Forests of Nebraska, 2014

Science.gov (United States)

Dacia M. Meneguzzo; Susan J. Crocker

2015-01-01

This resource update provides an overview of forest resource attributes for Nebraska based on annual inventories conducted by the Forest Inventory and Analysis (FIA) Program of the Northern Research Station (NRS), U.S. Forest Service. The estimates presented in this update are based on field data collected in 2010-2014 with comparisons made to data collected from 2005-...

75 FR 10517 - Nebraska Public Power District, Cooper Nuclear Station; Exemption

Science.gov (United States)

2010-03-08

... NUCLEAR REGULATORY COMMISSION [Docket No. 50-298; NRC-2010-0061] Nebraska Public Power District, Cooper Nuclear Station; Exemption 1.0 Background Nebraska Public Power District (NPPD or the licensee) is the holder of Facility Operating License No. DPR-46 which authorizes operation of the Cooper Nuclear...

Nebraska wind resource assessment first year results

Energy Technology Data Exchange (ETDEWEB)

Hurley, P.J.F.; Vilhauer, R. [RLA Consulting, Inc., Bothell, WA (United States); Stooksbury, D. [Univ. of Nebraska, Lincoln, NE (United States)

1996-12-31

This paper presents the preliminary results from a wind resource assessment program in Nebraska sponsored by the Nebraska Power Association. During the first year the measured annual wind speed at 40 meters ranged from 6.5 - 7.5 m/s (14.6 - 16.8 mph) at eight stations across the state. The site selection process is discussed as well as an overview of the site characteristics at the monitoring locations. Results from the first year monitoring period including data recovery rate, directionality, average wind speeds, wind shear, and turbulence intensity are presented. Results from the eight sites are qualitatively compared with other midwest and west coast locations. 5 figs., 2 tabs.

Forests of Nebraska, 2015

Science.gov (United States)

Dacia M. Meneguzzo

2016-01-01

This resource update provides an overview of forest resources in Nebraska based on inventories conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program of the Northern Research Station. For annual inventory years 2001-2013, the sample length was equal to 5 years. Beginning in 2014, the cycle length was changed to 7 years. For the 2015 inventory...

Nebraska Prostate Cancer Research Program

Science.gov (United States)

2015-10-01

STUDENT ENGAGEMENT Welcome 2 UNMC 3 Omaha 4 Arrival 5-6 Living 7 Events 8...Graduates 9-11 Channing Bunch, M.B.A Director of Recruitment and Student Engagement channing.bunch...Program, Eppley Institute, Office of Research and Development, and Recruitment and Student Engagement Responses to Nebraska Prostate

76 FR 53020 - Nebraska Disaster #NE-00041

Science.gov (United States)

2011-08-24

...): Nebraska: Antelope, Cedar, Cuming, Dodge, Holt, Keya Paha, Lancaster, Otoe, Pierce, Rock, Saunders..., Charles Mix, Clay, Gregory, Union, Yankton. The Interest Rates are: Percent For Physical Damage...

Cost-Effectiveness Analysis of the Residential Provisions of the 2015 IECC for Nebraska

Energy Technology Data Exchange (ETDEWEB)

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

2016-02-15

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

Analysis of Maize versus Ethanol Production in Nebraska, United States and International Agricultural Droughts: Lessons for Global Food Security

Science.gov (United States)

Boken, V.; Tenkorang, F.

2012-04-01

Nebraska is one of the eight main corn (maize) belt states of the United States. Maize is the major crop of Nebraska with an average annual production of about 38 million tons (about 12% of U.S. production), which contributes billions of dollars to the state's economy. The yield of maize has increased significantly over the past century - from 1.6 t/ha in 1900 to 10.4 t/ha in 2010. While the majority of maize (about 40%) is currently used for animal feed and ethanol production, only about six percent is exported. It is estimated that about one billion people accounting for about 15% population of the world live in chronic hunger because of low agricultural productivity and drought. Most of these people depend on the U.S. for grains including maize. If a greater quantity of maize is diverted to ethanol production, considerably less quantity of maize would be available for export to developing countries where it could be used for human consumption and to mitigate hunger and improve food security. This paper presents analysis of maize production in Nebraska for the past three decades and examines how its commercialization for ethanol production has affected its exports in the face of drought at an international level.

75 FR 33389 - TierOne Bank Lincoln, Nebraska; Notice of Appointment of Receiver

Science.gov (United States)

2010-06-11

... DEPARTMENT OF THE TREASURY Office of Thrift Supervision TierOne Bank Lincoln, Nebraska; Notice of... the Home Owners' Loan Act, the Office of Thrift Supervision has duly appointed the Federal Deposit Insurance Corporation as sole Receiver for TierOne Bank, Lincoln, Nebraska, (OTS No. 03309), on June 4, 2010...

Estimate of self-supplied domestic water use in Nebraska during 1980

Science.gov (United States)

Steele, E.K.

1985-01-01

No data base of actual measurements exists for self-supplied, domestic water use in Nebraska, because Nebraska laws do not require drilling permits, well registration, or reporting of volumes withdrawn from domestic wells. Self-supplied, domestic water use of 31,280 acre-ft in Nebraska during 1980 was computed from estimates of gal/day/capita use for each county. This represents an average of 95 gal/day/capita. During 1980, county use volumes ranged from 30 acre-ft in Hooker and Pawnee Counties to 1,380 acre-ft in Douglas County, and Hydrologic Unit use volumes ranged from < 5 acre-ft to 2,270 acre-ft. Natural Resources Districts ' (NRD) use volumes ranged from 360 acre-ft in Middle Niobrara NRD to 3,530 acre-feet in the Lower Elkhorn NRD for the same period. (Author 's abstract)

Estimate of livestock water use in Nebraska during 1980

Science.gov (United States)

Steele, E.K.

1986-01-01

The estimated volume of 148,120 acre-ft of water used by livestock in Nebraska during 1980 is the second largest (after Texas) volume used for livestock production in the fifty Sates. Although water used by livestock is a small percentage of the total water used in Nebraska, this use has a major impact on the farm economy of the State, as livestock sales accounted for 59% of the total farm market cash receipts in 1980. About 16%, or 23 ,590 acre-ft, of this use is estimated to be from surface water sources, with the remaining 124,530 acre-ft pumped from the State 's groundwater supply. The estimated livestock water use in Nebraska 's 93 counties during 1980 ranged from 340 acre-ft in Hooker County to 6,770 acre-ft in Cherry County. Livestock water use by Hydrologic Units ranged from 20 acre-ft in the Hat Creek basin 10120106) to 10,370 acre-ft in the Elkhorn River basin, and the Natural Resources Districts ' use ranged from 1 ,880 acre-ft in the South Platte NRD to 17,830 acre-ft in the Lower Elkhorn NRD. (Author 's abstract)

Nebraska withdraws its intent to deny site license

International Nuclear Information System (INIS)

Anon.

1993-01-01

The state of Nebraska has withdrawn its notice of intent to deny the US Ecology (USE) license application for the proposed low-level radioactive waste disposal site in Boyd County, near Butte, Neb. On October 4, after review of USE's August 27 submittal of a revision to the boundaries of the proposed site, a letter from the state's Department of Health (DOH) and Department of Environmental Quality (DEQ) to John. H. DeOld, the USE project manager for the Central Interstate Compact's proposed LLW site, noted that open-quotes...we are hereby withdrawing the Notice of Intent to Deny License as a moot, and will conduct a substantive review of the reconfigured site for compliance with the applicable regulations.close quotes

Paper birch decline in the Niobrara River Valley, Nebraska: Weather, microclimate, and birch stand conditions

Science.gov (United States)

Stroh, Esther D.; Miller, Joel P.

2009-01-01

The Niobrara River Valley in north-central Nebraska supports scattered stands of paper birch (Betula papyrifera Marsh), a species more typical of boreal forests. These birch stands are considered to be relictual populations that have persisted since the end of the Wisconsin glaciation, when regional flora was more boreal in nature (Wright 1970, Kaul and others, 1988). Dieback of canopy-sized birch has been observed throughout the Niobrara Valley in recent years, although no onset dates are documented. The current dieback event probably started around or after the early 1980’s. The study objectives were to understand microclimatic conditions in birch stands relative to nearby weather stations and historic weather conditions, and to assess current health conditions of individual birch trees. Temperature was measured every half-hour from June 2005 through October 2007 in 12 birch stands and individual birch tree health was measured as expressed by percent living canopy in these and 13 additional stands in spring 2006 and 2007. Birch site microclimate was compared to data from a National Weather Service station in Valentine, Nebraska, and to an automated weather station at The Nature Conservancy Niobrara Valley Preserve 24 kilometers north of Johnstown, Nebraska. Historic weather data from the Valentine station and another National Weather Service Station at Ainsworth, Nebraska, were used to reconstruct minimum and maximum temperature at The Nature Conservancy and one microclimate monitoring station using Kalman filtering and smoothing algorithms. Birch stand microclimate differed from local weather stations as well as among stands. Birch health was associated with annual minimum temperature regimes; those stands whose annual daily minimum temperature regimes were most like The Nature Conservancy station contained smaller proportions of living trees. Frequency of freeze/thaw conditions capable of inducing rootlet injury and subsequent crown dieback significantly have

Estimated use of water in Nebraska, 1985

Science.gov (United States)

Steele, Eugene K.

1988-01-01

The estimated volume of 19,187,200 acre-feet of water used in Nebraska during 1985 is an average of 17,116.15 million gallons per day. Surface water supplied 12,925,040 acre-feet or 67.4 percent of the total volume used. The

75 FR 50746 - Agenda and Notice of Public Meeting of the Nebraska Advisory Committee

Science.gov (United States)

2010-08-17

... Civil Rights (Commission), and the Federal Advisory Committee Act (FACA), that a meeting of the Nebraska... COMMISSION ON CIVIL RIGHTS Agenda and Notice of Public Meeting of the Nebraska Advisory Committee... Avenue, Suite 908, Kansas City, Kansas 66101. Persons wishing to e-mail their comments, or to present...

Final Work Plan: Targeted Investigation at York, Nebraska

Energy Technology Data Exchange (ETDEWEB)

LaFreniere, Lorraine M. [Argonne National Lab. (ANL), Argonne, IL (United States)

2016-08-01

The targeted investigation at York will be implemented in phases, so that data collected and interpretations developed at each stage of the program can be evaluated to guide subsequent phases most effectively. Section 2 of this Work Plan presents a brief overview of the York site, its geologic and hydrologic setting, and the previous CCC/USDA investigations. Section 3, outlines the proposed technical program for the targeted investigation, and Section 4 describes the investigative methods to be employed. A community relations plan is in Section 5, and Section 6 includes health and safety information. In addition to this site-specific Work Plan, the Master Work Plan (Argonne 2002) developed by Argonne for CCC/USDA investigations in Nebraska should be consulted for complete details of the methods and procedures to be used at York.

Call to action: Better care, better health, and greater value in college health.

Science.gov (United States)

Ciotoli, Carlo; Smith, Allison J; Keeling, Richard P

2018-03-05

It is time for action by leaders across higher education to strengthen quality improvement (QI) in college health, in pursuit of better care, better health, and increased value - goals closely linked to students' learning and success. The size and importance of the college student population; the connections between wellbeing, and therefore QI, and student success; the need for improved standards and greater accountability; and the positive contributions of QI to employee satisfaction and professionalism all warrant a widespread commitment to building greater capacity and capability for QI in college health. This report aims to inspire, motivate, and challenge college health professionals and their colleagues, campus leaders, and national entities to take both immediate and sustainable steps to bring QI to the forefront of college health practice - and, by doing so, to elevate care, health, and value of college health as a key pathway to advancing student success.

Farm Women, Solidarity, and "The Suffrage Messenger": Nebraska Suffrage Activism on the Plains, 1915-1917

Science.gov (United States)

Heider, Carmen

2012-01-01

In 1914 Nebraska men once again voted against the amendment that would have granted full suffrage to Nebraska women. This article focuses on the three years immediately after that defeat. It explores the remaining seventeen issues of the "Suffrage Messenger" and asks the following question: how did the suffrage newspaper portray and…

Sediment loads and transport at constructed chutes along the Missouri River - Upper Hamburg Chute near Nebraska City, Nebraska, and Kansas Chute near Peru, Nebraska

Science.gov (United States)

Densmore, Brenda K.; Rus, David L.; Moser, Matthew T.; Hall, Brent M.; Andersen, Michael J.

2016-02-04

The U.S. Geological Survey, in cooperation with the U.S. Army Corps of Engineers, monitored suspended sediment within constructed Missouri River chutes during March through October 2012. Chutes were constructed at selected river bends by the U.S. Army Corps of Engineers to help mitigate aquatic habitat lost through the creation and maintenance of the navigation channel on the Missouri River. The restoration and development of chutes is one method for creating shallow-water habitat within the Missouri River to meet requirements established by the amended 2000 Biological Opinion. Understanding geomorphic channel-evolution processes and sediment transport is important for the design of chutes, monitoring and maintenance of existing chutes, and characterizing the habitat that the chutes provide. This report describes the methods used to monitor suspended sediment at two Missouri River chutes and presents the results of the data analysis to help understand the suspended-sediment characteristics of each chute and the effect the chutes have on the Missouri River. Upper Hamburg chute, near Nebraska City, Nebraska, and Kansas chute, near Peru, Nebraska, were selected for monitoring. At each study site, monthly discrete samples were collected from April through October in the Missouri River main-channel transects upstream from the chute inlet, downstream from the chute outlet, at the outlet (downstream transect) of both chutes, and at the inlet (upstream transect) of Kansas chute. In addition, grab samples from all chute sampling locations were collected using autosamplers. Suspended-sediment concentration (SSC) and grain-size metrics were determined for all samples (discrete and grab). Continuous water-quality monitors recorded turbidity and water temperature at 15-minute intervals at the three chute sampling locations. Two acoustic Doppler velocimeters, one within each chute, measured water depth and current velocities continuously. The depth and velocity data were used to

Indiana and the Kansas-Nebraska Act of 1854.

Science.gov (United States)

Medland, William J.; Rosenberg, Morton M.

1984-01-01

The Kansas-Nebraska Act, which repealed the ban against slavery in the North, served as a catalyst to activate numerous groups which were unhappy with the Indiana Democratic Party. From this period emerged the new Republican party and also a revitalized Democratic party with new leadership. (IS)

Proceedings of the Annual Nebraska Aviation Education Association Conference (1st, Omaha, Nebraska, January 1994). The UNO Aviation Monograph Series.

Science.gov (United States)

Crehan, James E., Ed.

This collection of six papers constitutes the proceedings of the First Annual Conference of the Nebraska Aviation Education Association. These papers present many issues that the discipline of aviation is confronting, including those related to the aviation industry. The papers included are as follows: (1) "Using the DAT for Selection of…

Use of the Nebraska Mesonet to Engage the Public in the 2017 Eclipse Event

Science.gov (United States)

Cooper, S. R.; Richter-Ryerson, S.; Shulski, M.; Roebke, G.

2017-12-01

The 21 August 2017 Solar Eclipse promises to be the best observable solar eclipse for the Great Plains of the United States in recent history. The Nebraska State Climate Office has embarked upon a campaign of combining real-time Nebraska Mesonet observations, specifically shortwave downward radiation, with GOES-16 multispectral imagery, and social media solicited citizen images of the event to provide a multiple faceted record of the event. Providing a real-time view of the eclipse via satellite imagery and pyranometer output for web users will act as a hook to solicit images and testimonial from observers in the Great Plains to help enhance the record. The desired result is to provide excitement in the science of what is happening, along with promotion of the Nebraska State Climate Office and the services it provides.

Implementation of warm-mix asphalt mixtures in Nebraska pavements.

Science.gov (United States)

2012-07-01

The primary objective of this research is to evaluate the feasibility of several WMA mixtures as potential asphalt paving : mixtures for Nebraska pavements. To that end, three well-known WMA additives (i.e., Sasobit, Evotherm, and Advera : synthetic ...

Nebraska Department of Transportation - Clean Water Act Public Notice

Science.gov (United States)

The EPA is providing notice of a proposed Administrative Penalty Assessment against the Nebraska Department of Transportation, a state agency located at 1500 Highway 2, Lincoln, NE 68509, for alleged violations of its municipal separate stormwater sewer sy

Water Quality of Combined Sewer Overflows, Stormwater, and Streams, Omaha, Nebraska, 2006-07

Science.gov (United States)

Vogel, Jason R.; Frankforter, Jill D.; Rus, David L.; Hobza, Christopher M.; Moser, Matthew T.

2009-01-01

The U.S. Geological Survey, in cooperation with the City of Omaha, investigated the water quality of combined sewer overflows, stormwater, and streams in the Omaha, Nebraska, area by collecting and analyzing 1,175 water samples from August 2006 through October 2007. The study area included the drainage area of Papillion Creek at Capeheart Road near Bellevue, Nebraska, which encompasses the tributary drainages of the Big and Little Papillion Creeks and Cole Creek, along with the Missouri River reach that is adjacent to Omaha. Of the 101 constituents analyzed during the study, 100 were detected in at least 1 sample during the study. Spatial and seasonal comparisons were completed for environmental samples. Measured concentrations in stream samples were compared to water-quality criteria for pollutants of concern. Finally, the mass loads of water-quality constituents in the combined sewer overflow discharges, stormwater outfalls, and streams were computed and compared. The results of the study indicate that combined sewer overflow and stormwater discharges are affecting the water quality of the streams in the Omaha area. At the Papillion Creek Basin sites, Escherichia coli densities were greater than 126 units per 100 milliliters in 99 percent of the samples (212 of 213 samples analyzed for Escherichia coli) collected during the recreational-use season from May through September (in 2006 and 2007). Escherichia coli densities in 76 percent of Missouri River samples (39 of 51 samples) were greater than 126 units per 100 milliliters in samples collected from May through September (in 2006 and 2007). None of the constituents with human health criteria for consumption of water, fish, and other aquatic organisms were detected at levels greater than the criteria in any of the samples collected during this study. Total phosphorus concentrations in water samples collected in the Papillion Creek Basin were in excess of the U.S. Environmental Protection Agency's proposed

Future economic outlook of Nebraska rural community pharmacies based on break-even analysis of community operational costs and county population.

Science.gov (United States)

Keast, Shellie L; Jacobs, Elgene; Harrison, Donald; Farmer, Kevin; Thompson, David

2010-09-01

There is growing concern over increasingly limited access to local health care, including pharmacies, for rural citizens of the United States. Although geographically distant from most competitors, rural pharmacies may still struggle to generate an acceptable profit to remain economically viable. Therefore, a method for calculating the economic viability for a community pharmacy to recruit a potential new owner to assume the entrepreneurial risk is an important issue to consider when evaluating rural pharmacy access. The primary objective of this study was to use a modified break-even analysis to predict the future financial potential of the current pharmacy business to attract a new owner. The secondary objective was to forecast a risk level for a Nebraska county to sustain the number of pharmacies in the country beyond current ownership. This research used data provided by pharmacies that responded to a Nebraska Medicaid cost of dispensing (COD) survey in addition to data from the US Census Bureau, US Office of Management and Budget, and the Nebraska State Board of Pharmacy. Break-even analysis was used to determine the point where the prescription volume of the pharmacy not only covered the variable and fixed costs but also maintained a reasonable profit to attract new ownership. Counties were classified into 3 risk levels based on the projected available prescription volume and the number of pharmacies in each county. Sensitivity analysis was performed on the risk levels to determine the impact of variance in projected available prescription volume on the projected future outlook for the pharmacies in each county. Regression analysis of responses to the COD survey indicated that the annual break-even prescription volume ranged from 44,790 to 49,246 prescriptions per pharmacy per annum. The number of rural Nebraska pharmacies was projected to decline from 126 to 78. The number of counties in Nebraska without a single pharmacy was projected to increase from 19 to

Performance of an Interpolated Stochastic Weather Generator in Czechia and Nebraska

Science.gov (United States)

Dubrovsky, M.; Trnka, M.; Hayes, M. J.; Svoboda, M. D.; Semeradova, D.; Metelka, L.; Hlavinka, P.

2008-12-01

Met&Roll is a WGEN-like parametric four-variate daily weather generator (WG), with an optional extension allowing the user to generate additional variables (i.e. wind and water vapor pressure). It is designed to produce synthetic weather series representing present and/or future climate conditions to be used as an input into various models (e.g. crop growth and rainfall runoff models). The present contribution will summarize recent experiments, in which we tested the performance of the interpolated WG, with the aim to examine whether the WG may be used to produce synthetic weather series even for sites having no meteorological observations. The experiments being discussed include: (1) the comparison of various interpolation methods where the performance of the candidate methods is compared in terms of the accuracy of the interpolation for selected WG parameters; (2) assessing the ability of the interpolated WG in the territories of Czechia and Nebraska to reproduce extreme temperature and precipitation characteristics; (3) indirect validation of the interpolated WG in terms of the modeled crop yields simulated by STICS crop growth model (in Czechia); and (4) indirect validation of interpolated WG in terms of soil climate regime characteristics simulated by the SoilClim model (Czechia and Nebraska). The experiments are based on observed daily weather series from two regions: Czechia (area = 78864 km2, 125 stations available) and Nebraska (area = 200520 km2, 28 stations available). Even though Nebraska exhibits a much lower density of stations, this is offset by the state's relatively flat topography, which is an advantage in using the interpolated WG. Acknowledgements: The present study is supported by the AMVIS-KONTAKT project (ME 844) and the GAAV Grant Agency (project IAA300420806).

Aeronautics Education, Research, and Industry Alliance (AERIAL) Progress Report and Proposal for Funding Continuation NASA Nebraska EPSCoR

Science.gov (United States)

Bowen, Brent; Fink, Mary; Gogos, George; Moussavi, Massoum; Nickerson, Jocelyn; Rundquist, Donald; Russell, Valerie; Tarry, Scott

2004-01-01

The Aeronautics Education, Research, and Industry Alliance (AERIAL), which began as a comprehensive, multi-faceted NASA EPSCoR 2000 initiative, has contributed substantially to the strategic research and technology priorities of NASA, while intensifying Nebraska's rapidly growing aeronautics research and development endeavors. AERIAL has enabled Nebraska researchers to: (a) continue strengthening their collaborative relationships with NASA Field Centers, Codes, and Enterprises; (b) increase the capacity of higher education throughout Nebraska to invigorate and expand aeronautics research; and (c) expedite the development of aeronautics-related research infrastructure and industry in the state. Nebraska has placed emphasis on successfully securing additional funds from non-EPSCoR and non-NASA sources. AERIAL researchers have aggressively pursued additional funding opportunities offered by NASA, industry, and other agencies. This report contains a summary of AERIAL's activities and accomplishments during its first three years of implementation.

Streambed adjustment and channel widening in eastern Nebraska

Science.gov (United States)

Rus, David L.; Dietsch, Benjamin J.; Simon, Andrew

2003-01-01

In eastern Nebraska, stream straightening and dredging efforts since the 1890s have disturbed the natural equilibrium of stream channels and have led to streambed adjustment by degradation and subsequent channel widening. This report describes a study to evaluate the effect these disturbances have had on stream channels in eastern Nebraska. Two sets of survey data were collected approximately 2 years apart during 1996-99 at 151 primary sites. Additionally, historical streambed-elevation data (dating back to the 1890s) were compiled from several sources for the primary sites and 45 supplemental sites, and relevant disturbances were identified for each of eight basin groupings. Streambed-elevation data sets were used to estimate the amount of change to the streambed at the sites over the time period of the data. Recent channel widening was documented for 73 of the primary sites by comparing the two survey sets. The majority of observed streambed-gradation responses appear to be related to the various straightening efforts and to the effects of grade-control structures in the study area. Channel responses were complicated by the presence of multiple disturbances. However, in many cases, the streambed-elevation data sets provide a reliable representation of the past streambed gradation, with some sites showing 6 to 7 meters of degradation since they were straightened. Many sites that had been straightened showed considerable degradation following the disturbance. This indicates that eastern Nebraska stream channels can regain equilibrium mainly through the slope adjustment process of head-ward-progressing degradation. Bank failures were documented at sites in all eight of the basin groupings analyzed, and widening rates were computed at 64 of 73 sites. Observed bank widening in the Big Blue River Basin, a relatively unstraightened basin, indicates that other disturbances besides stream-channel straightening may be causing channel responses in the basin and possibly in

Nebraska's forests, 2005: statistics, methods, and quality assurance

Science.gov (United States)

Patrick D. Miles; Dacia M. Meneguzzo; Charles J. Barnett

2011-01-01

The first full annual inventory of Nebraska's forests was completed in 2005 after 8,335 plots were selected and 274 forested plots were visited and measured. This report includes detailed information on forest inventory methods, and data quality estimates. Tables of various important resource statistics are presented. Detailed analysis of the inventory data are...

Stress, Depression, and Occupational Injury among Migrant Farmworkers in Nebraska

Directory of Open Access Journals (Sweden)

Athena K. Ramos

2016-10-01

Full Text Available Agriculture is one of the most dangerous industries in the United States. Farmworkers, including migrant farmworkers, are at risk for work-related injuries. This study explores the association between stress, depression, and occupational injury among migrant farmworkers in Nebraska. Occupational injury was hypothesized to significantly increase the odds of farmworkers being stressed and depressed. Two hundred migrant farmworkers (mean age = 33.5 years, standard deviation (SD = 12.53; 93.0% men, 92.9% of Mexican descent were interviewed. In bivariate analyses, results indicated that stress and depression were positively associated with occupational injury. Two logistic regression models were developed. Occupational injury was a significant factor for depression, but not for stress. Participants who had been injured on the job were over seven times more likely to be depressed. These results highlight the interconnection between the work environment and mental health. More must be done to foster well-being in rural, agricultural communities. Improving occupational health and safety information and training, integrating behavioral health services into primary care settings, and strengthening the protections of the Migrant and Seasonal Agricultural Worker Protection Act may improve conditions for migrant farmworkers in the rural Midwest.

Hydrogeomorphic and hydraulic habitats of the Niobrara River, Nebraska-with special emphasis on the Niobrara National Scenic River

Science.gov (United States)

Alexander, Jason S.; Zelt, Ronald B.; Schaepe, Nathan J.

2010-01-01

length of river, are: a width-restricted valley confinement condition, sinuous-planview pattern, irregular channel width, and an alternate bar configuration. The Niobrara River in the study area flows through a diversity of fluvial geomorphic settings in its traverse across northern Nebraska. In the Meandering Bottoms (MB) fluvial geomorphic province, river discharge magnitudes are low, and the valley exerts little control on the channel-planview pattern. Within the CRB province, the river flows over a diversity of geologic formations, and the valley and river narrow and expand in approximate synchronicity. In the Braided Bottoms (BB) fluvial geomorphic province, the river primarily flows over Cretaceous Pierre Shale, the valley and channel are persistently wide, and the channel slope is generally uniform. The existence of vegetated islands and consequent multithread channel environments, indicated by a higher braided index, mostly coincided with reaches having gentler slopes and less unit stream power. Longitudinal hydrology curves indicate that the flow of the Niobrara River likely is dominated by groundwater as far downstream as Norden. Unit stream power values in the study area vary between 0 and almost 2 pounds per foot per second. Within the MB province, unit stream power steadily increases as the Niobrara gains discharge from groundwater inflow, and the channel slope steepens. The combination of steep slopes, a constrained channel width, and persistent flow within the CRB province results in unit stream power values that are between three and five times greater than those in less confined segments with comparable or greater discharges. With the exception of hydrogeomorphic segment 3, which is affected by Spencer Dam, unit stream power values in the BB province are generally uniform. Channel sinuosity values in the study area varied generally between 1 and 2.5, but with locally higher values measured in the MB province and at the entrenched bedrock me

Aerospace Workforce Development: The Nebraska Proposal; and Native View Connections: A Multi-Consortium Workforce Development Proposal. UNO Aviation Monograph Series

Science.gov (United States)

Bowen, Brent D.; Russell, Valerie; Vlasek, Karisa; Avery, Shelly; Calamaio, Larry; Carstenson, Larry; Farritor, Shane; deSilva, Shan; Dugan, James; Farr, Lynne

2003-01-01

The NASA Nebraska Space Grant Consortium (NSGC) continues to recognize the necessity of increasing the quantity and quality of highly skilled graduates and faculty involved with NASA. Through NASA Workforce Development funds awarded in 2002, NSGC spearheaded customer- focused workforce training and higher education, industry and community partnerships that are significantly impacting the state s workforce in the science, technology, engineering, and mathematics (STEM) competencies. NSGC proposes to build upon these accomplishments to meet the steadily increasing demand for STEM skills and to safeguard minority representation in these disciplines. A wide range of workforce development activities target NASA s need to establish stronger connections among higher education, industry, and community organizations. Participation in the National Student Satellite Program (NSSP), Community Internship Program, and Nebraska Science and Technology Recruitment Fair will extend the pipeline of employees benefiting NASA as well as Nebraska. The diversity component of this proposal catapults from the exceptional reputation NSGC has built by delivering geospatial science experiences to Nebraska s Native Americans. For 6 years, NSGC has fostered and sustained partnerships with the 2 tribal colleges and 4 reservation school districts in Nebraska to foster aeronautics education and outreach. This program, the Nebraska Native American Outreach Program (NNAOP), has grown to incorporate more than educational institutions and is now a partnership among tribal community leaders, academia, tribal schools, and industry. The content focus has broadened from aeronautics in the school systems to aerospace technology and earth science applications in tribal community decision-making and workforce training on the reservations. To date, participants include faculty and staff at 4 Nebraska tribal schools, 2 tribal colleges, approximately 1,000 Native American youth, and over 1,200 community members

Digital Learning Compass: Distance Education State Almanac 2017. Nebraska

Science.gov (United States)

Seaman, Julia E.; Seaman, Jeff

2017-01-01

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

Results from utility wind resource assessment programs in Nebraska, Colorado, and Arizona

Energy Technology Data Exchange (ETDEWEB)

Drapeau, C.L. [Global Energy Concepts, Inc., Bothell, WA (United States)

1997-12-31

Global Energy Concepts (GEC) has been retained by utilities in Colorado, Nebraska, and Arizona to site, install, and operate 21 wind monitoring stations as part of the Utility Wind Resource Assessment Program (U*WRAP). Preliminary results indicate wind speed averages at 40 meters (132 ft) of 6.5 - 7.4 m/s (14.5-16.5 mph) in Nebraska and 7.6 - 8.9 m/s (17.0-19.9 mph) in Colorado. The Arizona stations are not yet operational. This paper presents the history and current status of the 21 monitoring stations as well as preliminary data results. Information on wind speeds, wind direction, turbulence intensity, wind shear, frequency distribution, and data recovery rates are provided.

Airborne geophysical surveys conducted in western Nebraska, 2010: contractor reports and data

Science.gov (United States)

,

2014-01-01

This report contains three contractor reports and data files for an airborne electromagnetic survey flown from June 28 to July 7, 2010. The first report; “SkyTEM Survey: Nebraska, USA, Data” describes data aquisition and processing from a time-domain electromagnetic and magnetic survey performed by SkyTEM Canada, Inc. (the North American SkyTEM subsidiary), in western Nebraska, USA. Digital data for this report are given in Appendix 1. The airborne geophysical data from the SkyTEM survey subsequently were processed and inverted by Aarhus Geophysics ApS, Aarhus, Denmark, to produce resistivity depth sections along each flight line. The result of that processing is described in two reports presented in Appendix 2, “Processing and inversion of SkyTEM data from USGS Area UTM–13” and “Processing and inversion of SkyTEM data from USGS Area UTM–14.” Funding for these surveys was provided by the North Platte Natural Resources District, the South Platte Natural Resources District, and the Twin Platte Natural Resources District, in Scottsbluff, Sidney, and North Platte, Nebraska, respectively. Any additional information concerning the geophysical data may be obtained from the U.S. Geological Survey Crustal Geophysics and Geochemistry Science Center, Denver Colorado.

Project plan-Surficial geologic mapping and hydrogeologic framework studies in the Greater Platte River Basins (Central Great Plains) in support of ecosystem and climate change research

Science.gov (United States)

Berry, Margaret E.; Lundstrom, Scott C.; Slate, Janet L.; Muhs, Daniel R.; Sawyer, David A.; VanSistine, D. Paco

2011-01-01

The Greater Platte River Basin area spans a central part of the Midcontinent and Great Plains from the Rocky Mountains on the west to the Missouri River on the east, and is defined to include drainage areas of the Platte, Niobrara, and Republican Rivers, the Rainwater Basin, and other adjoining areas overlying the northern High Plains aquifer. The Greater Platte River Basin contains abundant surficial deposits that were sensitive to, or are reflective of, the climate under which they formed: deposits from multiple glaciations in the mountain headwaters of the North and South Platte Rivers and from continental ice sheets in eastern Nebraska; fluvial terraces (ranging from Tertiary to Holocene in age) along the rivers and streams; vast areas of eolian sand in the Nebraska Sand Hills and other dune fields (recording multiple episodes of dune activity); thick sequences of windblown silt (loess); and sediment deposited in numerous lakes and wetlands. In addition, the Greater Platte River Basin overlies and contributes surface water to the High Plains aquifer, a nationally important groundwater system that underlies parts of eight states and sustains one of the major agricultural areas of the United States. The area also provides critical nesting habitat for birds such as plovers and terns, and roosting habitat for cranes and other migratory birds that travel through the Central Flyway of North America. This broad area, containing fragile ecosystems that could be further threatened by changes in climate and land use, has been identified by the USGS and the University of Nebraska-Lincoln as a region where intensive collaborative research could lead to a better understanding of climate change and what might be done to adapt to or mitigate its adverse effects to ecosystems and to humans. The need for robust data on the geologic framework of ecosystems in the Greater Platte River Basin has been acknowledged in proceedings from the 2008 Climate Change Workshop and in draft

Trends in Streamflow Characteristics of Selected Sites in the Elkhorn River, Salt Creek, and Lower Platte River Basins, Eastern Nebraska, 1928-2004, and Evaluation of Streamflows in Relation to Instream-Flow Criteria, 1953-2004

Science.gov (United States)

Dietsch, Benjamin J.; Godberson, Julie A.; Steele, Gregory V.

2009-01-01

(06800000), Elkhorn River at Waterloo (06800500), Salt Creek at Greenwood (06803555), and Platte River at Louisville (06805500). In general, sites in the Elkhorn River Basin upstream from Norfolk showed fewer significant trends than did sites downstream from Norfolk and sites in the Platte River and Salt Creek basins, where trends in low flows also were positive. Historical Platte River streamflow records for the streamflow-gaging station at Louisville, Nebraska, were used to determine the number of days per water year (Sept. 30 to Oct. 1) when flows failed to satisfy the minimum criteria of the instream-flow appropriation prior to its filing in 1993. Before 1993, the median number of days the criteria were not satisfied was about 120 days per water year. During 1993 through 2004, daily mean flows at Louisville, Nebraska, have failed to satisfy the criteria for 638 days total (median value equals 21.5 days per year). Most of these low-flow intervals occurred in summer through early fall. For water years 1953 through 2004, of the discrete intervals when flow was less that the criteria levels, 61 percent were 3 days or greater in duration, and 38 percent were 7 days or greater in duration. The median duration of intervals of flow less than the criteria levels was 4 consecutive days during 1953 through 2004.

Tax-Credit Scholarships in Nebraska: Forecasting the Fiscal Impact

Science.gov (United States)

Gottlob, Brian

2010-01-01

This study seeks to inform the debate over a proposal in Nebraska to give tax credits for contributions to organizations that provide scholarships to K-12 private schools. The study constructs a model to determine the fiscal impact of tax-credit scholarships on the state and on local school districts. The author estimates the impact that…

Comparative spring-staging ecology of sympatric arctic-nesting geese in south-central Nebraska

Science.gov (United States)

Pearse, Aaron T.; Krapu, Gary L.; Cox, Robert R.

2013-01-01

The Rainwater Basin in Nebraska has been a historic staging area for midcontinent greater white-fronted geese (Anser albifrons frontalis) since the 1950s and, in the mid-1990s, millions of midcontinent lesser snow geese (Chen caerulescens caerulescens) expanded their spring migration route to include this region. In response to speculation that snow geese may be in direct competition with white-fronted geese, we compared staging ecology by quantifying diet, habitat use, movement patterns, and time budgets during springs 1998–1999. Collected white-fronted geese (n  =  190) and snow geese (n  =  203) consumed primarily corn (Zea mays; 97–98% aggregate dry mass) while staging in Nebraska; thus, diet overlap was nearly complete. Both species used cornfields most frequently during the morning (54–55%) and wetlands more during the afternoon (51–65%). When found grouped together, snow goose abundance was greater than white-fronted goose abundance by an average of 57 times (se  =  11, n  =  131 groups) in crop fields and 28 times (se  =  9, n  =  84 groups) in wetlands. Snow geese and white-fronted geese flew similar distances between roosting and feeding sites, leaving and returning to wetland roost sties at similar times in mornings and afternoons. Overlap in habitat-specific time budgets was high; resting was the most common behavior on wetlands, and foraging was a common behavior in fields. We observed 111 interspecific agonistic interactions while observing white-fronted and snow geese. White-fronted geese initiated and dominated more interactions with other waterfowl species than did snow geese (32 vs. 14%). Certain aspects of spring-staging niches (i.e., diet, habitat use, movement patterns, and habitat-specific behavior) of white-fronted and snow geese overlapped greatly at this mid-latitude staging site, creating opportunity for potential food- and habitat-based competition between species. Snow geese did not consistently dominate

A greater voice for academic health sciences libraries: the Association of Academic Health Sciences Libraries' vision.

Science.gov (United States)

Bunting, Alison

2003-04-01

The founders of the Association of Academic Health Sciences Libraries (AAHSL) envisioned the development of a professional organization that would provide a greater voice for academic health sciences libraries, facilitate cooperation and communication with the Association of American Medical Colleges, and create a forum for identifying problems and solutions that are common to academic health sciences libraries. This article focuses on the fulfillment of the "greater voice" vision by describing action and leadership by AAHSL and its members on issues that directly influenced the role of academic health sciences libraries. These include AAHSL's participation in the work that led to the publication of the landmark report, Academic Information in the Academic Health Sciences Center: Roles for the Library in Information Management; its contributions to the recommendations of the Physicians for the Twenty-first Century: The GPEP Report; and the joint publication with the Medical Library Association of Challenge to Action: Planning and Evaluation Guidelines for Academic Health Sciences Libraries.

Final Work Plan: Phase I Investigation at Bladen, Nebraska

Energy Technology Data Exchange (ETDEWEB)

LaFreniere, Lorraine M. [Argonne National Lab. (ANL), Argonne, IL (United States). Environmental Science Division. Applied Geosciences and Environmental Management Section; Yan, Eugene [Argonne National Lab. (ANL), Argonne, IL (United States). Environmental Science Division

2014-07-01

The village of Bladen is a town of population approximately 237 in the northwest part of Webster County, Nebraska, 30 mi southwest of Hastings and 140 mi southwest of Lincoln, Nebraska. In 2000, the fumigant-related compound carbon tetrachloride was detected in public water supply well PWS 68-1, at a trace level. Low-level contamination, below the maximum contamination level (MCL) of 5.0 μg/L, has been detected intermittently in well PWS 68-1 since 2000, including in the last sample taken in July 2013. In 2006, the village installed a new well, PWS 2006-1, that remains free of contamination. Because the carbon tetrachloride found in well PWS 68-1 might be linked to historical use of fumigants containing carbon tetrachloride at grain storage facilities, including its former facility in Bladen, the CCC/USDA is proposing an investigation to (1) delineate the source and extent of the carbon tetrachloride contamination potentially associated with its former facility, (2) characterize pathways and controlling factors for contaminant migration in the subsurface, and (3) establish a basis for estimating potential health and environmental risks. The work will be performed in accordance with the Intergovernmental Agreement established between the NDEQ and the Farm Service Agency of the USDA. The site investigation at Bladen will be implemented in phases, so that data collected and interpretations developed during each phase can be evaluated to determine if a subsequent phase of investigation is warranted and, if warranted, to provide effective guidance for the subsequent investigation activities. This Work Plan identifies the specific technical objectives and defines the scope of work proposed for the Phase I investigation by compiling and evaluating historical data. The proposed investigation activities will be performed on behalf of the CCC/USDA by the Environmental Science Division of Argonne National Laboratory. Argonne is a nonprofit, multidisciplinary research

78 FR 63159 - Amendment to Certification of Nebraska's Central Filing System

Science.gov (United States)

2013-10-23

..., Raspberries, Rye, Seed crops, Sheep & Lambs, Silage, Sorghum Grain, Soybeans, Squash, Strawberries, Sugar....usda.gov ). Farm products covered by a State's central filing system are also identified through the GIPSA Web site. The Nebraska central filing system covers specified farm products. We originally...

Evapotranspiration Rates of Riparian Forests, Platte River, Nebraska, 2002-06

Science.gov (United States)

Landon, Matthew K.; Rus, David L.; Dietsch, Benjamin J.; Johnson, Michaela R.; Eggemeyer, Kathleen D.

2009-01-01

than precipitation. Annual ET fluctuated about 7 percent from the 4-year mean, ranging from about 514 to 586 millimeters per year (551 on average) at the Odessa site and 535 to 616 millimeters per year (575 on average) at the Gothenburg site. Conversely, annual precipitation fluctuated by about 35 percent from the 4-year mean, ranging from 429 to 844 millimeters per year at Odessa and 359 to 791 millimeters per year at Gothenburg. Of this precipitation, 14 to 15 percent was intercepted by the forest canopy before it could infiltrate into the soil. For the 4-year period, annual ground-water recharge from the riparian measurement zone averaged 76 and 13 millimeters at Odessa and Gothenburg, respectively, to satisfy the water balance at each site. This indicates that, from an annual perspective, ground-water reductions caused by ET may be minimal. This effect varied somewhat and primarily was affected by fluctuations in precipitation. Ground-water discharge occurred during the driest study year (2002), whereas ground-water recharge occurred from 2003 to 2005. These results do not exclude ground water as an important source of water to riparian vegetation - especially to phreatophytes that have the capability of directly using water from the saturated zone - during periods of high ET in the summer, particularly during periods of lower than normal precipitation. However, the calculations indicate that, on an annual (or longer) net-flux basis, ground-water use by riparian forests is likely to be balanced by periods of recharge from excess precipitation at other times of the year. In contrast to more arid settings, where scientific literature indicates that ground water may supply a large fraction of the water used for ET by riparian vegetation, precipitation along the Platte River of Nebraska was great enough - and generally greater than ET - that most or all of the annual ET demand was satisfied by available precipitation. Crop coefficients developed for 15-

Application of a Groundwater Modeling Tool for Managing Hydrologically Connected Area in State of Nebraska, US

Science.gov (United States)

Li, R.; Flyr, B.; Bradley, J.; Pun, M.; Schneider, J.; Wietjes, J.; Chinta, S.

2014-12-01

Determination of the nature and degree of hydrologically connected groundwater and surface water resources is of paramount importance to integrated water management within the State of Nebraska to understand the impact of water uses on available supplies, such as depletion of streams and aquifers caused by groundwater pumping. The ability to quantify effects of surface water-groundwater hydrologic connection and interactions, is regarded as one of the most important steps towards effectively managing water resources in Nebraska and provides the basis for designating management areas. Designation of management areas allows the state and other management entities to focus various efforts and resources towards those projects that have the greatest impact to water users. Nebraska Department of Natural Resources (NDNR) developed a groundwater modeling tool, Cycle Well Analysis, to determine the areas defined to have a high degree of connectivity between groundwater and surface water (in accordance with the state regulations). This tool features two graphic user interfaces to allow the analysis to be fully compatible with most MODFLOW-based numerical groundwater models currently utilized by NDNR. Case studies showed that the tool, in combination of Geographic Information Systems (GIS), can be used to quantify the degree of stream depletion and delineate the boundary of hydrologically connected areas within different political boundaries and subbasins in Nebraska. This approach may be applied to other regions with similar background and need for integrated water management.

Nebraska Earth Science Education Network: Enhancing the NASA, University, and Pre-College Science Teacher Connection with Electronic Communication

Science.gov (United States)

Gosselin, David C.

1997-01-01

The primary goals of this project were to: 1. Promote and enhance K-12 earth science education; and enhance the access to and exchange of information through the use of digital networks in K-12 institutions. We have achieved these two goals. Through the efforts of many individuals at the University of Nebraska-Lincoln (UNL), Nebraska Earth Science Education Network (NESEN) has become a viable and beneficial interdisciplinary outreach program for K-12 educators in Nebraska. Over the last three years, the NASA grant has provided personnel and equipment to maintain, expand and develop NESEN into a program that is recognized by its membership as a valuable source of information and expertise in earth systems science. Because NASA funding provided a framework upon which to build, other external sources of funding have become available to support NESEN programs.

Factors Limiting Vocational Agriculture Student Participation in Supervised Occupational Experience Programs in Nebraska.

Science.gov (United States)

Foster, Richard M.

1986-01-01

In this study, economic factors were consistently rated as important considerations in limited student participation in supervised farm practice in Nebraska high schools. It was indicated that administrative support was the least limiting factor for student participation. (CT)

Disparities in the Utilization of Laparoscopic Surgery for Colon Cancer in Rural Nebraska: A Call for Placement and Training of Rural General Surgeons.

Science.gov (United States)

Gruber, Kelli; Soliman, Amr S; Schmid, Kendra; Rettig, Bryan; Ryan, June; Watanabe-Galloway, Shinobu

2015-01-01

Advances in medical technology are changing surgical standards for colon cancer treatment. The laparoscopic colectomy is equivalent to the standard open colectomy while providing additional benefits. It is currently unknown what factors influence utilization of laparoscopic surgery in rural areas and if treatment disparities exist. The objectives of this study were to examine demographic and clinical characteristics associated with receiving laparoscopic colectomy and to examine the differences between rural and urban patients who received either procedure. This study utilized a linked data set of Nebraska Cancer Registry and hospital discharge data on colon cancer patients diagnosed and treated in the entire state of Nebraska from 2008 to 2011 (N = 1,062). Multiple logistic regression analysis was performed to identify predictors of receiving the laparoscopic treatment. Rural colon cancer patients were 40% less likely to receive laparoscopic colectomy compared to urban patients. Independent predictors of receiving laparoscopic colectomy were younger age (colon cancer and important disparities exist for rural cancer patients in accessing the specialized treatment. As cancer treatment becomes more specialized, the importance of training and placement of general surgeons in rural communities must be a priority for health care planning and professional training institutions. © 2015 National Rural Health Association.

Combined use of frequency‐domain electromagnetic and electrical resistivity surveys to delineate the freshwater/saltwater interface near saline lakes in the Nebraska Sand Hills, Nebraska, USA

Science.gov (United States)

Ong, John T.; White, Eric A.; Lane, John W.; Halihan, Todd; Zlotnik, Vitaly A; Butler, Dwain K.

2009-01-01

We investigate the use of frequency‐domain electromagnetic (FDEM) and electrical resistivity (ER) surveys for rapid and detailed characterization of the direction of lake‐aquifer fluxes and the configuration of salt plumes generated from saline lakes. This methodology was developed and applied at several lakes in the Nebraska Sand Hills, Nebraska, in an area with both freshwater and saline lakes hydraulically connected to the freshwater surficial aquifer. The FDEM survey was conducted by mounting the instrument on a fiberglass cart towed by an all‐terrain vehicle. The towed FDEM surveys covered about 25 km per day and served as a reconnaissance method for choosing locations for the more quantitative and detailed ER surveys. Around the saline lakes, areas with high electrical conductivity are consistent with the regional direction of ground‐water flow. Lower electrical conductivity was measured around the freshwater lakes with anomalies correlating to a paleovalley axis inferred from previous studies. The efficacy of this geophysical approach is attributed to: (1) significant contrast in electrical conductivity between freshwater and saltwater, (2) near‐surface location of the freshwater/saltwater interface, (3) minimal cultural interference, and (4) relative homogeneity of the aquifer materials.

Evaluation of Early Childhood Coaching Implementation in Nebraska. Technical Report Vol. 1: Key Findings from Participant Follow Up Survey. CYFS Working Paper 2014-1

Science.gov (United States)

Jayaraman, Gayatri; Knoche, Lisa; Marvin, Christine; Bainter, Sue

2014-01-01

The Nebraska Early Childhood Coach (ECC) training was a 3 day (8 hours) professional development event sponsored by the Nebraska Department of Education, Office of Child Development in 2009-2010. Sixty-five early childhood teachers and related service providers participated for the purpose of learning the basic principles and behaviors associated…

Adults with Greater Weight Satisfaction Report More Positive Health Behaviors and Have Better Health Status Regardless of BMI

Directory of Open Access Journals (Sweden)

Christine E. Blake

2013-01-01

Full Text Available Background. Prior studies suggest that weight satisfaction may preclude changes in behavior that lead to healthier weight among individuals who are overweight or obese. Objective. To gain a better understanding of complex relationships between weight satisfaction, weight-related health behaviors, and health outcomes. Design. Cross-sectional analysis of data from the Aerobics Center Longitudinal Study (ACLS. Participants. Large mixed-gender cohort of primarily white, middle-to-upper socioeconomic status (SES adults with baseline examination between 1987 and 2002 (n=19,003. Main Outcome Variables. Weight satisfaction, weight-related health behaviors, chronic health conditions, and clinical health indicators. Statistical Analyses Performed. Chi-square test, t-tests, and linear and multivariate logistic regression. Results. Compared to men, women were more likely to be dieting (32% women; 18% men and had higher weight dissatisfaction. Men and women with greater weight dissatisfaction reported more dieting, yo-yo dieting, and snacking and consuming fewer meals, being less active, and having to eat either more or less than desired to maintain weight regardless of weight status. Those who were overweight or obese and dissatisfied with their weight had the poorest health. Conclusion. Greater satisfaction with one’s weight was associated with positive health behaviors and health outcomes in both men and women and across weight status groups.

76 FR 15852 - Approval and Promulgation of Implementation Plans; Nebraska: Prevention of Significant...

Science.gov (United States)

2011-03-22

... aggregate of the group of six gases (carbon dioxide (CO 2 ), methane (CH 4 ), nitrous oxide (N 2 O... ``chemical processing plant'' as excluding ethanol production facilities. EPA is not acting on those... ethanol production facilities (the ``Ethanol Rule'').\\9\\ \\9\\ See note 9. The GHG revisions to Nebraska's...

Molecular identification of Armillaria gallica from the Niobrara Valley Preserve in Nebraska

Science.gov (United States)

Mee-Sook Kim; Ned B. Klopfenstein

2011-01-01

Armillaria isolates were collected from a unique forest ecosystem in the Niobrara Valley Preserve in Nebraska, USA, which comprises a glacial and early postglacial refugium in the central plains of North America. The isolates were collected from diverse forest trees representing a unique mixture of forest types. Combined methods of rDNA sequencing and flow cytometric...

