WorldWideScience

Sample records for directorate health protection

  1. 75 FR 41213 - National Protection and Programs Directorate; Infrastructure Protection Data Call Survey; Correction

    Science.gov (United States)

    2010-07-15

    ... SECURITY National Protection and Programs Directorate; Infrastructure Protection Data Call Survey; Correction AGENCY: National Protection and Programs Directorate, DHS. ACTION: Notice; correction. SUMMARY: On December 22, 2009, the Department of Homeland Security (DHS), National Protection and Programs...

  2. 16 CFR 1000.27 - Directorate for Health Sciences.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Directorate for Health Sciences. 1000.27... AND FUNCTIONS § 1000.27 Directorate for Health Sciences. The Directorate for Health Sciences is managed by the Associate Executive Director for Health Sciences and is responsible for reviewing...

  3. 75 FR 5608 - National Protection and Programs Directorate; Communications Unit Leader (COML) Prerequisite and...

    Science.gov (United States)

    2010-02-03

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOMELAND SECURITY National Protection and Programs Directorate; Communications Unit Leader (COML) Prerequisite and Evaluation AGENCY: National Protection and Programs Directorate, Department of Homeland Security. ACTION:...

  4. Independent Directors and Stakeholders Protection: A Case of Sime Darby

    Directory of Open Access Journals (Sweden)

    Prashanth Beleya

    2012-04-01

    Full Text Available In today’s ever challenging corporate environment, the unfortunate events of decision making by top management has led major companies to suffer huge losses. This results and mistakes made have given a significant impact to the stake holder’s perception and raise a serious questions on the role of board of directors especially the role of independent directors. In today’s fast evolving business pace with stiff economic conditions, unethical and misjudgment in business decisions are driving the board’s role in corporate governance as an integral element. Hence, corporate governance can be defined as the way listed entities should be operating in accordance with legal framework, rules and regulations that underpin an institution so as to ensure strict compliance with law, sharing and balancing of powers between board of directors and stakeholders. As such, the board with a balance mixture of types of directors, where the independent directors predominate the board’s strategy formulation and implementation in the interest of governance is needed. This paper seeks to bring focus to the importance of the role of independent directors in ensuring that the organization runs its operations in the manner where stakeholders especially shareholders and corporate governance is a virtue.

  5. 76 FR 5186 - National Protection and Programs Directorate; Agency Information Collection Activities; Office of...

    Science.gov (United States)

    2011-01-28

    ... local governments, and the private sector in a timely manner.'' DHS designated IP to lead these efforts... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOMELAND... Protection and Programs Directorate (NPPD), Office of Infrastructure Protection (IP), will submit the...

  6. The ethical commitment of independent directors in different contexts of investor protection

    Directory of Open Access Journals (Sweden)

    Isabel María García-Sánchez

    2015-04-01

    Full Text Available The purpose of this study is to compare, for countries with different legal environments, the degree to which boards of directors may improve corporate ethical behaviour by designing codes of ethics. These codes address issues such as a company's responsibility regarding the quality of its products and services, compliance with laws and regulations, conflicts of interest, corruption and fraud, and protection of the natural environment. Using a sample of firms from 12 countries, we obtain evidence that a greater presence of independent directors on the board leads to the existence of more complex codes of ethics. Moreover, there are significant differences between countries with high levels and countries with low levels of investor protection as regards the effectiveness of independent directors in constraining unethical behaviour by managers.

  7. 75 FR 18850 - National Protection and Programs Directorate; Chemical Facility Anti-Terrorism Standards...

    Science.gov (United States)

    2010-04-13

    ... SECURITY National Protection and Programs Directorate; Chemical Facility Anti-Terrorism Standards Personnel... commercial or financial information, Chemical-terrorism Vulnerability Information (CVI), Sensitive Security... Facility Anti-Terrorism Standards (CFATS), 6 CFR part 27, require high-risk chemical facilities to submit...

  8. Environmental Protection Agency, Protecting Children's Environmental Health

    Science.gov (United States)

    ... Agency Search Search Contact Us Share Protecting Children's Environmental Health Children are often more vulnerable to pollutants ... during development. Learn more about children's health, the environment, and what you can do. Basic Information Children ...

  9. Phytochemicals: Health Protective Effects.

    Science.gov (United States)

    Craig, Winston; Beck, Leslie

    1999-01-01

    Consuming a diet rich in plant foods will provide a milieu of phytochemicals, non-nutritive substances in plants that possess health-protective benefits. Vegetables, fruits, whole grains, herbs, nuts and seeds contain an abundance of phenolic compounds, terpenoids, sulfur compounds, pigments, and other natural antioxidants that have been associated with protection from and/or treatment of conditions such as cardiovascular disease and cancer. The foods and herbs with the highest anticancer activity include garlic, soybeans, cabbage, ginger, licorice root, and the umbelliferous vegetables. Citrus, in addition to providing an ample supply of vitamin C, folic acid, potassium, and soluble fibre, contains a host of active phytochemicals. Clinical trials have not yet been able to demonstrate the same protective effects from taking supplements. It is difficult to estimate how many Canadians achieve an adequate level of consumption, but it seems reasonable to assume that many Canadians could benefit from substantially increasing their intake of vegetables and fruit.

  10. Programs director`s report for the Office of Health and Environmental Research

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-08-01

    Since its establishment, the Department of Energy`s Office of Health and Environmental Research (OHER) has had responsibility for conducting biological research to develop the knowledge needed to identify, understand, and anticipate the long-term health consequences of energy use and development, including the potential health impacts of radiation. The Health Effects Research Program has established the basis for understanding the health consequences of radiation for humans, developed radiation dosimetry methodology, characterized and evaluated the health impacts of fossil fuels, and developed and conducted research to determine the health impacts of inhaled toxicants. The results of this research have provided input for setting genetic standards for radiation and chemical exposure.

  11. Advanced general dentistry program directors' attitudes on physician involvement in pediatric oral health care.

    Science.gov (United States)

    Raybould, Ted P; Wrightson, A Stevens; Massey, Christi Sporl; Smith, Tim A; Skelton, Judith

    2009-01-01

    Childhood oral disease is a significant health problem, particularly for vulnerable populations. Since a major focus of General Dentistry Program directors is the management of vulnerable populations, we wanted to assess their attitudes regarding the inclusion of physicians in the prevention, assessment, and treatment of childhood oral disease. A survey was mailed to all General Practice Residency and Advanced Education in General Dentistry program directors (accessed through the ADA website) to gather data. Spearman's rho was used to determine correlation among variables due to nonnormal distributions. Overall, Advanced General Dentistry directors were supportive of physicians' involvement in basic aspects of oral health care for children, with the exception of applying fluoride varnish. The large majority of directors agreed with physicians' assessing children's oral health and counseling patients on the prevention of dental problems. Directors who treated larger numbers of children from vulnerable populations tended to strongly support physician assistance with early assessment and preventive counseling.

  12. Sexual Health Education in Massage Therapy Programs: A Survey of Program Directors

    Science.gov (United States)

    Zamboni, Brian D.; Healey, Dale K.

    2016-01-01

    Massage therapy program directors completed an online survey to explore sexual education in massage therapy programs. The overall data suggest that program directors are supportive of sexual health education in the training of massage therapists and that such education is integrated into several aspects of their training programs. To enhance…

  13. Fiduciary duties of interlocking directors within a nonprofit health system.

    Science.gov (United States)

    Hershey, Nathan; Jarzab, Christine M

    2005-01-01

    In response to regulatory and financial pressures, entities participating in the healthcare industry have joined with others in order to maintain, even improve, their market positions. In the non-profit sector of the industry, partnerships, mergers, and acquisitions have included arrangements whereby some corporate partners have interlocking directors. After review of the fiduciary duties of care and loyalty owed by corporate board members, and their application to traditional performance and conflict of interest situations, the authors address two scenarios raising interlocking director issues.

  14. New NIH Director Dr. Francis Collins on Medical Research That Benefits Everyone's Health

    Science.gov (United States)

    ... It's a marathon. Our goal is to advance biomedical research in new, innovative ways that will benefit everyone's health." — NIH Director Dr. Francis Collins Healthcare Reform— We can put science to work to better understand how to rein ...

  15. Program director`s overview report for the Office of Health & Environmental Research

    Energy Technology Data Exchange (ETDEWEB)

    Gilbert, D. [ed.

    1994-02-01

    LBL performs basic and applied research and develops technologies in support of the Office of Health and Environmental Research`s mission to explore and mitigate the long-term health and environmental consequences of energy use and to advance solutions to major medical challenges. The ability of the Laboratory to engage in this mission depends upon the strength of its core competencies. In addition, there are several key capabilities that are cross-cutting, or underlie, many of the core competencies. Attention is focused on the following: Facilities and resources; research management practices; research in progress; program accomplishments and research highlights; program orientation; work for non-OHER organizations DOE; critical issues; and resource orientation.

  16. Program director`s report for the Office of Health and Environmental Research

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-07-01

    LBNL performs basic and applied research and develops technologies in support of the Department of Energy Office of Health and Environmental Research`s mission to explore and mitigate the long-term health and environmental consequences of energy use and to advance solutions to major medical challenges. The ability of the Laboratory to engage in this mission depends upon the strength of its core competencies. In addition, there are several key capabilities that are crosscutting, or underlie, many of the core competencies. They are: bioscience and biotechnology; environmental assessment and remediation; advanced detector systems; materials characterization and synthesis; chemical dynamics, catalysis, and surface science; advanced technologies for energy supply and energy efficiency; particle and photon beams; national research facilities; computation and information management; engineering design and fabrication technologies; and education of future scientists and engineers. Research in progress and major accomplishments are summarized for projects in analytical technology; environmental research; health effects; molecular carcinogenesis; general life sciences; human genome project; medical applications; and imaging of E-binding proteins.

  17. From the Director: Surfing the Web for Health Information

    Science.gov (United States)

    ... authoritative health information from across the World Wide Web. Searching for Reliable Results Most Internet users first visit a search engine — like Google or Yahoo! — when seeking health information. ...

  18. Mobile Technology and Health Care, From NIH Director Dr. Francis S. Collins | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... version of this page please turn Javascript on. Mobile Technology and Health Care, From NIH Director Dr. Francis S. ... Contents Mobile health, or mHealth for short, uses mobile technologies for health research and healthcare delivery. At last ...

  19. Boards of directors under fire: an examination of nonprofit board duties in the health care environment.

    Science.gov (United States)

    Ono, N

    1998-01-01

    Attorney Ono presents a detailed discussion of fiduciary duty principles as applied to the directors of nonprofit health care corporations in the current health care environment. The article reviews general corporate responsibilities, the implication of the taxpayer's Bill of Rights 2, the care of In re Caremark International Inc. Derivative Litigation and particular issues faced by boards in nonprofit conversions.

  20. Allied health deans' and program directors' perspectives of specialized accreditation effectiveness and reform.

    Science.gov (United States)

    Baker, Sarah S; Morrone, Anastasia S; Gable, Karen E

    2004-01-01

    Criticisms, calls for change, and recommendations for specialized accreditation improvement have been made by individuals or groups external to the daily operations of allied health educational programs, frequently as opinion pieces or articles lacking a research foundation. While there is a great deal of concern related to specialized accreditation, little input has been provided from those within, and integral to, allied health educational programs affected by specialized accreditation standards. The purpose of this study was to explore the perspectives of selected allied health deans and program directors regarding specialized accreditation effectiveness and reform. Survey research was used to study perspectives of allied health deans and program directors located in four-year colleges and universities and in academic health centers and medical schools. Surveys were mailed to program directors offering-programs in clinical laboratory sciences and medical technology, nuclear medicine technology, occupational therapy, physical therapy, radiation therapy, and radiography. Simultaneously, allied health deans located within these institutions were surveyed. A total of 773 surveys were mailed and 424 valid responses were received, yielding a response rate of 55%. The results affirmed the role of accreditation as an effective system for assuring quality in higher education. The role of specialized accreditation in improving the quality of allied health programs was clearly articulated by the respondents. Respondents voiced strong opposition to governmental or state-level requirements for accountability and emphasized the vital role of peer evaluators. Significant differences in deans' and program directors' perspectives related to specialized accreditation were evident. Whereas deans and program directors agreed with the purposes of specialized accreditation, they expressed less support for the process and effectiveness, and critique and reform, of specialized

  1. Health Protection Products Are Hot

    Institute of Scientific and Technical Information of China (English)

    JANE SHAW

    1994-01-01

    FooDS and beverages that are made from natural ingredients and advertised as therapies are sweeping the consumer market. The health protection products I’ve seen can be divided into five categories. They include: 1. Beverages: tea, haw juice, mineral water; 2. Medicinal liquids: royal jelly, black-boned chicken essence, softshelled turtle essence; 3. Health protection foods: brown rice powder, rice vinegar, asparagus juice, egg-white candy;

  2. Radiation protection policies to protect public health

    Energy Technology Data Exchange (ETDEWEB)

    Muckerheide, J. [Commonwealth Massachusetts, Needham, MA (United States)

    1995-12-31

    Scientific data from plant, animal, and human populations more strongly find radiation essential to life, i.e., suppressing background radiation is debilitating and that moderately enhanced radiation doses have positive effects, than that low-moderate radiation dose has adverse effects. {close_quote} Federal radiation protection policy will be in the public interest and save hundreds of billions of dollars at no public health cost when known dose effects to exposed populations are applied to ensure no adverse health effects, with safety margins, and when appropriate research is funded (and public benefits from new radiation and nuclear science and technology applications are enabled) at the sole cost of reduced federal power and influence.

  3. Brazilian union actions for workers' health protection

    Directory of Open Access Journals (Sweden)

    Rodolpho Repullo Junior

    Full Text Available CONTEXT: Many authors have emphasized the importance of worker strength through unionized organizations, in relation to the improvement of working procedures, and have reported on the decisiveness of labor movement actions in achieving modifications within the field of work and health. OBJECTIVE: To describe the ways in which Brazilian unions have tried to intervene in health-illness and work processes, identifying the existence of commonality in union actions in this field. TYPE OF STUDY: Qualitative study. SETTING: Postgraduate Program, Environmental Health Department, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil. METHODS: Union health advisers and directors were interviewed. Documents relating to union action towards protecting workers' health were collected and analyzed. RESULTS: Unions articulate actions regarding workers' health of a technical and political nature that involve many aspects and high complexity. These have been divided into thematic categories for better analysis. DISCUSSION: Union actions regarding workers' health in Brazil are restricted to some unions, located mainly in the southern, southeastern and northeastern regions of the country. Nonetheless, the unions undertaking such actions represent many professions of great economic and political importance. CONCLUSIONS: The recent changes in health and safety at work regulations, recognition of professional diseases, creation of workers' health services and programs within the unified health system, and operational improvements in companies' specialized safety and occupational medicine services, all basically result from union action. There is commonality of union action in this field in its seeking of technical and political strengthening for all workers and their general and local representation. This has the objective of benefiting collective bargaining between employers and workers. Inter-institutional action on behalf of workers' rights

  4. The impact of institutional ethics on academic health sciences library leadership: a survey of academic health sciences library directors.

    Science.gov (United States)

    Tooey, Mary Joan M J; Arnold, Gretchen N

    2014-10-01

    Ethical behavior in libraries goes beyond service to users. Academic health sciences library directors may need to adhere to the ethical guidelines and rules of their institutions. Does the unique environment of an academic health center imply different ethical considerations? Do the ethical policies of institutions affect these library leaders? Do their personal ethical considerations have an impact as well? In December 2013, a survey regarding the impact of institutional ethics was sent to the director members of the Association of Academic Health Sciences Libraries. The objective was to determine the impact of institutional ethics on these leaders, whether through personal conviction or institutional imperative.

  5. 78 FR 9709 - Office of the Director, National Institutes of Health; Notice of Closed Meeting

    Science.gov (United States)

    2013-02-11

    ... personal privacy. Name of Committee: Office of Research Infrastructure Programs Special Emphasis Panel; NIH..., 6701 Democracy Blvd., Bethesda, MD 20892. Contact Person: Mohan Viswanathan, Deputy Director, Office of...), National Institutes of Health, 6701 Democracy Blvd., Democracy 1, Room 1084, Bethesda, MD 20892-4874,...

  6. 76 FR 62071 - Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention (CDC)-Health...

    Science.gov (United States)

    2011-10-06

    ..., Thomas R. Harkin Global Communications Center, Room 117, 1600 Clifton Road, NE., Atlanta, Georgia 30333... Director through the ACD on strategic and other health disparities and health equity issues and provide..., Telephone: (404) 498-2320, E-mail: LEL1@cdc.gov . The Director, Management Analysis and Services Office, has...

  7. Measuring the authority of local public health directors in the context of organizational structure: an exploratory, multimodal approach.

    Science.gov (United States)

    Miner Gearin, Kimberly J; Thrash, Allison M Rick; Frauendienst, Renee; Myhre, Julie; Gyllstrom, M Elizabeth; Riley, William J; Schroeder, Janelle

    2012-11-01

    Studies have reported a relationship between the organization of public health services and variability in public health practice at the local and state levels. A national research agenda has prioritized practice-based research to understand pathways that lead to this variation and examine the impact of these differences on outcomes. To measure the extent to which Minnesota local health directors report having key authorities and examine the relationship between organizational structure and authority of local health directors. : Multimodal. Minnesota local health departments. Directors of Minnesota local health departments. Director authorities. Most Minnesota local health directors reported having 6 key authorities related to budget preparation and modification and interaction with local elected officials (n = 51, 71%). Twelve directors (16%) reported that they have 4 or fewer of the 6 authorities. The authority most commonly reported as lacking was the authority to initiate communication with locally elected officials (n = 15, 21%). The percentage of directors who reported having all 6 authorities was higher among those in stand-alone departments (82%) than those in combined organizations (50%). This descriptive study illustrates that emerging practice-based research networks can successfully collaborate on small-scale research projects with immediate application for systems development. Study findings are being used by local public health officials to help articulate their role, aid in succession planning, and inform elected officials, who need to consider the public health implications of potential changes to local public health governance and organization. More studies are needed to refine measurement of authority and structure.

  8. 75 FR 82037 - National Protection and Programs Directorate; President's National Security Telecommunications...

    Science.gov (United States)

    2010-12-29

    ... Programs Directorate; President's National Security Telecommunications Advisory Committee AGENCY: National... Committee Meeting. SUMMARY: The President's National Security Telecommunications Advisory Committee (NSTAC... telecommunications policy. The new NSTAC Chair, James Crowe, Chief Executive Officer (CEO), Level 3...

  9. 75 FR 21006 - Town Hall Discussion With the Director of the Center for Devices and Radiological Health and...

    Science.gov (United States)

    2010-04-22

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Town Hall Discussion With the Director of the Center for... announcing a public meeting entitled: ``Town Hall Discussion With the Director of the Center for Devices...

  10. 75 FR 40844 - Town Hall Discussion With the Director of the Center for Devices and Radiological Health and...

    Science.gov (United States)

    2010-07-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Town Hall Discussion With the Director of the Center for... announcing a public meeting entitled: ``Town Hall Discussion With the Director of the Center for Devices...

  11. 75 FR 24718 - Town Hall Discussion With the Director of the Center for Devices and Radiological Health and...

    Science.gov (United States)

    2010-05-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Town Hall Discussion With the Director of the Center for...) is announcing a public meeting entitled ``Town Hall Discussion With the Director of the Center...

  12. [Chile: social protection in health].

    Science.gov (United States)

    Urriola, Rafael

    2006-10-01

    This piece begins with a brief discussion of the concepts leading to the social right to health protection. Special emphasis is placed on the principle of social cohesion, which has influenced social health protection in European countries. Chile's experience in this field from the 1990s to the present is described, as exemplified in three dimensions. In the first place, social security coverage is presented as a means to achieve universal (horizontal) coverage. A discussion follows on vertical coverage, where the author identifies health problems for which insured persons have guaranteed rights of access to medical care. This section describes available emergency care, primary health care, and the special plan for Universal Access to Explicit Guarantees (Acceso Universal de Garantías Explícitas de salud, or AUGE). Thirdly, the discussion covers the funding sources supporting the Chilean health care system: Government subsidies, contributions to social security, and out-of-pocket disbursements for private care. Chile's public health system has various special programs. One of them is catastrophic insurance, which covers 100% of the care needed for complex and very costly treatments. Older persons (over 65) have coverage for 100% of the cost of eyeglasses and hearing aids, and for 50% of the cost of home care. If life expectancy is an appropriate indicator of health system results, it is worth noting that Chile and the United States of America have both achieved a life expectancy of 77 years, even though Chile spends only 5.9% of its gross domestic product on health care, as compared to the 15% spent by the United States.

  13. [Patient safety culture in directors and managers of a health service].

    Science.gov (United States)

    Giménez-Júlvez, Teresa; Hernández-García, Ignacio; Aibar-Remón, Carlos; Gutiérrez-Cía, Isabel; Febrel-Bordejé, Mercedes

    To assess patient safety culture in directors/managers. Cross-sectional descriptive study carried out from February to June 2011 among the executive/managing staff of the Aragón Health Service through semi-structured interviews. A total of 12 interviews were carried out. All the respondents admitted that there were many patient safety problems and agreed that patient safety was a priority from a theoretical rather than practical perspective. The excessive changes in executive positions was considered to be an important barrier which made it difficult to establish long-term strategies and achieve medium-term continuity. This study recorded perceptions on patient safety culture in directors, an essential factor to improve patient safety culture in this group and in the organisations they run. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  14. Perspectives of Australian nursing directors regarding educational preparation for mental health nursing practice.

    Science.gov (United States)

    Happell, Brenda; McAllister, Margaret

    2014-11-01

    There is an ongoing global shortage of mental health nurses. Within Australia, the principal strategy of offering a postgraduate education programme with various incentives to encourage nurses back to study has not been successful. This has led to the consideration of radical alternatives, including the return to pre-registration specialisation in mental health. The successful introduction of this strategy would require the full support of industry partners. To date, the voice of industry has not been heard in relation to this issue. The aim of this paper is to present the views of an Australian sample of mental health nursing directors regarding the resources and other factors required, should undergraduate specialist programmes in mental health be developed, to ensure they are relevant and likely to be successful. A qualitative exploratory research project was undertaken to explore the perspectives and opinions of industry partners. In-depth interviews were conducted with nursing directors (n = 12) in Queensland Australia. Five main themes were identified: relationships with universities; clinical placement preparation and support; workplace culture; facilitators and preceptors; and practical student learning. Genuine collaboration between the two organisations was considered crucial for delivering a quality programme and providing the required support for students. Transformative leadership could inform this collaboration by promoting acknowledgement of and respect for differences.

  15. High Turnover Among State Health Officials/Public Health Directors: Implications for the Public's Health.

    Science.gov (United States)

    Halverson, Paul K; Lumpkin, John R; Yeager, Valerie A; Castrucci, Brian C; Moffatt, Sharon; Tilson, Hugh

    State health officials (SHOs) serve a critical role as the leaders of state public health systems. Despite their many responsibilities, there is no formal process for preparation to become an SHO, and few requirements influence the selection of an SHO. Furthermore, to date, no studies have examined SHO tenure or their experiences. This study examines SHO tenure over time and the relationship between SHO tenure and organizational and state attributes. This longitudinal study employed primary data on SHOs and secondary data from the Association of State and Territorial Health Officials on organizational attributes of state public health agencies. This study examines SHOs within the United States. SHOs who served in years 1980-2017. Annual average SHO tenure; average SHO tenure by state. In the 38 years of this study, 508 individuals served as SHOs in the 50 states and the District of Columbia. The average tenure over this period was 4.1 years, with a median tenure of 2.9 years. During the study period, almost 20% of SHOs served terms of 1 year or less. A total of 32 SHOs (32/508 or 6.3%) served for 10 years or longer. Excluding SHOs who served 10 years or longer (n = 32 SHOs who had a collective 478 years of tenure) reduces the average term in office to 3.5 years. The average number of new SHOs per year is 12.3. SHOs appointed by a board of health averaged more than 8 years in office compared with averages just under 4 years for those appointed by governors or secretaries of state agencies. There are notable differences in SHO tenure across states. Future research is needed to further examine SHO tenure, effectiveness, job satisfaction, transitions, and the relationship between SHOs and state health. It may be valuable to expand on opportunities for new SHOs to learn from peers who have moderate to long tenures as well as SHO alumni. Given that average SHO tenure is approximately 4 years and that an SHO could be thrust into the national spotlight at a moment's notice

  16. 27 February 2012 - Director of the Health Directorate at the Research DG European Commission R. Draghia-Akli in the ATLAS visitor centre with ATLAS Former Collaboration Spokesperson P. Jenni and Head of CERN EU Projects Office S. Stavrev; in the LHC superconducting magnet test hall with E. Todesco; and signing the guest book with CERN Director-General R. Heuer.

    CERN Multimedia

    Michel Blanc

    2012-01-01

    27 February 2012 - Director of the Health Directorate at the Research DG European Commission R. Draghia-Akli in the ATLAS visitor centre with ATLAS Former Collaboration Spokesperson P. Jenni and Head of CERN EU Projects Office S. Stavrev; in the LHC superconducting magnet test hall with E. Todesco; and signing the guest book with CERN Director-General R. Heuer.

  17. Directors' duty of care to monitor information systems in HMOs: some lessons from the Oxford Health Plan.

    Science.gov (United States)

    O'Byrne, M E

    This paper examines the legal and strategic issues raised by the use of information systems in health maintenance organizations (HMOs) and other managed care organizations. Given the critical nature of information systems to an HMO's business success and regulatory compliance, the large financial investment HMOs make in their systems, and the widely publicized concerns over the year 2000 "millennium bug" problem, information systems are appropriately a matter of concern to an HMO's board of directors. The recent experience of Oxford Health Plans, Inc. offers a case study in the apparent failure of the directors to monitor adequately the in-house development of an information system. The systems disaster which this corporation suffered in 1997 led to a dramatic drop in stock price, from which the company has yet to recover, as well as intense scrutiny by state and federal regulators and countless shareholder derivative actions against the directors. Corporate directors are subject to the fiduciary duty of care. Despite statutes in some states requiring directors to act prudently, state courts almost always apply the standard of gross negligence. As a result, even when directors act without due deliberation in their decision, it is rare that a court will find them to have failed in their duty of care. The business and regulatory community may find otherwise, however, when directors fail to evaluate information systems options carefully and the business suffers as a result.

  18. Pacific Northwest Laboratory: Director`s overview of research performed for DOE Office of Health And Environmental Research

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    A significant portion of the research undertaken at Pacific Northwest Laboratory (PNL) is focused on the strategic programs of the US Department of Energy`s (DOE) Office of Health and Environmental Research (OHER). These programs, which include Environmental Processes (Subsurface Science, Ecosystem Function and Response, and Atmospheric Chemistry), Global Change (Climate Change, Environmental Vulnerability, and Integrated Assessments), Biotechnology (Human Genome and Structural Biology), and Health (Health Effects and Medical Applications), have been established by OHER to support DOE business areas in science and technology and environmental quality. PNL uses a set of critical capabilities based on the Laboratory`s research facilities and the scientific and technological expertise of its staff to help OHER achieve its programmatic research goals. Integration of these capabilities across the Laboratory enables PNL to assemble multidisciplinary research teams that are highly effective in addressing the complex scientific and technical issues associated with OHER-sponsored research. PNL research efforts increasingly are focused on complex environmental and health problems that require multidisciplinary teams to address the multitude of time and spatial scales found in health and environmental research. PNL is currently engaged in research in the following areas for these OHER Divisions: Environmental Sciences -- atmospheric radiation monitoring, climate modeling, carbon cycle, atmospheric chemistry, ecological research, subsurface sciences, bioremediation, and environmental molecular sciences; Health Effects and Life Sciences -- cell/molecular biology, and biotechnology; Medical Applications and Biophysical Research -- analytical technology, and radiological and chemical physics. PNL`s contributions to OHER strategic research programs are described in this report.

  19. The Relationship of Food Consumption and Nutritional Status on Employee of Health Polytechnic Directorate Health Ministry Medan

    Directory of Open Access Journals (Sweden)

    Evawany Aritonang

    2016-02-01

    Full Text Available The increasing prevalence of overweight can be seen from the people who are overweight and obesity. North Sumatera is one of the provinces which has the higher prevalence of overweight and obesity than the national rate at 13% and 18.1%. One of the factors associated with overweight and obesity is food consumption. Poor dietary habbit, which is low in fiber and high in fat, can lead to weight gain. The purpose of this study was to determine the relationship of dietary habbit to nutritional status. The research used cross sectional design. The sample were 70 employee of Health Polytechnic Directorate, Health Ministry of Medan and taken by using total sampling technique. The measured factors were carbohydrate and fat intake, the type of food and nutritional status. The data were obtained based on the interviews using food recall, FFQ and questionnaires and measurement of IMT. Data were analyzed using chi square test. The results showed that there was a relationship between the adequate intake of carbohydrates (p = <0.001 and adequate intake of fat (p = 0.022 to nutritional status while the type of food consumed does not show relationship to nutritional status. It is recommended that The Management of Health Polytechnic Directorate, Health Ministry, Medan to do concealing, make policy and supervision to carry out

  20. 78 FR 17410 - Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention-Health...

    Science.gov (United States)

    2013-03-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention--Health Disparities Subcommittee (HDS) In accordance...

  1. 78 FR 64504 - Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention-Health...

    Science.gov (United States)

    2013-10-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention (CDC) Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention--Health Disparities Subcommittee (HDS) Notice of...

  2. 78 FR 62635 - Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention-Health...

    Science.gov (United States)

    2013-10-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention--Health Disparities Subcommittee (HDS) In accordance...

  3. Climate change and local public health in the United States: preparedness, programs and perceptions of local public health department directors.

    Directory of Open Access Journals (Sweden)

    Edward W Maibach

    Full Text Available While climate change is inherently a global problem, its public health impacts will be experienced most acutely at the local and regional level, with some jurisdictions likely to be more burdened than others. The public health infrastructure in the U.S. is organized largely as an interlocking set of public agencies at the federal, state and local level, with lead responsibility for each city or county often residing at the local level. To understand how directors of local public health departments view and are responding to climate change as a public health issue, we conducted a telephone survey with 133 randomly selected local health department directors, representing a 61% response rate. A majority of respondents perceived climate change to be a problem in their jurisdiction, a problem they viewed as likely to become more common or severe over the next 20 years. Only a small minority of respondents, however, had yet made climate change adaptation or prevention a top priority for their health department. This discrepancy between problem recognition and programmatic responses may be due, in part, to several factors: most respondents felt personnel in their health department--and other key stakeholders in their community--had a lack of knowledge about climate change; relatively few respondents felt their own health department, their state health department, or the Centers for Disease Control and Prevention had the necessary expertise to help them create an effective mitigation or adaptation plan for their jurisdiction; and most respondents felt that their health department needed additional funding, staff and staff training to respond effectively to climate change. These data make clear that climate change adaptation and prevention are not currently major activities at most health departments, and that most, if not all, local health departments will require assistance in making this transition. We conclude by making the case that, through their

  4. Climate change and local public health in the United States: preparedness, programs and perceptions of local public health department directors.

    Science.gov (United States)

    Maibach, Edward W; Chadwick, Amy; McBride, Dennis; Chuk, Michelle; Ebi, Kristie L; Balbus, John

    2008-07-30

    While climate change is inherently a global problem, its public health impacts will be experienced most acutely at the local and regional level, with some jurisdictions likely to be more burdened than others. The public health infrastructure in the U.S. is organized largely as an interlocking set of public agencies at the federal, state and local level, with lead responsibility for each city or county often residing at the local level. To understand how directors of local public health departments view and are responding to climate change as a public health issue, we conducted a telephone survey with 133 randomly selected local health department directors, representing a 61% response rate. A majority of respondents perceived climate change to be a problem in their jurisdiction, a problem they viewed as likely to become more common or severe over the next 20 years. Only a small minority of respondents, however, had yet made climate change adaptation or prevention a top priority for their health department. This discrepancy between problem recognition and programmatic responses may be due, in part, to several factors: most respondents felt personnel in their health department--and other key stakeholders in their community--had a lack of knowledge about climate change; relatively few respondents felt their own health department, their state health department, or the Centers for Disease Control and Prevention had the necessary expertise to help them create an effective mitigation or adaptation plan for their jurisdiction; and most respondents felt that their health department needed additional funding, staff and staff training to respond effectively to climate change. These data make clear that climate change adaptation and prevention are not currently major activities at most health departments, and that most, if not all, local health departments will require assistance in making this transition. We conclude by making the case that, through their words and actions

  5. Managing cybersecurity risk how directors and corporate officers can protect their businesses

    CERN Document Server

    Reuvid, Jonathan

    2016-01-01

    Managing Cybersecurity Risk aims to provide a better understanding of the extent and scale of the potential damage that breaches of cyber security could cause their businesses and to guide senior management in the selection of the appropriate IT strategies, tools, training and staffing necessary for prevention, protection and response.

  6. Global health training in US obstetrics and gynaecology residency programmes: perspectives of students, residents and programme directors.

    Science.gov (United States)

    Nathan, Lisa M; Banks, Erika H; Conroy, Erin M; McGinn, Aileen P; Ghartey, Jeny P; Wagner, Sarah A; Merkatz, Irwin R

    2015-12-01

    Benefits of exposure to global health training during medical education are well documented and residents' demand for this training is increasing. Despite this, it is offered by few US obstetrics and gynaecology (OBGYN) residency training programmes. To evaluate interest, perceived importance, predictors of global health interest and barriers to offering global health training among prospective OBGYN residents, current OBGYN residents and US OGBYN residency directors. We designed two questionnaires using Likert scale questions to assess perceived importance of global health training. The first was distributed to current and prospective OBGYN residents interviewing at a US residency programme during 2012-2013. The second questionnaire distributed to US OBGYN programme directors assessed for existing global health programmes and global health training barriers. A composite Global Health Interest/Importance score was tabulated from the Likert scores. Multivariable linear regression was performed to assess for predictors of Global Health Interest/Importance. A total of 159 trainees (77%; 129 prospective OBGYN residents and 30 residents) and 69 (28%) programme directors completed the questionnaires. Median Global Health Interest/Importance score was 7 (IQR 4-9). Prior volunteer experience was predictive of a 5-point increase in Global Health Interest/Importance score (95% CI -0.19 to 9.85; p=0.02). The most commonly cited barriers were cost and time. Interest and perceived importance of global health training in US OBGYN residency programmes is evident among trainees and programme directors; however, significant financial and time barriers prevent many programmes from offering opportunities to their trainees. Prior volunteer experience predicts global health interest. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  7. 77 FR 72904 - In the Matter of HealthSport, Inc., Home Director, Inc., Home Theater Products International, Inc...

    Science.gov (United States)

    2012-12-06

    ... From the Federal Register Online via the Government Publishing Office SECURITIES AND EXCHANGE COMMISSION In the Matter of HealthSport, Inc., Home Director, Inc., Home Theater Products International, Inc., House of Taylor Jewelry, Inc. (n/ k/a Global Jewelry Concepts, Inc.), and Huifeng Bio-Pharmaceutical Technology, Inc.; Order of Suspension...

  8. Protecting the Health of Family Caregivers

    Centers for Disease Control (CDC) Podcasts

    2009-12-23

    This podcast discusses role of family caregivers and the importance of protecting their health. It is primarily targeted to public health and aging services professionals.  Created: 12/23/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 12/23/2009.

  9. Global Women's Health Education in Canadian Obstetrics and Gynaecology Residency Programs: A Survey of Program Directors and Senior Residents.

    Science.gov (United States)

    Millar, Heather C; Randle, Elizabeth A; Scott, Heather M; Shaw, Dorothy; Kent, Nancy; Nakajima, Amy K; Spitzer, Rachel F

    2015-10-01

    To become culturally competent practitioners with the ability to care and advocate for vulnerable populations, residents must be educated in global health priorities. In the field of obstetrics and gynaecology, there is minimal information about global women's health (GWH) education and interest within residency programs. We wished to determine within obstetrics and gynaecology residency programs across Canada: (1) current GWH teaching and support, (2) the importance of GWH to residents and program directors, and (3) the level of interest in a national postgraduate GWH curriculum. We conducted an online survey across Canada of obstetrics and gynaecology residency program directors and senior obstetrics and gynaecology residents. Of 297 residents, 101 (34.0%) responded to the survey and 76 (26%) completed the full survey. Eleven of 16 program directors (68.8%) responded and 10/16 (62.5%) provided complete responses. Four of 11 programs (36.4%) had a GWH curriculum, 2/11 (18.2%) had a GWH budget, and 4/11 (36.4%) had a GWH chairperson. Nine of 10 program directors (90%) and 68/79 residents (86.1%) felt that an understanding of GWH issues is important for all Canadian obstetrics and gynaecology trainees. Only 1/10 program directors (10%) and 11/79 residents (13.9%) felt that their program offered sufficient education in these issues. Of residents in programs with a GWH curriculum, 12/19 (63.2%) felt that residents in their program who did not undertake an international elective would still learn about GWH, versus only 9/50 residents (18.0%) in programs without a curriculum (P < 0.001). Obstetrics and gynaecology residents and program directors feel that GWH education is important for all trainees and is currently insufficient. There is a high level of interest in a national postgraduate GWH educational module.

  10. Technology transfer from havana hospitals to primary care: yamila de armas, MD. Deputy director, provincial health department, havana city province.

    Science.gov (United States)

    Giraldo, Gloria

    2009-01-01

    Dr Yamila de Armas has occupied an array of posts since finishing her residency in family medicine in her home province of Cienfuegos in 1992. She has served as a family doctor; polyclinic, municipal and provincial health director; medical school dean; and twice vice minister of public health. But few would doubt her toughest job is the one she has now: deputy director of the Havana City Provincial Health Department, in charge of medical services for the 2.2 million people living in Cuba's complex, sprawling capital. It was here in 2002-2003 that the program was launched to repair, refurbish and expand the country's nearly 500 community polyclinics. Key to the effort was equipping these facilities with a broader range of new and upgraded medical technology. Dr de Armas offers MEDICC Review her reflections on the results five years later.

  11. Sustaining health workforce recruitment and retention in township hospitals: a survey on 110 directors of township hospitals.

    Science.gov (United States)

    Zheng, Jingmin; Li, Jie; Jiang, Xingxing; Zhang, Bin

    2015-06-01

    Township hospitals, the main provider of rural primary healthcare in China, are severely understaffed. International studies on factors influencing rural working are increasing; however, studies on factors affecting the recruitment and retention of health workers in Chinese township hospitals are limited. The current study aims to understand the motivation of health workers and arrive at a systematic framework of pluralistic factors that would help support health workers in terms of receiving posts and remaining in posts in township hospitals. A three-stage integrated quantitative and qualitative methodology was employed. First, a survey on 120 directors of township hospitals was conducted to learn the latest status of health workers in township hospitals and distinguish existing problems. Second, after sending these problems back to the directors, an open-ended pen-and-paper survey was conducted to ask the directors to identify the factors influencing the attraction and retention of health workers in township hospitals. Third, four focus groups were conducted to gauge the underlying reasons. Five problems from the questionnaire survey were recognized, and numbers of thematic factors were identified at the individual, professional, and treatment environment from the pen-and-paper survey and focus group. Similar to other studies, this framing of both non-financial and financial elements affected the attraction and retention of health workers in township hospitals, thereby filling the gap in a Chinese context. Although several factors had been recognized earlier, our findings further highlighted the importance of these factors. Meanwhile, the factors identified in this study were barely explored in literature. This paper identifies and develops multi-faceted factors to call for a bundled package of multidimensional incentives if decision-makers get interested. The evidence-based findings in our study can be used to provide China-specific policy recommendations on how

  12. Women directors in English District Health Authorities: position, performance and prospects.

    Science.gov (United States)

    Harrison, J J

    2000-05-01

    This paper reports new research on corporate governance in the NHS, in particular some of the findings concerning the changing position of women directors, together with a consideration of their impact in the boardroom and their prospects for the future. The implications of the findings are considered in terms of policy and its implementation and in terms of boardroom practice and director development. As such, the paper is a further contribution to the debate about the changing role of women in society and their contribution to important institutions of the state.

  13. ART integration in oral health care systems in Latin American countries as perceived by directors of oral health

    Directory of Open Access Journals (Sweden)

    Oswaldo Ruiz

    2009-01-01

    Full Text Available The aim of this study was to carry out a situation analysis of: a prevalence of ART training courses; b integration of ART into the oral healthcare systems and; c strengths and weaknesses of ART integration, in Latin American countries. MATERIALS AND METHODS: A structured questionnaire, consisting of 18 questions, was emailed to directors of national or regional oral health departments of all Latin American countries and the USA. For two countries that had not responded after 4 weeks, the questionnaire was sent to the Dean of each local Dental School. The questions were related to ART training courses, integration of ART in the dental curriculum and the oral healthcare system, barriers to ART implementation in the public health system and recommendations for ART implementation in the services. Factor analysis was used to construct one factor in the barrier-related question. Means and percentages were calculated. RESULTS: The response rate, covering 55% of all Latin American countries, was 76%. An ART training course had been given in all Latin American countries that responded, with more than 2 having been conducted in 64.7% of the respondent countries. ART was implemented in public oral health services in 94.7 % of the countries, according to the respondents. In 15.8% of the countries, ART was applied throughout the country and in 68.4%, in some areas or regions of a country. ART had been used for more, or less, than three years in 42.1% and 47.4% of the countries, respectively. Evaluation and monitoring activities to determine the effectiveness of ART restorations and ART sealants had been carried out in 42.1% of the countries, while evaluation training courses had taken place in only 3 countries (15.8%. Respondents perceived the "increase in the number of treated patients" as the major benefit of ART implementation in public oral health services. The major perceived barrier factors to ART implementation were "operator opinion" and "high

  14. 76 FR 24892 - Office of the Director, National Institutes of Health; Notice of Closed Meeting

    Science.gov (United States)

    2011-05-03

    ... NIH Director's Pioneer Award and New Innovator Award programs are part of the NIH Common Fund and support exceptionally creative scientists who take highly innovative, potentially high-impact approaches... receiving instructions on their role and responsibility in the review of these applications requesting...

  15. 76 FR 25342 - Children's Health Protection Advisory Committee; Request for Nominations to the Children's Health...

    Science.gov (United States)

    2011-05-04

    ... AGENCY Children's Health Protection Advisory Committee; Request for Nominations to the Children's Health... for appointment to its Children's Health Protection Advisory Committee. Vacancies are anticipated to... solicit nominees. Background: The Children's Health Protection Advisory Committee is a Federal advisory...

  16. 45 CFR 164.522 - Rights to request privacy protection for protected health information.

    Science.gov (United States)

    2010-10-01

    ... Health Information § 164.522 Rights to request privacy protection for protected health information. (a)(1... 45 Public Welfare 1 2010-10-01 2010-10-01 false Rights to request privacy protection for protected health information. 164.522 Section 164.522 Public Welfare DEPARTMENT OF HEALTH AND HUMAN...

  17. Indigenous populations health protection: A Canadian perspective

    Directory of Open Access Journals (Sweden)

    Richardson Katya L

    2012-12-01

    Full Text Available Abstract The disproportionate effects of the 2009 H1N1 pandemic on many Canadian Aboriginal communities have drawn attention to the vulnerability of these communities in terms of health outcomes in the face of emerging and reemerging infectious diseases. Exploring the particular challenges facing these communities is essential to improving public health planning. In alignment with the objectives of the Pandemic Influenza Outbreak Research Modelling (Pan-InfORM team, a Canadian public health workshop was held at the Centre for Disease Modelling (CDM to: (i evaluate post-pandemic research findings; (ii identify existing gaps in knowledge that have yet to be addressed through ongoing research and collaborative activities; and (iii build upon existing partnerships within the research community to forge new collaborative links with Aboriginal health organizations. The workshop achieved its objectives in identifying main research findings and emerging information post pandemic, and highlighting key challenges that pose significant impediments to the health protection and promotion of Canadian Aboriginal populations. The health challenges faced by Canadian indigenous populations are unique and complex, and can only be addressed through active engagement with affected communities. The academic research community will need to develop a new interdisciplinary framework, building upon concepts from ‘Communities of Practice’, to ensure that the research priorities are identified and targeted, and the outcomes are translated into the context of community health to improve policy and practice.

  18. Importance and satisfaction of preventive health strategies in institutions for people with intellectual disabilities: a perspective of institutional directors.

    Science.gov (United States)

    Lin, Jin-Ding; Yen, Chia-Feng; Wu, Jia-Ling

    2005-01-01

    To explore the perceptions of institutional directors on the preventive health strategies for people with intellectual disabilities in institutions. A structured questionnaire was conducted by a cross-sectional postal survey in all registered institutions in Taiwan in 2002. A total of 157 questionnaires were mailed, of which 121 valid questionnaire were analyzed in this study. The respondents indicated important perception to the preventive health strategies across the 17 criteria, the mean score of importance in preventive health strategies was from 8.4 to 9.7 (score 1-10). But the analysis found that there were many gaps of 'importance' compared with 'satisfactory' to implementation of preventive health strategies, particularly in the issues of 'thyroid screening for intellectual disabilities (ID) with Down syndrome', 'prevention and treatment of osteoporosis', and 'diagnosis and treatment of mental disorders', these health issues need to be improved in institutions. The present study found that the size and ownership of institutions were not related to the perceptions of importance and satisfaction toward preventive health strategies. The institutions should explore the reasons of why the failure to carry through important health plans into practice to ensure quality of health services for people with ID who living in institutions.

  19. SCHIP Directors' Perception of Schools Assisting Students in Obtaining Public Health Insurance

    Science.gov (United States)

    Price, James H.; Rickard, Megan

    2009-01-01

    Background: Health insurance coverage increases access to health care. There has been an erosion of employer-based health insurance and a concomitant rise in children covered by public health insurance programs, yet more than 8 million children are still without health insurance coverage. Methods: This study was a national survey to assess the…

  20. 78 FR 27409 - Office of the Director, National Institutes of Health; Notice of Closed Meetings

    Science.gov (United States)

    2013-05-10

    ... personal privacy. Name of Committee: Office of Research Infrastructure Programs Special Emphasis Panel... evaluate grant applications. Place: National Institutes of Health, Room 1082, 6701 Democracy Blvd... (NCATS), National Institutes of Health, 6701 Democracy Blvd., Democracy 1, Room 1082, Bethesda, MD...

  1. 76 FR 21748 - Health Disparities Subcommittee (HDS), Advisory Committee to the Director, Centers for Disease...

    Science.gov (United States)

    2011-04-18

    ... update including the CDC Health Disparities and Inequalities Report, U.S. 2011; the National Prevention Strategy; Healthy People 2020; and Social Determinants of Health Strategy Brief. The agenda is subject...

  2. Recommendations for European health data protection legislation.

    Science.gov (United States)

    Callens, S; Nys, H

    1996-01-01

    In year 1 of the SEISMED project, the Katholieke Universiteit Leuven coordinated the inventory and analysis of medical personal data protection legislation in Europe. A report on legal issues of medical data protection legislation in Europe was written by the Vrije Universiteit Amsterdam, the Centre National pour la Recherche Scientifique (Paris) and the University College Dublin. This report served as a basis for a second important legal deliverable, i.e. the Health Informatics Deontology Code. In this third and final report, we take into account the results of the other two legal reports and we formulate recommendations for the national and European legislator. This report analyses critically the upcoming privacy directive. We propose several recommendations which should be taken into account by the European and national legislator. We focused quite extensively on the use of medical data for research purposes. We had several reasons to do this. One of them is the fact that the use of medical data for research purposes is very popular, in particular now the health care sector is becoming more and more 'standardized' by using computers, networksystems and telematics. Legislation is therefore needed. Moreover, the use of medical data for research purposes involves the transfer of data from one Member State to another. Therefore, a harmonized legislation is really needed. We hope that the recommendations we propose, will be taken into consideration by the European legislator.

  3. 75 FR 42450 - Office of the Director, National Institutes of Health; Notice of Meeting

    Science.gov (United States)

    2010-07-21

    ... need special assistance, such as sign language interpretation or other reasonable accommodations... Institutes of Health, Building 1, Room 260, Center Drive, Bethesda, MD 20892. Contact Person: Robin...

  4. 78 FR 62640 - Office of the Director, National Institutes of Health; Notice of Closed Meeting

    Science.gov (United States)

    2013-10-22

    ... personal privacy. Name of Committee: Office of Research Infrastructure Programs Special Emphasis Panel... Institutes of Health, 6701 Democracy Blvd., Democracy 1, Room 1082, Bethesda, MD 20892-4874,...

  5. 77 FR 61769 - Office of the Director, National Institutes of Health; Notice of Closed Meeting

    Science.gov (United States)

    2012-10-11

    ... personal privacy. Name of Committee: Office of Research Infrastructure Programs Special Emphasis Panel... applications. Place: National Institutes of Health, One Democracy Plaza, 6701 Democracy Boulevard, Bethesda, MD... Institutes of Health, 6701 Democracy Blvd., Dem. 1, Room 1070, Bethesda, MD 20892- 4874,...

  6. 78 FR 6124 - Office of the Director, National Institutes of Health; Notice of Closed Meeting

    Science.gov (United States)

    2013-01-29

    ... personal privacy. Name of Committee: Office of Research Infrastructure Programs Special Emphasis Panel; K01... applications. Place: National Institutes of Health, One Democracy Plaza, 6701 Democracy Boulevard, Bethesda, MD... Health, 6701 Democracy Blvd., Democracy 1, Room 1070, Bethesda, MD 20892-4874, 240-271-4890,...

  7. Health protection in the USA: Right or privilege?

    OpenAIRE

    Vidojević, Jelena

    2011-01-01

    The paper deals with the system of health protection in the USA, its key features, problems it faces and attempts for improvement of its functioning. Corresponding to the manner in which (residual) social state is organized, the American health protection system is rather rudimental, characterized by high costs and inequality in approach to and quality of health protection. Accordingly, general health situation of the nation is comparatively poorer than in developed market economy countries. ...

  8. The Sub-directorate of Operational Radiological Protection is an area of the CSN that oversees the safety of the workers; La Subdireccion de Proteccion Radiologica Operacional, un area del CSN que vela por la Seguridad de los trabajadores

    Energy Technology Data Exchange (ETDEWEB)

    Scialdone Garcia, A.

    2016-08-01

    The safety of radioactive facilities is an essential part of the radiological protection of the more than 100,000 workers who are professionally exposed to ionising radiations. The Sub-directorate of Operational Radiological Protection is in charge of this task and of authorising the more than 1,340 radioactive facilities that are distributed across the country and ensuring their safety. (Author)

  9. 78 FR 66367 - Office of the Director, National Institutes of Health; Amended Notice of Meeting

    Science.gov (United States)

    2013-11-05

    ... Infrastructure Programs Special Emphasis Panel, October 15, 2013, 08:00 a.m. to October 15, 2013, 05:30 p.m., National Institutes of Health, One Democracy Plaza, 6701 Democracy Boulevard, Bethesda, MD, 20892,...

  10. 78 FR 66373 - Office of the Director, National Institutes of Health; Amended Notice of Meeting

    Science.gov (United States)

    2013-11-05

    ... Infrastructure Programs Special Emphasis Panel, October 09, 2013, 08:00 a.m. to October 10, 2013, 05:30 p.m., National Institutes of Health, One Democracy Plaza, 6701 Democracy Boulevard, Bethesda, MD 20892, which...

  11. 78 FR 3011 - Office of the Director, National Institutes of Health; Notice of Closed Meetings

    Science.gov (United States)

    2013-01-15

    ... personal privacy. Name of Committee: Office of Research Infrastructure Programs Special Emphasis Panel... review and evaluate grant applications. Place: National Institutes of Health/NCATS, Democracy 1, Room 1082, 6701 Democracy Blvd., Bethesda, MD, (Virtual Meeting). Contact Person: Sheri A. Hild,...

  12. 78 FR 38065 - Office of the Director, National Institutes of Health; Notice of Closed Meetings

    Science.gov (United States)

    2013-06-25

    ... personal privacy. Name of Committee: Office of Research Infrastructure Programs Special Emphasis Panel... Health, 6701 Democracy Blvd., Democracy 1, Room 1080, Bethesda, MD 20892-4874, 301-435-0806, nelsonbj... limitations imposed by the review and funding cycle. Name of Committee: Office of Research...

  13. 45 CFR 164.526 - Amendment of protected health information.

    Science.gov (United States)

    2010-10-01

    ... RELATED REQUIREMENTS SECURITY AND PRIVACY Privacy of Individually Identifiable Health Information § 164.526 Amendment of protected health information. (a) Standard: Right to amend. (1) Right to amend. An... 45 Public Welfare 1 2010-10-01 2010-10-01 false Amendment of protected health information. 164.526...

