estimation of physical forces and transports in the coastal ocean. For all these applications, there are common needs for physical field estimates: waves, tides, currents, temperature, and salinity, including mixed layers, thermoclines, fronts, jets, etc. However, the intent is to work with biologists, chemists, and geologists in developing integrated multidisciplinary prediction systems as it becomes feasible to do so. From another perspective, by combining observations with models through data assimilation, a modern approach to monitoring is provided through whole-field estimation.

Coastal debris analysis in beaches of Chonburi Province, eastern of Thailand as implications for coastal conservation

International Nuclear Information System (INIS)

Thushari, Gajahin Gamage Nadeeka; Chavanich, Suchana; Yakupitiyage, Amararatne

2017-01-01

This study quantified coastal debris along 3 beaches (Angsila, Bangsaen, Samaesarn) in eastern coast of Thailand. Debris samples were collected from lower and upper strata of these beaches during wet and dry seasons. The results showed that Bangsaen had the highest average debris density (15.5 m −2 ) followed by Samaesarn (8.10 m −2 ), and Angsila (5.54 m −2 ). Among the 12 debris categories, the most abundant debris type was plastics (> 45% of the total debris) in all beach locations. Coastal debris distribution was related to economic activities in the vicinity. Fishery and shell-fish aquaculture activities were primary sources of debris in Angsila while tourism activities were main sources in Bangsaen and Samaesarn. Site-specific pollution control mechanisms (environmental awareness, reuse and recycling) are recommended to reduce public littering. Management actions in Angsila should focus on fishery and shell-fish culture practices, while Bangsaen and Samaesarn should be directed toward leisure activities promoting waste management. - Highlights: • Beach debris assessment was conducted in Chonburi Province, the eatern part of Thailand. • Coastal debris accumulation rates and sizes in the study sites depended on beach characteristics and seasons. • Anthropogenic sources were major contributors of coastal debris in the study sites. • Debris control programs need to focus on site specific coastal pollution issues for effective pollution management actions.

THE INNOVATIVE POLICY OPTIONS FOR COASTAL FISHERIES ECONOMIC DEVELOPMENT: A CASE OF KWANDANG BAY COASTAL ECOSYSTEM

Directory of Open Access Journals (Sweden)

Noel Taylor Moore

2017-07-01

Full Text Available Socio-environmental problems, such as climate change, pollution and habitat destruction, present serious challenges for fisheries economic development. The integration of interventions or investments within a coastal marine ecosystem, a defined spatial area, is considered important in the economic development of local communities leading to the planned outcomes of livelihoods, food security and conservation The coastal marine ecosystem, is the provider of products and services to the local economy adjacent to the ecosystem where the benefit flows, within that area, are interconnected. The roles of science, technology and innovation (STI are an integral part of these multi-dimensional interventions. Hence the need for an integrated approach for these interventions by government and/or through donor funded projects to enhance economic development of coastal communities. The policy framework proposed is therefore an STI perspective of the links between these intervention and investment options, based on a ‘fisheries economic development Hub’ (Hub and discussed using the multi-level perspective (MLP. The policy innovation proposal suggests an implementation strategy of a pilot project and analyses the selection and implications of a potential Indonesian site for the application of the Hub. This paper aims to introduce the MLP into the framework of coastal community-based fisheries economic development.   Key words: policy innovation. coastal marine ecosystem, fisheries economic development Hub, value chains, multi-level perspective (MLP

California's historic effort to reduce the stigma of mental illness: the Mental Health Services Act.

Science.gov (United States)

Clark, Wayne; Welch, Stephanie N; Berry, Sandra H; Collentine, Ann M; Collins, Rebecca; Lebron, Dorthy; Shearer, Amy L

2013-05-01

In a historic effort to reduce the stigma of mental illness, California voters approved the Mental Health Services Act in 2004. The law funds a comprehensive statewide prevention initiative that places stigma and discrimination reduction at its center, with 25 projects providing interventions at the institutional, societal, and individual levels. Stakeholders selected specific strategies from the research-based California Strategic Plan on Reducing Stigma and Discrimination. Strategies range from social marketing to increase public knowledge to capacity building at the local level, including training that emphasizes participation by consumers of mental health services and cultural competence. Collectively, these strategies aim to foster permanent change in the public perception of mental illness and in the individual experience of stigma. We examined the context, planning, programming, and evaluation of this effort.

Assessing the multidimensionality of coastal erosion risks: public participation and multicriteria analysis in a Mediterranean coastal system.

Science.gov (United States)

Roca, Elisabet; Gamboa, Gonzalo; Tàbara, J David

2008-04-01

The complex and multidimensional nature of coastal erosion risks makes it necessary to move away from single-perspective assessment and management methods that have conventionally predominated in coastal management. This article explores the suitability of participatory multicriteria analysis (MCA) for improving the integration of diverse expertises and values and enhancing the social-ecological robustness of the processes that lead to the definition of relevant policy options to deal with those risks. We test this approach in the Mediterranean coastal locality of Lido de Sète in France. Results show that the more adaptive alternatives such as "retreating the shoreline" were preferred by our selected stakeholders to those corresponding to "protecting the shoreline" and the business as usual proposals traditionally put forward by experts and policymakers on these matters. Participative MCA contributed to represent coastal multidimensionality, elicit and integrate different views and preferences, facilitated knowledge exchange, and allowed highlighting existing uncertainties.