Climate Masters of Nebraska: An Innovative Action-Based Approach for Climate Change Education

Science.gov (United States)

Pathak, Tapan B.; Bernadt, Tonya; Umphlett, Natalie

2014-01-01

Climate Masters of Nebraska is an innovative educational program that strategically trains community volunteers about climate change science and corresponding ways to reduce greenhouse gas emissions in an interactive and action-based teaching environment. As a result of the program, 91% of participants indicated that they made informed changes in…

Repeated multibeam echosounder hydrographic surveys of 15 selected bridge crossings along the Missouri River from Niobrara to Rulo, Nebraska, during the flood of 2011

Science.gov (United States)

Dietsch, Benjamin J.; Densmore, Brenda K.; Strauch, Kellan R.

2014-01-01

In 2011, unprecedented flooding in the Missouri River prompted transportation agencies to increase the frequency of monitoring riverbed elevations near bridges that cross the Missouri River. Hydrographic surveys were completed in cooperation with the Nebraska Department of Roads, using a multibeam echosounder at 15 highway bridges spanning the Missouri River from Niobrara to Rulo, Nebraska during and after the extreme 2011 flood. Evidence of bed elevation change near bridge piers was documented. The greatest amount of bed elevation change during the 2011 flood documented for this study occurred at the Burt County Missouri River Bridge at Decatur, Nebraska, where scour of about 45 feet, from before flooding, occurred between a bridge abutment and pier. Of the remaining sites, highway bridges where bed elevation change near piers appeared to have exceeded 10 feet include the Abraham Lincoln Memorial Bridge at Blair, Nebr., Bellevue Bridge at Bellevue, Nebr., and Nebraska City Bridge at Nebraska City, Nebr. Hydrographic surveys at 14 of the 15 sites were completed in mid-July and again in early October or late-November 2011. Near three of the bridges, the bed elevation of locations surveyed in July increased by more than 10 feet, on average, by late October or early November 2011. Bed elevations increased between 1 and 10 feet, on average, near six bridges. Near the remaining four bridges, bed elevations decreased between 1 and 4 feet, on average, from July to late October or early November.

Archeological Reconnaissance within the Lost Creek Flood Control Project Area, Platte County, Nebraska.

Science.gov (United States)

1979-12-01

cotizists of a diversion channel and training levee located north of the main Columbus, Nebraska k m II II I I lll I I IIIII business district (figure 1...in- corporated by the authors. ComtemporarY 20th Century Material. The authors agree as to the usefulness of the term suggested and have adopted

Evaluation of Early Childhood Coaching Implementation in Nebraska. Technical Report Vol. 2: Key Findings from Participant Observational and Self-Reported Data. CYFS Working Paper 2014-2

Science.gov (United States)

Jayaraman, Gayatri; Knoche, Lisa; Marvin, Christine; Bainter, Sue

2014-01-01

The Nebraska Early Childhood Coach (ECC) training was a 3 day (8 hours) professional development event sponsored by the Nebraska Department of Education, Office of Child Development in 2009-2010. Sixty-five early childhood teachers and related service providers participated for the purpose of learning the basic principles and behaviors associated…

Climate Masters of Nebraska: An Action Based Approach to Climate Change Education

Science.gov (United States)

Umphlett, N.; Bernadt, T.; Pathak, T.

2014-12-01

The Climate Masters of Nebraska pilot program started in 2010 with the goal of assisting the community in becoming more knowledgeable and making informed decisions regarding climate change issues. First, participants engage in a 10-week training course where they learn from experts how to reduce their carbon footprint in everyday life. Participants then volunteer at least 30 hours educating the community through household consultations, outreach events, or other creative efforts they want to take to actively influence the community to reduce greenhouse gas (GHG) emissions. The first two groups of Climate Masters volunteers completed multiple household consultations, started a drip irrigation project, hosted an informational booth at local events, participated in an Adopt a Highway program, formed a Citizens Climate Lobby group, and worked with the City of Lincoln's reEnergize outreach program. All of these projects positively impacted the environment, reduced GHG emissions, or both. The program is continuing for a third year with a new and improved course in the fall. Taking into account suggestions from previous courses, this new course hopes to focus more on the climate issues that are particularly pressing in southeastern Nebraska.

Conceptions of Tornado Wind Speed and Land Surface Interactions among Undergraduate Students in Nebraska

Science.gov (United States)

Van Den Broeke, Matthew S.; Arthurs, Leilani

2015-01-01

To ascertain novice conceptions of tornado wind speed and the influence of surface characteristics on tornado occurrence, 613 undergraduate students enrolled in introductory science courses at a large state university in Nebraska were surveyed. Our findings show that students lack understanding of the fundamental concepts that (1) tornadoes are…

3D Elevation Program: summary for Nebraska

Science.gov (United States)

Carswell, William J.

2015-01-01

Elevation data are essential to a broad range of applications, including forest resources management, wildlife and habitat management, national security, recreation, and many others. For the State of Nebraska, elevation data are critical for agriculture and precision farming, natural resources conservation, flood risk management, infrastructure and construction management, geologic resource assessment and hazard mitigation, and other business uses. Today, high-density light detection and ranging (lidar) data are the primary sources for deriving elevation models and other datasets. Federal, State, Tribal, and local agencies work in partnership to (1) replace data that are older and of lower quality and (2) provide coverage where publicly accessible data do not exist. A joint goal of State and Federal partners is to acquire consistent, statewide coverage to support existing and emerging applications enabled by lidar data.

Aerial gamma ray and magnetic survey: Nebraska/Texas Project, the Alliance and Scottsbluff quadrangles of Nebraska. Final report

International Nuclear Information System (INIS)

1979-12-01

During the months of September and October 1979, EG and G geoMetrics collected 3156 line miles of high sensitivity airborne radiometric and magnetic data in the state of Nebraska in two 1 by 2 degree NTMS quadrangles. This project is part of the Department of Energy's National Uranium Resource Evaluation Program. All radiometric and magnetic data were fully corrected and interpreted by geoMetrics and are presented as three Volumes (one Volume I and two Volume II's). Both quadrangles are dominated by Tertiary nonmarine strata, though the Sand Hills in the eastern central portion of the area is covered by Quaternary dune sand. Some Late Cretaceous marine shales are exposed in the northwest quadrant of Alliance quadrangle. No uranium deposits are known in this area, but outcrops of shales thought to be uraniferous outcrop in the Alliance quadrangle

Water-quality variations in Antelope Creek and Deadmans Run, Lincoln, Nebraska

Science.gov (United States)

Pettijohn, R.A.; Engberg, R.A.

1985-01-01

Eleven sets of samples from five sites on Antelope Creek and Dead Man 's Run in Lincoln, Nebraska, were collected from December 1982 through June 1983 to study water-quality variations. Specific-conductance values generally were similar for Antelope Creek at 52nd Street and 27th Street, but during a low-flow survey of December 1 they increased from 974 to 8,700 microsiemens per centimeter at 25 C from 27th Street to Court Street. Seepage of saline water from underlying bedrock to the stream occurs in this reach. Specific-conductance values were less variable for Dead Man 's Run, increasing an average of only 47 percent from 66th Street to U.S. Highway 6. Specific-conductance values were less at high flows in Antelope Creek, except in samples collected on January 6, 1983, which contained runoff from salted streets. Sodium and chloride concentrations in these samples were from 5 to 10 times greater than those measured in any other samples. Stray-current corrosion occurs when current flows between dissimilar metals. Zinc-coated wire of channel-stabilization structures (gabions) may be an anode and material within the stream banks may be a cathode. Dissolution of the zinc coating by this type of corrosion may be a cause for gabion deterioration in both streams. (USGS)

Public Opinion Is More than Law: Popular Sovereignty and Vigilantism in the Nebraska Territory

Science.gov (United States)

Kammer, Sean M.

2011-01-01

After months of intense debate, Congress finally passed the Kansas-Nebraska Act on May 30, 1854, largely along sectional lines. Over the next several years Kansas Territory became "Bleeding Kansas" as violence erupted between pro-slavery and free-state factions. While scholars continue to debate the true causes of the fighting in Kansas,…

Adversaries and Allies: Rival National Suffrage Groups and the 1882 Nebraska Woman Suffrage Campaign

Science.gov (United States)

Heider, Carmen

2005-01-01

In September 1882, Nebraska was the setting for a significant moment in the history of the United States women's rights movement: the two rival suffrage organizations, the American Woman Suffrage Association (AWSA) and the National Woman Suffrage Association (NWSA), both held their annual conventions in Omaha. The alliance of the AWSA and the NWSA…

How might global health master deadly sins and strive for greater virtues?

Directory of Open Access Journals (Sweden)

Catherine Panter-Brick

2014-03-01

Full Text Available In the spirit of critical reflection, we examine how the field of global health might surmount current challenges and prioritize its ethical mandate, namely to achieve, for all people, equity in health. We use the parlance of mastering deadly sins and striving for greater virtues in an effort to review what is needed to transform global health action. Global health falls prey to four main temptations: coveting silo gains, lusting for technological solutions, leaving broad promises largely unfulfilled, and boasting of narrow successes. This necessitates a change of heart: to keep faith with the promise it made, global health requires a realignment of core values and a sharper focus on the primacy of relationships with the communities it serves. Based on the literature to date, we highlight six steps to re-orienting global health action. Articulating a coherent global health agenda will come from principled action, enacted through courage and prudence in decision-making to foster people-centered systems of care over the entire lifespan.

Channel aggradation by beaver dams on a small agricultural stream in Eastern Nebraska

Science.gov (United States)

M.C. McCullough; J.L. Harper; D.E. Eisenhauer; M.G. Dosskey

2004-01-01

We assessed the effect of beaver dams on channel gradation of an incised stream in an agricultural area of eastern Nebraska. A topographic survey was conducted of a reach of Little Muddy Creek where beaver are known to have been building dams for twelve years. Results indicating that over this time period the thalweg elevation has aggraded an average of 0.65 m by...

Environmental Assessment of the Gering-Stegall 115-kV Transmission Line Consolidation Project, Scotts Bluff County, Nebraska

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-05-01

The Department of Energy (DOE), Western Area Power Administration (Western) proposes to consolidate segments of two transmission lines near the Gering Substation in Gering, Nebraska. The transmission lines are both located in Scotts Bluff County, Nebraska. The transmission lines are both located in Scotts Bluff County, Nebraska, within the city of Gering. Presently, there are three parallel 115-kilovolt (kV) transmission lines on separate rights-of-way (ROW) that terminate at the Gering Substation. The project would include dismantling the Archer-Gering wood-pole transmission line and rebuilding the remaining two lines on single-pole steel double circuit structures. The project would consolidate the Gering-Stegall North and Gering-Stegall South 115-kV transmission lines on to one ROW for a 1.33-mile segment between the Gering Substation and a point west of the Gering Landfill. All existing wood-pole H-frame structures would be removed, and the Gering-Stegall North and South ROWs abandoned. Western is responsible for the design, construction, operation, and maintenance of the line. Western prepared an environmental assessment (EA) that analyzed the potential environmental impacts of the proposed construction, operation, and maintenance of the 115-kV transmission line consolidation. Based on the analyses in the EA, the DOE finds that the proposed action is not a major Federal action significantly affecting the quality of the human environment, within the meaning of the National Environmental Policy Act of 1969 (NEPA).

Environmental Assessment of the Gering-Stegall 115-kV Transmission Line Consolidation Project, Scotts Bluff County, Nebraska

International Nuclear Information System (INIS)

1995-05-01

The Department of Energy (DOE), Western Area Power Administration (Western) proposes to consolidate segments of two transmission lines near the Gering Substation in Gering, Nebraska. The transmission lines are both located in Scotts Bluff County, Nebraska. The transmission lines are both located in Scotts Bluff County, Nebraska, within the city of Gering. Presently, there are three parallel 115-kilovolt (kV) transmission lines on separate rights-of-way (ROW) that terminate at the Gering Substation. The project would include dismantling the Archer-Gering wood-pole transmission line and rebuilding the remaining two lines on single-pole steel double circuit structures. The project would consolidate the Gering-Stegall North and Gering-Stegall South 115-kV transmission lines on to one ROW for a 1.33-mile segment between the Gering Substation and a point west of the Gering Landfill. All existing wood-pole H-frame structures would be removed, and the Gering-Stegall North and South ROWs abandoned. Western is responsible for the design, construction, operation, and maintenance of the line. Western prepared an environmental assessment (EA) that analyzed the potential environmental impacts of the proposed construction, operation, and maintenance of the 115-kV transmission line consolidation. Based on the analyses in the EA, the DOE finds that the proposed action is not a major Federal action significantly affecting the quality of the human environment, within the meaning of the National Environmental Policy Act of 1969 (NEPA)

75 FR 76055 - Nebraska Public Power District Cooper Nuclear Station; Notice of Issuance of Renewed Facility...

Science.gov (United States)

2010-12-07

... NUCLEAR REGULATORY COMMISSION Docket No. 50-298; NRC-2008-0617] Nebraska Public Power District Cooper Nuclear Station; Notice of Issuance of Renewed Facility Operating License No. DPR-46 for an... Power District (NPPD), the operator of the Cooper Nuclear Station (CNS). Renewed facility operating...

Uranium and diagenesis in evaporitic lacustrine mudstone of the Oligocene White River Group, Dawes County, Nebraska. Bulletin

International Nuclear Information System (INIS)

Dickinson, K.A.

1991-01-01

The Oligocene White River Group consists of the Chadron and the overlying Brule Formations in northwestern Nebraska. The Chadron Formation consists of alluvial and colluvial vitric mudstone beds, but in addition contains white persistent layers (purplish-white layers) that probably resulted from soil formation on vitric parent material. West of the current study area a basal sandstone facies of the Chadron is host rock for the Crow Butte uranium deposit. The Brule, which consists mostly of pedogenically altered alluvial and fluvial vitric mudstone deposits, contains a uraniferous lacustrine facies northwest of Chadron, Nebraska. Detrital minerals in rocks of the White River Group include quartz, feldspar, volcanic glass, smectite, and illite. Chemical precipitate minerals in the lacustrine facies are calcite, dolomite, and gypsum. Authigenic minerals include calcite, dolomite, gypsum, smectite, opal, chalcedony, together with oxidized uranium minerals

Tobacco Use and Its Relationship to Social Determinants of Health in LGBT Populations of a Midwestern State.

Science.gov (United States)

Pelster, Aja D Kneip; Fisher, Christopher M; Irwin, Jay A; Coleman, Jason D; McCarthy, Molly A

2015-03-01

Researchers have documented that lesbian, gay, bisexual, and transgender (LGBT) people have a higher proportion of tobacco use as compared to general population smoking rates. This study examined the relationships between tobacco use and social determinants of health in a sample of self-identifying LGBT people who spend time in Nebraska. A community-based participatory research approach was used to develop an online survey to assess the physical, mental, social, and sexual health of LGBT populations who live, work, or play in Nebraska. Chi-squared and logistic regression analyses explored the use of tobacco among respondents. Of the 770 people who completed the survey, 763 respondents completed questions about smoking status. The prevalence of current smoking among these 763 respondents was 26.47%. Some LGBT-specific social determinants of health had significant relationships to smoking status. However, after controlling for known risk factors of smoking in logistic regression models, these variables were not related to smoking status. This study shows that there is a significant relationship between smoking and several general social determinants of health, including employment status, education, and income as well as binge drinking. Limitations include lack of adequate survey respondents to divide subgroups of LGBT individuals and inherent limitations of convenience sampling, which may not allow for an accurate representation of the situation faced by LGBT in Nebraska. In addition to this, the list of LGBT-specific determinants of health used in the survey may not be exhaustive, and there may be additional factors facing LGBT individuals. Public health professionals can use this information in designing smoking reduction campaigns for LGBT populations in Nebraska and culturally similar regions of the United States. These programs and interventions may want to consider a more holistic approach to smoking cessation grounded in the social-ecological model.

Fecundity of the Chinese mystery snail in a Nebraska reservoir

Science.gov (United States)

Stephen, Bruce J.; Allen, Craig R.; Chaine, Noelle M.; Fricke, Kent A.; Haak, Danielle M.; Hellman, Michelle L.; Kill, Robert A.; Nemec, Kristine T.; Pope, Kevin L.; Smeenk, Nicholas A.; Uden, Daniel R.; Unstad, Kody M.; VanderHam, Ashley E.; Wong, Alec

2013-01-01

The Chinese mystery snail (Bellamya chinensis) is a non-indigenous, invasive species in freshwater ecosystems of North America. We provide fecundity estimates for a population of these snails in a Nebraska reservoir. We dissected 70 snails, of which 29 were females. Nearly all female snails contained developing young, with an average of 25 young per female. Annual fecundity was estimated at between 27.2 and 33.3 young per female per year. Based on an estimated adult population and the calculated fecundity, the annual production for this reservoir was between 2.2 and 3.7 million young.

75 FR 47856 - Nebraska Public Power District: Cooper Nuclear Station; Notice of Availability of the Final...

Science.gov (United States)

2010-08-09

... NUCLEAR REGULATORY COMMISSION [Docket No. 50-298; NRC-2008-0617] Nebraska Public Power District: Cooper Nuclear Station; Notice of Availability of the Final Supplement 41 to the Generic Environmental... of operating licenses DPR-46 for an additional 20 years of operation for the Cooper Nuclear Station...

Comparison of water consumption in two riparian vegetation communities along the central Platte River, Nebraska, 2008–09 and 2011

Science.gov (United States)

Hall, Brent M.; Rus, David L.

2013-01-01

The Platte River is a vital natural resource for the people, plants, and animals of Nebraska. A recent study quantified water use by riparian woodlands along central reaches of the Platte River, Nebraska, finding that water use was mainly regulated below maximum predicted levels. A comparative study was launched through a cooperative partnership between the U.S. Geological Survey, the Central Platte Natural Resources District, the Nebraska Department of Natural Resources, and the Nebraska Environmental Trust to compare water use of a riparian woodland with that of a grazed riparian grassland along the central Platte River. This report describes the results of the 3-year study by the U.S. Geological Survey to measure the evapotranspiration (ET) rates in the two riparian vegetation communities. Evapotranspiration was measured during 2008–09 and 2011 using the eddy-covariance method at a riparian woodland near Odessa, hereinafter referred to as the “woodland site,” and a riparian grassland pasture near Elm Creek, hereinafter referred to as the “grassland site.” Overall, annual ET totals at the grassland site were 90 percent of the annual ET measured at the woodland site, with averages of 653 millimeters (mm) and 726 mm, respectively. Evapotranspiration rates were similar at the grassland site and the woodland site during the spring and fall seasons, but at the woodland site ET rates were higher than those of the grassland site during the peak-growth summer months of June through August. These seasonal differences and the slightly lower ET rates at the grassland site were likely the result of differing plant communities, disturbance effects related to grazing and flooding, and climatic differences between the sites. The annual water balance was calculated for each site and indicated that the predominant factors in the water balance at both sites were ET and precipitation. Annual precipitation for the study period ranged from near to above the normal

Flood-inundation maps for a 12.5-mile reach of Big Papillion Creek at Omaha, Nebraska

Science.gov (United States)

Strauch, Kellan R.; Dietsch, Benjamin J.; Anderson, Kayla J.

2016-03-22

Digital flood-inundation maps for a 12.5-mile reach of the Big Papillion Creek from 0.6 mile upstream from the State Street Bridge to the 72nd Street Bridge in Omaha, Nebraska, were created by the U.S. Geological Survey (USGS) in cooperation with the Papio-Missouri River Natural Resources District. The flood-inundation maps, which can be accessed through the USGS Flood Inundation Mapping Science Web site at http://water.usgs.gov/osw/flood_inundation/, depict estimates of the areal extent and depth of flooding corresponding to selected water levels (stages) at the USGS streamgage on the Big Papillion Creek at Fort Street at Omaha, Nebraska (station 06610732). Near-real-time stages at this streamgage may be obtained on the Internet from the USGS National Water Information System at http://waterdata.usgs.gov/ or the National Weather Service Advanced Hydrologic Prediction Service at http:/water.weather.gov/ahps/, which also forecasts flood hydrographs at this site.

Greater fruit selection following an appearance-based compared with a health-based health promotion poster

Science.gov (United States)

2016-01-01

Abstract Background This study investigated the impact of an appearance-based compared with a traditional health-based public health message for healthy eating. Methods A total of 166 British University students (41 males; aged 20.6 ± 1.9 years) were randomized to view either an appearance-based (n = 82) or a health-based (n = 84) fruit promotion poster. Intentions to consume fruit and immediate fruit selection (laboratory observation) were assessed immediately after poster viewing, and subsequent self-report fruit consumption was assessed 3 days later. Results Intentions to consume fruit were not predicted by poster type (largest β = 0.03, P = 0.68) but were associated with fruit-based liking, past consumption, attitudes and social norms (smallest β = 0.16, P = 0.04). Immediate fruit selection was greater following the appearance-based compared with the health-based poster (β = −0.24, P poster (β = −0.22, P = 0.03), but this effect became non-significant on consideration of participant characteristics (β = −0.15, P = 0.13), and was instead associated with fruit-based liking and past consumption (smallest β = 0.24, P = 0.03). Conclusions These findings demonstrate the clear value of an appearance-based compared with a health-based health promotion poster for increasing fruit selection. A distinction between outcome measures and the value of a behavioural measure is also demonstrated. PMID:28158693

Hydrostratigraphic interpretation of test-hole and geophysical data, Upper Loup River Basin, Nebraska, 2008-10

Science.gov (United States)

Hobza, Christopher M.; Asch, Theodore H.; Bedrosian, Paul A.

2011-01-01

Nebraska's Upper Loup Natural Resources District is currently (2011) participating in the Elkhorn-Loup Model to understand the effect of various groundwater-management scenarios on surface-water resources. During Phase 1 of the Elkhorn-Loup Model, a lack of subsurface geological information in the Upper Loup Natural Resources District, hereafter referred to as the upper Loup study area, was identified as a gap in current knowledge that needed to be addressed. To improve the understanding of the hydrogeology of the upper Loup study area, the U.S. Geological Survey, in cooperation with the Upper Loup Natural Resources District and the University of Nebraska Conservation and Survey Division, collected and described the lithology of drill cuttings from nine test holes, and concurrently collected borehole geophysical data to identify the base of the High Plains aquifer. Surface geophysical data also were collected using time-domain electromagnetic (TDEM) and audio-magnetotelluric (AMT) methods at test-hole locations and between test holes, as a quick, non-invasive means of identifying the base of the High Plains aquifer.

Nebraska family practitioners' infant feeding recommendations.

Science.gov (United States)

Auerbach, K G; Walburn, J

1987-01-01

The authors conducted an anonymous survey of 220 Nebraska family and general practitioners' attitudes and practice recommendations for infant feeding. Most practitioners' attitudes reflect published American Academy of Pediatrics (AAP) guidelines regarding using commercial formula for bottle-feeding babies rather than evaporated milk-based formulations. Ninety-two per cent agreed with recommendations relating to the need for fluoride supplementation when fluoride was unavailable in the water supply and 93% agreed that whole cow's milk was inappropriate in the infant's first year. Another 68% felt similarly about evaporated milk formulas. However, 32% of board certified and 53% of nonboard certified physicians continue to believe that early solid foods will reduce night waking. In 80% of the cases, practice recommendations disagreed with AAP guidelines by prescribing vitamin supplements for bottle-feeding babies receiving proprietary infant formulas. Additionally, two-thirds of the practitioners recommended unnecessary water complements and 62% suggested formula supplementation for breastfeeding babies. Solid foods and whole cow's milk for both breastfeeding and bottle-feeding babies often were recommended earlier than the second half of the first year.

Population-Based Estimates of Methicillin-Resistant "Staphylococcus aureus" (MRSA) Infections among High School Athletes--Nebraska, 2006-2008

Science.gov (United States)

Buss, Bryan F.; Mueller, Shawn W.; Theis, Max; Keyser, Alison; Safranek, Thomas J.

2009-01-01

Methicillin-resistant "Staphylococcus aureus" (MRSA) is an emerging cause of skin and soft-tissue infections among athletes. To determine statewide incidence among high school athletes, we surveyed all 312 Nebraska high schools regarding sport programs offered, program-specific participation numbers, number of athletes with…

Participant characteristics associated with greater reductions in waist circumference during a four-month, pedometer-based, workplace health program.

Science.gov (United States)

Freak-Poli, Rosanne L A; Wolfe, Rory; Walls, Helen; Backholer, Kathryn; Peeters, Anna

2011-10-25

Workplace health programs have demonstrated improvements in a number of risk factors for chronic disease. However, there has been little investigation of participant characteristics that may be associated with change in risk factors during such programs. The aim of this paper is to identify participant characteristics associated with improved waist circumference (WC) following participation in a four-month, pedometer-based, physical activity, workplace health program. 762 adults employed in primarily sedentary occupations and voluntarily enrolled in a four-month workplace program aimed at increasing physical activity were recruited from ten Australian worksites in 2008. Seventy-nine percent returned at the end of the health program. Data included demographic, behavioural, anthropometric and biomedical measurements. WC change (before versus after) was assessed by multivariable linear and logistic regression analyses. Seven groupings of potential associated variables from baseline were sequentially added to build progressively larger regression models. Greater improvement in WC during the program was associated with having completed tertiary education, consuming two or less standard alcoholic beverages in one occasion in the twelve months prior to baseline, undertaking less baseline weekend sitting time and lower baseline total cholesterol. A greater WC at baseline was strongly associated with a greater improvement in WC. A sub-analysis in participants with a 'high-risk' baseline WC revealed that younger age, enrolling for reasons other than appearance, undertaking less weekend sitting time at baseline, eating two or more pieces of fruit per day at baseline, higher baseline physical functioning and lower baseline body mass index were associated with greater odds of moving to 'low risk' WC at the end of the program. While employees with 'high-risk' WC at baseline experienced the greatest improvements in WC, the other variables associated with greater WC improvement

Sidney-North Yuma 230-kV Transmission Line Project, Colorado and Nebraska

Energy Technology Data Exchange (ETDEWEB)

1991-06-01

This report describes the need for a 230-kV overhead transmission line to supply power from Sidney, Nebraska to eastern Colorado. The alternative scenario compared to construction of the line is No Action. Rejected alternatives include underground lines and different routing paths, with a possible extension to the Sterling area. Both scenarios are evaluated for environmental effects, cost, and consequences for the eastern Colorado region. The proposed route is determined to be the environmentally preferred choice. 120 refs., 6 figs., 13 tabs. (MHB)

A Note on the Use of the Hiskey-Nebraska Test of Learning Aptitude with Deaf Children.

Science.gov (United States)

Watson, Betty U.; Goldgar, David E.

1985-01-01

Comparing distribution of scores on the Hiskey-Nebraska Test of Learning Aptitude (H-NTLA) with those from the Wechsler Performance Scales for 71 hearing impaired Ss revealed a correlation of .85. However, the H-NTLA yielded more Ss with extreme scores. Findings stress the need for caution in interpreting extreme H-NTLA scores. (CL)

Assessing urban forest effects and values of the Great Plains: Kansas, Nebraska, North Dakota, South Dakota

Science.gov (United States)

David J. Nowak; Robert E. III Hoehn; Daniel E. Crane; Allison R. Bodine

2012-01-01

This report details the evaluation of the urban tree resources of the north-central Great Plains region of the United States. Specifically this report provides a more comprehensive understanding of the species composition and structural and functional benefits of the urban forests in the states of Kansas (33.1 million urban trees), Nebraska (13.3 million urban trees),...

Nebhydro: Sharing Geospatial Data to Supportwater Management in Nebraska

Science.gov (United States)

Kamble, B.; Irmak, A.; Hubbard, K.; Deogun, J.; Dvorak, B.

2012-12-01

Recent advances in web-enabled geographical technologies have the potential to make a dramatic impact on development of highly interactive spatial applications on the web for visualization of large-scale geospatial data by water resources and irrigation scientists. Spatial and point scale water resources data visualization are an emerging and challenging application domain. Query based visual explorations of geospatial hydrological data can play an important role in stimulating scientific hypotheses and seeking causal relationships among hydro variables. The Nebraska Hydrological Information System (NebHydro) utilizes ESRI's ArcGIS server technology to increase technological awareness among farmers, irrigation managers and policy makers. Web-based geospatial applications are an effective way to expose scientific hydrological datasets to the research community and the public. NebHydro uses Adobe Flex technology to offer an online visualization and data analysis system for presentation of social and economic data. Internet mapping services is an integrated product of GIS and Internet technologies; it is a favored solution to achieve the interoperability of GIS. The development of Internet based GIS services in the state of Nebraska showcases the benefits of sharing geospatial hydrological data among agencies, resource managers and policy makers. Geospatial hydrological Information (Evapotranspiration from Remote Sensing, vegetation indices (NDVI), USGS Stream gauge data, Climatic data etc.) is generally generated through model simulation (METRIC, SWAP, Linux, Python based scripting etc). Information is compiled into and stored within object oriented relational spatial databases using a geodatabase information model that supports the key data types needed by applications including features, relationships, networks, imagery, terrains, maps and layers. The system provides online access, querying, visualization, and analysis of the hydrological data from several sources

Participant characteristics associated with greater reductions in waist circumference during a four-month, pedometer-based, workplace health program

Directory of Open Access Journals (Sweden)

Freak-Poli Rosanne LA

2011-10-01

Full Text Available Abstract Background Workplace health programs have demonstrated improvements in a number of risk factors for chronic disease. However, there has been little investigation of participant characteristics that may be associated with change in risk factors during such programs. The aim of this paper is to identify participant characteristics associated with improved waist circumference (WC following participation in a four-month, pedometer-based, physical activity, workplace health program. Methods 762 adults employed in primarily sedentary occupations and voluntarily enrolled in a four-month workplace program aimed at increasing physical activity were recruited from ten Australian worksites in 2008. Seventy-nine percent returned at the end of the health program. Data included demographic, behavioural, anthropometric and biomedical measurements. WC change (before versus after was assessed by multivariable linear and logistic regression analyses. Seven groupings of potential associated variables from baseline were sequentially added to build progressively larger regression models. Results Greater improvement in WC during the program was associated with having completed tertiary education, consuming two or less standard alcoholic beverages in one occasion in the twelve months prior to baseline, undertaking less baseline weekend sitting time and lower baseline total cholesterol. A greater WC at baseline was strongly associated with a greater improvement in WC. A sub-analysis in participants with a 'high-risk' baseline WC revealed that younger age, enrolling for reasons other than appearance, undertaking less weekend sitting time at baseline, eating two or more pieces of fruit per day at baseline, higher baseline physical functioning and lower baseline body mass index were associated with greater odds of moving to 'low risk' WC at the end of the program. Conclusions While employees with 'high-risk' WC at baseline experienced the greatest improvements in

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

Science.gov (United States)

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

2009-03-01

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

Analysis of Costs of Services/Supports for People with Developmental Disabilities for Nebraska, South Dakota, and Wyoming, USA.

Science.gov (United States)

Campbell, Edward M.; Fortune, Jon; Severance, Donald; Holderegger, John; Fortune, Barbara

A database was assembled from data collected on all people served by the Developmental Disabilities divisions of Nebraska, South Dakota, and Wyoming, including state institutions and state-funded programs (n=5,928). Information included provider expenditures associated with each individual, allocations made by individual reimbursement rates,…

Impacts of Migratory Sandhill Cranes (Grus canadensis) on Microbial Water Quality in the Central Platte River, Nebraska, USA

Science.gov (United States)

Wild birds have been shown to be significant sources of numerous types of pathogens that are relevant to humans and agriculture. The presence of large numbers of migratory birds in such a sensitive and important ecosystem as the Platte River in central Nebraska, USA, could potent...

Evidence of greater health care needs among older veterans of the Vietnam War.

Science.gov (United States)

Brooks, Matthew S; Laditka, Sarah B; Laditka, James N

2008-08-01

This study examined self-rated health, impairments in activities of daily living, and treatment for eight health conditions among Vietnam War-era veterans, comparing those who served in Vietnam with those who served elsewhere. Data were from the nationally representative 2001 National Survey of Veterans (N = 7,907; 3,923 veterans served in Vietnam). Age-stratified ( or =60 years) analyses included multivariate logistic regression. In adjusted analyses, among those Vietnam had notably poorer self-rated health and higher stroke risk (odds ratio, 1.51; 95% confidence interval, 1.48-1.53); odds of most other conditions were lower. Among those > or =60 years of age, those who served in Vietnam had poorer self-rated health, higher cancer risk (odds ratio, 1.33; 95% confidence interval, 1.32-1.35), and more treatment for hypertension, lung conditions, stroke, and hearing loss. Results suggest greater resource use among older veterans who served in Vietnam. Clinicians and the Department of Veterans Affairs should especially note their substantially higher cancer risk.

Urban and community forests of the North Central West region: Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota

Science.gov (United States)

David J. Nowak; Eric J. Greenfield

2010-01-01

This report details how land cover and urbanization vary within the states of Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota by community (incorporated and census designated places), county subdivision, and county. Specifically this report provides critical urban and community...

Gastrointestinal helminths of Coyotes (Canis latrans from Southeast Nebraska and Shenandoah area of Iowa

Directory of Open Access Journals (Sweden)

Whitni K. Redman

2016-09-01

Full Text Available Aim: This survey was carried out on the carcasses of 29 coyotes from Southeastern Nebraska and Shenandoah area of Iowa to document the helminths present in the intestinal track of these carnivorous animals. Materials and Methods: A total of 29 adult coyote carcasses were generously donated in the autumn and winter (November-February of 2014-2015 by trappers, fur buyers and hunters of Southeast Nebraska and Shenandoah area of Iowa. The intestine of individual animals were examined for the recovery of helminth parasites as per the established procedures. Results: We found that as many as 93.10% of the investigated coyotes were infected with one or more helminth infections. A total of 10 different species of helminth parasites were recovered from the intestines of coyotes under investigation. Among the 10 species of helminths, 5 were identified as cestodes while the remaining 5 were nematodes. A total of 82.75% of the animals were infected with one or more species of nematodes, while 75.86% of them were colonized with one or more species of cestode parasites. The most abundant species in coyotes were Toxascaris leonina (68.95% closely followed by Taenia hydatigena (58.62%. The prevalence of Ancylostoma caninum and Taenia pisiformis were recorded at 31.03%, followed by those of Toxocara canis and Echinococcus spp. at 24.13%, respectively. Three animals were infected with Trichuris vulpis while three other coyotes each were found to be harboring Uncinaria stenocephala, Dipylidium caninum, or Hymenolepis diminuta. The presence of H. diminuta might have been the result of the ingestion of a rodent by the respective coyotes. Conclusion: From the overall analysis of the present data and comparing it with the previous reports of various scientists over several decades, we can conclude that intestinal helminths are still very much prevalent among the coyote population in the Southeast Nebraska and Iowa area. The relatively high prevalence of the zoonotic

Gastrointestinal helminths of Coyotes (Canis latrans) from Southeast Nebraska and Shenandoah area of Iowa

Science.gov (United States)

Redman, Whitni K.; Bryant, Jay E.; Ahmad, Gul

2016-01-01

Aim: This survey was carried out on the carcasses of 29 coyotes from Southeastern Nebraska and Shenandoah area of Iowa to document the helminths present in the intestinal track of these carnivorous animals. Materials and Methods: A total of 29 adult coyote carcasses were generously donated in the autumn and winter (November-February) of 2014-2015 by trappers, fur buyers and hunters of Southeast Nebraska and Shenandoah area of Iowa. The intestine of individual animals were examined for the recovery of helminth parasites as per the established procedures. Results: We found that as many as 93.10% of the investigated coyotes were infected with one or more helminth infections. A total of 10 different species of helminth parasites were recovered from the intestines of coyotes under investigation. Among the 10 species of helminths, 5 were identified as cestodes while the remaining 5 were nematodes. A total of 82.75% of the animals were infected with one or more species of nematodes, while 75.86% of them were colonized with one or more species of cestode parasites. The most abundant species in coyotes were Toxascaris leonina (68.95%) closely followed by Taenia hydatigena (58.62%). The prevalence of Ancylostoma caninum and Taenia pisiformis were recorded at 31.03%, followed by those of Toxocara canis and Echinococcus spp. at 24.13%, respectively. Three animals were infected with Trichuris vulpis while three other coyotes each were found to be harboring Uncinaria stenocephala, Dipylidium caninum, or Hymenolepis diminuta. The presence of H. diminuta might have been the result of the ingestion of a rodent by the respective coyotes. Conclusion: From the overall analysis of the present data and comparing it with the previous reports of various scientists over several decades, we can conclude that intestinal helminths are still very much prevalent among the coyote population in the Southeast Nebraska and Iowa area. The relatively high prevalence of the zoonotic parasite species

Is change bad? Personality change is associated with poorer psychological health and greater metabolic syndrome in midlife

Science.gov (United States)

Human, Lauren J.; Biesanz, Jeremy C.; Miller, Gregory E.; Chen, Edith; Lachman, Margie E.; Seeman, Teresa E.

2013-01-01

Objective Personality change is emerging as an important predictor of health and well-being. Extending previous research, we examined whether two types of personality change, directional and absolute, are associated with both subjective and objective indicators of health. Method Utilizing the longitudinal Midlife in the United States Survey (MIDUS) data, we examined whether both types of change over 10 years were associated with psychological well-being, self-reported global health, and the presence of metabolic syndrome (MetS) components and diagnosis. Results Socially undesirable personality change (e.g., becoming less conscientious and more neurotic) and absolute personality change were independently associated with worse perceived health and well-being at Time 2. Notably, absolute personality change, regardless of the direction, was also associated with having a greater number of MetS components and a greater probability of diagnosis at Time 2. Conclusions In sum, too much personality change may be bad for one’s health: socially undesirable and absolute personality change were both associated with worse psychological health and worse metabolic profiles over 10 years. These findings suggest that personality change may contribute to psychological and physical health, and provide initial insight into potential intermediate links between personality change and distal outcomes such as mortality. PMID:22924900

Is change bad? Personality change is associated with poorer psychological health and greater metabolic syndrome in midlife.

Science.gov (United States)

Human, Lauren J; Biesanz, Jeremy C; Miller, Gregory E; Chen, Edith; Lachman, Margie E; Seeman, Teresa E

2013-06-01

Personality change is emerging as an important predictor of health and well-being. Extending previous research, we examined whether two types of personality change, directional and absolute, are associated with both subjective and objective indicators of health. Utilizing the longitudinal Midlife in the United States survey (MIDUS) data, we examined whether both types of change over 10 years were associated with psychological well-being, self-reported global health, and the presence of metabolic syndrome (MetS) components and diagnosis. Socially undesirable personality change (e.g., becoming less conscientious and more neurotic) and absolute personality change were independently associated with worse perceived health and well-being at Time 2. Notably, absolute personality change, regardless of the direction, was also associated with having a greater number of MetS components and a greater probability of diagnosis at Time 2. In sum, too much personality change may be bad for one's health: Socially undesirable and absolute personality change were both associated with worse psychological health and worse metabolic profiles over 10 years. These findings suggest that personality change may contribute to psychological and physical health, and provide initial insight into potential intermediate links between personality change and distal outcomes such as mortality. © 2012 Wiley Periodicals, Inc.

Notes on my trip through Nebraska, or some alternative marketing principles for parks and recreation

Science.gov (United States)

Alan R. Graefe

2001-01-01

I started working on this talk on December 19th last year. That was the day I began my trip home from Colorado at the end of my fall semester sabbatical. While traveling through Nebraska I started seeing things that I just couldn't believe. Not just a single thing, but one thing after another. This had to be an omen. I knew immediately that I had found the topic...

Solar energy system economic evaluation for Seeco Lincoln, Lincoln, Nebraska

Science.gov (United States)

1980-01-01

The economic analysis of the solar energy system that was installed at Lincoln, Nebraska is developed for this and four other sites typical of a wide range of environmental and economic conditions in the continental United States. This analysis is accomplished based on the technical and economic models in the f chart design procedure with inputs based on the characteristics of the installed system and local conditions. The results are expressed in terms of the economic parameters of present worth of system cost over projected twenty year life: life cycle savings, year of positive savings and year of payback for the optimized solar energy system at each of the analysis sites. The sensitivity of the economic evaluation to uncertainties in constituent system and economic variables is also investigated.

The Nebraska Department of Communication Studies Story: There Are Happy Endings That Go beyond Football and a Good Crop Year.

Science.gov (United States)

Seiler, William J.

1995-01-01

Describes how the Speech Communication Department at the University of Nebraska was targeted for elimination and survived. Addresses why it is necessary for the communication discipline to take an advocacy role, and provides thoughts about how departments can defend themselves from future attacks. (SR)

Evaluation of JULES-crop performance against site observations of irrigated maize from Mead, Nebraska

OpenAIRE

Williams, Karina; Gornall, Jemma; Harper, Anna; Wiltshire, Andy; Hemming, Debbie; Quaife, Tristan; Arkebauer, Tim; Scoby, David

2016-01-01

The JULES-crop model (Osborne et al., 2015) is a parameterisation of crops within the Joint UK Land Environment Simulator (JULES), which aims to simulate both the impact of weather and climate on crop productivity and the impact of crop-lands on weather and climate. In this evaluation paper, observations of maize at three FLUXNET sites in Nebraska (US-Ne1, US-Ne2, US-Ne3) are used to test model assumptions and make appropriate input parameter choices. JULES runs are performed for the irrigate...

The Diagnostic Accuracy of the Luria-Nebraska Neuropsychological Battery-Children's Revision for 9- to 12-Year-Old Learning Disabled Children.

Science.gov (United States)

Gerry, David C.; And Others

1984-01-01

Two groups (learning disabled and normal) of 15 children were administered the Luria-Nebraska Neuropsychological Battery-Children's Revision and the Wechsler Intelligence Scale for Children-Revised. Considering abnormal or borderline profiles as indicative of learning disability was 93.3 percent accurate in discriminating between groups.…

Late Albian dinosaur tracks from the cratonic (eastern) margin of the Western Interior Seaway, Nebraska, USA

Science.gov (United States)

Joeckel, R.M.; Cunningham, J.M.; Corner, R.G.; Brown, G.W.; Phillips, P.L.; Ludvigson, Greg A.

2004-01-01

At least 22 tridactyl dinosaur tracks, poorly preserved in various degrees of expression, have recently been found at an exposure in the Dakota Formation (Lower Cretaceous, Albian) in Jefferson County, Nebraska. These tracks generally have broad, blunt digits and a broad posterior margin. The largest of the tracks measures 57 cm in length and 58 cm in width. All of the tracks lie within a stratigraphic horizon of 40 cm or less, but they do not form a single trackway. We interpret the trackmakers to have been ornithopods.The Jefferson County tracks are in a well-cemented sandstone with oscillation ripples, at a stratigraphic level between two well-established sequence boundaries. Channel forms and lateral accretion units are common in the stratigraphic interval enclosing the tracks, and the site is interpreted as a bar or sand flat in a tidally influenced river.The Jefferson County tracks are only the second known occurrence of large Mesozoic tetrapod tracks east of the Rocky Mountain Front-High Plains Margin, including the Black Hills of South Dakota, west of the Atlantic Coastal Plain, and north of the Gulf Coastal Plain. Further, this paper is the first documentation of in situdinosaur fossils from the Nebraska-Iowa area.

The use of LANDSAT-1 imagery in mapping and managing soil and range resources in the Sand Hills region of Nebraska

Science.gov (United States)

Seevers, P. M. (Principal Investigator); Drew, J. V.

1976-01-01

The author has identified the following significant results. Evaluation of ERTS-1 imagery for the Sand Hills region of Nebraska has shown that the data can be used to effectively measure several parameters of inventory needs. (1) Vegetative biomass can be estimated with a high degree of confidence using computer compatable tape data. (2) Soils can be mapped to the subgroup level with high altitude aircraft color infrared photography and to the association level with multitemporal ERTS-1 imagery. (3) Water quality in Sand Hills lakes can be estimated utilizing computer compatable tape data. (4) Center pivot irrigation can be inventoried from satellite data and can be monitored regarding site selection and relative success of establishment from high altitude aircraft color infrared photography. (5) ERTS-1 data is of exceptional value in wide-area inventory of natural resource data in the Sand Hills region of Nebraska.

Honor among Thieves: Horse Stealing, State-Building, and Culture in Lincoln County, Nebraska, 1860 - 1890

OpenAIRE

Luckett, Matthew S

2014-01-01

This dissertation explores the social, cultural, and economic history of horse stealing among both American Indians and Euro Americans in Lincoln County, Nebraska from 1860 to 1890. It shows how American Indians and Euro-Americans stole from one another during the Plains Indian Wars and explains how a culture of theft prevailed throughout the region until the late-1870s. But as homesteaders flooded into Lincoln County during the 1870s and 1880s, they demanded that the state help protect their...

Evidences of validity and reliability of the Luria-Nebraska Test for Children

Directory of Open Access Journals (Sweden)

Ricardo Franco de Lima

2016-01-01

Full Text Available Abstract This paper aimed to verify evidences of validity and reliability of Luria-Nebraska Test for Children (TLN-C, in Portuguese. Three hundred eighty-seven students aged 6–13 years old, with learning difficulties, comprised the study. They were assessed with the Wechsler Intelligence Scale for Children (WISC-III and TLN-C; and effect of age differences, as well as accuracy rating by internal consistency were investigated. Age effects were found for all subtests and in the general score, except for receptive speech subtest, even when total IQ effect was controlled. Reliability analysis had satisfactory results (0.79. The TLN-C showed evidences of validity and reliability. Receptive speech subtest requires revision.

Potential population and assemblage influences of non-native trout on native nongame fish in Nebraska headwater streams

Science.gov (United States)

Turek, Kelly C.; Pegg, Mark A.; Pope, Kevin L.; Schainost, Steve

2014-01-01

Non-native trout are currently stocked to support recreational fisheries in headwater streams throughout Nebraska. The influence of non-native trout introductions on native fish populations and their role in structuring fish assemblages in these systems is unknown. The objectives of this study were to determine (i) if the size structure or relative abundance of native fish differs in the presence and absence of non-native trout, (ii) if native fish-assemblage structure differs in the presence and absence of non-native trout and (iii) if native fish-assemblage structure differs across a gradient in abundances of non-native trout. Longnose dace Rhinichthys cataractae were larger in the presence of brown trout Salmo trutta and smaller in the presence of rainbow trout Oncorhynchus mykiss compared to sites without trout. There was also a greater proportion of larger white suckers Catostomus commersonii in the presence of brown trout. Creek chub Semotilus atromaculatus and fathead minnow Pimephales promelas size structures were similar in the presence and absence of trout. Relative abundances of longnose dace, white sucker, creek chub and fathead minnow were similar in the presence and absence of trout, but there was greater distinction in native fish-assemblage structure between sites with trout compared to sites without trout as trout abundances increased. These results suggest increased risk to native fish assemblages in sites with high abundances of trout. However, more research is needed to determine the role of non-native trout in structuring native fish assemblages in streams, and the mechanisms through which introduced trout may influence native fish populations.

Magnetic resonance sounding survey data collected in the North Platte, Twin Platte, and South Platte Natural Resource Districts, Western Nebraska, Fall 2012

Science.gov (United States)

Kass, Mason A.; Bloss, Benjamin R.; Irons, Trevor P.; Cannia, James C.; Abraham, Jared D.

2014-01-01

This report is a release of digital data and associated survey descriptions from a series of magnetic resonance soundings (MRS, also known as surface nuclear magnetic resonance) that was conducted during October and November of 2012 in areas of western Nebraska as part of a cooperative hydrologic study by the North Platte Natural Resource District (NRD), South Platte NRD, Twin Platte NRD, the Nebraska Environmental Trust, and the U.S. Geological Survey (USGS). The objective of the study was to delineate the base-of-aquifer and refine the understanding of the hydrologic properties in the aquifer system. The MRS technique non-invasively measures water content in the subsurface, which makes it a useful tool for hydrologic investigations in the near surface (up to depths of approximately 150 meters). In total, 14 MRS production-level soundings were acquired by the USGS over an area of approximately 10,600 square kilometers. The data are presented here in digital format, along with acquisition information, survey and site descriptions, and metadata.

A Black Hills-Madison Aquifer origin for Dakota Aquifer groundwater in northeastern Nebraska.

Science.gov (United States)

Stotler, Randy; Harvey, F Edwin; Gosselin, David C

2010-01-01

Previous studies of the Dakota Aquifer in South Dakota attributed elevated groundwater sulfate concentrations to Madison Aquifer recharge in the Black Hills with subsequent chemical evolution prior to upward migration into the Dakota Aquifer. This study examines the plausibility of a Madison Aquifer origin for groundwater in northeastern Nebraska. Dakota Aquifer water samples were collected for major ion chemistry and isotopic analysis ((18)O, (2)H, (3)H, (14)C, (13)C, (34)S, (18)O-SO(4), (87)Sr, (37)Cl). Results show that groundwater beneath the eastern, unconfined portion of the study area is distinctly different from groundwater sampled beneath the western, confined portion. In the east, groundwater is calcium-bicarbonate type, with delta(18)O values (-9.6 per thousand to -12.4 per thousand) similar to local, modern precipitation (-7.4 per thousand to -10 per thousand), and tritium values reflecting modern recharge. In the west, groundwater is calcium-sulfate type, having depleted delta(18)O values (-16 per thousand to -18 per thousand) relative to local, modern precipitation, and (14)C ages 32,000 to more than 47,000 years before present. Sulfate, delta(18)O, delta(2)H, delta(34)S, and delta(18)O-SO(4) concentrations are similar to those found in Madison Aquifer groundwater in South Dakota. Thus, it is proposed that Madison Aquifer source water is also present within the Dakota Aquifer beneath northeastern Nebraska. A simple Darcy equation estimate of groundwater velocities and travel times using reported physical parameters from the Madison and Dakota Aquifers suggests such a migration is plausible. However, discrepancies between (14)C and Darcy age estimates indicate that (14)C ages may not accurately reflect aquifer residence time, due to mixtures of varying aged water.

Rural New Zealand health professionals' perceived barriers to greater use of the internet for learning.

Science.gov (United States)

Janes, Ron; Arroll, Bruce; Buetow, Stephen; Coster, Gregor; McCormick, Ross; Hague, Iain

2005-01-01

The purpose of this research was to investigate rural North Island (New Zealand) health professionals' attitudes and perceived barriers to using the internet for ongoing professional learning. A cross-sectional postal survey of all rural North Island GPs, practice nurses and pharmacists was conducted in mid-2003. The questionnaire contained both quantitative and qualitative questions. The transcripts from two open questions requiring written answers were analysed for emergent themes, which are reported here. The first open question asked: 'Do you have any comments on the questionnaire, learning, computers or the Internet?' The second open question asked those who had taken a distance-learning course using the internet to list positive and negative aspects of their course, and suggest improvements. Out of 735 rural North Island health professionals surveyed, 430 returned useable questionnaires (a response rate of 59%). Of these, 137 answered the question asking for comments on learning, computers and the internet. Twenty-eight individuals who had completed a distance-learning course using the internet, provided written responses to the second question. Multiple barriers to greater use of the internet were identified. They included lack of access to computers, poor availability of broadband (fast) internet access, lack of IT skills/knowledge, lack of time, concerns about IT costs and database security, difficulty finding quality information, lack of time, energy or motivation to learn new skills, competing priorities (eg family), and a preference for learning modalities which include more social interaction. Individuals also stated that rural health professionals needed to engage the technology, because it provided rapid, flexible access from home or work to a significant health information resource, and would save money and travelling time to urban-based education. In mid-2003, there were multiple barriers to rural North Island health professionals making greater

Surveillance of Physician-Diagnosed Skin and Soft Tissue Infections Consistent With Methicillin-Resistant "Staphylococcus aureus" (MRSA) among Nebraska High School Athletes, 2008-2012

Science.gov (United States)

Buss, Bryan F.; Connolly, Susan

2014-01-01

Though historically confined to hospital settings, methicillin-resistant Staphylococcus aureus (MRSA) has received increasing attention in the wider community, particularly among athletes. A 2007-2008 investigation in Nebraska concluded that MRSA skin infections were an emerging problem among the state's student athletes. Statewide surveillance…

Relations of water-quality constituent concentrations to surrogate measurements in the lower Platte River corridor, Nebraska, 2007 through 2011

Science.gov (United States)

Schaepe, Nathaniel J.; Soenksen, Philip J.; Rus, David L.