  14. Health promotion versus health protection? Employees' perceptions and concerns.

    Science.gov (United States)

    Walsh, D C; Jennings, S E; Mangione, T; Merrigan, D M

    1991-01-01

    The "second public health revolution" targets factors in the environment, together with lifestyle, to prevent illness and untimely death. Yet the growth of the "wellness movement" has driven a wedge between public health advocates who argue for environmental solutions and those whose major focus is individual behavior. This tension is nowhere more evident than in the workplace, where the new wellness professionals are at odds with specialists in occupational health and industrial hygiene. This paper reports findings from a cross-sectional survey of a sizeable sample of workers at six New England facilities of a very large American manufacturing firm, assessing their perceptions of risk in the two domains: environmental exposures and lifestyle risks. Multiple regression analyses reveal that both job risks and life risks are associated with a variety of potentially costly and disruptive health problems, even after controlling for demographic and occupational factors. This analysis suggests that wellness programs in the workplace will be more effective if they integrate environmental protection with efforts to reduce lifestyle risk.

  15. Independent Directors

    DEFF Research Database (Denmark)

    Ringe, Wolf-Georg

    2013-01-01

    This paper re-evaluates the corporate governance concept of ‘board independence’ against the disappointing experiences during the 2007-08 financial crisis. Independent or outside directors had long been seen as an essential tool to improve the monitoring role of the board. Yet the crisis revealed...... that they did not prevent firms' excessive risk taking; further, these directors sometimes showed serious deficits in understanding the business they were supposed to control, and remained passive in addressing structural problems. A closer look reveals that under the surface of seemingly unanimous consensus...... about board independence in Western jurisdictions, a surprising disharmony prevails about the justification, extent and purpose of independence requirements. These considerations lead me to question the benefits of the current system. Instead, this paper proposes a new, ‘functional’ concept of board...

  16. Message from the Regional Director on World Health Day 2014 on Vector-borne diseases

    Directory of Open Access Journals (Sweden)

    Poonam Khetrapal Singh

    2014-06-01

    Full Text Available Since time immemorial, humankind has co-habited with innumerable other living forms. Some of these have been responsible for transmitting diseases to human beings. Malaria, dengue, and kala-azar are just a few examples of such diseases of public health importance to us, that are grouped under the broad-term of vector-borne diseases. Vectors are small organisms, such as mosquitoes, bugs, ticks and freshwater snails,that can carry disease from person to person and from place to place. 

  17. 76 FR 6476 - Town Hall Discussion With the Director of the Center for Devices and Radiological Health and...

    Science.gov (United States)

    2011-02-04

    ... HUMAN SERVICES Food and Drug Administration Town Hall Discussion With the Director of the Center for... announcing a public meeting entitled ``Town Hall Discussion with the Director of the Center for Devices and..., CDRH held three Town Hall meetings in Minneapolis, MN; Boston, MA; and Los Angeles, CA to provide...

  18. 76 FR 41804 - Town Hall Discussion With the Director of the Center for Devices and Radiological Health and...

    Science.gov (United States)

    2011-07-15

    ... HUMAN SERVICES Food and Drug Administration Town Hall Discussion With the Director of the Center for... announcing a public meeting entitled ``Town Hall Discussion With the Director of the Center for Devices and... accommodations should call 650- 589-3400 and request the group rate for the ``FDA/CDRH Town Hall Meeting''...

  19. 23 July - Italian Director-General for Prevention G. Ruocco and Director-General for European and International Relations Ministry of Health D. Roderigo visiting the ATLAS experimental cavern with ATLAS Deputy Spokesperson B. Heinemann. Life Sciences Section M. Cirilli and Life Sciences Adviser M. Dosanjh present.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    23 July - Italian Director-General for Prevention G. Ruocco and Director-General for European and International Relations Ministry of Health D. Roderigo visiting the ATLAS experimental cavern with ATLAS Deputy Spokesperson B. Heinemann. Life Sciences Section M. Cirilli and Life Sciences Adviser M. Dosanjh present.

  20. Data Protection Compliance in the Age of Digital Health.

    Science.gov (United States)

    Hordern, Victoria

    2016-06-01

    Advances in technology are transforming the way that health data is collected and used. This includes improvements in existing technology as well as innovations in mobile technology such as smartphone apps and wearables. Health data is strictly regulated under the EU Data Protection Directive 95/46/EC. Under current data protection rules, health data is broadly interpreted and will, in most circumstances not connected to the provision of healthcare, require organisations to obtain explicit consent from individuals for its collection and use. Further data protection compliance issues arise such as identifying who is a controller, ensuring transparency, using health data for research purposes and keeping health data secure. As the EU data protection landscape is due to change in the next few years and will affect the collection and use of health data, the forthcoming Data Protection Regulation also deserves attention.

  1. Protect Childrens Health with EPA School App

    Science.gov (United States)

    DALLAS - (Aug. 24, 2015) Are you looking for ways to promote a healthier learning environment, reduce absenteeism, improve test scores or enhance student or staff productivity? The U.S. Environmental Protection Agency (EPA) recently launched a new m

  2. Evidence-informed health policy 3 – Interviews with the directors of organizations that support the use of research evidence

    Directory of Open Access Journals (Sweden)

    Moynihan Ray

    2008-12-01

    Full Text Available Abstract Background Only a small number of previous efforts to describe the experiences of organizations that produce clinical practice guidelines (CPGs, undertake health technology assessments (HTAs, or directly support the use of research evidence in developing health policy (i.e., government support units, or GSUs have relied on interviews and then only with HTA agencies. Interviews offer the potential for capturing experiences in great depth, particularly the experiences of organizations that may be under-represented in surveys. Methods We purposively sampled organizations from among those who completed a questionnaire in the first phase of our three-phase study, developed and piloted a semi-structured interview guide, and conducted the interviews by telephone, audio-taped them, and took notes simultaneously. Binary or categorical responses to more structured questions were counted when possible. Themes were identified from among responses to semi-structured questions using a constant comparative method of analysis. Illustrative quotations were identified to supplement the narrative description of the themes. Results We interviewed the director (or his or her nominee in 25 organizations, of which 12 were GSUs. Using rigorous methods that are systematic and transparent (sometimes shortened to 'being evidence-based' was the most commonly cited strength among all organizations. GSUs more consistently described their close links with policymakers as a strength, whereas organizations producing CPGs, HTAs, or both had conflicting viewpoints about such close links. With few exceptions, all types of organizations tended to focus largely on weaknesses in implementation, rather than strengths. The advice offered to those trying to establish similar organizations include: 1 collaborate with other organizations; 2 establish strong links with policymakers and stakeholders; 3 be independent and manage conflicts of interest; 4 build capacity; 5 use good

  3. Electronic Health Record in Italy and Personal Data Protection.

    Science.gov (United States)

    Bologna, Silvio; Bellavista, Alessandro; Corso, Pietro Paolo; Zangara, Gianluca

    2016-06-01

    The present article deals with the Italian Electronic Health Record (hereinafter EHR), recently introduced by Act 221/2012, with a specific focus on personal data protection. Privacy issues--e.g., informed consent, data processing, patients' rights and minors' will--are discussed within the framework of recent e-Health legislation, national Data Protection Code, the related Data Protection Authority pronouncements and EU law. The paper is aimed at discussing the problems arising from a complex, fragmentary and sometimes uncertain legal framework on e-Health.

  4. Fundamentals of health physics for the radiation-protection officer

    Energy Technology Data Exchange (ETDEWEB)

    Murphy, B.L.; Traub, R.J.; Gilchrist, R.L.; Mann, J.C.; Munson, L.H.; Carbaugh, E.H.; Baer, J.L.

    1983-03-01

    The contents of this book on health physics include chapters on properties of radioactive materials, radiation instrumentation, radiation protection programs, radiation survey programs, internal exposure, external exposure, decontamination, selection and design of radiation facilities, transportation of radioactive materials, radioactive waste management, radiation accidents and emergency preparedness, training, record keeping, quality assurance, and appraisal of radiation protection programs. (ACR)

  5. [Correlation between legal protection of the environment and health].

    Science.gov (United States)

    Giraldi, Guglielmo; Rinaldi, Alessandro; D'Andrea, Elvira; Lucchetti, Pietro; Messano, Giuseppe Alessio; d'Alessandro, Eugenia De Luca

    2012-01-01

    Health promotion is a priority of our time and planning and the evaluation of health and hygiene should be directed towards strategies to improve the well-being and lifestyles of the community. At the legislative level in Italy, the Ministry of Health, was established in 1958 with the task of providing for the collective health of the whole nation and in 1978, with Law 833, the National Health Service (NHS) was created which secured assistance and healthcare to all Italian citizens. The most important component of the entire health system is the Local Health Unit (USL) which has responsibility for prevention, treatment and rehabilitation, and highlights the importance of safeguarding the health, hygiene and safely at home and at work and the "hygiene of urban settlements and communities", ie environmental protection. One of the reasons for the delays in the promotion of environmental protection initiatives in Italy is to be found in the referendums of 1993, including the one which removed the tasks regarding environmental controls from the NHS. The temporary skills gap in the environmental field was filled with the 'National Agency for Environmental Protection (ANPA), which later became the Agency for Environmental Protection and Technical Services (APAT), and the regional level, the Regional Agencies Environmental Protection Agency (ARPA). Law 61/21 January 1994 joined the ARPA to the National Institute for Environmental Research and Protection (ISPRA). It is now necessary to implement a program that takes account of the damage caused to the environment and consequently the individual, which is totally committed the combination of the environment and human health and not, as in the recent past, as two distinct entities. In this sense, it is of fundamental importance the role of prevention departments to promote the organization networking and of individual companies' and individuals' skills, in fact. The integration of planning processes, environmental monitoring

  6. State of health protection and self-protection: the history and nowadays

    Directory of Open Access Journals (Sweden)

    Оксана Михайлівна Юрченко

    2015-06-01

    Full Text Available The author of the article determined the essence of the concept of "self-protection technology"; main directions of views of the human to their life and health in the context of the historical process. Relevant ideas of improvement of teachers’ work using self-protection technologies in educational space are defined. It is noted that education and health are mutually reinforcing components of successful everyday life of participants of the educational process

  7. Another Phoenix VA director leaves

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2016-08-01

    Full Text Available No abstract available. Article truncated after 150 words. The Arizona Republic reports that the director at the Phoenix VA Medical Center, Deborah Amdur, will retire after only 9 months for health reasons (1. Amdur will be replaced by Barbara Fallen, director of the VA Loma Linda Healthcare System. Fallen will be interim director until a permanent replacement for Amdur can be found. This is the fifth hospital director since former Director Sharon Helman was removed in mid-2014 amid the nationwide veterans health-care scandal that was first exposed at the Phoenix VA. The Veterans Integrated Service Network (VISN in Gilbert, which oversees the VA Medical Center in Arizona, New Mexico and West Texas has also been through a series of 4 directors since Susan Bowers retired under pressure in the wake of the VA scandal. Marie Weldon, current acting regional director, also oversees the Los Angeles-based VA Desert Pacific Healthcare System. Weldon described Fallen as “an experienced leader who ...

  8. Protect the Health of Women and Children

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    CHINA has reached its present standard of maternal and child health by constant effort. Before the founding of New China in 1949, Chinese women’s life expectancy was only 37.6 years. A girl born today can expect to live an average of 72 years. Hygienic practices barely existed for mother and children in the early 1950s, said a health worker who remembers that period. Maternal mortality was high as a result of traditional midwifery practices, which often caused childbed fever. Infant

  9. Health Protection Features of Student Youth in Research University

    Science.gov (United States)

    Antonova, Tatyana V.; Kozhanov, Vladimir V.; Kolodovsky, Alexander A.; Shivrinskaya, Svetlana E.; Kudyashev, Nail K.

    2016-01-01

    The relevance of the study is conditioned by the adverse dynamics of students' physical and mental health, which creates objective obstacles to the development of research universities. The article aims to find out particular health protection features of student youth in research universities. The leading approach of the study is the systematic…

  10. What Your Can Do to Protect Your Health Information

    Science.gov (United States)

    ... store health information on your personal computer or mobile device, exchange emails about it, or participate in health-related online communities, here are a few things you should know: While the HIPAA Privacy and Security Rules are in place to protect and secure ...

  11. Through the glass ceiling - and back again: the experiences of two of the first non-medical directors of public health in England.

    Science.gov (United States)

    Evans, David; Adams, Lee

    2007-06-01

    In 2001, the English Department of Health announced a radical re-organisation of the NHS under the banner of 'shifting the balance of power'. As part of this re-organisation health authorities were abolished and the main NHS public health responsibilities devolved to the new primary care trusts (PCTs) from April 2002. Following several years of campaigning by the Multidisciplinary Public Health Forum (MPHF), in November 2001 the Acting Minister for Public Health, Lord Hunt, announced that PCT director of public health (DPH) posts would be open to 'suitably qualified' candidates from any discipline. From April 2002 a number of new DsPH from backgrounds other than medicine were appointed. This paper reports on the experiences of two such DsPH who shared a commitment to multidisciplinary public health, but who did not wholly share the objectives of the MPHF. We place the opening of PCT DPH posts in the context of tensions within NHS public health between a focus on health services versus the wider determinants of health, and the development of multidisciplinary public health. The paper reflects on both the degree of change this opening represented and the limitations and tensions such appointments exposed.

  12. Health Insecurity and Social Protection: Pathways, Gaps, and Their Implications on Health Outcomes and Poverty.

    Science.gov (United States)

    Gama, Elvis

    2015-11-27

    Health insecurity has emerged as a major concern among health policy-makers particularly in low- and middle-income countries (LMICs). It includes the inability to secure adequate healthcare today and the risk of being unable to do so in the future as well as impoverishing healthcare expenditure. The increasing health insecurity among 150 million of the world's poor has moved social protection in health (SPH) to the top of the agenda among health policy-makers globally. This paper aims to provide a debate on the potential of social protection contribution to addressing health insecurity, poverty, and vulnerability brought by healthcare expenditure in low-income countries, to explore the gaps in current and proposed social protection measures in healthcare and provide suggestions on how social protection intervention aimed at addressing health insecurity, poverty, and vulnerability may be effectively implemented.

  13. New Law Protects the Health of Mothers and Infants

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    CHINA celebrates International Children’s Day this year with the implementation of a law protecting the health of the country’s mothers and infants. The Law of the P.R.C. on the Protection of Mothers and Infants, passed on October 27, 1994, during the 10th Session of the 8th Standing Committee of National People’s Congress, was publicly issued on the No.33 Command of the President of the P.R.C. and will go into effect June 1, 1995. This first law specifically concerned with the protection of the health of women and children is expected to play an important role in the overall improvement of the health of the Chinese people, the quality of the population, the advancement of the society, and the overall happiness among families. The law stresses the promotion of maternal and child hygiene

  14. Examining the Self-Reported Health Behaviors and the Importance of Role Modeling among Resident Directors Affiliated with the Association of College and University Housing Officers-International (ACUHO-I) Institutions

    Science.gov (United States)

    Aldana, Maylen Lizeth

    2009-01-01

    The purpose of this study was to examine self-reported health behaviors (health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations and stress management) of Resident Directors who self-reported being affiliated with ACUHO-I. The second purpose of the study was to examine which areas of health behaviors, do…

  15. 76 FR 17933 - Infrastructure Protection Data Call Survey

    Science.gov (United States)

    2011-03-31

    ... SECURITY Infrastructure Protection Data Call Survey AGENCY: National Protection and Programs Directorate... Directorate, Office of Infrastructure Protection. Title: Infrastructure Protection Data Call. OMB Number: 1670.... SUMMARY: The Department of Homeland Security (DHS), National Protection and Programs Directorate...

  16. Apollo experience report: Protection of life and health

    Science.gov (United States)

    Wooley, B. C.

    1972-01-01

    The development, implementation, and effectiveness of the Apollo Lunar Quarantine Program and the Flight Crew Health Stabilization Program are discussed as part of the broad program required for the protection of the life and health of U.S. astronauts. Because the goal of the Apollo Program has been the safe transport of men to the moon and back to earth, protection of the astronauts and of the biosphere from potentially harmful lunar contaminants has been required. Also, to ensure mission success, the continuing good health of the astronauts before and during a mission has been necessary. Potential applications of specific aspects of the health and quarantine programs to possible manned missions to other planets are discussed.

  17. Does social capital protect mental health among migrants in Sweden?

    Science.gov (United States)

    Lecerof, Susanne Sundell; Stafström, Martin; Westerling, Ragnar; Östergren, Per-Olof

    2016-09-01

    Poor mental health is common among migrants. This has been explained by migration-related and socio-economic factors. Weak social capital has also been related to poor mental health. Few studies have explored factors that protect mental health of migrants in the post-migration phase. Such knowledge could be useful for health promotion purposes. Therefore, this study aimed to analyse associations between financial difficulties, housing problems and experience of discrimination and poor mental health; and to detect possible effect modification by social capital, among recently settled Iraqi migrants in Sweden. A postal questionnaire in Arabic was sent to recently settled Iraqi citizens. The response rate was 51% (n = 617). Mental health was measured by the GHQ-12 instrument and social capital was defined as social participation and trust in others. Data were analysed by means of logistic regression. Poor mental health was associated with experience of discrimination (OR 2.88, 95% CI 1.73-4.79), housing problems (OR 2.79, 95% CI 1.84-4.22), and financial difficulties (OR 2.14, 95% CI 1.44-3.19), after adjustments. Trust in others seemed to have a protective effect for mental health when exposed to these factors. Social participation had a protective effect when exposed to experience of discrimination. Social determinants and social capital in the host country play important roles in the mental health of migrants. Social capital modifies the effect of risk factors and might be a fruitful way to promote resilience to factors harmful to mental health among migrants, but must be combined with policy efforts to reduce social inequities.

  18. Health, Education and Economic Crisis : Protecting the Poor in Indonesia

    NARCIS (Netherlands)

    Sparrow, R.A.

    2006-01-01

    When an economic crisis hits, a primary policy concern in developing countries is how social services can be protected and, in particular, how access to health and education for the poor can be maintained. Using the Indonesian Social Safety Net (SSN) as case study, this dissertation investigates

  19. Health, Education and Economic Crisis : Protecting the Poor in Indonesia

    NARCIS (Netherlands)

    Sparrow, R.A.

    2006-01-01

    When an economic crisis hits, a primary policy concern in developing countries is how social services can be protected and, in particular, how access to health and education for the poor can be maintained. Using the Indonesian Social Safety Net (SSN) as case study, this dissertation investigates th

  20. Protecting health from climate change: Preparedness of medical interns

    Directory of Open Access Journals (Sweden)

    Majra Jai

    2009-01-01

    Full Text Available Context : Climate change is a significant and emerging threat to public health and to meet the challenge, health systems require qualified staff. Aims : To study the preparedness of medical interns to meet the challenge of protecting health from climate change. Settings and Design: Medical colleges in a coastal town. Cross-sectional study. Materials and Methods: A proportionate number of medical interns from five medical colleges were included in the study. Level of awareness was used as a criterion to judge the preparedness. A self-administered, pretested, open-ended questionnaire was used. Responses were evaluated and graded. Statistical Analysis Used: Proportions, percentage, Chi-test. Results : About 90% of the medical interns were aware of the climate change and human activities that were playing a major role. Ninety-four percent were aware of the direct health impacts due to higher temperature and depletion in ozone concentration, and about 78% of the respondents were aware about the change in frequency / distribution of vector-borne diseases, water borne / related diseases, malnutrition, and health impact of population displacement. Knowledge regarding health protection was limited to mitigation of climate change and training / education. Options like adaptation, establishing / strengthening climate and disease surveillance systems, and health action in emergency were known to only nine (7%, eight (6%, and 17 (13%, respectively. Collegewise difference was statistically insignificant. Extra / co-curricular activities were the major source of knowledge. Conclusions : Majority of medical interns were aware of the causes and health impacts of climate change, but their knowledge regarding health protection measures was limited.

  1. Approaches to Climate Change & Health in Cuba: Guillermo Mesa MD MPhil, Director, Disasters & Health, National School of Public Health. Paulo Ortiz MS PhD, Senior Researcher, Climate Center, Cuban Meteorology Institute.

    Science.gov (United States)

    Mesa, Guillermo; Ortiz, Paulo; Gorry, Conner

    2015-04-01

    The US National Institutes of Health predict climate change will cause an additional 250,000 deaths between 2030 and 2050, with damages to health costing US$2-$4 billion by 2030. Although much debate still surrounds climate change, island ecosystems-such as Cuba's-in the developing world are arguably among the most vulnerable contexts in which to confront climate variability. Beginning in the 1990s, Cuba launched research to develop the evidence base, set policy priorities, and design mitigation and adaptation actions specifically to address climate change and its effects on health. Two researchers at the forefront of this interdisciplinary, intersectoral effort are epidemiologist Dr Guillermo Mesa, who directed design and implementation of the nationwide strategy for disaster risk reduction in the Cuban public health system as founding director of the Latin American Center for Disaster Medicine (CLAMED) and now heads the Disasters and Health department at the National School of Public Health; and Dr Paulo Ortiz, a biostatistician and economist at the Cuban Meteorology Institute's Climate Center (CENCLIM), who leads the research on Cuba's Climate and Health project and is advisor on climate change and health for the UN Economic Commission for Latin America and the Caribbean (ECLAC).

  2. It is not on Medicines that Protecting-health Depend

    Institute of Scientific and Technical Information of China (English)

    CHEN Han-ping

    2003-01-01

    @@ What should people depend on for pursuing the health and longevity? It is first on one's own efforts according to my viewpoint, such as rationalizing daily diet, making an appropriate exercises and a mental balance, giving up smoking while moderating liquor, etc. Then one turns to the medical measure for help if necessary. Even though in this case it is not imperative to select medicinal simply, because acupuncture therapy,as well as Tuina one, both called "alternative medicine" in Western medical sector, is also able to play an important role in protecting health and treating illness. This is what expected to be expressed by this paper, in the light of the therapies' properties of efficiency in treating disorder as well as in protecting health, while no complicated toxicity and other side-effects, therefore they are called "green-therapy" and deeply concerned by medical scientists and the publics in the world, especially when the drug-evil runs wild worldwide.

  3. Radiation Protection and Dosimetry An Introduction to Health Physics

    CERN Document Server

    Stabin, Michael G

    2007-01-01

    This comprehensive text provides an overview of all relevant topics in the field of radiation protection (health physics). Radiation Protection and Dosimetry serves as an essential handbook for practicing health physics professionals, and is also ideal as a teaching text for courses at the university level. The book is organized to introduce the reader to basic principles of radiation decay and interactions, to review current knowledge and historical aspects of the biological effects of radiation, and to cover important operational topics such as radiation shielding and dosimetry. In addition to presenting the most up to date treatment of the topics and references to the literature, most chapters contain numerical problems with their solutions for use in teaching or self assessment. One chapter is devoted to Environmental Health Physics, which was written in collaboration with leading professionals in the area.

  4. Psychoneuroimmunology and health psychology: inflammation and protective factors.

    Science.gov (United States)

    Bertini, M; Conti, C M; Fulcheri, M

    2013-01-01

    A common clinical observation is the adverse relationship between stress and human diseases. The attention of scientific research on health has been disproportionately focused on risk factors that predict the onset of certain health outcomes, in particular there has been an increasing interest in the role of inflammation as a common mechanism of disease in a number of medical and neuropsychiatric diseases. Despite the importance of such research being undisputed, it is necessary to emphasize what the protective factors are that promote psychosocial recovery processes and increased survival rates in a biopsychosocial perspective. This article aims to understand the relationship between psychosocial factors and immune system in the interests of health psychology, highlighting the protective factors that promote recovery, resiliency and resistance to disease.

  5. Large-scale Health Information Database and Privacy Protection*1

    Science.gov (United States)

    YAMAMOTO, Ryuichi

    2016-01-01

    Japan was once progressive in the digitalization of healthcare fields but unfortunately has fallen behind in terms of the secondary use of data for public interest. There has recently been a trend to establish large-scale health databases in the nation, and a conflict between data use for public interest and privacy protection has surfaced as this trend has progressed. Databases for health insurance claims or for specific health checkups and guidance services were created according to the law that aims to ensure healthcare for the elderly; however, there is no mention in the act about using these databases for public interest in general. Thus, an initiative for such use must proceed carefully and attentively. The PMDA*2 projects that collect a large amount of medical record information from large hospitals and the health database development project that the Ministry of Health, Labour and Welfare (MHLW) is working on will soon begin to operate according to a general consensus; however, the validity of this consensus can be questioned if issues of anonymity arise. The likelihood that researchers conducting a study for public interest would intentionally invade the privacy of their subjects is slim. However, patients could develop a sense of distrust about their data being used since legal requirements are ambiguous. Nevertheless, without using patients’ medical records for public interest, progress in medicine will grind to a halt. Proper legislation that is clear for both researchers and patients will therefore be highly desirable. A revision of the Act on the Protection of Personal Information is currently in progress. In reality, however, privacy is not something that laws alone can protect; it will also require guidelines and self-discipline. We now live in an information capitalization age. I will introduce the trends in legal reform regarding healthcare information and discuss some basics to help people properly face the issue of health big data and privacy

  6. Large-scale Health Information Database and Privacy Protection.

    Science.gov (United States)

    Yamamoto, Ryuichi

    2016-09-01

    Japan was once progressive in the digitalization of healthcare fields but unfortunately has fallen behind in terms of the secondary use of data for public interest. There has recently been a trend to establish large-scale health databases in the nation, and a conflict between data use for public interest and privacy protection has surfaced as this trend has progressed. Databases for health insurance claims or for specific health checkups and guidance services were created according to the law that aims to ensure healthcare for the elderly; however, there is no mention in the act about using these databases for public interest in general. Thus, an initiative for such use must proceed carefully and attentively. The PMDA projects that collect a large amount of medical record information from large hospitals and the health database development project that the Ministry of Health, Labour and Welfare (MHLW) is working on will soon begin to operate according to a general consensus; however, the validity of this consensus can be questioned if issues of anonymity arise. The likelihood that researchers conducting a study for public interest would intentionally invade the privacy of their subjects is slim. However, patients could develop a sense of distrust about their data being used since legal requirements are ambiguous. Nevertheless, without using patients' medical records for public interest, progress in medicine will grind to a halt. Proper legislation that is clear for both researchers and patients will therefore be highly desirable. A revision of the Act on the Protection of Personal Information is currently in progress. In reality, however, privacy is not something that laws alone can protect; it will also require guidelines and self-discipline. We now live in an information capitalization age. I will introduce the trends in legal reform regarding healthcare information and discuss some basics to help people properly face the issue of health big data and privacy

  7. Financial protection in health: updates for Mexico to 2014

    Directory of Open Access Journals (Sweden)

    Felicia Marie Knaul

    2016-05-01

    Full Text Available Objetive. Document financial protection in health in Mexico up to 2014. Materials and methods. We update the measures of impoverishing and catastrophic health expenditure to 2014, to analyse shifts since the implementation of the System for Social Protection in Health and the Seguro Popular using time series data from the Household Income and Expenditure Survey. Results. Between 2004 and 2014 there has been a continued improvement in levels of financial protection. Excessive expenditure reached its lowest point: –2.0% in 2012 and 2.1% in 2014. Impoverishing expenditure dropped to 1.3% in 2004, compared to 0.5% in 2014, and catastrophic expenditures from 2.7% to 2.1%. Conclusions. The time series of data on financial protection show a clear pattern of improvement between 2000 and 2014 and level off and low levels in 2012 and 2014. Still, levels continue to be relatively high for households in the poorest quintile, in rural areas and with an elderly person.

  8. Integrating occupational health protection and health promotion: theory and program application.

    Science.gov (United States)

    Blix, A

    1999-04-01

    1. The worksite offers an excellent setting to focus on both health protection and health promotion. Collaboration between health professionals concerned with health protection and health promotion would achieve common goals of risk reduction related to job risks and life risks. 2. Workers who experience "double jeopardy" because they are exposed to job risks and life risks would benefit most. 3. Benefits of integration include lower health risks, joint responsibility to promote health and safety shared between management and workers, and cost effectiveness. 4. The social ecological model is useful in developing an integrated program as it is multidimensional, interdisciplinary, and includes the dynamic interplay between the environment and personal factors impacting the health outcome.

  9. Health protection of health care workers from the prospective of ethics, science and good medical practice. Opinions from stakeholders in health care settings.

    Science.gov (United States)

    Porru, S; Cannatelli, P; Cerioli, Beloyanna; Flor, L; Gramegna, Maria; Polato, R; Rodriguez, D

    2012-01-01

    Fitness for work (FFW) in health care workers poses multidisciplinary challenges because of management problems scientific and ethical implications and the implementation of preventive interventions in health care settings. All the relevant stakeholders, including the General Manager, Medical Director, worker's representative, the person responsible for prevention and protection, forensic medicine expert, the person responsible for prevention and health safety at public administration level, commented on: danger to third parties; FFW formulation; human resource management; stress; professional independence; role of the person responsible for prevention and protection and of the person responsible for prevention at public administration level; professional responsibilities. Opinions are reported regarding the main problems related to the role of the Occupational Physician in FFW formulation, such as the difficult balance between autonomy and independence, limited turnover and aging of workforce, need of confidentiality and respect for professional status of the HCW prevalence of susceptibility conditions, rights and duties of stakeholders. The most significant result was the request by the Lombardy Region for more quality in risk assessment and health surveillance; to maintain uniform conduct over all the local health authorities, to allow the board in charge of examining appeals against FFW to fully cooperate with the occupational physician; due attention to the person/worker; the opportunity to convene referral boards for complex FFW management; the challenge of stress management and the need for an observatory for psychological discomforts; the importance of the ICOH Code of Ethics and avoidance of conflicts of interests; the need for individual risk assessment and risk management; the concept of sharing responsibilities and of a real multidisciplinary approach.

  10. 76 FR 13642 - Town Hall Discussion With the Director of the Center for Devices and Radiological Health and...

    Science.gov (United States)

    2011-03-14

    ... Health (CDRH) and to members of the public, including the medical device industry, health care....m. to 12 noon EST. Location: The public meeting will be held at the Sheraton Orlando Downtown Hotel... information and discuss issues of importance to the public, including the medical device industry, health care...

  11. Applying radiation health effects data to radiation protection policies

    Energy Technology Data Exchange (ETDEWEB)

    Muckerheide, James [Center for Nuclear Technology and Society at WPI, Worcester Polytechnic Institute, Worcester, MA (United States)

    2000-05-01

    Data from the peer-reviewed scientific literature establish a sound basis to define a low-dose, low-dose-rate, dose-response. These data include human health dose-response studies; immunologically 'whole' animal studies; and cellular and molecular biological studies of complete biological systems for the relevant immunological and physiological responses. Initiatives are required to constructively apply these data to both radiation research and radiation protection policies. First, current low level radiation health effects research must apply existing data to define research projects to integrate and confirm existing dose-response data, with specific emphasis on the biological bases that exist in definitive and reproducible cellular and biological dose-response. Second, dose-response assessment must identify and incorporate all existing substantial and confirmed data, including natural radiation sources, to establish the bases for radiation protection policy for interventions to protect public health and safety. A preliminary assessment of these data is applied to: 1) Specify research that can be constructively applied to describe radiation health effects dose-response. 2) Apply health effects dose-response to radiation and radioactivity applications policies to maximize radiation health effects interventions for occupational applications, medical applications, and other radiation and radioactive materials applications controls to cost-effectively assure public health and safety. An assessment of the proposed revisions to ICRP radiation protection policies is provided that associates the basis for administrative limits with the previous proposal of the US NRC for a 'Below Regulatory Concern' (BRC) policy. This proposal ignores the context of the fact that very low levels of radiation exposure are far within the variations of natural radiation exposures, and therefore can have no gross net consequences. The equivalent failure of the BRC proposal

  12. Space toxicology: protecting human health during space operations.

    Science.gov (United States)

    Khan-Mayberry, Noreen; James, John T; Tyl, Rochelle; Lam, Chiu-wing

    2011-02-01

    Space toxicology is a unique and targeted discipline for spaceflight, space habitation, and occupation of celestial bodies including planets, moons, and asteroids. Astronaut explorers face distinctive health challenges and limited resources for rescue and medical care during space operation. A central goal of space toxicology is to protect the health of the astronaut by assessing potential chemical exposures during spaceflight and setting safe limits that will protect the astronaut against chemical exposures while in a physiologically altered state. In order to maintain sustained occupation in space on the International Space Station (ISS), toxicological risks must be assessed and managed within the context of isolation, continuous exposures, reuse of air and water, limited rescue options, and the need to use highly toxic compounds for propulsion and other purposes. As we begin to explore other celestial bodies, in situ toxicological risks, such as inhalation of reactive mineral dusts, must also be managed.

  13. 77 FR 61000 - Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention-Health...

    Science.gov (United States)

    2012-10-05

    ...), Centers for Disease Control and Prevention--Health Disparities Subcommittee (HDS) In accordance with... Inequities); discussion regarding organizing the workflow of the HDS going forward; and HDS membership...

  14. 19 CFR 151.74 - Retest at port director's request.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Retest at port director's request. 151.74 Section 151.74 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT... Retest at port director's request. If the port director is not satisfied with the results of any...

  15. ON HEALTH PROTECTION AND HEALTH RELATED PHYSICAL CULTURE TRAININGS OF FIRST YEAR STUDENTS

    Directory of Open Access Journals (Sweden)

    V.G. Fotynyuk

    2017-01-01

    Full Text Available Purpose: to assess health protection and health related physical culture trainings of first year students. Material: in the research first year students (n=121; 86 boys and 35girls of age 16 - 19 years, participated. Results: components of students’ individual health were found. Situation with health related physical culture trainings, ensuring students’ sound health and optimal functional potentials of their organisms were determined. It was found that leading role shall be played by formation of health world vision values, knowledge about formation of practical skills in healthy life style. Motivation tendency for realization of intentions and practicing of health related physical culture trainings were found in students. Conclusions: the received results prove students’ tendency to pay insufficient attention to individual health. It was found that health related physical culture trainings require modern renewal of education’s content, forms and methods of physical education. The basis of such trainings shall be health related orientation.

  16. The Data Protection Act (1998): implications for health researchers.

    Science.gov (United States)

    Redsell, S A; Cheater, F M

    2001-08-01

    This paper reports on the methods used in two studies to obtain access to subjects to comply with the common law duty of confidence laid out in the Data Protection Act (1998) and discusses the researchers' problems in interpreting the procedures. The amendments to the United Kingdom (UK) Data Protection Act (1998) are causing confusion within the health service and academic institutions. There is a need to balance patient confidentiality with the requirement to conduct vital, unbiased research in which health service professionals are not subject to ethical dilemmas. This paper examines the recruitment methods used in two studies in which the researchers' attempts to adhere to the requirements lengthened the study costs and may have produced less reliable results. The methodological difficulties in two studies are presented. In Study 1, the difficulties encountered when the Multicentre Research Ethics Committee refused permission for researchers to recruit patients directly to a multicentre randomized controlled trial are discussed. In Study 2, the method used to compile a sampling frame for a national questionnaire survey following the eight principles of the Act are described. Our experience has shown that health care professionals are increasingly required to recruit patients to intervention trials, and that researchers are not allowed access to the names of patients or other subjects to ask them for consent to participate in a study. The requirement for researchers to use "intermediaries" to obtain consent from and recruit subjects to studies increases the risk of selection bias, may expose the practitioner to ethical difficulties and may compromise the external validity of trial results. There is also a danger that research costs will soar when the Data Protection Act (1998) is fully realized. The Data Protection Act (1998) is currently being interpreted in a number of different ways. We conclude there is an urgent need for consensus within the health service

  17. An exploratory study to examine intentions to adopt an evidence-based HIV linkage-to-care intervention among state health department AIDS directors in the United States

    Directory of Open Access Journals (Sweden)

    Norton Wynne E

    2012-04-01

    Full Text Available Abstract Background Widespread dissemination and implementation of evidence-based human immunodeficiency virus (HIV linkage-to-care (LTC interventions is essential for improving HIV-positive patients' health outcomes and reducing transmission to uninfected others. To date, however, little work has focused on identifying factors associated with intentions to adopt LTC interventions among policy makers, including city, state, and territory health department AIDS directors who play a critical role in deciding whether an intervention is endorsed, distributed, and/or funded throughout their region. Methods Between December 2010 and February 2011, we administered an online questionnaire with state, territory, and city health department AIDS directors throughout the United States to identify factors associated with intentions to adopt an LTC intervention. Guided by pertinent theoretical frameworks, including the Diffusion of Innovations and the "push-pull" capacity model, we assessed participants' attitudes towards the intervention, perceived organizational and contextual demand and support for the intervention, likelihood of adoption given endorsement from stakeholder groups (e.g., academic researchers, federal agencies, activist organizations, and likelihood of enabling future dissemination efforts by recommending the intervention to other health departments and community-based organizations. Results Forty-four participants (67% of the eligible sample completed the online questionnaire. Approximately one-third (34.9% reported that they intended to adopt the LTC intervention for use in their city, state, or territory in the future. Consistent with prior, related work, these participants were classified as LTC intervention "adopters" and were compared to "nonadopters" for data analysis. Overall, adopters reported more positive attitudes and greater perceived demand and support for the intervention than did nonadopters. Further, participants varied with

  18. Constitutional rights to health, public health and medical care: the status of health protections in 191 countries.

    Science.gov (United States)

    Heymann, Jody; Cassola, Adèle; Raub, Amy; Mishra, Lipi

    2013-07-01

    United Nations (UN) member states have universally recognised the right to health in international agreements, but protection of this right at the national level remains incomplete. This article examines the level and scope of constitutional protection of specific rights to public health and medical care, as well as the broad right to health. We analysed health rights in the constitutions of 191 UN countries in 2007 and 2011. We examined how rights protections varied across the year of constitutional adoption; national income group and region; and for vulnerable groups within each country. A minority of the countries guaranteed the rights to public health (14%), medical care (38%) and overall health (36%) in their constitutions in 2011. Free medical care was constitutionally protected in 9% of the countries. Thirteen per cent of the constitutions guaranteed children's right to health or medical care, 6% did so for persons with disabilities and 5% for each of the elderly and the socio-economically disadvantaged. Valuable next steps include regular monitoring of the national protection of health rights recognised in international agreements, analyses of the impact of health rights on health outcomes and longitudinal multi-level studies to assess whether specific formulations of the rights have greater impact.

  19. In memoriam: Jean Blancou, DVM, 1936-2010. World authority on rabies, historian and former Director General of the World Organisation for Animal Health (Office International des Épizooties: OIE).

    Science.gov (United States)

    2011-01-01

    Jean-Marie Blancou was born in Bangui on 28 August 1936 and passed away in Paris on 10 November 2010 at the age of 74. After studying at the Pierre de Fermat Lycée in Toulouse, Jean Blancou graduated from the Toulouse Veterinary School in 1960. He continued his studies in tropical veterinary medicine in Paris until 1963, extending his knowledge of immunology, microbiology, biochemistry and zoology, at the Institut Pasteur. He obtained his doctorate in biological sciences at the University of Nancy in 1982. Jean Blancou commenced his career as technical adviser to the Veterinary Services of Ethiopia where he directed a campaign against rinderpest in the south of the county. From 1965 to 1967 he was deputy director of the national veterinary laboratory in Niamey where he was responsible for the diagnosis of animal diseases and the production of veterinary vaccines. In 1967, he moved to the central livestock laboratory in Madagascar, where he commenced research on the diagnosis and control of dermatophilosis, bovine tuberculosis and other bacterial and parasitic diseases. In August 1968 he married Geneviève Orue. In 1975 he was appointed as head of the national veterinary laboratory in Senegal, where he remained until 1977. Initially deputy director, and then director of Research on rabies and wildlife diseases, at the World Health Organization collaborating centre in Nancy, he remained in this position until 1990. Jean Blancou was recognised as a world authority on rabies. He conducted research into the diagnosis, aetiology, epidemiology and control of rabies during his time in Nancy. Between 1988 and 1990, Dr Blancou also headed the animal health and protection department of the Centre national d'études vétérinaires et animales (CNEVA) in Maisons-Alfort. On 1 January 1991, he was appointed director general of the World Organisation for Animal Health (Office International des Épizooties: OIE) and was re-elected in 1995 for a further five-year term, until he

  20. 75 FR 61505 - Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention (CDC)-Health...

    Science.gov (United States)

    2010-10-05

    ...), Centers for Disease Control and Prevention (CDC)--Health Disparities Subcommittee (HDS) Correction: This.... Contact Person for More Information: Walter W. Williams, M.D., M.P.H., Designated Federal Officer,...

  1. 77 FR 76046 - Advisory Committee to the Director (ACD), Centers for Disease Control and Prevention (CDC)-Health...

    Science.gov (United States)

    2012-12-26

    ...), Centers for Disease Control and Prevention (CDC)--Health Disparities Subcommittee (HDS) In accordance with... More Information: Leandris Liburd, Ph.D., M.P.H., M.A., Designated Federal Officer, HDS, ACD, CDC,...

  2. [Children's health protection in the state political system].

    Science.gov (United States)

    Baranov, A A; Iakovleva, T V; Lapin, Iu E

    2011-01-01

    The system of children's health protection in this country still lacks an adequate legal basis. Its improvement should be considered as a function of the state realized through legal regulation of public relations for the benefit of each child based on the legislatively fixed government policy in the sphere of children's health care. Such an approach may strengthen the role of this sphere in the intersectoral relations and implies the extension of pediatrics toward interaction with the spheres of politics and law. It reflects the understanding that physiological processes behind regulation of the functioning of the child's organism in the course of its development need an adequate support from the outside through regulation of public relations on behalf of children. The definition of state policy in the sphere of children's health care is proposed and its basic principles are considered.

  3. Philosophy in medical education: a means of protecting mental health.

    Science.gov (United States)

    Keller, Eric J

    2014-08-01

    This study sought to identify and examine less commonly discussed challenges to positive mental health faced by medical students, residents, and physicians with hopes of improving current efforts to protect the mental health of these groups. Additionally, this work aimed to suggest an innovative means of preventing poor mental health during medical education. Literature on medical student, resident, and physician mental health was carefully reviewed and a number of psychiatrists who treat physician-patients were interviewed. The culture of medicine, medical training, common physician psychology and identity, and conflicting professional expectations all seem to contribute to poor mental health among medical students, residents, and physicians. Many current efforts may be more successful by better addressing the negative effects of these characteristics of modern medicine. Programs aimed at promoting healthy mental lifestyles during medical education should continue to be developed and supported to mitigate the deleterious effects of the challenging environment of modern medicine. To improve these efforts, educators may consider incorporating philosophical discussions on meaning and fulfillment in life between medical students and faculty. Through medical school faculty members sharing and living out their own healthy outlooks on life, students may emulate these habits and the culture of medicine may become less challenging for positive mental health.

  4. Environmental health needs and launching of an environmental health protection unit in Pakistan.

    Science.gov (United States)

    Khan, M Z A; Kazi, B M; Bile, K M; Magan, M; Nasir, J A

    2010-01-01

    Pakistan is seriously confronted by many complex and difficult environmental challenges related to air, water, soil, forests and food including issues such as climate change. The close link between environment and health is neither well understood nor appreciated. The annual cost of environmental degradation in Pakistan has been estimated to be around US $4.0 billion orat least 6% of the country's GDP. Up to 35% of the burden of disease is attributable to environmental hazards and risk factors and most of this burden is preventable. A systematic process for identifying environmental health needs and issues as well as the efforts made by the government of Pakistan and the World Health Organization in establishing and launching an environmental health protection unit are described. Also presented are the mission, functions, structure (operational and logistical) and technical requirements as well as sustainability aspects of the environmental health protection unit.

  5. Emergency Medicine Clerkship Directors: Current Workforce

    Directory of Open Access Journals (Sweden)

    David A. Wald

    2014-07-01

    Full Text Available Introduction: The emergency medicine clerkship director serves an important role in the education of medical students. The authors sought to update the demographic and academic profile of the emergency medicine clerkship director. Methods: We developed and implemented a comprehensive questionnaire, and used it to survey all emergency medicine clerkship directors at United States allopathic medical schools accredited by the Liaison Committee on Medical Education. We analyzed and interpreted data using descriptive statistics. Results: One hundred seven of 133 (80.4% emergency medicine clerkship directors completed the survey. Clerkship Director’s mean age was 39.7 years (SD-7.2, they were more commonly male 68.2%, of Caucasian racial backgrounds and at the instructor or assistant professor (71.3% level. The mean number of years of experience as clerkship director was 5.5 (SD-4.5. The mean amount of protected time for clerkship administration reported by respondents was 7.3 hours weekly (SD-5.1, with the majority (53.8% reporting 6 or more hours of protected time per week. However, 32.7% of emergency medicine clerkship directors reported not having any protected time for clerkship administration. Most clerkship directors (91.6% held additional teaching responsibilities beyond their clerkship and many were involved in educational research (49.5%. The majority (79.8%, reported being somewhat or very satisfied with their job as clerkship director. Conclusion: Most clerkship directors were junior faculty at the instructor or assistant professor rank and were involved with a variety of educational endeavors beyond the clerkship. [West J Emerg Med. 2014;15(4:398–403.

  6. [Telematics in the public health sector. Where is the protection of health data?].

    Science.gov (United States)

    Voßhoff, Andrea; Raum, Bertram; Ernestus, Walter

    2015-10-01

    There is a long history of telematics in the German health system. Apart from the growing technical possibilities in the field, it is important to concentrate on the protection of health data in telematics applications. Health data in the hands of service providers or other third parties entails certain risks for the patient's personality rights, because these institutions may not be bound by the practice of medical confidentiality. In addition, big data processing risks make the individual lives of patients and insured persons totally transparent. Measures to reduce these risks have to be taken by the providers as well as by the users of telematics infrastructure; they are the ones who should explicitly address the relevant risks and dangers in a data protection and IT-security concept and develop adequate strategies to cope with these dangers. Additionally, the German legislator remains obliged to create a regulatory framework for the protection of patients' rights.

  7. 76 FR 66925 - Children's Health Protection Advisory Committee (CHPAC); Notice of Charter Renewal

    Science.gov (United States)

    2011-10-28

    ... children's health risks. Inquiries may be directed to Martha Berger, Designated Federal Officer, CHPAC, U.S. EPA, OCHP MC 1107A, 1200 Pennsylvania Avenue, NW., Washington, DC 20460. berger.martha@epa.gov , Telephone (202) 564-2191. Dated: October 7, 2011. Peter Grevatt, Director, Office of Children's...

  8. Protecting the environment and public health from rare earth mining

    Science.gov (United States)

    Huang, Xiang; Zhang, Guochun; Pan, An; Chen, Fengying; Zheng, Chunli

    2016-11-01

    As increasing demand for green energy and high-tech devices grows, so does the rising prospecting of rare earth metals required for their production. Protecting the environment and public health from rare earth element (REE) mining as well as emerging pollutants is urgently required to achieve sustainable development. This study mapped Earth's hidden REE deposits to identify potential contamination hotspots with the aim of preventing its deleterious effects on the environment. We worry that there would be widespread tailing facilities concomitant with serious pollutions, such as the Bayan Obo tailings site, and argue that a tradeoff between the underground REE exploration and environment conservation should be reached as soon as possible.

  9. Food protection activities of the Pan American Health Organization.

    Science.gov (United States)

    1994-03-01

    One of the most widespread health problems in the Caribbean and Latin America is contaminated food and foodborne illness. The Pan American Health Organization (PAHO) has been a major force in activities to strengthen food protection. The program within the regional Program of Technical Cooperation is administered by the Veterinary Public Health program and under the guidance of the Pan American Institute for Food protection and Zoonoses in Buenos Aires, Argentina. A food action plan for 1986-90 was established at the 1986 Pan American Sanitary Conference, and extended to cover 1991-95. Program activities during the 1990s covered cholera, epidemiologic surveillance, street food vendors, shellfish poisoning, meat, national programs, information systems, air catering, food irradiation, and tourism. The action plan for 1991-95 promoted greater political support and cooperation within and between related sectors and institutions, management, and education. The aims were to organize national integrated programs, to strengthen laboratory services, to strengthen inspection services, to establish epidemiologic surveillance systems, and to promote food protection through community participation. Program activities included the initiatives of the Veterinary Public Health Program in 1991 to distribute literature on the transmission of cholera by foods. Studies were conducted in Bolivia, Colombia, and Peru on food contamination. Microbiologists received training on standard methods for detecting Vibrio cholerae in foods. A working group of experts from 10 countries examined the issues and produced a guide for investigating the incidence of foodborne disease. PAHO has contributed to the formation of an Inter-American Network for Epidemiologic Surveillance of Foodborne Diseases. PAHO has worked to improve hygienic practices among street food vendors. Seminars on paralytic shellfish poisoning were conducted in 1990; the outcome was a network working to strengthen national

  10. Director`s series on proliferation

    Energy Technology Data Exchange (ETDEWEB)

    Bailey, K.C.; Price, M.E. [eds.

    1994-12-27

    The Director`s Series on Proliferation is an occasional publication of essays on the topics of nuclear, chemical, biological, and missile proliferation. The seven papers presented in this issue cover the following topics: Should the Treaty on the Nonproliferation of Nuclear Weapons (NPT) be amended?; NPT extension - Legal and procedural issues; An Indonesian view of NPT review conference issues; The treaty of Tlatelolco and the NPT - Tools for peace and development; Perspectives on cut-off, weapons dismantlement, and security assurances; Belarus and NPT challenges; A perspective on the chemical weapons convention - Lessons learned from the preparatory commission.

  11. Promoting and protecting the health of children and young people.

    Science.gov (United States)

    Licence, K

    2004-11-01

    The health-related behaviours adopted by children and young people can have both immediate and long-term health effects. Health promotion interventions that target children and young people can lay the foundations of a healthy lifestyle that may be sustained into adulthood. This paper is based on a selective review of evidence relating to health promotion in childhood, carried out to support the external working group on the 'Healthy Child' module of the Children's National Service Framework. This is a selective review of mainly secondary research. It focuses on injury prevention, support for parenting and the promotion of good mental health, and promoting a healthy diet and physical activity amongst children and young people. In many areas, the quality of primary research into health promotion interventions aimed at children and young people is poor. Interventions are heterogeneous and not described in sufficient detail. Sample sizes tend to be small, and there are commonly problems of bias. Despite these difficulties, there is good evidence for a range of interventions, including (1) area road safety schemes; (2) combining a variety of approaches to the promotion of the use of safety equipment, including legislation and enforcement, loan/assisted purchase/giveaway schemes, education, fitting and maintenance of safety equipment; (3) school-based mental health promotion; (4) parenting support; (5) interventions that promote and facilitate 'lifestyle' activity for children, such as walking and cycling to school, and those that aim to reduce sedentary behaviours such as parent education to reduce the time children spend watching TV and using computers; and (6) controlling advertising of unhealthy food that is aimed at children. There are effective interventions to promote and protect the health of children and young people that require action across the five areas described in the Ottawa Charter. Health, social care and education services have a direct role in the

  12. Balancing Health and High Performance: Carlos Jiménez, MD, MSpMed, Deputy Director, Sports Medicine Institute, Havana.

    Science.gov (United States)

    Vickery, Kathleen

    2009-04-01

    The Sports Medicine Institute (abbreviated in Spanish as IMD) in Havana is a hub of energy concentrated on the health and training of the nation's top athletes. While fencing teams, wrestlers and judokas work out in one building, a multidisciplinary staff keeps office hours next door for athletes, retired athletes, their families and others referred to their services. And not just "office" hours: everyone at the IMD, including doctors, seem to put physical activity into practice, moving in and out of hallways, up and down stairs, and along pathways between buildings and outdoor training areas, as if keeping pace with the young athletes in the lead.

  13. Promoting employee health by integrating health protection, health promotion, and continuous improvement: a longitudinal quasi-experimental intervention study.

    Science.gov (United States)

    von Thiele Schwarz, Ulrica; Augustsson, Hanna; Hasson, Henna; Stenfors-Hayes, Terese

    2015-02-01

    To test the effects of integrating health protection and health promotion with a continuous improvement system (Kaizen) on proximal employee outcomes (health promotion, integration, and Kaizen) and distal outcomes (workability, productivity, self-rated health and self-rated sickness absence). Twelve units in a county hospital in Sweden were randomized to control or intervention groups using a quasiexperimental study design. All staff (approximately 500) provided self-ratings in questionnaires at baseline, and a 12- and 24-month follow-up (response rate, 79% to 87.5%). There was a significant increase in the proximal outcomes over time in the intervention group compared with the control group, and a trend toward improvement in the distal outcomes workability and productivity. Integration seems to promote staff engagement in health protection and promotion, as well as to improve their understanding of the link between work and health.