Particle Tracking Model (PTM) with Coastal Modeling System (CMS)

Science.gov (United States)

2015-11-04

Coastal Inlets Research Program Particle Tracking Model (PTM) with Coastal Modeling System ( CMS ) The Particle Tracking Model (PTM) is a Lagrangian...currents and waves. The Coastal Inlets Research Program (CIRP) supports the PTM with the Coastal Modeling System ( CMS ), which provides coupled wave...and current forcing for PTM simulations. CMS -PTM is implemented in the Surface-water Modeling System, a GUI environment for input development

Hurricane Gustav: Observations and Analysis of Coastal Change

Science.gov (United States)

Doran, Kara S.; Stockdon, Hilary F.; Plant, Nathaniel G.; Sallenger, Asbury H.; Guy, Kristy K.; Serafin, Katherine A.

2009-01-01

Understanding storm-induced coastal change and forecasting these changes require knowledge of the physical processes associated with a storm and the geomorphology of the impacted coastline. The primary physical processes of interest are the wind field, storm surge, currents, and wave field. Not only does wind cause direct damage to structures along the coast, but it is ultimately responsible for much of the energy that is transferred to the ocean and expressed as storm surge, mean currents, and surface waves. Waves and currents are the processes most responsible for moving sediments in the coastal zone during extreme storm events. Storm surge, which is the rise in water level due to the wind, barometric pressure, and other factors, allows both waves and currents to attack parts of the coast not normally exposed to these processes. Coastal geomorphology, including shapes of the shoreline, beaches, and dunes, is also a significant aspect of the coastal change observed during extreme storms. Relevant geomorphic variables include sand dune elevation, beach width, shoreline position, sediment grain size, and foreshore beach slope. These variables, in addition to hydrodynamic processes, can be used to predict coastal vulnerability to storms. The U.S. Geological Survey (USGS) National Assessment of Coastal Change Hazards project (http://coastal.er.usgs.gov/hurricanes) strives to provide hazard information to those concerned about the Nation's coastlines, including residents of coastal areas, government agencies responsible for coastal management, and coastal researchers. As part of the National Assessment, observations were collected to measure morphological changes associated with Hurricane Gustav, which made landfall near Cocodrie, Louisiana, on September 1, 2008. Methods of observation included oblique aerial photography, airborne topographic surveys, and ground-based topographic surveys. This report documents these data-collection efforts and presents qualitative and

Health Education Specialists' Knowledge, Attitudes, and Perceptions of the Patient Protection and Affordable Care Act.

Science.gov (United States)

Strong, Jessica; Hanson, Carl L; Magnusson, Brianna; Neiger, Brad

2016-03-01

The changing landscape of health care as a result of the Patient Protection and Affordable Care Act (ACA) may provide new opportunities for health education specialists (HES). The purpose of this study was to survey HES in the United States on their knowledge and attitudes of the ACA and assess their perceptions of job growth under the law. A random sample of 220 (36% response rate) certified HES completed a 53-item cross sectional survey administered online through Qualtrics. Findings were compared to public opinion on health care reform. HES are highly favorable of the law (70%) compared to the general public (23%). A total of 85% of respondents were able to list a provision of the ACA, and most (81%) thought the ACA would be successful at increasing insured Americans. Over half (64.6%) believe job opportunities will increase. Those who viewed the law favorably were significantly more likely to score better on a knowledge scale related to the ACA. HES understand publicized provisions but are uncertain about common myths and specific provisions related to Title IV, "Prevention of Chronic Disease and Improving Public Health." Directed and continuing education to HES regarding the ACA is warranted. © 2015 Society for Public Health Education.

Natural and anthropogenic factors affecting freshwater lenses in coastal dunes of the Adriatic coast

Science.gov (United States)

Cozzolino, Davide; Greggio, Nicolas; Antonellini, Marco; Giambastiani, Beatrice Maria Sole

2017-08-01

This study characterizes the near-shore portion of the shallow coastal aquifer included in the Ravenna area (Northern Italy) with special attention to the roles of coastal dunes as freshwater reservoirs and their buffer on groundwater salinity. The paper focuses on the presence and evolution of freshwater lenses below coastal dunes and highlights the existing differences between preserved natural dunes and dunes strongly affected by human intervention. The influence that multiple natural and anthropogenic factors, such as land cover, local drainage network, and beach erosion have on the presence, size and evolution of the freshwater lenses in the aquifer is quantified and discussed. The methodology includes multiple seasonal monitoring and sampling campaigns of physical (water level, salinity, and temperature) and chemical (major cations and anions) groundwater parameters. Results indicate that freshwater lenses, where existing, are limited in thickness (about 1-2 m). Proximity to drainage ditches as well as limited dune elevation and size do not allow the formation and permanent storage of large freshwater lenses in the aquifer below the dunes. The pine forest land cover, that replaced the typical bush or sand cover, intensifies evapotranspiration reducing net infiltration and freshwater storage. The cation species distribution in the water shows that a freshening process is ongoing in preserved natural sites with stable or advancing beaches, whereas a salinization process is ongoing in anthropogenic-impacted areas with strongly-fragmented dune systems. Currently, the thin freshwater lenses in the shallow Ravenna coastal aquifer are limited in space and have no relevance for irrigation or any other human activity. The dune-beach system, however, is the recharge zone of the coastal aquifer and its protection is important to reduce water and soil salinization, which in turn control the health of the whole coastal ecosystem.

NOAA's Coastal Change Analysis Program (C-CAP) 1996 to 2010 Regional Land Cover Change Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 2006 to 2016 Regional Land Cover Change Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 2001 to 2016 Regional Land Cover Change Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 1985 to 2006 Regional Land Cover Change Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 1996 to 2001 Regional Land Cover Change Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 1992 to 2006 Regional Land Cover Change Data - Coastal United States

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The NOAA Coastal Change Analysis Program (C-CAP) produces national standardized land cover and change products for the coastal regions of the U.S. C-CAP products...

NOAA's Coastal Change Analysis Program (C-CAP) 2001 to 2006 Regional Land Cover Change Data - Coastal United States