2014-01-01

The lower Platte River, Nebraska, provides drinking water, irrigation water, and in-stream flows for recreation, wildlife habitat, and vital habitats for several threatened and endangered species. The U.S. Geological Survey (USGS), in cooperation with the Lower Platte River Corridor Alliance (LPRCA) developed site-specific regression models for water-quality constituents at four sites (Shell Creek near Columbus, Nebraska [USGS site 06795500]; Elkhorn River at Waterloo, Nebr. [USGS site 06800500]; Salt Creek near Ashland, Nebr. [USGS site 06805000]; and Platte River at Louisville, Nebr. [USGS site 06805500]) in the lower Platte River corridor. The models were developed by relating continuously monitored water-quality properties (surrogate measurements) to discrete water-quality samples. These models enable existing web-based software to provide near-real-time estimates of stream-specific constituent concentrations to support natural resources management decisions. Since 2007, USGS, in cooperation with the LPRCA, has continuously monitored four water-quality properties seasonally within the lower Platte River corridor: specific conductance, water temperature, dissolved oxygen, and turbidity. During 2007 through 2011, the USGS and the Nebraska Department of Environmental Quality collected and analyzed discrete water-quality samples for nutrients, major ions, pesticides, suspended sediment, and bacteria. These datasets were used to develop the regression models. This report documents the collection of these various water-quality datasets and the development of the site-specific regression models. Regression models were developed for all four monitored sites. Constituent models for Shell Creek included nitrate plus nitrite, total phosphorus, orthophosphate, atrazine, acetochlor, suspended sediment, and Escherichia coli (E. coli) bacteria. Regression models that were developed for the Elkhorn River included nitrate plus nitrite, total Kjeldahl nitrogen, total phosphorus

Using Google Flu Trends data in forecasting influenza-like-illness related ED visits in Omaha, Nebraska.

Science.gov (United States)

Araz, Ozgur M; Bentley, Dan; Muelleman, Robert L

2014-09-01

Emergency department (ED) visits increase during the influenza seasons. It is essential to identify statistically significant correlates in order to develop an accurate forecasting model for ED visits. Forecasting influenza-like-illness (ILI)-related ED visits can significantly help in developing robust resource management strategies at the EDs. We first performed correlation analyses to understand temporal correlations between several predictors of ILI-related ED visits. We used the data available for Douglas County, the biggest county in Nebraska, for Omaha, the biggest city in the state, and for a major hospital in Omaha. The data set included total and positive influenza test results from the hospital (ie, Antigen rapid (Ag) and Respiratory Syncytial Virus Infection (RSV) tests); an Internet-based influenza surveillance system data, that is, Google Flu Trends, for both Nebraska and Omaha; total ED visits in Douglas County attributable to ILI; and ILI surveillance network data for Douglas County and Nebraska as the predictors and data for the hospital's ILI-related ED visits as the dependent variable. We used Seasonal Autoregressive Integrated Moving Average and Holt Winters methods with3 linear regression models to forecast ILI-related ED visits at the hospital and evaluated model performances by comparing the root means square errors (RMSEs). Because of strong positive correlations with ILI-related ED visits between 2008 and 2012, we validated the use of Google Flu Trends data as a predictor in an ED influenza surveillance tool. Of the 5 forecasting models we have tested, linear regression models performed significantly better when Google Flu Trends data were included as a predictor. Regression models including Google Flu Trends data as a predictor variable have lower RMSE, and the lowest is achieved when all other variables are also included in the model in our forecasting experiments for the first 5 weeks of 2013 (with RMSE = 57.61). Google Flu Trends data

Transitions of Care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK Study: A study of protocols in Greater London

Directory of Open Access Journals (Sweden)

Ford Tamsin

2008-06-01

Full Text Available Abstract Background Although young people's transition from Child and Adolescent Mental Health Services (CAMHS to Adult Mental Health Services (AMHS in England is a significant health issue for service users, commissioners and providers, there is little evidence available to guide service development. The TRACK study aims to identify factors which facilitate or impede effective transition from CAHMS to AMHS. This paper presents findings from a survey of transition protocols in Greater London. Methods A questionnaire survey (Jan-April 2005 of Greater London CAMHS to identify transition protocols and collect data on team size, structure, transition protocols, population served and referral rates to AMHS. Identified transition protocols were subjected to content analysis. Results Forty two of the 65 teams contacted (65% responded to the survey. Teams varied in type (generic/targeted/in-patient, catchment area (locality-based, wider or national and transition boundaries with AMHS. Estimated annual average number of cases considered suitable for transfer to AMHS, per CAMHS team (mean 12.3, range 0–70, SD 14.5, n = 37 was greater than the annual average number of cases actually accepted by AMHS (mean 8.3, range 0–50, SD 9.5, n = 33. In April 2005, there were 13 active and 2 draft protocols in Greater London. Protocols were largely similar in stated aims and policies, but differed in key procedural details, such as joint working between CAHMS and AMHS and whether protocols were shared at Trust or locality level. While the centrality of service users' involvement in the transition process was identified, no protocol specified how users should be prepared for transition. A major omission from protocols was procedures to ensure continuity of care for patients not accepted by AMHS. Conclusion At least 13 transition protocols were in operation in Greater London in April 2005. Not all protocols meet all requirements set by government policy. Variation in

The Use of AIS Data for Identifying and Mapping Calcareous Soils in Western Nebraska

Science.gov (United States)

Samson, S. A.

1985-01-01

The identification of calcareous soils, through unique spectral responses of the vegetation to the chemical nature of calcareous soils, can improve the accuracy of delineating the boundaries of soil mapping units over conventional field techniques. The objective of this experiment is to evaluate the use of the Airborne Imaging Spectrometer (AIS) in the identification and delineation of calcareous soils in the western Sandhills of Nebraska. Based upon statistical differences found in separating the spectral curves below 1.3 microns, calcareous and non-calcareous soils may be identified by differences in species of vegetation. Additional work is needed to identify biogeochemical differences between the two soils.

The influence of a change in medicare reimbursement on the effectiveness of stage III or greater decubitus ulcer home health nursing care.

Science.gov (United States)

Eaton, Melody K

2005-02-01

This study was designed to describe and evaluate the influence of a change in a Medicare reimbursement on the effectiveness of home health nursing care for stage III or greater decubitus ulcer patients. This health policy originated from the Balanced Budget Act (BBA) of 1997 and took its full effect with initiation of the Prospective Payment System (PPS) on October 1, 2000. A quantitative quasi-experimental design used OASIS data from the state of Virginia to evaluate 555 stage III or greater decubitus ulcer patients, age 65 or older. Comparisons were investigated between pre-PPS, 2000, and post-PPS, 2001, outcomes related to reported ulcer healing, lengths of stay, and discharge disposition. Results demonstrated significant differences for the outcomes studied. In addition, sanitation, ulcer healing, and discharge disposition were linked as predictors for length of stay. Results demonstrated that PPS has affected nursing care effectiveness for stage III or greater decubitus ulcer home health patients.

Simulation of Ground-Water Flow and Effects of Ground-Water Irrigation on Base Flow in the Elkhorn and Loup River Basins, Nebraska

Science.gov (United States)

Peterson, Steven M.; Stanton, Jennifer S.; Saunders, Amanda T.; Bradley, Jesse R.

2008-01-01

ground-water irrigation on stream base flow for 1940 through 2005 and for 2006 through 2045. Simulated base flows were compared for scenarios that alternately did or did not include a representation of the effects of ground-water irrigation. The difference between simulated base flows for the two scenarios represents the predicted effects of ground-water irrigation on base flow. Comparison of base flows between simulations with ground-water irrigation and no ground-water irrigation indicated that ground-water irrigation has cumulatively reduced streamflows from 1940 through 2005 by 888,000 acre-feet in the Elkhorn River Basin and by 2,273,000 acre-feet in the Loup River Basin. Generally, predicted cumulative effects of ground-water irrigation on base flow were 5 to 10 times larger from 2006 through 2045 than from 1940 through 2005, and were 7,678,000 acre-feet for the Elkhorn River Basin and 14,784,000 acre-feet for the Loup River Basin. The calibrated simulation also was used to estimate base-flow depletion as a percentage of pumping volumes for a 50-year future time period, because base-flow depletion percentages are used to guide the placement of management boundaries in Nebraska. Mapped results of the base-flow depletion analysis conducted for most of the interior of the study area indicated that pumpage of one additional theoretical well simulated for a future 50-year period generally would result in more than 80 percent depletion when it was located close to the stream, except in areas where depletion was partly offset by reduced ground-water discharge to evapotranspiration in wetland areas. In many areas, depletion for the 50-year future period composed greater than 10 percent of the pumped water volume for theoretical wells placed less than 7 or 8 miles from the stream, though considerable variations existed because of the heterogeneity of the natural system represented in the simulation. For a few streams, predicted future simulated base flows dec

Co-occurrence of the cyanotoxins BMAA, DABA and anatoxin-a in Nebraska reservoirs, fish, and aquatic plants.

Science.gov (United States)

Al-Sammak, Maitham Ahmed; Hoagland, Kyle D; Cassada, David; Snow, Daniel D

2014-01-28

Several groups of microorganisms are capable of producing toxins in aquatic environments. Cyanobacteria are prevalent blue green algae in freshwater systems, and many species produce cyanotoxins which include a variety of chemical irritants, hepatotoxins and neurotoxins. Production and occurrence of potent neurotoxic cyanotoxins β-N-methylamino-L-alanine (BMAA), 2,4-diaminobutyric acid dihydrochloride (DABA), and anatoxin-a are especially critical with environmental implications to public and animal health. Biomagnification, though not well understood in aquatic systems, is potentially relevant to both human and animal health effects. Because little is known regarding their presence in fresh water, we investigated the occurrence and potential for bioaccumulation of cyanotoxins in several Nebraska reservoirs. Collection and analysis of 387 environmental and biological samples (water, fish, and aquatic plant) provided a snapshot of their occurrence. A sensitive detection method was developed using solid phase extraction (SPE) in combination with high pressure liquid chromatography-fluorescence detection (HPLC/FD) with confirmation by liquid chromatography-tandem mass spectrometry (LC/MS/MS). HPLC/FD detection limits ranged from 5 to 7 µg/L and LC/MS/MS detection limits were <0.5 µg/L, while detection limits for biological samples were in the range of 0.8-3.2 ng/g depending on the matrix. Based on these methods, measurable levels of these neurotoxic compounds were detected in approximately 25% of the samples, with detections of BMAA in about 18.1%, DABA in 17.1%, and anatoxin-a in 11.9%.

Greater access to fast-food outlets is associated with poorer bone health in young children.

Science.gov (United States)

Vogel, C; Parsons, C; Godfrey, K; Robinson, S; Harvey, N C; Inskip, H; Cooper, C; Baird, J

2016-03-01

A healthy diet positively influences childhood bone health, but how the food environment relates to bone development is unknown. Greater neighbourhood access to fast-food outlets was associated with lower bone mass among infants, while greater access to healthy speciality stores was associated with higher bone mass at 4 years. Identifying factors that contribute to optimal childhood bone development could help pinpoint strategies to improve long-term bone health. A healthy diet positively influences bone health from before birth and during childhood. This study addressed a gap in the literature by examining the relationship between residential neighbourhood food environment and bone mass in infants and children. One thousand one hundred and seven children participating in the Southampton Women's Survey, UK, underwent measurement of bone mineral density (BMD) and bone mineral content (BMC) at birth and 4 and/or 6 years by dual-energy X-ray absorptiometry (DXA). Cross-sectional observational data describing food outlets within the boundary of each participant's neighbourhood were used to derive three measures of the food environment: the counts of fast-food outlets, healthy speciality stores and supermarkets. Neighbourhood exposure to fast-food outlets was associated with lower BMD in infancy (β = -0.23 (z-score): 95% CI -0.38, -0.08) and lower BMC after adjustment for bone area and confounding variables (β = -0.17 (z-score): 95% CI -0.32, -0.02). Increasing neighbourhood exposure to healthy speciality stores was associated with higher BMD at 4 and 6 years (β = 0.16(z-score): 95% CI 0.00, 0.32 and β = 0.13(z-score): 95% CI -0.01, 0.26 respectively). The relationship with BMC after adjustment for bone area and confounding variables was statistically significant at 4 years, but not at 6 years. The neighbourhood food environment that pregnant mothers and young children are exposed may affect bone development during early childhood. If confirmed in

Trust in government and support for governmental regulation: the case of electronic health records.

Science.gov (United States)

Herian, Mitchel N; Shank, Nancy C; Abdel-Monem, Tarik L

2014-12-01

This paper presents results from a public engagement effort in Nebraska, USA, which measured public opinions about governmental involvement in encouraging the use of electronic health records (EHRs). We examine the role of trust in government in contributing to public support for government involvement in the development of EHR technologies. We hypothesize that trust in government will lead to support for federal and state governmental encouragement of the use of EHRs among doctors and insurance companies. Further, because individual experiences with health-care professionals will reduce perceptions of risk, we expect that support for governmental involvement will be tempered by greater personal experience with the health-care industry. Examining a small survey of individuals on the issue, we find general support for both of our hypotheses. The findings suggest that trust in government does have a positive relationship with support for government involvement in the policy domain, but that the frequency of personal experiences with health-care providers reduces the extent to which the public supports governmental involvement in the development of EHR technology. This inquiry contributes to our understanding of public attitudes towards government involvement in EHRs in the United States specifically and contributes to social science examining links between trust in government and support for governmental activity in the emerging policy domain regarding electronic health records systems. © 2012 John Wiley & Sons Ltd.

Effectiveness of Chain Link Turtle Fence and Culverts in Reducing Turtle Mortality and Providing Connectivity along U.S. Hwy 83, Valentine National Wildlife Refuge, Nebraska, USA

Science.gov (United States)

2017-12-01

We evaluated the effectiveness of existing turtle fences through collecting and analyzing turtle mortality data along U.S. Hwy 83, in and around Valentine National Wildlife Refuge, Nebraska, USA. We also investigated the level of connectivity for tur...

The combined use of Skype and the STORZ CMAC video laryngoscope in field intubation training with the Nebraska National Air Guard.

Science.gov (United States)

Boedeker, Ben H; Bernhagen, Mary; Miller, David J; Miljkovic, Nikola; Kuper, Gail M; Murray, W Bosseau

2011-01-01

This study examined the feasibility of using Skype technology in basic manikin intubation instruction of Nebraska National Air Guard personnel at a Casualty Training Exercise. Results show that the Skype monitor provided clear sound and visualization of the airway view to the trainees and the combination of VoIP technology and videolaryngoscopy for intubation training was highly valued by study participants.

Use RUSLE2 model to assess the impact of soil erosion on playa inundation and hydrophyte conditions in the Rainwater Basin, Nebraska.

Science.gov (United States)

Tang, Zhenghong; Gu, Yue; Jiang, Weiguo; Xue, Yuan; Bishop, Andy; LaGrange, Ted; Nugent, Eleanor

2016-06-01

Playas in the Rainwater Basin region in Nebraska are globally important wetlands that are continuously threatened by culturally accelerated sedimentation. Using annual habitat survey data and wetland vegetation inventories, inundation and hydrophyte community distributions were evaluated for properties under different types of conservation status. Annual soil erosion rates from surrounding watersheds were calculated to estimate sediment accumulated rates using the Revised Universal Soil Loss Equation 2 (RUSLE2). The slope-length component of the RUSLE2 was derived from 2009 light detection and ranging (LiDAR) data after the methods described by Van Remortel (Computers & Geosciences 30:1043-1053, 2004). Wetlands enrolled in conservation programs were inundated more and were dominated to a greater degree by hydrophytes than wetlands not enrolled in these programs. The mean estimated soil erosion rate at the Rainwater Basin landscape level was 4.67 tons/ha/year, and the mean estimated sediment accumulation depth for public watersheds was estimated as 0.19 cm/year. Without appropriate conservation actions, the current inundated acres and wetland acres growing hydrophytes would be further reduced by sediment accumulation. The results illustrated the importance of conservation programs to protect wetlands.

Channel stability of Turkey Creek, Nebraska

Science.gov (United States)

Rus, David L.; Soenksen, Philip J.

1998-01-01

Channelization on Turkey Creek and its receiving stream, the South Fork Big Nemaha River, has disturbed the equilibrium of Turkey Creek and has led to channel-stability problems, such as degradation and channel widening, which pose a threat to bridges and land adjacent to the stream. As part of a multiagency study, the U.S. Geological Survey assessed channel stability at two bridge sites on upper and middle portions of Turkey Creek by analyzing streambed-elevation data for gradation changes, comparing recent cross-section surveys and historic accounts, identifying bank-failure blocks, and analyzing tree-ring samples. These results were compared to gradation data and trend results for a U.S. Geological Survey streamflow-gaging station near the mouth of Turkey Creek from a previous study. Examination of data on streambed elevations reveals that degradation has occurred. The streambed elevation declined 0.5 m at the upper site from 1967-97. The streambed elevation declined by 3.2 m at the middle site from 1948-97 and exposed 2 m of the pilings of the Nebraska Highway 8 bridge. Channel widening could not be verified at the two sites from 1967-97, but a historic account indicates widening at the middle site to be two to three times that of the 1949 channel width. Small bank failures were evident at the upper site and a 4-m-wide bank failure occurred at the middle site in 1987 according to tree ring analyses. Examination of streambed-elevation data from a previous study at the lower site reveals a statistically significant aggrading trend from 1958-93. Further examination of these data suggests minor degradation occurred until 1975, followed by aggradation.

National uranium resource evaluation, Hot Springs Quadrangle, South Dakota and Nebraska

International Nuclear Information System (INIS)

Truesdell, D.B.; Daddazio, P.L.; Martin, T.S.

1982-06-01

The Hot Springs Quadrangle, South Dakota and Nebraska, was evaluated to a depth of 1500 m to identify environments and delineate areas favorable for the occurrence of uranium deposits. The evaluation used criteria developed by the National Uranium Resource Evaluation program. Surface reconnaissance was conducted using a portable scintillometer and a gamma spectrometer. Geochemical sampling was carried out in all geologic environments accessible within the quadrangle. Additional investigations included the followup of aerial radiometric and hydrogeochemical anomalies and a subsurface study. Environments favorable for sandstone-type deposits occur in the Inyan Kara Group and Chadron Member of the White River Group. Environments favorable for marine black-shale deposits occur in the Hayden Member of the Minnelusa Formation. A small area of the Harney Peak Granite is favorable for authigenic deposits. Environments considered unfavorable for uranium deposits are the Precambrian granitic and metasedimentary rocks and Paleozoic, Mesozoic, and Tertiary sedimentary rocks other than those previously mentioned

Adverse child health impacts resulting from food adulterations in the Greater China Region.

Science.gov (United States)

Li, Wai Chin; Chow, Chin Fung

2017-09-01

Food adulteration has a long history in human society, and it still occurs in modern times. Because children are relatively vulnerable to food adulterants, studying the health impacts of food adulteration on children is important. This article provides an overview of the child health impacts of food adulterants in two recent food adulteration incidents in the Greater China Region: (1) a plasticizer incident in Taiwan and (2) a 2,4,6-triamino-1,3,5-triazine (melamine)-tainted milk incident in China. The involved food adulterants, di-(2-ethylhexyl) phthalate (DEHP), diisononyl phthalate (DiNP) and melamine, are harmful to the hippocampus, kidneys, reproductive organs and immune system of children, and they also increase the risk of cancer. To detect food adulteration and to avoid further harm caused by food adulteration, simple screening methods have been developed, and they have recently emerged as a new focus area for research. This article also summarizes the simple screening methods used to analyse the aforementioned food adulterants and reports how governments reacted to the recent food incidents. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

The Greater Sekhukhune-CAPABILITY outreach project.

Science.gov (United States)

Gregersen, Nerine; Lampret, Julie; Lane, Tony; Christianson, Arnold

2013-07-01

The Greater Sekhukhune-CAPABILITY Outreach Project was undertaken in a rural district in Limpopo, South Africa, as part of the European Union-funded CAPABILITY programme to investigate approaches for capacity building for the translation of genetic knowledge into care and prevention of congenital disorders. Based on previous experience of a clinical genetic outreach programme in Limpopo, it aimed to initiate a district clinical genetic service in Greater Sekhukhune to gain knowledge and experience to assist in the implementation and development of medical genetic services in South Africa. Implementing the service in Greater Sekhukhune was impeded by a developing staff shortage in the province and pressure on the health service from the existing HIV/AIDS and TB epidemics. This situation underscores the need for health needs assessment for developing services for the care and prevention of congenital disorders in middle- and low-income countries. However, these impediments stimulated the pioneering of innovate ways to offer medical genetic services in these circumstances, including tele-teaching of nurses and doctors, using cellular phones to enhance clinical care and adapting and assessing the clinical utility of a laboratory test, QF-PCR, for use in the local circumstances.

Melittofauna and Other Potential Pollinators in Wetland and Uplands in South Central Nebraska (Insecta: Apoidea).

Science.gov (United States)

Park, Cynthia N; Overall, Lisa M; Smith, Loren M; Lagrange, Ted; McMurry, Scott

2017-03-10

Our objective was to document potential wild pollinating insects in south central Nebraska. This intensively cultivated region is known as the Rainwater Basin and contains some of the most endangered wetland systems in North America. We used blue vane traps to passively collect insects and insect nets to actively collect on flowering plants from April through October in 2014 and 2015. Habitat types included playa wetlands, adjacent mixed and tallgrass prairies, and agricultural fields. Over 112,000 insects were collected; Hymenoptera represented 78% of the total, and the families Apidae and Halictidae comprised 99% of the total melittofauna. Insects from 13 orders were collected, but Hymenoptera, Diptera, and Coleoptera were the most abundant potential pollinators.

A Novel Public Library-Based Sexually Transmitted Infection Screening Program for Younger High-Risk Groups in Omaha, Nebraska, USA.

Science.gov (United States)

Delair, Shirley F; Lyden, Elizabeth R; O'Keefe, Anne L; Simonsen, Kari A; Nared, Sherri R; Berthold, Elizabeth A; Watanabe-Galloway, Shinobu

2016-04-01

Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the two most commonly reported sexually transmitted infections (STIs) in the United States (U.S.) and Douglas County, Nebraska has STI rates consistently above the U.S. average. The Douglas County Health Department (DCHD) developed an outreach CT and NG screening program in public libraries to address the problem beyond the traditional STI clinic setting. This study evaluates the effectiveness of the program and identifies factors predictive of CT and NG infections. A retrospective review of surveys of library patrons and DCHD traditional STI clinic clients who submitted urine tests for CT and NG from June 2010 through April 2014 was done. Chi square, Fisher exact, Student's t tests, univariate and multivariate logistic regression were conducted. A total of 977 library records and 4871 DCHD clinic records were reviewed. The percent positive was lower in the library than in the traditional clinic for CT (9.9 vs. 11.2 %) and NG (2.74 vs. 5.3 %) (p = 0.039 and p Library clients were more likely to be 19 years and younger (OR 6.14, 95 % CI: 5.0, 7.5), Black (OR 3.4, 95 % CI: 2.8, 4.1), and asymptomatic (OR 12.4, 95 % CI: 9.9, 15.5) compared to traditional clinic clients. The library STI screening program effectively reaches a younger, asymptomatic, and predominantly Black population compared to a traditional health department clinic site.

An Examination of Goals of Potential and Actual Learners: University of Mid-America/State University of Nebraska. Working Paper No. 1 [and] Executive Summary.

Science.gov (United States)

Eggert, John D.

An examination is provided of University of Mid-America/State University of Nebraska (UMA/SUN) multimedia adult learners, based on market surveys in 1973 and 1974. One of the major responsibilities of SUN was to complete the planning of a two-year postsecondary open learning curriculum to be offered, including enumeration of courses in order of…

Thermoluminescence and new 14C age estimates for late quaternary loesses in southwestern Nebraska

Science.gov (United States)

Maat, P.B.; Johnson, W.C.

1996-01-01

Loess of late Quaternary age mantles most of Nebraska south of the Platte River Valley. At least five late Quaternary loesses are recognized: from oldest to youngest, one or more undifferentiated pre-lllinoian loesses, the Loveland Loess, the Gilman Canyon Loess, which exhibits a well developed soil and rests unconformably on the Sangamon soil, the Peoria Loess capped by the Brady soil, and the Bignell Loess, which is distributed discontinuously. Previous research shows that the Loveland Loess is Illinoian. the Gilman Canyon Loess and Peoria Loess are Wisconsin, and the Bignell Loess is Holocene. We present here the first thermoluminescence (TL) age estimates and new C ages for these late Quaternary loesses at two key sections in southwestern Nebraska, the Eustis ash pit and the Bignell Hill road cut. TL age estimates from all samples collected from Eustis ash pit and Bignell Hill were internally consistent. TL and C age estimates from these two sections generally agree and support previous age determinations. The TL age estimate on Loveland Loess indicates deposition at 163 ka. TL and radiocarbon age estimates indicate that Oilman Canyon Loess, believed to be deposited during the Farmdale interstade, first began to accumulate at about 40 ka: the lower part of the Gilman Canyon Loess is 36 ka at Eustis and the middle of the unit is 30 ka at Bignell Hill. The lower and upper parts of the Peoria Loess give age estimates of 24 ka and 17 ka, respectively. TL age estimates for deposition of the Bignell Loess are 9 ka near the base, in agreement with radiocarbon age estimates, and 6 ka immediately below the modern soil, substantiating its Holocene age. Comparisons of TL age estimates with ??18O and insolation curves which show loess deposition during interglacial and interstadial as well as glacial periods, indicate that loess deposition on the Great Plains can occur under a variety of climatic conditions.

Helicopter electromagnetic and magnetic geophysical survey data, Swedeburg and Sprague study areas, eastern Nebraska, May 2009

Science.gov (United States)

Smith, B.D.; Abraham, J.D.; Cannia, J.C.; Minsley, B.J.; Ball, L.B.; Steele, G.V.; Deszcz-Pan, M.

2011-01-01

This report is a release of digital data from a helicopter electromagnetic and magnetic survey conducted by Fugro Airborne Surveys in areas of eastern Nebraska as part of a joint hydrologic study by the Lower Platte North and Lower Platte South Natural Resources Districts, and the U.S. Geological Survey. The survey flight lines covered 1,418.6 line km (882 line mile). The survey was flown from April 22 to May 2, 2009. The objective of the contracted survey was to improve the understanding of the relation between surface water and groundwater systems critical to developing groundwater models used in management programs for water resources. The electromagnetic equipment consisted of six different coil-pair orientations that measured resistivity at separate frequencies from about 400 hertz to about 140,000 hertz. The electromagnetic data were converted to georeferenced electrical resistivity grids and maps for each frequency that represent different approximate depths of investigation for each survey area. The electrical resistivity data were input into a numerical inversion to estimate resistivity variations with depth. In addition to the electromagnetic data, total field magnetic data and digital elevation data were collected. Data released in this report consist of flight line data, digital grids, digital databases of the inverted electrical resistivity with depth, and digital maps of the apparent resistivity and total magnetic field. The range of subsurface investigation is comparable to the depth of shallow aquifers. The survey areas, Swedeburg and Sprague, were chosen based on results from test flights in 2007 in eastern Nebraska and needs of local water managers. The geophysical and hydrologic information from U.S. Geological Survey studies are being used by resource managers to develop groundwater resource plans for the area.

Dual Career Faculty Appointments: A Successful Model from ADVANCE-Nebraska

Science.gov (United States)

Holmes, M.; Advance-Nebraska Evaluation Team

2011-12-01

At the University of Nebraska-Lincoln (UNL), 20% of short list candidates for faculty openings in science, engineering and mathematics (STEM) brought an academic partner into the hiring picture between 2008 and 2010, with a peak of 38% in 2010. Having a process in place to address dual career opportunities is a key component in an overall strategy to increase the number of women STEM faculty: 83% of academic scientist women's partners are also academics in STEM, according to a 2009 Stanford report, and 54% of academic scientist men's are. Offering two positions to qualified couples benefits the institution by increasing the chances of recruitment and retention of both candidates. UNL's ADVANCE program, ADVANCE-Nebraska, developed a process to take advantage of dual career opportunities. Nine dual career couples have been hired in the last three years; we expected to hire eight during the five-year life of the grant. We increased the proportion of women in the Engineering College by twenty percent (from n=10 to n=12). The success of the program arises from four key components: early notification to short-list candidates of the dual career program, a point person to coordinate dual career requests across the campus, flexible faculty appointments that provide a variety of opportunities for the partner, and a funding stream to support the partner hire. The point person, the ADVANCE Program Director, was created by the provost through the ADVANCE program. The Director communicates with every short list candidate for each open faculty position and with department and search committee chairs across STEM colleges as soon as the candidate is selected. When there is an eligible partner of the candidate who receives the job offer, if there is approval from the Office of Academic Affairs, the Dean of the target college, and the chair and faculty of the partner's target department, the partner is brought to UNL to interview, and the faculty of the partner's target department

Anthropogenic hydrological cycle disturbance at a regional scale: State-wide evapotranspiration trends (1979-2015) across Nebraska, USA

Science.gov (United States)

Szilagyi, Jozsef

2018-02-01

Trends in monthly evapotranspiration (ET) rates across Nebraska, the most intensely irrigated state within the US, were calculated by the calibration-free version of the nonlinear complementary relationship of evaporation over the 1979-2015 period utilizing North American Regional Reanalysis (NARR) net radiation, 10-m wind velocity, as well as Parameter Regression Independent Slope Model (PRISM) air- and dew-point temperature data. State-averaged modeled ET rates rose by 5.5 mm decade-1 due to the presence of wide-spread large-scale irrigation projects in accordance with a 2.4 mm decade-1 increase in PRISM precipitation (P) and a simultaneous -2.8 mm decade-1 drop in United States Geological Survey's state-averaged annual streamflow rates, raising the state-wide ET to P ratio from 0.89 to 0.91 over the modeled time-period. ET rates over irrigated crops increased by 7 mm decade-1 despite a -4.4 mm decade-1 drop in precipitation rates. A similar increase in ET rates (6 mm decade-1) required 8.1 mm decade-1 increase in precipitation rates across the non-irrigated Sand Hills of Nebraska. Published NARR ET rates are unable to pick up this unusual regional trend. Since an increase in precipitation rates should normally decrease the ET ratio, as predicted by the Budyko curve, this study yields evidence on how dramatically sustained large-scale irrigation can alter the regional hydrologic cycle not only through a) trivially depleting streamflow rates and/or lowering groundwater table levels; b) suppressing precipitation locally (while enhancing it a long distance downwind), but also; c) reversing the trajectory of the regional ET ratio under generally increasing trends of precipitation.

[Prenatal patient cards and quality of prenatal care in public health services in Greater Metropolitan Vitória, Espírito Santo State, Brazil].

Science.gov (United States)

Santos Neto, Edson Theodoro dos; Oliveira, Adauto Emmerich; Zandonade, Eliana; Gama, Silvana Granado Nogueira da; Leal, Maria do Carmo

2012-09-01

This study aimed to assess the completeness of prenatal care information on the patients' prenatal care cards, according to coverage by various public health services: Family Health Strategy (FHS), Community-Based Health Workers' Program (CBHWP), and traditional Primary Care Units (PCU) in Greater Metropolitan Vitória, Espírito Santo State, Brazil. In a cross-sectional study, 1,006 prenatal cards were randomly selected from postpartum women at maternity hospitals in the metropolitan area. Completeness of the cards was assessed according to the criteria proposed by Romero & Cunha, which measure the quality on a scale from excellent ( 50% incomplete cards). In general, completion of information on the cards was bad (> 20% incomplete), but cards were filled out better in the FHS than in the CBHWP and PCU, especially for tetanus vaccination (p = 0.016) and gestational weight (p = 0.039). In conclusion, the quality of prenatal care in the public health system in Greater Metropolitan Vitória fails to meet the Brazilian national guidelines for maternal and child health.

Aerial gamma ray and magnetic survey: Fremont Quadrangle, Nebraska, Iowa; Lincoln Quadrangle, Nebraska; Manhattan Quadrangle, Kansas; Hutchinson Quadrangle, Kansas. Final report. Volume I

International Nuclear Information System (INIS)

1977-11-01

A high sensitivity airborne radiometric and magnetic survey of the East Salina Basin Area (Kansas and Nebraska) was conducted. The project area, the Hutchinson and Manhattan, Kansas sheets, consists of approximately 30,800 square miles. A total of 11,287 line miles of high sensitivity radiometric and magnetic data were collected. All data were collected utilizing a fixed wing aircraft, and over 3,500 cubic inches of NaI crystal detector. Magnetometer data were collected utilizing a high sensitivity 0.25 gamma, proton magnetometer. All field data were returned to GeoMetrics, Sunnyvale, California computer facilities for processing, statistical analysis and interpretation. As an integral part of this final report, other data are presented which include corrected profiles of all radiometric variables (total count, K, U, Th, U/Th, U/K, and Th/K, ratios), magnetic data, radar altimeter data, barometric altimeter data, air temperature and airborne Bi contributions. Radiometric data presented are corrected for Compton Scatter, altitude dependence and atmospheric Bismuth. These data are presented in the form of strip charts as averaged one second samples using a 5 second moving average window, microfiche and digital magnetic tapes containing raw spectral data, single record data, averaged record data, and statistical analysis results. In addition, computer generated anomaly maps and interpretation maps are presented relating known geology or soil distribution to the corrected radiometric data

Technical concept for a greater-confinement-disposal test facility

International Nuclear Information System (INIS)

Hunter, P.H.

1982-01-01

Greater confinement disposal (GCO) has been defined by the National Low-Level Waste Program as the disposal of low-level waste in such a manner as to provide greater containment of radiation, reduce potential for migration or dispersion or radionuclides, and provide greater protection from inadvertent human and biological intrusions in order to protect the public health and safety. This paper discusses: the need for GCD; definition of GCD; advantages and disadvantages of GCD; relative dose impacts of GCD versus shallow land disposal; types of waste compatible with GCD; objectives of GCD borehole demonstration test; engineering and technical issues; and factors affecting performance of the greater confinement disposal facility

Evaluation of a combined modelling-remote sensing method for estimating net radiation in a wetland: a case study in the Nebraska Sand Hills, USA

International Nuclear Information System (INIS)

Goodin, D.G.

1995-01-01

Close-range measurement combined with modelling of incoming radiation is used to evaluate the prospect of remotely-measuring net radiation of a wetland environment located in the Sand Hills of Nebraska. Results indicate that net radiation can be measured with an accuracy comparable to that of conventional instruments. Sources of error are identified and discussed. Possible application of the methodology to satellite remote sensing is considered. (author)

The Wonder and Enrichment of Teaching Wright Morris's "A Fight between a White Boy and a Black Boy in the Dusk of a Fall Afternoon in Omaha, Nebraska."

Science.gov (United States)

McCaffrey, Jerrine

2001-01-01

Outlines a teaching method for Wright Morris's "A Fight Between a White Boy and a Black Boy in the Dusk of a Fall Afternoon in Omaha, Nebraska." Proposes that the story provides and opportunity to introduce stream-of-consciousness writing and to convey the significance of memory recall. (PM)

A Review of the Electronic Coursework Efforts of the University of Nebraska-Omaha in the Earth System Science Education Alliance

Science.gov (United States)

Shuster, R. D.; Grandgenett, N.

2007-12-01

The University of Nebraska at Omaha has been a state leader in helping Nebraska teachers embrace earth systems science education, with a special emphasis in online coursework. UNO was one of the initial members in the Earth Systems Science Education Alliance (ESSEA) and has offered three different ESSEA courses, with a total of 167 students having taken ESSEA courses at UNO for graduate credit. UNO is currently involved in expanding its earth system science courses, modules, and educational research. We are also integrating these courses into several degree programs, including a Masters of Science in Education, a new Middle School Endorsement, a Certificate in Urban Education, and the Graduate Program for the Department of Geography/Geology. UNO is beginning to examine teacher content learning and science reasoning within its coursework. Feedback surveys from earlier ESSEA offerings already indicate a strongly positive perception of the courses by the teachers enrolled in the coursework. Project impact has been documented in teacher projects, quotes, and lessons associated with the coursework activities. We will describe the UNO earth system science efforts (emphasizing ESSEA coursework), and describe past efforts and teacher perceptions, as well as new strategies being undertaken to more closely examine content learning and science reasoning impact with course participants. We will also describe online course modules being developed within the UNO online course efforts, including one on the global amphibian crisis, and also the impact of urbanization on a local native prairie environment.

How the Whole School, Whole Community, Whole Child Model Works: Creating Greater Alignment, Integration, and Collaboration between Health and Education

Science.gov (United States)

Chiang, Rachelle Johnsson; Meagher, Whitney; Slade, Sean

2015-01-01

Background: The Whole School, Whole Community, Whole Child (WSCC) model calls for greater collaboration across the community, school, and health sectors to meet the needs and support the full potential of each child. This article reports on how 3 states and 2 local school districts have implemented aspects of the WSCC model through collaboration,…

Cost Effectiveness of ASHRAE Standard 90.1-2013 for the State of Nebraska

Energy Technology Data Exchange (ETDEWEB)

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

2015-12-01

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

Initial Results of On-Line Earth System Science Course Offerings at the University of Nebraska-Omaha Through the Earth System Science Education Alliance

Science.gov (United States)

Shuster, R. D.; Grandgenett, N. F.; Schnase, W. L.; Hamersky, S.; Moshman, R.

2008-12-01

The University of Nebraska at Omaha has been offering on-line Earth System Science coursework to teachers in Nebraska since 2002. UNO was one of the initial members in the Earth Systems Science Education Alliance (ESSEA) and has offered three different ESSEA courses, with nearly 200 students having taken ESSEA courses at UNO for graduate credit. Our experiences in delivering this coursework have involved both teachers who have received a stipend to take the course and those who have paid their own tuition and fees and received graduate credit for the course. We will report on the online behavior of teachers from both populations and also discuss pros and cons of each approach. UNO has also experimented with different approaches in the support and management of the course, including using undergraduate majors as content experts. This improves access of teachers to content-related feedback and is a positive experience for the undergraduate major. Feedback surveys from earlier ESSEA offerings indicate a strongly positive perception of the courses by the teachers enrolled in the coursework. Project impact has been documented in teacher projects, quotes, and lessons associated with the coursework activities. We will also describe online course modules being developed within the UNO online course efforts, including one focusing on the global amphibian crisis.

Population estimate of Chinese mystery snail (Bellamya chinensis) in a Nebraska reservoir

Science.gov (United States)

Chaine, Noelle M.; Allen, Craig R.; Fricke, Kent A.; Haak, Danielle M.; Hellman, Michelle L.; Kill, Robert A.; Nemec, Kristine T.; Pope, Kevin L.; Smeenk, Nicholas A.; Stephen, Bruce J.; Uden, Daniel R.; Unstad, Kody M.; VanderHam, Ashley E.

2012-01-01

The Chinese mystery snail (Bellamya chinensis) is an aquatic invasive species in North America. Little is known regarding this species' impacts on freshwater ecosystems. It is be lieved that population densities can be high, yet no population estimates have been reported. We utilized a mark-recapture approach to generate a population estimate for Chinese mystery snail in Wild Plum Lake, a 6.47-ha reservoir in southeast Nebraska. We calculated, using bias-adjusted Lincoln-Petersen estimation, that there were approximately 664 adult snails within a 127 m2 transect (5.2 snails/m2). If this density was consistent throughout the littoral zone (Chinese mystery snail wet biomass is estimated to be 3,119 kg (643 kg/ha). If this density is confined to the depth sampled in this study (1.46 m), then the adult population is estimated to be 169,400 snails, and wet biomass is estimated to be 2,084 kg (643 kg/ha). Additional research is warranted to further test the utility of mark-recapture methods for aquatic snails and to better understand Chinese mystery snail distributions within reservoirs.

Factors Influencing Health Service Utilization Among Asian Immigrant Nail Salon Workers in the Greater New York City Area.

Science.gov (United States)

Seo, Jin Young; Chao, Ying-Yu; Yeung, Ka Man; Strauss, Shiela M

2018-06-23

Most nail salon workers in the greater New York City area are Asian immigrant women. They are exposed daily to potentially toxic chemicals and hazards in their workplace, making them more vulnerable for possible health problems. The study's primary purpose was to identify factors influencing past year healthcare utilization among Asian immigrant women working in nail salons. A cross-sectional study was conducted based on a modification of Andersen's behavioral model of healthcare utilization in which 148 Korean and Chinese immigrant women currently working in nail salons were surveyed. The questionnaire included: (1) individual health determinants, (2) health service utilization in the past year, and (3) work environment, work-related health concerns, and work-related health problems. Descriptive statistics and multivariate logistic regression models assessed factors related to past year healthcare utilization. Women who had health insurance (p < .01), a usual source of care (p < .01), low educational attainment (p < .05), and more work-related health symptoms (p < .05) were more likely to visit a primary care provider. Women who had health insurance (p < .01), a usual source of care (p < .05), and low educational attainment (p < .05), were also more likely to visit a woman's health provider. Korean (rather than Chinese) women (p < .05) and women who perceived themselves to be in fair/poor health (p < .05) were more likely to see a traditional provider of Eastern medicine. Asian immigrant women who work in nail salons have workplace health and safety concerns. They generally use Western rather than traditional medicine, with different factors related to these two types of medicine.

Greater dyspnea is associated with lower health-related quality of life among European patients with COPD

Directory of Open Access Journals (Sweden)

Gruenberger JB

2017-03-01

number of emergency room visits (0.61 vs 0.40, P=0.030 were higher in patients with greater dyspnea.Conclusion: Many European patients with COPD continue to experience dyspnea despite treatment and at levels associated with notable impairments in the patients’ ability to function across a multitude of domains. These patients may benefit from more intense treatment of their symptoms. Keywords: COPD, dyspnea, health-related quality of life, activity impairment, symptoms

Geology of the Early Arikareean sharps formation on the Pine Ridge Indian Reservation and surrounding areas of South Dakota and Nebraska.

Science.gov (United States)

McConnell, Thomas H; Dibenedetto, Joseph N

2012-01-01

Based on geologic mapping, measured sections, and lithologic correlations, the local features of the upper and lower type areas of the Early Arikareean (30.8-20.6 million years ago) Sharps Formation are revised and correlated. The Sharps Formation above the basal Rockyford Member is divided into two members of distinct lithotypes. The upper 233 feet of massive siltstones and sandy siltstones is named the Gooseneck Road Member. The middle member, 161 feet of eolian volcaniclastic siltstones with fluvially reworked volcaniclastic lenses and sandy siltstone sheets, is named the Wolff Camp Member. An ashey zone at the base of the Sharps Formation is described and defined as the Rockyford Ash Zone (RAZ) in the same stratigraphic position as the Nonpareil Ash Zone (NPAZ) in Nebraska. Widespread marker beds of fresh water limestones at 130 feet above the base of the Sharps Formation and a widespread reddish-brown clayey siltstone at 165 feet above the base of the Sharps Formation are described. The Brown Siltstone Beds of Nebraska are shown to be a southern correlative of the Wolff Camp Member and the Rockyford Member of the Sharps Formation. Early attempts to correlate strata in the Great Plains were slow in developing. Recognition of the implications of the paleomagnetic and lithologic correlations of this paper will provide an added datum assisting researchers in future biostratigraphic studies. Based on similar lithologies, the Sharps Formation, currently assigned to the Arikaree Group, should be reassigned to the White River Group.

Socio-economic considerations of cleaning Greater Vancouver's air

International Nuclear Information System (INIS)

2005-08-01

Socio-economic considerations of better air quality on the Greater Vancouver population and economy were discussed. The purpose of the study was to provide socio-economic information to staff and stakeholders of the Greater Vancouver Regional District (GVRD) who are participating in an Air Quality Management Plan (AQMP) development process and the Sustainable Region Initiative (SRI) process. The study incorporated the following methodologies: identification and review of Canadian, American, and European quantitative socio-economic, cost-benefit, cost effectiveness, competitiveness and health analyses of changes in air quality and measures to improve air quality; interviews with industry representatives in Greater Vancouver on competitiveness impacts of air quality changes and ways to improve air quality; and a qualitative analysis and discussion of secondary quantitative information that identifies and evaluates socio-economic impacts arising from changes in Greater Vancouver air quality. The study concluded that for the Greater Vancouver area, the qualitative analysis of an improvement in Greater Vancouver air quality shows positive socio-economic outcomes, as high positive economic efficiency impacts are expected along with good social quality of life impacts. 149 refs., 30 tabs., 6 appendices

Improving the Physical Activity and Outdoor Play Environment of Family Child Care Homes in Nebraska Through Go Nutrition and Physical Activity Self-Assessment for Child Care.

Science.gov (United States)

Dinkel, Danae; Dev, Dipti; Guo, Yage; Hulse, Emily; Rida, Zainab; Sedani, Ami; Coyle, Brian

2018-05-09

The purpose of this study was to determine if the Go Nutrition and Physical Activity Self-Assessment in Child Care (Go NAP SACC) intervention was effective in improving best practices in the areas of infant and child physical activity and outdoor play and learning in family child care homes (FCCHs) in Nebraska. FCCHs (n = 201) participated in a pre-post evaluation using the Infant and Child Physical Activity and Outdoor Play and Learning assessments from the Go NAP SACC validated measure to assess compliance with best practices. At post, FCCHs demonstrated significant differences in 85% of the Infant and Child Physical Activity items (17 of 20) and 80% of the Outdoor Play and Learning items (12 of 15). Significant differences in best practices between urban and rural FCCH providers were also found. Go NAP SACC appears to be an effective intervention in Nebraska as, after participation in the initiative, providers were improving child care physical activity best practices. Additional research is needed to objectively determine if these changes resulted in objective improvements in children's physical activity levels. Further, efforts are needed to develop and/or identify geographic-specific resources for continued improvement.

Integrating future scenario‐based crop expansion and crop conditions to map switchgrass biofuel potential in eastern Nebraska, USA

Science.gov (United States)

Gu, Yingxin; Wylie, Bruce K.

2018-01-01

Switchgrass (Panicum virgatum) has been evaluated as one potential source for cellulosic biofuel feedstocks. Planting switchgrass in marginal croplands and waterway buffers can reduce soil erosion, improve water quality, and improve regional ecosystem services (i.e. it serves as a potential carbon sink). In previous studies, we mapped high risk marginal croplands and highly erodible cropland buffers that are potentially suitable for switchgrass development, which would improve ecosystem services and minimally impact food production. In this study, we advance our previous study results and integrate future crop expansion information to develop a switchgrass biofuel potential ensemble map for current and future croplands in eastern Nebraska. The switchgrass biomass productivity and carbon benefits (i.e. NEP: net ecosystem production) for the identified biofuel potential ensemble areas were quantified. The future scenario‐based (‘A1B’) land use and land cover map for 2050, the US Geological Survey crop type and Compound Topographic Index (CTI) maps, and long‐term (1981–2010) averaged annual precipitation data were used to identify future crop expansion regions that are suitable for switchgrass development. Results show that 2528 km2 of future crop expansion regions (~3.6% of the study area) are potentially suitable for switchgrass development. The total estimated biofuel potential ensemble area (including cropland buffers, marginal croplands, and future crop expansion regions) is 4232 km2 (~6% of the study area), potentially producing 3.52 million metric tons of switchgrass biomass per year. Converting biofuel ensemble regions to switchgrass leads to potential carbon sinks (the total NEP for biofuel potential areas is 0.45 million metric tons C) and is environmentally sustainable. Results from this study improve our understanding of environmental conditions and ecosystem services of current and future cropland systems in eastern Nebraska and provide

Joint influence of individual choices, parenting practices, and physician advice on adolescent obesity, Nebraska, 2008.

Science.gov (United States)

Wang, Hongmei; Kim, Jungyoon; Su, Dejun; Xu, Liyan; Chen, Li-Wu; Huang, Terry T-K

2014-10-09

Reducing childhood obesity remains a public health priority given its high prevalence and its association with increased risk of adult obesity and chronic diseases. The objective of this study was to examine the joint influence of multiple risk factors on adolescent overweight status. We conducted a random-digit-dialed telephone survey of adolescents aged 12 to 19 years in fall 2008 in a Midwestern city in Nebraska. On the basis of survey data for 791 youths aged 12 to 18 years, we conducted latent class analysis to group youths by the joint occurrence of dietary behavior, physical activity, parenting practices, and physician advice. We then examined the association between the groups and overweight status by using logistic regression, controlling for age, sex, race/ethnicity, and parent and family information. Youths were clustered into 3 groups. Group I (52%) were youths with healthy dietary behavior and physical activity, less permissive parenting practices, and physician advice; Group II (30%) were youths with moderately healthy dietary behavior and physical activity, less permissive parenting practices, and no physician advice; and Group III (18%) were youths with unhealthy dietary behavior and physical activity, permissive parenting practices, and physician advice. Youths in Groups I and II were less likely to be overweight than youths in Group III. Youths with healthier behavior and less permissive parenting practices were less likely to be overweight. Study findings highlight the need to address obesity risk factors among youths with unhealthy dietary behavior, inadequate exercise, permissive parenting practices, and some physician advice. Tailored interventions should be used to target youths with different obesity risk factors.

The Elk Creek Carbonatite, Southeast Nebraska-An Overview

International Nuclear Information System (INIS)

Carlson, M. P.; Treves, S. B.