  14. Protecting unauthorized immigrant mothers improves their children's mental health.

    Science.gov (United States)

    Hainmueller, Jens; Lawrence, Duncan; Martén, Linna; Black, Bernard; Figueroa, Lucila; Hotard, Michael; Jiménez, Tomás R; Mendoza, Fernando; Rodriguez, Maria I; Swartz, Jonas J; Laitin, David D

    2017-09-08

    The United States is embroiled in a debate about whether to protect or deport its estimated 11 million unauthorized immigrants, but the fact that these immigrants are also parents to more than 4 million U.S.-born children is often overlooked. We provide causal evidence of the impact of parents' unauthorized immigration status on the health of their U.S. citizen children. The Deferred Action for Childhood Arrivals (DACA) program granted temporary protection from deportation to more than 780,000 unauthorized immigrants. We used Medicaid claims data from Oregon and exploited the quasi-random assignment of DACA eligibility among mothers with birthdates close to the DACA age qualification cutoff. Mothers' DACA eligibility significantly decreased adjustment and anxiety disorder diagnoses among their children. Parents' unauthorized status is thus a substantial barrier to normal child development and perpetuates health inequalities through the intergenerational transmission of disadvantage. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  15. Athletic Director's Survival Guide.

    Science.gov (United States)

    Koehler, Mike; Giebel, Nancy

    This book examines the duties assigned to athletic directors, offering successful strategies for achieving them and materials to make their jobs easier (e.g., sample memos, letters, forms, and charts for interacting successfully with coaches, students, administrators, and parents). Section 1 discusses the director's work with student athletes and…

  16. Transparency of director attributes

    NARCIS (Netherlands)

    van der Elst, C.F.; Horak, H.

    2013-01-01

    The composition of the board of directors is considered key for the success of the company. The current approach to compose this board is to provide shareholders and investors with individual information of the skills and experience of (candidate) directors. The information is insufficient to qualif

  17. Health sector employment: a tracer indicator for universal health coverage in national Social Protection Floors.

    Science.gov (United States)

    Scheil-Adlung, Xenia; Behrendt, Thorsten; Wong, Lorraine

    2015-08-31

    Health sector employment is a prerequisite for availability, accessibility, acceptability and quality (AAAQ) of health services. Thus, in this article health worker shortages are used as a tracer indicator estimating the proportion of the population lacking access to such services: The SAD (ILO Staff Access Deficit Indicator) estimates gaps towards UHC in the context of Social Protection Floors (SPFs). Further, it highlights the impact of investments in health sector employment equity and sustainable development. The SAD is used to estimate the share of the population lacking access to health services due to gaps in the number of skilled health workers. It is based on the difference of the density of the skilled health workforce per population in a given country and a threshold indicating UHC staffing requirements. It identifies deficits, differences and developments in access at global, regional and national levels and between rural and urban areas. In 2014, the global UHC deficit in numbers of health workers is estimated at 10.3 million, with most important gaps in Asia (7.1 million) and Africa (2.8 million). Globally, 97 countries are understaffed with significantly higher gaps in rural than in urban areas. Most affected are low-income countries, where 84 per cent of the population remains excluded from access due to the lack of skilled health workers. A positive correlation of health worker employment and population health outcomes could be identified. Legislation is found to be a prerequisite for closing access as gaps. Health worker shortages hamper the achievement of UHC and aggravate weaknesses of health systems. They have major impacts on socio-economic development, particularly in the world's poorest countries where they act as drivers of health inequities. Closing the gaps by establishing inclusive multi-sectoral policy approaches based on the right to health would significantly increase equity, reduce poverty due to ill health and ultimately contribute

  18. Industrial hygiene programs for workers' health protection in Italy.

    Science.gov (United States)

    Cecchetti, G; Peruzzo, G F; Sordelli, D

    1988-06-01

    The recent Health and Safety Act devolves the management of workers' health protection to new local authorities named "Local Sanitary Units." The specific program is framed in the existing state regulations and is in agreement with European community politics regarding health risks arising from the industrial use of particular substances like lead, asbestos, benzene, PCBs and others. The rapid industrial growth during recent years put into evidence completely new and numerous risks with the result of both qualitative and quantitative modifications of occupational diseases which existed in the years preceding the second world war. This rapid and remarkable change required a general adjustment in the country, which involved universities, government and industry. At the same time, the need of new relationships between occupational risks and insurance management rose. Beginning in the seventies, the Italian Industrial Hygiene Association [Associazione Italiana Degli Igienisti Industriali (A.I.D.I.I.)] promoted the progress of industrial hygiene in Italy through national and international conferences, continuous educational activities and participation with government standard-setting committees. The trend in A.I.D.I.I. future activities embraces the development of standard evaluation and control procedures and the improvement of research following European guidelines in strict cooperation with correlated European and American organizations.

  19. 76 FR 17934 - Infrastructure Protection Data Call

    Science.gov (United States)

    2011-03-31

    ... SECURITY Infrastructure Protection Data Call AGENCY: National Protection and Programs Directorate, DHS...: Infrastructure Protection Data Call. OMB Number: 1670-NEW. Frequency: On occasion. Affected Public: Federal...: The Department of Homeland Security (DHS), National Protection and Programs Directorate (NPPD),...

  20. Factors Contributing To The Sustainability Of 5S Programmes In Government Hospitals In Regional Director Of Health Services Area Kurunegala

    Directory of Open Access Journals (Sweden)

    Dr. K.W.C.U.K Kendangamuwa

    2015-03-01

    Full Text Available Abstract Introduction 5S is the stepping stone for many quality improvement concepts and its roots date back to 16th century. When successfully implemented 5S gives many benefits to the organization as well as its stakeholders. Though 5S itself has a tool to sustain most of the organizations find it difficult to sustain the 5S practice over the time. Therefore the objective of this study was to find out the factors contributing to sustainability of 5S programmes in Government Hospitals in RDHS area Kurunegala. Methodology This study was a descriptive cross sectional study with two components. First component was to identify the 5S sustaining hospitals from not sustaining hospitals by validated evaluation sheet. Second component was to determine the factors contributing to sustainability of 5S programmes in selected study setting. Self-administrated questionnaire was used for this purpose. Total study population was 543 employees of all the categories of hospital staff. Calculated sample size was 422 and 375 were responded to the questionnaire giving response rate of 88.9. Results The study revealed that the implemented 5S programmes were sustaining in eight hospitals out of ten i.e. sustaining rate was 80. When it considered the degree of sustainability 50 of the selected hospitals reported more than 70 sustainability. This was considered as favourable trend in government health sector in healthcare quality point of view. Ten factors were studied as contributing factors for the 5S sustainability. Socio- demographic factors were also considered. Those ten factors were top management commitment leadership of the organization commitment of middle amp frontline managers commitment amp satisfaction of employees training amp changing attitude of employees motivation of employees organizational culture group cohesiveness community participation and customer satisfaction. Study revealed that organizational leadership customer satisfaction community

  1. 45 CFR 164.502 - Uses and disclosures of protected health information: general rules.

    Science.gov (United States)

    2010-10-01

    ...) Standard. A covered entity may not use or disclose protected health information, except as permitted or.... A covered entity is permitted to use or disclose protected health information as follows: (i) To the... entity that has agreed to a restriction pursuant to § 164.522(a)(1) may not use or disclose the protected...

  2. Automatic detection of protected health information from clinic narratives.

    Science.gov (United States)

    Yang, Hui; Garibaldi, Jonathan M

    2015-12-01

    This paper presents a natural language processing (NLP) system that was designed to participate in the 2014 i2b2 de-identification challenge. The challenge task aims to identify and classify seven main Protected Health Information (PHI) categories and 25 associated sub-categories. A hybrid model was proposed which combines machine learning techniques with keyword-based and rule-based approaches to deal with the complexity inherent in PHI categories. Our proposed approaches exploit a rich set of linguistic features, both syntactic and word surface-oriented, which are further enriched by task-specific features and regular expression template patterns to characterize the semantics of various PHI categories. Our system achieved promising accuracy on the challenge test data with an overall micro-averaged F-measure of 93.6%, which was the winner of this de-identification challenge.

  3. A privacy protection for an mHealth messaging system

    Science.gov (United States)

    Aaleswara, Lakshmipathi; Akopian, David; Chronopoulos, Anthony T.

    2015-03-01

    In this paper, we propose a new software system that employs features that help the organization to comply with USA HIPAA regulations. The system uses SMS as the primary way of communication to transfer information. Lack of knowledge about some diseases is still a major reason for some harmful diseases spreading. The developed system includes different features that may help to communicate amongst low income people who don't even have access to the internet. Since the software system deals with Personal Health Information (PHI) it is equipped with an access control authentication system mechanism to protect privacy. The system is analyzed for performance to identify how much overhead the privacy rules impose.

  4. Health research and the Data Protection Act 1998.

    Science.gov (United States)

    Boyd, Phil

    2003-07-01

    The 1998 Data Protection Act in the UK largely restates existing good practice: individuals have a right to know what data are held about them and why; and those processing data have a duty to proceed with fairness and transparency, maintain high data quality and keep data secure. Some health researchers have criticised the Act, seeing it as a legal minefield, unnecessary bureaucracy and interference from the European Union. This is largely based on misconceptions. Recent guidance from the Information Commissioner aims to assist researchers by advising how legal requirements can be met through anonymisation of data, attention to data-processing methods and fair collection of data. The Act provides a clear framework of rights and responsibilities that should be embraced with enthusiasm rather than with the reluctance of a person forced to carry out a meaningless chore.

  5. In memoriam:Jean Blancou, DVM, 1936-2010. World authority on rabies, historian and former Director General of the World Organisation for Animal Health (Office International des Épizooties: OIE

    Directory of Open Access Journals (Sweden)

    Anon.

    2011-01-01

    laboratory in Senegal, where he remained until 1977.Initially deputy director, and then director of Research on rabies and wildlife diseases, at the World Health Organization collaborating centre in Nancy, he remained in this position until 1990. Jean Blancou was recognised as a world authority on rabies. He conducted research into the diagnosis, aetiology, epidemiology and control of rabies during his time in Nancy.Between 1988 and 1990, Dr Blancou also headed the animal health and protection department of the Centre national d’études vétérinaires et animales (CNEVA in Maisons-Alfort. On 1 January 1991, he was appointed director general of the World Organisation for Animal Health (Office International des Épizooties: OIE and was re-elected in 1995 for a further five-year term, until he retired in 2000.He attached great importance to the value of scientific publication and to the ethics involved in producing scientific literature. He had a very strong interest in the historical aspects of animal diseases and, in 2003, published a valuable book entitled History of the surveillance and control of transmissible animal diseases. He would always ensure that the most interesting and appropriate historic illustrations, irrespective of how difficult they were to obtain, were selected for the papers he published.Among some of the activities Jean Blancou undertook during his retirement was the mammoth task of co‑editing Infectious and parasitic diseases of livestock in French and English.Dr Blancou authored over 370 scientific publications devoted to animal diseases, to the production and control of biologicals and, of course, many authoritative articles on rabies and vaccinology.He was always generous with the scientific knowledge he possessed and never missed an opportunity to assist colleagues in the preparation or correction of manuscripts that they wished to submit to peer-reviewed journals.He was gentle in nature and always softly spoken. As one of his colleagues wrote

  6. LEGAL BASES FOR DISCLOSING CONFIDENTIAL PATIENT INFORMATION FOR PUBLIC HEALTH: DISTINGUISHING BETWEEN HEALTH PROTECTION AND HEALTH IMPROVEMENT.

    Science.gov (United States)

    Taylor, Mark J

    2015-01-01

    The disclosure of confidential patient data without an individual's explicit consent should be for purposes that persons have reason to both expect and accept. We do not currently have the required level of clarity or consistency in understanding regarding the disclosure of confidential patient information for public health purposes to support effective public dialogue. The Health Service (Control of Patient Information) Regulations 2002 establish a legal basis in England and Wales for data to be disclosed for public health purposes without patient consent. Under the Regulations, there is more than one potential route towards lawful processing: Data may be processed for public health purposes under both Regulations 3 and 5. The alternatives have different safeguards and conditions attached, and their respective applicability to processing for purposes of public health improvement is currently unclear and subject to review. Beyond the need for clarity regarding the safeguards applicable to processing for particular public health purposes, there are reasons to prefer recognition that Regulation 5 is the most appropriate legal basis for disclosure when the purpose is public health improvement rather than public health protection. Where health improvement, rather than protection, is the aim, there is no justification for discarding the additional safeguards associated with processing under Regulation 5.

  7. Development of a respiratory protection survey instrument for occupational health nurses: an educational project.

    Science.gov (United States)

    Taormina, Deborah; Burgel, Barbara J

    2013-02-01

    The Institute of Medicine (2011) report Occupational Health Nurses and Respiratory Protection: Improving Education and Training outlined seven recommendations to improve the competency of occupational health nurses in respiratory protection. An advisory group was convened in December 2011, with stakeholder representation from the Centers for Disease Control and Prevention/National Institute for Occupational Safety and Health/National Personal Protective Technology Laboratory, American Association of Occupational Health Nurses, Inc., American Board for Occupational Health Nurses, Inc., Association of Occupational Health Professionals in Healthcare, American Nurses Association, and Institute of Medicine Standing Committee on Personal Protective Equipment for Workplace Safety and Health. The initial work of the advisory group included developing and administering a survey to assess current occupational health nurse roles and responsibilities relevant to respiratory protection. Development of the survey was led by a master's student and advisor who worked with the advisory group. The process of tool development and preliminary findings are presented in this article.

  8. Information resources used in health risk assessment by the New Jersey Department of Environmental Protection

    Energy Technology Data Exchange (ETDEWEB)

    Post, G.B.; Baratta, M.; Wolfson, S.; McGeorge, L. [New Jersey Department of Environmental Protection, Trenton (United States)

    1990-12-31

    The New Jersey Department of Environmental Protection`s responsibilities related to health-based risk assessment are described, including its research projects and its development of health based compound specific standards and guidance levels. The resources used by the agency to support health risk assessment work are outlined.

  9. Radiation. Protection. Health. Proceedings; Strahlen. Schutz. Gesundheit. Tagungsband

    Energy Technology Data Exchange (ETDEWEB)

    Hajek, Michael [International Atomic Energy Agency, Wien (Austria); Maringer, Franz Josef; Steurer, Andreas [Bundesamt fuer Eich- und Vermessungswesen, Wien (Austria); Schwaiger, Martina [Seibersdorf Labor GmbH, Seibersdorf (Austria); Timal, Guenter (ed.) [Bundesministerium fuer Inneres, Wien (Austria)

    2015-07-01

    The topics of the meeting are the diagnostic and therapeutic application of ionizing radiations, the application of radiation in research, industry and engineering and radiation protection. The volume includes the following chapters: Radiation protection and society, radiation protection infrastructure, population and environment, metrology and measuring techniques, 1. Workshop on population and environment, NORM and radon, 2. Update: dose - extent of damage - limiting value definition, radiation protection for personnel (except medicine), radiation protection in medicine.

  10. Co-occurrence of protective health behaviours and perceived psychosocial job characteristics

    Directory of Open Access Journals (Sweden)

    Vera J.C. Mc Carthy

    2015-01-01

    Full Text Available Little is known about the association between positive job characteristics of older workers and the co-occurrence of protective health behaviours. This study aims to investigate the association between perceived psychosocial job characteristics and the adoption of protective health behaviours. A population-based cross-sectional study was performed on a sample of 1025 males and females (age-range 50–69-years attending a primary healthcare clinic. Perceived job characteristics (job demands: quantitative and cognitive demands; resources: possibility for development and influence at work were determined using the Copenhagen Psychosocial Questionnaire. Each scale is presented in tertiles. Protective health behaviours were; consumption of five or more portions of fruit and vegetables a day, moderate alcohol, non/ex-smoker, and high and moderate physical activity. Each participant was scored 0–4 protective health behaviours. The majority of the sample had three protective health behaviours. Higher levels of influence at work and cognitive demands were associated with higher self-reported physical activity, but not with any number of protective health behaviours. Conversely, higher quantitative and higher cognitive demands were associated with reporting any number of protective health behaviours or above average number of protective health behaviours respectively. The findings on protective health behaviours were inconsistent in relation to the different measures of perceived psychosocial job characteristics and were largely confined to physical activity and diet.

  11. Pesticide assessment: Protecting public health on the home turf.

    Science.gov (United States)

    Sears, Meg; Walker, C Robin; van der Jagt, Richard Hc; Claman, Paul

    2006-04-01

    Pesticide regulation is examined in the context of Health Canada's Pest Management Regulatory Agency's assessment of the chlorophenoxy herbicide 2,4-dichlorophenoxyacetic acid (2,4-D) for turf. 2,4-D is the most common herbicide used to kill weeds in grass.The medical literature does not uniformly indicate harms from herbicides. However, the balance of epidemiological research suggests that 2,4-D can be persuasively linked to cancers, neurological impairment and reproductive problems. These may arise from 2,4-D itself, from breakdown products or dioxin contamination, or from a combination of chemicals.Regulators rely largely on toxicology, but experiments may not replicate exposures from 2,4-D application to lawns because environmental breakdown products (eg, 2,4-dichlorophenol) may not accumulate and selected herbicides are possibly less contaminated. Dioxins are bioaccumulative chemicals that may cause cancer, harm neurological development, impair reproduction, disrupt the endocrine system and alter immune function. No dioxin analyses were submitted to the Pest Management Regulatory Agency, and the principal contaminants of 2,4-D are not among the 17 congeners covered in pesticide regulation. Independent assessment of all dioxins is needed, in tissues and in the environment.The 2,4-D assessment does not approach standards for ethics, rigour or transparency in medical research. Canada needs a stronger regulator for pesticides. Potentially toxic chemicals should not be registered when more benign solutions exist, risks are not clearly quantifiable or potential risks outweigh benefits. Until landscaping pesticides are curtailed nationally, local bylaws and Quebec's Pesticide Code are prudent measures to protect public health. Physicians have a role in public education regarding pesticides.

  12. Response to health inequity: the role of social protection in reducing poverty and achieving equity.

    Science.gov (United States)

    Scheil-Adlung, Xenia

    2014-06-01

    Health inequities are determined by multiple factors within the health sector and beyond. While gaps in social health protection coverage and effective access to health care are among the most prominent causes of health inequities, social and economic inequalities existing beyond the health sector contribute greatly to barriers to access affordable and acceptable health care. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. [Human habitats and the protection of health in Islam].

    Science.gov (United States)

    Hadrović, A

    1997-01-01

    Architecture is an expression so wide in its dimensions and meanings, that it can be compared to expression "life". Architecture is a synthesis and an expression of all rational and irrational that attributes a man, family, community in general, or mankind at all-im one hand; and rational expression of physical structure given by architects, in other hand. Thus, architecture comes down from the highest spheres of philosophy, sociology, discussions on ethics etc., to life. That is the way how architecture becomes defining frame of human life. Human habitude and health protection in islam could be elaborated through theoretical concept of architecturally defined space (ADS), that considers (treats) architecture as a complex system, consisting of four fundamental elements: man, environment, limits and perspectives. Each of these elements, when looking from the perspective of islam, has its specific characteristics, that author discusses in this paper. No doubt, in islamic sphere of life there is a wide spectrum of architectural programmes, that follows natural environment, and has a goal to confirm human and general social values.

  14. Health research and systems' governance are at risk: should the right to data protection override health?

    Science.gov (United States)

    Di Iorio, C T; Carinci, F; Oderkirk, J

    2014-07-01

    The European Union (EU) Data Protection Regulation will have profound implications for public health, health services research and statistics in Europe. The EU Commission's Proposal was a breakthrough in balancing privacy rights and rights to health and healthcare. The European Parliament, however, has proposed extensive amendments. This paper reviews the amendments proposed by the European Parliament Committee on Civil Liberties, Justice and Home Affairs and their implications for health research and statistics. The amendments eliminate most innovations brought by the Proposal. Notably, derogation to the general prohibition of processing sensitive data shall be allowed for public interests such as the management of healthcare services,but not health research, monitoring, surveillance and governance. The processing of personal health data for historical, statistical or scientific purposes shall be allowed only with the consent of the data subject or if the processing serves an exceptionally high public interest, cannot be performed otherwise and is legally authorised. Research, be it academic, government,corporate or market research, falls under the same rule.The proposed amendments will make difficult or render impossible research and statistics involving the linkage and analysis of the wealth of data from clinical,administrative, insurance and survey sources, which have contributed to improving health outcomes and health systems performance and governance; and may illegitimise efforts that have been made in some European countries to enable privacy-respectful data use for research and statistical purposes. If the amendments stand as written, the right to privacy is likely to override the right to health and healthcare in Europe.

  15. Patents and the obligation to protect health: examining the significance of human rights considerations in the protection of pharmaceutical patents.

    Science.gov (United States)

    Owoeye, Olasupo Ayodeji

    2014-06-01

    This article discusses the human right to health in the context of patent protection and access to medicines. It considers the limitations in international human rights law, especially in relation to socioeconomic rights, that make it difficult for the right to health to be a potent justification for derogation from trade or intellectual property agreements. It concludes by taking the view that while the right to health may be somewhat unenforceable in international law, its close association with enforceable rights such as the right to life can be a legitimate basis for making maximum use of the flexibilities in the international intellectual property regime to protect public health. The article takes the view that trade and intellectual property agreements must be interpreted in a way that endeavours as much as possible to resolve any seeming inconsistency with the right to health.

  16. Testimony of the Project Director, Head Start Mental Health National Discretionary Grant on Behalf of the American Psychological Association before the United States Senate, Subcommittee on Children, Family Drugs and Alcoholism, Committee on Labor and Human Resources on the Subject of Mental Health for Head Start Children and Families.

    Science.gov (United States)

    Hutchison, Mary Ann

    This report represents the testimony of Dr. Mary Ann Hutchison, Project Director of the mental health demonstration and research discretionary grant, "Strengthening Head Start Families: Reducing High Risk Through Mental Health Prevention/Intervention," who discusses the importance of reauthorization of Head Start's mental health…

  17. 19 CFR 146.2 - Port director as Board representative.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Port director as Board representative. 146.2 Section 146.2 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.2 Port director as...

  18. Interlocking Directorates and Collusion

    DEFF Research Database (Denmark)

    Buch-Hansen, Hubert

    2014-01-01

    Although several works have suggested that interlocking directorates are mechanisms that have the potential to facilitate collusion, few studies have investigated the matter empirically, and none have systematically considered known cartel cases. Taking a European perspective, and focusing on four...... ties and possible overlaps between them. The analysis is based on an original dataset of European Community cartel cases and data on interlocking directorates developed by others. Very few examples are found of colluding companies that were previously directly or indirectly connected via interlocking...

  19. 78 FR 44947 - Children's Health Protection Advisory Committee

    Science.gov (United States)

    2013-07-25

    ..., pediatricians, obstetrics, occupational medicine, community nurses, environmental groups, health groups, health... exposures, chemical exposures, public health information tracking, knowledge of EPA regulation development... communication; Water quality, regulations, policies, outreach and communication; Prenatal exposures and...

  20. Applying the Recovery Approach to the Interface between Mental Health and Child Protection Services

    Science.gov (United States)

    Duffy, Joe; Davidson, Gavin; Kavanagh, Damien

    2016-01-01

    There is a range of theoretical approaches which may inform the interface between child protection and adult mental health services. These theoretical perspectives tend to be focused on either child protection or mental health with no agreed integrating framework. The interface continues to be identified, in research, case management reviews and…

  1. Applying the Recovery Approach to the Interface between Mental Health and Child Protection Services

    Science.gov (United States)

    Duffy, Joe; Davidson, Gavin; Kavanagh, Damien

    2016-01-01

    There is a range of theoretical approaches which may inform the interface between child protection and adult mental health services. These theoretical perspectives tend to be focused on either child protection or mental health with no agreed integrating framework. The interface continues to be identified, in research, case management reviews and…

  2. Indian community health insurance schemes provide partial protection against catastrophic health expenditure

    Directory of Open Access Journals (Sweden)

    Ranson Kent

    2007-03-01

    Full Text Available Abstract Background More than 72% of health expenditure in India is financed by individual households at the time of illness through out-of-pocket payments. This is a highly regressive way of financing health care and sometimes leads to impoverishment. Health insurance is recommended as a measure to protect households from such catastrophic health expenditure (CHE. We studied two Indian community health insurance (CHI schemes, ACCORD and SEWA, to determine whether insured households are protected from CHE. Methods ACCORD provides health insurance cover for the indigenous population, living in Gudalur, Tamil Nadu. SEWA provides insurance cover for self employed women in the state of Gujarat. Both cover hospitalisation expenses, but only upto a maximum limit of US$23 and US$45, respectively. We reviewed the insurance claims registers in both schemes and identified patients who were hospitalised during the period 01/04/2003 to 31/03/2004. Details of their diagnoses, places and costs of treatment and self-reported annual incomes were obtained. There is no single definition of CHE and none of these have been validated. For this research, we used the following definition; "annual hospital expenditure greater than 10% of annual income," to identify those who experienced CHE. Results There were a total of 683 and 3152 hospital admissions at ACCORD and SEWA, respectively. In the absence of the CHI scheme, all of the patients at ACCORD and SEWA would have had to pay OOP for their hospitalisation. With the CHI scheme, 67% and 34% of patients did not have to make any out-of-pocket (OOP payment for their hospital expenses at ACCORD and SEWA, respectively. Both CHI schemes halved the number of households that would have experienced CHE by covering hospital costs. However, despite this, 4% and 23% of households with admissions still experienced CHE at ACCORD and SEWA, respectively. This was related to the following conditions: low annual income, benefit

  3. [Historical reflections on health protection and the condom].

    Science.gov (United States)

    Forrai, J

    1991-12-01

    The condom was first mentioned in a 1564 writing by Gabriel Fallopius as a means of protection against syphilis describing his tests on 1100 people. The name itself has been ascribed to the Latin word condere, Cum Domino, the French city of Condom, and doctor Quondom, the physician of the English King Charles II. The Marquis de Sade and Casanova used it to avoid venereal diseases (VDs). In London condom manufacturing started in the 18th century. Later it became a symbol of prostitution and immorality. The material used consisted of fish bladder or animal intestines (calf, sheep). The discovery of the rubber tree and the invention of vulcanization by the American technician Goodyear in 1840 made possible large-scale production. In Hungary the 1st rubber manufacturing plant EMERGE started production in 1893 along with toys and other wares. IN 1895 the HUngarian medial association warned about the spread of syphilis facilitated by the activities of 15,400 syphilitic prostitutes in the country. 30% of hospital patients had syphilis. The use of the condom was limited, and illegitimate births increased by 10.5% during the millennium celebrations of Hungary's existence in 1896. EMERGE manufactured condoms called Nono which were mostly distributed to soldiers during World War I, yet they had little popularity. US soldiers did not use the condoms either, as 7 million active days were lost due to VDs during World War II. In the 1950's Anna Ratko was Minister of Health in Hungary who opposed promotion of condoms to increase the population. The invention of penicillin in 1942 also pushed the condom to the background, but in the 1980's the epidemic of AIDS has made its use widespread.

  4. Time Management for Directors

    Science.gov (United States)

    Jaffe, Ellen Hofstetter

    2005-01-01

    Time management is a skill. Like any new skill, it takes time and commitment to develop. A frequent complaint of center directors is not having enough time. Most work extremely long hours and still feel they are not getting enough done. This article presents ideas on how to manage time and work smarter, not harder. These ideas are the following:…

  5. Director Networks and Takeovers

    NARCIS (Netherlands)

    Renneboog, L.D.R.; Zhao, Y.

    2013-01-01

    Abstract: We study the impact of corporate networks on the takeover process. We find that better connected companies are more active bidders. When a bidder and a target have one or more directors in common, the probability that the takeover transaction will be successfully completed augments, and th

  6. Director networks and takeovers

    NARCIS (Netherlands)

    Renneboog, L.D.R.; Zhao, Y.

    2014-01-01

    We study the impact of corporate networks on the takeover process. We find that better connected companies are more active bidders. When a bidder and a target have one or more directors in common, the probability that the takeover transaction will be successfully completed augments, and the duration

  7. REGIONAL CUSTOMS DIRECTORATES MANAGEMENT

    Directory of Open Access Journals (Sweden)

    CABA STEFAN

    2009-05-01

    Full Text Available The management of a regional customs directorate is analyzed. A new approach of the managerial system, in the European integration context, is presented. The customs system is one of the first “doors” to a new economic, social and cultural community. For

  8. Ideas for Directors.

    Science.gov (United States)

    Child Care Information Exchange, 1987

    1987-01-01

    Presents child care center directors with a variety of relevant management ideas from business and the child care field. They include translating employee body language; leadership myths; on-the-job teacher training; undesirable bosses; wasting employee talent; voicing disagreement; employee anger; encouraging creativity; and coping with late…

  9. CNOOC Appoints New Directors

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    @@ On November 18, 2002, CNOOC Limited announced appointment of Professor Kenneth Courtis and Dr. Erwin Schurtenberger as Nonexecutive Directors of the Company effective immediately. They replaced Mr. Tso Kai Sum and Mr. Will Honeybourne who sat on the board on behalf of strategic investors and whose terms now expired.

  10. Four Women Bank Directors

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    FOUR of the five directors of state banks in Beihai City in Guangxi Zhuang Autonomous Region are women. These women show that women are no longer only able to manage family finance, but they are able to take charge of the important responsibility for state finance. The mayor of Beihai City calls them the city’s outstanding financial affairs managers.

  11. Woman Director Ma Yueying

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    Ma Yueying took office as director of the Jiaxing General Silk Mill, which had 200,000 yuan capital fund, in 1975. Since then, this mill has developed greatly. Now it has become an advanced enterprise with an annual output worth RMB¥30 million and fixed assets of RMB¥10 million.

  12. Worker Safety and Health Issues Associated with the DOE Environmental Cleanup Program: Insights From the DOE Laboratory Directors' Environmental and Occupational/Public health Standards Steering Group

    Energy Technology Data Exchange (ETDEWEB)

    M.C. Edelson; Samuel C. Morris; Joan M. Daisey

    2001-03-01

    The U.S. Department of Energy (DOE) Laboratory Directors' Environmental and Occupational/Public Health Standards Steering Group (or ''SSG'') was formed in 1990. It was felt then that ''risk'' could be an organizing principle for environmental cleanup and that risk-based cleanup standards could rationalize clean up work. The environmental remediation process puts workers engaged in cleanup activities at risk from hazardous materials and from the more usual hazards associated with construction activities. In a real sense, the site remediation process involves the transfer of a hypothetical risk to the environment and the public from isolated contamination into real risks to the workers engaged in the remediation activities. Late in its existence the SSG, primarily motivated by its LANL representative, Dr. Harry Ettinger, actively investigated issues associated with worker health and safety during environmental remediation activities. This paper summarizes the insights noted by the SSG. Most continue to be pertinent today.

  13. Protection motivation theory and adolescent drug trafficking: relationship between health motivation and longitudinal risk involvement.

    Science.gov (United States)

    Wu, Ying; Stanton, Bonita F; Li, Xiaoming; Galbraith, Jennifer; Cole, Matthew L

    2005-03-01

    To assess health protection motivation as explained by the constructs of protection motivation theory (PMT) and its association with drug trafficking over 2 years. The sample included 817 African American youth (13-16 years old) participating in an adolescent risk-reduction program. We developed an instrument measuring the level of health protection motivation (LHPM) using factor analysis. Changes in LHPM over time were examined among drug traffickers, abstainers, initiators, and nonrisk youths. In sum, 151 participants reported selling and/or delivering drugs during the study period. The significant inverse correlation between drug-trafficking intention and health protection motivation was consistent with PMT. Changes in LHPM were strongly associated with the dynamics of behavior over 2 years. Adolescent drug trafficking can be predicted by an overall level of health protection motivation. PMT and related theories should be considered in the design of drug-trafficking prevention intervention.

  14. Message from Fermilab Director

    CERN Multimedia

    2009-01-01

    With this issue’s message, Fermilab Director Pier Oddone opens a new series of occasional exchanges between CERN and other laboratories world-wide. As part of this exchange, CERN Director-General Rolf Heuer, wrote a message in Tuesday’s edition of Fermilab TodayPerspectivesNothing is more important for our worldwide particle physics community than successfully turning on the LHC later this year. The promise for great discoveries is huge, and many of the plans for our future depend on LHC results. Those of us planning national programmes in anticipation of data from the LHC face formidable challenges to develop future facilities that are complementary to the LHC, whatever the physics discoveries may be. At Fermilab, this has led us to move forcefully with a programme at the intensity frontier, where experiments with neutrinos and rare decays open a complementary window into nature. Our ultimate goal for a unified picture of nat...

  15. Beam director design report

    Energy Technology Data Exchange (ETDEWEB)

    Younger, F.C.

    1986-08-01

    A design and fabrication effort for a beam director is documented. The conceptual design provides for the beam to pass first through a bending and focusing system (or ''achromat''), through a second achromat, through an air-to-vacuum interface (the ''beam window''), and finally through the vernier steering system. Following an initial concept study for a beam director, a prototype permanent magnet 30/sup 0/ beam-bending achromat and prototype vernier steering magnet were designed and built. In volume II, copies are included of the funding instruments, requests for quotations, purchase orders, a complete set of as-built drawings, magnetic measurement reports, the concept design report, and the final report on the design and fabrication project. (LEW)

  16. Consideraciones organizativas y funcionales del sistema municipal de salud de Ciudad de La Habana desde la óptica de directores de diferentes sexos Organizative and functional considerations of the municipal health system of Havana City from the perspective of directors of different sexes

    Directory of Open Access Journals (Sweden)

    María Clarivel Presno Labrador

    2004-06-01

    Full Text Available Se realizó un estudio descriptivo transversal para conocer algunas características del sistema gerencial municipal de salud de Ciudad de La Habana, desde la perspectiva de los cuadros dirigentes masculinos y femeninos, a partir de un cuestionario realizado al 100 % de los directores a ese nivel. Se identificaron los elementos relacionados con la estructura y funcionamiento actual del puesto de trabajo, y se comprobó que más del 40 % de ellos no cuentan con locales adecuados ni equipos de dirección completos; además de que el 86,6 % opina que la mayoría de las reuniones a las que asisten se realizan dentro del horario laboral, y solo el 40 % afirma que estas se relacionan directamente con los objetivos del nivel de atención que dirigen, en lo que coincidieron tanto hombres como mujeres. El tiempo dedicado al descanso y a la recreación en días laborales o no, es insuficiente, y son las mujeres dirigentes más afectadas que los cuadros hombres. El 33,3 % de los directores municipales en la capital son mujeres, sin embargo, han sido las más afectadas por la política de cuadros existente.A descriptive and cross sectional study was conducted to know some characteristics of the municipal health management system of Havana City from the perspective of the male and female leading cadres, starting from a questionnaire applied to 100 % of the directors at that level. The elements related to the present structure and functioning of this post were identified and it was proved that more than 40 % of them have neither the adequate places nor the complete management teams. Besides, 86.6 % consider that most of the meetings they attend are held during working hours and only 40 % state that these meeetings have to do directly with the aims of the level of attention they manage. Males and females coincided on this regard. The time devoted to rest and recreation in working days or not is not enough and the female cadres are more affected than male

  17. Directors: Their duties and powers

    OpenAIRE

    2009-01-01

    Company directors control and direct a company in the interests of its owners (known as members). They also have particular responsibilities under the law and the company’s constitution. A company must have at least two directors. These act together on a board of directors.

  18. From the NIH Director: The Importance of Clinical Trials | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... of this page please turn Javascript on. From the NIH Director: The Importance of Clinical Trials Past Issues / Summer 2011 ... Francis S. Collins, M.D., Ph.D., Director of the National Institutes of Health, led the successful effort ...

  19. Financial risk protection and universal health coverage: evidence and measurement challenges.

    Science.gov (United States)

    Saksena, Priyanka; Hsu, Justine; Evans, David B

    2014-09-01

    Financial risk protection is a key component of universal health coverage (UHC), which is defined as access to all needed quality health services without financial hardship. As part of the PLOS Medicine Collection on measurement of UHC, the aim of this paper is to examine and to compare and contrast existing measures of financial risk protection. The paper presents the rationale behind the methodologies for measuring financial risk protection and how this relates to UHC as well as some empirical examples of the types of measures. Additionally, the specific challenges related to monitoring inequalities in financial risk protection are discussed. The paper then goes on to examine and document the practical challenges associated with measurement of financial risk protection. This paper summarizes current thinking on the area of financial risk protection, provides novel insights, and suggests future developments that could be valuable in the context of monitoring progress towards UHC.

  20. Financial risk protection and universal health coverage: evidence and measurement challenges.

    Directory of Open Access Journals (Sweden)

    Priyanka Saksena

    2014-09-01

    Full Text Available Financial risk protection is a key component of universal health coverage (UHC, which is defined as access to all needed quality health services without financial hardship. As part of the PLOS Medicine Collection on measurement of UHC, the aim of this paper is to examine and to compare and contrast existing measures of financial risk protection. The paper presents the rationale behind the methodologies for measuring financial risk protection and how this relates to UHC as well as some empirical examples of the types of measures. Additionally, the specific challenges related to monitoring inequalities in financial risk protection are discussed. The paper then goes on to examine and document the practical challenges associated with measurement of financial risk protection. This paper summarizes current thinking on the area of financial risk protection, provides novel insights, and suggests future developments that could be valuable in the context of monitoring progress towards UHC.

  1. MOBILE PHONE AND CHILDREN: INFLUENCE ON HEALTH AND PROTECTION MEASURES

    Directory of Open Access Journals (Sweden)

    A. N. Liberman

    2013-01-01

    Full Text Available An article presents an analysis of the results of research aimed at clarifying the possible shortand long-term effects of exposure from electromagnetic fields (EMF of mobile radio communication – mobile (cellularand wireless (home phones on children and adolescents. Measures are considered to protect them from exposure to EMF, directions for further researches are formulated.

  2. opinion maternal and infant health is protected by antiretroviral drug ...

    African Journals Online (AJOL)

    2012-03-01

    Mar 1, 2012 ... stricter legislation to protect the rights of breastfeeding mothers. They objected to ... formula for HIV-positive women, and lamented that there has been hardly ... newborns against disease and support the maturation of their own immune ... two types of 'exceptionalism': (i) HIV exceptionalism and (ii) South.

  3. On-Orbit Health Monitoring and Repair Assessment of Thermal Protection Systems Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This SBIR project delivers On-orbit health MoNItoring and repair assessment of THERMal protection systems (OMNI_THERM). OMNI_THERM features impedance-based...

  4. Community nurses' child protection role: views of public health nurses in Ireland.

    LENUS (Irish Health Repository)

    Kent, Susan

    2011-11-01

    Public health nurses in Ireland are generalist practitioners with a wide range of roles that address the needs of clients in the community across their lifespan. Child protection is one of many of the roles of Irish public health nurses. However, with increasing caseloads, birth rates and aging populations, their child protection role is becoming more difficult to define and practise safely. This paper presents a key finding of a qualitative study that explored the views of a group of public health nurses (n = 10) regarding their role with pre-school children. A significant theme following analysis of the interviews were the nurses\\' expressed concerns on their role in child protection. There is a need to define the role practised by public health nurses in child protection and to achieve a standard for this nationally.

  5. 78 FR 48683 - National Institute for Occupational Safety and Health (NIOSH) Personal Protective Technology (PPT...

    Science.gov (United States)

    2013-08-09

    ... Health (NIOSH) Personal Protective Technology (PPT) Program; Framework Document for the Healthcare Worker... availability of a document titled ``Framework for Setting the NIOSH PPT Program Action Plan for Healthcare... ). SUPPLEMENTARY INFORMATION: The NIOSH personal protective technology (PPT) program publishes and periodically...

  6. 77 FR 18309 - Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans...

    Science.gov (United States)

    2012-03-27

    ... Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards..., 156, and 157 RIN 0938-AQ67 Patient Protection and Affordable Care Act; Establishment of Exchanges and... collectively as the Affordable Care Act. The Exchanges will provide competitive marketplaces for...

  7. 76 FR 41865 - Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans

    Science.gov (United States)

    2011-07-15

    ... Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Proposed Rule #0... Exchanges (``Exchanges''), consistent with title I of the Patient Protection and Affordable Care Act of 2010...-152), referred to collectively as the Affordable Care Act. The Exchanges will provide...

  8. Veterinarians in Environmental Health: Opportunities for Veterinarians at the Environmental Protection Agency

    Science.gov (United States)

    The United States Environmental Protection Agency (EPA) was created in 1970 partially in response to widespread public concern about environmental degradation. The EPA mission is to protect human health and the environment and the Agency is tasked with enforcing our nation's envi...

  9. [Concept of personal data relating to health in the law of personal data protection].

    Science.gov (United States)

    Navarrete, Jesús Rubí

    2006-01-01

    The Law on the Protection of Data states that health data are sensible data and therefore subject to a strengthened system of guarantees. In order to apply this, the information must make reference to physical persons and must be susceptible of being included within the concept of health data. The resolutions of the Spanish Agency for Data Protection and the rulings of the Courts provide very valuable elements to clarify both concepts.

  10. Evaluation of a Physiologically Based Pharmacokinetic (PBPK) Model Used to Develop Health Protective Levels for Trichloroethylene

    Science.gov (United States)

    2017-02-28

    AFRL-RH-WP-TR-2017-0014 EVALUATION OF A PHYSIOLOGICALLY-BASED PHARMACOKINETIC (PBPK) MODEL USED TO DEVELOP HEALTH PROTECTIVE LEVELS FOR...Pharmacokinetic (PBPK) Model Used to Develop Health Protective Levels for Trichloroethylene 5a. CONTRACT NUMBER FA8650-15-2-6608 5b. GRANT...Anita Meyer, Army Corps of Engineers (CEHNC-EMS) and Shannon S. Garcia, AFCEC/CZTE for their efforts to obtain the required funding. The authors also

  11. Protecting Pakistan's health during the global economic crisis.

    Science.gov (United States)

    Jooma, R; Khan, A; Khan, A A

    2012-03-01

    The world is facing an unprecedented global economic crisis, with many countries needing to reconsider their level of health care spending. This paper explores the many consequences of the global economic turndown on Pakistan's health, including reduced government and donor spending and increased poverty with the consequent diversion of funds away from health. Nevertheless, these challenges may provide opportunities not only to mitigate the adverse effects of the economic crisis but also to institute some much-needed reforms that may not receive political support during more affluent times. Our suggestions focus on setting priorities based on the national disease burden, prioritizing prevention interventions, demanding results, curbing corruption, experimenting with innovative funding mechanisms, advocating for increased funding by presenting health spending as an investment rather than an expense and by selected recourse to civil society interventions and philanthropy to bridge the gap between available and needed resources.

  12. Will the new Australian health privacy law provide adequate protection?

    Science.gov (United States)

    Bomba, David; Hallit, George

    2002-01-01

    Amendments to the original Privacy Act (1988) come at a key point in time, as a national medical record system looms on the Australian horizon. Changes to The Privacy Act have the potential to define a level of information privacy prior to the implementation of such a system. We have therefore collected expert opinions on the ability of the Health Privacy Guidelines (enacted in December 2001 under The Privacy Act and hereafter more specifically known as Health Privacy Legislation) to ensure the privacy and security of patient information. We conclude that the legislation is flawed in its capacity to withstand an increasingly corporatised health sector. Deficiencies in consent requirements, together with feeble enforcement capabilities, mean The Legislation cannot effectively ensure that personally identifiable information will not end up in corporate third party hands. To significantly bolster the new legislation, we argue that it should be supplemented with explicit health data legislation and privacy auditing.

  13. Directors General appointed

    CERN Multimedia

    1975-01-01

    At a special session on 21 March, presided over by P. Levaux, the Council of the European Organization for Nuclear Research appointed J . B. Adams and L . Van Hove as Directors General of the Organization for a period of five years beginning 1 January 1976. Dr. Adams will be responsible for the administration of CERN, for the operation of the equipment and services and for the construction of buildings and major equipment. Professor Van Hove will be responsible for the research activities of the Organization.

  14. Identifying Protective Factors to Promote Health in American Indian and Alaska Native Adolescents: A Literature Review.

    Science.gov (United States)

    Henson, Michele; Sabo, Samantha; Trujillo, Aurora; Teufel-Shone, Nicolette

    2017-04-01

    Exposure to protective factors, conditions that protect against the occurrence of an undesirable outcome or promote the occurrence of a desirable outcome within an adolescent's environment, can foster healthy adolescent behaviors and reduce adult morbidity and mortality. Yet, little is known about the nature and effect of protective factors on the positive social and health outcomes among American Indian and Alaska Native (AIAN) adolescents. We conducted a review of the literature to identify the protective factors associated with positive health outcomes among AIAN adolescents. We consulted Elsevier Science Direct, ERIC EBSCOhost, PubMed, and the Web of Science databases. A total of 3421 articles were encountered. Excluded publications were those that did not focus on AIAN adolescents (n = 3341), did not identify protective factors (n = 56), were not original research studies (n = 8), or were not written in the English language. We identified nine categories of protective factors positively associated with health and social outcomes, including: current and/or future aspirations, personal wellness, positive self-image, self-efficacy, non-familial connectedness, family connectedness, positive opportunities, positive social norms, and cultural connectedness. Such factors positively influenced adolescent alcohol, tobacco, and substance use; delinquent and violent behavior; emotional health including depression, suicide attempt; resilience; and academic success. Protective factors spanned multiple domains of the socio-ecological model. Strengths-based health promotion efforts that leverage local, innate protective factors and work with AIANs to create environments rich in protective factors are key to improving the health and wellbeing of AIAN adolescents.

  15. The Fitbit Fault Line: Two Proposals to Protect Health and Fitness Data at Work.

    Science.gov (United States)

    Brown, Elizabeth A

    2016-01-01

    Employers are collecting and using their employees' health data, mined from wearable fitness devices and health apps, in new, profitable, and barely regulated ways. The importance of protecting employee health and fitness data will grow exponentially in the future. This is the moment for a robust discussion of how law can better protect employees from the potential misuse of their health data. While scholars have just begun to examine the problem of health data privacy, this Article contributes to the academic literature in three important ways. First, it analyzes the convergence of three trends resulting in an unprecedented growth of health-related data: the Internet of Things, the Quantified Self movement, and the Rise of Health Platforms. Second, it describes the insufficiencies of specific data privacy laws and federal agency actions in the context of protecting employee health data from employer misuse. Finally, it provides two detailed and workable solutions for remedying the current lack of protection of employee health data that will realign employer use with reasonable expectations of health and fitness privacy. The Article proceeds in four Parts. Part I describes the growth of self-monitoring apps, devices, and other sensor-enabled technology that can monitor a wide range of data related to an employee's health and fitness and the relationship of this growth to both the Quantified Self movement and the Internet of Things. Part II explains the increasing use of employee monitoring through a wide range of sensors, including wearable devices, and the potential uses of that health and fitness data. Part III explores the various regulations and agency actions that might protect employees from the potential misuse of their health and fitness data and the shortcomings of each. Part IV proposes two specific measures that would help ameliorate the ineffective legal protections that currently exist in this context. In order to improve employee notice of and control

  16. Beyond UHC: monitoring health and social protection coverage in the context of tuberculosis care and prevention.

    Science.gov (United States)

    Lönnroth, Knut; Glaziou, Philippe; Weil, Diana; Floyd, Katherine; Uplekar, Mukund; Raviglione, Mario

    2014-09-01

    Tuberculosis (TB) remains a major global public health problem. In all societies, the disease affects the poorest individuals the worst. A new post-2015 global TB strategy has been developed by WHO, which explicitly highlights the key role of universal health coverage (UHC) and social protection. One of the proposed targets is that "No TB affected families experience catastrophic costs due to TB." High direct and indirect costs of care hamper access, increase the risk of poor TB treatment outcomes, exacerbate poverty, and contribute to sustaining TB transmission. UHC, conventionally defined as access to health care without risk of financial hardship due to out-of-pocket health care expenditures, is essential but not sufficient for effective and equitable TB care and prevention. Social protection interventions that prevent or mitigate other financial risks associated with TB, including income losses and non-medical expenditures such as on transport and food, are also important. We propose a framework for monitoring both health and social protection coverage, and their impact on TB epidemiology. We describe key indicators and review methodological considerations. We show that while monitoring of general health care access will be important to track the health system environment within which TB services are delivered, specific indicators on TB access, quality, and financial risk protection can also serve as equity-sensitive tracers for progress towards and achievement of overall access and social protection.

  17. Beyond UHC: monitoring health and social protection coverage in the context of tuberculosis care and prevention.

    Directory of Open Access Journals (Sweden)

    Knut Lönnroth

    2014-09-01

    Full Text Available Tuberculosis (TB remains a major global public health problem. In all societies, the disease affects the poorest individuals the worst. A new post-2015 global TB strategy has been developed by WHO, which explicitly highlights the key role of universal health coverage (UHC and social protection. One of the proposed targets is that "No TB affected families experience catastrophic costs due to TB." High direct and indirect costs of care hamper access, increase the risk of poor TB treatment outcomes, exacerbate poverty, and contribute to sustaining TB transmission. UHC, conventionally defined as access to health care without risk of financial hardship due to out-of-pocket health care expenditures, is essential but not sufficient for effective and equitable TB care and prevention. Social protection interventions that prevent or mitigate other financial risks associated with TB, including income losses and non-medical expenditures such as on transport and food, are also important. We propose a framework for monitoring both health and social protection coverage, and their impact on TB epidemiology. We describe key indicators and review methodological considerations. We show that while monitoring of general health care access will be important to track the health system environment within which TB services are delivered, specific indicators on TB access, quality, and financial risk protection can also serve as equity-sensitive tracers for progress towards and achievement of overall access and social protection.

  18. Confidentiality Protection of Digital Health Records in Cloud Computing.

    Science.gov (United States)

    Chen, Shyh-Wei; Chiang, Dai Lun; Liu, Chia-Hui; Chen, Tzer-Shyong; Lai, Feipei; Wang, Huihui; Wei, Wei

    2016-05-01

    Electronic medical records containing confidential information were uploaded to the cloud. The cloud allows medical crews to access and manage the data and integration of medical records easily. This data system provides relevant information to medical personnel and facilitates and improve electronic medical record management and data transmission. A structure of cloud-based and patient-centered personal health record (PHR) is proposed in this study. This technique helps patients to manage their health information, such as appointment date with doctor, health reports, and a completed understanding of their own health conditions. It will create patients a positive attitudes to maintain the health. The patients make decision on their own for those whom has access to their records over a specific span of time specified by the patients. Storing data in the cloud environment can reduce costs and enhance the share of information, but the potential threat of information security should be taken into consideration. This study is proposing the cloud-based secure transmission mechanism is suitable for multiple users (like nurse aides, patients, and family members).

  19. Protecting health from metal exposures in drinking water.

    Science.gov (United States)

    Armour, Margaret-Ann

    2016-03-01

    Drinking water is essential to us as human beings. According to the World Health Organization "The quality of drinking-water is a powerful environmental determinant of health" (http://www.who.int/water_sanitation_health/dwq/en/), but clean drinking water is a precious commodity not always readily available. Surface and ground water are the major sources of drinking water. Both can be contaminated, surface water with bacteria while ground water frequently contains salts of metals that occur naturally or are introduced by human activity. This paper will briefly review the metallic salts found in drinking water in areas around the world, as well as list some of the methods used to reduce or remove them. It will then discuss our research on reducing the risk of pollution of drinking water by removal of metal ions from wastewater.

  20. Protecting Bone Health in Pediatric Rheumatic Diseases: Pharmacological Considerations.

    Science.gov (United States)

    Zhang, Yujuan; Milojevic, Diana

    2017-06-01

    Bone health in children with rheumatic conditions may be compromised due to several factors related to the inflammatory disease state, delayed puberty, altered life style, including decreased physical activities, sun avoidance, suboptimal calcium and vitamin D intake, and medical treatments, mainly glucocorticoids and possibly some disease-modifying anti-rheumatic drugs. Low bone density or even fragility fractures could be asymptomatic; therefore, children with diseases of high inflammatory load, such as systemic onset juvenile idiopathic arthritis, juvenile dermatomyositis, systemic lupus erythematosus, and those requiring chronic glucocorticoids may benefit from routine screening of bone health. Most commonly used assessment tools are laboratory testing including serum 25-OH-vitamin D measurement and bone mineral density measurement by a variety of methods, dual-energy X-ray absorptiometry as the most widely used. Early disease control, use of steroid-sparing medications such as disease-modifying anti-rheumatic drugs and biologics, supplemental vitamin D and calcium, and promotion of weight-bearing physical activities can help optimize bone health. Additional treatment options for osteoporosis such as bisphosphonates are still controversial in children with chronic rheumatic diseases, especially those with decreased bone density without fragility fractures. This article reviews common risk factors leading to compromised bone health in children with chronic rheumatic diseases and discusses the general approach to prevention and treatment of bone fragility.

  1. Salt Matters: Preserving Choice, Protecting Health (Long Version)

    Centers for Disease Control (CDC) Podcasts

    2011-02-01

    This video presents information about salt as a major contributor to high blood pressure, heart disease, and stroke.  Created: 2/1/2011 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division for Heart Disease and Stroke Prevention (DHDSP).   Date Released: 4/20/2011.