2005-01-01

A framework geophysical program in southeastern Nebraska during 1970 identified a near-circular feature having gravity relief of about 8 mgal and a magnetic anomaly of about 800 gammas. Analysis of the geophysical data provided a model of a cylindrical mass of indefinite length with a radius of 5500 ft (1676 m) and beveled at the basement surface at about 600 ft (183 m). At the approximate depth at which Precambrian rocks were expected, the initial test hole (2-B-71) encountered an iron-rich weathered zone overlying carbonate-rich rock. The carbonate rocks consist essentially of dolomite, calcite, and ankerite and lesser amounts of hematite, chlorite, phlogopite, barite, serpentine, pyrochlore, and quartz and contain barium, strontium, and rare earths. Total REE, P2O5, and 87Sr/86Sr ratios confirm the carbonatite identification. Texturally, the rocks range from fragmental to contorted to massive. Associated with the carbonatite are lesser amounts of basalt, lamprophyre, and syenite. Additional exploratory drilling has provided about 80,000 ft (24,384 m) of rock record and has penetrated about 3400 ft (1038 m) of carbonatite. The carbonatite is overlain by marine sediments of Pennsylvanian (Missourian) age. The surrounding Precambrian basement rocks are low-to medium-grade metamorphic gneiss and schist of island arc origin and granitic plutons. The Elk Creek carbonatite is located near the boundary between the Penokean orogen created at about 1.84 Ga (billion years) and the Dawes terrane (1.78 Ga) of the Central Plains orogen. This boundary strongly influenced the geometry of both the Midcontinent Rift System (1.1 Ga) and the Nemaha uplift (0.3 Ga). It is assumed that the emplacement of the Elk Creek carbonatite (0.5 Ga) was influenced similarly by the pre-existing tectonic sutures

DATA MINING AT THE NEBRASKA OIL & GAS COMMISSION

Energy Technology Data Exchange (ETDEWEB)

James R. Weber

2001-05-01

The purpose of this study of the hearing records is to identify factors that are likely to impact the performance of a waterflood in the Nebraska panhandle. The records consisted of 140 cases. Most of the hearings were held prior to 1980. Many of the records were incomplete, and data believed to be key to estimating waterflood performance such as Dykstra-Parson permeability distribution or relative permeability were absent. New techniques were applied to analyze the sparse, incomplete dataset. When information is available, but not clearly understood, new computational intelligence tools can decipher correlations in the dataset. Fuzzy ranking and neural networks were the tools used to estimate secondary recovery from the Cliff Farms Unit. The hearing records include 30 descriptive entries that could influence the success or failure of a waterflood. Success or failure is defined by the ratio of secondary to primary oil recovery (S/P). Primary recovery is defined as cumulative oil produced at the time of the hearing and secondary recovery is defined as the oil produced since the hearing date. Fuzzy ranking was used to prioritize the relevance of 6 parameters on the outcome of the proposed waterflood. The 6 parameters were universally available in 44 of the case hearings. These 44 cases serve as the database used to correlate the following 6 inputs with the respective S/P. (1) Cumulative Water oil ratio, bbl/bbl; (2) Cumulative Gas oil ratio, mcf/bbl; (3) Unit area, acres; (4) Average Porosity, %; (5) Average Permeability, md; (6) Initial bottom hole pressure, psi. A 6-3-1 architecture describes the neural network used to develop a correlation between the 6 input parameters and their respective S/P. The network trained to a 85% correlation coefficient. The predicted Cliff Farms Unit S/P is 0.315 or secondary recovery is expected to be 102,700 bbl.

Creating Interdisciplinary STEM Environments at the University of Nebraska at Omaha

Science.gov (United States)

Shuster, R. D.; Grandgenett, N. F.

2010-12-01

Effective, integrated and interdisciplinary STEM environments depend upon strong faculty collaboration. During the past decade, the University of Nebraska at Omaha (UNO) has put an emphasis on STEM faculty working together across departments, colleges, and the university system, as well as with local school systems. Supported by a University-wide Content and Pedagogy Committee and a new Office of STEM Education, faculty members have aggressively undertaken and evaluated various interdisciplinary STEM activities. This presentation will briefly describe three of these projects, including evaluation-related data and UNO support mechanisms. First, an interdisciplinary student research project has been developed involving our introductory geology and chemistry courses. The project includes collecting drinking water samples from around Omaha by geology students, the chemical analysis of drinking water by chemistry students, followed by water quality analysis of the chemical data by the geology students. Students learn about the scientific method, potential problems with project design, and limitations of interpretation of real data, while also applying knowledge learned in the class to this real world problem. This project reaches ~600 undergraduate students each year and requires close cooperation between faculty of the Chemistry and Geology programs. Evaluation data indicates that this project has had a positive impact on student attitude towards science in general and towards geology and chemistry in particular. The second project highlighted will be the Silicon Prairie Initiative for Robotics in Information Technology (SPIRIT). The SPIRIT project is a NSF funded collaboration between the UNO College of Education, the University of Nebraska at Lincoln College of Engineering, and local school systems. It strives to integrate the use of educational robotics and sensors in the teaching of STEM topics, particularly at the middle school and high school levels. The project

Social vulnerabilities and health conditions of arrestees in the Greater Paris area, France, in 2013: a multicentre cross-sectional study.

Science.gov (United States)

Verdier, Emilie; Denis, Céline; Bourokba, Nacer; Chauvin, Pierre; Chariot, Patrick

2018-05-01

The aim of this study was to describe the health and social conditions of arrestees, as compared to the general population. We studied a sample of 600 adult arrestees in three locations in the Greater Paris area, prospectively included (February-May 2013). A descriptive analysis has been performed, then prevalence was estimated using an indirect standardisation according to age, based on data from a population-based, representative survey in the same area. Arrestees had a median age of 31 years; 92% were males. As compared to the general population, arrestees had a lower level of education (8.6 vs. 7.6%, p analysis of male arrestees and males from the general population showed that the former had worse social and health conditions. These results argue for widespread medical interventions on all arrestees. Medical examination during detention could act as a gateway to health care and social support.

Bovine Tuberculosis in a Nebraska Herd of Farmed Elk and Fallow Deer: A Failure of the Tuberculin Skin Test and Opportunities for Serodiagnosis

OpenAIRE

Waters, W. Ray; Stevens, Gary E.; Schoenbaum, Mark A.; Orloski, Kathy A.; Robbe-Austerman, Suelee; Harris, N. Beth; Hall, S. Mark; Thomsen, Bruce V.; Wilson, Arach J.; Brannian, Roger E.; Nelson, Jeffrey T.; Schafer, Shawn; Esfandiari, Javan; Dutton, Meghan; Greenwald, Rena

2011-01-01

In 2009, Mycobacterium bovis infection was detected in a herd of 60 elk (Cervus elaphus) and 50 fallow deer (Dama dama) in Nebraska, USA. Upon depopulation of the herd, the prevalence of bovine tuberculosis (TB) was estimated at ∼71–75%, based upon histopathology and culture results. Particularly with elk, gross lesions were often severe and extensive. One year ago, the majority of the elk had been tested for TB by single cervical test (SCT), and all were negative. After initial detection of ...

Quantifying Effectiveness of Streambank Stabilization Practices on Cedar River, Nebraska

Directory of Open Access Journals (Sweden)

Naisargi Dave

2017-11-01

Full Text Available Excessive sediment is a major pollutant to surface waters worldwide. In some watersheds, streambanks are a significant source of this sediment, leading to the expenditure of billions of dollars in stabilization projects. Although costly streambank stabilization projects have been implemented worldwide, long-term monitoring to quantify their success is lacking. There is a critical need to document the long-term success of streambank restoration projects. The objectives of this research were to (1 quantify streambank retreat before and after the stabilization of 18 streambanks on the Cedar River in North Central Nebraska, USA; (2 assess the impact of a large flood event; and (3 determine the most cost-efficient stabilization practice. The stabilized streambanks included jetties (10, rock-toe protection (1, slope reduction/gravel bank (1, a retaining wall (1, rock vanes (2, and tree revetments (3. Streambank retreat and accumulation were quantified using aerial images from 1993 to 2016. Though streambank retreat has been significant throughout the study period, a breached dam in 2010 caused major flooding and streambank erosion on the Cedar River. This large-scale flood enabled us to quantify the effect of one extreme event and evaluate the effectiveness of the stabilized streambanks. With a 70% success rate, jetties were the most cost-efficient practice and yielded the most deposition. If minimal risk is unacceptable, a more costly yet immobile practice such as a gravel bank or retaining wall is recommended.

Developing eHealth policies for greater equity in Kenya | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

2018-01-29

Jan 29, 2018 ... Developing eHealth policies will increase access to care for rural populations ... regions of the country, home to the people most in need of services, ... Were health services available in a timely and affordable manner to those ...

A workplace farmstand pilot programme in Omaha, Nebraska, USA.

Science.gov (United States)

Bertmann, Farryl M W; Fricke, Hollyanne E; Carpenter, Leah R; Schober, Daniel J; Smith, Teresa M; Pinard, Courtney A; Yaroch, Amy L

2015-09-01

To explore the feasibility of a workplace farmstand programme through the utilization of an online ordering system to build awareness for local food systems, encourage community participation, and increase local fruit and vegetable availability. A 4-week pilot to explore feasibility of workplace farmstand programmes through a variety of outcome measures, including survey, mode of sale, weekly sales totals and intercept interviews. A large private company in Sarpy County, Omaha, Nebraska, USA. Employees of the company hosting the farmstand programme. Pre-programme, a majority of employees indicated that quality (95·4 %), variety (94·6 %) and cost of fruits and vegetables (86·4 %) were driving factors in their fruit and vegetable selection when shopping. The availability of locally or regionally produced fruits and vegetables was highly important (78·1 %). Participants varied in their definition of local food, with nearly half (49·2 %) reporting within 80·5 km (50 miles), followed by 160·9 km (100 miles; 29·5 %) and 321·9 km (200 miles; 12·1 %). Weekly farmstand purchases (both walk-ups and online orders) ranged from twenty-eight to thirty-nine employees, with weekly sales ranging from $US 257·95 to 436·90 for the producer. The mode of purchase changed throughout the pilot, with higher use of online ordering in the beginning and higher use of walk-up purchasing at the end. The workplace farmstand pilot study revealed initial interest by both employees and a producer in this type of programme, helped to establish a sustained producer-employer relationship and led to additional opportunities for both the producer and employer.

Mortality estimate of Chinese mystery snail, Bellamya chinensis (Reeve, 1863) in a Nebraska reservoir

Science.gov (United States)

Haak, Danielle M.; Chaine, Noelle M.; Stephen, Bruce J.; Wong, Alec; Allen, Craig R.

2013-01-01

The Chinese mystery snail (Bellamya chinensis) is an aquatic invasive species found throughout the USA. Little is known about this species’ life history or ecology, and only one population estimate has been published, for Wild Plum Lake in southeast Nebraska. A recent die-off event occurred at this same reservoir and we present a mortality estimate for this B. chinensis population using a quadrat approach. Assuming uniform distribution throughout the newly-exposed lake bed (20,900 m2), we estimate 42,845 individuals died during this event, amounting to approximately 17% of the previously-estimated population size of 253,570. Assuming uniform distribution throughout all previously-reported available habitat (48,525 m2), we estimate 99,476 individuals died, comprising 39% of the previously-reported adult population. The die-off occurred during an extreme drought event, which was coincident with abnormally hot weather. However, the exact reason of the die-off is still unclear. More monitoring of the population dynamics of B. chinensis is necessary to further our understanding of this species’ ecology.

Channel and island change in the lower Platte River, Eastern Nebraska, USA: 1855 2005

Science.gov (United States)

Joeckel, R. M.; Henebry, G. M.

2008-12-01

The lower Platte River has undergone considerable change in channel and bar characteristics since the mid-1850s in four 20-25 km-long study stretches. The same net effect of historical channel shrinkage that was detected upstream from Grand Island, Nebraska, can also be detected in the lower river but differences in the behaviors of study stretches upstream and downstream from major tributaries are striking. The least relative decrease occurred downstream from the Loup River confluence, and the stretch downstream from the Elkhorn River confluence actually showed an increase in channel area during the 1940s. Bank erosion was also greater downstream of the tributaries between ca. 1860 and 1938/1941, particularly in stretch RG, which showed more lateral migration. The cumulative island area and the ratio of island area to channel area relative to the 1938/1941 baseline data showed comparatively great fluctuations in median island size in both downstream stretches. The erratic behavior of island size distributions over time indicates that large islands were accreted to the banks at different times, and that some small, newly-stabilized islands were episodically "flushed" out of the system. In the upstream stretches the stabilization of mobile bars to create new, small islands had a more consistent impact over time. Channel decrease by the abandonment of large, long-lived anabranches and by the in-place narrowing resulting from island accretion were more prominent in these upstream stretches. Across all of the study area, channel area appears to be stabilizing gradually as the rate of decrease lessens. This trend began earliest in stretch RG in the late 1950s and was accompanied by shifts in the size distributions of stabilized islands in that stretch into the 1960s. Elsewhere, even in the easternmost study stretch, stabilizing was occurring by the late 1960s, the same time frame documented by investigations of the Platte system upstream of the study area. Comprehensive

The diffusion of the distance Entomology Master's Degree Program at the University of Nebraska Lincoln: A descriptive case study

Science.gov (United States)

Hubbell, Jody M.

This study explored three selected phases of Rogers' (1995) Diffusion of Innovations Theory to examine the diffusion process of the distance Entomology Master's Degree program at the University of Nebraska, Lincoln. A qualitative descriptive case study approach incorporated semi-structured interviews with individuals involved in one or more of the three stages: Development, Implementation, and Institutionalization. Documents and archival evidence were used to triangulate findings. This research analyzed descriptions of the program as it moved from the Development, to the Implementation, and finally, the Institutionalization stages of diffusion. Each respective stage was examined through open and axial coding. Process coding identified themes common to two or more diffusion stages, and explored the evolution of themes from one diffusion stage to the next. At a time of significant budget constraints, many departments were faced with the possibility of merger or dissolution. The Entomology Master's Degree Program evolved from being an entrepreneurial means to prevent departmental dissolution to eventually being viewed as a model for the development of similar programs across this university and other institutions of higher education. During this evolution, the program was reinvented to meet the broader needs of industry and a global student market. One finding not consistent with Rogers' model was that smaller, rather than larger, departmental size contributed to the success of the program. Within this small department, faculty members were able to share their experiences and knowledge with each other on a regular basis, which promoted greater acceptance of the distance program. How quality and rigor may be defined and measured was a key issue in each respective stage. In this specific case, quality and rigor was initially a comparison of on-campus and distance course content and then moved to program-based assessment and measures of student outcomes such as job

Cellulosic biofuels from crop residue and groundwater extraction in the US Plains: the case of Nebraska.

Science.gov (United States)

Sesmero, Juan P

2014-11-01

This study develops a model of crop residue (i.e. stover) supply and derived demand for irrigation water accounting for non-linear effects of soil organic matter on soil's water holding capacity. The model is calibrated for typical conditions in central Nebraska, United States, and identifies potential interactions between water and biofuel policies. The price offered for feedstock by a cost-minimizing plant facing that stover supply response is calculated. Results indicate that as biofuel production volumes increase, soil carbon depletion per unit of biofuel produced decreases. Consumption of groundwater per unit of biofuel produced first decreases and then increases (after a threshold of 363 dam(3) of biofuels per year) due to plants' increased reliance on the extensive margin for additional biomass. The analysis reveals a tension between biofuel and water policies. As biofuel production raises the economic benefits of relaxing water conservation policies (measured by the "shadow price" of water) increase. Copyright © 2014 Elsevier Ltd. All rights reserved.

Greater-confinement disposal of low-level radioactive wastes

International Nuclear Information System (INIS)

Trevorrow, L.E.; Gilbert, T.L.; Luner, C.; Merry-Libby, P.A.; Meshkov, N.K.; Yu, C.

1985-01-01

Low-level radioactive wastes include a broad spectrum of wastes that have different radionuclide concentrations, half-lives, and physical and chemical properties. Standard shallow-land burial practice can provide adequate protection of public health and safety for most low-level wastes, but a small volume fraction (about 1%) containing most of the activity inventory (approx.90%) requires specific measures known as ''greater-confinement disposal'' (GCD). Different site characteristics and different waste characteristics - such as high radionuclide concentrations, long radionuclide half-lives, high radionuclide mobility, and physical or chemical characteristics that present exceptional hazards - lead to different GCD facility design requirements. Facility design alternatives considered for GCD include the augered shaft, deep trench, engineered structure, hydrofracture, improved waste form, and high-integrity container. Selection of an appropriate design must also consider the interplay between basic risk limits for protection of public health and safety, performance characteristics and objectives, costs, waste-acceptance criteria, waste characteristics, and site characteristics. This paper presents an overview of the factors that must be considered in planning the application of methods proposed for providing greater confinement of low-level wastes. 27 refs

Greater confinement disposal of radioactive wastes

International Nuclear Information System (INIS)

Trevorrow, L.E.; Gilbert, T.L.; Luner, C.; Merry-Libby, P.A.; Meshkov, N.K.; Yu, C.

1985-01-01

Low-level radioactive waste (LLW) includes a broad spectrum of different radionuclide concentrations, half-lives, and hazards. Standard shallow-land burial practice can provide adequate protection of public health and safety for most LLW. A small volume fraction (approx. 1%) containing most of the activity inventory (approx. 90%) requires specific measures known as greater-confinement disposal (GCD). Different site characteristics and different waste characteristics - such as high radionuclide concentrations, long radionuclide half-lives, high radionuclide mobility, and physical or chemical characteristics that present exceptional hazards - lead to different GCD facility design requirements. Facility design alternatives considered for GCD include the augered shaft, deep trench, engineered structure, hydrofracture, improved waste form, and high-integrity container. Selection of an appropriate design must also consider the interplay between basic risk limits for protection of public health and safety, performance characteristics and objectives, costs, waste-acceptance criteria, waste characteristics, and site characteristics

Evidence of Field-Evolved Resistance to Bifenthrin in Western Corn Rootworm (Diabrotica virgifera virgifera LeConte) Populations in Western Nebraska and Kansas.

Science.gov (United States)

Pereira, Adriano E; Wang, Haichuan; Zukoff, Sarah N; Meinke, Lance J; French, B Wade; Siegfried, Blair D

2015-01-01

Pyrethroid insecticides have been used to control larvae or adults of the western corn rootworm (WCR), Diabrotica virgifera virgifera LeConte, a key pest of field corn in the United States. In response to reports of reduced efficacy of pyrethroids in WCR management programs in southwestern areas of Nebraska and Kansas the present research was designed to establish a baseline of susceptibility to the pyrethroid insecticide, bifenthrin, using susceptible laboratory populations and to compare this baseline with susceptibility of field populations. Concentration-response bioassays were performed to estimate the baseline susceptibility. From the baseline data, a diagnostic concentration (LC99) was determined and used to test adults of both laboratory and field populations. Larval susceptibility was also tested using both laboratory and field populations. Significant differences were recorded in adult and larval susceptibility among WCR field and laboratory populations. The highest LC50 for WCR adults was observed in populations from Keith 2 and Chase Counties, NE, with LC50s of 2.2 and 1.38 μg/vial, respectively, and Finney County 1, KS, with 1.43 μg/vial, as compared to a laboratory non-diapause population (0.24 μg/vial). For larvae, significant differences between WCR field and laboratory populations were also recorded. Significant differences in mortalities at the diagnostic bifenthrin concentration (LC99) were observed among WCR adult populations with western Corn Belt populations exhibiting lower susceptibility to bifenthrin, especially in southwestern Nebraska and southwestern Kansas. This study provides evidence that resistance to bifenthrin is evolving in field populations that have been exposed for multiple years to pyrethroid insecticides. Implications to sustainable rootworm management are discussed.

Evidence of Field-Evolved Resistance to Bifenthrin in Western Corn Rootworm (Diabrotica virgifera virgifera LeConte Populations in Western Nebraska and Kansas.

Directory of Open Access Journals (Sweden)

Adriano E Pereira

Full Text Available Pyrethroid insecticides have been used to control larvae or adults of the western corn rootworm (WCR, Diabrotica virgifera virgifera LeConte, a key pest of field corn in the United States. In response to reports of reduced efficacy of pyrethroids in WCR management programs in southwestern areas of Nebraska and Kansas the present research was designed to establish a baseline of susceptibility to the pyrethroid insecticide, bifenthrin, using susceptible laboratory populations and to compare this baseline with susceptibility of field populations. Concentration-response bioassays were performed to estimate the baseline susceptibility. From the baseline data, a diagnostic concentration (LC99 was determined and used to test adults of both laboratory and field populations. Larval susceptibility was also tested using both laboratory and field populations. Significant differences were recorded in adult and larval susceptibility among WCR field and laboratory populations. The highest LC50 for WCR adults was observed in populations from Keith 2 and Chase Counties, NE, with LC50s of 2.2 and 1.38 μg/vial, respectively, and Finney County 1, KS, with 1.43 μg/vial, as compared to a laboratory non-diapause population (0.24 μg/vial. For larvae, significant differences between WCR field and laboratory populations were also recorded. Significant differences in mortalities at the diagnostic bifenthrin concentration (LC99 were observed among WCR adult populations with western Corn Belt populations exhibiting lower susceptibility to bifenthrin, especially in southwestern Nebraska and southwestern Kansas. This study provides evidence that resistance to bifenthrin is evolving in field populations that have been exposed for multiple years to pyrethroid insecticides. Implications to sustainable rootworm management are discussed.

A comparison of Omaha worksite health promotion activities to the 1992 national survey with a special perspective on program intervention.

Science.gov (United States)

Eickhoff-Shemek, J M; Ryan, K F

1995-01-01

The purpose of this study was to compare the results from a survey of Omaha worksite health promotion activities with the results of a 1992 national survey. Comparisons were made on: (1) the kinds of health promotion activities offered, (2) progress toward the Healthy People 2000 worksite objectives, (3) types of program intervention offered, and (4) administrative factors. A one-time, written, mail-out/mail-back survey design was used. The study took place in Omaha, Nebraska. All area public and private worksites with 250 or more employees were sent surveys. Individuals who were preselected and identified as the best qualified within the company completed the survey instrument. Of the 176 worksites surveyed, 86 completed the survey (49%). Descriptive statistics (percentages) were used to compare the two surveys on kinds of programs offered, progress toward Healthy People 2000 related to worksite health promotion, the types of program intervention offered, and administrative factors. Generally, a greater percentage of respondent worksites from the national survey are offering more health promotion activities and have made more progress toward the Healthy People 2000 worksite objectives than the Omaha worksites. Results from both surveys showed that low levels of intervention are more prevalent than high levels of intervention, and that health promotion activities in most worksites are coordinated by human resources departments and not by someone professionally prepared in health education. Traditionally, major goals of worksite health promotion programs have focused on important organizational outcomes such as improved productivity/morale, reduction in absenteeism, and health care cost-containment. It is important to recognize, however, that low levels of intervention have less impact than more intensive programs on these desired outcomes. Future goals for local and national worksite health promotion programs may need to encourage implementation of more intensive

Children in family foster care have greater health risks and less involvement in Child Health Services.

Science.gov (United States)

Köhler, M; Emmelin, M; Hjern, A; Rosvall, M

2015-05-01

This study investigated the impact of being in family foster care on selected health determinants and participation in Child Health Services (CHS). Two groups of 100 children, born between 1992 and 2008, were studied using data from Swedish Child Health Services for the preschool period up to the age of six. The first group had been in family foster care, and the controls, matched for age, sex and geographic location, had not. Descriptive statistics were used to describe differences in health determinants and participation in Child Health Services between the two groups. The foster care group had higher health risks, with lower rates of breastfeeding and higher levels of parental smoking. They were less likely to have received immunisations and attended key nurse or physician visits and speech and vision screening. Missing data for the phenylketonuria test were more common in children in family foster care. Children in family foster care were exposed to more health risks than the control children and had lower participation in the universal child health programme during the preschool period. These results call for secure access to high-quality preventive health care for this particularly vulnerable group of children. ©2015 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Determinants of facilitated health insurance enrollment for patients with HIV disease, and impact of insurance enrollment on targeted health outcomes.

Science.gov (United States)

Furl, Renae; Watanabe-Galloway, Shinobu; Lyden, Elizabeth; Swindells, Susan

2018-03-16

The introduction of the Affordable Care Act (ACA) has provided unprecedented opportunities for uninsured people with HIV infection to access health insurance, and to examine the impact of this change in access. AIDS Drug Assistance Programs (ADAPs) have been directed to pursue uninsured individuals to enroll in the ACA as both a cost-saving strategy and to increase patient access to care. We evaluated the impact of ADAP-facilitated health insurance enrollment on health outcomes, and demographic and clinical factors that influenced whether or not eligible patients enrolled. During the inaugural open enrollment period for the ACA, 284 Nebraska ADAP recipients were offered insurance enrollment; 139 enrolled and 145 did not. Comparisons were conducted and multivariate models were developed considering factors associated with enrollment and differences between the insured and uninsured groups. Insurance enrollment was associated with improved health outcomes after controlling for other variables, and included a significant association with undetectable viremia, a key indicator of treatment success (p insurance. The National HIV/AIDS Strategy calls for new interventions to improve HIV health outcomes for disproportionately impacted populations. This study provides evidence to prioritize future ADAP-facilitated insurance enrollment strategies to reach minority populations and unstably housed individuals.

The occurrence of illicit and therapeutic pharmaceuticals in wastewater effluent and surface waters in Nebraska

Energy Technology Data Exchange (ETDEWEB)

Bartelt-Hunt, Shannon L. [Department of Civil Engineering, University of Nebraska-Lincoln, 203B Peter Kiewit Institute, Omaha, NE 68182-0178 (United States)], E-mail: sbartelt2@unl.edu; Snow, Daniel D.; Damon, Teyona [Water Sciences Laboratory, University of Nebraska-Lincoln, Lincoln, NE 68583-0844 (United States); Shockley, Johnette [Department of Civil Engineering, University of Nebraska-Lincoln, 203B Peter Kiewit Institute, Omaha, NE 68182-0178 (United States); Hoagland, Kyle [UNL Water Center, University of Nebraska-Lincoln, Lincoln, NE 68583-0995 (United States)

2009-03-15

The occurrence and estimated concentration of twenty illicit and therapeutic pharmaceuticals and metabolites in surface waters influenced by wastewater treatment plant (WWTP) discharge and in wastewater effluents in Nebraska were determined using Polar Organic Chemical Integrative Samplers (POCIS). Samplers were installed in rivers upstream and downstream of treated WWTP discharge at four sites and in a discharge canal at a fifth location. Based on differences in estimated concentrations determined from pharmaceuticals recovered from POCIS, WWTP effluent was found to be a significant source of pharmaceutical loading to the receiving waters. Effluents from WWTPs with trickling filters or trickling filters in parallel with activated sludge resulted in the highest observed in-stream pharmaceutical concentrations. Azithromycin, caffeine, 1,7-dimethylzanthine, carbamazepine, cotinine, DEET, diphenhydramine, and sulfamethazine were detected at all locations. Methamphetamine, an illicit pharmaceutical, was detected at all but one of the sampling locations, representing only the second report of methamphetamine detected in WWTP effluent and in streams impacted by WWTP effluent. - Passive samplers were used to develop semi-quantitative estimates of pharmaceutical concentrations in receiving waters influenced by wastewater effluent.

The occurrence of illicit and therapeutic pharmaceuticals in wastewater effluent and surface waters in Nebraska

International Nuclear Information System (INIS)

Bartelt-Hunt, Shannon L.; Snow, Daniel D.; Damon, Teyona; Shockley, Johnette; Hoagland, Kyle

2009-01-01

The occurrence and estimated concentration of twenty illicit and therapeutic pharmaceuticals and metabolites in surface waters influenced by wastewater treatment plant (WWTP) discharge and in wastewater effluents in Nebraska were determined using Polar Organic Chemical Integrative Samplers (POCIS). Samplers were installed in rivers upstream and downstream of treated WWTP discharge at four sites and in a discharge canal at a fifth location. Based on differences in estimated concentrations determined from pharmaceuticals recovered from POCIS, WWTP effluent was found to be a significant source of pharmaceutical loading to the receiving waters. Effluents from WWTPs with trickling filters or trickling filters in parallel with activated sludge resulted in the highest observed in-stream pharmaceutical concentrations. Azithromycin, caffeine, 1,7-dimethylzanthine, carbamazepine, cotinine, DEET, diphenhydramine, and sulfamethazine were detected at all locations. Methamphetamine, an illicit pharmaceutical, was detected at all but one of the sampling locations, representing only the second report of methamphetamine detected in WWTP effluent and in streams impacted by WWTP effluent. - Passive samplers were used to develop semi-quantitative estimates of pharmaceutical concentrations in receiving waters influenced by wastewater effluent

Rare earth element composition of Paleogene vertebrate fossils from Toadstool Geologic Park, Nebraska, USA

Energy Technology Data Exchange (ETDEWEB)

Grandstaff, D.E., E-mail: grand@temple.edu [Department of Earth and Environmental Science, Temple University, Philadelphia, PA 19122 (United States); Terry, D.O. [Department of Earth and Environmental Science, Temple University, Philadelphia, PA 19122 (United States)

2009-04-15

Fossil bones and teeth from terrestrial environments encode unique rare earth and trace element (REE and TE) signatures as a function of redox conditions, pH, concentrations of complexing ligands, and water-colloid interactions. This signature is set early in the fossilization process and serves as a paleoenvironmental and paleoclimatic proxy. These signatures can also be used to interpret temporal and spatial averaging within vertebrate accumulations, and can help relocate displaced fossil bones back into stratigraphic context. Rare earth elements in vertebrate fossils from upper Eocene and Oligocene strata of Toadstool Geologic Park, northwestern Nebraska, record mixing and evolution of Paleogene vadose or groundwaters and variations in paleoenvironments. REE signatures indicate that HREE-enriched alkaline groundwater reacted with LREE- and MREE-enriched sediments to produce 3-component mixtures. REE signatures become increasingly LREE- and MREE-enriched toward the top of the studied section as the paleoenvironment became cooler and drier, suggesting that REE signatures may be climate proxies. Time series analysis suggests that REE ratios are influenced by cycles of ca. 1050, 800, 570, 440, and 225 ka, similar to some previously determined Milankovitch astronomical and climate periodicities.

Documentation of particle-size analyzer time series, and discrete suspended-sediment and bed-sediment sample data collection, Niobrara River near Spencer, Nebraska, October 2014

Science.gov (United States)

Schaepe, Nathaniel J.; Coleman, Anthony M.; Zelt, Ronald B.

2018-04-06

The U.S. Geological Survey (USGS), in cooperation with the U.S. Army Corps of Engineers, monitored a sediment release by Nebraska Public Power District from Spencer Dam located on the Niobrara River near Spencer, Nebraska, during the fall of 2014. The accumulated sediment behind Spencer Dam ordinarily is released semiannually; however, the spring 2014 release was postponed until the fall. Because of the postponement, the scheduled fall sediment release would consist of a larger volume of sediment. The larger than normal sediment release expected in fall 2014 provided an opportunity for the USGS and U.S. Army Corps of Engineers to improve the understanding of sediment transport during reservoir sediment releases. A primary objective was to collect continuous suspended-sediment data during the first days of the sediment release to document rapid changes in sediment concentrations. For this purpose, the USGS installed a laser-diffraction particle-size analyzer at a site near the outflow of the dam to collect continuous suspended-sediment data. The laser-diffraction particle-size analyzer measured volumetric particle concentration and particle-size distribution from October 1 to 2 (pre-sediment release) and October 5 to 9 (during sediment release). Additionally, the USGS manually collected discrete suspended-sediment and bed-sediment samples before, during, and after the sediment release. Samples were collected at two sites upstream from Spencer Dam and at three bridges downstream from Spencer Dam. The resulting datasets and basic metadata associated with the datasets were published as a data release; this report provides additional documentation about the data collection methods and the quality of the data.

Mortality in NHS Greater Glasgow and Clyde employees: 2007-2009.

Science.gov (United States)

Freer, K; Waclawski, E

2013-09-01

Just over a fifth of all deaths in Scotland occur in those under the age of 65. This study examined deaths in service in employees of the National Health Service Greater Glasgow and Clyde (NHS GG&C) Health Board over a 3-year period. To assess crude death rates by occupational group, the main causes of death and evidence of causes that could have been prevented or modified by lifestyle changes. Demographic details, occupational grouping and death certificate data were obtained for all NHS GG&C employees who died in service between 2007 and 2009. A total of 138 employees died in this period. The occupational groups in which most deaths occurred were support services (porters, domestic and catering staff; 35%) and nurses (34%). The commonest causes of death were lung cancer (15%), ischaemic heart disease (9%) and suicide (9%). The overall crude death rate was 1.2/1000 persons/year (females 1.0 and males 1.7) and was highest among support services employees (2.4) and lowest among medical staff (0.5). The relative risk of death in support services was significantly greater than the majority of occupational groups. These findings suggest health inequality within this workforce. The main causes of death identified in the support services group could potentially be modified through workplace risk factor screening and health promotion.

A community approach to health.

Science.gov (United States)

Hagland, M

1997-01-01

Improving the health and well-being of a community may seem like a daunting task-particularly when you consider the vast number of factors that can influence the quality of life of a neighborhood or a region. It's not impossible, however, as six widely different communities across the U.S. are discovering. The Accelerating Community Transformation (ACT) project--now underway by The Healthcare Forum through a five-year, $5 million grant from pharmaceutical joint venture Astra Merck Inc.--is an innovative attempt to create real-life learning laboratories in communities as diverse as an inner-city neighborhood on the west side of Chicago; the small southern town of Aiken, S.C.: the semi-desert city of San Bernardino, Calif.; a corner of America's heartland where Missouri, Kansas. Nebraska and Iowa meet; the new town of Celebration, Fla.; and St. Louis, Mo. The goals: to evaluate and accelerate community-wide efforts that result in healthier, more desirable places for people to live, work and play; to build community capacity; and to achieve measurable improved health and quality of life outcomes.

International trends in health science librarianship Part 10: The Greater China area.

Science.gov (United States)

Xie, Zhiyun; Chan, Julia L Y; Lam, Louisa Mei Chun; Chiu, Tzu-Heng

2014-06-01

This is the 10th in a series of articles exploring international trends in health science librarianship. This issue describes developments in health science librarianship in the first decade of the 21st century in China, Hong Kong and Taiwan. The next issue will report on Japan and South Korea. JM. © 2014 The authors. Health Information and Libraries Journal © 2014 Health Libraries Group.

Effects of streamflows on stream-channel morphology in the eastern Niobrara National Scenic River, Nebraska, 1988–2010

Science.gov (United States)

Schaepe, Nathaniel J.; Alexander, Jason S.; Folz-Donahue, Kiernan

2016-03-09

The Niobrara River is an important and valuable economic and ecological resource in northern Nebraska that supports ecotourism, recreational boating, wildlife, fisheries, agriculture, and hydroelectric power. Because of its uniquely rich resources, a 122-kilometer reach of the Niobrara River was designated as a National Scenic River in 1991, which has been jointly managed by the U.S. Fish and Wildlife Service and National Park Service. To assess how the remarkable qualities of the National Scenic River may change if consumptive uses of water are increased above current levels, the U.S. Geological Survey, in cooperation with the National Park Service, initiated an investigation of how stream-channel morphology might be affected by potential decreases in summer streamflows. The study included a 65-kilometer segment in the wide, braided eastern stretch of the Niobrara National Scenic River that provides important nesting habitat for migratory bird species of concern to the Nation.

Greater Equality: The Hidden Key to Better Health and Higher Scores

Science.gov (United States)

Wilkinson, Richard; Pickett, Kate

2011-01-01

There are now many studies of income inequality and health that compare countries, American states, or other large regions, and the majority of these studies show that more egalitarian societies tend to be healthier. Inequality is associated with lower life expectancy, higher rates of infant mortality, shorter height, poor self-reported health,…

Is one's usual dinner companion associated with greater odds of depression? Using data from the 2014 Korean National Health and Nutrition Examination Survey.

Science.gov (United States)

Lee, Sang Ah; Park, Eun-Cheol; Ju, Yeong Jun; Nam, Jin Young; Kim, Tae Hyun

2016-09-01

Support from one's family has been reported to have a positive effect on depression severity. Hence, family dinnertimes, when whole family can gather together, can be effective to depression by providing support from family. We investigate the association between the dinner companion and depression, and the differences in this association by gender, living arrangement and household composition. We used the Korea National Health and Nutrition Examination Survey 2014 data. A total of 4,181 individuals were included. We classified participants by their dinner companions as follows: dinner with family, dinner with others and eating alone. Depression was measured by using the 9-item Patient Health Questionnaire. Logistic regression analysis was used to investigate the association. Those who ate dinner alone (odds ratio (OR): 1.53, 95% confidence interval (CI): 1.04-2.25) had higher depression rate compared to those who had dinner with family. The subgroup analysis indicated that men, those who live with others and those living in a second-generation household who ate dinner alone had greater odds of having depressive symptoms. Those who usually eat dinner alone have greater odds of developing depression compared to those who have dinner with their family. As such, family dinnertimes may help to alleviate depressive moods. © The Author(s) 2016.

An analysis of health system resources in relation to pandemic response capacity in the Greater Mekong Subregion

Directory of Open Access Journals (Sweden)

Hanvoravongchai Piya

2012-12-01

Full Text Available Abstract Background There is increasing perception that countries cannot work in isolation to militate against the threat of pandemic influenza. In the Greater Mekong Subregion (GMS of Asia, high socio-economic diversity and fertile conditions for the emergence and spread of infectious diseases underscore the importance of transnational cooperation. Investigation of healthcare resource distribution and inequalities can help determine the need for, and inform decisions regarding, resource sharing and mobilisation. Methods We collected data on healthcare resources deemed important for responding to pandemic influenza through surveys of hospitals and district health offices across four countries of the GMS (Cambodia, Lao PDR, Thailand, Vietnam. Focusing on four key resource types (oseltamivir, hospital beds, ventilators, and health workers, we mapped and analysed resource distributions at province level to identify relative shortages, mismatches, and clustering of resources. We analysed inequalities in resource distribution using the Gini coefficient and Theil index. Results Three quarters of the Cambodian population and two thirds of the Laotian population live in relatively underserved provinces (those with resource densities in the lowest quintile across the region in relation to health workers, ventilators, and hospital beds. More than a quarter of the Thai population is relatively underserved for health workers and oseltamivir. Approximately one fifth of the Vietnamese population is underserved for beds and ventilators. All Cambodian provinces are underserved for at least one resource. In Lao PDR, 11 percent of the population is underserved by all four resource items. Of the four resources, ventilators and oseltamivir were most unequally distributed. Cambodia generally showed higher levels of inequalities in resource distribution compared to other countries. Decomposition of the Theil index suggests that inequalities result principally from

Changes in agriculture and abundance of snow geese affect carrying capacity of sandhill cranes in Nebraska

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Pearse, A.T.; Krapu, G.L.; Brandt, D.A.; Kinzel, P.J.

2010-01-01

The central Platte River valley (CPRV) in Nebraska, USA, is a key spring-staging area for approximately 80 of the midcontinent population of sandhill cranes (Grus canadensis; hereafter cranes). Evidence that staging cranes acquired less lipid reserves during the 1990s compared to the late 1970s and increases in use of the CPRV by snow geese (Chen caerulescens) prompted us to investigate availability of waste corn and quantify spatial and temporal patterns of crane and waterfowl use of the region. We developed a predictive model to assess impacts of changes in availability of corn and snow goose abundance under past, present, and potential future conditions. Over a hypothetical 60-day staging period, predicted energy demand of cranes and waterfowl increased 87 between the late 1970s and 19982007, primarily because peak abundances of snow geese increased by 650,000 and cranes by 110,000. Compared to spring 1979, corn available when cranes arrived was 20 less in 1998 and 68 less in 1999; consequently, the area of cornfields required to meet crane needs increased from 14,464 ha in 1979 to 32,751 ha in 1998 and 90,559 ha in 1999. Using a pooled estimate of 88 kg/ha from springs 19981999 and 20052007, the area of cornfields needed to supply food requirements of cranes and waterfowl increased to 65,587 ha and was greatest in the eastern region of the CPRV, where an estimated 54 of cranes, 47 of Canada geese (Branta canadensis), 45 of greater white-fronted geese (Anser albifrons), and 46 of snow geese occurred during ground surveys. We estimated that a future reduction of 25 in available corn or cornfields would increase daily foraging flight distances of cranes by 2738. Crane use and ability of cranes to store lipid reserves in the CPRV could be reduced substantially if flight distance required to locate adequate corn exceeded a physiological maximum distance cranes could fly in search of food. Options to increase carrying capacity for cranes include increasing

Greater happiness for a greater number: Is that possible in Austria?

NARCIS (Netherlands)

R. Veenhoven (Ruut)

2011-01-01

textabstractWhat is the final goal of public policy? Jeremy Bentham (1789) would say: greater happiness for a greater number. He thought of happiness as subjective enjoyment of life; in his words as “the sum of pleasures and pains”. In his time the happiness of the great number could not be measured

Greater happiness for a greater number: Is that possible in Germany?

NARCIS (Netherlands)

R. Veenhoven (Ruut)

2009-01-01

textabstractWhat is the final goal of public policy? Jeremy Bentham (1789) would say: greater happiness for a greater number. He thought of happiness as subjective enjoyment of life; in his words as “the sum of pleasures and pains”. In his time the Happiness of the great number could not be measured

[Avoidable perinatal deaths and the environment outside the health care system: a case study in a city in Greater Metropolitan Rio de Janeiro].

Science.gov (United States)

Rosa, Maria L G; Hortale, Virginia Alonso

2002-01-01

This paper focuses on the role of environmental factors external to the health care system in the occurrence of perinatal deaths in maternity hospitals belonging to the local health system in a city in Greater Metropolitan Rio de Janeiro in 1994. Elements from the political and administrative context that contribute to an understanding of the relationship between failures in health care and structural deficiencies in these maternity hospitals were divided into four groups of variables: distribution of resources, spatial and temporal factors, organizational and managerial features, and action by interest groups. Semi-structured interviews were conducted. The study concluded that poor performance in four groups of variables may have contributed to perinatal mortality: distribution of resources was insufficient to provide quality in health care, especially in private maternity hospitals; there was no formal or informal regional or hierarchical organization of obstetric care in the city; Ministry of Health guidelines were ignored in all four maternity hospitals, while in three of the hospitals there were no admissions procedures and delivery and fetal follow-up listed in their own rules; and the level of actual participation was low.

Geophysical Characterization of the Quaternary-Cretaceous Contact Using Surface Resistivity Methods in Franklin and Webster Counties, South-Central Nebraska

Science.gov (United States)

Teeple, Andrew; Kress, Wade H.; Cannia, James C.; Ball, Lyndsay B.

2009-01-01

To help manage and understand the Platte River system in Nebraska, the Platte River Cooperative Hydrology Study (COHYST), a group of state and local governmental agencies, developed a regional ground-water model. The southern boundary of this model lies along the Republican River, where an area with insufficient geologic data immediately north of the Republican River led to problems in the conceptualization of the simulated flow system and to potential problems with calibration of the simulation. Geologic descriptions from a group of test holes drilled in south-central Nebraska during 2001 and 2002 indicated a possible hydrologic disconnection between the Quaternary-age alluvial deposits in the uplands and those in the Republican River lowland. This disconnection was observed near a topographic high in the Cretaceous-age Niobrara Formation, which is the local bedrock. In 2003, the U.S. Geological Survey, in cooperation with the COHYST, collected surface geophysical data near these test holes to better define this discontinuity. Two-dimensional imaging methods for direct-current resistivity and capacitively coupled resistivity were used to define the subsurface distribution of resistivity along several county roads near Riverton and Inavale, Nebraska. The relation between the subsurface distribution of resistivity and geology was defined by comparing existing geologic descriptions of test holes to surface-geophysical resistivity data along two profiles and using the information gained from these comparisons to interpret the remaining four profiles. In all of the resistivity profile sections, there was generally a three-layer subsurface interpretation, with a resistor located between two conductors. Further comparison of geologic data with the geophysical data and with surficial features was used to identify a topographic high in the Niobrara Formation near the Franklin Canal which was coincident with a resistivity high. Electrical properties of the Niobrara

[Socio-demographic and health conditions associated with paid work in adults (50-69 years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil].

Science.gov (United States)

Castro, Camila Menezes Sabino de; Mambrini, Juliana Vaz de Melo; Sampaio, Rosana Ferreira; Macinko, James; Lima-Costa, Maria Fernanda

2015-08-01

Factors associated with paid work were examined in a probabilistic sample of 3,320 adults (50-69 years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Prevalence of paid work was 62.8% in men and 35.8% in women. For both men and women, paid work was positively associated with schooling and negatively associated with self-rated health. The probability of having paid work was higher for single women and those who knew someone that had suffered discrimination at the workplace. For men, prevalence of paid work varied from 67.2% in those with ≥ 8 years of schooling and better self-rated health, as compared to 37.8% in those with less schooling and poor self-rated health (PR = 0.56; 95%CI: 0.37-0.87). In women, the corresponding prevalence rates were 42.1% and 3.6% (PR = 0.09; 95%CI: 0.03-0.26). For women with little schooling and poor self-rated health, the likelihood of having paid work was ten times lower than for their male counterparts.

Determination of Semivariogram Models to Krige Hourly and Daily Solar Irradiance in Western Nebraska(.

Science.gov (United States)

Merino, G. G.; Jones, D.; Stooksbury, D. E.; Hubbard, K. G.

2001-06-01

In this paper, linear and spherical semivariogram models were determined for use in kriging hourly and daily solar irradiation for every season of the year. The data used to generate the models were from 18 weather stations in western Nebraska. The models generated were tested using cross validation. The performance of the spherical and linear semivariogram models were compared with each other and also with the semivariogram models based on the best fit to the sample semivariogram of a particular day or hour. There were no significant differences in the performance of the three models. This result and the comparable errors produced by the models in kriging indicated that the linear and spherical models could be used to perform kriging at any hour and day of the year without deriving an individual semivariogram model for that day or hour.The seasonal mean absolute errors associated with kriging, within the network, when using the spherical or the linear semivariograms models were between 10% and 13% of the mean irradiation for daily irradiation and between 12% and 20% for hourly irradiation. These errors represent an improvement of 1%-2% when compared with replacing data at a given site with the data of the nearest weather station.

What motivates health professionals? Opportunities to gain greater insight from theory.

Science.gov (United States)

Buetow, Stephen

2007-07-01

Health care policy-makers and researchers need to pay more attention to understanding the influence of motivation on professional behaviour. Goal setting theory, including two hypotheses - the business case and the pride case - dominates current attempts to motivate professionals. However, the predominance of goal setting theory stifles other approaches to conceptualizing professional motivation. These approaches include other cognitive theories of motivation, such as self-determination theory (concerned with how to use extrinsic rewards that enhance intrinsic motivation), as well as content, psychoanalytic and environmental theories. A valuable opportunity exists to develop and test such theories in addition to possible hybrids, for example, by elaborating goal setting theory in health care. The results can be expected to inform health policy and motivate individual professionals, groups, organizations and workforces to improve and deliver high quality care.

A description of teaching methods using an on-site instructor versus a distant site instructor to train laryngoscopy to medical students in Hanoi, Vietnam, from Omaha, Nebraska, by video communication.

Science.gov (United States)

Zeger, Wesley G; Branecki, Chad E; Nguyen, Thang T; Hall, Todd; Boedeker, Ben; Boedeker, David; Wadman, Michael C

2015-12-01

This study demonstrated a method to train medical students at Hanoi Medical School in airway management from Omaha, Nebraska, using tele-mentoring techniques. Correct placement of the endotracheal tube was documented by tele-broncoscopy following intubation. This technology may increase medical training capabilities in remote or developing areas of the world. Medical care delivery could be performed using this technology by tele-mentoring a lesser trained medical provider at a distant site enabling them to accomplish complex medical tasks.

Development of an Accelerated Test Design for Predicting the Service Life of the Solar Array at Mead, Nebraska

Science.gov (United States)

Gaines, G. B.; Thomas, R. E.; Noel, G. T.; Shilliday, T. S.; Wood, V. E.; Carmichael, D. C.

1979-01-01

An accelerated life test is described which was developed to predict the life of the 25 kW photovoltaic array installed near Mead, Nebraska. A quantitative model for accelerating testing using multiple environmental stresses was used to develop the test design. The model accounts for the effects of thermal stress by a relation of the Arrhenius form. This relation was then corrected for the effects of nonthermal environmental stresses, such as relative humidity, atmospheric pollutants, and ultraviolet radiation. The correction factors for the nonthermal stresses included temperature-dependent exponents to account for the effects of interactions between thermal and nonthermal stresses on the rate of degradation of power output. The test conditions, measurements, and data analyses for the accelerated tests are presented. Constant-temperature, cyclic-temperature, and UV types of tests are specified, incorporating selected levels of relative humidity and chemical contamination and an imposed forward-bias current and static electric field.

Quantification of aquifer properties with surface nuclear magnetic resonance in the Platte River valley, central Nebraska, using a novel inversion method

Science.gov (United States)

Irons, Trevor P.; Hobza, Christopher M.; Steele, Gregory V.; Abraham, Jared D.; Cannia, James C.; Woodward, Duane D.

2012-01-01

Surface nuclear magnetic resonance, a noninvasive geophysical method, measures a signal directly related to the amount of water in the subsurface. This allows for low-cost quantitative estimates of hydraulic parameters. In practice, however, additional factors influence the signal, complicating interpretation. The U.S. Geological Survey, in cooperation with the Central Platte Natural Resources District, evaluated whether hydraulic parameters derived from surface nuclear magnetic resonance data could provide valuable input into groundwater models used for evaluating water-management practices. Two calibration sites in Dawson County, Nebraska, were chosen based on previous detailed hydrogeologic and geophysical investigations. At both sites, surface nuclear magnetic resonance data were collected, and derived parameters were compared with results from four constant-discharge aquifer tests previously conducted at those same sites. Additionally, borehole electromagnetic-induction flowmeter data were analyzed as a less-expensive surrogate for traditional aquifer tests. Building on recent work, a novel surface nuclear magnetic resonance modeling and inversion method was developed that incorporates electrical conductivity and effects due to magnetic-field inhomogeneities, both of which can have a substantial impact on the data. After comparing surface nuclear magnetic resonance inversions at the two calibration sites, the nuclear magnetic-resonance-derived parameters were compared with previously performed aquifer tests in the Central Platte Natural Resources District. This comparison served as a blind test for the developed method. The nuclear magnetic-resonance-derived aquifer parameters were in agreement with results of aquifer tests where the environmental noise allowed data collection and the aquifer test zones overlapped with the surface nuclear magnetic resonance testing. In some cases, the previously performed aquifer tests were not designed fully to characterize

Capacitively coupled and direct-current resistivity surveys of selected reaches of Cozad, Thirty-Mile, Orchard-Alfalfa, Kearney, and Outlet Canals in Nebraska, 2012-13

Science.gov (United States)

Hobza, Christopher M.; Burton, Bethany L.; Lucius, Jeffrey E.; Tompkins, Ryan E.

2014-01-01

Understanding the spatial characteristics of leakage from canals is critical to effectively managing and utilizing water resources for irrigation and hydroelectric purposes. Canal leakage in some parts of Nebraska is the primary source of water for groundwater recharge and helps maintain the base flow of streams. Because surface-water supplies depend on the streamflow of the Platte River and the available water stored in upstream reservoirs, water managers seek to minimize conveyance losses, which can include canal leakage. The U.S. Geological Survey, in cooperation with the Central Platte Natural Resources District and Nebraska Public Power District, used capacitively coupled (CC) and direct-current (DC) resistivity techniques for continuous resistivity profiling to map near-surface lithologies near and underlying the Cozad, Thirty-Mile, Orchard-Alfalfa, Kearney, and Outlet Canals. Approximately 84 kilometers (km) of CC-resistivity data were collected along the five canals. The CC-resistivity data were compared with results from continuous sediment cores and electrical conductivity logs. Generally, the highest resistivities were recorded at the upstream reaches of the Cozad, Thirty-Mile, and Orchard-Alfalfa canals where flood-plain deposits of silt and clay mantle coarser channel deposits of sand and gravel. The finer grained deposits gradually thicken with increasing distance away from the Platte River. Consequently, for many surveyed reaches the thickness of fine-grained deposits exceeded the 8-meter depth of investigation. A detailed geophysical investigation along a 5-km reach of the Outlet Canal southwest of North Platte, Nebraska, used CC and DC resistivity to examine the condition of a compacted-core bank structure and characterized other potential controls on areas of focused seepage. CC-resistivity data, collected along the 5-km study reach, were compared with continuous sediment cores and DC-resistivity data collected near a selected seep near Outlet

Water movement through the unsaturated zone of the High Plains Aquifer in the Central Platte Natural Resources District, Nebraska, 2008-12

Science.gov (United States)

Steele, Gregory V.; Gurdak, Jason J.; Hobza, Christopher M.

2014-01-01

Uncertainty about the effects of land use and climate on water movement in the unsaturated zone and on groundwater recharge rates can lead to uncertainty in water budgets used for groundwater-flow models. To better understand these effects, a cooperative study between the U.S. Geological Survey and the Central Platte Natural Resources District was initiated in 2007 to determine field-based estimates of recharge rates in selected land-use areas of the Central Platte Natural Resources District in Nebraska. Measured total water potential and unsaturated-zone profiles of tritium, chloride, nitrate as nitrogen, and bromide, along with groundwater-age dates, were used to evaluate water movement in the unsaturated zone and groundwater recharge rates in the central Platte River study area. Eight study sites represented an east-west precipitation contrast across the study area—four beneath groundwater-irrigated cropland (sites 2, 5, and 6 were irrigated corn and site 7 was irrigated alfalfa/corn rotation), three beneath rangeland (sites 1, 4, and 8), and one beneath nonirrigated cropland, or dryland (site 3). Measurements of transient vertical gradients in total water potential indicated that periodic wetting fronts reached greater mean maximum depths beneath the irrigated sites than beneath the rangeland sites, in part, because of the presence of greater and constant antecedent moisture. Beneath the rangeland sites, greater temporal variation in antecedent moisture and total water potential existed and was, in part, likely a result of local precipitation and evapotranspiration. Moreover, greater variability was noticed in the total water potential profiles beneath the western sites than the corresponding eastern sites, which was attributed to less mean annual precipitation in the west. The depth of the peak post-bomb tritium concentration or the interface between the pre-bomb/post-bomb tritium, along with a tritium mass balance, within sampled soil profiles were used to

Is compromised oral health associated with a greater risk of mortality among nursing home residents? A controlled clinical study.

Science.gov (United States)

Klotz, Anna-Luisa; Hassel, Alexander Jochen; Schröder, Johannes; Rammelsberg, Peter; Zenthöfer, Andreas

2017-08-30

The objective of this controlled clinical study was to evaluate the association between oral health and 1-year mortality among nursing home residents with or without oral health intervention. This research was part of a multidisciplinary intervention study (EVI-P) performed in 14 nursing homes in Germany. Two-hundred and nineteen nursing home residents were included in the study and assigned to an intervention group, for which dental health education was offered and ultrasonic baths were used for denture cleaning (n = 144), or to a control group (n = 75). Before the intervention, each participant was examined, and dental status, plaque control record (PCR), Denture Hygiene Index, and results from the Revised Oral Assessment Guide were recorded. Amount of care needed and dementia were also assessed, by use of the Barthel Index and the Mini Mental State Examination, respectively. Participant mortality was determined after 12 months, and bivariate analysis and logistic regression models were used to evaluate possible factors affecting mortality. Bivariate analysis detected a direct association between greater mortality and being in the control group (p = .038). Participants with higher PCR were also more likely to die during the study period (p = .049). For dentate participants, the protective effect of being in the intervention group was confirmed by multivariate analysis in which covariates such as age and gender were considered. Oral hygiene and oral health seem to affect the risk of mortality of nursing home residents. Dental intervention programs seem to reduce the risk of 1-year mortality among nursing home residents having remaining natural teeth. Further studies, with larger sample sizes and evaluation of the causes of death, are necessary to investigate the reasons for these associations.

Optimism and spontaneous self-affirmation are associated with lower likelihood of cognitive impairment and greater positive affect among cancer survivors

Science.gov (United States)

Taber, Jennifer M.; Klein, William M. P.; Ferrer, Rebecca A.; Kent, Erin E.; Harris, Peter R.

2016-01-01

Background Optimism and self-affirmation promote adaptive coping, goal achievement, and better health. Purpose To examine the associations of optimism and spontaneous self-affirmation (SSA) with physical, mental, and cognitive health and information seeking among cancer survivors. Methods Cancer survivors (n=326) completed the Health Information National Trends Survey 2013, a national survey of U.S. adults. Participants reported optimism, SSA, cognitive and physical impairment, affect, health status, and information seeking. Results Participants higher in optimism reported better health on nearly all indices examined, even when controlling for SSA. Participants higher in SSA reported lower likelihood of cognitive impairment, greater happiness and hopefulness, and greater likelihood of cancer information seeking. SSA remained significantly associated with greater hopefulness and cancer information seeking when controlling for optimism. Conclusions Optimism and SSA may be associated with beneficial health-related outcomes among cancer survivors. Given the demonstrated malleability of self-affirmation, these findings represent important avenues for future research. PMID:26497697

Optimism and Spontaneous Self-affirmation are Associated with Lower Likelihood of Cognitive Impairment and Greater Positive Affect among Cancer Survivors.

Science.gov (United States)

Taber, Jennifer M; Klein, William M P; Ferrer, Rebecca A; Kent, Erin E; Harris, Peter R

2016-04-01

Optimism and self-affirmation promote adaptive coping, goal achievement, and better health. The aim of this study is to examine the associations of optimism and spontaneous self-affirmation (SSA) with physical, mental, and cognitive health and information seeking among cancer survivors. Cancer survivors (n = 326) completed the Health Information National Trends Survey 2013, a national survey of US adults. Participants reported optimism, SSA, cognitive and physical impairment, affect, health status, and information seeking. Participants higher in optimism reported better health on nearly all indices examined, even when controlling for SSA. Participants higher in SSA reported lower likelihood of cognitive impairment, greater happiness and hopefulness, and greater likelihood of cancer information seeking. SSA remained significantly associated with greater hopefulness and cancer information seeking when controlling for optimism. Optimism and SSA may be associated with beneficial health-related outcomes among cancer survivors. Given the demonstrated malleability of self-affirmation, these findings represent important avenues for future research.

Health-service utilization by pregnant women in the greater Mafikeng- Mmabatho district

Directory of Open Access Journals (Sweden)

C.F. Pretorius

2004-09-01

Full Text Available Since the implementation of free maternity services in South Africa from 1994, more maternity services were provided (SA, 1994: 73. These services are however inaccessible to many pregnant women in the rural areas, leading to sub-optimal antenatal health service utilization. Another problem that emerged, is deterioration in antenatal health service rendering throughout the country, as well as a lack of guidelines for the mobilization of pregnant women in order to promote optimal antenatal health service utilization (ANHSU in the North West Province. The mentioned problems were the reasons for undertaking this research.

Socio-demographic and health conditions associated with paid work in adults (50-69 years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil

OpenAIRE

de Castro, CMS; Mambrini, JVDM; Sampaio, RF; Macinko, J; Lima-Costa, MF

2015-01-01

© 2015 Fundacao Oswaldo Cruz. All rights reserved. Factors associated with paid work were examined in a probabilistic sample of 3,320 adults (50-69 years) in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Prevalence of paid work was 62.8% in men and 35.8% in women. For both men and women, paid work was positively associated with schooling and negatively associated with self-rated health. The probability of having paid work was higher for single women and those who knew someo...

High throughput field plant phenotyping facility at University of Nebraska-Lincoln and the first year experience

Science.gov (United States)

Ge, Y.; Bai, G.; Irmak, S.; Awada, T.; Stoerger, V.; Graef, G.; Scoby, D.; Schnable, J.

2017-12-01

University of Nebraska - Lincoln's high throughput field plant phenotyping facility is a cable robot based system built on a 1-ac field. The sensor platform is tethered with eight cables via four poles at the corners of the field for its precise control and positioning. The sensor modules on the platform include a 4-band RGB-NIR camera, a thermal infrared camera, a 3D LiDAR, VNIR spectrometers, and environmental sensors. These sensors are used to collect multifaceted physiological, structural and chemical properties of plants from the field plots. A subsurface drip irrigation system is established in this field which allows a controlled amount of water and fertilizers to be delivered to individual plots. An extensive soil moisture sensor network is also established to monitor soil water status, and serve as a feedback loop for irrigation scheduling. In the first year of operation, the field is planted maize and soybean. Weekly ground truth data were collected from the plots to validate image and sensor data from the phenotyping system. This presentation will provide an overview of this state-of-the-art field plant phenotyping facility, and present preliminary data from the first year operation of the system.

Geohydrology and water quality of the North Platte River alluvial aquifer, Garden County, Western Nebraska

Science.gov (United States)

Steele, Gregory V.; Cannia, James C.

1995-01-01

In 1993, a 3-year study was begun to describe the geohydrology and water quality of the North Platte River alluvial aquifer near Oshkosh, Garden County, Nebraska. The study's objectives are to evaluate the geohydrologic characteristics of the alluvial aquifer and to establish a network of observation wells for long-term monitoring of temporal variations and spatial distributions of nitrate and major-ion concentrations. Monitor wells were installed at 11 sites near Oshkosh. The geohydrology of the aquifer was characterized based on water-level measurements and two short-term aquifer tests. Bimonthly water samples were collected and analyzed for pH, specific conductivity, water temperature, dissolved oxygen, and nutrients that included dissolved nitrate. Concentrations of major ions were defined from analyses of semiannual water samples. Analyses of the geohydrologic and water-quality data indicate that the aquifer is vulnerable to nitrate contamination. These data also show that nitrate concentrations in ground water flowing into and out of the study area are less than the U.S. Environmental Protection Agency's Maximum Concentration Level of 10 milligrams per liter for drinking water. Ground water from Lost Creek Valley may be mixing with ground water in the North Platte River Valley, somewhat moderating nitrate concentrations near Oshkosh.

Least tern and piping plover nesting at sand pits in Nebraska

Science.gov (United States)

Sidle, John G.; Kirsch, E.M.

1993-01-01

Endangered Least Terns (Sterna antillarum) and threatened Piping Plovers (Charadrius melodus) nest at commercial sand and gravel mining operations (sand pits) along the Platte River system in Nebraska. Sandbar habitat has been disappearing since the early 1900's along the Platte River system, but numbers of sand pits have increased. We hypothesized that birds would more fully utilize sand pits where suitable sandbar habitat was limited. We inventoried sand pits and censused terns and plovers on both habitats along the Loup River, part of the North Loup River, and most of the Platte River during 1988-1991. Using aircraft, we also quantified features of suitable sand pits present on the central Platte in 1988 and lower Platte in 1990, and related features to abundance and presence of birds. We found 225 sand pits of which 78 were suitable and 187 were unsuitable for nesting. Along the central Platte, where sandbar habitat is severely degraded, birds nested at 81% of the suitable sand pits (N = 32) at least once during 1988-1991, and most birds (61-94%) nested on sand pits. Along the lower Platte, where both sandbar and sand pit habitat are plentiful, birds nested at 60% of the suitable sand pits (N = 35) at least once during 1988-1991, and most birds (60-86%) nested on sandbars. Numbers of terns and plovers were more weakly correlated with features of sand pits on the central Platte than on the lower Platte. Least Terns and Piping Plovers seem to use more of the suitable sand pit habitat on the central Platte than on the lower Platte. Sand pits probably have influenced the birds' distribution by providing alternative nesting habitat along rivers where suitable sandbars are rare or absent.

[Reproductive health survey of young adults in greater Santiago].

Science.gov (United States)

Valenzuela, M S; Herold, J M; Morris, L; López, I M

1992-01-01

In 1988 a survey was carried out in order to obtain information on knowledge about reproduction, sexual activity, attitudes, and use of contraceptive methods among residents between 15 and 24 years of age in Greater Santiago. For this purpose, a multistage, self-weighted, non-replacement probability sample was chosen from the entire Santiago urban area. After 2,898 households were visited, 865 women and 800 men were selected and interviewed. For the interview, a questionnaire with 156 questions was developed; many questions were similar to those included in similar surveys in Brazil and Guatemala. The interviewers were professionals who had received prior training. Although 75% of the interviewees had attended sex education classes, they had erroneous ideas on various basic subjects. Sixty-nine percent of the women interviewed had undergone menarche before attending these classes. In addition, 35.4% of the women and 65.0% of the men had had sexual relations prior to marriage, and less than 20% had used any contraceptive method. More than 60% of the interviewees who had children had conceived them before marrying. These findings point up the necessity of offering sex education classes for children and young people, as well as facilitating their access to family planning services, in order to decrease the number of illegitimate and unwanted children that are born in Chile.

Palmoplantar psoriasis is associated with greater impairment of health-related quality of life compared to moderate-to-severe plaque psoriasis

Science.gov (United States)

Chung, Jina; Duffin, Kristina Callis; Takeshita, Junko; Shin, Daniel B.; Krueger, Gerald G.; Robertson, Andrew D.; Troxel, Andrea B.; Van Voorhees, Abby S.; Edson-Heredia, Emily; Gelfand, Joel M.

2014-01-01

Background The impact of palmoplantar psoriasis on health-related quality of life (QoL) is largely unknown. Objective To compare clinical characteristics and patient-reported outcomes between patients with palmoplantar psoriasis and moderate-to-severe plaque psoriasis. Methods We conducted a cross-sectional study of patients with plaque psoriasis (N=1,153) and palmoplantar psoriasis (N=66) currently receiving systemic or light treatment for psoriasis. Results Patients with palmoplantar psoriasis were more likely to report Dermatology Life Quality Index scores that correspond to at least a moderate impact on QoL (odds ratio [OR] 2.08; 95% confidence interval [CI], 1.20-3.61); problems with mobility (OR 1.98; 95% CI, 1.10-3.58), self-care (OR 3.12; 95% CI, 1.24-7.86), and usual activities (OR 2.47; 95% CI, 1.44-4.22) on the European Quality of Life-5 Dimensions questionnaire; and heavy topical prescription use of at least twice daily in the preceding week (OR 2.81; 95% CI, 1.63-4.85) than those with plaque psoriasis. Limitations Our assessment tools may not account for all dimensions of health-related QoL affected by palmoplantar disease, and these results may not be generalizable to patients with milder forms of psoriasis. Conclusion Patients with palmoplantar psoriasis suffer from greater health-related QoL impairment and are more likely to report heavy use of topical prescriptions than those with moderate-to-severe plaque psoriasis. PMID:24894455

How Thailand's greater convergence created sustainable funding for emerging health priorities caused by globalization.

Science.gov (United States)

Charoenca, Naowarut; Kungskulniti, Nipapun; Mock, Jeremiah; Hamann, Stephen; Vathesatogkit, Prakit

2015-01-01

Global health is shifting gradually from a limited focus on individual communicable disease goals to the formulation of broader sustainable health development goals. A major impediment to this shift is that most low- and middle-income countries (LMICs) have not established adequate sustainable funding for health promotion and health infrastructure. In this article, we analyze how Thailand, a middle-income country, created a mechanism for sustainable funding for health. We analyzed the progression of tobacco control and health promotion policies over the past three decades within the wider political-economic and sociocultural context. We constructed a parallel longitudinal analysis of statistical data on one emerging priority - road accidents - to determine whether policy shifts resulted in reduced injuries, hospitalizations and deaths. In Thailand, the convergence of priorities among national interest groups for sustainable health development created an opportunity to use domestic tax policy and to create a semi-autonomous foundation (ThaiHealth) to address a range of pressing health priorities, including programs that substantially reduced road accidents. Thailand's strategic process to develop a domestic mechanism for sustainable funding for health may provide LMICs with a roadmap to address emerging health priorities, especially those caused by modernization and globalization.

How Thailand's greater convergence created sustainable funding for emerging health priorities caused by globalization

Science.gov (United States)

Charoenca, Naowarut; Kungskulniti, Nipapun; Mock, Jeremiah; Hamann, Stephen; Vathesatogkit, Prakit

2015-01-01

Background Global health is shifting gradually from a limited focus on individual communicable disease goals to the formulation of broader sustainable health development goals. A major impediment to this shift is that most low- and middle-income countries (LMICs) have not established adequate sustainable funding for health promotion and health infrastructure. Objective In this article, we analyze how Thailand, a middle-income country, created a mechanism for sustainable funding for health. Design We analyzed the progression of tobacco control and health promotion policies over the past three decades within the wider political-economic and sociocultural context. We constructed a parallel longitudinal analysis of statistical data on one emerging priority – road accidents – to determine whether policy shifts resulted in reduced injuries, hospitalizations and deaths. Results In Thailand, the convergence of priorities among national interest groups for sustainable health development created an opportunity to use domestic tax policy and to create a semi-autonomous foundation (ThaiHealth) to address a range of pressing health priorities, including programs that substantially reduced road accidents. Conclusions Thailand's strategic process to develop a domestic mechanism for sustainable funding for health may provide LMICs with a roadmap to address emerging health priorities, especially those caused by modernization and globalization. PMID:26328948

How Thailand's greater convergence created sustainable funding for emerging health priorities caused by globalization

Directory of Open Access Journals (Sweden)

Naowarut Charoenca

2015-08-01

Full Text Available Background: Global health is shifting gradually from a limited focus on individual communicable disease goals to the formulation of broader sustainable health development goals. A major impediment to this shift is that most low- and middle-income countries (LMICs have not established adequate sustainable funding for health promotion and health infrastructure. Objective: In this article, we analyze how Thailand, a middle-income country, created a mechanism for sustainable funding for health. Design: We analyzed the progression of tobacco control and health promotion policies over the past three decades within the wider political-economic and sociocultural context. We constructed a parallel longitudinal analysis of statistical data on one emerging priority – road accidents – to determine whether policy shifts resulted in reduced injuries, hospitalizations and deaths. Results: In Thailand, the convergence of priorities among national interest groups for sustainable health development created an opportunity to use domestic tax policy and to create a semi-autonomous foundation (ThaiHealth to address a range of pressing health priorities, including programs that substantially reduced road accidents. Conclusions: Thailand's strategic process to develop a domestic mechanism for sustainable funding for health may provide LMICs with a roadmap to address emerging health priorities, especially those caused by modernization and globalization.

Greater decision-making competence is associated with greater expected-value sensitivity, but not overall risk taking: an examination of concurrent validity.

Science.gov (United States)

Parker, Andrew M; Weller, Joshua A

2015-01-01

Decision-making competence reflects individual differences in the susceptibility to committing decision-making errors, measured using tasks common from behavioral decision research (e.g., framing effects, under/overconfidence, following decision rules). Prior research demonstrates that those with higher decision-making competence report lower incidence of health-risking and antisocial behaviors, but there has been less focus on intermediate processes that may impact real-world decisions, and, in particular, those implicated by normative models. Here we test the associations between measures of youth decision-making competence (Y-DMC) and one such process, the degree to which individuals make choices consistent with maximizing expected value (EV). Using a task involving hypothetical gambles, we find that greater EV sensitivity is associated with greater Y-DMC. Higher Y-DMC scores are associated with (a) choosing risky options when EV favors those options and (b) avoiding risky options when EV favors a certain option. This relationship is stronger for gambles that involved potential losses. The results suggest that Y-DMC captures decision processes consistent with standard normative evaluations of risky decisions.

Greater decision-making competence is associated with greater expected-value sensitivity, but not overall risk taking: An examination of concurrent validity

Directory of Open Access Journals (Sweden)

Andrew M Parker

2015-05-01

Full Text Available Decision-making competence reflects individual differences in the susceptibility to decision-making errors, measured using tasks common from behavioral decision research (e.g., framing effects, under/overconfidence, following decision rules. Prior research demonstrates that those with higher decision-making competence report lower incidence of health-risking and antisocial behaviors, but there has been less focus on intermediate mechanisms that may impact real-world decisions, and, in particular, those implicated by normative models. Here we test the associations between measures of youth decision-making competence (Y-DMC and one such mechanism, the degree to which individuals make choices consistent with maximizing expected value (EV. Using a task involving hypothetical gambles, we find that greater EV sensitivity is associated with greater Y-DMC. Higher Y-DMC scores are associated with (a choosing risky options when expected value favors those options and (b avoiding risky options when expected value favors a certain option. This relationship is stronger for gambles that involved potential losses. The results suggest that Y-DMC captures decision processes consistent with standard normative evaluations of risky decisions.

Greater happiness for a greater number: Is that possible? If so how? (Arabic)

NARCIS (Netherlands)

R. Veenhoven (Ruut); E. Samuel (Emad)

2012-01-01

textabstractWhat is the final goal of public policy? Jeremy Bentham (1789) would say: greater happiness for a greater number. He thought of happiness as subjective enjoyment of life; in his words as “the sum of pleasures and pains”. In his time, the happiness of the great number could not be

MANAGING CUSTOMER RELATIONSHIPS IN PRIVATE HEALTH CARE FACILITIES - A STUDY WITH REFERENCE TO GREATER NOIDA CITY OF UTTAR PRADESH

Directory of Open Access Journals (Sweden)

Arun Kumar Panda

2011-03-01

Full Text Available Customer relationship management (CRM which has overriding significance for any business isno less significant for hospital services. Hospitals are most important elements in any health caredelivery system. A hospital plays a major role in maintaining and restoring the health of the people.Care of the sick and injured, preventive health care, health research, and training of medical andparamedical staff are general broad functions of a hospital. It involves to the outpatient and inpatienthospital services and on many occasions emergency medical services. An important resource in ahospital is a human resource. This should be particularly emphasized. This should be particularlyemphasized in the content of a hospital since relationship of medical staff plays important role intreating patients - the hospital customers. In health care, CRM practices are essentially patient -focused strategies that involve effective management of hospital interface and interaction withpatients. Effective CRM practices in a hospital may mean providing services related information toa patient very quickly. Responding to the patent appointment and an admission requests promptly,dealing with patient queries and complaints expeditiously, exercising all kinds of flexibilities inserving patients to the patients. This research paper made an attempt to analyze the factorsinfluencing the customers to select the hospital and to suggest better ways and means to retain thecustomers. For the study, the researcher has collected data from 200 respondents of 10 privatehospitals located in Greater Noida city. For this purpose stratified random sampling method was usedto select the samples. The present study highlights the extent of utilization of the hospital services bythe selected sample respondents. It also shed light on the common problems faced by therespondents. The major features of the service sectors especially on hospital performance is projectedin order to utilize the

How Thailand's greater convergence created sustainable funding for emerging health priorities caused by globalization

OpenAIRE

Naowarut Charoenca; Nipapun Kungskulniti; Jeremiah Mock; Stephen Hamann; Prakit Vathesatogkit

2015-01-01

Background: Global health is shifting gradually from a limited focus on individual communicable disease goals to the formulation of broader sustainable health development goals. A major impediment to this shift is that most low- and middle-income countries (LMICs) have not established adequate sustainable funding for health promotion and health infrastructure.Objective: In this article, we analyze how Thailand, a middle-income country, created a mechanism for sustainable funding for health.De...

Replacing car trips by increasing bike and public transport in the greater Barcelona metropolitan area: a health impact assessment study.

Science.gov (United States)

Rojas-Rueda, D; de Nazelle, A; Teixidó, O; Nieuwenhuijsen, M J

2012-11-15

Estimate the health risks and benefits of mode shifts from car to cycling and public transport in the metropolitan area of Barcelona, Spain. We conducted a health impact assessment (HIA), creating 8 different scenarios on the replacement of short and long car trips, by public transport or/and bike. The primary outcome measure was all-cause mortality and change in life expectancy related to two different assessments: A) the exposure of travellers to physical activity, air pollution to particulate matter car trips, starting and ending in Barcelona City, to cycling (n=141,690) would be for the travellers who shift modes 1.15 additional deaths from air pollution, 0.17 additional deaths from road traffic fatality and 67.46 deaths avoided from physical activity resulting in a total of 66.12 deaths avoided. Fewer deaths would be avoided annually if half of the replaced trips were shifted to public transport (43.76 deaths). The annual health impact in the Barcelona City general population (n=1,630,494) of the 40% reduction in car trips would be 10.03 deaths avoided due to the reduction of 0.64% in exposure to PM2.5. The deaths (including travellers and general population) avoided in Barcelona City therefore would be 76.15 annually. Further health benefits would be obtained with a shift of 40% of the car trips from the Greater Barcelona Metropolitan which either start or end in Barcelona City to public transport (40.15 deaths avoided) or public transport and cycling (98.50 deaths avoided).The carbon dioxide reduction for shifting from car to other modes of transport (bike and public transport) in Barcelona metropolitan area was estimated to be 203,251t/CO₂ emissions per year. Interventions to reduce car use and increase cycling and the use of public transport in metropolitan areas, like Barcelona, can produce health benefits for travellers and for the general population of the city. Also these interventions help to reduce green house gas emissions. Copyright © 2012

Exploring teachers' perspectives on the impact of out-of-school science-based programs for secondary level physics classrooms in Nebraska

Science.gov (United States)

Baquerizo-Birth, Marisol

This exploratory phenomenological study investigates the lived experiences of six high school physics teachers in Nebraska regarding their perceptions on the impact of participating in a science-based out-of-school program. By exploring the research question, we discover how this experience relates to these teachers' self-concept and professional growth. Open-ended, semi-structured, one-on-one interviews are used as the data collection method to explore teachers' perceptions. Responses reveal that teachers participating in the Cosmic Ray Observatory Project (CROP) as a means of exploring advanced, extracurricular physics projects perceive their participation as an opportunity for enrichment, collaboration, helping their students, and empowerment. Intertwined in the presented narratives, teachers refer to their schools' limited administrative support as a source of struggle tied to the challenge of balancing school and teaching responsibilities with CROP participants' responsibilities. This study proposes teachers must feel confident with their specific subject area to achieve a progressive view of self, and that supplemental professional development opportunities are crucial to physics teaching.

An aerial radiological survey of the Fort Calhoun Nuclear Power Plant and surrounding area, Fort Calhoun, Nebraska

International Nuclear Information System (INIS)

1994-05-01

An aerial radiological survey was conducted over the Fort Calhoun Nuclear Power Plant in Fort Calhoun, Nebraska, during the period June 19 through June 28, 1993. The survey was conducted at an altitude of 150 feet (46 meters) over a 25-square-mile (65-square-kilometer) area centered on the power station. The purpose of the survey was to document the terrestrial gamma radiation environment of the Fort Calhoun Nuclear Power Plant and surrounding area. The results of the aerial survey are reported as inferred gamma radiation exposure rates at 1 meter above ground level in the form of a contour map. Outside the plant boundary, exposure rates were found to vary between 6 and 12 microroentgens per hour and were attributed to naturally-occurring uranium, thorium, and potassium. The aerial data were compared to ground-based benchmark exposure rate measurements and radionuclide assays of soil samples obtained within the survey boundary. The ground-based measurements were found to be in good agreement with those inferred from the aerial measuring system. A previous survey was conducted on August 9 and 10, 1972, before the plant began operation. Exposure rates measured in both surveys were consistent with normal terrestrial background

Drugs Cleared Through The FDA's Expedited Review Offer Greater Gains Than Drugs Approved By Conventional Process.

Science.gov (United States)

Chambers, James D; Thorat, Teja; Wilkinson, Colby L; Neumann, Peter J

2017-08-01

We investigated whether drugs approved by the Food and Drug Administration (FDA) through expedited review have offered larger health gains, compared to drugs approved through conventional review processes. We identified published estimates of additional health gains (measured in quality-adjusted life-years, or QALYs) associated with drugs approved in the period 1999-2012 through expedited (seventy-six drugs) versus conventional (fifty-nine) review processes. We found that drugs in at least one expedited review program offered greater gains than drugs reviewed through conventional processes (0.182 versus 0.003 QALYs). We also found that, compared to drugs not included in the same program, greater gains were provided by drugs in the priority review (0.175 versus 0.007 QALYs), accelerated approval (0.370 versus 0.031 QALYs), and fast track (0.254 versus 0.014 QALYs) programs. Our analysis suggests that the FDA has prioritized drugs that offer the largest health gains. Project HOPE—The People-to-People Health Foundation, Inc.

Individuals with chronic low back pain have greater difficulty in engaging in positive lifestyle behaviours than those without back pain: An assessment of health literacy

Directory of Open Access Journals (Sweden)

Burnett Angus F

2011-07-01

Full Text Available Abstract Background Despite the large volume of research dedicated to understanding chronic low back pain (CLBP, patient outcomes remain modest while healthcare costs continue to rise, creating a major public health burden. Health literacy - the ability to seek, understand and utilise health information - has been identified as an important factor in the course of other chronic conditions and may be important in the aetiology of CLBP. Many of the currently available health literacy measurement tools are limited since they measure narrow aspects of health literacy. The Health Literacy Measurement Scale (HeLMS was developed recently to measure broader elements of health literacy. The aim of this study was to measure broad elements of health literacy among individuals with CLBP and without LBP using the HeLMS. Methods Thirty-six community-dwelling adults with CLBP and 44 with no history of LBP responded to the HeLMS. Individuals were recruited as part of a larger community-based spinal health study in Western Australia. Scores for the eight domains of the HeLMS as well as individual item responses were compared between the groups. Results HeLMS scores were similar between individuals with and without CLBP for seven of the eight health literacy domains (p > 0.05. However, compared to individuals with no history of LBP, those with CLBP had a significantly lower score in the domain 'Patient attitudes towards their health' (mean difference [95% CI]: 0.46 [0.11-0.82] and significantly lower scores for each of the individual items within this domain (p d = 0.47-0.65. Conclusions Although no differences were identified in HeLMS scores between the groups for seven of the health literacy domains, adults with CLBP reported greater difficulty in engaging in general positive health behaviours. This aspect of health literacy suggests that self-management support initiatives may benefit individuals with CLBP.

A mixed-methods approach to assessing success in transitioning water management institutions: a case study of the Platte River Basin, Nebraska

Directory of Open Access Journals (Sweden)

Christina Hoffman Babbitt

2015-03-01

Full Text Available To address increasing conflicts between surface water and groundwater users, the state of Nebraska has adopted a more localized and integrated approach in managing water resources. Integrated approaches offer promise in better managing connected water resources within the state; however, little review of the potential benefits and/or challenges of these actions has been conducted. This case study uses both qualitative and quantitative data collection efforts to take an in-depth look at how this new and innovative management system is working through the eyes of stakeholders living and working in the basin. Data collection reveals that overall the current water management system is working relatively well, even though it is still in its infancy. However, the system could be further improved by ensuring all that stakeholder interests are represented, providing increased opportunities to participate, and continuing to work toward more holistic and proactive water management.

Geographic variation in migration chronology and winter distribution of midcontinent greater white-fronted geese

Science.gov (United States)

Ely, Craig R.; Nieman, Daniel J.; Alisauskas, Ray T.; Schmutz, Joel A.; Hines, James E.

2013-01-01

We evaluated spatial and temporal differences in migratory behavior among different breeding groups of midcontinent greater white-fronted geese (Anser albifrons) using band-recovery data and observations of neck collared geese during migration and winter. Birds from different breeding areas were initially delineated by geographic distance into 6 banding reference areas (BRAs): 1) interior Alaska, 2) North Slope of Alaska, 3) western Northwest Territories (NWT), 4) western Nunavut, 5) central Nunavut, and 6) eastern Nunavut. The banding groups also differed by breeding habitat, with geese from interior Alaska nesting in the boreal forest (taiga), and all other groups breeding in tundra habitats. Geese from interior Alaska migrated earlier during autumn, and were more likely to winter farther south (in Mexico) than geese from other breeding areas. Geese banded in central and eastern Nunavut (Queen Maud Gulf and Inglis River) wintered farther east (in Louisiana) than geese from other breeding areas. Small-scale (within-state) geographic segregation of wintering flocks was evidenced by the recent (post-1990) nearly exclusive use of a new wintering area in north central Texas by geese from interior Alaska. Segregation among BRAs was also apparent in Mexico, where taiga geese were found predominantly in the central Highlands (states of Zacatecas and Durango), whereas tundra geese mostly used states along the Gulf Coast (primarily Tamaulipas). Interior Alaska birds initiated spring migration earlier than geese from other areas, and were more likely than others to stop in the Rainwater Basin of Nebraska, a region where cholera outbreaks periodically kill thousands of geese. Geese from interior Alaska were the first to arrive at spring staging areas in prairie Canada where BRAs exhibited spatial delineation (a longitudinal cline) in relation to breeding areas. Our results show significant geographic and temporal variation among taiga and tundra breeding cohorts during

Chronic Childhood Trauma, Mental Health, Academic Achievement, and School-Based Health Center Mental Health Services

Science.gov (United States)

Larson, Satu; Chapman, Susan; Spetz, Joanne; Brindis, Claire D.

2017-01-01

Background: Children and adolescents exposed to chronic trauma have a greater risk for mental health disorders and school failure. Children and adolescents of minority racial/ethnic groups and those living in poverty are at greater risk of exposure to trauma and less likely to have access to mental health services. School-based health centers…

Summary of Bed-Sediment Measurements Along the Platte River, Nebraska, 1931-2009

Science.gov (United States)

Kinzel, P.J.; Runge, J.T.

2010-01-01

Rivers are conduits for water and sediment supplied from upstream sources. The sizes of the sediments that a river bed consists of typically decrease in a downstream direction because of natural sorting. However, other factors can affect the caliber of bed sediment including changes in upstream water-resource development, land use, and climate that alter the watershed yield of water or sediment. Bed sediments provide both a geologic and stratigraphic record of past fluvial processes and quantification of current sediment transport relations. The objective of this fact sheet is to describe and compare longitudinal measurements of bed-sediment sizes made along the Platte River, Nebraska from 1931 to 2009. The Platte River begins at the junction of the North Platte and South Platte Rivers near North Platte, Nebr. and flows east for approximately 500 kilometers before joining the Missouri River at Plattsmouth, Nebr. The confluence of the Loup River with the Platte River serves to divide the middle (or central) Platte River (the Platte River upstream from the confluence with the Loup River) and lower Platte River (the Platte River downstream from the confluence with Loup River). The Platte River provides water for a variety of needs including: irrigation, infiltration to public water-supply wells, power generation, recreation, and wildlife habitat. The Platte River Basin includes habitat for four federally listed species including the whooping crane (Grus americana), interior least tern (Sterna antillarum), piping plover (Charadrius melodus), and pallid sturgeon (Scaphirhynchus albus). A habitat recovery program for the federally listed species in the Platte River was initiated in 2007. One strategy identified by the recovery program to manage and enhance habitat is the manipulation of streamflow. Understanding the longitudinal and temporal changes in the size gradation of the bed sediment will help to explain the effects of past flow regimes and anticipated

Helicopter Electromagnetic and Magnetic Geophysical Survey Data for Portions of the North Platte River and Lodgepole Creek, Nebraska, June 2008

Science.gov (United States)

Smith, Bruce D.; Abraham, Jared D.; Cannia, James C.; Hill, Patricia

2009-01-01

This report is a release of digital data from a helicopter electromagnetic and magnetic survey that was conducted during June 2008 in areas of western Nebraska as part of a joint hydrologic study by the North Platte Natural Resource District, South Platte Natural Resource District, and U.S. Geological Survey. The objective of the contracted survey, conducted by Fugro Airborne, Ltd., was to improve the understanding of the relationship between surface water and groundwater systems critical to developing groundwater models used in management programs for water resources. The survey covered 1,375 line km (854 line mi). A unique aspect of this survey is the flight line layout. One set of flight lines were flown paralleling each side of the east-west trending North Platte River and Lodgepole Creek. The survey also included widely separated (10 km) perpendicular north-south lines. The success of this survey design depended on a well understood regional hydrogeologic framework and model developed by the Cooperative Hydrologic Study of the Platte River Basin. Resistivity variations along lines could be related to this framework. In addition to these lines, more traditional surveys consisting of parallel flight lines separated by about 270 m were carried out for one block in each of the drainages. These surveys helped to establish the spatial variations of the resistivity of hydrostratigraphic units. The electromagnetic equipment consisted of six different coil-pair orientations that measured resistivity at separated frequencies from about 400 Hz to about 140,000 Hz. The electromagnetic data along flight lines were converted to electrical resistivity. The resulting line data were converted to geo-referenced grids and maps which are included with this report. In addition to the electromagnetic data, total field magnetic data and digital elevation data were collected. Data released in this report consist of data along flight lines, digital grids, and digital maps of the

Time-domain electromagnetic soundings collected in Dawson County, Nebraska, 2007-09

Science.gov (United States)

Payne, Jason; Teeple, Andrew

2011-01-01

Between April 2007 and November 2009, the U.S. Geological Survey, in cooperation with the Central Platte Natural Resources District, collected time-domain electro-magnetic (TDEM) soundings at 14 locations in Dawson County, Nebraska. The TDEM soundings provide information pertaining to the hydrogeology at each of 23 sites at the 14 locations; 30 TDEM surface geophysical soundings were collected at the 14 locations to develop smooth and layered-earth resistivity models of the subsurface at each site. The soundings yield estimates of subsurface electrical resistivity; variations in subsurface electrical resistivity can be correlated with hydrogeologic and stratigraphic units. Results from each sounding were used to calculate resistivity to depths of approximately 90-130 meters (depending on loop size) below the land surface. Geonics Protem 47 and 57 systems, as well as the Alpha Geoscience TerraTEM, were used to collect the TDEM soundings (voltage data from which resistivity is calculated). For each sounding, voltage data were averaged and evaluated statistically before inversion (inverse modeling). Inverse modeling is the process of creating an estimate of the true distribution of subsurface resistivity from the mea-sured apparent resistivity obtained from TDEM soundings. Smooth and layered-earth models were generated for each sounding. A smooth model is a vertical delineation of calculated apparent resistivity that represents a non-unique estimate of the true resistivity. Ridge regression (Interpex Limited, 1996) was used by the inversion software in a series of iterations to create a smooth model consisting of 24-30 layers for each sounding site. Layered-earth models were then generated based on results of smooth modeling. The layered-earth models are simplified (generally 1 to 6 layers) to represent geologic units with depth. Throughout the area, the layered-earth models range from 2 to 4 layers, depending on observed inflections in the raw data and smooth model

Status on disposal of greater-than-Class C

Energy Technology Data Exchange (ETDEWEB)

Plummer, T.L.

1995-12-31

The Department of Energy (DOE) has developed a plan for the management and disposal of commercially generated greater-than-Class C (GTCC) low-level radioactive waste. The Low-Level Radioactive Waste Policy Amendments Act of 1985 made DOE responsible for disposal of GTCC waste. The act requires that GTCC waste be disposed in a Nuclear Regulatory Commission (NRC)-licensed facility. The NRC has amended 10 CFR 61 to express a preference for geologic disposal of GTCC waste. Based on reassessment studies, legislative guidance, and stakeholder involvement, a revised plan has been formulated to provide for total management of GTCC waste. The plan has four major thrusts: (1) plan for GTCC waste storage at the generator site until disposal is available, (2) establish storage for GTCC sealed sources posing health and safety risk to the public, (3) facilitate storage for other GTCC waste posing health and safety risk to the public, and (4) plan for co-disposal of GTCC waste in a geologic disposal site with similar waste types. The revised plan focuses on applying available resources to near- and long-term needs.

Do Quiet Areas Afford Greater Health-Related Quality of Life than Noisy Areas?

Directory of Open Access Journals (Sweden)

Kim N. Dirks

2013-03-01

Full Text Available People typically choose to live in quiet areas in order to safeguard their health and wellbeing. However, the benefits of living in quiet areas are relatively understudied compared to the burdens associated with living in noisy areas. Additionally, research is increasingly focusing on the relationship between the human response to noise and measures of health and wellbeing, complementing traditional dose-response approaches, and further elucidating the impact of noise and health by incorporating human factors as mediators and moderators. To further explore the benefits of living in quiet areas, we compared the results of health-related quality of life (HRQOL questionnaire datasets collected from households in localities differentiated by their soundscapes and population density: noisy city, quiet city, quiet rural, and noisy rural. The dose-response relationships between noise annoyance and HRQOL measures indicated an inverse relationship between the two. Additionally, quiet areas were found to have higher mean HRQOL domain scores than noisy areas. This research further supports the protection of quiet locales and ongoing noise abatement in noisy areas.

Microbial water quality during the northern migration of Sandhill Cranes (Grus canadensis) at the central Platte River, Nebraska

Science.gov (United States)

Moser, Matthew T.

2014-01-01

The central Platte River is an important resource in Nebraska. Its water flows among multiple channels and supports numerous beneficial uses such as drinking water, irrigation for agriculture, groundwater recharge, and recreational activities. The central Platte River valley is an important stopover for migratory waterfowl and cranes, such as the Whooping (Grus americana) and Sandhill Cranes (Grus canadensis), in their annual northward traversal of the Central Flyway. Waterfowl, cranes, and other migratory birds moving across international and intercontinental borders may provide long-range transportation for any microbial pathogen they harbor, particularly through the spread of feces. Samples were collected weekly in the study reach from three sites (upstream, middle, and downstream from the roosting locations) during the spring of 2009 and 2010. The samples were analyzed for avian influenza, Escherichia coli, Cryptosporidium, Giardia, Campylobacter, and Legionella. Analysis indicates that several types of fecal indicator bacteria and a range of viral, protozoan, and bacterial pathogens were present in Sandhill Crane excreta. These bacteria and pathogens were present at a significantly higher frequency and densities in water and sediments when the Sandhill Cranes were present, particularly during evening roosts within the Platte River environment.

Chronic Childhood Trauma, Mental Health, Academic Achievement, and School-Based Health Center Mental Health Services

OpenAIRE

Larson, S; Chapman, S; Spetz, J; Brindis, CD

2017-01-01

Children and adolescents exposed to chronic trauma have a greater risk for mental health disorders and school failure. Children and adolescents of minority racial/ethnic groups and those living in poverty are at greater risk of exposure to trauma and less likely to have access to mental health services. School-based health centers (SBHCs) may be one strategy to decrease health disparities.Empirical studies between 2003 and 2013 of US pediatric populations and of US SBHCs were included if rese...

Spring migration ecology of the mid-continent sandhill crane population with an emphasis on use of the Central Platte River Valley, Nebraska

Science.gov (United States)

Krapu, Gary L.; Brandt, David A.; Kinzel, Paul J.; Pearse, Aaron T.

2014-01-01

We conducted a 10-year study (1998–2007) of the Mid-Continent Population (MCP) of sandhill cranes (Grus canadensis) to identify spring-migration corridors, locations of major stopovers, and migration chronology by crane breeding affiliation (western Alaska–Siberia [WA–S], northern Canada–Nunavut [NC–N], west-central Canada–Alaska [WC–A], and east-central Canada–Minnesota [EC–M]). In the Central Platte River Valley (CPRV) of Nebraska, we evaluated factors influencing staging chronology, food habits, fat storage, and habitat use of sandhill cranes. We compared our findings to results from the Platte River Ecology Study conducted during 1978–1980. We determined spring migration corridors used by the breeding affiliations (designated subpopulations for management purposes) by monitoring 169 cranes marked with platform transmitter terminals (PTTs). We also marked and monitored 456 cranes in the CPRV with very high frequency (VHF) transmitters to evaluate length and pattern of stay, habitat use, and movements. An estimated 42% and 58% of cranes staging in the CPRV were greater sandhill cranes (G. c. tabida) and lesser sandhill cranes (G. c. canadensis), and they stayed for an average of 20 and 25 days (2000–2007), respectively. Cranes from the WA–S, NC–N, WC–A, and EC–M affiliations spent an average of 72, 77, 52, and 53 days, respectively, in spring migration of which 28, 23, 24, and 18 days occurred in the CPRV. The majority of the WA–S subpopulation settled in the CPRV apparently because of inadequate habitat to support more birds upstream, although WA–S cranes accounted for >90% of birds staging in the North Platte River Valley. Crane staging duration in the CPRV was negatively correlated with arrival dates; 92% of cranes stayed >7 days. A program of annual mechanical removal of mature stands of woody growth and seedlings that began in the early 1980s primarily in the main channel of the Platte River has allowed distribution of crane

Data worth and prediction uncertainty for pesticide transport and fate models in Nebraska and Maryland, United States

Science.gov (United States)

Nolan, Bernard T.; Malone, Robert W.; Doherty, John E.; Barbash, Jack E.; Ma, Liwang; Shaner, Dale L.

2015-01-01

BACKGROUND Complex environmental models are frequently extrapolated to overcome data limitations in space and time, but quantifying data worth to such models is rarely attempted. The authors determined which field observations most informed the parameters of agricultural system models applied to field sites in Nebraska (NE) and Maryland (MD), and identified parameters and observations that most influenced prediction uncertainty. RESULTS The standard error of regression of the calibrated models was about the same at both NE (0.59) and MD (0.58), and overall reductions in prediction uncertainties of metolachlor and metolachlor ethane sulfonic acid concentrations were 98.0 and 98.6% respectively. Observation data groups reduced the prediction uncertainty by 55–90% at NE and by 28–96% at MD. Soil hydraulic parameters were well informed by the observed data at both sites, but pesticide and macropore properties had comparatively larger contributions after model calibration. CONCLUSIONS Although the observed data were sparse, they substantially reduced prediction uncertainty in unsampled regions of pesticide breakthrough curves. Nitrate evidently functioned as a surrogate for soil hydraulic data in well-drained loam soils conducive to conservative transport of nitrogen. Pesticide properties and macropore parameters could most benefit from improved characterization further to reduce model misfit and prediction uncertainty.   

Aging gracefully in Greater Beirut: are there any gender-based differences?

Science.gov (United States)

Mitri, Rosy N; Boulos, Christa M; Adib, Salim M

2017-06-01

The implications of rapid aging of the Lebanese population are under-researched. No national studies have so far investigated the living conditions and the health status of urban Lebanese elderly across gender. This was a cross-sectional study involving 905 randomly selected community dwelling elderly aged ≥65 years living in Greater Beirut. Gender differences were assessed among participants who completed a standardized questionnaire on socio-demographic factors, nutritional, health, and functional characteristics. The sample included 533 men (59%) and 372 women (41%). Elderly were regrouped into 'younger elderly' (≤70 years), and 'older elderly' (>70 years) which represented respectively 44.3% and 55.7% of the total population. Women, regardless of their age, were less educated and more likely to live alone. Moreover, poor nutritional status, self-perceived health, absence of physical activity, comorbidity, polymedication and depression were significantly higher among women. 'Older elderly' women became significantly more functionally disabled compared with men of their age. This study evidenced that Lebanese elderly women were disadvantaged regarding their socio-economic, health and functional status. It is requested a nationwide effort to improve the socio-economic status and the health of Lebanese elderly, especially women. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Consumer Opinions of Health Information Exchange, e-Prescribing, and Personal Health Records.

Science.gov (United States)

Cochran, Gary L; Lander, Lina; Morien, Marsha; Lomelin, Daniel E; Brittin, Jeri; Reker, Celeste; Klepser, Donald G

2015-01-01

Consumer satisfaction is a crucial component of health information technology (HIT) utilization, as high satisfaction is expected to increase HIT utilization among providers and to allow consumers to become full participants in their own healthcare management. The primary objective of this pilot study was to identify consumer perspectives on health information technologies including health information exchange (HIE), e-prescribing (e-Rx), and personal health records (PHRs). Eight focus groups were conducted in seven towns and cities across Nebraska in 2013. Each group consisted of 10-12 participants. Discussions were organized topically in the following categories: HIE, e-Rx, and PHR. The qualitative analysis consisted of immersion and crystallization to develop a coding scheme that included both preconceived and emergent themes. Common themes across focus groups were identified and compiled for each discussion category. The study had 67 participants, of which 18 (27 percent) were male. Focus group findings revealed both perceived barriers and benefits to the adoption of HIT. Common HIT concerns expressed across focus groups included privacy and security of medical information, decreases in quality of care, inconsistent provider participation, and the potential cost of implementation. Positive expectations regarding HIT included better accuracy and completeness of information, and improved communication and coordination between healthcare providers. Improvements in patient care were expected as a result of easy physician access to consolidated information across providers as well as the speed of sharing and availability of information in an emergency. In addition, participants were optimistic about patient empowerment and convenient access to and control of personal health data. Consumer concerns focused on privacy and security of the health information, as well as the cost of implementing the technologies and the possibility of an unintended negative impact on the

The University of Nebraska at Omaha Center for Space Data Use in Teaching and Learning

Science.gov (United States)

Grandgenett, Neal

2000-01-01

Within the context of innovative coursework and other educational activities, we are proposing the establishment of a University of Nebraska at Omaha (UNO) Center for the Use of Space Data in Teaching and Learning. This Center will provide an exciting and motivating process for educators at all levels to become involved in professional development and training which engages real life applications of mathematics, science, and technology. The Center will facilitate innovative courses (including online and distance education formats), systematic degree programs, classroom research initiatives, new instructional methods and tools, engaging curriculum materials, and various symposiums. It will involve the active participation of several Departments and Colleges on the UNO campus and be well integrated into the campus environment. It will have a direct impact on pre-service and in-service educators, the K12 (kindergarten through 12th grade) students that they teach, and other college students of various science, mathematics, and technology related disciplines, in which they share coursework. It is our belief that there are many exciting opportunities represented by space data and imagery, as a context for engaging mathematics, science, and technology education. The UNO Center for Space Data Use in Teaching and Learning being proposed in this document will encompass a comprehensive training and dissemination strategy that targets the improvement of K-12 education, through changes in the undergraduate and graduate preparation of teachers in science, mathematics and technology education.

Data Validation Package, June 2016 Groundwater Sampling at the Hallam, Nebraska, Decommissioned Reactor Site, August 2016

Energy Technology Data Exchange (ETDEWEB)

Surovchak, Scott [USDOE Office of Legacy Management, Washington, DC (United States); Miller, Michele [Navarro Research and Engineering, Oak Ridge, TN (United States)

2016-08-01

The 2008 Long-Term Surveillance Plan [LTSP] for the Decommissioned Hallam Nuclear Power Facility, Hallam, Nebraska (http://www.lm.doe.gov/Hallam/Documents.aspx) requires groundwater monitoring once every 2 years. Seventeen monitoring wells at the Hallam site were sampled during this event as specified in the plan. Planned monitoring locations are shown in Attachment 1, Sampling and Analysis Work Order. Water levels were measured at all sampled wells and at two additional wells (6A and 6B) prior to the start of sampling. Additionally, water levels of each sampled well were measured at the beginning of sampling. See Attachment 2, Trip Report, for additional details. Sampling and analysis were conducted as specified in Sampling and Analysis Plan for U.S. Department of Energy Office of Legacy Management Sites (LMS/PRO/S04351, continually updated, http://energy.gov/lm/downloads/sampling-and-analysis-plan-us-department- energy-office-legacy-management-sites). Gross alpha and gross beta are the only parameters that were detected at statistically significant concentrations. Time/concentration graphs of the gross alpha and gross beta data are included in Attachment 3, Data Presentation. The gross alpha and gross beta activity concentrations observed are consistent with values previously observed and are attributed to naturally occurring radionuclides (e.g., uranium and uranium decay chain products) in the groundwater.