  2. Salt Matters: Preserving Choice, Protecting Health (Short Version)

    Centers for Disease Control (CDC) Podcasts

    2011-02-01

    This video presents information about salt as a major contributor to high blood pressure, heart disease, and stroke.  Created: 2/1/2011 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division for Heart Disease and Stroke Prevention (DHDSP).   Date Released: 2/1/2011.

  3. The quest for universal health coverage: achieving social protection for all in Mexico.

    Science.gov (United States)

    Knaul, Felicia Marie; González-Pier, Eduardo; Gómez-Dantés, Octavio; García-Junco, David; Arreola-Ornelas, Héctor; Barraza-Lloréns, Mariana; Sandoval, Rosa; Caballero, Francisco; Hernández-Avila, Mauricio; Juan, Mercedes; Kershenobich, David; Nigenda, Gustavo; Ruelas, Enrique; Sepúlveda, Jaime; Tapia, Roberto; Soberón, Guillermo; Chertorivski, Salomón; Frenk, Julio

    2012-10-06

    Mexico is reaching universal health coverage in 2012. A national health insurance programme called Seguro Popular, introduced in 2003, is providing access to a package of comprehensive health services with financial protection for more than 50 million Mexicans previously excluded from insurance. Universal coverage in Mexico is synonymous with social protection of health. This report analyses the road to universal coverage along three dimensions of protection: against health risks, for patients through quality assurance of health care, and against the financial consequences of disease and injury. We present a conceptual discussion of the transition from labour-based social security to social protection of health, which implies access to effective health care as a universal right based on citizenship, the ethical basis of the Mexican reform. We discuss the conditions that prompted the reform, as well as its design and inception, and we describe the 9-year, evidence-driven implementation process, including updates and improvements to the original programme. The core of the report concentrates on the effects and impacts of the reform, based on analysis of all published and publically available scientific literature and new data. Evidence indicates that Seguro Popular is improving access to health services and reducing the prevalence of catastrophic and impoverishing health expenditures, especially for the poor. Recent studies also show improvement in effective coverage. This research then addresses persistent challenges, including the need to translate financial resources into more effective, equitable and responsive health services. A next generation of reforms will be required and these include systemic measures to complete the reorganisation of the health system by functions. The paper concludes with a discussion of the implications of the Mexican quest to achieve universal health coverage and its relevance for other low-income and middle-income countries.

  4. Magnetic heat pump flow director

    Science.gov (United States)

    Howard, Frank S. (Inventor)

    1995-01-01

    A fluid flow director is disclosed. The director comprises a handle body and combed-teeth extending from one side of the body. The body can be formed of a clear plastic such as acrylic. The director can be used with heat exchangers such as a magnetic heat pump and can minimize the undesired mixing of fluid flows. The types of heat exchangers can encompass both heat pumps and refrigerators. The director can adjust the fluid flow of liquid or gas along desired flow directions. A method of applying the flow director within a magnetic heat pump application is also disclosed where the comb-teeth portions of the director are inserted into the fluid flow paths of the heat pump.

  5. Workplace incivility and new graduate nurses' mental health: the protective role of resiliency.

    Science.gov (United States)

    Laschinger, Heather K; Wong, Carol; Regan, Sandra; Young-Ritchie, Carol; Bushell, Pamela

    2013-01-01

    The aim of this study was to examine the relationships between coworker, physician, and supervisor workplace incivility and new graduate nurses' mental health and the protective role of personal resiliency. Positive interpersonal relationships in healthcare work environments are important for new graduate nurses' career transition and commitment. Workplace incivility threatens new graduate nurses' health and well-being. Personal resiliency helps employees to recover from negative stressors and may protect new nurses from the negative effects of workplace incivility. We surveyed 272 new graduate nurses in Ontario to explore the influence of 3 forms of workplace incivility and personal resiliency on new nurses' mental health. All sources of incivility were related to poor mental health. Results suggest that personal resiliency may protect nurses from the negative effects of incivility. New nurses are experiencing workplace incivility from a variety of sources in their work environments, which have detrimental effects on their workplace well-being.

  6. Characteristics of teacher's health protecting activities in the modern secondary school environment

    Directory of Open Access Journals (Sweden)

    Yefimova V.M.

    2010-11-01

    Full Text Available The paper considers general approaches to the definition of the notion of anomia. It analyzes different aspects of the term's modern interpretation and discusses the main problems connected with the formation of the social context of the future teacher professional training for health protecting activities. The features of health protecting activity are exposed in the conditions of anomia. Certainly its influences on the social, psychical and physical health of young people. It is well-proven that introduction to maintenance of professional preparation of future teachers of presentations about anomia and its intercommunications with the different aspects of vital functions are necessity in connection with actualization of health protecting activity of teachers.

  7. NETWORK GROUNDS OF DEVELOPMENT OF REGIONAL HEALTH PROTECTION

    Directory of Open Access Journals (Sweden)

    Yermolenko V. V.

    2015-09-01

    Full Text Available The article heads a series of the publications devoted to the solution of an actual problem of modern health care - a management problem at the regional level. The contradiction between expectations and needs of the population for high-quality medical services and quality of management of the medical organizations is shown in the Russian health system. This contradiction is shown at the micro and meso (regional level in poor quality of not medical part of medical services and in total generates a dissatisfaction of patients with quality of medical services in general. At this stage of reforming of health system in Russia, economic and administrative problems are main issues. It is necessary to master and quickly to introduce in work practice modern economic methods and administrative technologies for their decision. Network creation of the companies belongs to a remarkable trend of development modern societies and economics. The cluster campaign was widely adopted. Studying of network forms of the organizations is based on interdisciplinary researches on ecological, economic, administrative and relational approaches. Application of network structures in health sector is based on the new organizational and administrative principles, from which are main: principle of systems; principle of a synergy of material and immaterial resources; principle of trust; principle of reciprocity; principle of formation of network culture and ideological coordination of actors of a network; principle of economy of the valid human capital; accession of the network management and its actors to business services in relation to the diagnostic and treatment process; professionalizing of activity of infrastructure service of a network and its participants

  8. Cooperative Directors: Perspective and Leadership

    OpenAIRE

    Adrian, John L., Jr.; Kiser, Stephen L.

    2000-01-01

    Cooperative directors’ perceptions of their roles, knowledge, and implementation of cooperative principles, business decision making, financial analysis, cooperative law, and division of responsibility with management were analyzed using data from forty-eight agricultural and thirty-one rural electric directors. Directors performed well in these areas with the best performance being related to decision-making scenarios. Self-assessments and performance for capabilities/situational items wer...

  9. Health protection and risks for rescuers in cases of floods.

    Science.gov (United States)

    Janev Holcer, Nataša; Jeličić, Pavle; Grba Bujević, Maja; Važanić, Damir

    2015-03-01

    Floods can pose a number of safety and health hazards for flood-affected populations and rescuers and bring risk of injuries, infections, and diseases due to exposure to pathogenic microorganisms and different biological and chemical contaminants. The risk factors and possible health consequences for the rescuers involved in evacuation and rescuing operations during the May 2014 flood crisis in Croatia are shown, as well as measures for the prevention of injuries and illnesses. In cases of extreme floods, divers play a particularly important role in rescuing and first-response activities. Rescuing in contaminated floodwaters means that the used equipment such as diving suits should be disinfected afterwards. The need for securing the implementation of minimal health and safety measures for involved rescuers is paramount. Data regarding injuries and disease occurrences among rescuers are relatively scarce, indicating the need for medical surveillance systems that would monitor and record all injuries and disease occurrences among rescuers in order to ensure sound epidemiological data. The harmful effects of flooding can be reduced by legislation, improvement of flood forecasting, establishing early warning systems, and appropriate planning and education.

  10. Health care worker protection in mass casualty respiratory failure: infection control, decontamination, and personal protective equipment.

    Science.gov (United States)

    Daugherty, Elizabeth L

    2008-02-01

    Maintenance of a safe and stable health care infrastructure is critical to an effective mass casualty disaster response. Both secondary contamination during chemical disasters and hospital-associated infections during epidemic illness can pose substantial threats to achieving this goal. Understanding basic principles of decontamination and infection control during responses to chemical and biologic disasters can help minimize the risks to patients and health care workers. Effective decontamination following toxic chemical exposure should include both removal of contaminated clothing and decontamination of the victim's skin. Wet decontamination is the most feasible strategy in a mass casualty situation and should be performed promptly by trained personnel. In the event of an epidemic, infection prevention and control measures are based on essential principles of hand hygiene and standard precautions. Expanded precautions should be instituted as needed to target contact, droplet, and airborne routes of infectious disease transmission. Specific equipment and measures for critical care delivery may serve to decrease risk to health care workers in the event of an epidemic. Their use should be considered in developing comprehensive disaster response plans.

  11. Farmers sun exposure, skin protection and public health campaigns: An Australian perspective

    Directory of Open Access Journals (Sweden)

    Christel Smit-Kroner

    2015-01-01

    Full Text Available Non-melanoma skin cancer is a common and costly cancer in agricultural populations. Prevention and early detection are an effective way to decrease the burden of disease and associated costs. To examine sun exposure and skin protection practices in agricultural workers and farmers a thematic review of the literature between 1983 and 2014 was undertaken. Comparison between studies was complicated by differences in study design, definitions of skin protection, and analytic methods used. Farmers are the most exposed to harmful ultraviolet (UV radiation of all outdoor workers and the level of reported skin protection by farmers is suboptimal. Years of public health campaigns have failed to adequately address farmers' specific needs. Increased rates of skin cancer and subsequent higher costs are expected. Estimates of sun exposure and skin protection practice indicate that protective clothing is the most promising avenue to improve on farmers' skin protection. Early detection needs to be part of public health campaigns. This review explores the quantitative data about Australian farmers and their skin protective behaviours. We investigate what the documented measurable effect of the public health campaign Slip!Slop!Slap! has had on agricultural workers and farmers and make recommendations for future focus.

  12. [Health promotion and computer science in radiation protection].

    Science.gov (United States)

    Pennarola, R; Porzio, G; Cavaliere, L

    2007-01-01

    An automatic system of clinical-diagnostic information has been applied to workers exposed to ionising radiation at the University of Naples Federico II with reference to the last 5 years. For every person exposed a computerized case sheet was elaborated recording clinical, biological, dosimetric and other preventive data. In the localized risk, capillaroscopic monitoring was used. This research has highlighted the role of medical surveillance in developing health promotion criteria and the planning of the interventions with the complete control of all data in real time.

  13. FOOD EDUCATION: AN ISTRUMENT FOR CONSUMER’S HEALTH PROTECTION

    Directory of Open Access Journals (Sweden)

    S. Saccares

    2013-02-01

    Full Text Available Health is defined by WHO, as a “state of complete physical, mental and social well-being, not just absence of disease.” So it needs not simply treat but also prevent, inform, and promote healthy behaviors. From here the importance of putting into practice all possible strategies for prevention from age lowest. The purpose of this work is just to describe the project “Food and Culture”, between the IZSLT and and the Municipality of Ariccia in order to promote nutrition education in the family from the boys.

  14. Health protection and food preservation by gamma irradiation

    Science.gov (United States)

    1976-01-01

    Results of several major studies on food systems for space missions beginning with Apollo 12 through Apollo-Soyuz and investigations of the application of irradiation to food for manned space flight are reported. The study of flight food systems involved the application of radurization (pasteurizing levels) doses of gamma irradiation to flour and bread supplied by Pepperidge Farms in advance of the missions. All flights from Apollo 12 through 17 carried irradiated fresh bread. On Apollo 17, cooperation with Natick Laboratories permitted the introduction of a ham sandwich using irradiated bread and irradiated sterile ham. Investigations centered on irradiated bread were conducted during the course of these missions. Studies were applied to the concept of improving fresh bread from the point of view of mold inhibition. The studies considered how irradiation could best be applied at what levels and on a variety of bread types. Throughout the studies of the application of gamma irradiation the emphasis was placed upon using low levels of irradiation in the pasteurizing or radurizing doses--under a Megarad. The primary goal was to determine if a public health benefit could be demonstrated using radurization along with food preservation and food quality improvements. The public health benefit would be parallel to that of pasteurization of milk as a concept. Publications are included providing the details of these observations, one dealing with the flour characteristics and the other dealing with the influence on fresh bread types. These demonstrate the major findings noted during the period of the studies examining bread.

  15. Investigating m-Health Acceptance from a Protection Motivation Theory Perspective: Gender and Age Differences.

    Science.gov (United States)

    Guo, Xitong; Han, Xiaocui; Zhang, Xiaofei; Dang, Yuanyuan; Chen, Chun

    2015-08-01

    Mobile health (m-health) services are becoming increasingly important and widely accepted. However, empirical studies on potential users' m-health acceptance behavior remain underexplored. Indeed, m-health adoption is not only a technology acceptance behavior, but also a health-related behavior. Based on the Protection Motivation Theory, this article explores users' m-health adoption behavior from the perspectives of threat appraisal and coping appraisal, and also examines the moderating role of gender and age through a survey of potential users. The survey was conducted among 500 potential m-health service participants. Our results show that threat appraisal and coping appraisal factors influence adoption intention through attitude. It is also found that gender and age play different moderating roles with threat appraisal and coping appraisal factors. Gender and age play different roles between threat appraisal and coping appraisal factors in the acceptance of m-health. Implications for research and practice are discussed.

  16. [Protection of the environment, protection of the health. Note 1 - fluvial monitoring: cultural evolution and methodological evolution].

    Science.gov (United States)

    Cocchioni, M; Scuri, S; Morichetti, L; Petrelli, F; Grappasonni, I

    2006-01-01

    The article underlines the fundamental importance of the protection and promotion of environmental quality for the human health. The evolution of fluvial monitoring techniques is contemplated from chemical and bacteriological analysis until the Index Functional Index (I.F.F). This evolution it's very important because shows a new methodological and cultural maturation that has carried from a anthropocentric vision until an ecocentric vision. The target of this ecological vision is the re-establishment of ecological functionality of the rivers, eliminating the consumer's vision of the water considered only as a usable resource. The importance of an correct monitoring of a river is confirmed, even though the preventive approach priority remains.

  17. Enabling Technology to Advance Health-Protecting Individual Rights-Are We Walking the Talk?

    Science.gov (United States)

    Sharp, Crystal; Gwadry-Sridhar, Femida

    The evolving structure and business of health care services and delivery need the functionality and capability offered by electronic health record (EHR) systems. By electronically diffusing the traditional patient record, however, this new model blurs the long-established medical data home, raising concerns about data ownership, confidentiality, access and individual rights. In 2008 the Lawson Health Research Institute began the process of instituting a robust health informatics and collaborative research infrastructure, now known as I-THINK Research. As data are migrated to the platform and policies are developed, we are forced to confront the complexity of issues around protection of individual rights. The paper presents, in a broader context, the main issues surrounding the privacy debate and the need for education, accountability and new legislation to help define and protect individual rights as new e-health business models emerge.

  18. 40 CFR 270.135 - What must the Director include in a draft RAP?

    Science.gov (United States)

    2010-07-01

    ... draft RAP? 270.135 Section 270.135 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Action Plans (RAPs) Getting A Rap Approved § 270.135 What must the Director include in a draft RAP? If the Director prepares a draft RAP, it must include the: (a) Information required under § 270.110(a...

  19. The protection of the environment: Protection of health and food safety - EU and Serbia

    Directory of Open Access Journals (Sweden)

    Sič Magdolna

    2013-01-01

    Full Text Available From the last century the process of harmonization and unification of the law on food safety for the protection of consumers in the European Union (EU is ongoing. According to these rules, participants in the production and distribution of food have to respect the rules in all phases of production: 'From Farm to Fork'. Honoring of the rules is based on self-control and the responsibility of producers and distributors, and is subject to public control with appropriate sanctions by competent authorities of a Member State as well as the EU. In the Republic of Serbia, after singing the Stabilization and Association Agreement, the statutory law has been approximated with the laws of the EU. That however, is not sufficient. It is necessary to develop the self-control of producers as well as to organize an efficient public control, not only because this is a necessary condition for export of food products to the single market of the EU, or for the membership in the EU, but also for ensuring safe food in the internal market of Serbia.

  20. Department Director's Fund for Earthquake Relief

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ On May 30,2008,NSFC Department of Chemical Sciences launched its Director's Fund Emergency Program"Technologies for the collection and analysis of the bacteria and viruses in the air of earthquake stricken areas",which was undertaken by Prof.Zhu Tong and his research group from the Environment and Health Research Center and the College of Environmental Sciences and Engineering of Peking University.

  1. The American Association of Occupational Health Nurses' Respiratory Protection Education Program and Resources Webkit for Occupational Health Professionals.

    Science.gov (United States)

    Pompeii, Lisa; Byrd, Annette; Delclos, George L; Conway, Sadie H

    2016-12-01

    Organizations are required to adhere to the Occupational Safety and Health Administration's (OSHA) Respiratory Protection Standard (29 CFR 1910.134) if they have workers that wear a respirator on the job. They must also have an employee "suitably trained" to administer their program. The National Institute for Occupational Safety and Health and its National Personal Protective Technology Laboratory have worked to champion the occupational health nurse in this role by collaborating with the American Association of Occupational Health Nurses to develop free, online respiratory protection training and resources (RPP Webkit). This article describes the development, content, and success of this training. To date, 724 participants have completed the training, 32.6% of whom lead their organization's respiratory protection program, 15.3% who indicated they will lead a program in the near future, and 52% who did not lead a program, but indicated that the training was relevant to their work. The majority "strongly agreed" the training was applicable to their work and it enhanced their professional expertise. © 2016 The Author(s).

  2. Object Oriented Programming in Director

    Directory of Open Access Journals (Sweden)

    Marian DARDALA

    2006-01-01

    Full Text Available Director is one of the most popular authoring software. As software for developing multimedia applications, Director is an object oriented programming environment. A very important issue to develop multimedia applications is the designing of their own classes. This paper presents the particular aspects concerning the available facilities offered by Lingo to design classes and to generate objects.

  3. Three directors for one strategy

    CERN Multimedia

    2009-01-01

    Following the interview with the Director General, Rolf-Dieter Heuer, the Bulletin continues its series of interviews with the members of CERN’s new Management team. This week, the Bulletin interviewed the three Directors, who presented their strategies for their respective sectors as a new era begins for CERN.

  4. IT governance guidelines for directors

    CERN Document Server

    Calder, Alan

    2005-01-01

    This important new book – 'IT Governance: Guidelines for Directors' provides directors, executives, managers and professional advisers with clear, pragmatic guidelines for ensuring that IT and the business work together for the same strategic objectives. 

  5. Financial protection from health spending in the Philippines: policies and progress.

    Science.gov (United States)

    Bredenkamp, Caryn; Buisman, Leander R

    2016-09-01

    The objective of this article is to assess the progress of the Philippines health sector in providing financial protection to the population, as measured by estimates of health insurance coverage, out-of-pocket spending, catastrophic payments and impoverishing health expenditures. Data are drawn from eight household surveys between 2000 and 2013, including two Demographic and Health Surveys, one Family Health Survey and five Family Income and Expenditure Surveys. We find that out-of-pocket spending increased by 150% (real) from 2000 to 2012, with the sharpest increases occurring in recent years. The main driver of health spending is medicines, accounting for almost two-thirds of total health spending, and as much as three-quarters among the poor. The incidence of catastrophic payments has tripled since 2000, from 2.5% to 7.7%. The percentage of people impoverished by health spending has also increased and, in 2012, out-of-pocket spending on health added 1.5 percentage points to the poverty rate, pushing more than 1.5 million people into poverty. In light of these findings, recent policies to enhance financial risk protection-such as the expansion of government-subsidized health insurance from the poor to the near-poor, a policy of zero copayments for the poor, a deepening of the benefit package and provider payment reform aimed at cost-containment-are to be commended. Indeed, between 2008 and 2013, self-reported health insurance coverage increased across all quintiles and its distribution became more pro-poor. To speed progress toward financial protection goals, quick wins could include issuing health insurance cards to the poor to increase awareness of coverage and limiting out-of-pocket spending by clearly defining a clear copayment structure for non-poor members. An in-depth analysis of the pharmaceutical sector would help to shed light on why medicines impose such a large financial burden on households.

  6. Cancer registration, public health and the reform of the European data protection framework: Abandoning or improving European public health research?

    Science.gov (United States)

    Andersen, Mette Rye; Storm, Hans H

    2015-06-01

    The importance of cancer- and other disease registries for planning, management and evaluation of healthcare systems has been shown repeatedly during the last 50 years. Complete and unbiased population-level analyses on routinely collected, individual data concerning health and personal characteristics can address significant concerns about risk factors for cancer and provide sound evidence about public health and the effectiveness of healthcare systems. The existence of quality controlled and comprehensive data in registries, allowed to be used for quality control, research and public health purposes are taken as granted by most health professionals and researchers. However, the current revision of the European Union (EU) data protection framework suggests a harmonisation of requirements for confidentiality and individual consent to data processing, likely at the expense of proper use of registry data in the health sector. Consequences of excessive confidentiality rules that may lead to missed data linkages have been simulated. The simulations provide one possible explanation for observed heterogeneity among some cancer incidence data. Further, public health, quality control and epidemiological research on large populations can no longer provide evidence for health interventions, if requirements for consent renders research impossible or where attempts to obtain consent from each data subject generates biased results. Health professionals should engage in the on-going debate on the Commission's proposal for a General Data Protection Regulation. The nature and use of registry data in public health research must be explained and known to policy-makers and the public. Use of cancer registry data and other epidemiological activity will terminate abruptly if an unnecessarily strict EU data protection regulation is adopted. Research based interventions, as well as the international recognised standing of cancer registries and register-based research institutions in

  7. The importance of traceability for public health and consumer protection.

    Science.gov (United States)

    McKean, J D

    2001-08-01

    Since the 1980s, concerns about the safety and quality of food have increased at both governmental and consumer levels. The importance of traceability of animals and animal products has grown as food production and marketing have been removed from direct consumer control. Product traceability, which requires a transparent chain of custody to maintain credibility and to complete information transfer functions, has two components, namely: a unique identification system, and a credible and verifiable mechanism for identity preservation. Traceability systems can be subdivided into the following four categories: country of origin; retail; processor; and farm-to-retail identity. Although the availability of computers and electronic data devices can enhance the speed and accuracy of data acquisition and manipulation, a common set of developmental criteria exists, irrespective of data-handling processes. As data management technologies become more powerful and less costly, product traceability requirements will multiply. Public and private sectors should seize these opportunities to improve public health and quality parameters, or risk a narrowing of their markets.

  8. Health Equity and Financial Protection Streamlined Analysis with ADePT Software

    CERN Document Server

    Bank, World

    2011-01-01

    Two key policy goals in the health sector are equity and financial protection. New methods, data and powerful computers have led to a surge of interest in quantitative analysis that permits monitoring progress toward these objectives, and comparisons across countries. ADePT is a new computer program that streamlines and automates such work, ensuring that results are genuinely comparable and allowing them to be produced with a minimum of programming skills. This book provides a step-by-step guide to the use of ADePT for quantitative analysis of equity and financial protection in the health sect

  9. Curbing transboundary air pollution : protecting health through legal action

    Energy Technology Data Exchange (ETDEWEB)

    McKeown, D.; Campbell, M.; Clark, K.; Ursitti, F.

    2005-03-01

    Concerns regarding coal-fired power plants in North America were addressed in this report with particular reference to facilities in the United States that negatively impact the air quality and the health of residents in the City of Toronto. Aging coal-fired plants in the United States generate more pollutant emissions per unit of electricity produced than coal-fired plants in Ontario and as such, contribute to smog, acid rain and global warming. They also contribute to the contamination of fish through deposition and biotransformation of mercury in the aquatic ecosystem. Toronto's concerns also stem from actions to extend the life of several plants in the United States without investing in modern pollution control technology, an action that contradicts the requirements of the United States Clean Air Act, and which is contrary to Ontario's commitment to phase out coal-fired electricity production. Lawsuits have been filed against power plants that failed to install pollution control technology. The City of Toronto was granted Friend of the Court status in the United States court deliberating on the case involving the American Electric Power (AEP) Corporation and its contravention of the Clean Air Act. The next phase of legal proceedings will be to determine the remedy should the court find AEP in violation of the Act. The outcome of this court case could result in improvements in Toronto's air quality. The proposed United States Clear Skies legislation, however, may also delay reductions of pollutant emissions from coal-fired power plants until 2018. 12 refs., 1 tab., 4 figs., 3 appendices.

  10. Protecting human and ecological health under viral threats in Asia.

    Science.gov (United States)

    Matsui, S

    2005-01-01

    Severe acute respiratory syndrome (SARS) outbroke in 2003, and the avian influenza A (H5N1) also outbroke in 2003 and continued to 2004. These pandemic viral diseases originated in South East Asia. Many human and animal lives were lost. Economic damages due to the pandemics were also very large. The question arises of why did the pandemics originate from South East Asian areas. Human influenza A consists of many sub-types of coronaviruses including the SARS virus and the avian influenza (H5N1) that are all variants of RNA of avian coronavirus. Variants are formed during infection of a coronavirus through not only birds but also mammals, including human beings. There are hot spots where viral infection rates are accelerated among birds, mammals and human beings. Suspicious areas are in South East Asia, where living conditions of birds, mammals and human beings are so close that there are always risks of viral infection. When we see the living conditions of farmers in southern China, northern Vietnam, Laos and northern Myanmar, they commonly raise ducks/chickens with pigs sharing ponds into which they discharge household wastewater, including human excreta, and pig excreta that are significant carriers of viruses. Bird faeces are also key carriers of the viruses. In the ponds, they raise ducks and conduct fish culture. Other important players are migrating birds from North Asia, which are principal vectors of avian influenza viruses. There is an urgent necessity of improving human and ecological health in South East Asia to control viral infection among birds, mammals and human beings. We can hinder the vicious cycle of virus infection through water contamination in ponds by providing good human, pig and chicken sanitation. It is easy to provide good sanitation practices for human, pigs and chickens, introducing collection and treatment of excreta. Our modern water technology can find good solutions for the problem.

  11. Improving Health Care Coverage, Equity, And Financial Protection Through A Hybrid System: Malaysia's Experience.

    Science.gov (United States)

    Rannan-Eliya, Ravindra P; Anuranga, Chamara; Manual, Adilius; Sararaks, Sondi; Jailani, Anis S; Hamid, Abdul J; Razif, Izzanie M; Tan, Ee H; Darzi, Ara

    2016-05-01

    Malaysia has made substantial progress in providing access to health care for its citizens and has been more successful than many other countries that are better known as models of universal health coverage. Malaysia's health care coverage and outcomes are now approaching levels achieved by member nations of the Organization for Economic Cooperation and Development. Malaysia's results are achieved through a mix of public services (funded by general revenues) and parallel private services (predominantly financed by out-of-pocket spending). We examined the distributional aspects of health financing and delivery and assessed financial protection in Malaysia's hybrid system. We found that this system has been effective for many decades in equalizing health care use and providing protection from financial risk, despite modest government spending. Our results also indicate that a high out-of-pocket share of total financing is not a consistent proxy for financial protection; greater attention is needed to the absolute level of out-of-pocket spending. Malaysia's hybrid health system presents continuing unresolved policy challenges, but the country's experience nonetheless provides lessons for other emerging economies that want to expand access to health care despite limited fiscal resources.

  12. Ways to implement a health protective educational environment in higher education

    Directory of Open Access Journals (Sweden)

    Mykytyuk O.M.

    2012-12-01

    Full Text Available The features of organization and creation of health protective educational environment are exposed in higher institute. They foresee creation of the special terms for realization structurally of functional model of organization of students' healthy way of life. A model plugs in itself pedagogical, organizational, material and technical, sanitary-hygenic, informatively-methodical, skilled and financial economic terms. A questionnaire is conducted 95 students of 1-3 courses. It is set that the level of factors of risk for the health of students is high enough: prevalence of smoking is 47%, swizzles use more than 20%. It is discovered that the number of students with active physical activity makes not more than 45%. Most students consider that for the health they are responsible, ready and want to get information on forming of healthy way of life. Principles of organization of health protective behave to the features of organization of health protective of educational environment, nature protective, valeological, sequence, integration, pedagogical support, flexibility.

  13. [Management System of Personal Data Protection in the Health Care Field].

    Science.gov (United States)

    Yamamoto, Ryuichi

    2014-11-01

    In Japan, the law on personal data protection was enacted in 2005. Privacy is a human right, including the 1981 right to be let alone. The need for confidentiality in the health care field has been accepted since the ancient Greek era, and privacy in the 19th century was developed in this field. However, the concept of privacy has gradually altered, especially due to the development of information technology. The author suggests that the guideline for the security of heath information systems of the Ministry of Health, Labour, and Welfare is very important and information security management with PDCA cycles is essential for personal data protection in the health care field. In recent years, gathering a large amount of life logging or health-related data and analyzing such data for academic and/or industrial applications has become common. Revising privacy protection legislation has become an urgent political issue in many countries. The Japanese Government published their policy to personal data protection act in Dec. 2013. Balancing public benefit and privacy is a major task of future legislation. The author recommends that health care professionals pay attention to, participate in the discussion of, and make suggestions regarding this act.

  14. How do we actually put smarter snacks in schools? NOURISH (Nutrition Opportunities to Understand Reforms Involving Student Health) conversations with food-service directors.

    Science.gov (United States)

    Rosenfeld, Lindsay E; Cohen, Juliana Fw; Gorski, Mary T; Lessing, Andrés J; Smith, Lauren; Rimm, Eric B; Hoffman, Jessica A

    2017-02-01

    In autumn 2012, Massachusetts schools implemented comprehensive competitive food and beverage standards similar to the US Department of Agriculture's Smart Snacks in School standards. We explored major themes raised by food-service directors (FSD) regarding their school-district-wide implementation of the standards. For this qualitative study, part of a larger mixed-methods study, compliance was measured via direct observation of foods and beverages during school site visits in spring 2013 and 2014, calculated to ascertain the percentage of compliant products available to students. Semi-structured interviews with school FSD conducted in each year were analysed for major implementation themes; those raised by more than two-thirds of participating school districts were explored in relationship to compliance. Massachusetts school districts (2013: n 26; 2014: n 21). Data collected from FSD. Seven major themes were raised by more than two-thirds of participating school districts (range 69-100 %): taking measures for successful transition; communicating with vendors/manufacturers; using tools to identify compliant foods and beverages; receiving support from leadership; grappling with issues not covered by the law; anticipating changes in sales of competitive foods and beverages; and anticipating changes in sales of school meals. Each theme was mentioned by the majority of more-compliant school districts (65-81 %), with themes being raised more frequently after the second year of implementation (range increase 4-14 %). FSD in more-compliant districts were more likely to talk about themes than those in less-compliant districts. Identified themes suggest best-practice recommendations likely useful for school districts implementing the final Smart Snacks in School standards, effective July 2016.

  15. Integrating community health workers within Patient Protection and Affordable Care Act implementation.

    Science.gov (United States)

    Islam, Nadia; Nadkarni, Smiti Kapadia; Zahn, Deborah; Skillman, Megan; Kwon, Simona C; Trinh-Shevrin, Chau

    2015-01-01

    The Patient Protection and Affordable Care Act's (PPACA) emphasis on community-based initiatives affords a unique opportunity to disseminate and scale up evidence-based community health worker (CHW) models that integrate CHWs within health care delivery teams and programs. Community health workers have unique access and local knowledge that can inform program development and evaluation, improve service delivery and care coordination, and expand health care access. As a member of the PPACA-defined health care workforce, CHWs have the potential to positively impact numerous programs and reduce costs. This article discusses different strategies for integrating CHW models within PPACA implementation through facilitated enrollment strategies, patient-centered medical homes, coordination and expansion of health information technology (HIT) efforts, and also discusses payment options for such integration. Title V of the PPACA outlines a plan to improve access to and delivery of health care services for all individuals, particularly low-income, underserved, uninsured, minority, health disparity, and rural populations. Community health workers' role as trusted community leaders can facilitate accurate data collection, program enrollment, and provision of culturally and linguistically appropriate, patient- and family-centered care. Because CHWs already support disease management and care coordination services, they will be critical to delivering and expanding patient-centered medical homes and Health Home services, especially for communities that suffer disproportionately from multiple chronic diseases. Community health workers' unique expertise in conducting outreach make them well positioned to help enroll people in Medicaid or insurance offered by Health Benefit Exchanges. New payment models provide opportunities to fund and sustain CHWs. Community health workers can support the effective implementation of PPACA if the capacity and potential of CHWs to serve as cultural

  16. Education for the protection of young people’s reproductive health

    Directory of Open Access Journals (Sweden)

    Rašević Mirjana

    2006-01-01

    Full Text Available Education for the protection of reproductive health is of special importance for young people in Serbia for several reasons. The first reason is an extremely low birth rate. The second is the fact that a large part of the population suffers from serious and long-standing problems in reproductive health. The third, common to all countries passing through transition, is an increase in risk behavior among young people which threatens their reproductive health either directly or indirectly. Education for reproductive health is a long-lasting process which should be initiated at an early age and should involve all social institutions, primarily health institutions, media and schools. The school is the most important link in the chain of knowledge acquisition. Therefore during elementary education, time must be found for topics such as puberty, emotional life of young people, physiology of reproduction, adolescent pregnancy, communication skills, risk behavior, contraception, sexually transmitted diseases and the importance of family and children. Over the last few years more than thirty counseling centers for young people’s reproductive health have been set up in Serbia within health clinics. Unlike health institutions, media and schools have not yet been mobilized. Therefore it is necessary to promote the role of media and schools in the process of the protection of young people’s reproductive health. .

  17. Supporting breastfeeding in emergencies: protecting women's reproductive rights and maternal and infant health.

    Science.gov (United States)

    Gribble, Karleen D; McGrath, Marie; MacLaine, Ali; Lhotska, Lida

    2011-10-01

    Women have the right to support that enables them to breastfeed. Supporting breastfeeding in emergencies is important because artificial feeding places mothers and children at risk. In emergencies, artificial feeding is dangerous to the infant, difficult and requires substantial resources. In contrast, breastfeeding guards infant health. It is also protective against postpartum haemorrhage, maternal depletion, maternal anaemia and closely spaced births and should therefore concern not only nutritionists, but also those involved in reproductive health. However, it is common for women's ability to breastfeed to be undermined in emergencies by the indiscriminate distribution of breast-milk substitutes and the absence of breastfeeding support. Controlling the distribution of breast-milk substitutes, providing supportive environments, and appropriate medical and practical assistance to breastfeeding women safeguards the health and well-being of mothers and babies. Greater collaboration between the nutrition and reproductive health sectors is required to promote best practice in protecting breastfeeding women and their children in emergencies.

  18. Stress on health-related quality of life in older adults: the protective nature of mindfulness

    OpenAIRE

    de Frias, Cindy M.; Whyne, Erum

    2014-01-01

    Objectives: The current study examined whether the link between stress and health-related quality of life was buffered by protective factors, namely mindfulness, in a sample of middle-aged and older adults. Methods: In this cross-sectional study, 134 healthy, community-dwelling adults (ages 50–85 years) were recruited from Dallas, TX. The participants were screened for depressive symptoms and severity (using the Patient Health Questionnaire [PHQ-9]). All participants completed measures of sel...

  19. 77 FR 37408 - Secretary's Advisory Committee on Human Research Protections

    Science.gov (United States)

    2012-06-21

    ... Protections (OHRP), or Julia Gorey, J.D., Executive Director, SACHRP; U.S. Department of Health and Human...; email address: Julia.Gorey@hhs.gov . SUPPLEMENTARY INFORMATION: Under the authority of 42 U.S.C. 217a... as sign language interpretation or other reasonable accommodations, should notify the...

  20. Nutrition and Other Protective Behaviors Motivated by Environmental Health Risk Awareness.

    Science.gov (United States)

    Jones, Elizabeth W; Feng, Limin; Dixon, Jane K; Dixon, John P; Hofe, Carolyn R; Gaetke, Lisa M

    2016-01-01

    Research findings have suggested that exposure to environmental pollutants contributes to increased health risks, which may be modulated by certain nutrition and other protective health behaviors. Nutrition professionals play an important role in effectively disseminating this information and in devising specific community-based nutrition education programs for audiences located in areas with environmental health issues. To assess awareness of environmental health problems and motivation to adopt protective health behaviors for use in planning nutrition education programs for communities exposed to environmental pollutants. Data were collected from a modified, validated Environmental Health Engagement Profile (EHEP) survey instrument administered to adults (n=774) participating in community events in Kentucky based on location relative to hazardous waste sites. The modified EHEP survey instrument showed good internal consistency reliability, and demographic characteristics were evaluated. Correlation analyses revealed significant positive correlations in all groups, separately and combined, between awareness of environmental pollution in an individual's surroundings and the extent of concern that pollutants cause adverse health effects (P environmental insults (P awareness posed by pollution are those residing near federally designated hazardous waste sites. These results suggest that determining and expanding an audience's knowledge and perceptions of environmental health risks will enhance effective nutrition education program planning.

  1. 76 FR 60788 - Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans...

    Science.gov (United States)

    2011-09-30

    ... HUMAN SERVICES 45 CFR Parts 153, 155 and 156 Patient Protection and Affordable Care Act; Establishment... and Affordable Care Act of 2010 as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The other proposed rule would implement standards...

  2. 38 CFR 17.91 - Protection of health-care eligibility.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Protection of health-care eligibility. 17.91 Section 17.91 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... veteran but only if the veteran's annual income from sources other than such earnings would, taken...

  3. Risk and Protective Factors for Depression and Health Outcomes in American Indian and Alaska Native Adolescents.

    Science.gov (United States)

    Barney, David D.

    2001-01-01

    A study examined whether protective factors reduce the effects of depression in American Indian and Alaska Native adolescents. Surveys of 2,034 Native high school students from 33 states indicated that depression moderately influenced self-perceived health status and that caring and connectedness counteracted the risk factors from depression that…

  4. 45 CFR 164.528 - Accounting of disclosures of protected health information.

    Science.gov (United States)

    2010-10-01

    ... individual was disclosed for such research protocol or activity, the covered entity shall, at the request of... receive an accounting of disclosures of protected health information made by a covered entity in the six...) That occurred prior to the compliance date for the covered entity. (2)(i) The covered entity must...

  5. BEIR-III report and its implications for radiation protection and public health policy

    Energy Technology Data Exchange (ETDEWEB)

    Fabrikant, J.I.

    1980-03-01

    A general background is given of the implications the BEIR-III Report may have on societal decision-making in the regulation of activities concerned with the health effects of low-level radiation. The scientific basis for establishing appropriate radiation protection guides are discussed. (ACR)

  6. Biologically Hazardous Agents at Work and Efforts to Protect Workers' Health: A Review of Recent Reports

    Directory of Open Access Journals (Sweden)

    Kyung-Taek Rim

    2014-06-01

    Full Text Available Because information on biological agents in the workplace is lacking, biological hazard analyses at the workplace to securely recognize the harmful factors with biological basis are desperately needed. This review concentrates on literatures published after 2010 that attempted to detect biological hazards to humans, especially workers, and the efforts to protect them against these factors. It is important to improve the current understanding of the health hazards caused by biological factors at the workplace. In addition, this review briefly describes these factors and provides some examples of their adverse health effects. It also reviews risk assessments, protection with personal protective equipment, prevention with training of workers, regulations, as well as vaccinations.

  7. Corporate governance: remedying and ratifying directors' breaches

    OpenAIRE

    Worthington, Sarah

    2000-01-01

    Extent to which company may relax scope and content of directors' duties, whether it can exonerate directors who default on their duties and whether it can ratify actions of defaulting directors and determine remedy for breach of duty.

  8. 7 CFR 29.17 - Director.

    Science.gov (United States)

    2010-01-01

    ... of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Regulations Definitions § 29.17 Director. Director or Acting Director, Tobacco Division, Agricultural Marketing Service, U.S. Department of Agriculture....

  9. Icelandic. Decision of the Supreme Court on the protection of privacy with regard to the processing of Health Sector Databases. Attorney at Law vs The State of Iceland.

    Science.gov (United States)

    2004-01-01

    Mr. R appealed for a decision by the Court to overturn the refusal of the Medical Director of Health to her request that health information in medical records pertaining to herdeceased father should not be entered into the Health Sector Database. Furthermore, she called for recognition of her right to prohibit the transfer of such information into a database. Article 8 of Act No 139/1998 on a Health Sector Database provides for the right of patients to refuse permission, by notification to the Medical Director of Health, for information concerning them to be entered into the Health Sector Database. The Court concluded that R could not exercise this right acting as a substitute of her deceased father, but it was recognised that she might, on the basis of her right to protection of privacy, have an interest in preventing the transfer of health data concerning her father into the database, as information could be inferred from such data relating to the hereditary characteristics of her father which might also apply to herself. It was revealed in the course of proceedings that extensive information concerning people's health is entered into medical records, e.g. medical treatment, life-style and social conditions, employment and family circumstances, together with a detailed identification of the person that the information concerns. It was recognised as unequivocal that the provisions of Paragraph 1 of Article 71 of the Constitution applied to such information and guaranteed to every person the right to protection of privacy in this respect. The Court concluded that the opinion of the District Court, which, inter alia, was based on the opinion of an assessor, to the effect that so-called one-way encryption could be carried out in such a secure manner that it would be virtually impossible to read the encrypted data, had not been refuted. It was noted, however, that Act No. 139/1998 provides no details as to what information from medical records is required to be

  10. Protecting the delivery of heart failure: Regenerative Medicine/Stem Cell Therapeutics: Potential protections afforded by the Department of Health and Human Services and Health Resources Service Administration's Bureau of Special Programs

    Institute of Scientific and Technical Information of China (English)

    Gary S Friedman; John S. Tomicki; Neil Cohen; Robert Marshall; Philip Lowry; Jeffrey Warsh

    2006-01-01

    malpractice liability have not impeded the development and growth of organ/cell/tissue transplantation despite increased risks of infection, malignancy and cardiovascular disease in transplant recipients. Currently, human transplantation is only performed using FDA/CBER-approved, non-embryonic stem cells from peripheral blood, bone marrow or umbilical cord blood. Federal legislation passed in 2005 (HR2520 and S1317: The Bone Marrow and Cord Blood Cell Transplantation Program) authorizes the Secretary of Health and Human Services acting through the Director of HRSA to ensure uniform stem cell units distribution and outcomes monitoring via the federally-designated C.W. Bill Young Cell Transplant Program.Historically in the U.S., human biological therapies (vaccines, organ transplant and stem cell transplant) have required federal protections to ensure continued distribution, fair access and avoidance of inhibitory product liability via protections afforded under the "stewardship" of the Secretary of Health and Human Services. The National Childhood Vaccine Injury Act of 1986 established the NVICP to equitably and expeditiously compensate individuals, or families of individuals, who have been declared injured by vaccines, thereby stabilizing a once imperiled vaccine supply by substantially reducing the threat of liability for vaccine companies, physicians, and other health care professionals who administer vaccines. Vaccines were the first biologics administered to U.S. citizens en masse and presage stem cell therapeutics(which may similarly be administered to millions) will similarly necessitate that a Stem Cell Injury Compensation Program(SCICP) will also need to be in place to demonstrate an intention to do good, an understanding that industry may do well,but that the health care consumer has a right of protection-all recognized from the outset. The Federal Tort Claims Act(FTCA) addresses liability claims via the Executive, Judicial and Legislative branches of Government

  11. Use of "excess" human embryos for stem cell research: protecting women's rights and health.

    Science.gov (United States)

    Cohen, C B

    2000-01-01

    Proposed National Institutes of Health guidelines for stem cell research are too narrowly drawn and do not adequately protect the freedom of choice and health of women who donate embryos. They need to be expanded to cover not only the point of embryo donation, but also that of embryo creation. Guidelines are provided to ensure that donors undergoing hyperstimulation and egg retrieval gave voluntary informed consent to the production of embryos that might later prove in excess. A standard for determining when embryos have been overproduced is presented to address the possibility that additional embryos will be created for stem cell research in violation of the guidelines and at risk to women's health.

  12. Women's Health in the Age of Patient Protection and the Affordable Care Act.

    Science.gov (United States)

    Armstrong, Joanne

    2015-06-01

    The Patient Protection and Affordable Care Act of 2010 is the most sweeping health care legislation in a generation. The goal of the legislation is to increase access to both public and private insurance, and to improve the affordability and quality of care. Many provisions of the bill have a direct impact on the women's health care services. This paper provides an overview of the bill's provisions that have the largest impact on women's health care and provides data on the impact of the bill to date.

  13. The New Zealand Health and Disability Commissioner: a comparative assessment of the commissioner's contribution to protecting the rights of mental health consumers.

    Science.gov (United States)

    Kazmierow, Maria

    2002-02-01

    The Health and Disabliity Commissioner's contribution to the protection of mental health consumers' rights is examined. This assessment covers a number of aspects. It includes the scope of consumer rights jurisdiction, the breadth of legal entitlements, protective mechanisms used, and the effectiveness of that protection. The Commissioner's role is also assessed comparatively. It is contrasted domestically with District Inspectors of Mental Health and internationally with Scottish and United Kingdom reform proposals. While analysis reveals considerable similarities, the New Zealand Health and Disability Commissioner is favourably highlighted in contrast with Scotland and the United Kingdom, particularly in the area of enforceability of mental health consumer rights.

  14. Are You a Codependent Director?

    Science.gov (United States)

    Broussard, Anne M.

    1992-01-01

    Codependency and its effect on the professional lives of directors of early childhood programs is described. Characteristics of codependent administrators, the need for confrontation of codependent behaviors, and suggested sources of help for codependency are discussed. (LB)

  15. Are You a Codependent Director?

    Science.gov (United States)

    Broussard, Anne M.

    1992-01-01

    Codependency and its effect on the professional lives of directors of early childhood programs is described. Characteristics of codependent administrators, the need for confrontation of codependent behaviors, and suggested sources of help for codependency are discussed. (LB)

  16. Action planning as predictor of health protective and health risk behavior: an investigation of fruit and snack consumption

    Directory of Open Access Journals (Sweden)

    Candel Math

    2009-10-01

    Full Text Available Abstract Background Large discrepancies between people's intention to eat a healthy diet and actual dietary behavior indicate that motivation is not a sufficient instigator for healthy behavior. Research efforts to decrease this 'intention - behavior gap' have centered on aspects of self-regulation, most importantly self-regulatory planning. Most studies on the impact of self-regulatory planning in health and dietary behavior focus on the promotion of health protective behaviors. This study investigates and compares the predictive value of action planning in health protective behavior and the restriction of health risk behavior. Methods Two longitudinal observational studies were performed simultaneously, one focusing on fruit consumption (N = 572 and one on high-caloric snack consumption (N = 585 in Dutch adults. Structural equation modeling was used to investigate and compare the predictive value of action planning in both behaviors, correcting for demographics and the influence of motivational factors and past behavior. The nature of the influence of action planning was investigated by testing mediating and moderating effects. Results Action planning was a significant predictor of fruit consumption and restricted snack consumption beyond the influence of motivational factors and past behavior. The strength of the predictive value of action planning did not differ between the two behaviors. Evidence for mediation of the intention - behavior relationship was found for both behaviors. Positive moderating effects of action planning were demonstrated for fruit consumption, indicating that individuals who report high levels of action planning are significantly more likely to translate their intentions into actual behavior. Conclusion The results indicate that the planning of specific preparatory actions predicts the performance of healthy dietary behavior and support the application of self-regulatory planning in both health protective and health

  17. Why nafta failed and what's needed to protect workers' health and safety in international trade treaties.

    Science.gov (United States)

    Brown, Garrett

    2005-01-01

    Labor standards, including occupational health and safety regulations and enforcement, are being subjected to intense downward pressures as a result of fundamental shifts in the global economy. The 1994 North American Free Trade Agreement (NAFTA) was the first trade treaty that attempted to promote and protect workplace health and safety through a "labor side agreement." NAFTA failed to protect workers' health and safety due to the weaknesses of the side agreement's text; the political and diplomatic considerations limiting its implementation; and the failure to recognize and address the economic context, and political consequences of this context, in which the agreement was implemented. Subsequent trade treaties, both bilateral and regional, have not overcome the weaknesses of NAFTA. The treaty components needed to protect workers' health in future trade agreements are: 1) a minimum floor of occupational health and safety regulations; 2) an "upward harmonization" of regulatory standards and actual practice; 3) inclusion of employers so that they have formal responsibility and liability for violations of the standards; 4) effective enforcement of national regulations and international standards; 5) transparency and public participation; and 6) recognition of disparate economic conditions among trading partners and provision of financial and technical assistance to overcome economic disincentives and lack of resources. Also required are continued actions by non-governmental actors, including the workers themselves and civil society organizations.

  18. Factors Associated with Implementation of the South Carolina Students Health and Fitness Act of 2005: Elementary School Principals' and Physical Activity Directors' Ratings

    Science.gov (United States)

    Evans, Miriam Jones

    2012-01-01

    This study explores factors associated with implementation of the physical education and physical activity standards of the South Carolina Students Health and Fitness Act of 2005 in Title I elementary schools. The study was framed using selected components of the diffusion of innovations theory, which looked at characteristics of the law and their…

  19. [ELGA--the electronic health record in the light of data protection and data security].

    Science.gov (United States)

    Ströher, Alexander; Honekamp, Wilfried

    2011-07-01

    The introduction of an electronic health record (ELGA) is a subject discussed for a long time in Austria. Another big step toward ELGA is made at the end of 2010 on the pilot project e-medication in three model regions; other projects should follow. In addition, projects of the ELGA structure are sped up on the part of the ELGA GmbH to install the base of a functioning electronic health record. Unfortunately, many of these initiatives take place, so to speak, secretly, so that in the consciousness of the general public - and that includes not only patients but also physicians and other healthcare providers - always concerns about protection and security of such a storage of health data arouse. In this article the bases of the planned act are discussed taking into account the data protection and data security.

  20. Congress, courts, and commerce: upholding the individual mandate to protect the public's health.

    Science.gov (United States)

    Hodge, James G; Brown, Erin C Fuse; Orenstein, Daniel G; O'Keefe, Sarah

    2011-01-01

    Among multiple legal challenges to the Patient Protection and Affordable Care Act (PPACA) is the premise that PPACA's "individual mandate" (requiring all individuals to obtain health insurance by 2014 or face civil penalties) is inviolate of Congress' interstate commerce powers because Congress lacks the power to regulate commercial "inactivity." Several courts initially considering this argument have rejected it, but federal district courts in Virginia and Florida have concurred, leading to numerous appeals and prospective review of the United States Supreme Court. Despite creative arguments, the dispositive constitutional question is not whether Congress' interstate commerce power extends to commercial inactivity. Rather, it is whether Congress may regulate individual decisions with significant economic ramifications in the interests of protecting and promoting the public's health. This article offers a counter-interpretation of the scope of Congress' interstate commerce power to regulate in furtherance of the public's health.

  1. Migration selection, protection, and acculturation in health: a binational perspective on older adults.

    Science.gov (United States)

    Riosmena, Fernando; Wong, Rebeca; Palloni, Alberto

    2013-06-01

    In this article, we test for four potential explanations of the Hispanic Health Paradox (HHP): the "salmon bias," emigration selection, and sociocultural protection originating in either destination or sending country. To reduce biases related to attrition by return migration typical of most U.S.-based surveys, we combine data from the Mexican Health and Aging Study in Mexico and the U.S. National Health Interview Survey to compare self-reported diabetes, hypertension, current smoking, obesity, and self-rated health among Mexican-born men ages 50 and older according to their previous U.S. migration experience, and U.S.-born Mexican Americans and non-Hispanic whites. We also use height, a measure of health during childhood, to bolster some of our tests. We find an immigrant advantage relative to non-Hispanic whites in hypertension and, to a lesser extent, obesity. We find evidence consistent with emigration selection and the salmon bias in height, hypertension, and self-rated health among immigrants with less than 15 years of experience in the United States; we do not find conclusive evidence consistent with sociocultural protection mechanisms. Finally, we illustrate that although ignoring return migrants when testing for the HHP and its mechanisms, as well as for the association between U.S. experience and health, exaggerates these associations, they are not fully driven by return migration-related attrition.

  2. Patient Protection and Affordable Care Act; health insurance market rules. Final rule.

    Science.gov (United States)

    2013-02-27

    This final rule implements provisions related to fair health insurance premiums, guaranteed availability, guaranteed renewability, single risk pools, and catastrophic plans, consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The final rule clarifies the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. This final rule also amends the standards for health insurance issuers and states regarding reporting, utilization, and collection of data under the federal rate review program, and revises the timeline for states to propose state-specific thresholds for review and approval by the Centers for Medicare & Medicaid Services (CMS).