Greater-confinement disposal

International Nuclear Information System (INIS)

Trevorrow, L.E.; Schubert, J.P.

1989-01-01

Greater-confinement disposal (GCD) is a general term for low-level waste (LLW) disposal technologies that employ natural and/or engineered barriers and provide a degree of confinement greater than that of shallow-land burial (SLB) but possibly less than that of a geologic repository. Thus GCD is associated with lower risk/hazard ratios than SLB. Although any number of disposal technologies might satisfy the definition of GCD, eight have been selected for consideration in this discussion. These technologies include: (1) earth-covered tumuli, (2) concrete structures, both above and below grade, (3) deep trenches, (4) augered shafts, (5) rock cavities, (6) abandoned mines, (7) high-integrity containers, and (8) hydrofracture. Each of these technologies employ several operations that are mature,however, some are at more advanced stages of development and demonstration than others. Each is defined and further described by information on design, advantages and disadvantages, special equipment requirements, and characteristic operations such as construction, waste emplacement, and closure

Self-mastery among Chinese Older Adults in the Greater Chicago Area

Directory of Open Access Journals (Sweden)

Xinqi Dong

2014-09-01

Full Text Available Background: Self-mastery is an important psychological resource to cope with stressful situations. However, we have limited understanding of self-mastery among minority aging populations. Objective: This study aims to examine the presence and levels of self-mastery among U.S. Chinese older adults. Methods: Data were drawn from the PINE study, a population-based survey of U.S. Chinese older adults in the Greater Chicago area. Guided by a community-based participatory research approach, a total of 3,159 Chinese older adults aged 60 and above were surveyed. A Chinese version of the Self-Mastery Scale was used to assess self-mastery. Results: Out of the 7-item Chinese Self-Mastery Scale, approximately 42.8% to 87.5% of Chinese older adults experienced some degree of self-mastery in their lives. Older adults with no formal education and the oldest-old aged 85 and over had the lowest level of self-mastery in our study. A higher mastery level was associated with being married, having fewer children, better self-reported health status, better quality of life, and positive health changes. Conclusion: Although self-mastery is commonly experienced among the Chinese aging population in the Greater Chicago area, specific subgroups are still vulnerable. Future longitudinal studies are needed to improve the understanding of risk factors and outcomes associated with self-mastery among Chinese older adults.

Greater commitment to the domestic violence training is required.

Science.gov (United States)

Leppäkoski, Tuija Helena; Flinck, Aune; Paavilainen, Eija

2015-05-01

Domestic violence (DV) is a major public health problem with high health and social costs. A solution to this multi-faceted problem requires that various help providers work together in an effective and optimal manner when dealing with different parties of DV. The objective of our research and development project (2008-2013) was to improve the preparedness of the social and healthcare professionals to manage DV. This article focuses on the evaluation of interprofessional education (IPE) to provide knowledge and skills for identifying and intervening in DV and to improve collaboration among social and health care professionals and other help providers at the local and regional level. The evaluation data were carried out with an internal evaluation. The evaluation data were collected from the participants orally and in the written form. The participants were satisfied with the content of the IPE programme itself and the teaching methods used. Participation in the training sessions could have been more active. Moreover, some of the people who had enrolled for the trainings could not attend all of them. IPE is a valuable way to develop intervening in DV. However, greater commitment to the training is required from not only the participants and their superiors but also from trustees.

Aerobic fitness is associated with greater white matter integrity in children

Directory of Open Access Journals (Sweden)

Laura eChaddock-Heyman

2014-08-01

Full Text Available Aerobic fitness has been found to play a positive role in brain and cognitive health of children. Yet, many of the neural biomarkers related to aerobic fitness remain unknown. Here, using diffusion tensor imaging (DTI, we demonstrated that higher aerobic fitness was related to greater estimates of white matter microstructure in children. Higher fit 9- and 10-year-old children showed greater fractional anisotropy (FA in sections of the corpus callosum, corona radiata, and superior longitudinal fasciculus, compared to lower fit children. The FA effects were primarily characterized by aerobic fitness differences in radial diffusivity (RD, thereby raising the possibility that estimates of myelination may vary as a function of individual differences in fitness during childhood. White matter structure may be another potential neural mechanism of aerobic fitness that assists in efficient communication between gray matter regions as well as the integration of regions into networks.

Simultaneous bilateral isolated greater trochanter fracture

Directory of Open Access Journals (Sweden)

Maruti Kambali

2013-01-01

Full Text Available A 48-year-old woman sustained simultaneous isolated bilateral greater trochanteric fracture, following a road traffic accident. The patient presented to us 1 month after the injury. She presented with complaints of pain in the left hip and inability to walk. Roentgenograms revealed displaced comminuted bilateral greater trochanter fractures. The fracture of the left greater trochanter was reduced and fixed internally using the tension band wiring technique. The greater trochanter fracture on the right side was asymptomatic and was managed conservatively. The patient regained full range of motion and use of her hips after a postoperative follow-up of 6 months. Isolated fractures of the greater trochanter are unusual injuries. Because of their relative rarity and the unsettled controversy regarding their etiology and pathogenesis, several methods of treatment have been advocated. Furthermore, the reports of this particular type of injury are not plentiful and the average textbook coverage afforded to this entity is limited. In our study we discuss the mechanism of injury and the various treatment options available.

Hydrogeochemical and stream sediment reconnaissance basic data for Grand Island NTMS Quadrangle, Nebraska/Kansas

International Nuclear Information System (INIS)

1980-01-01

Results of a reconnaissance geochemical survey of the Grand Island Quadrangle, Nebraska/Kansas are reported. Statistical data and areal distributions for uranium and uranium-related variables are presented for 564 groundwater and 532 stream sediment samples. Also included is a brief discussion on location and geologic setting. Groundwater data indicate that uranium concentrations above the 85th percentile occur primarily in shallow wells (0 to 20 m) along or near the Platte and Republican Rivers, which flow west to east along the northern and southern portions of the quadrangle, respectively. Waters containing high concentration of uranium in the northern portion of the quadrangle occur in recent alluvium and nearby glacial deposits. In the southern portion of the quadrangle, waters containing high uranium concentrations occur in Recent alluvium and the Niobrara Chalk in the southeast. Stream sediment data indicate that uranium concentrations above the 85th percentile occur in sediments along the Platte River in the northern portion of the quadrangle and paralleling the Republican River in the southeastern portion. Sediments with high uranium values along the Platte River are derived from glacial and alluvial deposits. High uranium values paralleling the Republican River in the southeast are derived from the Niobrara Chalk, the Carlile Shale, and glacial and alluvial deposits. High U-NT and thorium values, and high values for cerium, niobium, scandium, titanium, vanadium, yttrium, and zirconium suggest the presence of clays and/or residual minerals in the southeast. Sediment derivation and the leaching of possible ash-rich loess and alluvial deposits and/or uranium-rich alkaline evaporite deposits could account for high uranium concentrations in sediment and groundwaters within the quadrangle

Using public health and community partnerships to reduce density of alcohol outlets.

Science.gov (United States)

Jernigan, David H; Sparks, Michael; Yang, Evelyn; Schwartz, Randy

2013-04-11

Excessive alcohol use causes approximately 80,000 deaths in the United States each year. The Guide to Community Preventive Services recommends reducing the density of alcohol outlets - the number of physical locations in which alcoholic beverages are available for purchase either per area or per population - through the use of regulatory authority as an effective strategy for reducing excessive alcohol consumption and related harms. We briefly review the research on density of alcohol outlets and public health and describe the powers localities have to influence alcohol outlet density. We summarize Regulating Alcohol Outlet Density: An Action Guide, which describes steps that local communities can take to reduce outlet density and the key competencies and resources of state and local health departments. These include expertise in public health surveillance and evaluation methods, identification and tracking of outcome measures, geographic information systems (GIS) mapping, community planning and development of multisector efforts, and education of community leaders and policy makers. We illustrate the potential for partnerships between public health agencies and local communities by presenting a contemporary case study from Omaha, Nebraska. Public health agencies have a vital and necessary role to play in efforts to reduce alcohol outlet density. They are often unaware of the potential of this strategy and have strong potential partners in the thousands of community coalitions nationwide that are focused on reducing alcohol-related problems.

Research on health equity in the SDG era: the urgent need for greater focus on implementation.

Science.gov (United States)

Rasanathan, Kumanan; Diaz, Theresa

2016-12-09

The tremendous increase in knowledge on inequities in health and their drivers in recent decades has not been matched by improvements in health inequities themselves, or by systematic evidence of what works to reduce health inequities. Within health equity research there is a skew towards diagnostic studies in comparison to intervention studies showing evidence of how interventions can reduce disparities. The lack of sufficient specific evidence on how to implement specific policies and interventions in specific contexts to reduce health inequities creates policy confusion and partly explains the lack of progress on health inequities. In the field of research on equity in health, the time has come to stop focusing so much energy on prevalence and pathways, and instead shift to proposing and testing solutions. Four promising approaches to do so are implementation research, natural experimental policy studies, research on buy-in by policy-makers to action on health inequities, and geospatial analysis. The case for action on social determinants and health inequities has well and truly been made. The community of researchers on health equity now need to turn their attention to supporting implementation efforts towards achievements of the Sustainable Development Goals and substantive reductions in health inequities.

Comparison of the Determinants of the Health Service System and the Health Status of the People in the Greater Mekong Subregion (GMS).

Science.gov (United States)

Phanphairoj, Kanjanee; Loa, Ritzmond

2017-12-01

Health is influenced by numerous factors that affect the health service system and health status of the people in every country. This article aims to compare the determinants of the health service system and the health status of the people in Thailand, the Lao PDR, Vietnam, and Cambodia; and to recommend policies that impact the population's health and the country's development. Methods: A comprehensive search of the literature from a variety of online search and academic databases, and synthesis of previous study was used in this paper. Data on country indicators were taken from published online databases of the Ministry of Public Health of Cambodia, Lao PDR, Thailand,and Vietnam; the World Health Organization, and the World Bank. In Thailand, the determinants of the health service system and health status of the people are medical information and technology because of the government initiatives to improve the quality of healthcare services through the use of modern technology. In Vietnam, the society and culture, and the strengths and weaknesses of the hospital significantly affect the health status and health service system there because of the religious beliefs of the people. However, in Cambodia, the strengths and weaknesses of the hospital are the primary determinant of the health service system and health status of the people due to the condition of the hospitals, the availability of new medical devices, and the number of healthcare professionals. In the Lao PDR, trade and investment, and medical information and technology, significantly influence the health service system and health status of the people because of the government efforts to outsource capital expenditures and medical technology. The strengths and weaknesses of the hospital are the key determinants of the health service system and health status of the people in all GMS countries. Understanding the determinants of health is essential in order to develop policies and programs that impact the

Air pollution and respiratory hospital admissions in greater Paris: exploring sex differences.

Science.gov (United States)

Granados-Canal, D J; Chardon, B; Lefranc, A; Gremy, I

2005-01-01

The subject of sex and gender differences is relevant to the study of health effects of environmental exposures. In this study the authors aim at assessing the differences that may exist between males and females regarding short-term air pollution health effects. They studied the short-term relationships between air pollution levels and respiratory hospital admissions in greater Paris area for patients older than 15 years between 2000 and 2003. They also conducted time series analyses by using generalized additive models. For an increase of 10 microg/m3 in the air pollutant levels, the increase in relative risk of hospitalization was higher for males than for females and was significant only for males. These differences may not result solely from differences in biological susceptibility to air pollution because other factors related to gender (differences in individual exposures, in health care management, and so on) may play a role.

Mental health problems due to community violence exposure in a small urban setting

Directory of Open Access Journals (Sweden)

Faraz Ahmad

2017-10-01

Full Text Available Objective: Studies conducted in large metropolitan inner-city communities with high violent crime rates have demonstrated an association between exposure to violence and mental health problems; therefore the purpose of this study was to determine if similar trends exist in smaller inner-city communities with substantially lower violent crime rates. Methods: One hundred twenty-six children and young adults living in inner-city Omaha, Nebraska, were screened for posttraumatic stress disorder (PTSD, depression, and anxiety symptoms and assessed for community violence exposure (CVE. Pearson’s correlation and analysis of variance were used to determine the relationship between PTSD, depression, and anxiety symptoms and CVE. Results: A statistically significant relationship was found between CVE and PTSD and anxiety symptoms among participants despite their having lower rates of exposure to violent events in comparison with other studies. No association was found between violence and depression symptoms. Additionally, the presence of anxiety and depression, as well as increased age of participants, was associated with higher rates of PTSD symptoms. Conclusion: We recommend that health care providers in smaller cities, where the effects of violent crime may be underestimated or overlooked, be informed of the existence of this public health problem within their community and that they screen at-risk patients for mental health problems.

Efficacy of a composite biological age score to predict ten-year survival among Kansas and Nebraska Mennonites.

Science.gov (United States)

Uttley, M; Crawford, M H

1994-02-01

In 1980 and 1981 Mennonite descendants of a group of Russian immigrants participated in a multidisciplinary study of biological aging. The Mennonites live in Goessel, Kansas, and Henderson, Nebraska. In 1991 the survival status of the participants was documented by each church secretary. Data are available for 1009 individuals, 177 of whom are now deceased. They ranged from 20 to 95 years in age when the data were collected. Biological ages were computed using a stepwise multiple regression procedure based on 38 variables previously identified as being related to survival, with chronological age as the dependent variable. Standardized residuals place participants in either a predicted-younger or a predicted-older group. The independence of the variables biological age and survival status is tested with the chi-square statistic. The significance of biological age differences between surviving and deceased Mennonites is determined by t test values. The two statistics provide consistent results. Predicted age group classification and survival status are related. The group of deceased participants is generally predicted to be older than the group of surviving participants, although neither statistic is significant for all subgroups of Mennonites. In most cases, however, individuals in the predicted-older groups are at a relatively higher risk of dying compared with those in the predicted-younger groups, although the increased risk is not always significant.

Implementation of an integrated primary care cardiometabolic risk prevention and management network in Montréal: does greater coordination of care with primary care physicians have an impact on health outcomes?

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Sylvie Provost

2017-04-01

Full Text Available Introduction: Chronic disease management requires substantial services integration. A cardiometabolic risk management program inspired by the Chronic Care Model was implemented in Montréal for patients with diabetes or hypertension. One of this study's objectives was to assess the impact of care coordination between the interdisciplinary teams and physicians on patient participation in the program, lifestyle improvements and disease control. Methods: We obtained data on health outcomes from a register of clinical data, questionnaires completed by patients upon entry into the program and at the 12-month mark, and we drew information on the program's characteristics from the implementation analysis. We conducted multiple regression analyses, controlling for patient sociodemographic and health characteristics to measure the association between interdisciplinary team coordination with primary care physicians and various health outcomes. Results: A total of 1689 patients took part in the study (60.1% participation rate. Approximately 40% of patients withdrew from the program during the first year. At the 12-month follow-up (n = 992, we observed a significant increase in the proportion of patients achieving the various clinical targets. The perception by the interdisciplinary team of greater care coordination with primary care physicians was associated with increased participation in the program and the achievement of better clinical results. Conclusion: Greater coordination of patient services between interdisciplinary teams and primary care physicians translates into benefits for patients.

Implementation of an integrated primary care cardiometabolic risk prevention and management network in Montréal: does greater coordination of care with primary care physicians have an impact on health outcomes?

Science.gov (United States)

Provost, Sylvie; Pineault, Raynald; Grimard, Dominique; Pérez, José; Fournier, Michel; Lévesque, Yves; Desforges, Johanne; Tousignant, Pierre; Borgès Da Silva, Roxane

2017-04-01

Chronic disease management requires substantial services integration. A cardiometabolic risk management program inspired by the Chronic Care Model was implemented in Montréal for patients with diabetes or hypertension. One of this study's objectives was to assess the impact of care coordination between the interdisciplinary teams and physicians on patient participation in the program, lifestyle improvements and disease control. We obtained data on health outcomes from a register of clinical data, questionnaires completed by patients upon entry into the program and at the 12-month mark, and we drew information on the program's characteristics from the implementation analysis. We conducted multiple regression analyses, controlling for patient sociodemographic and health characteristics, to measure the association between interdisciplinary team coordination with primary care physicians and various health outcomes. A total of 1689 patients took part in the study (60.1% participation rate). Approximately 40% of patients withdrew from the program during the first year. At the 12-month follow-up (n = 992), we observed a significant increase in the proportion of patients achieving the various clinical targets. The perception by the interdisciplinary team of greater care coordination with primary care physicians was associated with increased participation in the program and the achievement of better clinical results. Greater coordination of patient services between interdisciplinary teams and primary care physicians translates into benefits for patients.

Hospitals with greater diversities of physiologically complex procedures do not achieve greater surgical growth in a market with stable numbers of such procedures.

Science.gov (United States)

Dexter, Franklin; Epstein, Richard H; Lubarsky, David A

2018-05-01

Although having a large diversity of types of procedures has a substantial operational impact on the surgical suites of hospitals, the strategic importance is unknown. In the current study, we used longitudinal data for all hospitals and patient ages in the State of Florida to evaluate whether hospitals with greater diversity of types of physiologically complex major therapeutic procedures (PCMTP) also had greater rates of surgical growth. Observational cohort study. 1479 combinations of hospitals in the State of Florida and fiscal years, 2008-2015. The types of International Classification of Diseases, Ninth revision, Clinical Modification (ICD-9-CM) procedures studied were PCMT, defined as: a) major therapeutic procedure; b) >7 American Society of Anesthesiologists base units; and c) performed during a hospitalization with a Diagnosis Related Group with a mean length of stay ≥4.0days. The number of procedures of each type of PCMTP commonly performed at each hospital was calculated by taking 1/Herfindahl index (i.e., sum of the squares of the proportions of all procedures of each type of PCMTP). Over the 8 successive years studied, there was no change in the number of PCMTP being performed (Kendall's τ b =-0.014±0.017 [standard error], P=0.44; N=1479 hospital×years). Busier and larger hospitals commonly performed more types of PCMTP, respectively categorized based on performed PCMTP (τ=0.606±0.017, P<0.0001) or hospital beds (τ=0.524±0.017, P<0.0001). There was no association between greater diversity of types of PCMTP commonly performed and greater annual growth in numbers of PCMTP (τ=0.002±0.019, P=0.91; N=1295 hospital×years). Conclusions were the same with multiple sensitivity analyses. Post hoc, it was recognized that hospitals performing a greater diversity of PCMTP were more similar to the aggregate of other hospitals within the same health district (τ=0.550±0.017, P<0.0001). During a period with no overall growth in PCMTP, hospitals with

Hydrostratigraphic interpretation of test-hole and surface geophysical data, Elkhorn and Loup River Basins, Nebraska, 2008 to 2011

Science.gov (United States)

Hobza, Christopher M.; Bedrosian, Paul A.; Bloss, Benjamin R.

2012-01-01

The Elkhorn-Loup Model (ELM) was begun in 2006 to understand the effect of various groundwater-management scenarios on surface-water resources. During phase one of the ELM study, a lack of subsurface geological information was identified as a data gap. Test holes drilled to the base of the aquifer in the ELM study area are spaced as much as 25 miles apart, especially in areas of the western Sand Hills. Given the variable character of the hydrostratigraphic units that compose the High Plains aquifer system, substantial variation in aquifer thickness and characteristics can exist between test holes. To improve the hydrogeologic understanding of the ELM study area, the U.S. Geological Survey, in cooperation with the Nebraska Department of Natural Resources, multiple Natural Resources Districts participating in the ELM study, and the University of Nebraska-Lincoln Conservation and Survey Division, described the subsurface lithology at six test holes drilled in 2010 and concurrently collected borehole geophysical data to identify the base of the High Plains aquifer system. A total of 124 time-domain electromagnetic (TDEM) soundings of resistivity were collected at and between selected test-hole locations during 2008-11 as a quick, non-invasive means of identifying the base of the High Plains aquifer system. Test-hole drilling and geophysical logging indicated the base-of-aquifer elevation was less variable in the central ELM area than in previously reported results from the western part of the ELM study area, where deeper paleochannels were eroded into the Brule Formation. In total, more than 435 test holes were examined and compared with the modeled-TDEM soundings. Even where present, individual stratigraphic units could not always be identified in modeled-TDEM sounding results if sufficient resistivity contrast was not evident; however, in general, the base of aquifer [top of the aquifer confining unit (ACU)] is one of the best-resolved results from the TDEM

Occurrence of Agricultural Chemicals in Shallow Ground Water and the Unsaturated Zone, Northeast Nebraska Glacial Till, 2002-04

Science.gov (United States)

Stanton, Jennifer S.; Steele, Gregory V.; Vogel, Jason R.

2007-01-01

Agricultural chemicals applied at the land surface in northeast Nebraska can move downward, past the crop root zone, to ground water. Because agricultural chemicals applied at the land surface are more likely to be observed in the shallowest part of an aquifer, an assessment of shallow ground-water and unsaturated zone quality in the northeast Nebraska glacial till was completed between 2002 and 2004. Ground-water samples were collected at the first occurrence of ground water or just below the water table at 32 sites located in areas likely affected by agriculture. Four of the 32 sites were situated along a ground-water flow path with its downgradient end next to Maple Creek. Twenty-eight sites were installed immediately adjacent to agricultural fields throughout the glacial-till area. In addition to those 32 sites, two sites were installed in pastures to represent ground-water conditions in a non-cropland setting. Ground-water samples were analyzed for physical properties and concentrations of nitrogen and phosphorus compounds, selected pesticides and pesticide degradates, dissolved solids, major ions, trace elements, and dissolved organic carbon. Chlorofluorocarbons (CFCs) or sulfur hexafluoride (SF6) concentrations were analyzed at about 70 percent of the monitoring wells to estimate the residence time of ground water. Borehole-core samples were collected from 28 of the well boreholes. Sediment in the unsaturated zone was analyzed for nitrate, chloride, and ammonia concentrations. Analytical results indicated that the agricultural chemicals most often detected during this study were nitrates and herbicides. Nitrate as nitrogen (nitrate-N) concentrations (2003 median 9.53 milligrams per liter) indicated that human activity has affected the water quality of recently recharged ground water in approximately two-thirds of the wells near corn and soybean fields. The principal pesticide compounds that were detected reflect the most-used pesticides in the area and

Monitoring limber pine health in the Rocky Mountains and North Dakota

Science.gov (United States)

Kelly Burns; Jim Blodgett; Marcus Jackson; Brian Howell; William Jacobi; Anna Schoettle; Anne Marie Casper; Jennifer Klutsch

2012-01-01

Limber pine (Pinus flexilis James) is an ecologically and culturally important, yet little studied, tree species within the Western United States. Its distribution extends from Alberta and southeastern British Colombia to New Mexico, Arizona, and southeastern California with isolated populations in North Dakota, South Dakota, Nebraska, eastern Oregon...

Determining the impacts of experimental forest plantation on groundwater recharge in the Nebraska Sand Hills (USA) using chloride and sulfate

Science.gov (United States)

Adane, Z. A.; Gates, J. B.

2015-02-01

Although impacts of land-use changes on groundwater recharge have been widely demonstrated across diverse environmental settings, most previous research has focused on the role of agriculture. This study investigates recharge impacts of tree plantations in a century-old experimental forest surrounded by mixed-grass prairie in the Northern High Plains (Nebraska National Forest), USA. Recharge was estimated using solute mass balance methods from unsaturated zone cores beneath 10 experimental plots with different vegetation and planting densities. Pine and cedar plantation plots had uniformly lower moisture contents and higher solute concentrations than grasslands. Cumulative solute concentrations were greatest beneath the plots with the highest planting densities (chloride concentrations 225-240 % and sulfate concentrations 175-230 % of the grassland plot). Estimated recharge rates beneath the dense plantations (4-10 mm yr-1) represent reductions of 86-94 % relative to the surrounding native grassland. Relationships between sulfate, chloride, and moisture content in the area's relatively homogenous sandy soils confirm that the unsaturated zone solute signals reflect partitioning between drainage and evapotranspiration in this setting. This study is among the first to explore afforestation impacts on recharge beneath sandy soils and sulfate as a tracer of deep drainage.

Care decision making of frontline providers of maternal and newborn health services in the greater Accra region of Ghana.

Directory of Open Access Journals (Sweden)

Ebenezer Oduro-Mensah

Full Text Available To explore the "how" and "why" of care decision making by frontline providers of maternal and newborn services in the Greater Accra region of Ghana and determine appropriate interventions needed to support its quality and related maternal and neonatal outcomes.A cross sectional and descriptive mixed method study involving a desk review of maternal and newborn care protocols and guidelines availability, focus group discussions and administration of a structured questionnaire and observational checklist to frontline providers of maternal and newborn care.Tacit knowledge or 'mind lines' was an important primary approach to care decision making. When available, protocols and guidelines were used as decision making aids, especially when they were simple handy tools and in situations where providers were not sure what their next step in management had to be. Expert opinion and peer consultation were also used through face to face discussions, phone calls, text messages, and occasional emails depending on the urgency and communication medium access. Health system constraints such as availability of staff, essential medicines, supplies and equipment; management issues (including leadership and interpersonal relations among staff, and barriers to referral were important influences in decision making. Frontline health providers welcomed the idea of interventions to support clinical decision making and made several proposals towards the development of such an intervention. They felt such an intervention ought to be multi-faceted to impact the multiple influences simultaneously. Effective interventions would also need to address immediate challenges as well as more long-term challenges influencing decision-making.Supporting frontline worker clinical decision making for maternal and newborn services is an important but neglected aspect of improved quality of care towards attainment of MDG 4 & 5. A multi-faceted intervention is probably the best way to make a

Capacitively Coupled Resistivity Survey of Selected Irrigation Canals Within the North Platte River Valley, Western Nebraska and Eastern Wyoming, 2004 and 2007-2009

Science.gov (United States)

Burton, Bethany L.; Johnson, Michaela R.; Vrabel, Joseph; Imig, Brian H.; Payne, Jason; Tompkins, Ryan E.

2009-01-01

Due to water resources of portions of the North Platte River basin being designated as over-appropriated by the State of Nebraska Department of Natural Resources (DNR), the North Platte Natural Resources District (NPNRD), in cooperation with the DNR, is developing an Integrated Management Plan (IMP) for groundwater and surface water in the NPNRD. As part of the IMP, a three-dimensional numerical finite difference groundwater-flow model is being developed to evaluate the effectiveness of using leakage of water from selected irrigation canal systems to manage groundwater recharge. To determine the relative leakage potential of the upper 8 m of the selected irrigation canals within the North Platte River valley in western Nebraska and eastern Wyoming, the U.S. Geological Survey performed a land-based capacitively coupled (CC) resistivity survey along nearly 630 km of 13 canals and 2 laterals in 2004 and from 2007 to 2009. These 13 canals were selected from the 27 irrigation canals in the North Platte valley due to their location, size, irrigated area, and relation to the active North Platte valley flood plain and related paleochannels and terrace deposits where most of the saturated thickness in the alluvium exists. The resistivity data were then compared to continuous cores at 62 test holes down to a maximum depth of 8 m. Borehole electrical conductivity (EC) measurements at 36 of those test holes were done to correlate resistivity values with grain sizes in order to determine potential vertical leakage along the canals as recharge to the underlying alluvial aquifer. The data acquired in 2004, as well as the 25 test hole cores from 2004, are presented elsewhere. These data were reprocessed using the same updated processing and inversion algorithms used on the 2007 through 2009 datasets, providing a consistent and complete dataset for all collection periods. Thirty-seven test hole cores and borehole electrical conductivity measurements were acquired based on the 2008

Mental health in schools and public health

OpenAIRE

Adelman, Howard S; Taylor, Linda

2006-01-01

Health policy and practice call for health and mental health parity and for a greater focus on universal interventions to promote, prevent, and intervene as early after problem onset as is feasible. Those in the public health field are uniquely positioned to help promote the mental health of young people and to reshape how the nation thinks about and addresses mental health. And schools are essential partners for doing the work.

Closing the health and nutrition gap in Odisha, India: A case study of how transforming the health system is achieving greater equity.

Science.gov (United States)

Thomas, Deborah; Sarangi, Biraj Laxmi; Garg, Anu; Ahuja, Arti; Meherda, Pramod; Karthikeyan, Sujata R; Joddar, Pinaki; Kar, Rajendra; Pattnaik, Jeetendra; Druvasula, Ramesh; Dembo Rath, Alison

2015-11-01

Health equity is high on the international agenda. This study provides evidence of how health systems can be strengthened to improve health equity in a low-income state. The paper presents a case study of how the Government of Odisha in eastern India is transforming the health system for more equitable health and nutrition outcomes. Odisha has a population of over 42 million, high levels of poverty, and poor maternal and child health concentrated in its Southern districts and among Scheduled Tribe and Scheduled Caste communities. Conducted between 2008 and 2012 with the Departments of Health and Family Welfare, and Women and Child Development, the study reviewed a wide range of literature including policy and programme documents, evaluations and studies, published and grey material, and undertook secondary analysis of state level household surveys. It identifies innovative and expanded provision of health services, reforms to the management and development of human resources for health, and the introduction of a number of cash transfer and entitlement schemes as contributing to closing the gap between maternal and child health and nutrition outcomes of Scheduled Tribes, and the Southern districts, compared to the state average. The institutional delivery rate for Scheduled Tribes has risen from 11.7% in 2005-06 to 67.3% in 2011, and from 35.6% to 79.8% for all women. The social gradient has also closed for antenatal and postnatal care and immunisation. Nutrition indicators though improving are proving slower to budge. The paper identifies how political will, committed policy makers and fiscal space energised the health system to promote equity. Sustained political commitment will be required to continue to address the more challenging human resource, health financing and gender issues. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Regional tectonics and seismicity of eastern Nebraska. Annual report, June 1, 1976--June 1, 1977

International Nuclear Information System (INIS)

Burchett, R.R.

1978-03-01

Several nuclear and fossil fuel plant site studies in Nebraska have been prepared by industry recently to evaluate seismic risk factors. These studies were prepared for the Nuclear Regulatory Commission (NRC) using available data to fill a lack of continuity across state lines. Therefore, it was proposed to the NRC that a detailed multi-state study of the Nemaha Ridge Area would be helpful in the site evaluation for present and future power plants. It was proposed to: (1) compile and coordinate the available seismo-tectonic data, (2) perform specific studies of potentially key locations for tectonic data, and (3) participate in an area wide microearthquake recording network. It was proposed to conduct a one year study during the period June 1, 1976 to June 1, 1977. After this initial study, continuation studies would be proposed over a several year period. Proposed products, during the initial year, would utilize existing data for the preparation of the following maps at a scale of 1 to 500,000; (1) Earthquake epicenter and intensity, (2) Precambrian configuration, (3) Precambrian rock type, (4) Bouguer gravity, (5) Aeromagnetic, (6) Bedrock geology, (7) Structural contour base Kansas City, (Pennsylvania), and (8) Surface lineations. All of these maps and possibly other maps in other areas could be recompiled and coordinated with adjoining areas on completion of the total study. During the initial year specific sites for detailed investigation would be identified. Portions of these studies may be carried out in cooperation with adjoining states. These site studies will include detailed geophysical surveys, laboratory analysis, dating of recent tectonic activity, core drilling programs, and field mapping projects

Identifying drought response of semi-arid aeolian systems using near-surface luminescence profiles and changepoint analysis, Nebraska Sandhills.

Science.gov (United States)

Buckland, Catherine; Bailey, Richard; Thomas, David

2017-04-01

Two billion people living in drylands are affected by land degradation. Sediment erosion by wind and water removes fertile soil and destabilises landscapes. Vegetation disturbance is a key driver of dryland erosion caused by both natural and human forcings: drought, fire, land use, grazing pressure. A quantified understanding of vegetation cover sensitivities and resultant surface change to forcing factors is needed if the vegetation and landscape response to future climate change and human pressure are to be better predicted. Using quartz luminescence dating and statistical changepoint analysis (Killick & Eckley, 2014) this study demonstrates the ability to identify step-changes in depositional age of near-surface sediments. Lx/Tx luminescence profiles coupled with statistical analysis show the use of near-surface sediments in providing a high-resolution record of recent system response and aeolian system thresholds. This research determines how the environment has recorded and retained sedimentary evidence of drought response and land use disturbances over the last two hundred years across both individual landforms and the wider Nebraska Sandhills. Identifying surface deposition and comparing with records of climate, fire and land use changes allows us to assess the sensitivity and stability of the surface sediment to a range of forcing factors. Killick, R and Eckley, IA. (2014) "changepoint: An R Package for Changepoint Analysis." Journal of Statistical Software, (58) 1-19.

Genotype, environment, seeding rate, and top-dressed nitrogen effects on end-use quality of modern Nebraska winter wheat.

Science.gov (United States)

Bhatta, Madhav; Regassa, Teshome; Rose, Devin J; Baenziger, P Stephen; Eskridge, Kent M; Santra, Dipak K; Poudel, Rachana

2017-12-01

Fine-tuning production inputs such as seeding rate, nitrogen (N), and genotype may improve end-use quality of hard red winter wheat (Triticum aestivium L.) when growing conditions are unpredictable. Studies were conducted at the Agronomy Research Farm (ARF; Lincoln, NE, USA) and the High Plains Agricultural Laboratory (HPAL; Sidney, NE, USA) in 2014 and 2015 in Nebraska, USA, to determine the effects of genotype (6), environment (4), seeding rate (3), and flag leaf top-dressed N (0 and 34 kg N ha -1 ) on the end-use quality of winter wheat. End-use quality traits were influenced by environment, genotype, seeding rate, top-dressed N, and their interactions. Mixograph parameters had a strong correlation with grain volume weight and flour yield. Doubling the recommended seeding rate and N at the flag leaf stage increased grain protein content by 8.1% in 2014 and 1.5% in 2015 at ARF and 4.2% in 2014 and 8.4% in 2015 at HPAL. The key finding of this research is that increasing seeding rates up to double the current recommendations with N at the flag leaf stage improved most of the end-use quality traits. This will have a significant effect on the premium for protein a farmer could receive when marketing wheat. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

Using a water-food-energy nexus approach for optimal irrigation management during drought events in Nebraska

Science.gov (United States)

Campana, P. E.; Zhang, J.; Yao, T.; Melton, F. S.; Yan, J.

2017-12-01

Climate change and drought have severe impacts on the agricultural sector affecting crop yields, water availability, and energy consumption for irrigation. Monitoring, assessing and mitigating the effects of climate change and drought on the agricultural and energy sectors are fundamental challenges that require investigation for water, food, and energy security issues. Using an integrated water-food-energy nexus approach, this study is developing a comprehensive drought management system through integration of real-time drought monitoring with real-time irrigation management. The spatially explicit model developed, GIS-OptiCE, can be used for simulation, multi-criteria optimization and generation of forecasts to support irrigation management. To demonstrate the value of the approach, the model has been applied to one major corn region in Nebraska to study the effects of the 2012 drought on crop yield and irrigation water/energy requirements as compared to a wet year such as 2009. The water-food-energy interrelationships evaluated show that significant water volumes and energy are required to halt the negative effects of drought on the crop yield. The multi-criteria optimization problem applied in this study indicates that the optimal solutions of irrigation do not necessarily correspond to those that would produce the maximum crop yields, depending on both water and economic constraints. In particular, crop pricing forecasts are extremely important to define the optimal irrigation management strategy. The model developed shows great potential in precision agriculture by providing near real-time data products including information on evapotranspiration, irrigation volumes, energy requirements, predicted crop growth, and nutrient requirements.

Predicting Nitrate Transport under Future Climate Scenarios beneath the Nebraska Management Systems Evaluation Area (MSEA) site

Science.gov (United States)

Li, Y.; Akbariyeh, S.; Gomez Peña, C. A.; Bartlet-Hunt, S.

2017-12-01

Understanding the impacts of future climate change on soil hydrological processes and solute transport is crucial to develop appropriate strategies to minimize adverse impacts of agricultural activities on groundwater quality. The goal of this work is to evaluate the direct effects of climate change on the fate and transport of nitrate beneath a center-pivot irrigated corn field in Nebraska Management Systems Evaluation Area (MSEA) site. Future groundwater recharge rate and actual evapotranspiration rate were predicted based on an inverse modeling approach using climate data generated by Weather Research and Forecasting (WRF) model under the RCP 8.5 scenario, which was downscaled from global CCSM4 model to a resolution of 24 by 24 km2. A groundwater flow model was first calibrated based on historical groundwater table measurement and was then applied to predict future groundwater table in the period 2057-2060. Finally, predicted future groundwater recharge rate, actual evapotranspiration rate, and groundwater level, together with future precipitation data from WRF, were used in a three-dimensional (3D) model, which was validated based on rich historic data set collected from 1993-1996, to predict nitrate concentration in soil and groundwater from the year 2057 to 2060. Future groundwater recharge was found to be decreasing in the study area compared to average groundwater recharge data from the literature. Correspondingly, groundwater elevation was predicted to decrease (1 to 2 ft) over the five years of simulation. Predicted higher transpiration data from climate model resulted in lower infiltration of nitrate concentration in subsurface within the root zone.

Greater autonomy at work

NARCIS (Netherlands)

Houtman, I.L.D.

2004-01-01

In the past 10 years, workers in the Netherlands increasingly report more decision-making power in their work. This is important for an economy in recession and where workers face greater work demands. It makes work more interesting, creates a healthier work environment, and provides opportunities

Stress and Subjective Age: Those With Greater Financial Stress Look Older.

Science.gov (United States)

Agrigoroaei, Stefan; Lee-Attardo, Angela; Lachman, Margie E

2017-12-01

Subjective indicators of age add to our understanding of the aging process beyond the role of chronological age. We examined whether financial stress contributes to subjective age as rated by others and the self. The participants ( N = 228), aged 26-75, were from a Boston area satellite of the Midlife in the United States (MIDUS) longitudinal study. Participants reported how old they felt and how old they thought they looked, and observers assessed the participants' age based on photographs (other-look age), at two occasions, an average of 10 years apart. Financial stress was measured at Time 1. Controlling for income, general stress, health, and attractiveness, participants who reported higher levels of financial stress were perceived as older than their actual age to a greater extent and showed larger increases in other-look age over time. We consider the results on accelerated aging of appearance with regard to their implications for interpersonal interactions and in relation to health.

Overview: Small Aircraft Transportation System Airborne Remote Sensing Fuel Droplet Evaporation

Science.gov (United States)

Bowen, Brent (Editor); Holmes, Bruce; Gogos, George; Narayanan, Ram; Smith, Russell; Woods, Sara

2004-01-01

The NASA Nebraska Preparation Grant was designed to solidify relationships, intensify communication, and launch collaborative initiatives among Nebraska researchers and key contacts at NASA research centers and enterprises. In doing so, Nebraska was successful in laying the groundwork for the foundation for numerous long-term, mutually beneficial collaborations that were subsequently proposed and awarded in the NASA EPSCoR 2000 competition. The NASA Nebraska EPSCoR Preparation Grant was managed by the same administrative team that oversees Nebraska's NASA Space Grant and EPSCoR programs. An advisory board (later Technical Advisory Committee) made up of voting representatives from all affiliate and partner organizations regularly reviewed grant progress and direction. The University of Nebraska at Omaha's Aviation Institute, the host institution for all three programs, provided additional administrative oversight and program evaluation through established review mechanisms. This structure has served NASA well and has been cited as a model program. The second year of preparation grant funding served as a significant opportunity for Nebraska to lay the groundwork for the continued elevation and success of its NASA EPSCoR program. In anticipation of the NASA EPSCoR 2000 grant competition, Year 2 funding enabled funded researchers to further broaden and enhance the quality and quantity of collaborations with NASA Field Centers, Codes, and Enterprises. The plan set the stage for long-term research and outreach endeavors that have contributed significantly to the achievement of NASA's strategic objectives; the state of Nebraska's economic and aerospace development efforts; and have advanced Nebraska s aeronautics research efforts to a national leadership level. The overarching goal of the NASA Nebraska EPSCoR Preparation grant was met by facilitating research endeavors among Nebraska faculty that addressed research and technology priorities of the NASA Field Centers

Hurricane Katrina: Barriers to Mental Health Services for Children Persist in Greater New Orleans, Although Federal Grants Are Helping to Address Them. Testimony before the Ad Hoc Subcommittee on Disaster Recovery, Senate Committee on Homeland Security and Governmental Affairs. GAO-09-935T

Science.gov (United States)

Bascetta, Cynthia A.

2009-01-01

The greater New Orleans area has yet to fully recover from the effects of Hurricane Katrina, which made landfall on August 29, 2005. One issue of concern in the recovery is the availability of mental health services for children. It is estimated that in 2008 about 187,000 children were living in the greater New Orleans area. Many children in the…

Entrainment of larval fishes at two nuclear power plants on the Missouri River in Nebraska

International Nuclear Information System (INIS)

Cada, G.F.

1977-01-01

A sampling program to assess the effects of entrainment in the cooling water systems at the Fort Calhoun and Cooper Nuclear Stations on larval fishes was carried out in the months of May, June, and July of 1974--1976. Fish larvae were collected with 2.3 m long, 0.5 m diameter Nitex plankton nets. The samples were taken to laboratory facilities where the living and dead larvae were separated from the debris, counted, and preserved for later identification and measurement. Samples collected above the intake structures of the power plants were used to determine the seasonal patterns, species composition, and abundance of ichthyoplankton in this region of the Missouri River. Relatively low larval fish densities throughout May and early June were generally followed by a single 2 to 3 week long peak in density in late June and early July, due primarily to the larvae of Aplodinotus grunniens. The observed densities then declined to near zero by the end of July. The horizontal distribution of ichthyoplankton was determined by dividing the river above the intake into three sections and sampling the sites sequentially. The highest concentrations of larvae were generally found along the cutting bank (Nebraska shore) and the lowest in the middle of the river. Twenty-four hour sampling was conducted to identify possible diurnal differences in the ichthyoplankton densities above the intake. On six occasions, collections were made every two hours over a 24-hour period. Although great variations in densities were noted over the sampling period, significant differences between mean day and night densities were demonstrated only once, and no recurring temporal pattern in drift rates was identified. Net-induced sampling mortality was found to be a significant factor in the analysis of entrainment mortality

Lithologic influences on groundwater recharge through incised glacial till from profile to regional scales: Evidence from glaciated Eastern Nebraska

Science.gov (United States)

Gates, John B.; Steele, Gregory V.; Nasta, Paolo; Szilagyi, Jozsef

2014-01-01

Variability in sediment hydraulic properties associated with landscape depositional and erosional features can influence groundwater recharge processes by affecting soil-water storage and transmission. This study considers recharge to aquifers underlying river-incised glaciated terrain where the distribution of clay-rich till is largely intact in upland locations but has been removed by alluvial erosion in stream valleys. In a stream-dissected glacial region in eastern Nebraska (Great Plains region of the United States), recharge estimates were developed for nested profile, aquifer, and regional scales using unsaturated zone profile measurements (matric potentials, Cl- and 3H), groundwater tracers (CFC-12 and SF6), and a remote sensing-assisted water balance model. Results show a consistent influence of till lithology on recharge rates across nested spatial scales despite substantial uncertainty in all recharge estimation methods, suggesting that minimal diffuse recharge occurs through upland glacial till lithology whereas diffuse recharge occurs in river valleys where till is locally absent. Diffuse recharge is estimated to account for a maximum of 61% of total recharge based on comparison of diffuse recharge estimated from the unsaturated zone (0-43 mm yr-1) and total recharge estimated from groundwater tracers (median 58 mm yr-1) and water balance modeling (median 56 mm yr-1). The results underscore the importance of lithologic controls on the distributions of both recharge rates and mechanisms.

Education, implementation, and policy barriers to greater integration of palliative care: A literature review.

Science.gov (United States)

Aldridge, Melissa D; Hasselaar, Jeroen; Garralda, Eduardo; van der Eerden, Marlieke; Stevenson, David; McKendrick, Karen; Centeno, Carlos; Meier, Diane E

2016-03-01

Early integration of palliative care into the management of patients with serious disease has the potential to both improve quality of life of patients and families and reduce healthcare costs. Despite these benefits, significant barriers exist in the United States to the early integration of palliative care in the disease trajectory of individuals with serious illness. To provide an overview of the barriers to more widespread palliative care integration in the United States. A literature review using PubMed from 2005 to March 2015 augmented by primary data collected from 405 hospitals included in the Center to Advance Palliative Care's National Palliative Care Registry for years 2012 and 2013. We use the World Health Organization's Public Health Strategy for Palliative Care as a framework for analyzing barriers to palliative care integration. We identified key barriers to palliative care integration across three World Health Organization domains: (1) education domain: lack of adequate education/training and perception of palliative care as end-of-life care; (2) implementation domain: inadequate size of palliative medicine-trained workforce, challenge of identifying patients appropriate for palliative care referral, and need for culture change across settings; (3) policy domain: fragmented healthcare system, need for greater funding for research, lack of adequate reimbursement for palliative care, and regulatory barriers. We describe the key policy and educational opportunities in the United States to address and potentially overcome the barriers to greater integration of palliative care into the healthcare of Americans with serious illness. © The Author(s) 2015.

The impact of heat on mortality and morbidity in the Greater Metropolitan Sydney Region: a case crossover analysis

OpenAIRE

Wilson, Leigh Ann; Gerard Morgan, Geoffrey; Hanigan, Ivan Charles; Johnston, Fay H; Abu-Rayya, Hisham; Broome, Richard; Gaskin, Clive; Jalaludin, Bin

2013-01-01

Background This study examined the association between unusually high temperature and daily mortality (1997?2007) and hospital admissions (1997?2010) in the Sydney Greater Metropolitan Region (GMR) to assist in the development of targeted health programs designed to minimise the public health impact of extreme heat. Methods Sydney GMR was categorized into five climate zones. Heat-events were defined as severe or extreme. Using a time-stratified case-crossover design with a conditional logisti...

A day of immersive physiology experiments increases knowledge and excitement towards physiology and scientific careers in Native American students.

Science.gov (United States)

Becker, Bryan K; Schiller, Alicia M; Zucker, Irving H; Eager, Eric A; Bronner, Liliana P; Godfrey, Maurice

2017-03-01

Underserved minority groups are disproportionately absent from the pursuit of careers in science, technology, engineering, and mathematics (STEM) fields. One such underserved population, Native Americans, are particularly underrepresented in STEM fields. Although recent advocacy and outreach designed toward increasing minority involvement in health care-related occupations have been mostly successful, little is known about the efficacy of outreach programs in increasing minority enthusiasm toward careers in traditional scientific professions. Furthermore, very little is known about outreach among Native American schools toward increasing involvement in STEM. We collaborated with tribal middle and high schools in South Dakota and Nebraska through a National Institutes of Health Science Education Partnership Award to hold a day-long physiology, activity-based event to increase both understanding of physiology and enthusiasm to scientific careers. We recruited volunteer biomedical scientists and trainees from the University of Nebraska Medical Center, Nebraska Wesleyan University, and University of South Dakota. To evaluate the effectiveness of the day of activities, 224 of the ~275-300 participating students completed both a pre- and postevent evaluation assessment. We observed increases in both students self-perceived knowledge of physiology and enthusiasm toward scientific career opportunities after the day of outreach activities. We conclude that activity-based learning opportunities in underserved populations are effective in increasing both knowledge of science and interest in scientific careers. Copyright © 2017 the American Physiological Society.

Evaluating the Impacts of Grassland Conversions to Experimental Forest on Groundwater Recharge in the Nebraska Sand Hills

Science.gov (United States)

Adane, Zablon A.

The Nebraska Sand Hills grasslands provide the greatest groundwater recharge rates in the High Plains Aquifer. However, the grasslands and their ecological services have become vulnerable to land use change and degradation. This study used a series of field data to investigate the effects of grassland conversions to forest on recharge rates in a century-old experimental forest in the Sand Hills. The results show that the impact of grassland conversion on recharge was dependent on the species and plantation density. Estimated recharge rates beneath the dense plantations represent reductions of 86-94% relative to the native grassland. Results of 1H Nuclear Magnetic Resonance spectral analysis suggested that the surface soil organic carbon beneath pine plantations also contain up to 3 times the ratio of hydrophobic components than the native grasslands and may alter the soil hydraulic properties. This investigation further uncovered a previously overlooked feedback between the effect of soil organic carbon chemical shift generated by the ponderosa pine needle litter decomposition; namely that the alteration may have a link to reduced groundwater recharge rates. Thus, a global optimizer algorithm was used to estimate the effective soil hydraulic parameters from monthly soil moisture contents and recharge rates were then estimated through HYDRUS 1-D numerical modeling for grassland and pine forest soils. The impact of grassland conversion to pine was an overall reduction of groundwater recharge by nearly 100%. These outcomes highlight the significance of the grasslands for recharge, in the Sand Hills and the sustainability of the High Plains Aquifer.

Base of the upper layer of the phase-three Elkhorn-Loup groundwater-flow model, north-central Nebraska

Science.gov (United States)

Stanton, Jennifer S.

2013-01-01

The Elkhorn and Loup Rivers in Nebraska provide water for irrigation, recreation, hydropower produc­tion, aquatic life, and municipal water systems for the Omaha and Lincoln metropolitan areas. Groundwater is another important resource in the region and is extracted primarily for agricultural irrigation. Water managers of the area are interested in balancing and sustaining the long-term uses of these essential surface-water and groundwater resources. Thus, a cooperative study was established in 2006 to compile reliable data describing hydrogeologic properties and water-budget components and to improve the understanding of stream-aquifer interactions in the Elkhorn and Loup River Basins. A groundwater-flow model was constructed as part of the first two phases of that study as a tool for under­standing the effect of groundwater pumpage on stream base flow and the effects of management strategies on hydrologically connected groundwater and surface-water supplies. The third phase of the study was implemented to gain additional geologic knowledge and update the ELM with enhanced water-budget information and refined discretization of the model grid and stress periods. As part of that effort, the ELM is being reconstructed to include two vertical model layers, whereas phase-one and phase-two simulations represented the aquifer system using one vertical model layer. This report presents a map of and methods for developing the elevation of the base of the upper model layer for the phase-three ELM. Digital geospatial data of elevation contours and geologic log sites used to esti­mate elevation contours are available as part of this report.

Partnering with American Indian communities in health using methods of strategic collaboration.

Science.gov (United States)

Rajaram, Shireen S; Grimm, Brandon; Giroux, Jennifer; Peck, Magda; Ramos, Athena

2014-01-01

The Association for Prevention Teaching and Research (APTR) sponsored six regional workshops in 2010 on community engagement and community-engaged research. One of the six workshops was a collaborative effort between the Great Plains Tribal Chairman's Health Board (GPTCHB)-Northern Plains Tribal Epidemiology Center and the College of Public Health at the University of Nebraska Medical Center (UNMC-COPH). To create a meaningful and dynamic forum for the exchange of ideas and co-learning between researchers from urban, tribal and nontribal communities and to build the groundwork for development of sustainable partnerships between researchers and American Indian (AI) communities to eliminate health disparities. To enhance meaningful community engagement, we utilized methods of Strategic Collaboration using the Appreciative Inquiry, 4D Change Process Model and designed several interactive group activities including Collaborative Learning and Understanding Exercises (CLUE) and the Research Café. The key themes that emerged from the interactive sessions stressed the importance of building relationships and trust; mutual use and sharing of data; and acquiring knowledge, skills, and abilities to enable sustainable research partnerships with AI communitiesConclusions: Innovative, dynamic, and strategic collaborative methods of Appreciative Inquiry and the World Café can served to engage people in a constructive dialogue to create a shared vision and plan for more meaningful research partnerships based on principles of equity and social justice, essential for the elimination of health disparities. These collaborative methods can be replicated and adapted in diverse communities, locally, nationally, and globally.

Community Health Worker Employer Survey: Perspectives on CHW Workforce Development in the Midwest.

Science.gov (United States)

Chaidez, Virginia; Palmer-Wackerly, Angela L; Trout, Kate E

2018-05-30

A statewide Community Health Worker Employer Survey was administered to various clinical, community, and faith-based organizations (n = 240) across a range of rural and urban settings in the Midwest. At least 80% of participants agreed or strongly agreed that items characterized as supervisory support were present in their work environment. Thirty-six percent of respondents currently employed CHWs, over half (51%) of survey respondents reported seeing the need to hire/work with more CHWs, and 44% saw the need for CHWs increasing in the future. Regarding CHW support, a majority of respondents indicated networking opportunities (63%), paid time for networking (80%), adequate time for supervision (75%), orientation training (78%), mandatory training (78%), ongoing training (79%), and paid time for training (82%). Open-ended responses to the question "In your organization, what needs could CHWs meet?" resulted in the largest number of respondents reporting mental health issues as a priority, followed by connecting people with services or resources, educating the public on preventive health, family support, and home care/visitations. Our findings suggest that respondents, who largely have supervisory or managerial roles, view workplace environments in Nebraska favorably, despite the fact that nearly two-thirds of respondents typically work well over 40 h per week. In addition, CHWs could help address mental and physical health needs in a variety of community and clinical settings through primary and secondary prevention activities, such as provision of health screenings, health and nutrition education, connecting people to resources and empowering community members through these activities and more.

Completeness and accuracy of data transfer of routine maternal health services data in the greater Accra region

NARCIS (Netherlands)

Amoakoh-Coleman, Mary; Kayode, Gbenga A.; Brown-Davies, Charles; Agyepong, Irene Akua; Grobbee, DE; Klipstein-Grobusch, Kerstin; Ansah, Evelyn K.

2015-01-01

Background: High quality routine health system data is essential for tracking progress towards attainment of the Millennium Development Goals 4 & 5. This study aimed to determine the completeness and accuracy of transfer of routine maternal health service data at health facility, district and

Biodiversity assessment among two Nebraska prairies: a comparison between traditional and phylogenetic diversity indices.

Science.gov (United States)

Aust, Shelly K; Ahrendsen, Dakota L; Kellar, P Roxanne

2015-01-01

Conservation of the evolutionary diversity among organisms should be included in the selection of priority regions for preservation of Earth's biodiversity. Traditionally, biodiversity has been determined from an assessment of species richness (S), abundance, evenness, rarity, etc. of organisms but not from variation in species' evolutionary histories. Phylogenetic diversity (PD) measures evolutionary differences between taxa in a community and is gaining acceptance as a biodiversity assessment tool. However, with the increase in the number of ways to calculate PD, end-users and decision-makers are left wondering how metrics compare and what data are needed to calculate various metrics. In this study, we used massively parallel sequencing to generate over 65,000 DNA characters from three cellular compartments for over 60 species in the asterid clade of flowering plants. We estimated asterid phylogenies from character datasets of varying nucleotide quantities, and then assessed the effect of varying character datasets on resulting PD metric values. We also compared multiple PD metrics with traditional diversity indices (including S) among two endangered grassland prairies in Nebraska (U.S.A.). Our results revealed that PD metrics varied based on the quantity of genes used to infer the phylogenies; therefore, when comparing PD metrics between sites, it is vital to use comparable datasets. Additionally, various PD metrics and traditional diversity indices characterize biodiversity differently and should be chosen depending on the research question. Our study provides empirical results that reveal the value of measuring PD when considering sites for conservation, and it highlights the usefulness of using PD metrics in combination with other diversity indices when studying community assembly and ecosystem functioning. Ours is just one example of the types of investigations that need to be conducted across the tree of life and across varying ecosystems in order to build

Perceptions of malaria and acceptance of rapid diagnostic tests and related treatment practises among community members and health care providers in Greater Garissa, North Eastern Province, Kenya.

Science.gov (United States)

Diggle, Emma; Asgary, Ramin; Gore-Langton, Georgia; Nahashon, Erupe; Mungai, James; Harrison, Rebecca; Abagira, Abdullahi; Eves, Katie; Grigoryan, Zoya; Soti, David; Juma, Elizabeth; Allan, Richard

2014-12-17

Conventional diagnosis of malaria has relied upon either clinical diagnosis or microscopic examination of peripheral blood smears. These methods, if not carried out exactly, easily result in the over- or under-diagnosis of malaria. The reliability and accuracy of malaria RDTs, even in extremely challenging health care settings, have made them a staple in malaria control programmes. Using the setting of a pilot introduction of malaria RDTs in Greater Garissa, North Eastern Province, Kenya, this study aims to identify and understand perceptions regarding malaria diagnosis, with a particular focus on RDTs, and treatment among community members and health care workers (HCWs). The study was conducted in five districts of Garissa County. Focus group discussions (FGD) were performed with community members that were recruited from health facilities (HFs) supported by the MENTOR Initiative. In-depth interviews (IDIs) and FGDs with HCWs were also carried out. Interview transcripts were then coded and analysed for major themes. Two researchers reviewed all codes, first separately and then together, discussed the specific categories, and finally characterized, described, and agreed upon major important themes. Thirty-four FGDs were carried out with a range of two to eight participants (median of four). Of 157 community members, 103 (65.6%) were women. The majority of participants were illiterate and the highest level of education was secondary school. Some 76% of participants were of Somali ethnicity. Whilst community members and HCWs demonstrated knowledge of aspects of malaria transmission, prevention, diagnosis, and treatment, gaps and misconceptions were identified. Poor adherence to negative RDT results, unfamiliarity and distrust of RDTs, and an inconsistent RDT supply were the main challenges to become apparent in FGDs and IDIs. Gaps in knowledge or incorrect beliefs exist in Greater Garissa and have the potential to act as barriers to complete and correct malaria case

Greater trochanteric pain syndrome diagnosis and treatment.

Science.gov (United States)

Mallow, Michael; Nazarian, Levon N

2014-05-01

Lateral hip pain, or greater trochanteric pain syndrome, is a commonly seen condition; in this article, the relevant anatomy, epidemiology, and evaluation strategies of greater trochanteric pain syndrome are reviewed. Specific attention is focused on imaging of this syndrome and treatment techniques, including ultrasound-guided interventions. Copyright © 2014 Elsevier Inc. All rights reserved.

Vertical gradients in water chemistry and age in the Northern High Plains Aquifer, Nebraska, 2003

Science.gov (United States)

McMahon, P.B.; Böhlke, J.K.; Carney, C.P.

2007-01-01

The northern High Plains aquifer is the primary source of water used for domestic, industrial, and irrigation purposes in parts of Colorado, Kansas, Nebraska, South Dakota, and Wyoming. Despite the aquifer’s importance to the regional economy, fundamental ground-water characteristics, such as vertical gradients in water chemistry and age, remain poorly defined. As part of the U.S. Geological Survey’s National Water-Quality Assessment Program, water samples from nested, short-screen monitoring wells installed in the northern High Plains aquifer were analyzed for major ions, nutrients, trace elements, dissolved organic carbon, pesticides, stable and radioactive isotopes, dissolved gases, and other parameters to evaluate vertical gradients in water chemistry and age in the aquifer. Chemical data and tritium and radiocarbon ages show that water in the aquifer was chemically and temporally stratified in the study area, with a relatively thin zone of recently recharged water (less than 50 years) near the water table overlying a thicker zone of older water (1,800 to 15,600 radiocarbon years). In areas where irrigated agriculture was an important land use, the recently recharged ground water was characterized by elevated concentrations of major ions and nitrate and the detection of pesticide compounds. Below the zone of agricultural influence, major-ion concentrations exhibited small increases with depth and distance along flow paths because of rock/water interactions. The concentration increases were accounted for primarily by dissolved calcium, sodium, bicarbonate, sulfate, and silica. In general, the chemistry of ground water throughout the aquifer was of high quality. None of the approximately 90 chemical constituents analyzed in each sample exceeded primary drinking-water standards.Mass-balance models indicate that changes in groundwater chemistry along flow paths in the aquifer can be accounted for by small amounts of feldspar and calcite dissolution; goethite

'Greater good' versus civil liberties in the United States: Tuberculosis and Seattle's Firland Sanatorium.

Science.gov (United States)

Blackburn, Christine Crudo

2017-11-01

As far back as the late 1700s, peoples in the United States were developing ways to control infectious disease without infringing on Constitutional rights. Despite acknowledgement that an infected person has certain civil liberties, the history of public health law shows that, in many instances, infectious disease isolation and quarantine proved to be scientifically questionable at best. I examine an historical example of such questionable relationship between public health and civil liberties: the locked ward at Firland Sanatorium in Seattle, Washington. Mandatory quarantine at Firland began in the late 1940s and lasted until the facility closed in the early 1970s. Can examining this history enhance understanding of the relationship between "the greater good" and an individual's civil liberties?

Molecular detection of Campylobacter spp. and fecal indicator bacteria during the northern migration of Sandhill Cranes (Grus canadensis) at the Central Platte River

Science.gov (United States)

The annual Sandhill crane (Grus canadensis) migration through Nebraska is thought to be a major source of fecal pollution to the Platte River, but of unknown human health risk. To better understand potential risks, the presence of Campylobacter species and fecal bacteria were exa...

[Terrorism, public health and health services].

Science.gov (United States)

Arcos González, Pedro; Castro Delgado, Rafael; Cuartas Alvarez, Tatiana; Pérez-Berrocal Alonso, Jorge

2009-01-01

Today the terrorism is a problem of global distribution and increasing interest for the international public health. The terrorism related violence affects the public health and the health care services in an important way and in different scopes, among them, increase mortality, morbidity and disability, generates a context of fear and anxiety that makes the psychopathological diseases very frequent, seriously alters the operation of the health care services and produces important social, political and economic damages. These effects are, in addition, especially intense when the phenomenon takes place on a chronic way in a community. The objective of this paper is to examine the relation between terrorism and public health, focusing on its effects on public health and the health care services, as well as to examine the possible frames to face the terrorism as a public health concern, with special reference to the situation in Spain. To face this problem, both the public health systems and the health care services, would have to especially adapt their approaches and operational methods in six high-priority areas related to: (1) the coordination between the different health and non health emergency response agencies; (2) the reinforcement of the epidemiological surveillance systems; (3) the improvement of the capacities of the public health laboratories and response emergency care systems to specific types of terrorism as the chemical or biological terrorism; (3) the mental health services; (4) the planning and coordination of the emergency response of the health services; (5) the relations with the population and mass media and, finally; (6) a greater transparency in the diffusion of the information and a greater degree of analysis of the carried out health actions in the scope of the emergency response.

Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons.

Science.gov (United States)

Burgess, Diana; Tran, Alisia; Lee, Richard; van Ryn, Michelle

2007-01-01

Previous research has found that lesbian, gay, bisexual and transgender (LGBT) individuals are at risk for a variety of mental health disorders. We examined the extent to which a recent experience of a major discriminatory event may contribute to poor mental health among LGBT persons. Data were derived from a cross-sectional strata-cluster survey of adults in Hennepin County, Minnesota, who identified as LGBT (n=472) or heterosexual (n=7,412). Compared to heterosexuals, LGBT individuals had poorer mental health (higher levels of psychological distress, greater likelihood of having a diagnosis of depression or anxiety, greater perceived mental health needs, and greater use of mental health services), more substance use (higher levels of binge drinking, greater likelihood of being a smoker and greater number of cigarettes smoked per day), and were more likely to report unmet mental healthcare needs. LGBT individuals were also more likely to report having experienced a major incident of discrimination over the past year than heterosexual individuals. Although perceived discrimination was associated with almost all of the indicators of mental health and utilization of mental health care that we examined, adjusting for discrimination did not significantly reduce mental health disparities between heterosexual and LGBT persons. LGBT individuals experienced more major discrimination and reported worse mental health than heterosexuals, but discrimination did not account for this disparity. Future research should explore additional forms of discrimination and additional stressors associated with minority sexual orientation that may account for these disparities.

Operational technology for greater confinement disposal

International Nuclear Information System (INIS)

Dickman, P.T.; Vollmer, A.T.; Hunter, P.H.

1984-12-01

Procedures and methods for the design and operation of a greater confinement disposal facility using large-diameter boreholes are discussed. It is assumed that the facility would be located at an operating low-level waste disposal site and that only a small portion of the wastes received at the site would require greater confinement disposal. The document is organized into sections addressing: facility planning process; facility construction; waste loading and handling; radiological safety planning; operations procedures; and engineering cost studies. While primarily written for low-level waste management site operators and managers, a detailed economic assessment section is included that should assist planners in performing cost analyses. Economic assessments for both commercial and US government greater confinement disposal facilities are included. The estimated disposal costs range from $27 to $104 per cubic foot for a commercial facility and from $17 to $60 per cubic foot for a government facility. These costs are based on average site preparation, construction, and waste loading costs for both contact- and remote-handled wastes. 14 figures, 22 tables

Aging of Holocaust Survivors: Discrepancies Between Subjective and General Health in the greater Tel Aviv Area.

Science.gov (United States)

Ohana, Irit; Golander, Hava; Barak, Yoram

2018-04-01

Aging has been associated with perceived lowering of health, especially in post-traumatic individuals. The effects may be more complex or even different for Holocaust survivors as they age due to their inherited resilience and life perspective. A cross-sectional study was conducted of Holocaust survivors and a matched comparison group recruited from the general Israeli population. All participants underwent a personal interview and completed the Cumulative Illness Rating Scale and a survey of subjective Likert-scale questions about perceived health. The study comprised 214 older adults: 107 Holocaust survivors and 107 comparison participants; 101 women and 113 men. The mean age for the participants was 80.7 ± 4.7 years (range 68-93). Holocaust survivors did not differ from comparison subjects in general health measures (mean 51.50 ± 3.06 vs. 52.27 ± 3.24, respectively). However, the Holocaust survivors' subjective health was significantly lower, F (2,211) = 4.18, P Holocaust survivors to achieve successful aging.

Cell phone-based health education messaging improves health literacy.

Science.gov (United States)

Zhuang, Runsen; Xiang, Yueying; Han, Tieguang; Yang, Guo-An; Zhang, Yuan

2016-03-01

The ubiquity of cell phones, which allow for short message service (SMS), provides new and innovative opportunities for disease prevention and health education. To explore the use of cell phone-based health education SMS to improve the health literacy of community residents in China. A multi-stage random sampling method was used to select representative study communities and participants ≥ 18 years old. Intervention participants were sent health education SMSs once a week for 1 year and controls were sent conventional, basic health education measures. Health literacy levels of the residents before and after the intervention were evaluated between intervention and control groups. Public health literacy scores increased 1.5 points, from 61.8 to 63.3, after SMS intervention for 1 year (P<0.01); the increase was greater for males than females (2.01 vs. 1.03; P<0.01) and for Shenzhen local residents than non-permanent residents (2.56 vs. 1.14; P<0.01). The frequency of high health literacy scores was greater for the intervention than control group (22.03% to 30.93% vs. 22.07% to 20.82%). With health literacy as a cost-effective index, the cost-effectiveness per intervention was 0.54. SMS may be a useful tool for improving health literacy.

School Health Connection Goes Electronic: Developing a Health Information Management System for New Orleans' School-Based Health Centers. Program Results Report

Science.gov (United States)

Rastorfer, Darl

2011-01-01

From February 2008 through April 2011, School Health Connection, a program of the Louisiana Public Health Institute, developed an electronic health information management system for newly established school-based health centers in Greater New Orleans. School Health Connection was established as part of a broader effort to restore community health…

Deviance and resistance: Malaria elimination in the greater Mekong subregion.

Science.gov (United States)

Lyttleton, Chris

2016-02-01

Malaria elimination rather than control is increasingly globally endorsed, requiring new approaches wherein success is not measured by timely treatment of presenting cases but eradicating all presence of infection. This shift has gained urgency as resistance to artemisinin-combination therapies spreads in the Greater Mekong Sub-region (GMS) posing a threat to global health security. In the GMS, endemic malaria persists in forested border areas and elimination will require calibrated approaches to remove remaining pockets of residual infection. A new public health strategy called 'positive deviance' is being used to improve health promotion and community outreach in some of these zones. However, outbreaks sparked by alternative understandings of appropriate behaviour expose the unpredictable nature of 'border malaria' and difficulties eradication faces. Using a recent spike in infections allegedly linked to luxury timber trade in Thai borderlands, this article suggests that opportunities for market engagement can cause people to see 'deviance' as a means to material advancement in ways that increase disease vulnerability. A malaria outbreak in Ubon Ratchathani was investigated during two-week field-visit in November 2014 as part of longer project researching border malaria in Thai provinces. Qualitative data were collected in four villages in Ubon's three most-affected districts. Discussions with villagers focused primarily on changing livelihoods, experience with malaria, and rosewood cutting. Informants included ten men and two women who had recently overnighted in the nearby forest. Data from health officials and villagers are used to frame Ubon's rise in malaria transmission within moral and behavioural responses to expanding commodity supply-chains. The article argues that elimination strategies in the GMS must contend with volatile outbreaks among border populations wherein 'infectiousness' and 'resistance' are not simply pathogen characteristics but also

Greater trochanteric fracture with occult intertrochanteric extension.

Science.gov (United States)

Reiter, Michael; O'Brien, Seth D; Bui-Mansfield, Liem T; Alderete, Joseph

2013-10-01

Proximal femoral fractures are frequently encountered in the emergency department (ED). Prompt diagnosis is paramount as delay will exacerbate the already poor outcomes associated with these injuries. In cases where radiography is negative but clinical suspicion remains high, magnetic resonance imaging (MRI) is the study of choice as it has the capability to depict fractures which are occult on other imaging modalities. Awareness of a particular subset of proximal femoral fractures, namely greater trochanteric fractures, is vital for both radiologists and clinicians since it has been well documented that they invariably have an intertrochanteric component which may require surgical management. The detection of intertrochanteric or cervical extension of greater trochanteric fractures has been described utilizing MRI but is underestimated with both computed tomography (CT) and bone scan. Therefore, if MRI is unavailable or contraindicated, the diagnosis of an isolated greater trochanteric fracture should be met with caution. The importance of avoiding this potential pitfall is demonstrated in the following case of an elderly woman with hip pain and CT demonstrating an isolated greater trochanteric fracture who subsequently returned to the ED with a displaced intertrochanteric fracture.

The case of Iranian immigrants in the greater Toronto area: a qualitative study

Directory of Open Access Journals (Sweden)

Dastjerdi Mahdieh

2012-02-01

Full Text Available Abstract Introduction Iranians comprise an immigrant group that has a very different cultural background from that of the mainstream Canadian population and speaks a language other than English or French; in this case mainly Farsi (Persian. Although Iranian immigrants in Toronto receive a high proportion of care from Farsi-speaking family physicians and health care providers than physicians who cannot speak Farsi, they are still not satisfied with the provided services. The purpose of this study was to identify the obstacles and issues Iranian immigrants faced in accessing health care services as seen through the eyes of Iranian health care professionals/providers and social workers working in Greater Toronto Area, Canada. Methods Narrative inquiry was used to capture and understand the obstacles this immigrant population faces when accessing health care services, through the lens of fifty Iranian health care professionals/providers and social workers. Thirty three health care professionals and five social workers were interviewed. To capture the essence of issues, individual interviews were followed by three focus groups consisting of three health care professionals and one social worker in each group. Results Three major themes emerged from the study: language barrier and the lack of knowledge of Canadian health care services/systems; lack of trust in Canadian health care services due to financial limitations and fear of disclosure; and somatization and needs for psychological supports. Conclusion Iranians may not be satisfied with the Canadian health care services due to a lack of knowledge of the system, as well as cultural differences when seeking care, such as fear of disclosure, discrimination, and mistrust of primary care. To attain equitable, adequate, and effective access to health care services, immigrants need to be educated and informed about the Canadian health care system and services it provides. It would be of great benefit to

The Influence of Green Infrastructure on Urban Resilience in Greater London

Science.gov (United States)

Oh, Yukyung

2017-04-01

High population densities and diverse economic activities in urban areas create social issues as well as a range of environmental impacts including air pollution, soil contamination, loss of biodiversity and health problems (Alberti et al., 2003; Dobbs, Escobedo, & Zipperer, 2011; Grimm et al., 2008). The concept of urban resilience has been used for increasing the capacity of the entities and players to adapt to rapid changes, and urban green spaces play a crucial role in increasing urban resilience. Greater London has a good case for increasing urban green spaces and resilience under the London Plan. The relevance of urban open spaces and several socioeconomic indicators would provide researchers and policy makers with the information for managing green coverage. The correlation analysis of two quantitative data such as open space and socioeconomic data of Greater London was conducted with SPSS. The data for open spaces in Greater London was gained through Greenspace Information for Greater London. The data was converted from vector to raster in Geographic Information System (GIS), so as to calculate landscape metrics for open spaces in Greater London through a spatial pattern analysis program, FRAGSTATS 4.2. The socioeconomic data was obtained from "London Borough Profile", London Datastore. In addition, data on total carbon emissions from Industry and Commercial, Domestic, Transport, LULUCF Net Emissions, and per capita emissions were gained from UK local authority and regional carbon dioxide emissions national statistics: 2005-2014 released from Department of Energy and Climate Change. The indicators from open spaces are total area of open space and patch density or contagion of open spaces. The latter indicator allows to figure out the level of fragmentation of open spaces. The socioeconomic indicators cover number of jobs by workplace, jobs density, crime rates per thousand population, and several wellbeing indicators such as life satisfaction

77 FR 36032 - Notice of Intent To Prepare a Supplemental Environmental Impact Statement (SEIS) and To Conduct...

Science.gov (United States)

2012-06-15

... and avoids the Sand Hills region of Nebraska. The Nebraska Department of Environmental Quality has identified the Sand Hills region and is currently evaluating the potential impacts associated with the... Nebraska Department of Environmental Quality to facilitate coordination and cooperation between the State...

An ecological framework for sexual minority women's health: factors associated with greater body mass.

Science.gov (United States)

Eliason, Michele J; Fogel, Sarah C

2015-01-01

In recent years, many studies have focused on the body of sexual minority women, particularly emphasizing their larger size. These studies rarely offer theoretically based explanations for the increased weight, nor study the potential consequences (or lack thereof) of being heavier. This article provides a brief overview of the multitude of factors that might cause or contribute to larger size of sexual minority women, using an ecological framework that elucidates upstream social determinants of health as well as individual risk factors. This model is infused with a minority stress model, which hypothesizes excess strain resulting from the stigma associated with oppressed minority identities such as woman, lesbian, bisexual, woman of color, and others. We argue that lack of attention to the upstream social determinants of health may result in individual-level victim blaming and interventions that do not address the root causes of minority stress or increased weight.

Drivers Motivating Community Health Improvement Plan Completion by Local Public Health Agencies and Community Partners in the Rocky Mountain Region and Western Plains.

Science.gov (United States)

Hill, Anne; Wolf, Holly J; Scallan, Elaine; Case, Jenny; Kellar-Guenther, Yvonne

There are numerous drivers that motivate completion of community health improvement plans (CHIPs). Some are more obvious and include voluntary public health accreditation, state requirements, federal and state funding, and nonprofit hospital requirements through IRS regulations. Less is known about other drivers, including involvement of diverse partners and belief in best practices, that may motivate CHIP completion. This research investigated the drivers that motivated CHIP completion based on experiences of 51 local public health agencies (LPHAs). An explanatory mixed-methods design, including closed- and open-ended survey questions and key informant interviews, was used to understand the drivers that motivated CHIP completion. Analysis of survey data involved descriptive statistics. Classical content analysis was used for qualitative data to clarify survey findings. The surveys and key informant interviews were conducted in the Rocky Mountain Region and Western Plains among 51 medium and large LPHAs in Colorado, Kansas, Montana, Nebraska, North Dakota, South Dakota, Utah, and Wyoming. More than 50% of respondents were public health directors; the balance of the respondents were division/program directors, accreditation coordinators, and public health planners. CHIP completion. Most LPHAs in the Rocky Mountains and Western Plains have embraced developing and publishing a CHIP, with 80% having completed their plan and another 13% working on it. CHIP completion is motivated by a belief in best practices, with LPHAs and partners seeing the benefit of quality improvement activities linked to the CHIP and the investment of nonprofit hospitals in the process. Completing a CHIP is strengthened through engagement of diverse partners and a well-functioning partnership. The future of CHIP creation depends on LPHAs and partners investing in the CHIP as a best practice, dedicating personnel to CHIP activities, and enhancing leadership skills to contribute to a synergistic

Comprehensive Statewide Plan for Postsecondary Education

Science.gov (United States)

Nebraska's Coordinating Commission for Postsecondary Education, 2016

2016-01-01

The constitution and statutes of Nebraska assign the Coordinating Commission for Postsecondary Education the responsibility for comprehensive planning for postsecondary education in Nebraska. The purpose of the "Comprehensive Plan for Postsecondary Education" is to provide direction for the future of postsecondary education in Nebraska.…

Social vulnerability to heat in Greater Atlanta, USA: spatial pattern of heat, NDVI, socioeconomics and household composition

Science.gov (United States)

Sim, Sunhui

2017-10-01

The purpose of the article is evaluating spatial patterns of social vulnerability to heat in Greater Atlanta in 2015. The social vulnerability to heat is an index of socioeconomic status, household composition, land surface temperature and normalized differential vegetation index (NDVI). Land surface temperature and NDVI were derived from the red, NIR and thermal infrared (TIR) of a Landsat OLI/TIRS images collected on September 14, 2015. The research focus is on the variation of heat vulnerability in Greater Atlanta. The study found that heat vulnerability is highly clustered spatially, resulting in "hot spots" and "cool spots". The results show significant health disparities. The hotspots of social vulnerability to heat occurred in neighborhoods with lower socioeconomic status as measured by low education, low income and more poverty, greater proportion of elderly people and young children. The findings of this study are important for identifying clusters of heat vulnerability and the relationships with social factors. These significant results provide a basis for heat intervention services.

Viruses, Vaccines and the Public.

Science.gov (United States)

Diamond, Judy; McQuillan, Julia; Spiegel, Amy N; Hill, Patricia Wonch; Smith, Rebecca; West, John; Wood, Charles

Current research in virology is changing public conceptions about vaccines and infectious disease. The University of Nebraska State Museum collaborated with research virologists, science writers, artists and learning researchers to create public outreach materials about viruses and infectious disease. The project, funded by the National Institute of Health's SEPA program, developed comics, a book with Carl Zimmer, and other materials and programs. The project launched three kinds of learning research: 1) a survey of Nebraska adults on their opinions about vaccines and infectious disease; 2) a study comparing the mental models of viruses, vaccines and infection from virologists, teachers, and students; and 3) a controlled study 873 high school students randomly assigned to read either a comic or a text-based essay with the same virus information.

Health status of refugees settled in Alberta: changes since arrival.

Science.gov (United States)

Maximova, Katerina; Krahn, Harvey

2010-01-01

This paper sought to examine which pre- and post-migration factors might be associated with changes in refugees' health status. Using linear regression, the associations between pre- and post-migration factors and changes in self-rated mental and physical health status were examined in 525 refugees from the 1998 Settlement Experiences of Refugees in Alberta study. Having spent time in a refugee camp and having held professional/managerial jobs in one's home country were associated with a greater decline in mental health status since arrival in Canada. Having completed a university degree in one's home country was associated with a greater decline in physical health status. Being employed was associated with greater improvements in mental health status. Perceived economic hardship was associated with greater declines in physical health status. A higher number of settlement services received during the first year in Canada was associated with greater improvements in both mental and physical health status. Longer residence in Canada was associated with greater declines in physical health status but not in mental health status. While little can be done to alter refugees' pre-migration experiences, public policies can affect many post-migration experiences in order to mitigate the negative health consequences associated with resettlement. Results of this study point to the need for continued provision of settlement services to assist refugees with job training, labour market access, and credential recognition, as well as counseling for refugees who experienced the trauma of living in a refugee camp.

Relationship between loneliness and mental health in students

OpenAIRE

Richardson, Thomas; Elliott, Peter; Roberts, Ron; Jansen, Megan

2017-01-01

Purpose: Previous cross-sectional research has examined effect of loneliness on mental health. This study aimed to examine longitudinal relationships in students. Design/Methodology: 454 British undergraduate students completed measures of loneliness and mental health at four time points.Findings: After controlling for demographics and baseline mental health, greater loneliness predicted greater anxiety, stress, depression and general mental health over time. There was no evidence that mental...

Indoor air quality in the Greater Beirut area: a characterization and modeling assessment

International Nuclear Information System (INIS)

El-Fadel, Mutasem; El-Hougeiri, Nisrine; Oulabi, Mawiya

2003-01-01

This report presents the assessment of IAQ at various environments selected from different geographic categories from the Greater Beirut area (GBA) in Lebanon. For this purpose, background information about indoor air quality was reviewed, existing conditions were characterized, an air-sampling program was implemented and mathematical modeling was conducted. Twenty-eight indoor buildings were selected from various geographic categories representing different environments (commercial and residential...). Indoor and outdoor air samples were collected and analyzed using carbon monoxide (CO), particulate matter (TSP), nitrogen dioxide (NO 2 ) and total volatile organic compounds (TVOC) as indicators of indoor air pollution (IAP).Samples were further analyzed using the energy dispersive x-ray fluorescence technique (EDXRF) for the presence of major priority metals including iron (Fe), calcium (Ca), zinc (Zn), lead (Pb), manganese (Mn), copper (Cu) and bromine (Br). Indoor and outdoor measured levels were compared to the American Society of Heating Refrigerating and Air-Conditioning Engineers (ASHRAE) and health-based National Ambient Air Quality standards (NAAQS), respectively. For the priority metals, on the other hand, indoor measured values were compared to occupational standards recommended by the National Institute of Occupational Safety and Health (NIOSH) and Occupational Safety and Health Administration (OSHA)

The post-orgasmic prolactin increase following intercourse is greater than following masturbation and suggests greater satiety.

Science.gov (United States)

Brody, Stuart; Krüger, Tillmann H C

2006-03-01

Research indicates that prolactin increases following orgasm are involved in a feedback loop that serves to decrease arousal through inhibitory central dopaminergic and probably peripheral processes. The magnitude of post-orgasmic prolactin increase is thus a neurohormonal index of sexual satiety. Using data from three studies of men and women engaging in masturbation or penile-vaginal intercourse to orgasm in the laboratory, we report that for both sexes (adjusted for prolactin changes in a non-sexual control condition), the magnitude of prolactin increase following intercourse is 400% greater than that following masturbation. The results are interpreted as an indication of intercourse being more physiologically satisfying than masturbation, and discussed in light of prior research reporting greater physiological and psychological benefits associated with coitus than with any other sexual activities.

Vegetation and Soil Responses to Concrete Grinding Residue Application on Highway Roadsides of Eastern Nebraska.

Science.gov (United States)

Wingeyer, Ana; Mamo, Martha; Schacht, Walter; McCallister, Dennis; Sutton, Pamela

2018-05-01

As a precautionary principle, the National Pollutant Discharge Elimination System (NPDES) permit establishes that the primary pollutant in concrete grinding residue (CGR) is its alkalinity and restricts CGR roadside discharge to 11 Mg ha or the agronomic liming rate, whichever is lower. We evaluated the effect of CGR application on roadside soil chemical properties, existing vegetation, and rainfall runoff. Five CGR rates (0, 11, 22, 45, and 90 dry Mg ha) were tested on roadsides slopes at two different locations in eastern Nebraska. Vegetation, soil, and runoff characteristics were evaluated before CGR application and 30 d and 1 yr after CGR application. Soil pH of control plots averaged 8.3 and 8.5 for each site respectively, across depths and slope positions, thus not requiring any liming for agronomic purposes. Soil electrical conductivity (EC, 1:1) averages of control plots were 0.79 and 1.24 dS m across depths and slope positions. In the short term (30 d) the highest CGR application affected the 0- to 7.5-cm soil depth by increasing soil extractable Ca (21 and 25% for each site, respectively), soil pH (0.2, south site), and soil EC (0.2 dS m) compared with the control. However, these changes in soil did not persist 1 yr after CGR application. The pH buffering capacity of soil prevented post-CGR-application pH from exceeding 8.9, even at the highest application rate. Application of CGR did not produce any differences in biomass production, botanical composition, and runoff characteristics at either site. From our study, CGR up to ?90 dry Mg ha-about the amount produced during diamond grinding operations-can be one-time applied to roadside soils of similar characteristics on already established vegetation. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

The radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR

CERN Document Server

Kelly, G N; Charles, D; Hemming, C R

1983-01-01

This report contains an assessment of the radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR. Three of the degraded core accident releases postulated by the CEGB are analysed. The consequences, conditional upon each release, are evaluated in terms of the health impact on the exposed population and the impact of countermeasures taken to limit the exposure. Consideration is given to the risk to the Greater London population as a whole and to individuals within it. The consequences are evaluated using the NRPB code MARC (Methodology for Assessing Radiological Consequences). The results presented in this report are all conditional upon the occurrence of each release. In assessing the significance of the results, due account must be taken of the frequency with which such releases may be predicted to occur.

Adjusting Pulse Amplitude During Transcutaneous Electrical Nerve Stimulation Does Not Provide Greater Hypoalgesia.

Science.gov (United States)

Bergeron-Vézina, Kayla; Filion, Camille; Couture, Chantal; Vallée, Élisabeth; Laroche, Sarah; Léonard, Guillaume

2018-03-01

Transcutaneous electrical nerve stimulation (TENS) is an electrotherapeutic modality commonly used in rehabilitation to relieve pain. Adjusting pulse amplitude (intensity) during TENS treatment has been suggested to overcome nerve habituation. However, it is still unclear if this procedure leads to greater hypoalgesia. The aim of this study was to determine if the hypoalgesic effect of TENS is greater when pulse amplitude is adjusted throughout the TENS treatment session in chronic low-back pain patients. Randomized double-blind crossover study. Recruitment and assessment were conducted at the Clinique universitaire de réadaptation de l'Estrie (CURE) of the Faculty of Medicine and Health Sciences of the Université de Sherbrooke. Twenty-one volunteers with chronic low-back pain were enrolled and completed this investigation. Each patient received two high-frequency TENS treatments on two separate sessions: (1) with adjustment of pulse amplitude and (2) without pulse amplitude adjustment. Pain intensity and unpleasantness were assessed before, during, and after TENS application with a 10 cm visual analog scale. Both TENS conditions (with and without adjustment of intensity) decreased pain intensity and unpleasantness when compared with baseline. No difference was observed between the two stimulation conditions for both pain intensity and unpleasantness. The current results suggest that adjustment of pulse amplitude during TENS application does not provide greater hypoalgesia in individuals with chronic low-back pain. Future studies are needed to confirm these findings in other pain populations.

The Association Between Diabetes Mellitus Among American Indian/Alaska Native Populations with Preterm Birth in Eight US States from 2004-2011.

Science.gov (United States)

Dorfman, Haley; Srinath, Meghna; Rockhill, Karilynn; Hogue, Carol

2015-11-01

Assess risk of preterm birth associated with diabetes mellitus (DM) among American Indian and Alaska Natives (AI/AN), a population with increased risk of DM and preterm birth, and examine whether this association differed by state of residence. We used surveillance data from the Pregnancy Risk Assessment Monitoring System from 12,400 AI/AN respondents with singleton births in Alaska, Minnesota, Nebraska, New Mexico, Oklahoma, Oregon, Utah, and Washington from 2004-2011. We conducted multivariable logistic regression models to estimate the odds ratio adjusted for maternal age and prepregnancy BMI with all observations and then stratified by state. DM was reported in 5.92 % of the study population and preterm birth occurred in 8.95 % of births. Women with DM had 1.92 times higher odds of having a preterm birth than women without DM [95 % confidence interval (CI) 1.21-2.78]. After stratifying on state, women with DM in Nebraska had the greatest odds of preterm birth [aOR 6.63, (95 % CI 3.80-11.6)] while women in Alaska saw a protective effect from DM [aOR 0.17, (95 % CI 0.07-0.42)] compared to women without DM. Overall, AI/AN women with DM had significantly greater odds of preterm birth compared to AI/AN women without DM across states. Substantial differences in this association between states calls for increased public health efforts in high-risk areas as well as further research to assess whether differences are attributable to diagnosis, reporting, tribal, healthcare or lifestyle factors.

Breaking Health Insurance Knowledge Barriers Through Games: Pilot Test of Health Care America

Science.gov (United States)

James, Juli

2017-01-01

Background Having health insurance is associated with a number of beneficial health outcomes. However, previous research suggests that patients tend to avoid health insurance information and often misunderstand or lack knowledge about many health insurance terms. Health insurance knowledge is particularly low among young adults. Objective The purpose of this study was to design and test an interactive newsgame (newsgames are games that apply journalistic principles in their creation, for example, gathering stories to immerse the player in narratives) about health insurance. This game included entry-level information through scenarios and was designed through the collation of national news stories, local personal accounts, and health insurance company information. Methods A total of 72 (N=72) participants completed in-person, individual gaming sessions. Participants completed a survey before and after game play. Results Participants indicated a greater self-reported understanding of how to use health insurance from pre- (mean=3.38, SD=0.98) to postgame play (mean=3.76, SD=0.76); t71=−3.56, P=.001. For all health insurance terms, participants self-reported a greater understanding following game play. Finally, participants provided a greater number of correct definitions for terms after playing the game, (mean=3.91, SD=2.15) than they did before game play (mean=2.59, SD=1.68); t31=−3.61, P=.001. Significant differences from pre- to postgame play differed by health insurance term. Conclusions A game is a practical solution to a difficult health issue—the game can be played anywhere, including on a mobile device, is interactive and will thus engage an apathetic audience, and is cost-efficient in its execution. PMID:29146564

A greater decline in female facial attractiveness during middle age reflects women’s loss of reproductive value

Directory of Open Access Journals (Sweden)

Dario eMaestripieri

2014-02-01

Full Text Available Facial attractiveness represents an important component of an individual’s overall attractiveness as a potential mating partner. Perceptions of facial attractiveness are expected to vary with age-related changes in health, reproductive value, and power. In this study, we investigated perceptions of facial attractiveness, power, and personality in two groups of women of pre- and post-menopausal ages (35-50 years and 51-65 years, respectively and two corresponding groups of men. We tested three hypotheses: 1 that perceived facial attractiveness would be lower for older than for younger men and women; 2 that the age-related reduction in facial attractiveness would be greater for women than for men; and 3 that for men, there would be a larger increase in perceived power at older ages. Eighty facial stimuli were rated by 60 (30 male, 30 female middle-aged women and men using online surveys. Our three main hypotheses were supported by the data. Consistent with sex differences in mating strategies, the greater age-related decline in female facial attractiveness was driven by male respondents, while the greater age-related increase in male perceived power was driven by female respondents. In addition, we found evidence that some personality ratings were correlated with perceived attractiveness and power ratings. The results of this study are consistent with evolutionary theory and with previous research showing that faces can provide important information about characteristics that men and women value in a potential mating partner such as their health, reproductive value, and power or possession of resources.

Myiasis in Dogs in the Greater Accra Region of Ghana.

Science.gov (United States)

Johnson, Sherry A M; Gakuya, Daniel W; Mbuthia, Paul G; Mande, John D; Afakye, Kofi; Maingi, Ndichu

2016-01-01

Myiasis is the infestation of tissues of live vertebrate animals and humans with dipterous larvae. In sub-Saharan Africa, Cordylobia anthropohaga and Cordylobia rodhaini are known to be responsible for cutaneous myiasis in animals and humans. Human cases of myiasis, purportedly acquired in Ghana but diagnosed in other countries, have been reported; however, published data on its occurrence in animals in Ghana is unavailable. This study assessed the prevalence of canine myiasis among owned dogs in the Greater Accra region (GAR) of Ghana. A cross-sectional study was conducted in the Greater Accra region of Ghana, selected for being the region with the highest estimated population density of owned dogs. Physical examination and demographic characteristics of the study dogs were assessed. Management of the dogs was assessed through a questionnaire administered to the dog owners. A total of 392 owned dogs were sampled. Twenty-nine (7.4%) had cutaneous myiasis caused by C. rodhaini. In addition, one (0.2%) of the dogs had intestinal myiasis, with Dermatobia hominis as the offending larvae. Among the breeds of dogs with myiasis, the mongrel was most affected, with 24 (82.8%) out of the 29 cases. The mongrels, majority of which (24; 82.8%) were males, were left to roam freely in the community. Results from this study demonstrate that C. rodhaini and D. hominis are important causes of myiasis in owned dogs in the GAR of Ghana. Dogs could play a role in the spread of myiasis to humans, with its attendant public health implications.

Strategic responses to fiscal constraints: a health policy analysis of hospital-based ambulatory physical therapy services in the Greater Toronto Area (GTA).

Science.gov (United States)

Landry, Michel D; Verrier, Molly C; Williams, A Paul; Zakus, David; Deber, Raisa B

2009-01-01

Ambulatory physical therapy (PT) services in Canada are required to be insured under the Canada Health Act, but only if delivered within hospitals. The present study analyzed strategic responses used by hospitals in the Greater Toronto Area (GTA) to deliver PT services in an environment of fiscal constraint. Key informant interviews (n = 47) were conducted with participants from all hospitals located within the GTA. Two primary strategic responses were identified: (1) "load shedding" through the elimination or reduction of services, and (2) "privatization" through contracting out or creating internal for-profit subsidiary clinics. All hospitals reported reductions in service delivery between 1996 and 2003, and 15.0% (7/47 hospitals) fully eliminated ambulatory services. Although only one of 47 hospitals contracted out services, another 15.0% (7/47) reported that for-profit subsidiary clinics were created within the hospital in order to access other more profitable forms of quasi-public and private funding. Strategic restructuring of services, aimed primarily at cost containment, may have yielded short-term financial savings but has also created a ripple effect across the continuum of care. Moreover, the rise of for-profit subsidiary clinics operating within not-for-profit hospitals has emerged without much public debate and with little research to evaluate its impact.

Pharmaceutical consumption and residuals potentially relevant to nutrient cycling in Greater Accra, Ghana

Directory of Open Access Journals (Sweden)

Evren Sinar

2010-04-01

Full Text Available Recycling nutrients form sanitary wastes back into agricultural ecosystems offers an option to alleviate soil depletion in regions where the use of mineral fertiliser is limited. Exemplary nutrient and water cycling approaches, including collection, treatment and use of human urine, are established at Valley View University (VVU in Greater Accra, Ghana.Concerns have been recently raised in regard to fate and impact of pharmaceutical residues in soils and interlinked environment. To evaluate in how far emerging knowledge can be transposed onto VVU, urban and rural environments in Greater Accra, spatial disease occurrence and drug consumption patterns were studied. Malaria has been found to represent the most severe health burden in Ghana, but there is also a high prevalence of infectious diseases. Drugs consumed in great quantities and in respect to their residual loads potentially problematic in the environment belong to therapeutic groups of: antibiotics, analgesics, drugs for diabetes, antimalarials, cardiovascular drugs and anthelmintics. Drug consumption revealed to be highest in urban and lowest in rural areas. At VVU the range of consumed drugs is comparable to urban areas except for the negligible use of diabetes and cardiovascular medication as well as contraceptives.

Views of professional nurses regarding low tuberculosis cure rate in Greater Giyani Municipality, Limpopo Province

Directory of Open Access Journals (Sweden)

Nandzumuni V. Maswanganyi

2014-11-01

Full Text Available Background: Management of patients suffering from tuberculosis (TB after discharge from hospital plays a critical role in the cure rate of TB. Despite interventions developed by the World Health Organization (WHO to improve the cure rate, TB remains a worldwide health problem. Objective: The purpose of the study was to explore and describe the views of professional nurses regarding the low TB cure rate in primary healthcare facilities of Greater Giyani Municipality in Limpopo Province, South Africa, with the aim of determining strategies that can be used to improve this low rate. Method: This study was qualitative, exploratory, descriptive and contextual in nature. The population consisted of professional nurses working in primary healthcare facilities within Greater Giyani Municipality, which has a TB cure rate below the national target of 85 %. Data gathering was through individual face-to-face interviews using an interview guide. Open-coding was used to analyse the data in this study. Results: The theme that emerged from data was ‘factors contributing to low TB cure rate’. This theme was supported by the following sub-themes: poor referral system, lack of knowledge about TB and its treatment, stigma attached to TB, and cultural and religious beliefs. The professional nurses suggested counselling of TB patients upon diagnosis, advice about patients’ responsibilities and the involvement of family members. Conclusion: The involvement of community stakeholders in TB prevention, health promotion and education activities devoted to disease spread and cure is vital so that the stigma attached to TB can be eliminated. TB education and awareness programmes should be included in the curriculum of primary schools.

Factors influencing the adolescent pregnancy rate in the Greater Giyani Municipality, Limpopo Province – South Africa

Directory of Open Access Journals (Sweden)

Lenny Mushwana

2015-01-01

Full Text Available A quantitative, descriptive and explorative survey was conducted to determine factors that influence adolescent pregnancy rate among teenage girls (n = 147 attending four high schools in the Greater Giyani Municipality in South Africa. Data was collected using a validated questionnaire which had a reliability of 0.65. Response frequency distributions, two-way frequency tables, Chi-square tests and Cochran–Armitage Trend Tests were used to determine the effect with the demographic characteristics of participants. Participants reported that health services were not conveniently available for them. Their relationship with nurses was poor (p < 0.05 as reported by 73% of participants with regard to maintenance of confidentiality. Participants reported key psychosocial variables such as inadequate sexual knowledge (61%, changing attitudes towards sex (58.9% and peer pressure (56.3% as contributory to high pregnancy rate. Recommendations were made to improve school health services, reproductive education in school curricula focussing on reproductive health, sexuality and guidance for future research.

Fractures of the greater trochanter following total hip replacement.

Science.gov (United States)

Brun, Ole-Christian L; Maansson, Lukas

2013-01-01

We studied the incidence of greater trochanteric fractures at our department following THR. In all we examined 911 patients retrospectively and found the occurance of a greater trochanteric fracture to be 3%. Patients with fractures had significantly poorer outcome on Oxford Hip score, Pain VAS, Satisfaction VAS and EQ-5D compared to THR without fractures. Greater trochanteric fracture following THR is one of the most common complications following THR. It has previously been thought to have little impact on the overall outcome following THR, but our study suggests otherwise.

Greater temperature sensitivity of plant phenology at colder sites

DEFF Research Database (Denmark)

Prevey, Janet; Vellend, Mark; Ruger, Nadja

2017-01-01

Warmer temperatures are accelerating the phenology of organisms around the world. Temperature sensitivity of phenology might be greater in colder, higher latitude sites than in warmer regions, in part because small changes in temperature constitute greater relative changes in thermal balance...

Greater Somalia, the never-ending dream?

DEFF Research Database (Denmark)

Zoppi, Marco

2015-01-01

This paper provides an historical analysis of the concept of Greater Somalia, the nationalist project that advocates the political union of all Somali-speaking people, including those inhabiting areas in current Djibouti, Ethiopia and Kenya. The Somali territorial unification project of “lost...

Effects of Nitrogen and Phosphorus Fertilizer and Topsoil Amendment on Native Plant Cover in Roadside Revegetation Projects.

Science.gov (United States)

Hillhouse, Heidi L; Schacht, Walter H; Soper, Jonathan M; Wienhold, Carol E

2018-01-01

Establishing vegetation on roadsides following construction can be challenging, especially for relatively slow growing native species. Topsoil is generally removed during construction, and the surface soil following construction ("cut-slope soils") is often compacted and low in nutrients, providing poor growing conditions for vegetation. Nebraska Department of Transportation (NDOT) protocols have historically called for nitrogen (N) and phosphorus (P) fertilization when planting roadside vegetation following construction, but these recommendations were developed for cool-season grass plantings and most current plantings use slower-establishing, native warm-season grasses that may benefit less than expected from current planting protocols. We evaluated the effects of nitrogen and phosphorus fertilization, and also topsoil amendment, on the foliar cover of seeded and non-seeded species planted into two post-construction roadside sites in eastern Nebraska. We also examined soil movement to determine how planting protocols and plant growth may affect erosion potential. Three years after planting, we found no consistent effects of N or P fertilization on foliar cover. Plots receiving topsoil amendment had 14% greater cover of warm-season grasses, 10% greater total foliar cover, and 4-13% lower bare ground (depending on site) than plots without topsoil. None of the treatments consistently affected soil movement. We recommend that NDOT change their protocols to remove N and P fertilization and focus on stockpiling and spreading topsoil following construction.

Effects of Nitrogen and Phosphorus Fertilizer and Topsoil Amendment on Native Plant Cover in Roadside Revegetation Projects

Science.gov (United States)

Hillhouse, Heidi L.; Schacht, Walter H.; Soper, Jonathan M.; Wienhold, Carol E.

2018-01-01

Establishing vegetation on roadsides following construction can be challenging, especially for relatively slow growing native species. Topsoil is generally removed during construction, and the surface soil following construction ("cut-slope soils") is often compacted and low in nutrients, providing poor growing conditions for vegetation. Nebraska Department of Transportation (NDOT) protocols have historically called for nitrogen (N) and phosphorus (P) fertilization when planting roadside vegetation following construction, but these recommendations were developed for cool-season grass plantings and most current plantings use slower-establishing, native warm-season grasses that may benefit less than expected from current planting protocols. We evaluated the effects of nitrogen and phosphorus fertilization, and also topsoil amendment, on the foliar cover of seeded and non-seeded species planted into two post-construction roadside sites in eastern Nebraska. We also examined soil movement to determine how planting protocols and plant growth may affect erosion potential. Three years after planting, we found no consistent effects of N or P fertilization on foliar cover. Plots receiving topsoil amendment had 14% greater cover of warm-season grasses, 10% greater total foliar cover, and 4-13% lower bare ground (depending on site) than plots without topsoil. None of the treatments consistently affected soil movement. We recommend that NDOT change their protocols to remove N and P fertilization and focus on stockpiling and spreading topsoil following construction.