  3. The Patient Protection and Affordable Care Act and reproductive health: harnessing data to improve care.

    Science.gov (United States)

    Stulberg, Debra

    2013-04-01

    The Patient Protection and Affordable Care Act (PPACA) has great potential to improve reproductive health through several components: expanded coverage of people of reproductive age; required coverage of many reproductive health services; and insurance exchange structures that encourage individuals and states to hold plans and providers accountable. These components can work together to improve reproductive health. But in order for this to work, consumers and states need information with which to assess plans. This review article summarizes state contracting theory and argues that states should use this structure to require health plans to collect and report meaningful data that patients, providers, plans, payers, and third-party researchers can access. Now that the Supreme Court has upheld the PPACA and states must set up health insurance exchanges, populations can benefit from improved care and outcomes through data transparency.

  4. [Survey on individual occupational health protection behaviors of welding workers using theory of reasoned action].

    Science.gov (United States)

    Xing, Ming-luan; Zhou, Xu-dong; Yuan, Wei-ming; Chen, Qing; Zhang, Mei-bian; Zou, Hua; Zhao, Hai-ying

    2012-03-01

    To apply theory of reasoned action at survey on welding workers occupational health protection behaviors and explore related influencing factors. nine companies were randomly selected from areas with many welding works in Zhejiang Province. All welding workers were surveyed using a questionnaire based on theory of reasoned action. 10.06%, 26.80% and 37.50% of the respondents never or seldom used eyeshade, mask and earplug, respectively. After controlling the socio-demographic factors, welding workers' behavioral belief was correlated with the behaviors of eyeshade-mask and earplug use (χ(2) = 31.88, 18.77 and 37.77, P Theory of reasoned action is suitable for welding worker occupational health related behaviors. It is useful to improve occupational health education, to effectively select health education objective and to tailor health education contents.

  5. 21 May 2013 - Slovakian State Secretary, Ministry of Health V. Čislák signing the Guest Book with CERN Director-General R. Heuer; in the LHC tunnel at Point 2 with V. Senaj (Technology Department); in the ALICE experimental cavern with P. Chochula (Physics Department). M. Cirilli (Knowledge Transfer Group) present.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    21 May 2013 - Slovakian State Secretary, Ministry of Health V. Čislák signing the Guest Book with CERN Director-General R. Heuer; in the LHC tunnel at Point 2 with V. Senaj (Technology Department); in the ALICE experimental cavern with P. Chochula (Physics Department). M. Cirilli (Knowledge Transfer Group) present.

  6. 22 May 2013 - Turkish Minister of Health M. Müezzinoğlu signing the guest book with Director-General R. Heuer; in the LHC tunnel at Point 5 with International Relations Adviser E. Tsesmelis; in CMS experimental cavern with Deputy Spokesperson T. Camporesi. Turkish Scientists S. A. Cetin and B. Demirkoz present.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    22 May 2013 - Turkish Minister of Health M. Müezzinoğlu signing the guest book with Director-General R. Heuer; in the LHC tunnel at Point 5 with International Relations Adviser E. Tsesmelis; in CMS experimental cavern with Deputy Spokesperson T. Camporesi. Turkish Scientists S. A. Cetin and B. Demirkoz present.

  7. The sentinel role of poisons centers in the protection of children's environmental health.

    Science.gov (United States)

    Pronczuk de Garbino, Jenny

    2002-01-01

    Growing concern exists about the threats posed by environmental pollutants and physical agents on children's health. A number offactors, including globalization, increased industrialization, and trade of chemicals and poverty have an impact on the quality of the environment and on children's health. Acute toxic exposures lead to poisoning, and chronic low-level exposures may cause functional and organ damage during periods of special vulnerability. The need to protect children's environmental health is urgent, in view of the magnitude of the problem and the fact that "children are not little adults." The effects suffered during special developmental periods-"windows of vulnerability"-can be permanent and irreversible. The main global environmental problems affecting children's health are lack of access to safe drinking water and sanitation and exposure to indoor air pollution. Furthermore, environmentally related accidents, injuries, and poisonings have a major impact on children and adolescent's morbidity and mortality. A number of examples that illustrate the complexity of assessing and dealing with children's environmental health issues are presented. A Task Force on the Protection of Children's Environmental Health that aims to prevent disease and disability in children associated with chemical and physical threats was set up in 1999 by the World Health Organization. The priorities for action include the consideration of accidents, injuries, and poisonings (accidental, intentional, and occupational), and children in the workplace (e.g., scavenging children, children in cottage industries). Poisons Centers and related toxicology centers are in a strategic position to play a "sentinel" role in the protection of children's environmental health. They record acute and chronic toxic exposures in children in a harmonized manner, using controlled vocabularies and definitions. This will allow collecting a large, highly valuable database on the main toxicological

  8. 30 CFR 250.107 - What must I do to protect health, safety, property, and the environment?

    Science.gov (United States)

    2010-07-01

    ..., property, and the environment? 250.107 Section 250.107 Mineral Resources MINERALS MANAGEMENT SERVICE... Performance Standards § 250.107 What must I do to protect health, safety, property, and the environment? (a) You must protect health, safety, property, and the environment by: (1) Performing all operations in...

  9. Survey of international regional anesthesia fellowship directors

    Directory of Open Access Journals (Sweden)

    Lansdown AK

    2013-07-01

    Full Text Available Andrew K Lansdown,1,2 Paul G McHardy,1 Sanjiv C Patel,1,3 Catherine M Nix,1 Colin JL McCartney1 1Department of Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada; 2University of Sydney, Sydney, NSW, Australia; 3University College Hospital, London, UK Background: The scope of regional anesthesia fellowship programs has not been analyzed but may provide insights that could improve fellowship training and standards. Methods: Regional anesthesia fellowship directors across the world were asked to complete a comprehensive survey that detailed the range of educational and practical experience and attitudes as well as assessment procedures offered in their programs. Results: The survey response rate was 66% (45/68. Overall, the range of activities and the time and resources committed to education during fellowships is encouraging. A wide range of nerve block experience is reported with most programs also offering acute pain management, research, and teaching opportunities. Only two-thirds of fellowships provide formal feedback. This feedback is typically a formative assessment. Conclusion: This is the first survey of regional anesthesia fellowship directors, and it illustrates the international scope and continuing expansion of education and training in the field. The results should be of interest to program directors seeking to benchmark and improve their educational programs and to faculty involved in further curriculum development. Keywords: anesthesia, regional, fellowship, education

  10. Health protection in times of economic crisis: challenges and opportunities for Europe.

    Science.gov (United States)

    McDaid, David; Quaglio, Gianluca; Correia de Campos, António; Dario, Claudio; Van Woensel, Lieve; Karapiperis, Theodoros; Reeves, Aaron

    2013-11-01

    STOA, the European Parliament's technology assessment body, and the European Observatory on Health Systems and Policies recently organised a workshop on the impacts of the economic crisis on European health systems. Evidence of the impact of the recent financial crisis on health outcomes is only just beginning to emerge. Data suggests that this latest recession has led to more frequent poor health status, rising incidence of some communicable diseases, and higher suicide rates. Further, available data are likely to underestimate the broader mental health crisis linked to increased rates of stress, anxiety, and depression among the economically vulnerable. Not only does recession affect factors that determine health, but it also affects the financial capacity to respond. Many European governments have reduced public expenditure on health services during the financial crisis, while introducing or increasing user charges. The recession has driven structural reforms, and has affected the priority given to public policies that could be used to help protect population health. The current economic climate, while challenging, presents an opportunity for reforming and restructuring health promotion actions and taking a long-term perspective.

  11. Computation Directorate 2007 Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    Henson, V E; Guse, J A

    2008-03-06

    If there is a single word that both characterized 2007 and dominated the thoughts and actions of many Laboratory employees throughout the year, it is transition. Transition refers to the major shift that took place on October 1, when the University of California relinquished management responsibility for Lawrence Livermore National Laboratory (LLNL), and Lawrence Livermore National Security, LLC (LLNS), became the new Laboratory management contractor for the Department of Energy's (DOE's) National Nuclear Security Administration (NNSA). In the 55 years under the University of California, LLNL amassed an extraordinary record of significant accomplishments, clever inventions, and momentous contributions in the service of protecting the nation. This legacy provides the new organization with a built-in history, a tradition of excellence, and a solid set of core competencies from which to build the future. I am proud to note that in the nearly seven years I have had the privilege of leading the Computation Directorate, our talented and dedicated staff has made far-reaching contributions to the legacy and tradition we passed on to LLNS. Our place among the world's leaders in high-performance computing, algorithmic research and development, applications, and information technology (IT) services and support is solid. I am especially gratified to report that through all the transition turmoil, and it has been considerable, the Computation Directorate continues to produce remarkable achievements. Our most important asset--the talented, skilled, and creative people who work in Computation--has continued a long-standing Laboratory tradition of delivering cutting-edge science even in the face of adversity. The scope of those achievements is breathtaking, and in 2007, our accomplishments span an amazing range of topics. From making an important contribution to a Nobel Prize-winning effort to creating tools that can detect malicious codes embedded in commercial

  12. 42 CFR 418.102 - Condition of participation: Medical director.

    Science.gov (United States)

    2010-10-01

    ... medical director or physician designee reviews the clinical information for each hospice patient and... objective medical findings; (4) Current medication and treatment orders; and (5) Information about the....102 Section 418.102 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND...

  13. Measuring financial protection for health in families with chronic conditions in Rural China

    Directory of Open Access Journals (Sweden)

    Jiang Chunhong

    2012-11-01

    Full Text Available Abstract Background As the world’s largest developing country, China has entered into the epidemiological phase characterized by high life expectancy and high morbidity and mortality from chronic diseases. Cardiovascular diseases, chronic obstructive pulmonary diseases, and malignant tumors have become the leading causes of death since the 1990s. Constant payments for maintaining the health status of a family member who has chronic diseases could exhaust household resources, undermining fiscal support for other necessities and eventually resulting in poverty. The purpose of this study is to probe to what degree health expenditure for chronic diseases can impoverish rural families and whether the New Cooperative Medical Scheme can effectively protect families with chronic patients against catastrophic health expenditures. Methods We used data from the 4th National Health Services Survey conducted in July 2008 in China. The rural sample we included in the analysis comprised 39,054 households. We used both households suffering from medical impoverishment and households with catastrophic health expenditures to compare the financial protection for families having a chronic patient with different insurance coverage statuses. We used a logistic regression model to estimate the impact of different benefit packages on health financial protection for families having a chronic patient. Results An additional 10.53% of the families with a chronic patient were impoverished because of healthcare expenditure, which is more than twice the proportion in families without a chronic patient. There is a higher catastrophic health expenditure incidence in the families with a chronic patient. The results of logistic regression show that simply adding extra benefits did not reduce the financial risks. Conclusions There is a lack of effective financial protection for healthcare expenditures for families with a chronic patient in rural China, even though there is a high

  14. 19 CFR 158.30 - Review of port director's decision.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Review of port director's decision. 158.30 Section 158.30 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) RELIEF FROM DUTIES ON MERCHANDISE LOST, DAMAGED, ABANDONED, OR...

  15. 19 CFR 158.29 - Decision by port director.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Decision by port director. 158.29 Section 158.29 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) RELIEF FROM DUTIES ON MERCHANDISE LOST, DAMAGED, ABANDONED, OR EXPORTED Casualty,...

  16. MSFC Director James R. Thompson in Control Room

    Science.gov (United States)

    1988-01-01

    Marshall's fifth Center Director, James R. Thompson (1986-1989), in the control room of the Solid Rocket Booster (SRB)automated thermal protection system (TPS) removal facility. Under Dr. Thompson's leadership, the shuttle program was rekindled after the Challenger explosion. Return to Flight kept NASA 's future programs alive.

  17. Developments in Genetic and Epigenetic Data Protection in Behavioral and Mental Health Spaces.

    Science.gov (United States)

    Terry, Nicolas

    2015-10-01

    The legal system has been preparing for an explosion of epigenetic issues in public health, environmental regulation and litigation. So far, this explosion has been muted, and for now epigenetic data protection merely seems to be "enjoying" the same technological and legal challenges experienced by other clinical and research data. However, three areas of development suggest where epigenetic data protection may prove problematic. This article examines these three issues, noting the rapid expansion of research based on EMR-sourced clinical data, the large number of data protection models that can apply to genetic data (including point-of-use prohibitions on discrimination and confidentiality), and the increasing and controversial dangers of deidentified information being reidentified.

  18. Protecting children's rights in the collection of health and welfare data.

    Science.gov (United States)

    Schenk, Katie; Murove, Tapfuma; Williamson, Jan

    2006-01-01

    Program managers and researchers promoting children's rights to health, education, and an adequate standard of living often gather data directly from children to assess their needs and develop responsive services. Gathering information within a participatory framework recognizing children's views contributes to protection of their rights. Extra precautions, however, are needed to protect children because of the vulnerabilities associated with their developmental needs. Using case studies of ethical challenges faced by program implementers and sociobehavioral researchers, this article explores ways in which data collection activities among children may affect their rights. We suggest ways in which rights-based principles may be used to derive safeguards to protect against unintentional harm and abuses, based on a multidisciplinary consultation with researchers and service providers.

  19. 12 CFR 918.4 - Directors' expenses.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Directors' expenses. 918.4 Section 918.4 Banks... BANK DIRECTOR COMPENSATION AND EXPENSES § 918.4 Directors' expenses. Each Bank may pay its directors... connection with the performance of their official duties as are payable to senior officers of the Bank...

  20. Masculinity constructs as protective buffers and risk factors for men's health.

    Science.gov (United States)

    Levant, Ronald F; Wimer, David J

    2014-03-01

    This study was designed to replicate the study of Levant, Wimer, and Williams (2011), which reported complex relationships between masculinity and health behaviors using a more diverse sample and updated measures. A sample of 589 college and community-dwelling men responded to an online survey consisting of five scales. Levant et al.'s (2011) study was partially replicated-some masculinity constructs were identified as protective buffers for some health behaviors and others as risk factors. The vast majority of the findings that were replicated were risk factors, suggesting that traditional masculinity is more of risk than a buffer, and occurred in the analyses involving Avoiding Anger and Stress and Avoiding Substance Use subscales, suggesting that these health behaviors are most closely associated with masculinity. The results are discussed in terms of limitations, suggestions for future research, and implications for health care practice.

  1. Industrial radiography in the State of Bahia, Brazil The health protection of workers

    CERN Document Server

    Andrade, A E O D

    1997-01-01

    This study aimed to identify the Regulatory and Inspection Authority for actions developed by industrial radiography enterprises in the State of Bahia, Brazil, concerning health protection of workers exposed to ionizing radiation in industry. Institutions which legislate about this matter at international, national and State level were identified. These legislations were analysed according to recommendations by the Basic Safety Standards from the Atomic Energy International Agency. Medical Supervision is proposed as a factor to warrant protection to worker's health. This is a service evaluation study, encompassing results, processes and structural components. Emphasis is given to the process component which investigated the adequacy of which is performed by employees and workers. Five enterprises which provide industrial radiography services in the State of Bahia were identified, employing forty workers on a temporary basis. This study also observed: intense workforce, a complete process of contracting out in...

  2. Protecting children from myopia: a PMT perspective for improving health marketing communications.

    Science.gov (United States)

    Lwin, May O; Saw, Seang-Mei

    2007-01-01

    This research examined the predictive utility of the protection motivation theory (PMT) model for myopia prevention amongst children. An integrative model for myopia prevention behavior of parents was first developed in the context of theory and survey instruments then refined using information gathered from two focus groups. Empirical data then was collected from parents of primary school children in Singapore, a country with one of the highest rates of myopia in the world, and analyzed using structural equation modeling (SEM). Our findings revealed that coping appraisal variables were more significantly associated with protection motivation, relative to threat appraisal variables. In particular, perceived self-efficacy was the strongest predictor of parental intention to enforce good visual health behaviors, while perceived severity was relatively weak. Health marketing communications and public policy implications are discussed.

  3. Wireless Subsurface Microsensors for Health Monitoring of Thermal Protection Systems on Hypersonic Vehicles

    Science.gov (United States)

    Milos, Frank S.; Watters, David G.; Pallix, Joan B.; Bahr, Alfred J.; Huestis, David L.; Arnold, Jim (Technical Monitor)

    2001-01-01

    Health diagnostics is an area where major improvements have been identified for potential implementation into the design of new reusable launch vehicles in order to reduce life cycle costs, to increase safety margins, and to improve mission reliability. NASA Ames is leading the effort to develop inspection and health management technologies for thermal protection systems. This paper summarizes a joint project between NASA Ames and SRI International to develop 'SensorTags,' radio frequency identification devices coupled with event-recording sensors, that can be embedded in the thermal protection system to monitor temperature or other quantities of interest. Two prototype SensorTag designs containing thermal fuses to indicate a temperature overlimit are presented and discussed.

  4. Climate change and natural disasters – integrating science and practice to protect health

    Directory of Open Access Journals (Sweden)

    Rainer Sauerborn

    2012-12-01

    Full Text Available Background: Hydro-meteorological disasters are the focus of this paper. The authors examine, to which extent climate change increases their frequency and intensity. Methods: Review of IPCC-projections of climate-change related extreme weather events and related literature on health effects. Results: Projections show that climate change is likely to increase the frequency, intensity, duration, and spatial distribution of a range of extreme weather events over coming decades. Conclusions: There is a need for strengthened collaboration between climate scientists, the health researchers and policy-makers as well as the disaster community to jointly develop adaptation strategies to protect human.

  5. Selenium in bone health: roles in antioxidant protection and cell proliferation.

    Science.gov (United States)

    Zeng, Huawei; Cao, Jay J; Combs, Gerald F

    2013-01-10

    Selenium (Se) is an essential trace element for humans and animals, and several findings suggest that dietary Se intake may be necessary for bone health. Such findings may relate to roles of Se in antioxidant protection, enhanced immune surveillance and modulation of cell proliferation. Elucidation of the mechanisms by which Se supports these cellular processes can lead to a better understanding of the role of this nutrient in normal bone metabolism. This article reviews the current knowledge concerning the molecular functions of Se relevant to bone health.

  6. Protecting policy space for public health nutrition in an era of international investment agreements.

    Science.gov (United States)

    Thow, Anne Marie; McGrady, Benn

    2014-02-01

    Philip Morris has recently brought claims against Australia (2011) and Uruguay (2010) under international investment agreements (IIAs). The claims allege that Philip Morris is entitled to compensation following the introduction of innovative tobacco packaging regulations to reduce smoking and prevent noncommunicable diseases (NCDs). Since tobacco control measures are often viewed as a model for public health nutrition measures, the claims raise the question of how investment law governs the latter. This paper begins to answer this question and to explain how governments can proactively protect policy space for public health nutrition in an era of expanding IIAs. The authors first consider the main interventions proposed to reduce diet-related NCDs and their intersection with investment in the food supply chain. They then review the nature of investment regimes and relevant case law and examine ways to maximize policy space for public health nutrition intervention within this legal context. As foreign investment increases across the food-chain and more global recommendations discouraging the consumption of unhealthful products are issued, investment law will increase in importance as part of the legal architecture governing the food supply. The implications of investment law for public health nutrition measures depend on various factors: the measures themselves, the terms of the applicable agreements, the conditions surrounding the foreign investment and the policies governing agricultural support. This analysis suggests that governments should adopt proactive measures--e.g. the clarification of terms and reliance on exceptions--to manage investment and protect their regulatory autonomy with respect to public health nutrition.

  7. An Adult Protective Services' view of collaboration with Mental Health Services.

    Science.gov (United States)

    Teaster, Pamela B; Stansbury, Kim L; Nerenberg, Lisa; Stanis, Patricia

    2009-10-01

    Mental Health Services (MHS) meet mental health needs of older adults through active, outpatient, community-based care. Adult Protective Services (APS) are involved with needs of older adults who have mental disability and mental illness. Adult Protective Services and MHS staff may to work together when they respond to the needs of victims and adults at risk for abuse, neglect, self-neglect, and exploitation. The purpose of this study was to understand effective APS-MHS collaborations (e.g., leadership, organizational culture, administration, and resources in predicting success). A survey that was sent to members of the National Adult Protective Services Association (NAPSA) revealed that both APS and MHS have strong commitments to protecting clients' rights and autonomy, but there appear to be differences between the two with regard to implementation, apparent in cases involving clients with diminished mental capacity who are at imminent risk, but who refuse help. Strengths of APS-MHS collaborations included improved communication and better service for at-risk clients.

  8. Social capital and health-protective behavior intentions in an influenza pandemic.

    Directory of Open Access Journals (Sweden)

    Ying-Chih Chuang

    Full Text Available Health-protective behaviors, such as receiving a vaccine, wearing a face mask, and washing hands frequently, can reduce the risk of contracting influenza. However, little is known about how social capital may influence health-protective behavior in the general population. This study examined whether each of the social capital dimensions (bonding, bridging, and linking contributed to the intention to adopt any of the health-protective behaviors in an influenza pandemic. The data of this study were from the 2014 Taiwan Social Change Survey. A stratified, three-stage probability proportional-to-size sampling from across the nation, was conducted to select adults aged 20 years and older (N = 1,745. Bonding social capital was measured by the frequency of neighborly contact and support. Bridging social capital was measured based on association membership. Linking social capital was measured according to general government trust and trust in the government's capacity to counter an influenza pandemic. Binary logistic regressions were used to assess the multivariate associations between social capital and behavioral intention. The study results indicate that social capital may influence the response to influenza pandemic. Specifically, the intention to receive a vaccine and to wash hands more frequently were associated with the linking dimension and the bonding dimension of social capital, while the intention to wear a face mask was associated with all forms of social capital. The findings of this study suggest that government credibility and interpersonal networks may play a crucial role in health-protective behavior. This study provides new insights into how to improve the effectiveness of influenza prevention campaigns.

  9. Predictor variables of happiness and its connection with risk and protective factors for health

    OpenAIRE

    Maite eGaraigordobil

    2015-01-01

    Great thinkers, philosophers, scientists, and artists from History have often been concerned about one of the most important elements of life: happiness. The study had four goals: 1) To analyze possible differences in feelings of happiness as a function of sex and age; 2) To explore the relations of happiness with risk factors (psychopathological symptoms, behavior problems) and protective factors (self-concept-self-esteem, cooperative behavior, social skills) for health; 3) To identify predi...

  10. Predictor variables of happiness and its connection with risk and protective factors for health

    OpenAIRE

    Garaigordobil, Maite

    2015-01-01

    Great thinkers, philosophers, scientists, and artists from History have often been concerned about one of the most important elements of life: happiness. The study had four goals: (1) To analyze possible differences in feelings of happiness as a function of sex and age; (2) To explore the relations of happiness with risk factors (psychopathological symptoms, behavior problems) and protective factors (self-concept-self-esteem, cooperative behavior, social skills) for health; (3) To identify pr...

  11. The emergency department medical director.

    Science.gov (United States)

    Mayer, T A

    1987-02-01

    This article has presented an overview of the duties, responsibilities, and management roles of the emergency department Medical Director, a position that can be among the most challenging, stimulating, and exciting in medicine. However, prior to accepting a position as an Emergency Department medical director, one should have a clear understanding of what the job entails. Careful discussions with the hospital administration, medical staff, nursing personnel, and staff emergency physicians should be undertaken to learn the perceptions of these people and expectations of the position. Once the job has been accepted, using the roles, responsibilities, and duties detailed herein may be of benefit--but should always be applied with good judgment, tactful cooperation, and common sense. Finally, it should not be surprising to a medical director to find, as Spinoza did many years ago, that the excellent thing he aspires to are as difficult as they are rare.

  12. Health Monitoring System for Nursing Homes with Lightweight Security and Privacy Protection

    Directory of Open Access Journals (Sweden)

    Yu’e Jiang

    2017-01-01

    Full Text Available With the rapid growth of aged population in China, it is urgent to design a safe and effective monitoring system for the nursing homes. An optimized scheme and high performance security and privacy protection for monitoring system have already become the focus studied especially. So this paper proposed a health monitoring system with lightweight security and privacy protection for nursing homes. Dual-band RFID, virtual routing location algorithm, and diet and exercise data collection based on RFID were adopted to obtain the location and health information. And that fused a mobile authentication protocol based on Hash function to realize security access and privacy protection, which can improve security and reduce the complexity of calculation and the implementation cost compared with the typical authentication protocols. The experiment results show that the ratio of relative network delay is below 35%. The system has strong real-time, high security, more comprehensive data, and lower cost of computation and communication. It can satisfy the requirements of health monitoring for nursing homes.

  13. 45 CFR 170.210 - Standards for health information technology to protect electronic health information created...

    Science.gov (United States)

    2010-10-01

    ... information—(1) General. Any encryption algorithm identified by the National Institute of Standards and Technology (NIST) as an approved security function in Annex A of the Federal Information Processing Standards... 45 Public Welfare 1 2010-10-01 2010-10-01 false Standards for health information technology...

  14. Protective

    Directory of Open Access Journals (Sweden)

    Wessam M. Abdel-Wahab

    2013-10-01

    Full Text Available Many active ingredients extracted from herbal and medicinal plants are extensively studied for their beneficial effects. Antioxidant activity and free radical scavenging properties of thymoquinone (TQ have been reported. The present study evaluated the possible protective effects of TQ against the toxicity and oxidative stress of sodium fluoride (NaF in the liver of rats. Rats were divided into four groups, the first group served as the control group and was administered distilled water whereas the NaF group received NaF orally at a dose of 10 mg/kg for 4 weeks, TQ group was administered TQ orally at a dose of 10 mg/kg for 5 weeks, and the NaF-TQ group was first given TQ for 1 week and was secondly administered 10 mg/kg/day NaF in association with 10 mg/kg TQ for 4 weeks. Rats intoxicated with NaF showed a significant increase in lipid peroxidation whereas the level of reduced glutathione (GSH and the activity of superoxide dismutase (SOD, catalase (CAT, glutathione S-transferase (GST and glutathione peroxidase (GPx were reduced in hepatic tissues. The proper functioning of the liver was also disrupted as indicated by alterations in the measured liver function indices and biochemical parameters. TQ supplementation counteracted the NaF-induced hepatotoxicity probably due to its strong antioxidant activity. In conclusion, the results obtained clearly indicated the role of oxidative stress in the induction of NaF toxicity and suggested hepatoprotective effects of TQ against the toxicity of fluoride compounds.

  15. 19 CFR 159.58 - Dumping and countervailing duties; action by port director.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Dumping and countervailing duties; action by port director. 159.58 Section 159.58 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND... Dumping and countervailing duties; action by port director. (a) Antidumping matters. Upon receipt...

  16. Skin protective behavior amongst girl students; based on health belief model.

    Directory of Open Access Journals (Sweden)

    Ali Davati

    2013-09-01

    Full Text Available Skin cancer is the most prevalent type of cancer in most of the countries and more than 90% of cancer cases are related to ultra violet rays of the sun. Therefore protective behaviors against sunlight are considered the most essential measures for skin cancer prevention. This study has been conducted to determine the frequency of protective behavior against sunlight among female students of Tehran city high schools. The Health Belief Model has been used for this cross-sectional study to analyze the factors related to protective behaviors. A multi-phase sampling method was used. 941 female student of Tehran city high schools were studied using a probed question form. The data were then analyzed using SPSS software. During the study of protective behaviors against the sunlight, 24.7% of participants mentioned that they always use sunscreen. The behavior of using sunscreen is related to perceived sensitivity, severity and benefit amongst the students (P<0.05. Also 3.8% of the students who participated in our study were always using gloves in summer to protect against sunlight. The behavior of using gloves in summer was also related to perceived sensitivity, severity and benefit (P<0.05. Physicians were the most effective influencing people with 84.9% influence on the appropriate decision making by these students. There is a low frequency of protective behavior against sunlight among the female students of Tehran city high schools. These findings show the necessity of training the students in this regard and promote the protective behaviors amongst them.

  17. The financial crisis, health and health inequities in Europe: the need for regulations, redistribution and social protection.

    Science.gov (United States)

    De Vogli, Roberto

    2014-07-25

    In 2009, Europe was hit by one of the worst debt crises in history. Although the Eurozone crisis is often depicted as an effect of government mismanagement and corruption, it was a consequence of the 2008 U.S. banking crisis which was caused by more than three decades of neoliberal policies, financial deregulation and widening economic inequities.Evidence indicates that the Eurozone crisis disproportionately affected vulnerable populations in society and caused sharp increases of suicides and deaths due to mental and behavioral disorders especially among those who lost their jobs, houses and economic activities because of the crisis. Although little research has, so far, studied the effects of the crisis on health inequities, evidence showed that the 2009 economic downturn increased the number of people living in poverty and widened income inequality especially in European countries severely hit by the debt crisis. Data, however, also suggest favorable health trends and a reduction of traffic deaths fatalities in the general population during the economic recession. Moreover, egalitarian policies protecting the most disadvantaged populations with strong social protections proved to be effective in decoupling the link between job losses and suicides.Unfortunately, policy responses after the crisis in most European countries have mainly consisted in bank bailouts and austerity programs. These reforms have not only exacerbated the debt crisis and widened inequities in wealth but also failed to address the root causes of the crisis. In order to prevent a future financial downturn and promote a more equitable and sustainable society, European governments and international institutions need to adopt new regulations of banking and finance as well as policies of economic redistribution and investment in social protection. These policy changes, however, require the abandonment of the neoliberal ideology to craft a new global political economy where markets and gross

  18. Astronautical Hygiene - A New Discipline to Protect the Health of Astronauts Working in Space

    Science.gov (United States)

    Cain, J. R.

    This paper outlines the rationale for a new scientific discipline namely astronautical hygiene. Astronautical hygiene is an applied science that utilises a knowledge of space toxicology, space medicine, astronautics, occupational hygiene etc. to identify the hazards, assess the exposure risks to health, and thereby determine the measures to mitigate exposure to protect the health of astronauts during living and working in space. This paper describes the nature of the hazards (i.e. physical, chemical, microbial and psychological) encountered during space flight. It discusses exposure risk assessment and the use of sampling techniques to assess astronaut health risks. This paper then discusses the measures used to mitigate exposure to the exposure hazards during space exploration. A case study of the application of the principles of astronautical hygiene to control lunar dust exposure is then described.

  19. Organizational change and employees' mental health: the protective role of sense of coherence.

    Science.gov (United States)

    Pahkin, Krista; Väänänen, Ari; Koskinen, Aki; Bergbom, Barbara; Kouvonen, Anne

    2011-02-01

    To examine the impact of sense of coherence (SOC) on psychiatric events in the context of organizational merger. Data were derived from a prospective "Still Working" study using questionnaire and health register data. The study population (n = 4279) consisted of employees with no psychiatric events prior to the 5-year mental health follow-up. Employees with a weaker premerger SOC were at a higher risk of perceiving the organizational change negatively (odds ratio = 1.83, 95% CI: 1.57 to 2.14) and had an elevated risk of postmerger psychiatric events (hazard ratio = 1.42, 95% CI: 1.04 to 1.94). A stronger SOC decreased the adverse effect of negative appraisal of change on psychiatric events. A strong premerger SOC seems to be a protective factor for mental health when the employee experiences negative changes during an organizational merger.

  20. An Academic Library Director's Bestiary

    Science.gov (United States)

    McKay, Richard

    2012-01-01

    The article examines some of the non-routine challenges that an academic library director can expect to deal with during his or her career. Each challenge is discussed in a paragraph or two, beginning by characterizing the challenge as an animal that serves as a metaphor for unusual but nonetheless important conditions that can, sooner or later,…

  1. International Honor for YCIS Director

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ The Director of Yew Chung International Schools(YCIS),Dr.Betty Chan Po-King,has received an international honor for her pioneering work in early childhood education and advocacy for excellence in all levels of education.On May 16,Dr.Chan was awarded the honorary degree of Doctor of Humane Letters from the University of Illinois at Urbana-Champaign(UIUC).

  2. 40 CFR 270.150 - How will the Director make a final decision on my RAP application?

    Science.gov (United States)

    2010-07-01

    ... decision on my RAP application? 270.150 Section 270.150 Protection of Environment ENVIRONMENTAL PROTECTION... PROGRAM Remedial Action Plans (RAPs) Getting A Rap Approved § 270.150 How will the Director make a final decision on my RAP application? (a) The Director must consider and respond to any significant comments...

  3. Ethics and data protection in human biomarker studies in environmental health.

    Science.gov (United States)

    Casteleyn, Ludwine; Dumez, Birgit; Van Damme, Karel; Anwar, Wagida A

    2013-08-01

    Human biomarker studies in environmental health are essential tools to study the relationship between health and environment. They should ultimately contribute to a better understanding of environmentally induced adverse health effects and to appropriate preventive actions. To ensure the protection of the rights and dignity of study participants a complex legal and ethical framework is applied, consisting of several international directives, conventions, and guidelines, whether or not translated in domestic laws. Main characteristics of ethics and data protection in studies using biomarkers in the field of environmental health are summarized and current discussions on related questions and bottlenecks highlighted. In the current regulatory context, dominated by the protection of the individual study participant, difficulties are reported due to the different interpretation and implementation of the regulations of concern within and across borders. Advancement of consistency and compatibility is recommended and efforts are ongoing. An increasing demand for secondary use of data and samples poses additional challenges in finding a right balance between the individual rights of the study participants on the one hand and the common interest of, and potential benefit for the public or community at large on the other. Ethics committees could play a key role in assessing problems originating from the sometimes competing needs at individual and societal level. Building trust in science amongst (potential) study participants and within the community allows the inclusion of arguments from the societal perspective. This requires increased attention for respectful communication efforts. Striving for public participation in decision making processes may promote policy relevant research and the related translation of study results into action.

  4. ORAL HYGIENE HABITS AND ORAL HEALTH STATUS OF FEMALE ADOLESCENTS UNDER STATE PROTECTION: A PILOT STUDY

    Directory of Open Access Journals (Sweden)

    Cenker Zeki Koyuncuoğlu

    2017-01-01

    Full Text Available Purpose: The aim of this study is to evaluate oral health status and oral hygiene practices of female adolescents under state protection. Subjects and Methods: Fifty-five female participants between the age of 12 and 18 who are under the care of The Child Protection Institution were included in this study. Self-administered questionnaires were used to obtain information regarding knowledge of oral health and habits. Dental caries status was scored according to the criteria of the World Health Organization (WHO, using the indices of Decayed (D, Missing (M, Filled (F, Surfaces (S (DMFS. In addition, Gingival Index (GI and Plaque Index (PI were recorded during periodontal assessment. Data were statistically analyzed by using Oneway analysis of variance, Tukey’s HSD and Student’s t tests. Results: Fourteen children had dental fear and 52.7% of them were not satisfied with their esthetic appearance. Although 78.2% of the children knew that brushing prevents dental caries, only 18 of them were brushing regularly twice per day. Mean DMFS, GI and PI scores were 13.18±5.68, 1.35±0.37 and 1.33±0.45, respectively. Only 20% of the children were using dental floss. There was statistically no significant difference between the DMFS scores of the children in terms of flossing. However, the difference between the mean GI and PI of the same group was found to be statistically significant (p<0.05. Conclusion: Children under state protection were found to have a reasonable knowledge of the causes of dental caries and gingival bleeding. Therefore, adequate management of this positive attitude can significantly improve the oral health of this population.

  5. Immigrants’ health protection: political, institutional and social perspectives at international and Italian level

    Directory of Open Access Journals (Sweden)

    Maurizio Marceca

    2012-09-01

    Full Text Available

    The issue of “immigrants’ health” has been the subject of increasing interest in recent years, both in scientific literature and in the declarations of international health institutions. Specifically, the Resolution of the 61st World Health Assembly (2008, and the Report of the European Parliament on the reduction of the inequalities in health within EU (2010 are worth highlighting.

    There is a clear convergence in the orientations recommended to local Governments regarding the health policies and interventions to be adopted in this sector. It may be stated that the health policies adopted in Italy in the 1980s have been pioneering in both European and international contexts. Enhanced by the unconditional recognition of the right to health, which is stated in the Italian Constitution, these orientations have been strongly suggested to the policymakers through effective lobbying efforts. Alongside ethical-legal recognition of the right to healthcare, the technical-scientific debate has also developed, especially following the publication of the WHO Report “Closing the gap in a generation” (2008. This has enabled the acknowledgement of the relevant role played by the socio-economic conditions which distinguish the different groups of immigrants.

    Moreover, the proposal of inter-sectorial policies and of an approach aimed at the empowerment of the community has become increasingly significant. In future, health protection for immigrants will be not only a priority as imposed by the recognition of health as a human right, but will also be more closely connected to capacities for the planning and support, at local level, of health promotion initiatives.

  6. 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.

  7. Health insurance, patient protection and Affordable Care Act, and young adults.

    Science.gov (United States)

    Dodich, Colleen; Patel, Dilip

    2013-12-01

    In summary, the ACA aims to correct some of the shortcomings of our current health insurance systems. It aims to make health insurance more affordable and more accessible and the health insurance systems easier to navigate. For the young adult population, it aims to protect more individuals by allowing them to stay on their parent's insurance longer and by making it easier to choose an insurance plan that is right for them. Those with preexisting medical conditions do not have to worry about being excluded from a health plan because of their medical history. The law is also making health insurance mandatory, which may help prevent young adults who fall ill from incurring large medical bills. Initial outcomes from the implementation of the ACA have shown both positive and negative responses. All in all, it is giving young adults more options when it comes to obtaining health insurance. As part of discussion with adolescents and young adults, physicians may take into consideration key points summarized in Table 4.

  8. 29 October 2013 - Former Director-General of IAEA H. Blix on the occasion of the Thorium Energy Conference at CERN with Chair of the ThEC13 Organization Committee E. Lillestol and Author of the book “Atome Vert” (Green Atom) J.-C. de Mestral; in the LHC tunnel at Point 1 with Technology Department, Machine Protection & Electrical Integrity Group, Performance Evaluation Section Member A. Verweij.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    29 October 2013 - Former Director-General of IAEA H. Blix on the occasion of the Thorium Energy Conference at CERN with Chair of the ThEC13 Organization Committee E. Lillestol and Author of the book “Atome Vert” (Green Atom) J.-C. de Mestral; in the LHC tunnel at Point 1 with Technology Department, Machine Protection & Electrical Integrity Group, Performance Evaluation Section Member A. Verweij.

  9. Wireless Subsurface Sensors for Health Monitoring of Thermal Protection Systems on Hypersonic Vehicles

    Science.gov (United States)

    Milos, Frank S.; Arnold, Jim (Technical Monitor)

    2001-01-01

    Health diagnostics is an area where major improvements have been identified for potential implementation into the design of new reusable launch vehicles (RLVs) in order to reduce life cycle costs, to increase safety margins, and to improve mission reliability. NASA Ames is leading the effort to develop inspection and health management technologies for thermal protection systems. This paper summarizes a joint project between NASA Ames and industry partners to develop "wireless" devices that can be embedded in the thermal protection system to monitor temperature or other quantities of interest. These devices are sensors integrated with radio-frequency identification (RFID) microchips to enable non-contact communication of sensor data to an external reader that may be a hand-held scanner or a large portal. Both passive and active prototype devices have been developed. The passive device uses a thermal fuse to indicate the occurrence of excessive temperature. This device has a diameter under 0.13 cm. (suitable for placement in gaps between ceramic TPS tiles on an RLV) and can withstand 370 C for 15 minutes. The active device contains a small battery to provide power to a thermocouple for recording a temperature history during flight. The bulk of the device must be placed beneath the TPS for protection from high temperature, but the thermocouple can be placed in a hot location such as near the external surface.

  10. Today's ``safe" radiofrequency (RF) exposure limits DON'T protect human health near transmitters!

    Science.gov (United States)

    Lundquist, Marjorie

    2005-03-01

    Maxwell's theory implies that electromagnetic (EM) radiation carries both energy and momentum. ``The momentum may have both linear and angular contributions; angular momentum [AM] has a spin part associated with polarization and an orbital part associated with spatial distribution. Any interaction between radiation and matter is inevitably accompanied by an exchange of momentum. This often has mechanical consequences ..."^2 Voluntary consensus standards [ANSI C95; NCRP; INCIRP] protect human health from most thermal [energy transfer] effects, but no standards yet exist to protect health against athermal [momentum transfer] effects, though laboratory transfer of spin AM was reported by 1935^3 and of orbital AM by 1992^2 for an optical vortex [tip of Poynting vector (PV) traces a helix about the beam axis]. In the far field of a dipole RF transmitter, radiation is linearly polarized (minimal spin AM) and locally approximated by a plane wave (zero orbital AM), but in the near field the orbital AM is non-zero [tip of PV traces an ellipse^4 in air] implying an athermal hazard [e.g., brain tumors in cellular phone users] against which no standard now in use anywhere in the world protects! ^2 L. Allen et al. Phys. Rev. A 45:8185-9(1992). ^3 R.A. Beth, Phys. Rev. 48:471(1935); 50:115-25 (1936). ^4 F. Landstorfer, Archiv für Elektronik und übertragungstechnik 26:189-96(1972) [in German].

  11. The psychiatrist's role as medical director: task distributions and job satisfaction.

    Science.gov (United States)

    Ranz, J; Eilenberg, J; Rosenheck, S

    1997-07-01

    Previous surveys of the alumni of Columbia University's fellowship in public psychiatry suggest that a large number of alumni fill positions as program medical directors. In contrast with agency medical directors, program medical directors work within team structures and maintain a high degree of clinical involvement. The fellowship faculty surveyed the alumni to catalog the tasks performed by program medical directors, agency medical directors, and staff psychiatrists and to determine the extent to which these tasks contribute to job satisfaction. A survey form was developed using a list of tasks derived from the American Psychiatric Association's guidelines for psychiatrists working in organized mental health care delivery systems and from a recent article that surveyed job descriptions of psychiatrists in community mental health centers. The survey form was distributed to all current fellows and alumni in active practice (N = 89). Seventy-two forms were returned, for a response rate of 81 percent. Respondents who were medical directors performed a greater variety of tasks and reported higher job satisfaction than those who were staff psychiatrists. Higher job satisfaction was related to a greater variety of tasks performed, especially tasks involving clinical collaboration. Most of the respondents were program medical directors rather than agency medical directors. The position of program medical director constitutes a relatively small and attainable step above that of staff psychiatrist. Agencies would do well to consider creating positions of program medical directors for their staff psychiatrists whenever feasible, and psychiatrists committed to public-sector careers should negotiate to have such positions.

  12. Investigating public health impacts of deer in a protected drinking water supply watershed.

    Science.gov (United States)

    Cinque, K; Stevens, M A; Haydon, S R; Jex, A R; Gasser, R B; Campbell, B E

    2008-01-01

    The World Health Organisation's (WHO) Water Safety Plans highlight the need for preventative risk management when managing water contamination risks. As part of this approach, a management framework incorporating multiple barriers is necessary and there is a need to validate those barriers through scientific evidence. This paper reports on a study undertaken to validate the effectiveness, in terms of pathogen numbers, of having protected watersheds. The study aimed to determine if the deer population in a protected watershed carried Cryptosporidium and whether or not it was human infectious. Deer faecal samples were collected from the protected watersheds over a 12 month period and analysed using a new method, developed as part of this project, for genotyping Cryptosporidium. Early results showed the presence of Cryptosporidium, but following a refinement in the method no human infectious Cryptosporidium was detected. The results give some confidence that having protected watersheds is an effective barrier against pathogen contamination. They do not, however, imply that continued monitoring and management of the deer should cease. To maintain compliance with the Water Safety Plans, continual validation of barrier effectiveness is required.

  13. Legal aspects of workers' health protection against asbestos in Poland in the light of the EU legal framework

    Directory of Open Access Journals (Sweden)

    Beata Świątkowska

    2013-10-01

    Full Text Available Legal protection of human life and health against asbestos dust-related hazards is carried out in various dimensions of the European Union law mainly focused on health protection of employees and responsibilities of employers, as well as on environmental protection. The aim of this paper is to present the Community legal issues emphasizing the protection of workers against asbestos and discuss the current state of Polish law in this regard. An analysis of recent legal solutions provides a comprehensive look at the extensive steps currently taken to reduce the risk of exposure to asbestos dust. The legislation in the European Union, including Poland indicates sound foundations for assuring health and safety of workers still exposed to asbestos and those formerly employed in asbestos processing plants. It is only postulated to unify high standards of healthcare to provide all workers employed in asbestos exposure with equal and particular legal protection. Med Pr 2013;64(5:689–697

  14. Monogamy, the Protective Fallacy: Sexual versus Emotional Exclusivity and the Implication for Sexual Health Risk.

    Science.gov (United States)

    Swan, D Joye; Thompson, Suzanne C

    2016-01-01

    The authors examined the hypothesis that many individuals define monogamy based on emotional rather than sexual fidelity. Participants, 373 heterosexual college students and 282 gay men, read three vignettes of decreasing mitigation in which they imagined committing an act of infidelity against a hypothetical partner and where half the participants were cued to their emotional attachment toward the partner. Despite the infidelity, relationships in the emotional attachment-cued vignettes were rated as monogamous to a greater degree than relationships in the vignettes where emotional attachment was not cued. In addition, over one-third of the participants in our study reported infidelity in their current self-defined monogamous relationships yet also reported feeling more protected from sexual health risks and reported less condom use than individuals who defined their relationship as nonmonogamous. The implications for monogamy as a protective fallacy are discussed.

  15. Democratic transitions, health institutions, and financial protection in the emerging economies: insights from Asia.

    Science.gov (United States)

    Gómez, Eduardo J

    2016-11-14

    In recent years, several emerging economies have introduced national health insurance programs ensuring access to health care while offering financial protection from out-of-pocket and catastrophic expenses. Nevertheless, in several nations these expenses continue to increase. While recent research has emphasized the lack of funding, poor policy design and corruption as the main culprits, little is known about the politics of establishing federal regulatory agencies ensuring that state governments adhere to national insurance reimbursement and coverage procedures. This article fills in this lacuna by providing an alternative perspective, one that accounts for differences between nations in the creation of regulatory institutions, with an emphasis instead on governing elite strategies to campaign on access to health care during transitions to democracy, civil societal mobilization, constitutional constraints and the national electoral incentives to overcome ineffective decentralization processes. The cases of Indonesia and China are introduced as examples of how and why their differences in this political process accounted for Indonesia's success and China's failure to ensure financial protection.

  16. Who strategies and action to protect and promote the health of workers

    Directory of Open Access Journals (Sweden)

    Ivan Dimov Ivanov

    2007-12-01

    Full Text Available WHO's action on protecting and promoting the health of workers is mandated by the Constitution of the Organization and a number of resolutions of the World Health Assembly. Recognizing that occupational health is closely linked to public health and health systems development, WHO is addressing all determinants of workers' health, including risks for disease and injury in the occupational environment, social and individual factors, and access to health services. Furthermore, the workplace is being used as a setting for protecting and promoting the health of workers and their families. Concerned that despite the existence of effective interventions to prevent occupational diseases and injuries there are still major gaps in the health status of workers between and within countries, the 60th World Health Assembly in 2007 endorsed the Global Plan of Action on Workers' Health. This Plan provides a political framework for development of policies, infrastructure, technologies and partnerships for achieving a basic level of health protection in all workplaces throughout the world. The Health Assembly also urged the 193 Member States of WHO to develop national plans and strategies for implementing the Global Plan of Action and to work towards full coverage of all workers with essential interventions and basic services for prevention of occupational diseases and injuries. A large network of 65 collaborating centres provides support to WHO's action on workers' health. The priorities for global action in the coming ten years include policy instruments on workers' health, workplace health protection and promotion, occupational health services, evidence for action and practice, and workers' health in other policies. Thus, WHO action on workers' health contributes to the global health agenda with regards to health security, climate change and Millenium Development Goals.Las acciones de protección y promoción de la salud de los trabajadores se corresponde con

  17. Computation Directorate 2007 Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    Henson, V E; Guse, J A

    2008-03-06

    If there is a single word that both characterized 2007 and dominated the thoughts and actions of many Laboratory employees throughout the year, it is transition. Transition refers to the major shift that took place on October 1, when the University of California relinquished management responsibility for Lawrence Livermore National Laboratory (LLNL), and Lawrence Livermore National Security, LLC (LLNS), became the new Laboratory management contractor for the Department of Energy's (DOE's) National Nuclear Security Administration (NNSA). In the 55 years under the University of California, LLNL amassed an extraordinary record of significant accomplishments, clever inventions, and momentous contributions in the service of protecting the nation. This legacy provides the new organization with a built-in history, a tradition of excellence, and a solid set of core competencies from which to build the future. I am proud to note that in the nearly seven years I have had the privilege of leading the Computation Directorate, our talented and dedicated staff has made far-reaching contributions to the legacy and tradition we passed on to LLNS. Our place among the world's leaders in high-performance computing, algorithmic research and development, applications, and information technology (IT) services and support is solid. I am especially gratified to report that through all the transition turmoil, and it has been considerable, the Computation Directorate continues to produce remarkable achievements. Our most important asset--the talented, skilled, and creative people who work in Computation--has continued a long-standing Laboratory tradition of delivering cutting-edge science even in the face of adversity. The scope of those achievements is breathtaking, and in 2007, our accomplishments span an amazing range of topics. From making an important contribution to a Nobel Prize-winning effort to creating tools that can detect malicious codes embedded in commercial

  18. Environmental Assessment for the Health Protection Instrument Calibration Facility at the Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    The purpose of this Environmental Assessment (EA) is to review the possible environmental consequences associated with the construction and operation of a Health Protection Instrument Calibration Facility on the Savannah River Site (SRS). The proposed replacement calibration facility would be located in B Area of SRS and would replace an inadequate existing facility currently located within A Area of SRS (Building 736-A). The new facility would provide laboratories, offices, test equipment and the support space necessary for the SRS Radiation Monitoring Instrument Calibration Program to comply with DOE Orders 5480.4 (Environmental Protection, Safety and Health Protection Standards) and 5480.11 (Radiation Protection for Occupational Workers). The proposed facility would serve as the central site source for the evaluation, selection, inspection, testing, calibration, and maintenance of all SRS radiation monitoring instrumentation. The proposed facility would be constructed on a currently undeveloped portion in B Area of SRS. The exact plot associated with the proposed action is a 1.2 hectare (3 acre) tract of land located on the west side of SRS Road No. 2. The proposed facility would lie approximately 4.4 km (2.75 mi) from the nearest SRS site boundary. The proposed facility would also lie within the confines of the existing B Area, and SRS safeguards and security systems. Archaeological, ecological, and land use reviews have been conducted in connection with the use of this proposed plot of land, and a detailed discussion of these reviews is contained herein. Socioeconomic, operational, and accident analyses were also examined in relation to the proposed project and the findings from these reviews are also contained in this EA.

  19. Report: Opportunities to Improve Data Quality and Children’s Health through the Food Quality Protection Act

    Science.gov (United States)

    Report #2006-P-00009, January 10, 2006. To meet the requirements of FQPA, EPA instituted numerous data requirements designed to provide infants and children with better protection against the health risks of pesticides.

  20. Reading About the Flu Online: How Health-Protective Behavioral Intentions Are Influenced by Media Multitasking, Polychronicity, and Strength of Health-Related Arguments.

    Science.gov (United States)

    Kononova, Anastasia; Yuan, Shupei; Joo, Eunsin

    2017-06-01

    As health organizations increasingly use the Internet to communicate medical information and advice (Shortliffe et al., 2000; World Health Organization, 2013), studying factors that affect health information processing and health-protective behaviors becomes extremely important. The present research applied the elaboration likelihood model of persuasion to explore the effects of media multitasking, polychronicity (preference for multitasking), and strength of health-related arguments on health-protective behavioral intentions. Participants read an online article about influenza that included strong and weak suggestions to engage in flu-preventive behaviors. In one condition, participants read the article and checked Facebook; in another condition, they were exposed only to the article. Participants expressed greater health-protective behavioral intentions in the media multitasking condition than in the control condition. Strong arguments were found to elicit more positive behavioral intentions than weak arguments. Moderate and high polychronics showed greater behavioral intentions than low polychronics when they read the article in the multitasking condition. The difference in intentions to follow strong and weak arguments decreased for moderate and high polychronics. The results of the present study suggest that health communication practitioners should account for not only media use situations in which individuals typically read about health online but also individual differences in information processing, which puts more emphasis on the strength of health-protective suggestions when targeting light multitaskers.

  1. Patient protection and Affordable Care Act; data collection to support standards related to essential health benefits; recognition of entities for the accreditation of qualified health plans. Final rule.

    Science.gov (United States)

    2012-07-20

    This final rule establishes data collection standards necessary to implement aspects of section 1302 of the Patient Protection and Affordable Care Act (Affordable Care Act), which directs the Secretary of Health and Human Services to define essential health benefits. This final rule outlines the data on applicable plans to be collected from certain issuers to support the definition of essential health benefits. This final rule also establishes a process for the recognition of accrediting entities for purposes of certification of qualified health plans.

  2. 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.

  3. Generation of Hospital Waste: An Awareness Impact on Health and Environmental Protection

    Directory of Open Access Journals (Sweden)

    Deepak Sharma

    2013-01-01

    Full Text Available World is generating more and more waste as the population of people in the world & Hospitals are increasing day by day. Health care activities are a means of protecting health, curing patients and saving lives. Waste generating from hospitals, health centers and medicals are no exceptions. Medical waste contains toxic chemicals, can be infectious and pose contamination risks both to public health and environment. But they also generate waste, out of which 25 percent entail risks, either of infection, of trauma or radiation exposure. In addition the inappropriate treatment or disposal of the waste can lead to environmental contamination or pollution. Seventy five percent of the hospital waste is similar to household waste and do not entail any particular hazard. In general, PVC plastic waste represents the large amount in hospital waste. In this paper we are addressing the issue of incineration of medical waste and to control the surface water mercurial pollution, their impacts on health, environment and their remediation.

  4. 2011 Computation Directorate Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    Crawford, D L

    2012-04-11

    From its founding in 1952 until today, Lawrence Livermore National Laboratory (LLNL) has made significant strategic investments to develop high performance computing (HPC) and its application to national security and basic science. Now, 60 years later, the Computation Directorate and its myriad resources and capabilities have become a key enabler for LLNL programs and an integral part of the effort to support our nation's nuclear deterrent and, more broadly, national security. In addition, the technological innovation HPC makes possible is seen as vital to the nation's economic vitality. LLNL, along with other national laboratories, is working to make supercomputing capabilities and expertise available to industry to boost the nation's global competitiveness. LLNL is on the brink of an exciting milestone with the 2012 deployment of Sequoia, the National Nuclear Security Administration's (NNSA's) 20-petaFLOP/s resource that will apply uncertainty quantification to weapons science. Sequoia will bring LLNL's total computing power to more than 23 petaFLOP/s-all brought to bear on basic science and national security needs. The computing systems at LLNL provide game-changing capabilities. Sequoia and other next-generation platforms will enable predictive simulation in the coming decade and leverage industry trends, such as massively parallel and multicore processors, to run petascale applications. Efficient petascale computing necessitates refining accuracy in materials property data, improving models for known physical processes, identifying and then modeling for missing physics, quantifying uncertainty, and enhancing the performance of complex models and algorithms in macroscale simulation codes. Nearly 15 years ago, NNSA's Accelerated Strategic Computing Initiative (ASCI), now called the Advanced Simulation and Computing (ASC) Program, was the critical element needed to shift from test-based confidence to science-based confidence

  5. Health Risk Perceptions and Exercise in Older Adulthood: An Application of Protection Motivation Theory.

    Science.gov (United States)

    Ruthig, Joelle C

    2016-09-01

    Protection Motivation Theory (PMT) was applied to explore the relationship between perceived risk of acute health crises and intent to exercise. Interviews of 351 community-living older adults assessed prior physical activity (PPA), all PMT components, and exercise intent. A multi-group structural equation model revealed gender differences in PMT predictors of exercise intent. PPA, age, self-efficacy, and response efficacy directly predicted men's intent. Women's PPA and age predicted PMT components of self-efficacy and response costs, which predicted intent. Findings have implications for devising interventions to enhance physical activity in later life by targeting different PMT components for older men and women.

  6. Electronic Communication of Protected Health Information: Privacy, Security, and HIPAA Compliance.

    Science.gov (United States)

    Drolet, Brian C; Marwaha, Jayson S; Hyatt, Brad; Blazar, Phillip E; Lifchez, Scott D

    2017-06-01

    Technology has enhanced modern health care delivery, particularly through accessibility to health information and ease of communication with tools like mobile device messaging (texting). However, text messaging has created new risks for breach of protected health information (PHI). In the current study, we sought to evaluate hand surgeons' knowledge and compliance with privacy and security standards for electronic communication by text message. A cross-sectional survey of the American Society for Surgery of the Hand membership was conducted in March and April 2016. Descriptive and inferential statistical analyses were performed of composite results as well as relevant subgroup analyses. A total of 409 responses were obtained (11% response rate). Although 63% of surgeons reported that they believe that text messaging does not meet Health Insurance Portability and Accountability Act of 1996 security standards, only 37% reported they do not use text messages to communicate PHI. Younger surgeons and respondents who believed that their texting was compliant were statistically significantly more like to report messaging of PHI (odds ratio, 1.59 and 1.22, respectively). A majority of hand surgeons in this study reported the use of text messaging to communicate PHI. Of note, neither the Health Insurance Portability and Accountability Act of 1996 statute nor US Department of Health and Human Services specifically prohibits this form of electronic communication. To be compliant, surgeons, practices, and institutions need to take reasonable security precautions to prevent breach of privacy with electronic communication. Communication of clinical information by text message is not prohibited under Health Insurance Portability and Accountability Act of 1996, but surgeons should use appropriate safeguards to prevent breach when using this form of communication. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  7. 76 FR 58006 - Meeting of the Secretary's Advisory Committee on Human Research Protections

    Science.gov (United States)

    2011-09-19

    ... Protections (OHRP), or Julia Gorey, J.D., Executive Director, SACHRP; U.S. Department of Health and Human...-mail address: Julia.Gorey@hhs.gov . SUPPLEMENTARY INFORMATION: Under the authority of 42 U.S.C. 217a... who plan to attend the meeting and need special assistance, such as sign language interpretation...

  8. 76 FR 37354 - Meeting of the Secretary's Advisory Committee on Human Research Protections

    Science.gov (United States)

    2011-06-27

    ... Protections (OHRP), or Julia Gorey, J.D., Executive Director, SACHRP; U.S. Department of Health and Human...-mail address: Julia.Gorey@hhs.gov . SUPPLEMENTARY INFORMATION: Under the authority of 42 U.S.C. 217a... sign language interpretation or other reasonable accommodations, should notify the designated...

  9. 78 FR 12061 - Meeting of the Secretary's Advisory Committee on Human Research Protections

    Science.gov (United States)

    2013-02-21

    ... Protections (OHRP), or Julia Gorey, J.D., Executive Director, SACHRP; U.S. Department of Health and Human...; email address: Julia.Gorey@hhs.gov . SUPPLEMENTARY INFORMATION: Under the authority of 42 U.S.C. 217a.... Individuals who plan to attend the meeting and need special assistance, such as sign language...

  10. Information security governance: a risk assessment approach to health information systems protection.

    Science.gov (United States)

    Williams, Patricia A H

    2013-01-01

    It is no small task to manage the protection of healthcare data and healthcare information systems. In an environment that is demanding adaptation to change for all information collection, storage and retrieval systems, including those for of e-health and information systems, it is imperative that good information security governance is in place. This includes understanding and meeting legislative and regulatory requirements. This chapter provides three models to educate and guide organisations in this complex area, and to simplify the process of information security governance and ensure appropriate and effective measures are put in place. The approach is risk based, adapted and contextualized for healthcare. In addition, specific considerations of the impact of cloud services, secondary use of data, big data and mobile health are discussed.

  11. Rationing health protection: a proposal to exempt nuisance dust from US Clean Air Act regulations.

    Science.gov (United States)

    Centner, Terence J; Colson, Gregory

    2013-03-15

    The US House of Representative has passed a bill called the "Farm Dust Regulation Prevention Act" (Dust Act) that would exempt most types of particulate matter (PM) in rural areas from the air quality controls of the US Clean Air Act. The Dust Act would markedly change the country's air quality standards. An examination of the proposed provisions shows that they would exempt non-combustion PM pollutants from mining, smelting, petroleum production, and power generation from existing air quality standards. Persons downwind from pollutants generated in rural areas could be exposed to concentrations of carcinogenic heavy metals, asbestos, and benzene known to adversely affect their health and ecological resources. Existing federal air quality standards based on science would be replaced by a flexible standard that rations health protection.

  12. Bending the curve: force health protection during the insertion phase of the Ebola outbreak response.

    Science.gov (United States)

    Bailey, Mark S; Beaton, K; Bowley, D; Eardley, W; Hunt, P; Johnson, S; Round, J; Tarmey, N T; Williams, A

    2016-06-01

    After >10 years of enduring operations in Iraq and Afghanistan, Defence Strategic Direction is returning to a contingency posture. As the first post-Afghanistan operation, in September 2014, a UK Joint Inter-Agency Task Force deployed to Sierra Leone in response to the Ebola virus disease (EVD) epidemic in West Africa. The aims were expanding treatment capacity, assisting with training and supporting host nation resilience. The insertion phase of this deployment created a unique set of challenges for force health protection. In addition to the considerable risk of tropical disease and trauma, deployed personnel faced the risks of working in an EVD epidemic. This report explores how deployed medical assets overcame the difficulties of mounting a short-notice contingent operation in a region of the world with inherent major climatic and health challenges.

  13. A novel dentifrice technology for advanced oral health protection: A review of technical and clinical data.

    Science.gov (United States)

    Baig, Arif; He, Tao

    2005-09-01

    Throughout the world, dentifrices have played a key role in the practice of good oral hygiene and promotion of better oral health. In addition to providing general dental cleaning, toothpastes also have served as an excellent vehicle for the introduction of new agents that deliver therapeutic and cosmetic benefits. Key examples of using dentifrices to provide added benefits include the introduction in 1955 of the first fluoridated toothpaste clinically proven to fight caries (Crest Cavity Protection) and the launch of the first tartar-control dentifrice (Crest Tartar Control) in the mid-1980s. To continue expanding the health and esthetic benefits offered by a single dentifrice, a multitude of agents have been investigated over the past 3 decades. The focus of these investigations has been in the multibenefit segment, the most widely used among US consumers.

  14. Integrating biodiversity management and indigenous biopiracy protection to promote environmental justice and global health.

    Science.gov (United States)

    Mackey, Tim K; Liang, Bryan A

    2012-06-01

    Many potentially useful medicines arise from developing countries' biodiverse environments and indigenous knowledge. However, global intellectual property rules have resulted in biopiracy, raising serious ethical concerns of environmental justice, exploitation, and health disparities in these populations. Furthermore, state-based approaches have not led to adequate biodiversity protection, management, or resource sharing, which affect access to lifesaving drugs. In response, country delegates adopted the Nagoya Protocol, which aims at promoting biodiversity management, combating biopiracy, and encouraging equitable benefits sharing with indigenous communities. However, the effectiveness of this framework in meeting these objectives remains in question. To address these challenges, we propose a policy building on the Nagoya Protocol that employs a World Health Organization-World Trade Organization Joint Committee on Bioprospecting and Biopiracy.

  15. 42 CFR 493.1445 - Standard; Laboratory director responsibilities.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Laboratory director responsibilities. 493... HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing High Complexity Testing § 493.1445 Standard; Laboratory...

  16. 42 CFR 493.1407 - Standard; Laboratory director responsibilities.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Laboratory director responsibilities. 493... HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Moderate Complexity Testing § 493.1407 Standard; Laboratory...

  17. 42 CFR 493.1359 - Standard; PPM laboratory director responsibilities.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; PPM laboratory director responsibilities... AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Provider-Performed Microscopy (ppm) Procedures § 493.1359...

  18. 42 CFR 493.1357 - Standard; laboratory director qualifications.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; laboratory director qualifications. 493... HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Provider-Performed Microscopy (ppm) Procedures § 493.1357...

  19. A health protection model for Hispanic adults with Type 2 diabetes.

    Science.gov (United States)

    Latham, Christine L; Calvillo, Evelyn

    2007-07-01

    The Hispanic Health Protection Model (HHPM) was designed to assist practitioners' systematic assessment of Hispanic people to establish baselines and evaluate the success of early diabetes treatment. This article provides the research basis of the HHPM and related assessment tools. The treatment of diabetes incorporates lifestyle change, and this adjustment is particularly important to follow with vulnerable groups. One such group is the Hispanic population, since the impact of diabetes is greatest on economically disadvantaged segments of this population, who suffer disproportionately higher Type 2 diabetes prevalence and higher levels of morbidity and mortality as compared with other populations. Traditional Hispanic health beliefs are often in conflict with Western medicine, so the adjustments to the lifestyle demands of this disease need to be evaluated. To understand this discrepancy fully in patient outcomes, a culturally sensitive assessment framework was developed based on health protection theories and research with Hispanic people with diabetes and, based on this framework, assessment tools were translated for use during interviews with low literacy, Spanish-speaking patients. The HHPM translated measures of premorbid lifestyle, health beliefs, support, self-efficacy, quality of life, knowledge of diabetes, and physiological parameters can be used during consecutive clinic visits during the first six months of therapy to map the success of patients' understanding of and psychological adjustment to diabetes. The HHPM is a culturally-relevant, systematic, and holistic approach to assessing adjustment of Hispanic people to a new diagnosis of diabetes, including their psychological, cognitive, and physiological outcomes. Using this type of systematic approach will allow practitioners to target barriers to therapy, such as a lack of self-efficacy or incomplete knowledge of the disease and its treatment in a strategic manner to improve patient success in

  20. 5 CFR 2638.506 - Director's recommendation.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where... employee is the head of an agency, the Director shall make any such recommendation to the President and...

  1. 12 CFR 1261.4 - Director eligibility.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Director eligibility. 1261.4 Section 1261.4 Banks and Banking FEDERAL HOUSING FINANCE AGENCY FEDERAL HOME LOAN BANKS FEDERAL HOME LOAN BANK DIRECTORS Federal Home Loan Bank Boards of Directors: Eligibility and Elections § 1261.4...

  2. 45 CFR 1700.5 - Executive Director.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Executive Director. 1700.5 Section 1700.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL COMMISSION ON LIBRARIES AND INFORMATION SCIENCE ORGANIZATION AND FUNCTIONS § 1700.5 Executive Director. (a) The Executive Director...

  3. Integration of Leadership Styles of School Director

    Science.gov (United States)

    Pavlovic, Nebojsa; Oljaca, Milka; Kostovic, Svetlana

    2012-01-01

    Management style can be defined as a special behavior of directors in the work process that affects the performance in an organization, in this case-school. Management style has two related meanings: first is behavior of directors to employees, second is directors' approach in school regarding management, participation of employees in decision…

  4. Goals: A Significant Tool for Protection of Mental and Physical Health

    Directory of Open Access Journals (Sweden)

    Ali Eryilmaz

    2012-12-01

    Full Text Available Human beings want to have mental and physical health, attach to life, and also have a happy life. In this process, they need several tools. The goals are the most important tool for a happy and healthy life. Goals help individuals become aware of problems in a timely fashion, which in turn leads to healthy solutions. Goals give direction for life of an individual, and also help avoid chaos. Goals can help motivate individual by clarifying and communicating what the individual is striving to achieve. In addition to these, goals are important determinants for physical and mental health. In this article, the history of goals in psychology, definition of goals, types of goals, transferring of goals for real life, relationships between goals and cultures, implementation programs which are goal oriented, goals in national literature, and also relationships between goals, physical and mental health have been briefly reviewed. As a result, many scientific disciplines could use goals as protective and preventive tools for mental and physical health of individuals.

  5. Health Monitoring Technology for Thermal Protection Systems on Reusable Hypersonic Vehicles

    Science.gov (United States)

    Milos, Frank S.; Watters, D. G.; Heinemann, J. M.; Karunaratne, K. S.; Arnold, Jim (Technical Monitor)

    2001-01-01

    Integrated subsystem health diagnostics is an area where major improvements have been identified for potential implementation into the design of new reusable launch vehicles (RLVs) in order to reduce life cycle costs, to increase safety margins, and to improve mission reliability. This talk summarizes a joint effort between NASA Ames and industry partners to develop rapid non-contact diagnostic tools for health and performance monitoring of thermal protection systems (TPS) on future RLVs. The specific goals for TPS health monitoring are to increase the speed and reliability of TPS inspections for improved operability at lower cost. The technology being developed includes a 3-D laser scanner for examining the exterior surface of the TPS, and a subsurface microsensor suite for monitoring the health and performance of the TPS. The sensor suite consists of passive overlimit sensors and sensors for continuous parameter monitoring in flight. The sensors are integrated with radio-frequency identification (RFID) microchips to enable wireless communication of-the sensor data to an external reader that may be a hand-held scanner or a large portal. Prototypes of the laser system and both types of subsurface sensors have been developed. The laser scanner was tested on Shuttle Orbiter Columbia and was able to dimension surface chips and holes on a variety of TPS materials. The temperature-overlimit microsensor has a diameter under 0.05 inch (suitable for placement in gaps between ceramic TPS tiles) and can withstand 700 F for 15 minutes.

  6. Can economic deprivation protect health? Paradoxical multilevel effects of poverty on Hispanic children's wheezing.

    Science.gov (United States)

    Collins, Timothy W; Kim, Young-an; Grineski, Sara E; Clark-Reyna, Stephanie

    2014-08-06

    Prior research suggests that economic deprivation has a generally negative influence on residents' health. We employ hierarchical logistic regression modeling to test if economic deprivation presents respiratory health risks or benefits to Hispanic children living in the City of El Paso (Texas, USA) at neighborhood- and individual-levels, and whether individual-level health effects of economic deprivation vary based on neighborhood-level economic deprivation. Data come from the US Census Bureau and a population-based survey of El Paso schoolchildren. The dependent variable is children's current wheezing, an established respiratory morbidity measure, which is appropriate for use with economically-deprived children with an increased likelihood of not receiving a doctor's asthma diagnosis. Results reveal that economic deprivation (measured based on poverty status) at both neighborhood- and individual-levels is associated with reduced odds of wheezing for Hispanic children. A sensitivity analysis revealed similar significant effects of individual- and neighborhood-level poverty on the odds of doctor-diagnosed asthma. Neighborhood-level poverty did not significantly modify the observed association between individual-level poverty and Hispanic children's wheezing; however, greater neighborhood poverty tends to be more protective for poor (as opposed to non-poor) Hispanic children. These findings support a novel, multilevel understanding of seemingly paradoxical effects of economic deprivation on Hispanic health.

  7. Benzoxazinoids: Cereal phytochemicals with putative therapeutic and health-protecting properties.

    Science.gov (United States)

    Adhikari, Khem B; Tanwir, Fariha; Gregersen, Per L; Steffensen, Stine K; Jensen, Bettina M; Poulsen, Lars K; Nielsen, Claus H; Høyer, Søren; Borre, Michael; Fomsgaard, Inge S

    2015-07-01

    Benzoxazinoids (BXs) are a group of natural chemical compounds with putative pharmacological and health-protecting properties. BXs were formerly identified in and isolated from selected dicot medicinal plants and young cereal plants. Recently, BXs were found to be present in mature cereal grains and bakery products, such that knowledge about the pharmacological properties of BXs, which until now have unknowingly been consumed through the daily bread and breakfast cereals, has come into new focus. This review discusses published results from in vitro studies and a few human and animal model studies on the health effects and pharmacological responses of various BX compounds. Many of these studies have reported antimicrobial, anticancer, reproductive system stimulatory, central nervous system stimulatory, immunoregulatory, and appetite- and weight-reducing effects of BXs and/or BX derivatives. The health benefits of wholegrain intake may be associated with the solitary and/or overlapping biological effects of fibers, lignans, phenolic acids, alkylresorcinols, BXs, and other bioactive compounds. In the context of BXs as dietary ingredients, further comprehensive investigations are required to understand their biological functions, to elucidate the underlying mechanisms, to explore their potential contribution on the health effects associated with wholegrain consumption, and to examine their potential as functional food ingredients.

  8. Electrosmog. Health hazards, limit values, consumer protection; 4. rev. ed.; Elektrosmog. Gesundheitsrisiken, Grenzwerte, Verbraucherschutz

    Energy Technology Data Exchange (ETDEWEB)

    Karus, M.; Ebert, L.; Wilke, I.; Schneider, W.; Koehnecke, W.; Loefflad, H.; Plotzke, O.; Niessen, P.

    1997-07-01

    The book deals with ``electrosmog``, the electromagnetic fields in our environment that are generated by electrical equipment and installations and which are being studied more closely recently as a suspected source of a variety of health hazards or diseases. The initial chapter explains the physical fundamentals and terminology, the process and the sources generating the electrical and magnetic fields found in our environment, as well as the measuring techniques applied for detection and assessment. The following chapters present information on the state of the art in research into the health effects of electrosmog in the low and high-frequency ranges, on currently applicable limit values and the underlying concepts of calculation, as well as the policy pursued in this context. The concluding chapters of the book discuss the sources of electrosmog in a variety of living environments as well as mitigating or protective measures defined from the angle of consumer protection. (FK) [Deutsch] Dieses Buch befasst sich mit der unter dem Namen `Elektrosmog` bekannt gewordenen elektromagnetischen Umweltbelastung, die in juengster Zeit fuer eine Vielzahl von Krankheiten verantwortlich gemacht wird. Eingangs werden grundlegende physikalische Begriffe, das Auftreten von elektrischen und magnetischen Feldern im Alltag sowie die Messung von Elektrosmog behandelt. Das folgende Kapitel stellt den aktuellen Forschungsstand ueber die gesundheitlichen Auswirkungen von Elektrosmog im Nieder- und Hochfrequenzbereich dar. Anschliessend werden die derzeit gueltigen Grenzwerte und ihre konzeptionelle und politische Basis diskutiert. Der letzte Teil geht auf die vielfaeltigen Quellen von Elektrosmog in den unterschiedlichen Lebensbereichen ein und diskutiert Massnahmen fuer den Verbraucherschutz. (FK)

  9. Sun protective behaviour in renal transplant recipients. A qualitative study based on individual interviews and the Health Belief Model

    DEFF Research Database (Denmark)

    Skiveren, Jette; Mortensen, Erik Lykke; Haedersdal, Merete

    2010-01-01

    BACKGROUND: Renal transplant recipients (RTRs) are at high-risk of developing aggressive and potentially lethal non-melanoma skin cancer, which emphasizes the need for consistent sun protective behaviour. OBJECTIVE: To identify factors that exert an influence on the sun protective behaviour of RTRs...... towards the use of sunscreens and wearing hats were barriers against efficient sun protective behaviour. CONCLUSIONS: This study shows that the Health Belief Model can be used to identify and describe factors that influence decisions and behaviour among RTRs regarding sun protective behaviour. We......: The major result was the finding that patients did not perceive the threat of skin cancer as an important health problem and, therefore, did not give a high priority to sun protection, even though patients were aware of their increased risk of developing skin cancer. Moreover, negative individual attitudes...

  10. 75 FR 25282 - Office of the Director, Office of Biotechnology Activities; Notice of a Safety Symposium

    Science.gov (United States)

    2010-05-07

    ... HUMAN SERVICES National Institutes of Health Office of the Director, Office of Biotechnology Activities.... Chezelle George, Administrative Assistant, Office of Biotechnology Activities, Office of the Director... a.m. to 5:30 p.m. Agenda: The Office of Biotechnology Activities (OBA) and NIH Recombinant...

  11. [Rethinking social protection in health in Latin America and the Caribbean].

    Science.gov (United States)

    Rosenberg, H; Andersson, B

    2000-01-01

    Despite what is written in the constitutions and other basic document mandates of the countries of the Region, exclusion from social protection in health (SPH) affects an important proportion of the population (at least 20%, which represents, in absolute figures, between 80 and 200 million people). These estimates are obtained through a series of theoretical (social security coverage) and practical indicators that encompass structural indicators (poverty, ethnicity, and geographical barriers) as well as process indicators (non-institutional births, compliance with vaccination schedules, and access to basic sanitation). Exclusion levels in a society are affected by the degree of segmentation of the health system. Traditionally, most countries of the Region have had a public, a social security and a private subsystem in health. Lack of attention to the problem has resulted in the formation of a community-based subsystem. The coexistence of many subsystems, along with poor regulation on the part of health authorities, has resulted in high levels of exclusion and inefficient resource allocation within the sector. The organization of social dialogue processes focusing on SPH within the context of health sector reform initiatives in each country is recommended. The process, which should be participatory, should include a full diagnosis of the situation (how many are excluded, who are they, and why, and what mechanisms are the most appropriate for tackling the issue in each country). It should also provide a political and technical feasibility analysis of the most suitable options for each society, and a determination of whether or not conventional subsystems have exhausted their potential. The process should culminate in a program for implementing the specific proposals made in each society, in an effort to maximize SPH.

  12. Implementation of an evidence-based hand hygiene program in elementary schools in Ghana, as part of a City-to-City partnership between Ottawa public health and KEEA health directorate.

    Science.gov (United States)

    Lang, Marie-Claude

    2012-01-01

    Ottawa Public Health in partnership with health staff from the municipality of KEEA (Komenda, Edina, Eguafo, Abrem) in Ghana engaged in a city-to-city partnership to adapt, implement, and evaluate an evidence-based hand hygiene public health initiative in elementary schools in Ghana. All 4 participating schools gained the necessary resources to carry out proper hand hygiene practice, and hand hygiene practice improved. Furthermore, pupils were more likely to wash hands after using the toilets and teachers were better equipped to be good role models. Providing resources to schools was key to the success of the implementation. This partnership gave health and education workers in Ghana the tools, knowledge, and confidence to implement a simple, evidence-based, hand hygiene program. One other remarkable outcome is that school children were the initiators of a behavior change in their community.

  13. Risk and protection factors for women’s health in the prevention of cervical cancer

    Directory of Open Access Journals (Sweden)

    Ana Carolina de Oliveira

    2014-06-01

    Full Text Available This study aimed to investigate the risk and protection factors for women who access health services for the realization of preventive screening for cervical cancer. Quantitative study conducted with 51 women in Teresina-PI, Brazil, in August 2013. The semi-structured form caught the variables of interest and the data were analyzed by the SPSS. Of the women, 72.5% were aged 25-39 years, 66.7% were married, and 55.0% accessed the service for prevention. With regard to the risk factors, 41.2% were overweight, 19.6% obese, and 72.5% were sedentary. Regarding the access to health services, 78.5% sought care in the past year. The cervical cancer screening program should be discussed in the sociocultural context, which will promote understanding and adherence to the recommendations of take the exam periodically. For this purpose, we recommend conducting immediate and effective measures to improve the viability of public policies for women’s health.

  14. Children Affected by War and Armed Conflict: Parental Protective Factors and Resistance to Mental Health Symptoms

    Directory of Open Access Journals (Sweden)

    Michelle Slone

    2017-08-01

    Full Text Available This study examined the role of parenting styles and parental warmth in moderating relations between exposure to political life events and mental health symptoms among 277 Israeli adolescents aged 12–14 and their parents, who had been exposed to protracted periods of war, missile bombardments, and terrorism. Adolescents completed the Political Life Events (PLE scale, Brief Symptom Inventory and questionnaires regarding parenting style and parental warmth. The primary caregiver completed the Child Behavior Checklist for assessment of the child’s internalizing and externalizing symptoms. Results confirmed that severity of PLE exposure was positively correlated with psychological distress and with internalizing and externalizing symptoms. Maternal authoritativeness and warmth functioned as protective factors and had moderating effects on the relation between PLE exposure and mental health symptoms. In contrast, maternal authoritarianism exacerbated the relation between PLE exposure and children’s externalizing symptoms. Fathers’ parenting style and warmth had no significant relationship with children’s mental health outcomes. These findings have important clinical and practical implications for parental guidance and support during periods of war and armed conflict.

  15. Children Affected by War and Armed Conflict: Parental Protective Factors and Resistance to Mental Health Symptoms

    Science.gov (United States)

    Slone, Michelle; Shoshani, Anat

    2017-01-01

    This study examined the role of parenting styles and parental warmth in moderating relations between exposure to political life events and mental health symptoms among 277 Israeli adolescents aged 12–14 and their parents, who had been exposed to protracted periods of war, missile bombardments, and terrorism. Adolescents completed the Political Life Events (PLE) scale, Brief Symptom Inventory and questionnaires regarding parenting style and parental warmth. The primary caregiver completed the Child Behavior Checklist for assessment of the child’s internalizing and externalizing symptoms. Results confirmed that severity of PLE exposure was positively correlated with psychological distress and with internalizing and externalizing symptoms. Maternal authoritativeness and warmth functioned as protective factors and had moderating effects on the relation between PLE exposure and mental health symptoms. In contrast, maternal authoritarianism exacerbated the relation between PLE exposure and children’s externalizing symptoms. Fathers’ parenting style and warmth had no significant relationship with children’s mental health outcomes. These findings have important clinical and practical implications for parental guidance and support during periods of war and armed conflict. PMID:28878705

  16. Children Affected by War and Armed Conflict: Parental Protective Factors and Resistance to Mental Health Symptoms.

    Science.gov (United States)

    Slone, Michelle; Shoshani, Anat

    2017-01-01

    This study examined the role of parenting styles and parental warmth in moderating relations between exposure to political life events and mental health symptoms among 277 Israeli adolescents aged 12-14 and their parents, who had been exposed to protracted periods of war, missile bombardments, and terrorism. Adolescents completed the Political Life Events (PLE) scale, Brief Symptom Inventory and questionnaires regarding parenting style and parental warmth. The primary caregiver completed the Child Behavior Checklist for assessment of the child's internalizing and externalizing symptoms. Results confirmed that severity of PLE exposure was positively correlated with psychological distress and with internalizing and externalizing symptoms. Maternal authoritativeness and warmth functioned as protective factors and had moderating effects on the relation between PLE exposure and mental health symptoms. In contrast, maternal authoritarianism exacerbated the relation between PLE exposure and children's externalizing symptoms. Fathers' parenting style and warmth had no significant relationship with children's mental health outcomes. These findings have important clinical and practical implications for parental guidance and support during periods of war and armed conflict.

  17. Occupational health nurses’ achievement of competence and comfort in respiratory protection and preferred learning methods results of a nationwide survey.

    Science.gov (United States)

    Burgel, Barbara J; Novak, Debra A; Carpenter, Holly Elizabeth; Gruden, MaryAnn; Lachat, Ann M; Taormina, Deborah

    2014-02-01

    Additional findings are presented from a 2012 nationwide survey of 2,072 occupational health nurses regarding how they achieved competence in respiratory protection, their preferred methods of learning, and how they motivated employees to use respiratory protection. On-the-job training, taking a National Institute for Occupational Safety and Health spirometry course, or attending professional conferences were the primary ways occupational health nurses gained respiratory protection knowledge. Attending professional conferences was the preferred method of learning, varying by type of industry and years of occupational health nurse experience. Employee motivational strategies were not widely used; the most common strategy was to tailor respiratory protection training to workplace culture. Designing training methods that match learning preferences, within the context of the organization's safety and quality improvement culture, is a key recommendation supported by the literature and these findings. Including respiratory protection content and competencies in all levels of academic nursing education is an additional recommendation. Additional research is needed to link training strategies with consistent and correct use of respiratory protection by employees.

  18. Poultry Houses, WI Livestock Consortium Livestock Premises; confidentiality protected by law; use for animal health emergencies only; some aggregated county data, Published in 2009, 1:24000 (1in=2000ft) scale, Wisconsin Department of Agriculture, Trade & Consumer Protection.

    Data.gov (United States)

    NSGIC State | GIS Inventory — Poultry Houses dataset current as of 2009. WI Livestock Consortium Livestock Premises; confidentiality protected by law; use for animal health emergencies only; some...

  19. Health protection at the Savannah River Site: A guide to records series of the Department of Energy and its contractors

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-09-01

    As part of the Department of Energy`s (DOE) Epidemiologic Records Inventory Project, History Associates Incorporated (HAI) prepared this guide to the records series pertaining to health protection activities at the DOE`s Savannah River Site (SRS). Since its inception in the early 1950s, the SRS, formerly known as the Savannah River Plant (SRP), has demonstrated significant interest in safeguarding facilities, protecting employees` health, and monitoring the environment. The guide describes records that concern health protection program administration, radiological monitoring of the plant and the environment, calibration and maintenance of monitoring instruments, internal and external dosimetry practices, medical surveillance of employees, occupational safety and training measures, site visitation, and electronic information systems. The introduction to the guide describes the Epidemiologic Records Inventory Project and HAI`s role in the project. It provides brief histories of the DOE, SRS, and the SRS organizational units responsible for health protection activities. This introduction also summarizes HAI`s methodology in developing criteria and conducting its verification of the SRS inventory of active and inactive SRS Health Protection records. Furthermore, it furnishes information on the production of the guide, the content of the records series descriptions, the location of the records, and the procedures for accessing records repositories.

  20. Identifying the gaps: Armenian health care legislation and human rights in patient care protections.

    Science.gov (United States)

    Zopunyan, Violeta; Krmoyan, Suren; Quinn, Ryan

    2013-12-12

    Since the collapse of the Soviet Union, the Republic of Armenia has undergone an extensive legislative overhaul. Although a number of developments have aimed to improve the quality and accessibility of Armenia's health care system, a host of factors has prevented the country from fully introducing measures to ensure respect for human rights in patient care. In particular, inadequate health care financing continues to oblige patients to make both formal and informal payments to obtain basic medical care and services. More generally, a lack of oversight and monitoring mechanisms has obstructed the implementation of Armenia's commitments to human rights in several international agreements. Within the framework of a broader project on promoting human rights in patient care, research was carried out to examine Armenia’s health care legislation with the aim of identifying gaps in comparison with international and regional standards. This research was designed using the 14 rights enshrined in the European Charter on Patient Rights as guiding principles, along with domestic legal acts relevant to the rights of health care providers. The gaps analysis revealed numerous problems with Armenian legislation governing the relationships between stakeholders in health care service delivery. It also identified several practical inconsistencies with the international legal instruments ratified by the Armenian government. These legislative shortcomings are illustrated by highlighting key health-related rights violations experienced by patients and their health care providers, and by indicating opportunities for improved rights protections. A full list of human rights relevant to patient care and recommendations for promoting them in the Armenian context is provided in Tables 1 and 2. A number of initiatives must be undertaken in order to promote the full spectrum of human rights in patient care in Armenia. This section highlights certain recommendations flowing from the findings of

  1. 2011 Computation Directorate Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    Crawford, D L

    2012-04-11

    From its founding in 1952 until today, Lawrence Livermore National Laboratory (LLNL) has made significant strategic investments to develop high performance computing (HPC) and its application to national security and basic science. Now, 60 years later, the Computation Directorate and its myriad resources and capabilities have become a key enabler for LLNL programs and an integral part of the effort to support our nation's nuclear deterrent and, more broadly, national security. In addition, the technological innovation HPC makes possible is seen as vital to the nation's economic vitality. LLNL, along with other national laboratories, is working to make supercomputing capabilities and expertise available to industry to boost the nation's global competitiveness. LLNL is on the brink of an exciting milestone with the 2012 deployment of Sequoia, the National Nuclear Security Administration's (NNSA's) 20-petaFLOP/s resource that will apply uncertainty quantification to weapons science. Sequoia will bring LLNL's total computing power to more than 23 petaFLOP/s-all brought to bear on basic science and national security needs. The computing systems at LLNL provide game-changing capabilities. Sequoia and other next-generation platforms will enable predictive simulation in the coming decade and leverage industry trends, such as massively parallel and multicore processors, to run petascale applications. Efficient petascale computing necessitates refining accuracy in materials property data, improving models for known physical processes, identifying and then modeling for missing physics, quantifying uncertainty, and enhancing the performance of complex models and algorithms in macroscale simulation codes. Nearly 15 years ago, NNSA's Accelerated Strategic Computing Initiative (ASCI), now called the Advanced Simulation and Computing (ASC) Program, was the critical element needed to shift from test-based confidence to science-based confidence

  2. Protecting the public's health following the Virginia Tech tragedy: issues of law and policy.

    Science.gov (United States)

    Hodge, James G

    2007-09-01

    Assessing legal responsibility in the aftermath of the April 2007 tragedy at Virginia Polytechnic Institute and State University (Virginia Tech) is inevitable. Beyond assigning blame, law- and policymakers should examine ways to protect the public from future incidences of gun violence on campuses and other settings. Although no combination of legal responses may fully deter individuals who are intent on causing significant harm, select legal reforms have the potential to prevent future acts of gun violence. These reforms include considering more restrictive gun laws nationally, reporting individuals with known mental impairments that may endanger themselves or others to federal or state databases, and refining laws that limit institutions from acting in advance to address prospectively dangerous people. Each of these reforms has the potential to reduce acts of gun violence to improve the public's health, but also implicates individual rights and interests.

  3. Protection of Health Imagery by Region Based Lossless Reversible Watermarking Scheme

    Directory of Open Access Journals (Sweden)

    R. Lakshmi Priya

    2015-01-01

    Full Text Available Providing authentication and integrity in medical images is a problem and this work proposes a new blind fragile region based lossless reversible watermarking technique to improve trustworthiness of medical images. The proposed technique embeds the watermark using a reversible least significant bit embedding scheme. The scheme combines hashing, compression, and digital signature techniques to create a content dependent watermark making use of compressed region of interest (ROI for recovery of ROI as reported in literature. The experiments were carried out to prove the performance of the scheme and its assessment reveals that ROI is extracted in an intact manner and PSNR values obtained lead to realization that the presented scheme offers greater protection for health imageries.

  4. Protection of Health Imagery by Region Based Lossless Reversible Watermarking Scheme.

    Science.gov (United States)

    Priya, R Lakshmi; Sadasivam, V

    2015-01-01

    Providing authentication and integrity in medical images is a problem and this work proposes a new blind fragile region based lossless reversible watermarking technique to improve trustworthiness of medical images. The proposed technique embeds the watermark using a reversible least significant bit embedding scheme. The scheme combines hashing, compression, and digital signature techniques to create a content dependent watermark making use of compressed region of interest (ROI) for recovery of ROI as reported in literature. The experiments were carried out to prove the performance of the scheme and its assessment reveals that ROI is extracted in an intact manner and PSNR values obtained lead to realization that the presented scheme offers greater protection for health imageries.

  5. Francisco Miranda, Director de Colciencias.

    Directory of Open Access Journals (Sweden)

    Efraím Otero Ruiz

    2006-09-01

    De su desempeño en Sussex (universidad distinguida mundialmente por sus estudios sobre desarrollo tecnológico, transferencia de tecnología y administración de proyectos se recibieron siempre los mejores informes, que lo colocaron en el alto nivel de los latinoamericanos ilustres que han pasado larga o brevemente por dicho claustro, como Máximo Halty-Carrere del Uruguay, Francisco Sagasti del Perú o Fernando Chaparro de Colombia. Con ese bagaje regresó al país donde fue designado como Director Administrativo del Centro Internacional de Entrenamiento e Investigación Médica (CIDEIM de Cali, cargo que ocupó de 1992 a 2002; y al terminar ese decenio fue nombrado por la Junta Directiva como Director Ejecutivo, cargo que ocupó hasta su designación en COLCIENCIAS. En Cali ha ocupado también distinguidas posiciones, tales como Miembro del Consejo Directivo de la Fundación Planeta Valle y del Consejo de Internacionalización de la Universidad Javeriana en esa ciudad...

  6. Predictor variables of happiness and its connection with risk and protective factors for health

    Science.gov (United States)

    Garaigordobil, Maite

    2015-01-01

    Great thinkers, philosophers, scientists, and artists from History have often been concerned about one of the most important elements of life: happiness. The study had four goals: (1) To analyze possible differences in feelings of happiness as a function of sex and age; (2) To explore the relations of happiness with risk factors (psychopathological symptoms, behavior problems) and protective factors (self-concept-self-esteem, cooperative behavior, social skills) for health; (3) To identify predictor variables of happiness; and (4) To explore whether self-esteem mediates the relationship between happiness and psychopathological symptoms. The sample comprised 286 adolescents (14–16 years old). The study used a descriptive, correlational, and cross-sectional methodology. Seven assessment instruments were administered. The ANOVAs confirm that there are no sex differences, but happiness decreases as age increases. Pearson coefficients show that adolescents with more feelings of happiness had fewer psychopathological symptoms (somatization, obsession–compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism…), fewer behavioral problems (school-academic, antisocial behavior, shyness-withdrawal, psychopathological, psychosomatic), high social adaptation, high self-concept/self-esteem, many cooperative behaviors, many appropriate social skills, and few negative social skills (inappropriate assertiveness, impulsiveness, jealousy-withdrawal). Multiple regression analysis identified five variables predicting happiness: high self-concept, few symptoms of depression, many cooperative behaviors, high self-esteem, and low psychoticism. Results showed a partial mediational effect of self-esteem in the relation between happiness and psychopathological symptoms. The discussion focuses on the importance of implementing programs to promote feelings of happiness, as well as protective factors for health (self

  7. Potential applications of smart clothing solutions in health care and personal protection.

    Science.gov (United States)

    Meinander, Harriet; Honkala, Markku

    2004-01-01

    The rapid development in the fields of sensor and telecommunication technologies has created completely new possibilities also for the textile and clothing field. New smart textile and clothing systems can be developed by integrating sensors in the textile constructions. Application fields for these added-value products are e.g. protective clothing for extreme environments, garments for the health care sector, technical textiles, sport and leisure wear. Some products have already been introduced on the markets, but generally it can be stated that the development is only in its starting phase, and the expectations for the future are big. Many different aspects have to be considered in the development of the wearable technology products for the health care sector: medical problems and their diagnosis, sensor choice, data processing and telecommunication solutions, clothing requirements. A functional product can be achieved only if all aspects work together, and therefore experts from all fields should participate in the RTD projects. In the EC-funded project DE3002 Easytex clothing and textiles for disabled and elderly people were investigated. Some recommendations concerning durability, appearance, comfort, service and safety of products for different special user groups were defined, based on user questionnaires and seminars, general textile and clothing requirements and on laboratory test series."Clothing Area Network--Clan" is a research project aiming to develop a technical concept and technology needed in enabling both wired and wireless data and power transfer between different intelligent modules (user interfaces, sensors, CPU's, batteries etc.) integrated into a smart clothing system. Fire-fighters clothing system is chosen as the development platform, being a very challenging application from which the developed technology can be transferred to other protective clothing systems.

  8. Predictor variables of happiness and its connection with risk and protective factors for health

    Directory of Open Access Journals (Sweden)

    Maite eGaraigordobil

    2015-08-01

    Full Text Available Great thinkers, philosophers, scientists, and artists from History have often been concerned about one of the most important elements of life: happiness. The study had four goals: 1 To analyze possible differences in feelings of happiness as a function of sex and age; 2 To explore the relations of happiness with risk factors (psychopathological symptoms, behavior problems and protective factors (self-concept-self-esteem, cooperative behavior, social skills for health; 3 To identify predictor variables of happiness; and 4 To explore whether self-esteem mediates the relationship between happiness and psychopathological symptoms. The sample comprised 286 adolescents (14-16 years old. The study used a descriptive, correlational, and cross-sectional methodology. Seven assessment instruments were administered. The ANOVAs confirm that there are no sex differences, but happiness decreases as age increases. Pearson coefficients show that adolescents with more feelings of happiness had fewer psychopathological symptoms (somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism…, fewer behavioral problems (school-academic, antisocial behavior, shyness-withdrawal, psychopathological, psychosomatic, high social adaptation, high self-concept/self-esteem, many cooperative behaviors, many appropriate social skills, and few negative social skills (inappropriate assertiveness, impulsiveness, jealousy-withdrawal. Multiple regression analysis identified five variables predicting happiness: high self-concept, few symptoms of depression, many cooperative behaviors, high self-esteem, and low psychoticism. Results showed a partial mediational effect of self-esteem in the relation between happiness and psychopathological symptoms. The discussion focuses on the importance of implementing programs to promote feelings of happiness, as well as protective factors for health (self

  9. Estimating the Tradeoff Between Risk Protection and Moral Hazard with a Nonlinear Budget Set Model of Health Insurance*

    OpenAIRE

    Amanda E. Kowalski

    2015-01-01

    Insurance induces a well-known tradeoff between the welfare gains from risk protection and the welfare losses from moral hazard. Empirical work traditionally estimates each side of the tradeoff separately, potentially yielding mutually inconsistent results. I develop a nonlinear budget set model of health insurance that allows for the calculation of both sides of the tradeoff simultaneously, allowing for a relationship between moral hazard and risk protection. An important feature of this mod...

  10. Child mental health in socioeconomically disadvantaged contexts: risk and protective factors

    Directory of Open Access Journals (Sweden)

    Thelma Simões Matsukuraa

    2014-09-01

    Full Text Available The main objective of this study is to identify and compare different situations of risk or protection in the socio-emotional development of children living in socioeconomically disadvantaged contexts. Seven (7 children aged eight to ten and their respective parents participated in the present survey. The children were 2nd to 5th grade students at an elementary public school in the countryside of Sao Paulo state. The subjects involved in this survey were divided into two different groups: one composed of children evaluated by the Strengths and Difficulties Questionnaire (SDQ – with clinical symptoms (Group with Clinical Symptoms of Mental Health - GSC; the other group was composed of children that did not present clinical symptoms (Group with Typical Development - GDT and their parents. Two different interview scripts were used for data collection: one answered by the children and the other responded by the parents. Data analysis was based on the technique of Collective Subject Discourse (CSD. The results showed similarities and differences between the GSC and GDT groups. Regarding the similarities, all the children have rules and responsibilities, and all the parents seek assistance in the care of their children by means of social, health and educational services. Concerning the differences, children in the GSC group refer to school in a negative way and have less support from their parents in school activities. It is worth mentioning that studies of this nature can contribute to the debate on public policies and practices aimed at this population.

  11. Predictors of diabetes outcomes in Mexico: testing the Hispanic health protection model.

    Science.gov (United States)

    Latham, Christine L; Calvillo, Evelyn

    2013-07-01

    Given the high morbidity and mortality rate of Hispanic immigrants to the United States, a study of the Hispanic Health Protection Model (HHPM) was replicated with 109 residents in Mexico who were newly diagnosed with diabetes. People with diabetes from rural clinics in Tlaxcala underwent a three-phase interview process with laboratory and weight follow-up over 4 to 6 months following a confirmed diagnosis of diabetes. This predictive, correlational study replicated the HHPM and the previous U.S. findings, including relationships between lifestyle profile, health beliefs, professional and social support, self-efficacy, diabetes knowledge, quality of life (self-satisfaction and impact of diabetes), and changes in HbA1c and body mass index. The study found that participants frequently followed good lifestyle practices while continuing to adhere to culturally based treatment and attribution beliefs. There were moderate perceptions of diabetes self-care efficacy, low ratings of support, very poor understanding of diabetes, continued obesity, acceptable quality of life ratings, and near-normal HbA1c levels.

  12. The Patient Protection and Affordable Care Act: impact on mental health services demand and provider availability.

    Science.gov (United States)

    Pearlman, Shoshannah A

    2013-01-01

    The Patient Protection and Affordable Care Act (ACA) will greatly increase the demand for mental health (MH) services, as 62.5 million Americans from relatively high-need populations will be newly eligible for MH benefits. Consequently, the supply of MH care provider services is expected to proportionately decrease by 18% to 21% in 2014. ACA funding does not demonstrate the ability to increase turnout of psychiatrists sufficiently to meet the need. Available data indicate that the numbers of advanced practice psychiatric nurses (APPNs) continue to increase at a much greater rate, but information from either a clinical perspective or a market perspective is complicated by the weak distinctions that are made between nurse practitioners (NPs) and other nonphysician care professionals. The following recommendations are made: (a) some of the ACA funding for research into efficient and effective care delivery systems should be allocated to acquiring data on APPNs in leadership roles or clinical settings in which they are ultimately responsible for management of MH care, as differentiated from settings in which they provide support for psychiatrists; and (b) since the available data indicate nurse practitioners achieve good outcomes and are more economically viable than psychiatrists, placement of psychiatric-mental health nurse practitioners in community settings should be recognized as a realistic solution to the shortfall of MH services.

  13. The microbiome in early life: self-completion and microbiota protection as health priorities.

    Science.gov (United States)

    Dietert, Rodney R

    2014-08-01

    This minireview considers the benefits of refocusing attention away from treating the patient as a mammalian human to managing the complete patient: a majority microbial superorganism. Under the "completed self" model for formation of the human-microbial superorganism, the single, most pivotal sign in distinguishing a life course of health versus that filled with disease is self-completion (i.e., seeding of the minority mammalian human by the majority microbial portion of the symbiont). From a disease prevention perspective, microbial seeding at birth and subsequent nurturing of the microbiota are significant steps to reduce the risk of both noncommunicable diseases (e.g., type 1 diabetes) and certain infectious diseases. Management of the microbiome during pregnancy, birth, and shortly thereafter appears to be the most significant critical window for healthy superorganism formation. However, the bolus for microbiota seeding at birth and the nurturing process are subject to environmental influences and disruption, such as exposure to toxic chemicals and drugs, infections, and other physical and psychological stressors. Additionally, childhood and adult corrective measures, such as fecal transplantation and administration of prebiotics and probiotics, while potentially useful, may have limitations that are yet to be fully defined. This minireview considers (1) basic features of management of the microbiome to facilitate self-completion, (2) protection of the microbiota from environmental hazards, and (3) the benefits of using a superorganism focus for health management beginning with pregnancy and extending throughout childhood and adult life.

  14. Computation Directorate Annual Report 2003

    Energy Technology Data Exchange (ETDEWEB)

    Crawford, D L; McGraw, J R; Ashby, S F; McCoy, M G; Michels, T C; Eltgroth, P G

    2004-03-12

    Big computers are icons: symbols of the culture, and of the larger computing infrastructure that exists at Lawrence Livermore. Through the collective effort of Laboratory personnel, they enable scientific discovery and engineering development on an unprecedented scale. For more than three decades, the Computation Directorate has supplied the big computers that enable the science necessary for Laboratory missions and programs. Livermore supercomputing is uniquely mission driven. The high-fidelity weapon simulation capabilities essential to the Stockpile Stewardship Program compel major advances in weapons codes and science, compute power, and computational infrastructure. Computation's activities align with this vital mission of the Department of Energy. Increasingly, non-weapons Laboratory programs also rely on computer simulation. World-class achievements have been accomplished by LLNL specialists working in multi-disciplinary research and development teams. In these teams, Computation personnel employ a wide array of skills, from desktop support expertise, to complex applications development, to advanced research. Computation's skilled professionals make the Directorate the success that it has become. These individuals know the importance of the work they do and the many ways it contributes to Laboratory missions. They make appropriate and timely decisions that move the entire organization forward. They make Computation a leader in helping LLNL achieve its programmatic milestones. I dedicate this inaugural Annual Report to the people of Computation in recognition of their continuing contributions. I am proud that we perform our work securely and safely. Despite increased cyber attacks on our computing infrastructure from the Internet, advanced cyber security practices ensure that our computing environment remains secure. Through Integrated Safety Management (ISM) and diligent oversight, we address safety issues promptly and aggressively. The safety of

  15. Institutional directors and board compensation: Spanish evidence

    Directory of Open Access Journals (Sweden)

    Felix López-Iturriaga

    2015-07-01

    Full Text Available We address the influence of directors who represent institutional investors in three aspects of board compensation policies: level of compensation, composition, and performance sensitivity. We differentiate pressure-sensitive directors (i.e., with business links and pressure-resistant directors (i.e., without business links. Our results show that pressure-resistant directors decrease total board compensation and its fixed proportion, whereas they increase the variable proportion of total remuneration and the pay-for-performance sensitivity. By contrast, pressure-sensitive directors offer the opposite results. These findings are consistent with the view that institutional investors are not a homogeneous group and that pressure-resistant directors fulfill a more thorough monitoring role.

  16. Reproductive Toxic Chemicals at Work and Efforts to Protect Workers' Health: A Literature Review

    Directory of Open Access Journals (Sweden)

    Kyung-Taek Rim

    2017-06-01

    Full Text Available A huge number of chemicals are produced and used in the world, and some of them can have negative effects on the reproductive health of workers. To date, most chemicals and work environments have not been studied for their potential to have damaging effects on the workers' reproductive system. Because of the lack of information, many workers may not be aware that such problems can be related to occupational exposures. Newly industrialized countries such as Republic of Korea have rapidly amassed chemicals and other toxicants that pose health hazards, especially to the reproductive systems of workers. This literature review provides an overview of peer-reviewed literature regarding the teratogenic impact and need for safe handling of chemicals. Literature searches were performed using PubMed, Google Scholar, and ScienceDirect. Search strategies were narrowed based on author expertise and 100 articles were chosen for detailed analysis. A total of 47 articles met prespecified inclusion criteria. The majority of papers contained studies that were descriptive in nature with respect to the Medical Subject Headings (MeSH terms and keywords: “reproductive and heath or hazard and/or workplace or workers or occupations.” In the absence of complete information about the safe occupational handling of chemicals in Republic of Korea (other than a material safety data sheet, this review serves as a valuable reference for identifying and remedying potential gaps in relevant regulations. The review also proposes other public health actions including hazard surveillance and primary prevention activities such as reduction, substitution, ventilation, as well as protective equipment.

  17. Commissions of audit in Australia: health system privatisation directives and civil conscription protections.

    Science.gov (United States)

    Colton, Caroline; Faunce, Thomas

    2014-03-01

    practitioner co-payment as a means of testing the response of the medical profession and public. The column also examines how the civil conscription clause in s 51 (xxiiiA) of the Australian Constitution may serve to protect practitioner and patient rights should some of these privatisation changes to Australia's health system be challenged in the High Court of Australia.

  18. Director general presentation to personnel

    CERN Multimedia

    2016-01-01

    Dear Colleagues, Many important discussions are scheduled for the upcoming Council Week (13-17 June) on topics including the Medium-Term Plan, the Pension Fund and other matters of great relevance to us.   I would therefore like to share the main outcome of the week with you and I invite you to join me and the Directors in the Main Auditorium at 10 a.m. on Thursday 23 June. The meeting will last about one hour and a webcast will also be available. Best regards, Fabiola Gianotti DG presentation to personnel Thursday 23 June at 10 am Main Auditorium Retransmission in Council Chamber, IT Auditorium, Kjell Jonhsen Auditorium, Prevessin 864-1-C02 Webcast on cern.ch/webcast More information on the event page.

  19. Impact of Publicly Financed Health Insurance Schemes on Healthcare Utilization and Financial Risk Protection in India: A Systematic Review.

    Science.gov (United States)

    Prinja, Shankar; Chauhan, Akashdeep Singh; Karan, Anup; Kaur, Gunjeet; Kumar, Rajesh

    2017-01-01

    Several publicly financed health insurance schemes have been launched in India with the aim of providing universalizing health coverage (UHC). In this paper, we report the impact of publicly financed health insurance schemes on health service utilization, out-of-pocket (OOP) expenditure, financial risk protection and health status. Empirical research studies focussing on the impact or evaluation of publicly financed health insurance schemes in India were searched on PubMed, Google scholar, Ovid, Scopus, Embase and relevant websites. The studies were selected based on two stage screening PRISMA guidelines in which two researchers independently assessed the suitability and quality of the studies. The studies included in the review were divided into two groups i.e., with and without a comparison group. To assess the impact on utilization, OOP expenditure and health indicators, only the studies with a comparison group were reviewed. Out of 1265 articles screened after initial search, 43 studies were found eligible and reviewed in full text, finally yielding 14 studies which had a comparator group in their evaluation design. All the studies (n-7) focussing on utilization showed a positive effect in terms of increase in the consumption of health services with introduction of health insurance. About 70% studies (n-5) studies with a strong design and assessing financial risk protection showed no impact in reduction of OOP expenditures, while remaining 30% of evaluations (n-2), which particularly evaluated state sponsored health insurance schemes, reported a decline in OOP expenditure among the enrolled households. One study which evaluated impact on health outcome showed reduction in mortality among enrolled as compared to non-enrolled households, from conditions covered by the insurance scheme. While utilization of healthcare did improve among those enrolled in the scheme, there is no clear evidence yet to suggest that these have resulted in reduced OOP expenditures or

  20. Impact of Publicly Financed Health Insurance Schemes on Healthcare Utilization and Financial Risk Protection in India: A Systematic Review

    Science.gov (United States)

    Chauhan, Akashdeep Singh; Karan, Anup; Kaur, Gunjeet; Kumar, Rajesh

    2017-01-01

    Several publicly financed health insurance schemes have been launched in India with the aim of providing universalizing health coverage (UHC). In this paper, we report the impact of publicly financed health insurance schemes on health service utilization, out-of-pocket (OOP) expenditure, financial risk protection and health status. Empirical research studies focussing on the impact or evaluation of publicly financed health insurance schemes in India were searched on PubMed, Google scholar, Ovid, Scopus, Embase and relevant websites. The studies were selected based on two stage screening PRISMA guidelines in which two researchers independently assessed the suitability and quality of the studies. The studies included in the review were divided into two groups i.e., with and without a comparison group. To assess the impact on utilization, OOP expenditure and health indicators, only the studies with a comparison group were reviewed. Out of 1265 articles screened after initial search, 43 studies were found eligible and reviewed in full text, finally yielding 14 studies which had a comparator group in their evaluation design. All the studies (n-7) focussing on utilization showed a positive effect in terms of increase in the consumption of health services with introduction of health insurance. About 70% studies (n-5) studies with a strong design and assessing financial risk protection showed no impact in reduction of OOP expenditures, while remaining 30% of evaluations (n-2), which particularly evaluated state sponsored health insurance schemes, reported a decline in OOP expenditure among the enrolled households. One study which evaluated impact on health outcome showed reduction in mortality among enrolled as compared to non-enrolled households, from conditions covered by the insurance scheme. While utilization of healthcare did improve among those enrolled in the scheme, there is no clear evidence yet to suggest that these have resulted in reduced OOP expenditures or

  1. Discussion on massage therapy to health protection in Prescriptions Worth a Thousand Gold%《千金要方》推拿保健探析

    Institute of Scientific and Technical Information of China (English)

    王道全; 林西芳

    2000-01-01

    The massage therapy to health protection in preseriptions worth a thousand gold was discussed.Itinclude four aspects,which are massage to health protection for adults,massage to health protection for infants,LAO Zi massage to health protection,old indian massage to health protection.Conclusion:the massage therapy to health protection plays an important role in traditional Chinese medicine.%将《千金要方》中的推拿保健部分,分别从成人推拿保健、小儿推拿保健、老子推拿保健、天竺国推拿保健等四个方面进行了探讨。从而反映该书推拿保健内容对祖国医学的重要贡献。

  2. The mental health of children of migrant workers in Beijing: the protective role of public school attendance.

    Science.gov (United States)

    Gao, Qin; Li, Hong; Zou, Hong; Cross, Wendi; Bian, Ran; Liu, Yan

    2015-08-01

    The present study aims to understand the mental health status of an understudied group of migrant children - children of migrant workers in China. A total of 1,466 children from Beijing participated in the study that compared migrant children (n = 1,019) to their local peers (n = 447) in public and private school settings. Results showed that overall, migrant children reported more internalizing and externalizing mental health problems and lower life satisfaction than local peers. However, public school attendance served as a protective factor for migrant children's mental health. The mental health status of migrant children attending public schools, including externalizing problems as well as friend and school satisfaction, was not different from local children. In addition, our data indicates that the protective effect of public school attendance for migrant children may be even more salient among girls than boys, and for younger children than older children.

  3. 75 FR 37242 - Requirements for Group Health Plans and Health Insurance Issuers Under the Patient Protection and...

    Science.gov (United States)

    2010-06-28

    ... Revenue Service 26 CFR Part 54 RIN 1545-BJ57 Requirements for Group Health Plans and Health Insurance..., Health care, Health insurance, Pensions, Reporting and recordkeeping requirements. Proposed Amendments to... U.S. Department of Health and Human Services are issuing substantially similar interim final...

  4. Defining Medically Necessary Services To Protect Children. Protecting Consumer Rights in Public Systems: Managed Mental Health Care Policy. A Series of Issue Papers on Contracting for Managed Behavioral Health Care, #5.

    Science.gov (United States)

    Bazelon Center for Mental Health Law, Washington, DC.

    This issue paper is designed to help families, advocates and policymakers ensure that "medically necessary" standards in public-sector contracts for managed mental health care protect children's rights, particularly the rights of children who have serious emotional disturbance. Fundamental principles for developing sound contracts for…

  5. Conflicting paradigms in radiation protection: 20 Questions with answers from the regulator, the health physicist, the scientist, and the lawyers

    Energy Technology Data Exchange (ETDEWEB)

    Strom, D.J.; Stansbury, P.S. [Pacific Northwest Lab., Richland, WA (United States); Porter, S.W. Jr. [Porter Consultants, Inc., Ardmore, PA (United States)

    1995-01-01

    George Orwell`s {open_quotes}doublethink{close_quotes} should be generalized to {open_quotes}polythink{close_quotes} to describe the multiplicity of views that radiation protection professionals must simultaneously accommodate. The paradigms, that is, organizing principles and beliefs, that (1) regulators, (2) operational health physicists, (3) scientists, (4) lawyers for the defendant, and (5) lawyers for the plaintiff use in their approaches to radiation protection are presented. What we believe as scientists often conflicts with what we do for purposes of radiation protection. What we need to do merely to protect humankind and the environment from harmful effects of radiation is far less than what we must do to satisfy the regulator, whose paradigm has checklists, score-keeping, and penalties. In the hands of lawyers, our work must overcome different challenges. Even if the paradigms of the operational health physicist, the scientist, and the regulator match, the odds against the lawyers paradigms also matching are astronomical. The differing paradigms are illustrated by example questions and answers. It is important for educators, trainers, and health physicists to recognize and separate the score-keeping, practice, science, and legal issues in health physics.

  6. TUESDAY: EPA Administrator to Discuss Historic Clean Power Plan to Cut U.S. Carbon Pollution and Protect Public Health

    Science.gov (United States)

    WASHINGTON - On Tuesday, August 11, EPA Administrator Gina McCarthy will be discussing the Clean Power Plan at the Resources for the Future (RFF) Leadership Forum. The Clean Power Plan will protect public health, spur clean energy investments and st

  7. Impact of community-based health insurance in rural India on self-medication & financial protection of the insured

    NARCIS (Netherlands)

    D.M. Dror (David); A. Chakraborty (Arpita); M. Majumdar (Manabi); P. Panda (Pradeep); R. Koren (Ruth)

    2016-01-01

    textabstractBackground & objectives: The evidence-base of the impact of community-based health insurance (CBHI) on access to healthcare and financial protection in India is weak. We investigated the impact of CBHI in rural Uttar Pradesh and Bihar States of India on insured households’ self-medicatio

  8. 78 FR 54618 - Notice of Request for Extension of Approval of an Information Collection; Swine Health Protection

    Science.gov (United States)

    2013-09-05

    ... and to conduct programs to detect, control, and eradicate pests and disease of livestock. The Swine... infectious and communicable diseases can be transmitted to swine. APHIS' regulations promulgated under the... diseases and, therefore, plays a vital role in our swine health protection program. We are asking the...

  9. Protecting America's economy, environment, health, and security against invasive species requires a strong federal program in systematic biology

    Science.gov (United States)

    Hilda Diaz-Soltero; Amy Y. Rossman

    2011-01-01

    Systematics is the science that identifies and groups organisms by understanding their origins, relationships, and distributions. It is fundamental to understanding life on earth, our crops, wildlife, and diseases, and it provides the scientific foundation to recognize and manage invasive species. Protecting America's economy, environment, health, and security...

  10. [Kidney transplant patients without social protection in health: what do patients say about the economic hardships and impact?].

    Science.gov (United States)

    Mercado-Martínez, Francisco Javier; Hernández-Ibarra, Eduardo; Ascencio-Mera, Carlos D; Díaz-Medina, Blanca A; Padilla-Altamira, Cesar; Kierans, Ciara

    2014-10-01

    Kidney transplant is the optimal treatment for renal disease according to biomedical criteria, but the technology is highly expensive. The aim of this article was to examine the economic hardships experienced by kidney transplant patients and the impact on their lives, specifically when they lack social protection in health. The article reports on a qualitative study conducted in Mexico. Twenty-one kidney transplant patients participated. Semi-structured interviews were performed and submitted to content analysis. Patients experience extreme economic hardship due to the high cost of renal therapies, particularly medicines. Such economic problems adversely affect their condition, since many patients report difficulties in maintaining their immunosuppressant medication, attending medical appointments, and curtailing household expenditures, further aggravated by loss of earnings. In conclusion, kidney transplantation is associated with patients' impoverishment when they lack social protection in health. A protection system is urgently needed for this group.

  11. The Curriculum Director: Power vs. Persuasion.

    Science.gov (United States)

    Reader, William; Taylor, Bob L.

    A study was done at the University of Colorado to determine the qualifications, priorities, behaviors, and authority base of effective curriculum directors in six Colorado school districts. The study employed both qualitative and quantitative research. The qualitative data were obtained by observing and interviewing the curriculum directors and by…

  12. 12 CFR 619.9235 - Outside director.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Outside director. 619.9235 Section 619.9235 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DEFINITIONS § 619.9235 Outside director..., employee, agent, or stockholder of any Farm Credit System institution....

  13. Beyond Field Education: Leadership of Field Directors

    Science.gov (United States)

    Wertheimer, Mindy R.; Sodhi, Mimi

    2014-01-01

    This article presents a conceptual model of the field director's role outside of field education, specifically in the following 3 areas of leadership: (1) curricular, (2) programmatic, and (3) institutional. A survey was conducted to explore the field director's input targeted in these areas beyond prescribed field education tasks. The…

  14. Robert Aymar, Director-General of CERN

    CERN Multimedia

    Patrice Loïez

    2003-01-01

    Robert Aymar, photographed in 2003 before taking his position as Director-General at CERN, succeeding Luciano Maiani in 2004. At this time, Aymar was director of the International Thermonuclear Experimental Reactor (ITER) although he had already been involved with developments at CERN, chairing the External Review Committee, set up in 2001 in response to the increased cost of the LHC.

  15. 75 FR 64641 - Facilitating Shareholder Director Nominations

    Science.gov (United States)

    2010-10-20

    ... state law rights to nominate and elect directors to company boards of directors. We are publishing this... effective date of November 15, 2010, and a compliance date of November 15, 2010, except that companies that... compliance dates. SUMMARY: By order dated October 4, 2010 (Release No. 33-9149, 34- 63031), the Securities...

  16. J. B. Adams Acting Director-General

    CERN Multimedia

    1960-01-01

    After the tragic death of Prof. C. J. Bakker, the Council of CERN held an emergency meeting on May 3, 1960. Following this session, Mr. F. de Rose, President of the Council of the European Organization for Nuclear Research, announced the appointment of Mr. J. B. Adams, Director of the PS division to the post of acting Director-General.

  17. Predictors of Choral Directors' Voice Handicap

    Science.gov (United States)

    Schwartz, Sandra

    2013-01-01

    Vocal demands of teaching are considerable and these challenges are greater for choral directors who depend on the voice as a musical and instructive instrument. The purpose of this study was to (1) examine choral directors' vocal condition using a modified Voice Handicap Index (VHI), and (2) determine the extent to which the major variables…

  18. CERN loses two former Directors-General

    CERN Document Server

    2002-01-01

    Victor Weisskopf, a giant of modern physics and Director General of CERN from 1961-65, died on 21 April. The previous month, Willibald Jentschke, Director General from 1971-75 and founder of the DESY Laboratory in Hamburg, passed away.

  19. Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes.

    Science.gov (United States)

    Bigdeli, Maryam; Jacobs, Bart; Men, Chean Rithy; Nilsen, Kristine; Van Damme, Wim; Dujardin, Bruno

    2016-01-01

    Non-communicable diseases (NCD) pose challenges to Cambodia's health system. Medicines for NCD are on the National Essential Medicines List but no clinical guidelines support their utilization. Two social health protection schemes aimed at the informal sector population exist (Health Equity Funds and Insurance) together with two disease-specific interventions (a Peer Educator Network and Chronic Diseases Clinics) targeted at NCD patients. This study examines performance of these various schemes in relation to NCD. Cross-sectional household survey among 709 individuals self-reporting diabetes and/or hypertension in three geographical locations in rural Cambodia using a structured questionnaire investigating diagnostic and treatment pathways, health seeking behaviour, health expenditures, and financial coping mechanisms. Two third of respondents with NCD were female and 55% did not belong to any scheme. The majority (59%) were diagnosed in the private sector and only 56% were on allopathic treatment that was mainly sought in the private sector (49%). Outpatient treatment cost was higher in the private sector and when using multiple providers of care. The majority were indebted, 11% due to health-related expenses. Contrary to social health protection schemes, disease-specific interventions offered better access to allopathic treatment and provided medicines in accordance with NEML. The benefit packages of existing social health protection schemes and services in the public health sector should be adjusted to cater for the needs of people living with NCD in rural Cambodia. Initiatives that offer active disease management strategies and promote patients and community participation appear more successful in increasing treatment adherence and decreasing the risk of financial hardship.

  20. Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes.

    Directory of Open Access Journals (Sweden)

    Maryam Bigdeli

    Full Text Available Non-communicable diseases (NCD pose challenges to Cambodia's health system. Medicines for NCD are on the National Essential Medicines List but no clinical guidelines support their utilization. Two social health protection schemes aimed at the informal sector population exist (Health Equity Funds and Insurance together with two disease-specific interventions (a Peer Educator Network and Chronic Diseases Clinics targeted at NCD patients. This study examines performance of these various schemes in relation to NCD.Cross-sectional household survey among 709 individuals self-reporting diabetes and/or hypertension in three geographical locations in rural Cambodia using a structured questionnaire investigating diagnostic and treatment pathways, health seeking behaviour, health expenditures, and financial coping mechanisms.Two third of respondents with NCD were female and 55% did not belong to any scheme. The majority (59% were diagnosed in the private sector and only 56% were on allopathic treatment that was mainly sought in the private sector (49%. Outpatient treatment cost was higher in the private sector and when using multiple providers of care. The majority were indebted, 11% due to health-related expenses. Contrary to social health protection schemes, disease-specific interventions offered better access to allopathic treatment and provided medicines in accordance with NEML.The benefit packages of existing social health protection schemes and services in the public health sector should be adjusted to cater for the needs of people living with NCD in rural Cambodia. Initiatives that offer active disease management strategies and promote patients and community participation appear more successful in increasing treatment adherence and decreasing the risk of financial hardship.

  1. Different stage, different performance: the protective strategy of role play on emotional health in sex work.

    Science.gov (United States)

    Abel, Gillian M

    2011-04-01

    This paper uses Arlie Hochschild's (1983) concept of emotion management and "surface" and "deep acting" to explore how sex workers separate and distance themselves from their public role. Experiences of stigmatisation prevail among sex workers and how stigma is resisted or managed has an impact on their health. In-depth interviews were carried out between August 2006 and April 2007 with 58 sex workers in five cities in New Zealand following decriminalisation of the sex industry. Most participants drew on ideas of professionalism in sustaining a psychological distance between their private and public lives. They utilised "deep acting", transmuting private experiences for use in the work environment, to accredit themselves as professional in their business practices. They also constructed different meanings for sex between public and private relationships with the condom providing an important symbol in separating the two. A few (mostly female street-based) participants were less adept at "deep acting" and relied on drugs to maintain a separation of roles. This paper argues that in an occupation which is highly stigmatised and in which depersonalisation as an aspect of burn-out has been reported as a common occurrence, the ability to draw on strategies which require "deep acting" provides a healthy estrangement between self and role and can be seen as protective. The separation of self from work identity is not damaging as many radical feminists would claim, but an effective strategy to manage emotions. Hochschild, A. (1983). The managed heart: Commercialization of human feeling. Berkeley: University of California Press.

  2. Getting it right the first time: developing nanotechnology while protecting workers, public health, and the environment.

    Science.gov (United States)

    Balbus, John M; Florini, Karen; Denison, Richard A; Walsh, Scott A

    2006-09-01

    Nanotechnology, the design and manipulation of materials at the atomic scale, may well revolutionize many of the ways our society manufactures products, produces energy, and treats diseases. Innovative nanotechnology products are already reaching the market in a wide variety of consumer products. Some of the observed properties of nanomaterials call into question the adequacy of current methods for determining hazard and exposure, and for controlling resulting risks. Given the limitations of existing regulatory tools and policies, two distinct kinds of initiatives are urgently needed: first, a major increase in the federal investment nanomaterial risk research, and second, rapid development and implementation of voluntary standards of care pending development of adequate regulatory safeguards. The U.S. government should increase federal funding for nanomaterial risk research under the National Nanotechnology Initiative to at least $100 million annually for the next several years. Several voluntary programs are currently at various stages of evolution, though the eventual outputs of each of these are still far from clear. Ultimately, effective regulatory safeguards, harmonized globally, are necessary to provide a level playing field for industry while adequately protecting human health and the environment.

  3. Protein and Essential Amino Acids to Protect Musculoskeletal Health during Spaceflight: Evidence of a Paradox?

    Directory of Open Access Journals (Sweden)

    Kyle J. Hackney

    2014-07-01

    Full Text Available Long-duration spaceflight results in muscle atrophy and a loss of bone mineral density. In skeletal muscle tissue, acute exercise and protein (e.g., essential amino acids stimulate anabolic pathways (e.g., muscle protein synthesis both independently and synergistically to maintain neutral or positive net muscle protein balance. Protein intake in space is recommended to be 12%–15% of total energy intake (≤1.4 g∙kg−1∙day−1 and spaceflight is associated with reduced energy intake (~20%, which enhances muscle catabolism. Increasing protein intake to 1.5–2.0 g∙kg−1∙day−1 may be beneficial for skeletal muscle tissue and could be accomplished with essential amino acid supplementation. However, increased consumption of sulfur-containing amino acids is associated with increased bone resorption, which creates a dilemma for musculoskeletal countermeasures, whereby optimizing skeletal muscle parameters via essential amino acid supplementation may worsen bone outcomes. To protect both muscle and bone health, future unloading studies should evaluate increased protein intake via non-sulfur containing essential amino acids or leucine in combination with exercise countermeasures and the concomitant influence of reduced energy intake.

  4. Electrosmog. Health hazards, limiting values, consumer protection; 3. ed.; Elektrosmog. Gesundheitsrisiken, Grenzwerte, Verbraucherschutz

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-31

    The book starts with the physical facts. All definitions and units required for understanding electrosmog are presented and discussed with a view to their practical application. The main part of the book is dedicated to the health hazards of elctrosmog. The present state of knowledge is outlined. Current limiting values are discussed along with their conceptional and political basis. The last part of the book discusses problems of consumber protection. It is shown how everybody can reduce their own exposure to electric and magnetic fields. (orig./MG) [Deutsch] Das Buch beginnt mit den physikalischen Fakten. Alle Begriffe und Einheiten, die zum Verstaendnis von Elektrosmog notwendig sind, werden vorgestellt und in Bezug zur Praxis gebracht. Den weitaus groessten Teil des Buches nehmen die gesundheitlichen Auswirkungen von Elektrosmog ein. Praesentiert wird der aktuelle wissenschaftliche Forschungsstand. Im Kapitel Grenzwerte, diskutiert werden die gueltigen Grenzwerte und ihre konzeptionelle und politische Basis. Der letzte Teil des Buches ist dem Verbraucherschutz gewidmet. Es wird gezeigt, wie man die eigene Belastung durch elektrische und magnetische Felder reduzieren kann. (orig./MG)

  5. Commentary: ethical issues of current health-protection policies on low-dose ionizing radiation.

    Science.gov (United States)

    Socol, Yehoshua; Dobrzyński, Ludwik; Doss, Mohan; Feinendegen, Ludwig E; Janiak, Marek K; Miller, Mark L; Sanders, Charles L; Scott, Bobby R; Ulsh, Brant; Vaiserman, Alexander

    2014-05-01

    The linear no-threshold (LNT) model of ionizing-radiation-induced cancer is based on the assumption that every radiation dose increment constitutes increased cancer risk for humans. The risk is hypothesized to increase linearly as the total dose increases. While this model is the basis for radiation safety regulations, its scientific validity has been questioned and debated for many decades. The recent memorandum of the International Commission on Radiological Protection admits that the LNT-model predictions at low doses are "speculative, unproven, undetectable and 'phantom'." Moreover, numerous experimental, ecological, and epidemiological studies show that low doses of sparsely-ionizing or sparsely-ionizing plus highly-ionizing radiation may be beneficial to human health (hormesis/adaptive response). The present LNT-model-based regulations impose excessive costs on the society. For example, the median-cost medical program is 5000 times more cost-efficient in saving lives than controlling radiation emissions. There are also lives lost: e.g., following Fukushima accident, more than 1000 disaster-related yet non-radiogenic premature deaths were officially registered among the population evacuated due to radiation concerns. Additional negative impacts of LNT-model-inspired radiophobia include: refusal of some patients to undergo potentially life-saving medical imaging; discouragement of the study of low-dose radiation therapies; motivation for radiological terrorism and promotion of nuclear proliferation.

  6. Protecting human health and security in digital Europe: how to deal with the "privacy paradox"?

    Science.gov (United States)

    Büschel, Isabell; Mehdi, Rostane; Cammilleri, Anne; Marzouki, Yousri; Elger, Bernice

    2014-09-01

    This article is the result of an international research between law and ethics scholars from Universities in France and Switzerland, who have been closely collaborating with technical experts on the design and use of information and communication technologies in the fields of human health and security. The interdisciplinary approach is a unique feature and guarantees important new insights in the social, ethical and legal implications of these technologies for the individual and society as a whole. Its aim is to shed light on the tension between secrecy and transparency in the digital era. A special focus is put from the perspectives of psychology, medical ethics and European law on the contradiction between individuals' motivations for consented processing of personal data and their fears about unknown disclosure, transferal and sharing of personal data via information and communication technologies (named the "privacy paradox"). Potential benefits and harms for the individual and society resulting from the use of computers, mobile phones, the Internet and social media are being discussed. Furthermore, the authors point out the ethical and legal limitations inherent to the processing of personal data in a democratic society governed by the rule of law. Finally, they seek to demonstrate that the impact of information and communication technology use on the individuals' well-being, the latter being closely correlated with a high level of fundamental rights protection in Europe, is a promising feature of the socalled "e-democracy" as a new way to collectively attribute meaning to large-scale online actions, motivations and ideas.

  7. Meeting the public health challenge of protecting private wells: Proceedings and recommendations from an expert panel workshop

    Energy Technology Data Exchange (ETDEWEB)

    Fox, Mary A., E-mail: mfox9@jhu.edu [Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Room 407, Baltimore, MD 21205 (United States); Risk Sciences and Public Policy Institute, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Room 429, Baltimore, MD 21205 (United States); Nachman, Keeve E. [Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Room 407, Baltimore, MD 21205 (United States); Risk Sciences and Public Policy Institute, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Room 429, Baltimore, MD 21205 (United States); Center for a Livable Future, Johns Hopkins University, 615 North Wolfe Street, Room W7010, Baltimore, MD 21205 (United States); Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD 21205 (United States); Anderson, Breeana [Risk Sciences and Public Policy Institute, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Room 429, Baltimore, MD 21205 (United States); Department of Pharmacology and Molecular Sciences, The Johns Hopkins University School of Medicine, 725 North Wolfe Street, Baltimore, MD 21205 (United States); Lam, Juleen [Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Room 407, Baltimore, MD 21205 (United States); Risk Sciences and Public Policy Institute, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Room 429, Baltimore, MD 21205 (United States); University of California at San Francisco, Department of Obstetrics, Gynecology & Reproductive Sciences, Mailstop 0132, 550 16th Street, 7th Floor, San Francisco, CA 94143 (United States); and others

    2016-06-01

    Private wells serving fewer than 25 people are federally unregulated, and their users may be exposed to naturally occurring agents of concern such as arsenic and radionuclides, as well as anthropogenic contaminants. The Centers for Disease Control and Prevention's Clean Water for Health Program works to protect private wells and prevent adverse health outcomes for the roughly 15% of Americans who rely on them. To understand current and emerging challenges to the private drinking water supply, an interdisciplinary expert panel workshop on “Future and Emerging Issues for Private Wells” was organized to inform strategic planning for the Clean Water for Health Program. The panel assessed current conditions of ground water as a source for private wells, identified emerging threats, critical gaps in knowledge, and public health needs, and recommended strategies to guide future activities to ensure the safety of private drinking water wells. These strategies addressed topics of broad interest to the environmental public health community including: development of new methods to support citizen science; addressing contaminant mixtures; expanding capacity for well testing; evaluating treatment technologies; building an evidence base on best practices on well owner outreach and stewardship; and research and data needs. - Highlights: • About 43 million Americans use federally unregulated private wells for drinking water. • Private wells may be contaminated with naturally occurring and man-made chemicals. • Protecting well water requires an “infrastructure for stewardship”. • Recommendations to advance private well protection are offered.

  8. [Nuclear energy and public health, the mission of OPRI (Office of Protection from Ionizing Radiation)].

    Science.gov (United States)

    Tisné, M R

    1995-03-15

    In the domain of the use of ionising radiation for medical purposes and in the nuclear industry, the protection of man and his environment is primordial. Such protection is defined in European Community countries by the Directives of the Euratom Council, applied as national law. In France, the "Office de protection contre les rayonnements ionisants" oversees the application of laws and rules relating to protection from radiation and determines the inspections and analyses required to ensure the protection of the population against ionising radiation.

  9. Prostate cancer and toxicity from critical use exemptions of methyl bromide: Environmental protection helps protect against human health risks

    Directory of Open Access Journals (Sweden)

    Budnik Lygia T

    2012-01-01

    Full Text Available Abstract Background Although ozone-depleting methyl bromide was destined for phase-out by 2005, it is still widely applied as a consequence of various critical-use-exemptions and mandatory international regulations aiming to restrict the spread of pests and alien species (e.g. in globalized transport and storage. The withdrawal of methyl bromide because of its environmental risk could fortuitously help in the containment of its human toxicity. Methods We performed a systematic review of the literature, including in vitro toxicological and epidemiological studies of occupational and community exposure to the halogenated hydrocarbon pesticide methyl bromide. We focused on toxic (especially chronic or carcinogenic effects from the use of methyl bromide, on biomonitoring data and reference values. Eligible epidemiological studies were subjected to meta-analysis. Results Out of the 542 peer reviewed publications between 1990-2011, we found only 91 referring to toxicity of methyl bromide and 29 using the term "carcinogenic", "neoplastic" or "mutagenic". Several studies provide new additional data pertaining to the mechanistic aspects of methyl bromide toxicity. Few studies have performed a detailed exposure assessment including biomonitoring. Three evaluated epidemiological studies assessed a possible association between cancer and methyl bromide. Overall, exposure to methyl bromide is associated with an increased risk of prostate cancer OR, 1.21; 95% CI (0,98-1.49, P = 0.076. Two epidemiological studies have analyzed environmental, non-occupational exposure to methyl bromide providing evidence for its health risk to the general public. None of the epidemiological studies addressed its use as a fumigant in freight containers, although recent field and case reports do refer to its toxic effects associated with its use in shipping and storage. Conclusions Both the epidemiological evidence and toxicological data suggest a possible link between methyl

  10. [Complaints by private health insurance policy-holders to the Consumer Protection Bureau in Argentina, 2000-2008].

    Science.gov (United States)

    Luzuriaga, María José; Spinelli, Hugo

    2014-05-01

    This paper analyzes problems experienced by policy-holders of voluntary private health insurance plans in Argentina when insurance companies fail to comply with the Consumer Protection Code. The sample consisted of consumer complaints filed with the Consumer Protection Bureau and rulings by the Bureau from 2000 to 2008. One striking issue was recurrent non-compliance with services included in the Mandatory Medical Program and the companies' attempts to blame policy-holders. According to the study, the lack of an information system hinders scientific studies to adequately address the problem. Thus, a comparison with studies on health insurance in other Latin American countries highlighted the importance of such research, the relationship to health systems, constraints on use and denial of citizens' rights to healthcare, and the increasing judicialization of healthcare provision.

  11. Is there a protective effect of normal to high intellectual function on mental health in children with chronic illness?

    Directory of Open Access Journals (Sweden)

    Lundervold Astri J

    2010-01-01

    Full Text Available Abstract Background High intellectual function is considered as a protective factor for children's mental health. Few studies have investigated the effect of intellectual function on mental health in children with chronic illness (CI. The aim of the present study was twofold: First, we asked if normal to high intellectual function (IQ has a protective effect on mental health in children with CI, and secondly, if this effect is more substantial than in their peers (NCI. Methods The participants were selected among children who participated in the Bergen Child Study (BCS: 96 children with CI (the CI-group and 96 children without CI (the NCI-group. The groups were matched on intellectual function as measured by the WISC-III by selecting the same number of children from three levels of the Full Scale IQ Score (FSIQ: "very low" (84. CI was reported by parents as part of a diagnostic interview (Kiddie-SADS-PL that also generated the mental health measures used in the present study: the presence of a DSM-IV psychiatric diagnosis and the score on the Children's Global Assessment Scale. Results The risk of a psychiatric diagnosis was significantly lower for children with a normal to high FSIQ-level than for children with a very low and low FSIQ-level in the CI-group as well as in the NCI-group. The group differences were statistically non-significant for all three FSIQ-levels, and the effect of the interaction between the group-variable (CI/NCI and the FSIQ-level was non-significant on both measures of mental health. Conclusion The present study showed a protective effect of normal to high intellectual function on children's mental health. This protective effect was not more substantial in children with CI than in children without CI.

  12. Commentary: Personalized health planning and the Patient Protection and Affordable Care Act: an opportunity for academic medicine to lead health care reform.

    Science.gov (United States)

    Dinan, Michaela A; Simmons, Leigh Ann; Snyderman, Ralph

    2010-11-01

    The Patient Protection and Affordable Care Act of 2010 (PPACA) mandates the exploration of new approaches to coordinated health care delivery--such as patient-centered medical homes, accountable care organizations, and disease management programs--in which reimbursement is aligned with desired outcomes. PPACA does not, however, delineate a standardized approach to improve the delivery process or a specific means to quantify performance for value-based reimbursement; these details are left to administrative agencies to develop and implement. The authors propose that coordinated care can be implemented more effectively and performance quantified more accurately by using personalized health planning, which employs individualized strategic health planning and care relevant to the patient's specific needs. Personalized health plans, developed by providers in collaboration with their patients, quantify patients' health and health risks over time, identify strategies to mitigate risks and/or treat disease, deliver personalized care, engage patients in their care, and measure outcomes. Personalized health planning is a core clinical process that can standardize coordinated care approaches while providing the data needed for performance-based reimbursement. The authors argue that academic health centers have a significant opportunity to lead true health care reform by adopting personalized health planning to coordinate care delivery while conducting the research and education necessary to enable its broad clinical application.

  13. 42 CFR 493.1441 - Condition: Laboratories performing high complexity testing; laboratory director.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition: Laboratories performing high complexity testing; laboratory director. 493.1441 Section 493.1441 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION...

  14. 42 CFR 493.1355 - Condition: Laboratories performing PPM procedures; laboratory director.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition: Laboratories performing PPM procedures; laboratory director. 493.1355 Section 493.1355 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY...

  15. A review of the health and economic implications of patent protection, with a specific focus on Thailand.

    Science.gov (United States)

    Yamabhai, Inthira; Smith, Richard D

    2012-08-01

    Although it has been two decades since the Thai Patent Act was amended to comply with the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS), there has been little emphasis given to assessing the implications of this amendment. The purpose of this review is to summarize the health and economic impact of patent protection, with a focus on the experience of Thailand. A review of national and international empirical evidence on the health and economic implications of patents from 1980 to 2009 was undertaken. The findings illustrate the role of patent protection in four areas: price, present access, future access, and international trade and investment. Forty-three empirical studies were found, three of which were from Thai databases. Patenting does increase price, although the size of effect differs according to the methodology and country. Although weakening patent rights could increase present access, evidence suggests that strengthening patenting may benefit future access; although this is based on complex assumptions and estimations. Moreover, while patent protection appears to have a positive impact on trade flow, the implication for foreign direct investment (FDI) is equivocal. Empirical studies in Thailand, and other similar countries, are rare, compromising the robustness and generalizability of conclusions. However, evidence does suggest that patenting presents a significant inter-temporal challenge in balancing aspects of current versus future access to technologies. This underlines the urgent need to prioritize health research resources to assess the wider implications of patent protection.

  16. A review of the health and economic implications of patent protection, with a specific focus on Thailand

    Directory of Open Access Journals (Sweden)

    Yamabhai Inthira

    2012-08-01

    Full Text Available Abstract Background Although it has been two decades since the Thai Patent Act was amended to comply with the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS, there has been little emphasis given to assessing the implications of this amendment. The purpose of this review is to summarize the health and economic impact of patent protection, with a focus on the experience of Thailand. Methods A review of national and international empirical evidence on the health and economic implications of patents from 1980 to 2009 was undertaken. Results The findings illustrate the role of patent protection in four areas: price, present access, future access, and international trade and investment. Forty-three empirical studies were found, three of which were from Thai databases. Patenting does increase price, although the size of effect differs according to the methodology and country. Although weakening patent rights could increase present access, evidence suggests that strengthening patenting may benefit future access; although this is based on complex assumptions and estimations. Moreover, while patent protection appears to have a positive impact on trade flow, the implication for foreign direct investment (FDI is equivocal. Conclusions Empirical studies in Thailand, and other similar countries, are rare, compromising the robustness and generalizability of conclusions. However, evidence does suggest that patenting presents a significant inter-temporal challenge in balancing aspects of current versus future access to technologies. This underlines the urgent need to prioritize health research resources to assess the wider implications of patent protection.

  17. [Tour operator liability in health protection for not informing travellers about health risks they could be exposed].

    Science.gov (United States)

    Macrì, P G

    2009-01-01

    Consumer-tourist is considered the weaker bargaining party in an "all included" travel contract, compared with tour organizer and tour vendor. That's why Statute Act protecting consumer's rights provides a specific discipline concerning this particular sector In front of widening of warrants for travellers, obligations for organizer and seller of the travel have been increased, and include now specific duty to inform travellers as well. According to the law such duties of information are consistent with travel contract performance itself. In such way, failing to inform client constitutes a breach of contract liable not only in the field of civil responsibility; the subject liable with such an omission may face criminal prosecution as well. More specifically we are in front of a breach of contract by the tour organizer who will respond of all damages concerned with such a breach. Damages will concern not only the price of the travel package, but also other damages connected with the illness suffered by traveller: compensation for spoiled holidays, biological damages, patrimonial damages (these last ones could include for instance expenses for medical treatments, just to quote the more likely one). In other words, tour organizer has to grant general organization of the tour which has to take place as specified on travel brochure, but traveller have to be provided also with any information, concerning documents necessary for the travel, whether passport or visa are needed or not, vaccinations peremptory or optional. It will be very difficult for tour operator be exempted from liability for damages if traveller hasn't been informed of health risks; the only possibility consists in managing to demonstrate that the obligation hasn't been compelled due to reason for which the operator couldn't be held responsible. Besides as we have already mentioned before, criminal relevance of such omission of information couldn't be excluded. In fact, it's true that such omission

  18. SEPAAnnounces Projects in Serious Violation of Environmental Protection Regulations

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ On January 10th, 2007 the Deputy Director of the State Environmental Protection Administration (SEPA) circulated a list of 82 projects in serious violation of environmental protection evaluation and related environmental protection regulations.

  19. The role of Swedish Radiation Protection Authority in the field of public health; SSI:s roll i folkhaelsoarbetet - redovisning av regeringsuppdrag inom folkhaelsoomraadet

    Energy Technology Data Exchange (ETDEWEB)

    Cederlund, Torsten; Finck, Robert; Mjoenes, Lars; Moberg, Leif; Soederman, Ann-Louis; Wiklund, Aasa; Yuen Katarina; Oelander Guer, Hanna

    2004-09-01

    The Swedish Government has requested the Swedish Radiation Protection Authority (SSI) to make an account of the authority's role in the field of public health. Radiation Protection consists largely of preventive actions in order to protect man and the environment against harmful effects of radiation. The SSI thus considers most of the authority's activities to be public health related. The report describes a number of radiation protection areas from a health perspective. The measures taken by the authority in these areas are also described along with planned activities. In some areas the authority also points out additional measures.

  20. The role of Swedish Radiation Protection Authority in the field of public health 2008; SSI:s roll i folkhaelsoarbetet 2008 - redovisning av regeringsuppdrag inom folkhaelsoomraadet

    Energy Technology Data Exchange (ETDEWEB)

    Hyrke, Lena; Almen, Anja; Blixt, Anders; Brewitz, Erica; Mjoenes, Lars; Moberg, Leif; Skeppstroem, Kirlna; Wester, Ulf

    2008-04-15

    The Swedish Government has requested that the Swedish Radiation Protection Authority (SSI) to make an account of the authority's role in the field of public health. Radiation Protection consists largely of preventive actions in order to protect man and the environment against harmful effects of radiation. The SSI thus considers most of the authority's activities to be public health related. The report describes a number of radiation protection areas from a health perspective. The measures taken by the authority in these areas are also described along with planned activities. In some areas the authority also points out additional measures

  1. Protecting Yourself and Your Partners from HIV

    Centers for Disease Control (CDC) Podcasts

    2012-02-01

    Dr. Kevin Fenton, Director of CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, provides individuals with steps they can take to protect their health from HIV. This podcast was created for National Black HIV/AIDS Awareness Day, which takes place on February 7.  Created: 2/1/2012 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 2/1/2012.

  2. Relationship self-efficacy protects against mental health problems among women in bidirectionally aggressive intimate relationships with men.

    Science.gov (United States)

    Sullivan, Tami P; McPartland, Tara; Price, Carolina; Cruza-Guet, Maria Cristina; Swan, Suzanne C

    2013-10-01

    Research examining predictors or correlates of mental health problems among women who experience or use aggression in intimate relationships typically assesses factors that confer risk. Such research has primarily examined intimate partner violence (IPV) victimization or aggression frequency or severity as central risk factors for mental health problems. In the general population, one factor demonstrating a protective effect on mental health problems is self-efficacy. Research on self-efficacy among women who experience or use aggression in intimate relationships is nearly absent. The purpose of this study was to determine if self-efficacy specific to a woman's ability to manage various relationship problems (i.e., relationship self-efficacy [RSE]) played a protective role against the severity of posttraumatic stress, depression, and anxiety symptoms among 354 community-residing women who were victimized and used aggression (bidirectional IPV). Regression analyses found that RSE uniquely predicted each mental health outcome above and beyond what was accounted for by the frequency of physical, sexual, and psychological victimization and aggression. Further, RSE fully mediated the relationships between psychological victimization and each mental health outcome. If replicated, and in circumstances where it is determined safe to do so, findings suggest RSE as a promising avenue for future research to improve the health and well-being of women in bidirectionally aggressive relationships.

  3. Effects of lifetime stress exposure on mental and physical health in young adulthood: How stress degrades and forgiveness protects health.

    Science.gov (United States)

    Toussaint, Loren; Shields, Grant S; Dorn, Gabriel; Slavich, George M

    2016-06-01

    To examine risk and resilience factors that affect health, lifetime stress exposure histories, dispositional forgiveness levels, and mental and physical health were assessed in 148 young adults. Greater lifetime stress severity and lower levels of forgiveness each uniquely predicted worse mental and physical health. Analyses also revealed a graded Stress × Forgiveness interaction effect, wherein associations between stress and mental health were weaker for persons exhibiting more forgiveness. These data are the first to elucidate the interactive effects of cumulative stress severity and forgiveness on health, and suggest that developing a more forgiving coping style may help minimize stress-related disorders.

  4. Conflict Of Interests Of Directors And Its Application In The Management Of Privileged Information

    Directory of Open Access Journals (Sweden)

    Mónica García Niño

    2015-07-01

    Full Text Available The duty of loyalty of the director inside a society can be violated when the director have two interests on his head (the interest of society and a personal or extrasocial interest that oppose and he favors the extrasocial interest. One of the circumstances that may lead to the conflict of interests occurs respect of the privileged information of the society and its misuse which have protection in corporate law but given its importance is protected as well by other areas of law.

  5. What every library director should know

    CERN Document Server

    Curzon, Susan Carol

    2014-01-01

    What Every Library Director Should Know is the insider's view of vital actions, behaviors and strategies to succeed in every type of library. The content is based both on the author's direct experience after a long career in several types of libraries but also on the direct observation of other managers. Inset into the book are pearls of wisdom from other directors, managers and observers who are answering the question, "what is the one piece of management wisdom that you would give to anyone who wishes to become a library director?" This book will help to get you there by explaining and illus

  6. Gender Quotas on Board of Directors

    DEFF Research Database (Denmark)

    Smith, Nina

    2013-01-01

    on the grounds of economic efficiency. Furthermore, in most countries a limited number of women are qualified to join boards of directors, and it is not clear from the evidence to date on the operation of quotas whether they will lead to a better pool of female candidates in the medium and long term.......Beside arguments of fairness and equal opportunities, it is often argued that gender diversity on boards of directors may improve firm performance, but the empirical results are mixed and often negative. Based on the available research, gender quotas on boards of directors cannot be justified...

  7. Conundrums in the legal protection of migrant workers' health rights and relative resolutions: implications from the case of Tseng Hei-tao.

    Science.gov (United States)

    Liu, Kai

    2013-08-01

    The deteriorating situation of migrant workers' health rights protection was once again highlighted in the case of Tseng Hei-tao. This case explicitly and implicitly showed that four conundrums--the Employment Restriction Conundrum, the Occupational Safety and Health (OSH) Legal Conundrum, the Morality Conundrum and the Identity Conundrum--are barriers to migrant workers' right protection. The health rights of migrant workers could be safeguarded by abolishing the outdated household registration system designed in the planned economy era, improving the rule of law, and strengthening administrative supervisions. This would fundamentally remove these barriers and thus contribute to migrant workers' health rights protection.

  8. 77 FR 31513 - Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans...

    Science.gov (United States)

    2012-05-29

    ... HUMAN SERVICES 45 CFR Parts 155, 156, and 157 RIN 0938-AQ67 Patient Protection and Affordable Care Act... Federal Register on March 27, 2012, entitled ``Patient Protection and Affordable Care Act; Establishment... rule regarding the codification of section 1413(c) of the Affordable Care Act. To align the...

  9. Understanding the transformative aspects of the Wilderness and Protected Lands experience upon human health

    Science.gov (United States)

    Alan Ewert; Jillisa Overholt; Alison Voight; Chun Chieh Wang

    2011-01-01

    Wilderness and Protected Landscapes (WPLs) have long been considered special areas for a variety of reasons including baseline data, impact analyses, protected zones, and other tangible and intangible values. Another salient, and some would argue, a more important value offered through WPLs is that of human transformation. Accordingly, three theories have provided the...

  10. Protecting environment, national security, and health, earth and environment sciences 1996 annual report

    Energy Technology Data Exchange (ETDEWEB)

    Davis, J.C.; Younker, L.; Proctor, I.; Bannevik, B.; Layton, D.; Jackson, K.; Hannon, J.

    1996-01-01

    In 1994, Lawrence Livermore National Laboratory established a new directorate, called Environmental Program, to form one organization combining most of the Laboratory`s capabilities in the geosciences and ecological sciences with its supporting technologies in analytical areas such as molecular, radiation, and particle spectrometry; high-pressure physics; and bioscience applied to bioremediation. Current areas of research include atmospheric radiative transfer, chemistry, dynamics, and climate processes; physics of the atmospheric boundary layer and cloud processes; seismic processes; geochemistry and geophysics; pathway, dosimetry, and risk analysis of radioactive and toxic substances; isotopic and ion-beam sciences; modeling of subsurface flow and transport; subsurface imaging and characterization; in situ environmental remediation using natural and engineered processes; and design, analysis, and testing of advanced waste-treatment technologies.

  11. Cancer screening and health system resilience: keys to protecting and bolstering preventive services during a financial crisis.

    Science.gov (United States)

    Martin-Moreno, Jose M; Anttila, Ahti; von Karsa, Lawrence; Alfonso-Sanchez, Jose L; Gorgojo, Lydia

    2012-09-01

    The aim of this paper is to elucidate the rationale for sustaining and expanding cost-effective, population-based screening services for breast, cervical and colorectal cancers in the context of the current financial crisis. Our objective is not only to promote optimal delivery of high-quality secondary cancer prevention services, but also to underline the importance of strengthening comprehensive cancer control, and with it, health system response to the complex care challenges posed by all chronic diseases. We focus primarily on issues surrounding planning, organisation, implementation and resources, arguing that given the growing cancer burden, policymakers have ample justification for establishing and expanding population-based programmes that are well-organised, well-resourced and well-executed. In a broader economic context of rescue packages, deficits and cutbacks to government entitlements, health professionals must intensify their advocacy for the protection of vital preventive health services by fighting for quality services with clear benefits for population health outcomes.

  12. Relationship between child abuse exposure and reported contact with child protection organizations: results from the Canadian Community Health Survey.

    Science.gov (United States)

    Afifi, Tracie O; MacMillan, Harriet L; Taillieu, Tamara; Cheung, Kristene; Turner, Sarah; Tonmyr, Lil; Hovdestad, Wendy

    2015-08-01

    Much of what is known about child abuse in Canada has come from reported cases of child abuse and at-risk samples, which likely represent the most severe cases of child abuse in the country. The objective of the current study is to examine the prevalence of a broad range of child abuse experiences (physical abuse, sexual abuse, and exposure to IPV) and investigate how such experiences and sociodemographic variables are related to contact with child protection organizations in Canada using a representative general population sample. Data were drawn from the 2012 Canadian Community Health Survey: Mental Health collected from the 10 provinces using a multistage stratified cluster design (n=23,395; household response rate=79.8%; aged 18 years and older). Physical abuse only (16.8%) was the most prevalent child abuse experience reported with the exposure to specific combinations of two or more types of child abuse ranging from 0.4% to 3.7%. Only 7.6% of the adult population with a history of child abuse reported having had contact with child protection organizations. Experiencing all three types of child abuse was associated with the greatest odds of contact with child protection organizations (AOR=15.8; 95% CI=10.1 to 24.6). Physical abuse only was associated with one of the lowest odds of contact with child protection organizations. Preventing child abuse is widely acknowledged as an important, but challenging public health goal. Strategies to increase reporting of child abuse may help to protect children and to connect families with necessary services. One obvious priority would be physical abuse.

  13. Wanted: Fermilab director who can build consensus

    CERN Multimedia

    Pierce, G M

    2004-01-01

    "With current Fermilab Director Michael Witherell stepping down in July 2005, an appointed committee has vowed to find a new leader who will keep the Batavia lab at the forefront of the high-energy physics field" (1 page).

  14. 40 CFR 792.33 - Study director.

    Science.gov (United States)

    2010-07-01

    ...) GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 792.33 Study director. For each study, a scientist or other professional of appropriate education, training, and experience, or combination...

  15. From The NIH Director - Envisioning the Future

    Science.gov (United States)

    ... Navigation Bar Home Current Issue Past Issues From The NIH Director Envisioning the Future Past Issues / Winter 2008 Table of Contents ... was that, in fact, you could look inside the human body without destroying it." Dr. Zerhouni : My ...

  16. Uneven access to safe drinking water for First Nations in Canada: connecting health and place through source water protection.

    Science.gov (United States)

    Patrick, Robert J

    2011-01-01

    Source water protection has gained considerable attention in the water resources literature particularly after several well publicized (non-First Nations) water contamination events in Canada. This short report explores health and place through an examination of access to safe drinking water in a developed country. For First Nations in Canada, safe drinking water remains a serious, albeit under-reported, problem. The incidence of contaminated drinking water is pervasive in many First Nations communities. Attempts to "fix" water quality problems using technology alone have produced only limited success. It will be shown that greater attention to source water protection has potential for both to improve drinking water quality as well as to re-connect health and place for First Nations in Canada.

  17. Compendium of Directors Colloquia 1999-2012

    Science.gov (United States)

    Langhoff, Stephanie

    2013-01-01

    The Director s colloquium series was established primarily to provide a mechanism to bring high profile individuals to the Center to present new and innovative ideas to the entire Ames staff. More focused lecture series are arranged by specific divisions or departments. Before the year 1999, there is only a fragmentary record of who spoke in this series. Announcements to the staff were sent via land mail, and tickets were required to attend the colloquium. In 1999, the notification to attend colloquia became electronic and the entire resident staff was invited to attend. The centerwide announcement archive established in this timeframe created a lasting record of the Director s colloquia. The "Office of the Chief Scientist" at Ames had the responsibility for administering the colloquium series. When I became Chief Scientist on June 29, 1998, the program was not being used extensively and this continued to be the case through the years 1999-2002 of Harry McDonald s tenure as Director (see graph below). During Scott Hubbard s tenure as Director (September 19, 2002- February 15, 2006), the Director's colloquium series was used exclusively for high profile speakers from outside Ames whom he selected, such as lab directors from other research organizations around the Bay Area. During Pete Worden s tenure as Ames Director (May 4, 2006 -present) the colloquium series gained far greater use. First, I had greater discretion to select speakers for the colloquium series. Secondly, beginning in 2007, we established a 10-week Director's Colloquium Summer Series focused on enriching the experience of our many summer interns, and giving our top researchers within Ames Research Center an opportunity to present their work to the Center. The summer program has received rave reviews. This compendium contains a compilation of one-page descriptions (title, abstract and speaker biographies) for all of the 171 colloquia presented from the beginning of 1999 to October of 2012. The list of

  18. VMware vCloud director cookbook

    CERN Document Server

    Langenhan, Daniel

    2013-01-01

    VMware vCloud Director Cookbook will adopt a Cookbook-based approach. Packed with illustrations and programming examples, this book explains the simple as well as the complex recipes in an easy-to-understand language.""VMware vCloud Director Cookbook"" is aimed at system administrators and technical architects moving from a virtualized environment to cloud environments. Familiarity with cloud computing platforms and some knowledge of virtualization and managing cloud environments is expected.

  19. To what extent does a tobacco carve-out protect public health in the Trans-Pacific Partnership Agreement?

    Science.gov (United States)

    Hirono, Katherine; Gleeson, Deborah; Freeman, Becky

    2016-04-15

    In November 2015, negotiations of the Trans-Pacific Partnership Agreement came to a close with the release of the final text. It included an optional carve-out (exclusion) for tobacco control measures from the TPP's investor-state dispute settlement mechanism. Despite the apparent 'win' for the field of tobacco control, the limited scope of the carve-out provides only partial protection for public health regulatory measures.

  20. 75 FR 26759 - Health Care Integrity and Protection Data Bank (HIPDB) and National Practitioner Data Bank (NPDB...

    Science.gov (United States)

    2010-05-12

    ... Administration Health Care Integrity and Protection Data Bank (HIPDB) and National Practitioner Data Bank (NPDB...: ``Government agencies,'' as defined in section 1128E(g)(3) of the Social Security Act (42 U.S.C. 1320a-7e(g)(3... in a report on the HRSA and Data Bank Web sites ( http://www.hrsa.gov and http://www.npdb-hipdb.hrsa...

  1. Protection of Health Rights from Chinese Health Care Law%略论我国卫生法律制度对健康权的保护

    Institute of Scientific and Technical Information of China (English)

    宋大平

    2014-01-01

    The paper discusses how Chinese health care law protects health rights ,through analysis of its overall structure and review of its evolution , evaluates the current health care law and recommend to future health care laws . The framework of Chinese health care law has initially come into being .The administrative health care law ,medical torts in the civil law ,criminal medical law and related social laws are protecting the health rights . Nevertheless , there are still challenges ,such as the lack of a fundamental health law ,weak coordination between health care laws ,insufficient fineness of clauses and legislation lagged behind .Take the opportunity of carrying forward the new round of health system reform , the improvement of the health care law system should speed up ,to make the fundamental health law ,to make changes to related department laws and to strengthen the coordination of the laws .%通过分析和回顾我国卫生法律制度的整体架构和历史沿革,对当前制度进行评价并展望未来,系统阐述了我国卫生法律制度如何保障国民健康权。目前我国卫生法律制度框架已初步形成,卫生行政法、民法中的医疗侵权、医疗刑法、有关社会法等均对健康权进行保护,但制度仍面临母法缺失、协调性不佳、精细度不足和立法滞后等挑战。以新医改为契机,卫生法律制度的完善应加快进程,应尽快制定母法,并对相关部门法做出调整,加强有关法律法规之间的协调性。

  2. 78 FR 69418 - Patient Protection and Affordable Care Act; Exchanges and Qualified Health Plans, Quality Rating...

    Science.gov (United States)

    2013-11-19

    ... Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation; Final... state-of-science for measuring health care quality, science and technology do not yet allow us to...

  3. The function of a medical director in healthcare institutions: a master or a servant.

    Science.gov (United States)

    Kossaify, Antoine; Rasputin, Boris; Lahoud, Jean Claude

    2013-01-01

    The function of a medical director is presented along with features of efficiency and deficiencies from the perspective of healthcare system improvement. A MEDLINE/Pubmed research was performed using the terms "medical director" and "director", and 50 relevant articles were selected. Institutional healthcare quality is closely related to the medical director efficiency and deficiency, and a critical discussion of his or her function is presented along with a focus on the institutional policies, protocols, and procedures. The relationship between the medical director and the executive director is essential in order to implement a successful healthcare program, particularly in private facilities. Issues related to professionalism, fairness, medical records, quality of care, patient satisfaction, medical teaching, and malpractice are discussed from the perspective of institutional development and improvement strategies. In summary, the medical director must be a servant to the institutional constitution and to his or her job description; when his or her function is fully implemented, he or she may represent a local health governor or master, ensuring supervision and improvement of the institutional healthcare system.

  4. A review of protective factors and causal mechanisms that enhance the mental health of Indigenous Circumpolar youth

    Directory of Open Access Journals (Sweden)

    Joanna Petrasek MacDonald

    2013-12-01

    Full Text Available Objectives . To review the protective factors and causal mechanisms which promote and enhance Indigenous youth mental health in the Circumpolar North. Study design . A systematic literature review of peer-reviewed English-language research was conducted to systematically examine the protective factors and causal mechanisms which promote and enhance Indigenous youth mental health in the Circumpolar North. Methods . This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA guidelines, with elements of a realist review. From 160 records identified in the initial search of 3 databases, 15 met the inclusion criteria and were retained for full review. Data were extracted using a codebook to organize and synthesize relevant information from the articles. Results . More than 40 protective factors at the individual, family, and community levels were identified as enhancing Indigenous youth mental health. These included practicing and holding traditional knowledge and skills, the desire to be useful and to contribute meaningfully to one's community, having positive role models, and believing in one's self. Broadly, protective factors at the family and community levels were identified as positively creating and impacting one's social environment, which interacts with factors at the individual level to enhance resilience. An emphasis on the roles of cultural and land-based activities, history, and language, as well as on the importance of social and family supports, also emerged throughout the literature. Conclusions . Healthy communities and families foster and support youth who are resilient to mental health challenges and able to adapt and cope with multiple stressors, be they social, economic, or environmental. Creating opportunities and environments where youth can successfully navigate challenges and enhance their resilience can in turn contribute to fostering healthy Circumpolar communities. Looking at the

  5. Do Political Institutions protect the poor? Intra Countries Health Inequalities and Air Pollution in Developing Countries

    OpenAIRE

    Drabo, Alassane

    2011-01-01

    This paper examines the link between health inequalities, air pollution and political institutions. In health economics literature, many studies have assessed the association between environmental degradation and health outcomes. This paper extends this literature by investigating how air pollution could explain health inequalities both between and within developing countries, and the role of political institutions in this relationship. Theoretically, we argue that differential in exposition ...

  6. A review of risk and protective factors for adolescent sexual and reproductive health in developing countries: an update.

    Science.gov (United States)

    Mmari, Kristin; Sabherwal, Simran

    2013-11-01

    To conduct a literature review of studies that examined risk and protective factors related to adolescent sexual and reproductive health in developing countries. A literature search was conducted using multiple databases, including PubMed, PsycINFO, Scopus, JSTOR, and the Interagency Youth Working Group. Review criteria included publications that: were conducted in a low- or middle-income country; had a sample size of at least 100 young people aged 10-24 years, and used multivariate analysis. All studies that were identified were also conducted between 1990 and 2010, a 20-year time frame. The literature search and initial review yielded a total of 244 studies that met the criteria and analyzed risk and protective factors related to the following outcomes: sexual initiation, number of sexual partners, condom use, contraceptive use, pregnancy and early childbearing, human immunodeficiency virus, sexually transmitted infections, and sexual coercion. Most studies that were conducted on adolescent sexual and reproductive health in developing countries were largely focused in Sub-Saharan African contexts, and primarily examined factors related to sexual initiation and condom use. Most factors that examined an adolescent sexual and reproductive health outcome were also focused on the individual level, although an increasing number of studies within the past 10 years have focused on family-level factors. Few studies examined factors at the community or neighborhood level, which, to date, has largely been ignored in developing country contexts. The review not only summarizes what is currently known in terms of risk and protective factors that relate to adolescent sexual and reproductive health in developing countries, but also highlights the gaps. Implications for future research are discussed. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  7. Government registries containing sensitive health data and the implementation of EU directive on the protection of personal data in Finland.

    Science.gov (United States)

    Lehtonen, Lasse A

    2002-01-01

    Legislation on the protection of personal data was first enacted in Finland in 1987 (Act 471/1987) and revised in 1999 (Act 523/1999). The Personal Registries Act of 1987 established a special authority, the "data protection ombudsman" to ensure that a citizen's right to privacy would be maintained despite increased usage of computerised registries containing sensitive data. Health care and medical research, however, have been largely outside the scope of effective scrutiny due to special legislation that gives health care authorities the right to gather and register information on the medical history of an individual citizen. In Finland, the National Research and Development Centre for Welfare and Health (STAKES)--which works in close co-operation with the Ministry of Social Affairs and Health--maintains or supervises several centralised registries containing sensitive data. These registries which are based on an exemption (Act 556/1989) from the general data protection legislation, contain in practice a complete database on all Finnish citizens that have used public health care services. Furthrmore, additional personal information is added into these databases. For example, the central registry on abortions contains not only the identification data of a subject who has had an abortion but also information on the reason for abortion and on the methods of contraception she used. It is noteworthy that these registers are not accessible to the physicians who treat the patient whose data is registered, but are used by the governmental authorities only. At the moment it is unclear whether the recent implementation of an EU directive into the Finnish legislation and the constitutional right to privacy in the revised Finnish constitution (effective from March 1, 2000 onwards) will have any impact on the content or usage of these centralised registers.

  8. 77 FR 28788 - Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Under the Patient Protection and...

    Science.gov (United States)

    2012-05-16

    ... HUMAN SERVICES 45 CFR Part 158 Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Under the... Federal Register on December 1, 2010, entitled ``Health Insurance Issuers Implementing Medical Loss Ratio... published in the Federal Register on December 30, 2010, entitled ``Health Insurance Issuers Implementing...

  9. Use of protective behavioral strategies and reduced alcohol risk: examining the moderating effects of mental health, gender, and race.

    Science.gov (United States)

    Kenney, Shannon R; LaBrie, Joseph W

    2013-12-01

    Recent research indicates that protective behavioral strategies (PBS)-previously established as effective self-regulating tools for reducing alcohol risk among college students-may be especially useful for students with poor mental health, who are shown to be at heightened risk for alcohol-related harm. The current study examined the moderating influence of mental health (depression and anxiety severity), gender, and race (White, Asian) in the relationship between PBS use and alcohol-related negative consequences. Participants were 1,782 undergraduate students from two West Coast universities who reported past-month incidence of heavy episodic drinking (HED). Students reported on their drinking, experience of alcohol-related consequences, use of PBS, and depression and anxiety symptomatology. Overall, results demonstrated that among participants experiencing depression or anxiety, greater PBS utilization was associated with significantly lower levels of alcohol-related consequences, even after controlling for drinking and other predictors. However, findings also revealed important distinctions in the potential effectiveness of PBS by depression/anxiety severity and racial-gender subgroup, such that Asian men with poor mental health appeared to garner unique and substantial benefit (i.e., lesser consequences) from increased PBS use. Further, PBS were found to offer substantial protective benefit for White females, irrespective of mental health. This study points to the potential for targeted PBS-specific skills training and interventions to minimize alcohol-related risks faced by the growing subpopulation of college students experiencing psychological distress, and further highlights important race and gender differentials.

  10. Risk and protective factors associated with being a victim of aggression in the health sector. Research protocol

    Directory of Open Access Journals (Sweden)

    Giovanna Parmigiani

    2016-09-01

    Full Text Available Background: aggression against healthcare workers is an alarming issue worldwide. However, there is lack of data on psychological vulnerability factors (such as personality traits, attachment style which can constitute a risk or a protective factor for being a victim of an episode of violence in the health sector. Methods/design: the present protocol is a cross-sectional study on prevalence and characteristics of violent episodes experienced by nursing students in the clinical setting. Its aim is to identify risk and protective factors for becoming a victim of verbal and/or physical aggression among healthcare workers. Participants will undergo an intensive battery of psychometric tests, dealing with episodes of aggression in the previous year, attachment style, personality traits, perceived stress, health related quality of life and job strain. Conclusions: the findings derived from this study may be of value in identifying vulnerability factors in experiencing an episode of aggression in the health sector. In this respect, it is a step towards the development of valid training and support focused on health workers, aimed at teaching them how to modulate and manage their vulnerability factors in an efficient way.

  11. The Sensitization of French Observatory Directors to Astronomical Heritage

    Science.gov (United States)

    Le Guet Tully, Françoise; Davoigneau, Jean

    2012-09-01

    An inventory of the heritage of historical astronomical observatories was launched in the mid 1990s as part of a collaboration between the Ministry of Research and the Ministry of Culture. This has produced a significant body of knowledge not only on astronomical instruments, but also on the specificities of astronomical sites and on the architecture of observatories. Other major results of this operation are (i) the development of numerous works on the institutional history of observatories and (ii), at the request of a few directors, the protection as "historical monuments" of some buildings and of collections of instruments. Given that knowledge about astronomical heritage is a prerequisite for proper conservation and intelligent outreach, and given also that the protection of such heritage (as historical monuments) is a major asset that bolsters its cultural value, the long term sustainability of such heritage depends on political decisions and the search for financial support. We shall describe the complex administrative situation of French observatories and outline the various actions undertaken recently to sensitize their directors to astronomical heritage issues.

  12. 21 May 2013 - Greek Minister of Health A. Lykouretzos signing the guest book with CERN Director-General R. Heuer; visiting the LHC tunnel at POint 5 and CMS experimental cavern with Deputy Spokesperson T. Camporesi. CERN-HERMES Network Technical Coordinator E. Dimovasili; Life Sciences Adviser M. Dosanjh; National Contact Physicist, ATLAS Collaboration, NTU, Athens E. Gazis and International Relations Adviser R. Voss accompany the delegation throughout.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    21 May 2013 - Greek Minister of Health A. Lykouretzos signing the guest book with CERN Director-General R. Heuer; visiting the LHC tunnel at POint 5 and CMS experimental cavern with Deputy Spokesperson T. Camporesi. CERN-HERMES Network Technical Coordinator E. Dimovasili; Life Sciences Adviser M. Dosanjh; National Contact Physicist, ATLAS Collaboration, NTU, Athens E. Gazis and International Relations Adviser R. Voss accompany the delegation throughout.

  13. Communicating human biomonitoring results to ensure policy coherence with public health recommendations: analysing breastmilk whilst protecting, promoting and supporting breastfeeding

    Directory of Open Access Journals (Sweden)

    Arendt Maryse

    2008-01-01

    Full Text Available Abstract This article addresses the problem of how to ensure consistency in messages communicating public health recommendations on environmental health and on child health. The World Health Organization states that the protection, promotion and support of breastfeeding rank among the most effective interventions to improve child survival. International public health policy recommends exclusive breastfeeding for six months, followed by continued breastfeeding with the addition of safe and adequate complementary foods for two years and beyond. Biomonitoring of breastmilk is used as an indicator of environmental pollution ending up in mankind. This article will therefore present the biomonitoring results of concentrations of residues in breastmilk in a wider context. These results are the mirror that reflects the chemical substances accumulated in the bodies of both men and women in the course of a lifetime. The accumulated substances in our bodies may have an effect on male or female reproductive cells; they are present in the womb, directly affecting the environment of the fragile developing foetus; they are also present in breastmilk. Evidence of man-made chemical residues in breastmilk can provide a shock tactic to push for stronger laws to protect the environment. However, messages about chemicals detected in breastmilk can become dramatized by the media and cause a backlash against breastfeeding, thus contradicting the public health messages issued by the World Health Organization. Analyses of breastmilk show the presence of important nutritional components and live protective factors active in building up the immune system, in gastro intestinal maturation, in immune defence and in providing antiviral, antiparasitic and antibacterial activity. Through cohort studies researchers in environmental health have concluded that long-term breastfeeding counterbalances the effect of prenatal exposure to chemicals causing delay in mental and

  14. 76 FR 5391 - Office of Biotechnology Activities, Office of Science Policy, Office of the Director

    Science.gov (United States)

    2011-01-31

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Office of Biotechnology Activities, Office of Science Policy, Office of the Director Amended Notice of Meeting Notice is hereby given of a change in the...

  15. 42 CFR 493.1403 - Condition: Laboratories performing moderate complexity testing; laboratory director.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition: Laboratories performing moderate complexity testing; laboratory director. 493.1403 Section 493.1403 Public Health CENTERS FOR MEDICARE... LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Moderate Complexity...

  16. Does private insurance adequately protect families of children with mental health disorders?

    Science.gov (United States)

    Busch, Susan H; Barry, Colleen L

    2009-12-01

    Although private insurance typically covers many health care costs, the challenges faced by families who care for a sick child are substantial. These challenges may be more severe for children with special health care needs (CSHCN) with mental illnesses than for other CSHCN. Our objective was to determine if families of privately insured children who need mental health care face different burdens than other families in caring for their children. We used the 2005-2006 National Survey of Children With Special Health Care Needs (NS-CSHCN) to study privately insured children aged 6 to 17 years. We compared CSHCN with mental health care needs (N = 4918) to 3 groups: children with no special health care needs (n = 2346); CSHCN with no mental health care needs (n = 16250); and CSHCN with no mental health care need but a need for other specialty services (n = 7902). The latter group was a subset of CSHCN with no mental health care need. We used weighted logistic regression and study outcomes across 4 domains: financial burden; health plan experiences; labor-market and time effects; and parent experience with services. We found that families of children with mental health care needs face significantly greater financial barriers, have more negative health plan experiences, and are more likely to reduce their labor-market participation to care for their child than other families. Families of privately insured CSHCN who need mental health care face a higher burden than other families in caring for their children. Policies are needed to help these families obtain affordable, high-quality care for their children.

  17. Law and public health at CDC.

    Science.gov (United States)

    Goodman, Richard A; Moulton, A; Matthews, G; Shaw, F; Kocher, P; Mensah, G; Zaza, S; Besser, R

    2006-12-22

    Public health law is an emerging field in U.S. public health practice. The 20th century proved the indispensability of law to public health, as demonstrated by the contribution of law to each of the century's 10 great public health achievements. Former CDC Director Dr. William Foege has suggested that law, along with epidemiology, is an essential tool in public health practice. Public health laws are any laws that have important consequences for the health of defined populations. They derive from federal and state constitutions; statutes, and other legislative enactments; agency rules and regulations; judicial rulings and case law; and policies of public bodies. Government agencies that apply public health laws include agencies officially designated as "public health agencies," as well as health-care, environmental protection, education, and law enforcement agencies, among others.

  18. 78 FR 70550 - Announcement of the Board of Directors for the National Environmental Education Foundation

    Science.gov (United States)

    2013-11-26

    ... Directors for the National Environmental Education Foundation AGENCY: Office of External Affairs and Environmental Education; Environmental Protection Agency (EPA). ACTION: Notice. SUMMARY: The National Environmental Education Foundation (NEEF) was created by Section 10 of Public Law 101-619, the National...

  19. 75 FR 53705 - Science and Technology (S&T) Directorate; Agency Information Collection Activities: Submission...

    Science.gov (United States)

    2010-09-01

    ...-53706] [FR Doc No: 2010-21783] DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2010-0073] Science and Technology (S&T) Directorate; Agency Information Collection Activities: Submission for Review; Information Collection Request for the Department of Homeland Security (DHS) Science and Technology Protected...

  20. Moderating role of interior amenities on hospital medical directors' patient-related work stresses.

    Science.gov (United States)

    Lin, Blossom Yen-Ju; Lin, Yung-Kai; Juan, Chi Wen; Lee, Suhsing; Lin, Cheng-Chieh

    2013-01-01

    Considering hospital medical directors' work stress, this study aims to examine how interior amenities might moderate the effect of work stress on their health. Previous studies have revealed that hospital medical directors-senior physicians in the management positions with high-demand jobs in clinical practices and management-had a lower self-rated health. This was a cross-sectional survey study and 737 hospital medical directors in Taiwan were included. A developed and structured questionnaire covered the dimensions of patient-related work stress (i.e., physician-patient relationship stress and patient condition stress), hospital interior amenities (i.e., indoor plants, aquarium, music, art and exhibitions, and private or personalized spaces that are common or surround the workplace of healthcare professionals), and self-rated health status and health complaints. Hierarchical regressions were performed. Hospital medical directors' physician-patient relationship stresses were found to have more negative effects on their self-reported health status and complaints than do their patient condition stresses; however, only indoor plants were found to have moderating effects on their short-term health complaints (p interior amenities can produce buffering effects on work stress to some extent. Future studies could focus on finding alternatives to relieve hospital medical directors' physician-patient relationship work stresses. Evidence-based design, physicians, privacy and security, satisfaction, work environmentPreferred Citation: Lin, B. Y.-J., Lin, Y.-K., Juan, C.W., Lee, S., Lin, C.-C. (2013). Moderating role of interior amenities on hospital medical directors' patient-related work stresses. Health Environments Research & Design Journal 6(2), pp 77-92.

  1. Assessing community values for reducing agricultural emissions to improve water quality and protect coral health in the Great Barrier Reef

    Science.gov (United States)

    Rolfe, John; Windle, Jill

    2011-12-01

    Policymakers wanting to increase protection of the Great Barrier Reef from pollutants generated by agriculture need to identify when measures to improve water quality generate benefits to society that outweigh the costs involved. The research reported in this paper makes a contribution in several ways. First, it uses the improved science understanding about the links between management changes and reef health to bring together the analysis of costs and benefits of marginal changes, helping to demonstrate the appropriate way of addressing policy questions relating to reef protection. Second, it uses the scientific relationships to frame a choice experiment to value the benefits of improved reef health, with the results of mixed logit (random parameter) models linking improvements explicitly to changes in "water quality units." Third, the research demonstrates how protection values are consistent across a broader population, with some limited evidence of distance effects. Fourth, the information on marginal costs and benefits that are reported provide policymakers with information to help improve management decisions. The results indicate that while there is potential for water quality improvements to generate net benefits, high cost water quality improvements are generally uneconomic. A major policy implication is that cost thresholds for key pollutants should be set to avoid more expensive water quality proposals being selected.

  2. 78 FR 12833 - Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits...

    Science.gov (United States)

    2013-02-25

    ..., Medicaid consultations, and meetings with tribal leaders and representatives, health insurance issuers... election of the state. Summary of Regulatory Changes For the reasons described in the proposed rule...

  3. School directors and management in education

    Directory of Open Access Journals (Sweden)

    Srdić Vesna M.

    2015-01-01

    Full Text Available The main features of school management and organization comprise planning, decision making, management, leadership and communication. Research suggests that successful school management requires not only advanced managerial but also leadership skills, with highly developed social skills as the main competence. In a complex social system, good leadership becomes a fundamental component of a successful organization or institution. Although leadership has for a long time been of interest for theoreticians and practitioners alike, there are still numerous questions waiting to be answered in the area of management and leadership in education. According to the Law on the Basis of Educational System, the person who can be named a school director must posses appropriate education, competences, license and experience in education. Legal requirements allow the provision of effective training, but the fact that personal disposition can be both an advantage and an obstacle for acquiring necessary items of knowledge and skills, points to the necessity of including selection into the standard procedure for the election of a director. Democratization and decentralization of the educational system presupposes a series of structural, systemic and functional changes which reflect on school management and the role played by the director. This paper considers responsibilities and competences of directors, both in legislation and in school practice and addresses the question whether a school director is a manager or a leader, and what are the possibilities for the provision of professional resources for school management.

  4. 12 CFR 918.2 - Annual directors' compensation policy.

    Science.gov (United States)

    2010-01-01

    ... of their duties as members of the Bank's board of directors, subject to the requirements set forth in... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Annual directors' compensation policy. 918.2... HOME LOAN BANKS BANK DIRECTOR COMPENSATION AND EXPENSES § 918.2 Annual directors' compensation...

  5. 16 CFR 1000.26 - Directorate for Epidemiology.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Directorate for Epidemiology. 1000.26... AND FUNCTIONS § 1000.26 Directorate for Epidemiology. The Directorate for Epidemiology, managed by the Associate Executive Director for Epidemiology, is responsible for the collection and analysis of data...

  6. 12 CFR 611.1218 - Role of directors.

    Science.gov (United States)

    2010-01-01

    ... Institution Status § 611.1218 Role of directors. (a) Statements by directors. Directors may not be prohibited... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Role of directors. 611.1218 Section 611.1218... have the right to obtain independent legal and financial advice regarding the proposed termination...

  7. 12 CFR 1710.12 - Committees of board of directors.

    Science.gov (United States)

    2010-01-01

    ... board of directors of an Enterprise shall meet with sufficient frequency to carry out its obligations... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Committees of board of directors. 1710.12... § 1710.12 Committees of board of directors. (a) General. The board of directors may rely, in...

  8. Critical Care Pharmacist Market Perceptions: Comparison of Critical Care Program Directors and Directors of Pharmacy.

    Science.gov (United States)

    Hager, David R; Persaud, Rosemary A; Naseman, Ryan W; Choudhary, Kavish; Carter, Kristen E; Hansen, Amanda

    2017-05-01

    Background: While hospital beds continue to decline as patients previously treated as inpatients are stabilized in ambulatory settings, the number of critical care beds available in the United States continues to rise. Growth in pharmacy student graduation, postgraduate year 2 critical care (PGY2 CC) residency programs, and positions has also increased. There is a perception that the critical care trained pharmacist market is saturated, yet this has not been evaluated since the rise in pharmacy graduates and residency programs. Purpose: To describe the current perception of critical care residency program directors (CC RPDs) and directors of pharmacy (DOPs) on the critical care pharmacist job market and to evaluate critical care postresidency placement and anticipated changes in PGY2 CC programs. Methods: Two electronic surveys were distributed from October 2015 to November 2015 through Vizient/University HealthSystem Consortium, American Society of Health-System Pharmacists (ASHP), Society of Critical Care Medicine, and American College of Clinical Pharmacy listservs to target 2 groups of respondents: CC RPDs and DOPs. Questions were based on the ASHP Pharmacy Forecast and the Pharmacy Workforce Center's Aggregate Demand Index and were intended to identify perceptions of the critical care market of the 2 groups. Results: Of 116 CC RPDs, there were 66 respondents (56.9% response rate). Respondents have observed an increase in applicants; however, they do not anticipate increasing the number of positions in the next 5 years. The overall perception is that there is a balance in supply and demand in the critical care trained pharmacist market. A total of 82 DOPs responded to the survey. Turnover of critical care pharmacists within respondent organizations is expected to be low. Although a majority of DOPs plan to expand residency training positions, only 9% expect to increase positions in critical care PGY2 training. Overall, DOP respondents indicated a balance of

  9. 75 FR 2549 - Office of Biotechnology Activities; Office of Science Policy; Office of the Director; Notice of a...

    Science.gov (United States)

    2010-01-15

    ... HUMAN SERVICES National Institutes of Health Office of Biotechnology Activities; Office of Science... concerning this meeting, contact Ms. Laurie Lewallen, Advisory Committee Coordinator, Office of Biotechnology...: January 11, 2010. Kelly R. Fennington, Special Assistant to the Director, Office of Biotechnology...

  10. Surveillance for Health Protection in England and Wales: An analysis of NHS Direct syndromic data

    NARCIS (Netherlands)

    Cooper, D. L.

    2008-01-01

    Disease surveillance is the collection and analysis health data to provide information for action and to inform decisions relating to public health policy. Surveillance systems in the UK typically rely on data about diagnoses made by clinicians, or laboratory confirmations of specific disease pathog

  11. New Grandparents' Mental Health: The Protective Role of Optimism, Self-Mastery, and Social Support

    Science.gov (United States)

    Ben Shlomo, Shirley; Taubman - Ben-Ari, Orit

    2012-01-01

    The current study examines the contribution of optimism, self-mastery, perceived social support, and background variables (age, physical health, economic status) to mental health following the transition to grandparenthood. The sample consisted of 257 first-time Israeli grandparents (grandmothers and grandfathers, maternal and paternal) who were…

  12. 78 FR 12065 - National Institute for Occupational Safety and Health Personal Protective Technology for...

    Science.gov (United States)

    2013-02-21

    ... HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and... Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC... Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention...

  13. 78 FR 9054 - National Institute for Occupational Safety and Health Respiratory Protection for Healthcare...

    Science.gov (United States)

    2013-02-07

    ... HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and... for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC... Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention...

  14. Phytochemicals of Brassicaceae in plant protection and human health--influences of climate, environment and agronomic practice.

    Science.gov (United States)

    Björkman, Maria; Klingen, Ingeborg; Birch, Andrew N E; Bones, Atle M; Bruce, Toby J A; Johansen, Tor J; Meadow, Richard; Mølmann, Jørgen; Seljåsen, Randi; Smart, Lesley E; Stewart, Derek

    2011-05-01

    In this review, we provide an overview of the role of glucosinolates and other phytochemical compounds present in the Brassicaceae in relation to plant protection and human health. Current knowledge of the factors that influence phytochemical content and profile in the Brassicaceae is also summarized and multi-factorial approaches are briefly discussed. Variation in agronomic conditions (plant species, cultivar, developmental stage, plant organ, plant competition, fertilization, pH), season, climatic factors, water availability, light (intensity, quality, duration) and CO(2) are known to significantly affect content and profile of phytochemicals. Phytochemicals such as the glucosinolates and leaf surface waxes play an important role in interactions with pests and pathogens. Factors that affect production of phytochemicals are important when designing plant protection strategies that exploit these compounds to minimize crop damage caused by plant pests and pathogens. Brassicaceous plants are consumed increasingly for possible health benefits, for example, glucosinolate-derived effects on degenerative diseases such as cancer, cardiovascular and neurodegenerative diseases. Thus, factors influencing phytochemical content and profile in the production of brassicaceous plants are worth considering both for plant and human health. Even though it is known that factors that influence phytochemical content and profile may interact, studies of plant compounds were, until recently, restricted by methods allowing only a reductionistic approach. It is now possible to design multi-factorial experiments that simulate their combined effects. This will provide important information to ecologists, plant breeders and agronomists.

  15. Mobile phone health risk policy in Germany: the role of the federal government and the Federal Office for Radiation Protection.

    Science.gov (United States)

    Schweikardt, Christoph; Gross, Dominik

    2012-01-01

    In order to establish a regulatory framework for a given technology important to society, the government must make decisions in the face of existing unknowingness. In the last decade, health risks originating from electromagnetic fields of mobile telecommunication transmitting stations and devices have become a regulation policy issue in Germany. This article investigates the role of the government and the Federal Office for Radiation Protection in regard to policy-making by analysing publications and Federal Parliament reports, hearings and debates. The government and Federal Parliament perceived the research situation in 2001 as insufficient in the absence of hard evidence for health impairment. Against this background, the government struck a compromise with mobile telecommunication network operators, who did not want to integrate stricter limit values for transmission stations as precautionary measures. The network operators' voluntary self-commitment included financing half the budget of the German Mobile Telecommunication Research Programme (2002-2008) under the lead management of the Federal Office for Radiation Protection, which concluded that it was not required to change the position taken in 2001. The results of this programme provided the basis to continue the agreement of that year. With regard to health issues and all the other interests involved, this agreement was an acceptable and remarkably stable compromise.

  16. Antioxidant protection and plasma carotenoids of incubating great tits (Parus major L.) in relation to health state and breeding conditions.

    Science.gov (United States)

    Tummeleht, Lea; Mägi, Marko; Kilgas, Priit; Mänd, Raivo; Hõrak, Peeter

    2006-10-01

    Carotenoids are biologically active pigments, which are important for animals due to their dual role in health maintenance and ornamental signalling. In adult birds, immunostimulatory properties of carotenoids have been repeatedly demonstrated while much less is known about the importance of carotenoids as antioxidants. We studied the relationships between plasma carotenoid levels, as well as total antioxidant protection, and various hemato-serological health state indices in female great tits (Parus major L.), incubating their second clutches in two contrasting (coniferous and deciduous) habitats in southwest Estonia. To manipulate reproductive effort, four eggs were removed from half of the clutches during laying to stimulate females to lay additional eggs. However, egg removal had no effect on the final number of eggs laid. Plasma carotenoid levels increased seasonally in parallel with caterpillar food availability. However, no between-habitat differences in carotenoid levels, total antioxidant capacity, or indices of health state could be found despite the apparently better feeding conditions in the coniferous habitat. No correlation was detected between plasma carotenoid levels and measures of total antioxidant capacity, which suggests that at least for the adult birds feeding on naturally carotenoid-rich diet, antioxidant function of carotenoids is not of primary importance. A strong non-linear association between the measures of antioxidant protection and leukocytic markers of inflammation was found, which suggests that measures of total antioxidant capacity deserve further attention in ecophysiological studies as potential indicators of immunopathology.

  17. 45 CFR 164.520 - Notice of privacy practices for protected health information.

    Science.gov (United States)

    2010-10-01

    ... for which the covered entity is permitted or required by this subpart to use or disclose protected... information that may be made by the covered entity, and of the individual's rights and the covered entity's... is a covered entity. (b) Implementation specifications: content of notice—(1) Required elements. The...

  18. Past, Present & Future of the US EPA: Protecting Human Health & the Natural Environment

    Science.gov (United States)

    The time line of events that lead to the creation of the US EPA are marked by grassroots efforts by average citizens voicing concerns to politicians in Washington. Visionary leadership by Congress and the President led to the birth of a Federal Agency dedicated to protecting huma...

  19. Social support and family communication as factors protecting adolescents against multiple recurrent health complaints related to school stress.

    Science.gov (United States)

    Tabak, Izabela; Mazur, Joanna

    2016-01-01

    One reason of increased psychological and somatic health problems in adolescence is intensification of stress in school and everyday life. There is little evidence to what extent the level of school achievements shapes this relationship. The aim of the study was to investigate determinants of subjective health complaints in schoolaged children, taking into account the interaction effects. Anonymous survey was conducted in Poland in 2013/2014 on the sample of 4,545 students, as a part of the HBSC (Health Behaviour in School-aged Children) study. On the basis of prevalence of eight symptoms in the past 6 months, a standardized index of health complaints (SCL - Subjective Complaints Checklist) was calculated (0-100). To predict its variability three hierarchical linear models (five blocks) were estimated, separately for three levels of school achievements. Support from family, classmates and teachers as well as family communication were considered as protective factors, which can reduce the negative impact of stress. All analyses were adjusted for age, gender and family affluence. The standardized SCL index was equal to 23.2 in boys and 32.5 in girls. The high level of school stress was reported by 28.5% boys and 35.6% girls, respectively. Regarding these two measures, similar patterns of change were observed, increase with age and with deterioration of academic achievement. Final multivariate models explained 22-25% variability of SCL, slightly more among worst students. Accumulation of low family support and high level of school stress caused the highest increase in the SCL index in very good students. School performance is an important determinant of subjective health complaints in adolescence, also modifying the impact of other risk and protective factors.

  20. [A study to compare formal duties of medical directors of Italian public hospitals with actual activities performer].

    Science.gov (United States)

    Montanari, Katia; Cucchi, Alessandro; Tessari, Gianni; Turri, Valentina; Gregorio, Pasquale

    2009-01-01

    It is difficult to identify, from a regulatory point of view, the actual competencies of medical directors of public hospitals in Italy. A questionnaire survey was therefore conducted to identify which are the activities actually performed by this professional. One hundred twenty local health authorities participated in the survey. Findings reveal that many activities conducted by the hospital medical director, such a mediation with the local health authorities, are not formally recognized and that the medical director actually conducts more complex activities than those formally pertaining to his role.

  1. Knowledge of Radiation Hazards, Radiation Protection Practices and Clinical Profile of Health Workers in a Teaching Hospital in Northern Nigeria.

    Science.gov (United States)

    Awosan, K J; Ibrahim, Mto; Saidu, S A; Ma'aji, S M; Danfulani, M; Yunusa, E U; Ikhuenbor, D B; Ige, T A

    2016-08-01

    Use of ionizing radiation in medical imaging for diagnostic and interventional purposes has risen dramatically in recent years with a concomitant increase in exposure of patients and health workers to radiation hazards. To assess the knowledge of radiation hazards, radiation protection practices and clinical profile of health workers in UDUTH, Sokoto, Nigeria. A cross-sectional study was conducted among 110 Radiology, Radiotherapy and Dentistry staff selected by universal sampling technique. The study comprised of administration of standardized semi-structured pre-tested questionnaire (to obtain information on socio-demographic characteristics, knowledge of radiation hazards, and radiation protection practices of participants), clinical assessment (comprising of chest X-ray, abdominal ultrasound and laboratory investigation on hematological parameters), and evaluation of radiation exposure of participants (extracted from existing hospital records on their radiation exposure status). The participants were aged 20 to 65 years (mean = 34.04 ± 8.83), most of them were males (67.3%) and married (65.7%). Sixty five (59.1%) had good knowledge of radiation hazards, 58 (52.7%) had good knowledge of Personal Protective Devices (PPDs), less than a third, 30 (27.3%) consistently wore dosimeter, and very few (10.9% and below) consistently wore the various PPDs at work. The average annual radiation exposure over a 4 year period ranged from 0.0475mSv to 1.8725mSv. Only 1 (1.2%) of 86 participants had abnormal chest X-ray findings, 8 (9.4%) of 85 participants had abnormal abdominal ultrasound findings; while 17 (15.5%) and 11 (10.0%) of 110 participants had anemia and leucopenia respectively. This study demonstrated poor radiation protection practices despite good knowledge of radiation hazards among the participants, but radiation exposure and prevalence of abnormal clinical conditions were found to be low. Periodic in-service training and monitoring on radiation safety was

  2. Mentoring Interventions and the Impact of Protective Assets on the Reproductive Health of Adolescent Girls and Young Women.

    Science.gov (United States)

    Plourde, Kate F; Ippoliti, Nicole B; Nanda, Geeta; McCarraher, Donna R

    2017-08-01

    Adolescent girls and young women (AGYW) are disproportionately affected by HIV and AIDS and other negative reproductive health (RH) outcomes. Emerging evidence suggests that programs to build AGYW's assets can help reduce their vulnerability to poor RH. Mentoring interventions have demonstrated a positive impact on a variety of youth development outcomes, including the protective assets needed to circumvent poor RH outcomes. The purpose of this review was to understand the types of mentoring programs for AGYW that have demonstrated effectiveness in improving protective assets, and/or, RH knowledge, intentions, behaviors, or outcomes themselves. Interventions were identified through an electronic search of the peer-reviewed and the gray literature. Studies were excluded in stages based on reviews of titles, abstracts, and full text. A review of 491 publications yielded a total of 19 articles that were included in the final review. The majority of the publications examined the impact of the one-to-one mentoring model in the United States. However, a good proportion examined the impact of both one-on-one and group-based interventions globally. The few interventions that followed a group-based model demonstrated more promise; evaluations of this model demonstrated a positive impact on RH knowledge and behavior, academic achievement, financial behavior, and social networks, as well as reductions in the experience of violence. Group-based mentoring programs demonstrated the most promise in building AGYW's protective assets and improving their RH outcomes. The most successful interventions consisted of multiple components, including mentoring, that sought to directly improve AGYW's protective assets and met with more frequency over a longer duration. Despite the promising evidence, more research is needed to better understand the relationship between assets and RH; the characteristics of successful mentoring programs; and the influence mentoring alone has on RH outcomes

  3. EPA Strengthens Ozone Standards to Protect Public Health/Science-based standards to reduce sick days, asthma attacks, emergency room visits, greatly outweigh costs

    Science.gov (United States)

    WASHINGTON - Based on extensive scientific evidence on effects that ground-level ozone pollution, or smog, has on public health and welfare, the U.S. Environmental Protection Agency (EPA) has strengthened the National Ambient Air Quality Standards (

  4. 40 CFR 270.140 - What else must the Director prepare in addition to the draft RAP or notice of intent to deny?

    Science.gov (United States)

    2010-07-01

    ... addition to the draft RAP or notice of intent to deny? 270.140 Section 270.140 Protection of Environment... HAZARDOUS WASTE PERMIT PROGRAM Remedial Action Plans (RAPs) Getting A Rap Approved § 270.140 What else must the Director prepare in addition to the draft RAP or notice of intent to deny? Once the Director has...

  5. The hepatitis B vaccine protects re-exposed health care workers, but does not provide sterilizing immunity.

    Science.gov (United States)

    Werner, Jens M; Abdalla, Adil; Gara, Naveen; Ghany, Marc G; Rehermann, Barbara

    2013-11-01

    Infection with hepatitis B virus (HBV) can be prevented by vaccination with HB surface (HBs) antigen, which induces HBs-specific antibodies and T cells. However, the duration of vaccine-induced protective immunity is poorly defined for health care workers who were vaccinated as adults. We investigated the immune mechanisms (antibody and T-cell responses) of long-term protection by the HBV vaccine in 90 health care workers with or without occupational exposure to HBV, 10-28 years after vaccination. Fifty-nine of 90 health care workers (65%) had levels of antibodies to HBs antigen above the cut-off (>12 mIU/mL) and 30 of 90 (33%) had HBs-specific T cells that produced interferon-gamma. Titers of antibodies to HBs antigen correlated with numbers of HBs-specific interferon-gamma-producing T cells, but not with time after vaccination. Although occupational exposure to HBV after vaccination did not induce antibodies to the HBV core protein (HBcore), the standard biomarker for HBV infection, CD4(+) and CD8(+) T cells against HBcore and polymerase antigens were detected. Similar numbers of HBcore- and polymerase-specific CD4(+) and CD8(+) T cells were detected in health care workers with occupational exposure to HBV and in patients who acquired immunity via HBV infection. Most of the HBcore- and polymerase-specific T cells were CD45RO(+)CCR7(-)CD127(-) effector memory cells in exposed health care workers and in patients with acquired immunity. In contrast, most of the vaccine-induced HBs-specific T cells were CD45RO(-)CCR7(-)CD127(-) terminally differentiated cells. HBs antigen vaccine-induced immunity protects against future infection but does not provide sterilizing immunity, as evidenced by HBcore- and polymerase-specific CD8(+) T cells in vaccinated health care workers with occupational exposure to HBV. The presence of HBcore- and HBV polymerase-specific T-cell responses is a more sensitive indicator of HBV exposure than detection of HBcore-specific antibodies

  6. A DUAL NETWORK MODEL OF INTERLOCKING DIRECTORATES

    Directory of Open Access Journals (Sweden)

    Humphry Hung

    2003-01-01

    Full Text Available The article proposes an integrative framework for the study of interlocking directorates by using an approach that encompasses the concepts of multiple networks and resource endowment. This serves to integrate the traditional views of interorganizational linkages and intra-class cohesion. Through appropriate strategic analysis of relevant resource endowment of internal environment and external networks of organizations and corporate elites, this article argues that the selection of directors, if used effectively, can be adopted as a strategic device to enhance the corporation's overall performance.

  7. Rolf-Dieter Heuer, next Director General

    CERN Multimedia

    CERN Council appointed Professor Rolf-Dieter Heuer to succeed Dr Robert Aymar as CERN’s Director General. Professor Heuer will serve a five-year term, taking office on 1 January 2009. Rolf-Dieter Heuer is currently Research Director for particle and astroparticle physics at Germany’s DESY laboratory in Hamburg. He was a staff member at CERN from 1984 to 1998, working for the OPAL collaboration at LEP, and from 1994 to 1998 he was the collaboration’s spokesman. See the Press Release.

  8. ТHE INFLUENCE OF THE EMOTIONAL INTELIGENCE IN PROTECTION OF THE MENTAL HEALTH IN CONDITIONS OF A PSYCHOSOCIAL STRESS

    Directory of Open Access Journals (Sweden)

    Lupco Kevereski

    2016-06-01

    Full Text Available If our time is stressful, than protecting and promoting of our mental health is imperative of the time that is coming.In modern literature there is a huge interest for the determination of the mental health of the emotional intelligence, which is treated as a factor for it’s keeping and development. This paper is based on the assumption that the emotional intelligence has considerable contribution for understanding the relationship between psychosocial stress and mental health, seen through three important variables: self-confidence, depression and aggressiveness. In the research were included 72 people, and for variables’ measurement are used: questionnaire for measuring emotional intelligence (PК-45, stress inventory and questionnaire for emotional structure of the person- Profile index of emotions. The results from the regressive analyses showed that stress is connected to the three indicators of the mental health. People with low emotional intelligence react with lower self-confidence and high depression and aggressiveness in stressful situations. The two competencies of emotional intelligence (EI - self consciousness and social consciousness statistically are different from the other relevant measures which show that EI is important thing in understanding the relationship between the stress and mental health.

  9. Meeting the public health challenge of protecting private wells: Proceedings and recommendations from an expert panel workshop.

    Science.gov (United States)

    Fox, Mary A; Nachman, Keeve E; Anderson, Breeana; Lam, Juleen; Resnick, Beth

    2016-06-01

    Private wells serving fewer than 25 people are federally unregulated, and their users may be exposed to naturally occurring agents of concern such as arsenic and radionuclides, as well as anthropogenic contaminants. The Centers for Disease Control and Prevention's Clean Water for Health Program works to protect private wells and prevent adverse health outcomes for the roughly 15% of Americans who rely on them. To understand current and emerging challenges to the private drinking water supply, an interdisciplinary expert panel workshop on "Future and Emerging Issues for Private Wells" was organized to inform strategic planning for the Clean Water for Health Program. The panel assessed current conditions of ground water as a source for private wells, identified emerging threats, critical gaps in knowledge, and public health needs, and recommended strategies to guide future activities to ensure the safety of private drinking water wells. These strategies addressed topics of broad interest to the environmental public health community including: development of new methods to support citizen science; addressing contaminant mixtures; expanding capacity for well testing; evaluating treatment technologies; building an evidence base on best practices on well owner outreach and stewardship; and research and data needs.

  10. 76 FR 59147 - National Institute of Environmental Health Sciences Notice of Meetings

    Science.gov (United States)

    2011-09-23

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences Notice..., Director, Division of Extramural Research and Training, National Institute of Environmental Health Sciences..., Director, Division of Extramural Research and Training, National Institute of Environmental Health...

  11. 77 FR 70643 - Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits...

    Science.gov (United States)

    2012-11-26

    ... Federal government identification, commenters are encouraged to leave their comments in the CMS drop slots... statutory benefit categories, such as hospitalization, prescription drugs, and maternity and newborn care... patient services; emergency services; hospitalization; maternity and newborn care; mental health and...

  12. 77 FR 5012 - Environmental Protection Agency, Department of Health and Human Services and Department of...

    Science.gov (United States)

    2012-02-01

    ... production in plants (such as cry genes). EPA grants experimental use permits for field testing and... office of Animal and Plant Health Inspection Service/Biotechnology Regulatory Services (APHIS/BRS) and...

  13. A proposal to protect privacy of health information while accelerating comparative effectiveness research.

    Science.gov (United States)

    Peddicord, Douglas; Waldo, Ann B; Boutin, Marc; Grande, Tina; Gutierrez, Luis

    2010-11-01

    Current laws, practices, and concerns about privacy inhibit access to health data for research. Barriers include inconsistent Institutional Review Board policies and complicated and costly procedures to obtain the consent of patients for release of their information. To realize the promise of comparative effectiveness research, it is essential to develop a new policy framework that will allow and encourage the use of health information in all forms--fully identifiable, partially anonymized, and deidentified. We propose that health data be made available for information-based research under a so-called research safe harbor. The arrangement would include strict data security controls, standards, and practices to be promulgated by the secretary of health and human services, and an annual third-party audit to ensure compliance.

  14. [Railway medical hygiene and health protection system in Croatia between 1945 and 1953].

    Science.gov (United States)

    Lajnert, Sinisa

    2014-01-01

    This paper describes the system of medical hygiene and health care adopted by the Croatian section of Yugoslav Railways in the aftermath of World War Two until 1953, based on archival information. In 1945, the human resources section of the Railway Administration in Zagreb included the Department of Social Welfare with offices that managed health insurance in cases of illness and accidents, workers' pension fund, and sanitary care‥ On 19 June 1947, the regional railway executive board established a medical section within the so called Secretariat and appointed Dr Marijan Derkos as its head. On 3 July 1948, central and regional healthcare offices for traffic staff were established to manage and oversee the activities of health institutions providing services for railway workers. The seat of the regional office in Zagreb was in Grgurova street. After the dismantlement of the central healthcare office in charge of railway health institutions in 1953, regional boards established new institutions, that were now self-financed.

  15. [Health inequalities among occupations: epidemiologic hints for labour and social protection policies].

    Science.gov (United States)

    Costa, G

    2005-01-01

    Based on existing information systems in Italy, a program can be created for monitoring and surveillance of occupational differences in health. In recent years, a number of proposals were made for defining wearing-out jobs and for reforming the retirement age and/or required number of years of contributions: on these occasions the need to create a programme for monitoring occupational health was stressed. To this end, ISPESL (the National Institute of Occupational Safety and Prevention), in cooperation with the Epidemiology Unit of the Piedmont Region of Italy, assessed the validity of epidemiological indicators from existing sources and their use in creating a surveillance system of wearing-out jobs. The main results of the evaluations performed to date are presented herein. The results are discussed in relation to the information needs for developing both health policies and other types of policies addressing occupation. Each of the articles in this issue deals with a specific model (based on information sources available in Italy in the 1990's) for studying the relationship between health [general and cause-specific mortality; accidents and accident proneness; the main causes of chronic morbidity (cancer, diabetes, and vascular and respiratory diseases); self-reported health: perceived health, chronic illnesses; absenteeism, lifestyles, stress, working conditions] and occupation (most recent occupation or the main lifetime occupation recorded by the specific information source, using a 55-item classification created especially for this research). Here, the statistically significant associations are compared with data in the literature and discussed in light of the information needs for developing health policies and other pertinent policies. For men, the data on health indicators taken from the available information sources were adequate for identifying occupational differences in health. Certain occupations were consistently disadvantaged: masons and

  16. Practicing preventive ethics, protecting patients: challenges of the electronic health record.

    Science.gov (United States)

    Satkoske, Valerie B; Parker, Lisa S

    2010-01-01

    Implementation of guidelines regarding breaches of electronic health information requires an anticipatory stance and physician and patient education regarding security and monitoring measures and methods of redress. Adopting a preventive ethics, rather than a crisis management, model may also increase physician awareness of how the information they choose to include and privilege within the health record may expose patients to added harms if not done mindfully.

  17. Protective Eyewear

    Science.gov (United States)

    ... visual disorders, mechanisms of visual function, preservation of sight, and the special health problems and requirements of ... They protect your eyes from the sun’s ultraviolet (UV) rays, which can damage your eyes. Pick sunglasses ...

  18. Resiliency in the face of disadvantage: do Hispanic cultural characteristics protect health outcomes?

    Science.gov (United States)

    Gallo, Linda C; Penedo, Frank J; Espinosa de los Monteros, Karla; Arguelles, William

    2009-12-01

    Hispanics living in the United States may face substantial adversity, given stresses of immigration and acculturation, low incomes, poor educational and occupational opportunities, inadequate access to health care, and exposure to discrimination. Despite these disadvantages, the Hispanic population often shows equal or better health outcomes when compared to non-Hispanic Whites, a trend that has puzzled researchers and has been referred to as the "Hispanic Paradox." Hispanics with non-U.S. nativity also tend to show better health than those born in the United States, although this advantage dissipates with increasing time spent in the United States. The current article discusses the Reserve Capacity Model (L.C. Gallo & K. A. Matthews, 2003) as a potential framework for understanding how psychosocial risk and resilient factors may contribute to health disparities associated with broad sociocultural factors, such as low socioeconomic status or minority ethnicity. In addition, we examine theory concerning features of the Hispanic culture that may enhance resilience (e.g., social resources, familism, religiousness; G. Marin & B. V. Marin, 1991) in the face of adverse circumstances. We summarize some of our recent work that has empirically tested effects of risk and resilient factors in Hispanic health in the contexts of prostate cancer and cardiovascular disease. We conclude by discussing future directions and opportunities for researchers interested in culture-specific resiliency factors in relation to health outcomes.

  19. International collaboration to protect health workers from infectious diseases in Ecuador.

    Science.gov (United States)

    Lavoie, Marie-Claude; Yassi, Annalee; Bryce, Elizabeth; Fujii, Ronaldo; Logronio, Milton; Tennassee, Maritza

    2010-05-01

    The Healthy Hospital Project, an international collaboration, aimed to strengthen Ecuador's capacity to promote healthier and safer hospitals by reducing occupational transmission of infectious diseases. Team members conducted a needs assessment to identify workplace hazards and health risks in three hospitals. A survey of health care workers' knowledge and practices of occupational health (OH) and infection control (IC) revealed positive practices such as a medical waste disposal program and widespread dissemination of health information. Challenges identified included a high frequency of recapping needles and limited resources for workers to apply consistent IC measures. The survey revealed underreporting of needlestick injuries and limited OH and safety (OHS) training. Therefore, project collaborators organized a training workshop for health care workers that aimed to overcome the identified obstacles by integrating interdisciplinary local, national, and international stakeholders to build capacity and institutionalize work-related infection prevention and control measures. The knowledge transferred and experience gained led to useful hospital-based projects and serves as a basis for implementation of other OHS projects nationwide. International interdisciplinary, interinstitutional collaboration in OHS and IC can build capacity to address OHS concerns in health care.

  20. Caffeine metabolites not caffeine protect against riboflavin photosensitized oxidative damage related to skin and eye health

    DEFF Research Database (Denmark)

    Scurachio, R. S.; Mattiucci, F.; Santos, W. G.

    2016-01-01

    Caffeine metabolites were found to bind riboflavin with dissociation constant in the millimolar region by an exothermic process with positive entropy of reaction, which was found by 1H NMR and fluorescence spectroscopy to occur predominantly by hydrogen bonding with water being released from ribo...... singlet excited riboflavin through exothermic formation of ground-state precursor complexes indicating importance of hydrogen bounding through keto-enol tautomer's for protection of oxidizable substrates and sensitive structures against riboflavin photosensitization....