Health and well-being in small and medium-sized enterprises (SMEs). What public health support do SMEs really need?

Science.gov (United States)

Holt, Maxine; Powell, Susan

2015-01-01

Health and well-being in the workplace is a concept that is understood as a fundamental business case for a productive, happy and healthy workforce. The workplace is also a setting by which knowledge and skills about health can be disseminated to assist people, in improving their health and well-being. Public health professionals are in a position to develop workplace health and well-being interventions, which support those in jobs and those seeking employment. They can also influence the extent to which work and the workplace affects health and well-being outcomes. This article aims to identify the main health and well-being needs of a sample of small and medium-sized enterprises (SMEs) across Greater Manchester and the support that public health professionals can offer. The research adopted a Health Needs Assessment (HNA) approach using convenience and opportunistic sampling methods, from the list of SMEs in Greater Manchester. The SMEs varied in size and type of business, and 91 telephone interviews, using semi-structured questions, were used to collect data which identified the health and well-being needs of a sample of SMEs in Greater Manchester. This research resulted in qualitative data using thematic analysis. Two key themes emerged from the study. Acute seasonal sickness was the most pressing reason for employee absence from work (viruses, flu, seasonal disorders) for the SMEs in this research. This accumulated to the theme of sickness presenteeism. This research highlighted that employees will present at work with acute illness that requires rest, is easily transmitted to other employees and most likely will take a longer time to recover from as cross infection and re-infection occur. A subsidiary theme was that of authenticity and the reporting of sickness, contributing further to sickness presenteeism as employees seek to legitimise their illness. This article provides issues which are specific to SMEs in Greater Manchester. In particular, the pressing

Assessing Human Impacts on the Greater Akaki River, Ethiopia ...

African Journals Online (AJOL)

We assessed the impacts of human activities on the Greater Akaki River using physicochemical parameters and macroinvertebrate metrics. Physicochemical samples and macroinvertebrates were collected bimonthly from eight sites established on the Greater Akaki River from February 2006 to April 2006. Eleven metrics ...

Characteristics of school-based health services associated with students' mental health.

Science.gov (United States)

Denny, Simon; Howie, Hamish; Grant, Sue; Galbreath, Ross; Utter, Jennifer; Fleming, Theresa; Clark, Terryann

2018-01-01

Objective School-based health services (SBHS) have been shown to improve access to mental health services but the evidence of their effectiveness on students' mental health is lacking. Our objective was to examine associations between variation in the provision of SBHS and students' mental health. Methods A cross-sectional analysis of a nationally representative health and well-being survey of 8500 New Zealand high school students conducted in March-November 2012. Students' mental health is related to data on school health services obtained from clinic leaders and clinicians from 90 participating high schools. Results After adjustment for socio-demographic differences in students between schools, increasing levels of services were associated with progressively lower levels of student-reported depressive symptoms (p = 0.002), emotional and behavioural difficulties (p = 0.004) and suicidality (p = 0.008). Services with greater levels of nursing hours (p = 0.02) and those that performed routine, comprehensive psychosocial assessments (p = 0.01) were both associated with lower levels of student-reported depressive symptoms. Greater levels of nursing hours and doctor hours were associated with lower self-reported suicidality among students. Conclusions Although a causal association between school-based health services and students' mental health cannot be demonstrated, these findings support the benefit of such services and the need for a cluster randomized trial.

Molecular insights into the biology of Greater Sage-Grouse

Science.gov (United States)

Oyler-McCance, Sara J.; Quinn, Thomas W.

2011-01-01

Recent research on Greater Sage-Grouse (Centrocercus urophasianus) genetics has revealed some important findings. First, multiple paternity in broods is more prevalent than previously thought, and leks do not comprise kin groups. Second, the Greater Sage-Grouse is genetically distinct from the congeneric Gunnison sage-grouse (C. minimus). Third, the Lyon-Mono population in the Mono Basin, spanning the border between Nevada and California, has unique genetic characteristics. Fourth, the previous delineation of western (C. u. phaios) and eastern Greater Sage-Grouse (C. u. urophasianus) is not supported genetically. Fifth, two isolated populations in Washington show indications that genetic diversity has been lost due to population declines and isolation. This chapter examines the use of molecular genetics to understand the biology of Greater Sage-Grouse for the conservation and management of this species and put it into the context of avian ecology based on selected molecular studies.

INDUSTRIAL LAND DEVELOPMENT AND MANUFACTURING DECONCENTRATION IN GREATER JAKARTA

NARCIS (Netherlands)

Hudalah, Delik; Viantari, Dimitra; Firman, Tommy; Woltjer, Johan

2013-01-01

Industrial land development has become a key feature of urbanization in Greater Jakarta, one of the largest metropolitan areas in Southeast Asia. Following Suharto's market-oriented policy measures in the late 1980s, private developers have dominated the land development projects in Greater Jakarta.

Education reduces the effects of genetic susceptibilities to poor physical health

DEFF Research Database (Denmark)

Johnson, Wendy; Kyvik, Kirsten Ohm; Mortensen, Erik L

2010-01-01

BACKGROUND: Greater education is associated with better physical health. This has been of great concern to public health officials. Most demonstrations show that education influences mean levels of health. Little is known about the influence of education on variance in health status, or about how...... this influence may impact the underlying genetic and environmental sources of health problems. This study explored these influences. METHODS: In a 2002 postal questionnaire, 21 522 members of same-sex pairs in the Danish Twin Registry born between 1931 and 1982 reported physical health in the 12-item Short Form...... Health Survey. We used quantitative genetic models to examine how genetic and environmental variance in physical health differed with level of education, adjusting for birth-year effects. RESULTS: and Conclusions As expected, greater education was associated with better physical health. Greater education...

[Evaluation auditing of the quality of health care in accreditation of health facilities].

Science.gov (United States)

Paim, Chennyfer da Rosa Paino; Zucchi, Paola

2011-01-01

This article shows how many health insurance companies operating in the Greater São Paulo have been performing auditing of the quality of their health care services, professionals, and which criteria are being employed to do so. Because of the legislation decreeing that health insurance companies have legal co-responsibility for the health care services and National Health Agency control the health services National Health Agency, auditing evaluations have been implemented since then. The survey was based on electronic forms e-mailed to all health insurance companies operating in the Greater São Paulo. The sample consisted of 125 health insurance companies; 29 confirmed that had monitoring and evaluation processes; 26 performed auditing of their services regularly; from those, 20 used some type of form or protocol for technical visits; all evaluation physical and administrative structure and 22 included functional structure. Regarding the professionals audited 21 were nurses, 13 administrative assistants; 04 managers and 02 doctors. Regarding criteria for accreditation the following were highlighted: region analysis (96%), localization (88.88%) and cost (36%). We conclude that this type of auditing evaluation is rather innovative and is being gradually implemented by the health insurance companies, but is not a systematic process.

Marketing health promotion: hitting or missing the target in occupational health.

Science.gov (United States)

Fontana, S A

1993-10-01

1. Occupational health nurses can use marketing strategies to plan, offer, and manage health promotion programs; and to conduct research aimed at better understanding the health needs of workers. 2. By applying a social marketing orientation to health promotion planning, occupational health nurses can tailor programs to fit employees' needs, and deliver health messages that are readily understandable to worker groups. 3. A priority in implementing any occupational health program or service is learning about the needs, desires, and health habits of employees. 4. Greater benefits to employee health may occur by targeting change in structures and systems at the workplace rather than solely focusing on lifestyle issues.

eHealth literacy and Web 2.0 health information seeking behaviors among baby boomers and older adults.

Science.gov (United States)

Tennant, Bethany; Stellefson, Michael; Dodd, Virginia; Chaney, Beth; Chaney, Don; Paige, Samantha; Alber, Julia

2015-03-17

Baby boomers and older adults, a subset of the population at high risk for chronic disease, social isolation, and poor health outcomes, are increasingly utilizing the Internet and social media (Web 2.0) to locate and evaluate health information. However, among these older populations, little is known about what factors influence their eHealth literacy and use of Web 2.0 for health information. The intent of the study was to explore the extent to which sociodemographic, social determinants, and electronic device use influences eHealth literacy and use of Web 2.0 for health information among baby boomers and older adults. A random sample of baby boomers and older adults (n=283, mean 67.46 years, SD 9.98) participated in a cross-sectional, telephone survey that included the eHealth literacy scale (eHEALS) and items from the Health Information National Trends Survey (HINTS) assessing electronic device use and use of Web 2.0 for health information. An independent samples t test compared eHealth literacy among users and non-users of Web 2.0 for health information. Multiple linear and logistic regression analyses were conducted to determine associations between sociodemographic, social determinants, and electronic device use on self-reported eHealth literacy and use of Web 2.0 for seeking and sharing health information. Almost 90% of older Web 2.0 users (90/101, 89.1%) reported using popular Web 2.0 websites, such as Facebook and Twitter, to find and share health information. Respondents reporting use of Web 2.0 reported greater eHealth literacy (mean 30.38, SD 5.45, n=101) than those who did not use Web 2.0 (mean 28.31, SD 5.79, n=182), t217.60=-2.98, P=.003. Younger age (b=-0.10), more education (b=0.48), and use of more electronic devices (b=1.26) were significantly associated with greater eHealth literacy (R(2) =.17, R(2)adj =.14, F9,229=5.277, Pinformation (OR 2.63, Wald= 8.09, df=1, P=.004). Finally, more education predicted greater use of Web 2.0 for health

Factors affecting post-control reinvasion by seed of an invasive species, Phragmites australis, in the central Platte River, Nebraska.

Science.gov (United States)

Galatowitsch, Susan M.; Larson, Diane L.; Larson, Jennifer L.

2016-01-01

Invasive plants, such as Phragmites australis, can profoundly affect channel environments of large rivers by stabilizing sediments and altering water flows. Invasive plant removal is considered necessary where restoration of dynamic channels is needed to provide critical habitat for species of conservation concern. However, these programs are widely reported to be inefficient. Post-control reinvasion is frequent, suggesting increased attention is needed to prevent seed regeneration. To develop more effective responses to this invader in the Central Platte River (Nebraska, USA), we investigated several aspects of Phragmites seed ecology potentially linked to post-control reinvasion, in comparison to other common species: extent of viable seed production, importance of water transport, and regeneration responses to hydrology. We observed that although Phragmites seed does not mature until very late in the ice-free season, populations produce significant amounts of viable seed (>50 % of filled seed). Most seed transported via water in the Platte River are invasive perennial species, although Phragmites abundances are much lower than species such as Lythrum salicaria, Cyperus esculentus and Phalaris arundinacea. Seed regeneration of Phragmites varies greatly depending on hydrology, especially timing of water level changes. Flood events coinciding with the beginning of seedling emergence reduced establishment by as much as 59 % compared to flood events that occurred a few weeks later. Results of these investigations suggest that prevention of seed set (i.e., by removal of flowering culms) should be a priority in vegetation stands not being treated annually. After seeds are in the seedbank, preventing reinvasion using prescribed flooding has a low chance of success given that Phragmites can regenerate in a wide variety of hydrologic microsites.

Strategies for Talent Management: Greater Philadelphia Companies in Action

Science.gov (United States)

Council for Adult and Experiential Learning (NJ1), 2008

2008-01-01

Human capital is one of the critical issues that impacts the Greater Philadelphia region's ability to grow and prosper. The CEO Council for Growth (CEO Council) is committed to ensuring a steady and talented supply of quality workers for this region. "Strategies for Talent Management: Greater Philadelphia Companies in Action" provides…

Greater oil investment opportunities

International Nuclear Information System (INIS)

Arenas, Ismael Enrique

1997-01-01

Geologically speaking, Colombia is a very attractive country for the world oil community. According to this philosophy new and important steps are being taken to reinforce the oil sector: Expansion of the exploratory frontier by including a larger number of sedimentary areas, and the adoption of innovative contracting instruments. Colombia has to offer, Greater economic incentives for the exploration of new areas to expand the exploratory frontier, stimulation of exploration in areas with prospectivity for small fields. Companies may offer Ecopetrol a participation in production over and above royalties, without it's participating in the investments and costs of these fields, more favorable conditions for natural gas seeking projects, in comparison with those governing the terms for oil

Health Activism Targeting Corporations: A Critical Health Communication Perspective.

Science.gov (United States)

Zoller, Heather M

2017-02-01

Health activists and health social movements have transformed medical treatment, promoted public health policies, and extended civil rights for people with illness and disability. This essay explores health activism that targets corporate-generated illness and risk in order to understand the unique communicative challenges involved in this area of contention. Arguing for greater critical engagement with policy, the article integrates policy research with social movements, subpolitics, and issue management literature. Drawing from activist discourse and multidisciplinary research, the article describes how a wide array of groups groups build visibility for corporate health effects, create the potential for networking and collaboration, and politicize health by attributing illness to corporate behaviors. The discussion articulates the implications of this activism for health communication theory, research, and practice.

Relationship between width of greater trochanters and width of iliac wings in tronchanteric bursitis.

Science.gov (United States)

Viradia, Neal K; Berger, Alex A; Dahners, Laurence E

2011-09-01

Trochanteric bursitis is a common disorder that is characterized by inflammation of the bursa, superficial to the greater trochanter of the femur, leading to pain in the lateral hip, and often occurs because of acute trauma or repetitive friction involving the iliotibial band, the greater trochanter, and the bursa. In the study reported here, we hypothesized that the increased incidence of bursitis may be the result of the increased prominence of the trochanter in relation to the wings of the iliac crest. Distances between the outermost edges of trochanters and iliac wings were measured in 202 patients from the University of North Carolina Health Care System-101 without a known diagnosis and 101 with a clinical diagnosis of trochanteric bursitis. To determine significance, t tests for nonpaired data were used. Mean (SD) difference between trochanter and iliac wing widths was 28 (20) mm in the group diagnosed with trochanteric bursitis and 17 (18) mm in the control group. The difference between the groups in this regard was significant (Pbursitis group and 1.05 (.06) in the control group. The difference between these groups was significant (Pbursitis.

Improving greater trochanteric reattachment with a novel cable plate system.

Science.gov (United States)

Baril, Yannick; Bourgeois, Yan; Brailovski, Vladimir; Duke, Kajsa; Laflamme, G Yves; Petit, Yvan

2013-03-01

Cable-grip systems are commonly used for greater trochanteric reattachment because they have provided the best fixation performance to date, even though they have a rather high complication rate. A novel reattachment system is proposed with the aim of improving fixation stability. It consists of a Y-shaped fixation plate combined with locking screws and superelastic cables to reduce cable loosening and limit greater trochanter movement. The novel system is compared with a commercially available reattachment system in terms of greater trochanter movement and cable tensions under different greater trochanteric abductor application angles. A factorial design of experiments was used including four independent variables: plate system, cable type, abductor application angle, and femur model. The test procedure included 50 cycles of simultaneous application of an abductor force on the greater trochanter and a hip force on the femoral head. The novel plate reduces the movements of a greater trochanter fragment within a single loading cycle up to 26%. Permanent degradation of the fixation (accumulated movement based on 50-cycle testing) is reduced up to 46%. The use of superelastic cables reduces tension loosening up to 24%. However this last improvement did not result in a significant reduction of the grater trochanter movement. The novel plate and cables present advantages over the commercially available greater trochanter reattachment system. The plate reduces movements generated by the hip abductor. The superelastic cables reduce cable loosening during cycling. Both of these positive effects could decrease the risks related to grater trochanter non-union. Copyright © 2012 IPEM. Published by Elsevier Ltd. All rights reserved.

Comparison of health risk behavior, awareness, and health benefit beliefs of health science and non-health science students: An international study.

Science.gov (United States)

Peltzer, Karl; Pengpid, Supa; Yung, Tony K C; Aounallah-Skhiri, Hajer; Rehman, Rehana

2016-06-01

This study determines the differences in health risk behavior, knowledge, and health benefit beliefs between health science and non-health science university students in 17 low and middle income countries. Anonymous questionnaire data were collected in a cross-sectional survey of 13,042 undergraduate university students (4,981 health science and 8,061 non-health science students) from 17 universities in 17 countries across Asia, Africa, and the Americas. Results indicate that overall, health science students had the same mean number of health risk behaviors as non-health science university students. Regarding addictive risk behavior, fewer health science students used tobacco, were binge drinkers, or gambled once a week or more. Health science students also had a greater awareness of health behavior risks (5.5) than non-health science students (4.6). Linear regression analysis found a strong association with poor or weak health benefit beliefs and the health risk behavior index. There was no association between risk awareness and health risk behavior among health science students and an inverse association among non-health science students. © 2015 Wiley Publishing Asia Pty Ltd.

Social and economic structures and health status of the Early Medieval population from Greater Moravia

Czech Academy of Sciences Publication Activity Database

Velemínský, P.; Dobisíková, M.; Stránská, Petra; Trefný, P.; Likovský, Jakub

Suppl. 36, - (2003), s. 214-215 ISSN 0002-9483. [Annual meeting of the American Association of Physical Anthropologists /72./. 23.04.2003-26.04.2003, Tempe] R&D Projects: GA ČR GA206/99/1358 Institutional research plan: CEZ:AV0Z8002910 Keywords : 9th-10th century * socio-economic status * health status Subject RIV: AC - Archeology, Anthropology , Ethnology

The NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester: combining empirical, theoretical and experiential evidence to design and evaluate a large-scale implementation strategy.

Science.gov (United States)

Harvey, Gill; Fitzgerald, Louise; Fielden, Sandra; McBride, Anne; Waterman, Heather; Bamford, David; Kislov, Roman; Boaden, Ruth

2011-08-23

In response to policy recommendations, nine National Institute for Health Research (NIHR) Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) were established in England in 2008, aiming to create closer working between the health service and higher education and narrow the gap between research and its implementation in practice. The Greater Manchester (GM) CLAHRC is a partnership between the University of Manchester and twenty National Health Service (NHS) trusts, with a five-year mission to improve healthcare and reduce health inequalities for people with cardiovascular conditions. This paper outlines the GM CLAHRC approach to designing and evaluating a large-scale, evidence- and theory-informed, context-sensitive implementation programme. The paper makes a case for embedding evaluation within the design of the implementation strategy. Empirical, theoretical, and experiential evidence relating to implementation science and methods has been synthesised to formulate eight core principles of the GM CLAHRC implementation strategy, recognising the multi-faceted nature of evidence, the complexity of the implementation process, and the corresponding need to apply approaches that are situationally relevant, responsive, flexible, and collaborative. In turn, these core principles inform the selection of four interrelated building blocks upon which the GM CLAHRC approach to implementation is founded. These determine the organizational processes, structures, and roles utilised by specific GM CLAHRC implementation projects, as well as the approach to researching implementation, and comprise: the Promoting Action on Research Implementation in Health Services (PARIHS) framework; a modified version of the Model for Improvement; multiprofessional teams with designated roles to lead, facilitate, and support the implementation process; and embedded evaluation and learning. Designing and evaluating a large-scale implementation strategy that can cope with and

Evaluation of Department of Energy-held potential Greater-Than-Class C Low-Level Radioactive Waste

International Nuclear Information System (INIS)

1992-03-01

A number of commercial facilities have generated potential Greater-Than-Class C Low-Level Radioactive Waste (GTCC LLW), and through contractual arrangements with the US Department of Energy (DOE) and/or for health and safety reasons, the waste is being stored by DOE. A determination is required, considering specific circumstances under which DOE accepted the waste, whether disposal is a US Nuclear Regulatory Commission-licensed facility or by DOE in a nonlicensed facility is appropriate. This report presents the preliminary results of an assessment conducted by EG ampersand G Idaho, Inc. legal counsel and GTCC LLW Program staff

Mobile health (mHealth) for mental health in Asia: objectives, strategies, and limitations.

Science.gov (United States)

Brian, Rachel M; Ben-Zeev, Dror

2014-08-01

Mobile technologies are transforming the way in which we interact with one another, access resources, find information, and conduct business around the world. Harnessing the capabilities of mobile technologies to support health care initiatives worldwide has developed into a new interdisciplinary field called mobile health (mHealth). In the current paper, we review the penetration of mobile technology in Asia, and consider the integration of mobile technologies into the study, diagnoses, and treatment of mental disorders in the region. We outline how mHealth programs could improve mental health literacy, provide greater access to mental health services, extend community-based outreach and engagement, support self-management of illness, and regulate medication distribution. We end with a consideration of the potential barriers and limitations of mHealth for mental health, including funding, language and literacy barriers, power supply considerations, data security, and privacy issues. Copyright © 2014 Elsevier B.V. All rights reserved.

Feasibility of a UK community-based, eTherapy mental health service in Greater Manchester: repeated-measures and between-groups study of 'Living Life to the Full Interactive', 'Sleepio' and 'Breaking Free Online' at 'Self Help Services'.

Science.gov (United States)

Elison, Sarah; Ward, Jonathan; Williams, Chris; Espie, Colin; Davies, Glyn; Dugdale, Stephanie; Ragan, Kathryn; Chisnall, Leanne; Lidbetter, Nicky; Smith, Keith

2017-07-20

There is increasing evidence to support the effectiveness of eTherapies for mental health, although limited data have been reported from community-based services. Therefore, this service evaluation reports on feasibility and outcomes from an eTherapy mental health service. 'Self Help Services', an Increasing Access to Psychological Therapies (IAPT) eTherapy service in Greater Manchester. 1068 service users referred to the service for secondary care for their mental health difficulties. Participants were triaged into one of three eTherapy programmes: 'Living Life to the Full Interactive' for low mood, stress and anxiety; 'Sleepio' for insomnia; and 'Breaking Free Online' for substance misuse, depending on clinical need. Standardised psychometric assessments of depression, anxiety and social functioning, collected as part of the IAPT Minimum Data Set, were conducted at baseline and post-treatment. Data indicated baseline differences, with the Breaking Free Online group having higher scores for depression and anxiety than the Living Life to the Full Interactive (depression CI 1.27 to 3.21, pmental health scores were found within all three groups (all pmental health difficulties (pmental health difficulties and suggest that eTherapies may be a useful addition to treatment offering in community-based services. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Consumer's preferences in social health insurance.

NARCIS (Netherlands)

Kerssens, J.J.; Groenewegen, P.P.

2005-01-01

Allowing consumers greater choice of health plans is believed to be the key to high quality and low costs in social health insurance. This study investigates consumer preferences (361 persons, response rate 43%) for hypothetical health plans with differed in 12 characteristics (premium, deductibles,

Conserving and restoring habitat for Greater Sage-Grouse and other sagebrush-obligate wildlife: The crucial link of forbs and sagebrush diversity

Science.gov (United States)

Kas Dumroese; Tara Luna; Bryce A. Richardson; Francis F. Kilkenny; Justin B. Runyon

2015-01-01

In the western US, Greater Sage-Grouse (Centrocercus urophasianus Bonaparte [Phasianidae]) have become an indicator species of the overall health of the sagebrush (Artemisia L. [Asteraceae]) dominated communities that support a rich diversity of flora and fauna. This species has an integral association with sagebrush, its understory forbs and grasses, and the...

The occupational health status of African-American women health care workers.

Science.gov (United States)

Arnold, C W

1996-01-01

Race, ethnicity, and gender are significant indicators of occupational status, general health status, and thus, occupational health status. Although African-American women constitute only 6.8% of the total U.S. labor force, they hold 20% of the jobs in the health care industry and are disproportionately represented in those jobs that have the highest levels of workplace exposure to hazards. As a result, they are therefore more likely to be at greater exposure and risk to the spectrum of occupational health problems. In order to gain insight into the effects of race and gender on the occupational health status of African-American women health care workers, this article uses three data sources that provide different but complementary sources of information on the demographic characteristics of workers, location of categories of occupations, working conditions of jobs, and other job and worker characteristics. Given the concentration of African-American women in health care positions where there exists a greater likelihood of being exposed to occupational hazards, it is therefore both logical and appropriate for primary care physicians, especially those engaged in office-based practices, to identify this target population for special services and to be more aware of the type of health issues with which these patients are more likely to present and to experience during their working lives. Health care providers have a responsibility to assess occupational factors related to a patient's health problems and to incorporate this information into their treatment protocols and into the design and explanation of each patient's care plan.

Addressing overuse in emergency medicine: evidence of a role for greater patient engagement.

Science.gov (United States)

Newton, Erika H

2017-12-01

Overuse of health care refers to tests, treatments, and even health care settings when used in circumstances where they are unlikely to help. Overuse is not only wasteful, it threatens patient safety by exposing patients to a greater chance of harm than benefit. It is a widespread problem and has proved resistant to change. Overuse of diagnostic testing is a particular problem in emergency medicine. Emergency physicians cite fear of missing a diagnosis, fear of law suits, and perceived patient expectations as key contributors. However, physicians' assumptions about what patients expect are often wrong, and overlook two of patients' most consistently voiced priorities: communication and empathy. Evidence indicates that patients who are more fully informed and engaged in their care often opt for less aggressive approaches. Shared decision making refers to (1) providing balanced information so that patients understand their options and the trade-offs involved, (2) encouraging them to voice their preferences and values, and (3) engaging them-to the extent appropriate or desired-in decision making. By adopting this approach to discretionary decision making, physicians are better positioned to address patients' concerns without the use of tests and treatments patients neither need nor value.

Oklahoma seismic network

International Nuclear Information System (INIS)

Luza, K.V.; Lawson, J.E. Jr.; Univ. of Oklahoma, Norman, OK

1993-07-01

The US Nuclear Regulatory Commission has established rigorous guidelines that must be adhered to before a permit to construct a nuclear-power plant is granted to an applicant. Local as well as regional seismicity and structural relationships play an integral role in the final design criteria for nuclear power plants. The existing historical record of seismicity is inadequate in a number of areas of the Midcontinent region because of the lack of instrumentation and (or) the sensitivity of the instruments deployed to monitor earthquake events. The Nemaha Uplift/Midcontinent Geophysical Anomaly is one of five principal areas east of the Rocky Mountain front that has a moderately high seismic-risk classification. The Nemaha uplift, which is common to the states of Oklahoma, Kansas, and Nebraska, is approximately 415 miles long and 12-14 miles wide. The Midcontinent Geophysical Anomaly extends southward from Minnesota across Iowa and the southeastern corner of Nebraska and probably terminates in central Kansas. A number of moderate-sized earthquakes--magnitude 5 or greater--have occurred along or west of the Nemaha uplift. The Oklahoma Geological Survey, in cooperation with the geological surveys of Kansas, Nebraska, and Iowa, conducted a 5-year investigation of the seismicity and tectonic relationships of the Nemaha uplift and associated geologic features in the Midcontinent. This investigation was intended to provide data to be used to design nuclear-power plants. However, the information is also being used to design better large-scale structures, such as dams and high-use buildings, and to provide the necessary data to evaluate earthquake-insurance rates in the Midcontinent

PDA Use by Physicians: Where Do They Fit with Emerging Technologies and Use of Electronic Health Records in Office Practices?

Directory of Open Access Journals (Sweden)

Kimberly A. Galt

2012-01-01

Full Text Available This cross-sectional study explores physicians' attitudes and beliefs about the use of personal digital assistant (PDA in the context of other health information technology (HIT use and HIT-based applications safety in ambulatory care practices. The relationship of PDA use and patient safety is also explored. Ambulatory care physicians in Nebraska and South Dakota were surveyed from July to November of 2007 using a modified Dillman technique. Respondents were in one of three groups: PDA Users (those using a PDA for patient care, Other Technology Users (those not using a PDA, but using other technologies for patient care, and Non-Users (those not using any technology for patient care. PDAs are used by 43% of responding physicians, who tend to be younger and salaried. PDA Users exposed to PDAs during training continued use in practice. PDA Users believed the device enabled them to provide more efficient and better care, reduce errors, and improve patient safety.

Mental Health Disparities Within the LGBT Population: A Comparison Between Transgender and Nontransgender Individuals

OpenAIRE

Su, Dejun; Irwin, Jay A.; Fisher, Christopher; Ramos, Athena; Kelley, Megan; Mendoza, Diana Ariss Rogel; Coleman, Jason D.

2016-01-01

Abstract Purpose: This study assessed within a Midwestern LGBT population whether, and the extent to which, transgender identity was associated with elevated odds of reported discrimination, depression symptoms, and suicide attempts. Methods: Based on survey data collected online from respondents who self-identified as lesbian, gay, bisexual, and/or transgender persons over the age of 19 in Nebraska in 2010, this study performed bivariate t- or chi-square tests and multivariate logistic regre...

An approach to hydrogeological modeling of a large system of groundwater-fed lakes and wetlands in the Nebraska Sand Hills, USA

Science.gov (United States)

Rossman, Nathan R.; Zlotnik, Vitaly A.; Rowe, Clinton M.

2018-05-01

The feasibility of a hydrogeological modeling approach to simulate several thousand shallow groundwater-fed lakes and wetlands without explicitly considering their connection with groundwater is investigated at the regional scale ( 40,000 km2) through an application in the semi-arid Nebraska Sand Hills (NSH), USA. Hydraulic heads are compared to local land-surface elevations from a digital elevation model (DEM) within a geographic information system to assess locations of lakes and wetlands. The water bodies are inferred where hydraulic heads exceed, or are above a certain depth below, the land surface. Numbers of lakes and/or wetlands are determined via image cluster analysis applied to the same 30-m grid as the DEM after interpolating both simulated and estimated heads. The regional water-table map was used for groundwater model calibration, considering MODIS-based net groundwater recharge data. Resulting values of simulated total baseflow to interior streams are within 1% of observed values. Locations, areas, and numbers of simulated lakes and wetlands are compared with Landsat 2005 survey data and with areas of lakes from a 1979-1980 Landsat survey and the National Hydrography Dataset. This simplified process-based modeling approach avoids the need for field-based morphology or water-budget data from individual lakes or wetlands, or determination of lake-groundwater exchanges, yet it reproduces observed lake-wetland characteristics at regional groundwater management scales. A better understanding of the NSH hydrogeology is attained, and the approach shows promise for use in simulations of groundwater-fed lake and wetland characteristics in other large groundwater systems.

Greater Leisure Time Physical Activity Is Associated with Lower Allostatic Load in White, Black, and Mexican American Midlife Women: Findings from the National Health and Nutrition Examination Survey, 1999 through 2004.

Science.gov (United States)

Upchurch, Dawn M; Rainisch, Bethany Wexler; Chyu, Laura

2015-01-01

Allostatic load is a useful construct to understand how social and environmental conditions get under the skin to affect health. To date, few studies have examined health-enhancing lifestyle behaviors and their potential benefits in reducing allostatic load. The purpose of this study was to investigate the contributions of leisure time physical activity on level of allostatic load among White, Black, and Mexican American midlife women. Data were from the National Health and Nutrition Examination Survey, 1999 through 2004 (n = 1,680, women ages 40-59). All analyses were weighted. Negative binomial regression was used to model a summative count measure of allostatic load (M = 2.30). Models were also computed to estimate adjusted predicted allostatic load for given levels of physical activity, and by race/ethnicity for each age category (40-44, 45-49, 50-54, 55-59), controlling for other demographics and medication use. Higher levels of physical activity were associated significantly with lower levels of allostatic load, independent of demographics. Compared with White women ages 40 to 44, all other racial/ethnic-by-age groups had significantly higher allostatic load. Higher socioeconomic status was associated with a lower allostatic load. Adjusted prediction models demonstrated associations between greater levels of physical activity and lower allostatic load for all ages and racial/ethnic groups. Our findings suggest physical activity may ameliorate some of the effects of cumulative physiological dysregulation and subsequent disease burden in midlife women. Programs and policies that encourage and promote healthy aging and provide opportunities for a diversity of women to engage in health-enhancing lifestyle practices such as physical activity are recommended. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

GREATER OMENTUM: MORPHOFUNCTIONAL CHARACTERISTICS AND CLINICAL SIGNIFICANCE IN PEDIATRICS

Directory of Open Access Journals (Sweden)

A.V. Nekrutov

2007-01-01

Full Text Available The review analyzes the structure organization and pathophysiological age specificities of the greater omentum, which determine its uniqueness and functional diversity in a child's organism. the article discusses protective functions of the organ, its role in the development of post operative complications of children, and the usage in children's reconstructive plastic surgery.Key words: greater omentum, omentitis, of post operative complications, children.

Predicting geographically distributed adult dental decay in the greater Auckland region of New Zealand.

Science.gov (United States)

Rocha, C M; Kruger, E; Whyman, R; Tennant, M

2014-06-01

To model the geographic distribution of current (and treated) dental decay on a high-resolution geographic basis for the Auckland region of New Zealand. The application of matrix-based mathematics to modelling adult dental disease-based on known population risk profiles to provide a detailed map of the dental caries distribution for the greater Auckland region. Of the 29 million teeth in adults in the region some 1.2 million (4%) are suffering decay whilst 7.2 million (25%) have previously suffered decay and are now restored. The model provides a high-resolution picture of where the disease burden lies geographically and presents to health planners a method for developing future service plans.

More features, greater connectivity.

Science.gov (United States)

Hunt, Sarah

2015-09-01

Changes in our political infrastructure, the continuing frailties of our economy, and a stark growth in population, have greatly impacted upon the perceived stability of the NHS. Healthcare teams have had to adapt to these changes, and so too have the technologies upon which they rely to deliver first-class patient care. Here Sarah Hunt, marketing co-ordinator at Aid Call, assesses how the changing healthcare environment has affected one of its fundamental technologies - the nurse call system, argues the case for wireless such systems in terms of what the company claims is greater adaptability to changing needs, and considers the ever-wider range of features and functions available from today's nurse call equipment, particularly via connectivity with both mobile devices, and ancillaries ranging from enuresis sensors to staff attack alert 'badges'.

The influence of parenting on early childhood health and health care utilization.

Science.gov (United States)

Serbin, Lisa A; Hubert, Michele; Hastings, Paul D; Stack, Dale M; Schwartzman, Alex E

2014-01-01

This study examined whether parenting, specifically parental support, structure, and behavioral control, predicted early childhood health care use and moderated the negative effects of socioeconomic disadvantage. A sample of 250 parent-child dyads from a longitudinal intergenerational research program participated. Greater parental support was associated with increased rates of nonemergency care and a higher ratio of outpatient to emergency room (ER) services, a pattern reflecting better health and service use. Support also moderated the negative effects of disadvantaged family background. Greater behavioral control by parents predicted lower rates of both nonemergency care and ER visits. Structured parenting and behavioral control were associated with lower rates of respiratory illness. This study highlights the importance of considering parenting practices when examining variations in early childhood health and health care, and the relevance of parental behavior in designing interventions for high-risk populations. © The Author 2014. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Greater Sudbury fuel efficient driving handbook

Energy Technology Data Exchange (ETDEWEB)

NONE

2009-12-15

Reducing the amount of fuel that people use for personal driving saves money, improves local air quality, and reduces personal contributions to climate change. This handbook was developed to be used as a tool for a fuel efficient driving pilot program in Greater Sudbury in 2009-2010. Specifically, the purpose of the handbook was to provide greater Sudbury drivers with information on how to drive and maintain their personal vehicles in order to maximize fuel efficiency. The handbook also provides tips for purchasing fuel efficient vehicles. It outlines the benefits of fuel maximization, with particular reference to reducing contributions to climate change; reducing emissions of air pollutants; safe driving; and money savings. Some tips for efficient driving are to avoid aggressive driving; use cruise control; plan trips; and remove excess weight. Tips for efficient winter driving are to avoid idling to warm up the engine; use a block heater; remove snow and ice; use snow tires; and check tire pressure. The importance of car maintenance and tire pressure was emphasized. The handbook also explains how fuel consumption ratings are developed by vehicle manufacturers. refs., figs.

Location and agricultural practices influence spring use of harvested cornfields by cranes and geese in Nebraska

Science.gov (United States)

Anteau, Michael J.; Sherfy, Mark H.; Bishop, Andrew A.

2011-01-01

Millions of ducks, geese, and sandhill cranes (Grus canadensis; hereafter cranes) stop in the Central Platte River Valley (CPRV) of Nebraska to store nutrients for migration and reproduction by consuming corn remaining in fields after harvest. We examined factors that influence use of cornfields by cranes and geese (all mid-continent species combined; e.g., Anser, Chen, and Branta spp.) because it is a key step to efficient conservation planning aimed at ensuring that adequate food resources are available to migratory birds stopping in the CPRV. Distance to night-time roost site, segment of the CPRV (west to east), and agricultural practices (post-harvest treatment of cornfields: idle, grazed, mulched, mulched and grazed, and tilled) were the most important and influential variables in our models for geese and cranes. Probability of cornfield use by geese and cranes decreased with increasing distance from the closest potential roosting site. The use of cornfields by geese increased with the density of corn present there during the early migration period, but field use by cranes appeared not to be influenced by early migration corn density. However, probability of cornfield use by cranes did increase with the amount of wet grassland habitat within 4.8 km of the field. Geese were most likely to use fields that were tilled and least likely to use fields that were mulched and grazed. Cranes were most likely to use fields that were mulched and least likely to use fields that were tilled, but grazing appeared not to influence the likelihood of field use by cranes. Geese were more likely to use cornfields in western segments of the CPRV, but cranes were more likely to use cornfields in eastern segments. Our data suggest that managers could favor crane use of fields and reduce direct competition with geese by reducing fall and spring tilling and increasing mulching. Moreover, crane conservation efforts would be most beneficial if they were focused in the eastern portions

The Role of Emotion Reactivity in Health Anxiety.

Science.gov (United States)

O'Bryan, Emily M; McLeish, Alison C; Johnson, Adrienne L

2017-11-01

Emotion reactivity, defined as heightened sensitivity, intensity, and persistence of emotional states, has been shown to contribute to the exacerbation of anxiety. However, the association between emotion reactivity and health anxiety has yet to be examined. The aim of the present investigation was to examine the unique predictive ability of emotion reactivity in terms of health anxiety in a sample of medically healthy undergraduates ( n = 194; 59.3% female, M age = 19.42, SD = 1.51, range = 18-26 years; 84.0% Caucasian). Findings indicated that, after controlling for the effects of gender, age, and anxiety sensitivity, greater emotion reactivity significantly predicted greater overall health anxiety (3.1% variance), as well as higher levels of affective (4.1% unique variance) and behavioral (4.8% unique variance) components. Findings suggest that experiencing emotions more frequently, intensely, and for longer durations of time prior to returning to baseline are associated with greater health preoccupations.

Issues in the review of a license application for an above grade low-level radioactive waste disposal facility

Energy Technology Data Exchange (ETDEWEB)

Ringenberg, J.D. [Nebraska Dept. of Environmental Quality, NE (United States)

1993-03-01

In December 1987, Nebraska was selected by the Central Interstate Compact (CIC) Commission as the host state for the construction of a low-level radioactive waste disposal facility. After spending a year in the site screening process, the Compact`s developer, US Ecology, selected three sites for detailed site characterization. These sites were located in Nemaha, Nuckolls and Boyd Counties. One year later the Boyd County site was selected as the preferred site and additional site characterization studies were undertaken. On July 29, 1990, US Ecology submitted a license application to the Nebraska Department of Environmental Control (now Department of Environmental Quality-NDEQ). This paper will present issues that the NDEQ has dealt with since Nebraska`s selection as the host state for the CIC facility.

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2015. Scientific Opinion on the substantiation of a health claim related to a combination of pomegranate pomace extract and greater galangal rhizome powder and an increase in the number of motile spermatozoa in semen

DEFF Research Database (Denmark)

Tetens, Inge

2015-01-01

on the scientific substantiation of a health claim related to a combination of pomegranate pomace extract (standardised by its content of punicalagins) and greater galangal rhizome powder (standardised by its content of acetoxychavicol acetate) and an increase in the number of motile spermatozoa in semen. The Panel...... the combination of pomegranate pomace extract and greater galangal rhizome powder was consumed for three months, that no other human studies in which these results have been replicated were provided, and that no evidence was provided for a mechanism by which the food could exert the claimed effect. The Panel...... concludes that a cause and effect relationship has not been established between the consumption of the combination of pomegranate pomace extract (standardised by its content of punicalagins) and greater galangal rhizome powder (standardised by its content of acetoxychavicol acetate) and an increase...

Health Informatics 3.0 and other increasingly dispersed technologies require even greater trust: promoting safe evidence-based health informatics. Contribution of the IMIA Working Group on Technology Assessment & Quality Development in Health Informatics.

Science.gov (United States)

Rigby, M; Ammenwerth, E; Talmon, J; Nykänen, P; Brender, J; de Keizer, N

2011-01-01

Health informatics is generally less committed to a scientific evidence-based approach than any other area of health science, which is an unsound position. Introducing the new Web 3.0 paradigms into health IT applications can unleash a further great potential, able to integrate and distribute data from multiple sources. The counter side is that it makes the user and the patient evermore dependent on the 'black box' of the system, and the re-use of the data remote from the author and initial context. Thus anticipatory consideration of uses, and proactive analysis of evidence of effects, are imperative, as only when a clinical technology can be proven to be trustworthy and safe should it be implemented widely - as is the case with other health technologies. To argue for promoting evidence-based health informatics as systems become more powerful and pro-active yet more dispersed and remote; and evaluation as the means of generating the necessary scientific evidence base. To present ongoing IMIA and EFMI initiatives in this field. Critical overview of recent developments in health informatics evaluation, alongside the precedents of other health technologies, summarising current initiatives and the new challenges presented by Health Informatics 3.0. Web 3.0 should be taken as an opportunity to move health informatics from being largely unaccountable to one of being an ethical and responsible science-based domain. Recent and planned activities of the EFMI and IMIA working groups have significantly progressed key initiatives. Concurrent with the emergence of Web 3.0 as a means of new-generation diffuse health information systems comes an increasing need for an evidence-based culture in health informatics.

The French prescription for health care reform.

Science.gov (United States)

Segouin, C; Thayer, C

1999-01-01

In 1996, the French government introduced a wide-ranging health care reform which aimed to resolve the problems of rising health expenditure and a levelling off in health sector income. Changes in the regulation of the health care system sought to strengthen quality while improving professional practice. At the same time the changes were intended to encourage greater synergy both between professionals and between the different parts of the system, thus promoting greater cost-effectiveness. The tools designed to achieve these results included: the creation of new regional hospital agencies, the introduction of cash-limited budgets at national and regional level, the launching of a contracting procedure between health authorities and hospitals and the setting up of a new health care accreditation agency. With some signs of improvement in the overall health insurance budgetary situation, the Jospin government seems to be supporting the broad lines of the reform introduced by its predecessor.

Older and Younger Adults’ Accuracy in Discerning Health and Competence in Older and Younger Faces

Science.gov (United States)

Zebrowitz, Leslie A.; Franklin, Robert G.; Boshyan, Jasmine; Luevano, Victor; Agrigoroaei, Stefan; Milosavljevic, Bosiljka; Lachman, Margie E.

2015-01-01

We examined older and younger adults’ accuracy judging the health and competence of faces. Accuracy differed significantly from chance and varied with face age but not rater age. Health ratings were more accurate for older than younger faces, with the reverse for competence ratings. Accuracy was greater for low attractive younger faces, but not for low attractive older faces. Greater accuracy judging older faces’ health was paralleled by greater validity of attractiveness and looking older as predictors of their health. Greater accuracy judging younger faces’ competence was paralleled by greater validity of attractiveness and a positive expression as predictors of their competence. Although the ability to recognize variations in health and cognitive ability is preserved in older adulthood, the effects of face age on accuracy and the different effects of attractiveness across face age may alter social interactions across the life span. PMID:25244467

Comparing flowmeter, aquifer test, and surface nuclear magnetic resonance data in Central Nebraska

Science.gov (United States)

Irons, T.; Abraham, J. D.; Cannia, J. C.; Steele, G.; Hobza, C. M.; Li, Y.; McKenna, J. R.

2011-12-01

the earth's magnetic field. This necessitates locally calibrating the SNMR data against aquifer tests in order to derive a relation of the SNMR data to the local aquifers. After calibration, additional SNMR data can be used at sites with the same aquifer units to produce estimates of hydraulic properties. To test this methodology, SNMR, aquifer tests and flowmeter measurements were conducted at two sites within the High Plains Aquifer in Central Nebraska. A novel compressive inversion scheme was developed that simultaneously processes the entire SNMR dataset and accounts for electrical conductivity. The inverted porosity and decay times were then regressed against the aquifer and flowmeter tests to derive local calibration coefficients. Using this calibration, the SNMR derived hydraulic conductivity estimates were in good agreement with the aquifer test-derived estimates. Since the same calibration was appropriate at both sites, SNMR data can now be collected at additional sites in the area and used to estimate hydraulic properties.

Greater-than-Class C Low-Level Radioactive Waste Program 1992 baseline strategy

International Nuclear Information System (INIS)

1993-02-01

This baseline strategy document describes Department of Energy (DOE) goals, objectives, and strategy for fulfilling its responsibility to dispose of greater-than-Class C low-level radioactive waste (GTCC LLW) according to the requirements of Section 3(b) of the Low-Level Radioactive Waste Policy Amendments Act of 1985, Public Law 99-240. This document describes the baseline strategy being employed at the end of FY 1992. The strategy for fulfilling the above responsibility consists of three tasks: interim storage of limited quantities of GTCC LLW at a currently operating DOE facility to eliminate a potential public health and safety threcceptance of GTCC LLW for storage in a DOE dedicated facility on an as-needed basis pending disposal; and disposal in a facility licensed by the Nuclear Regulatory Commission. The objectives, assumptions, and strategies for each of these tasks are presented in this plan

Greater general startle reflex is associated with greater anxiety levels: a correlational study on 111 young women

Directory of Open Access Journals (Sweden)

Eleonora ePoli

2015-02-01

Full Text Available Startle eyeblink reflex is a valid non-invasive tool for studying attention, emotion and psychiatric disorders. In the absence of any experimental manipulation, the general (or baseline startle reflex shows a high inter-individual variability, which is often considered task-irrelevant and therefore normalized across participants. Unlike the above view, we hypothesized that greater general startle magnitude is related to participants’ higher anxiety level. 111 healthy young women, after completing the State-Trait Anxiety Inventory, were randomly administered 10 acoustic white noise probes (50 ms, 100 dBA acoustic level while integrated EMG from left and right orbicularis oculi was recorded. Results showed that participants with greater state anxiety levels exhibited larger startle reflex magnitude from the left eye (r109=0.23, p<0.05. Furthermore, individuals who perceived the acoustic probe as more aversive reported the largest anxiety scores (r109=0.28, p<0.05 and had the largest eyeblinks, especially in the left eye (r109 = 0.34, p<0.001. Results suggest that general startle may represent a valid tool for studying the neural excitability underlying anxiety and emotional dysfunction in neurological and mental disorders.

Evaluation of an online training for improving self-reported evidence-based decision-making skills in cancer control among public health professionals.

Science.gov (United States)

Morshed, A B; Ballew, P; Elliott, M B; Haire-Joshu, D; Kreuter, M W; Brownson, R C

2017-11-01

The purpose of this evaluation was to assess the effect of the online evidence-based cancer control (EBCC) training on improving the self-reported evidence-based decision-making (EBDM) skills in cancer control among Nebraska public health professionals. Cross-sectional group comparison. Previously developed EBDM measures were administered via online surveys to 201 public health professionals at baseline (comparison group) and 123 professionals who took part in the training. Respondents rated the importance of and their skill level in 18 EBCC skills. Differences were examined using analysis of variance models adjusted for gender, age, years at agency, and years in position, and stratified by respondent educational attainment. Among professionals without an advanced degree, training participants reported higher overall skill scores (P = .016) than the baseline non-participant group, primarily driven by differences in the partnerships and collaboration and evaluation domains. No differences in importance ratings were observed. Among professionals with advanced degrees, there were no differences in skill scores and small differences in importance scores in the expected direction (P studies. EBCC led to improved self-reported EBDM skills among public health professionals without an advanced degree, though a gap remained between the self-reported skills and the perceived importance of the skills. Further research on training content and modalities for professionals with higher educational attainment and baseline skill scores is needed. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Evaluation of Ground Water Near Sidney, Western Nebraska, 2004-05

Science.gov (United States)

Steele, G.V.; Sibray, S.S.; Quandt, K.A.

2007-01-01

During times of drought, ground water in the Lodgepole Creek area around Sidney, western Nebraska, may be insufficient to yield adequate supplies to private and municipal wells. Alternate sources of water exist in the Cheyenne Tablelands north of the city, but these sources are limited in extent. In 2003, the U.S. Geological Survey and the South Platte Natural Resources District began a cooperative study to evaluate the ground water near Sidney. The 122-square-mile study area lies in the south-central part of Cheyenne County, with Lodgepole Creek and Sidney Draw occupying the southern and western parts of the study area and the Cheyenne Tablelands occupying most of the northern part of the study area. Twenty-nine monitoring wells were installed and then sampled in 2004 and 2005 for physical characteristics, nutrients, major ions, and stable isotopes. Some of the 29 sites also were sampled for ground-water age dating. Ground water is limited in extent in the tableland areas. Spring 2005 depths to ground water in the tableland areas ranged from 95 to 188 feet. Ground-water flow in the tableland areas primarily is northeasterly. South of a ground-water divide, ground-water flows southeasterly toward Lodgepole Creek Valley. Water samples from monitoring wells in the Ogallala Group were predominantly a calcium bicarbonate type, and those from monitoring wells in the Brule Formation were a sodium bicarbonate type. Water samples from monitoring wells open to the Brule sand were primarily a calcium bicarbonate type at shallow depths and a sodium bicarbonate type at deeper depths. Ground water in Lodgepole Creek Valley had a strong sodium signature, which likely results from most of the wells being open to the Brule. Concentrations of sodium and nitrate in ground-water samples from the Ogallala were significantly different than in water samples from the Brule and Brule sand. In addition, significant differences were seen in concentrations of calcium between water samples

Reconnaissance of surface-water quality in the North Platte Natural Resources District, western Nebraska, 1993

Science.gov (United States)

Steele, G.V.; Cannia, J.C.

1997-01-01

In 1993, the U.S. Geological Survey and the North Platte Natural Resources District began a 3-year study to determine the geohydrology and water quality of the North Platte River alluvial aquifer near Oshkosh, Garden County, Nebraska. The objectives of the study were to determine the geohydrologic properties of the North Platte River alluvial aquifer, to establish a well network for long- term monitoring of concentrations of agricultural chemicals including nitrate and herbicides, and to establish baseline concentrations of major ions in the ground water. To meet these objectives, monitor wells were installed at 11 sites near Oshkosh. The geohydrologic properties of the aquifer were estimated from water-level measurements at selected irrigation wells located in the study area and short- term constant-discharge aquifer tests at two monitor wells. Water samples were collected bimonthly and analyzed for specific conductance, pH, water temperature, dissolved oxygen, and nutrients including dissolved nitrate. Samples were collected semiannually for analysis of major ions, and annually for triazine and acetamide herbicides. Evaluation of the aquifer-test data indicates the hydraulic conductivities of the North Platte River alluvial aquifer range between 169 and 184 feet per day and transmissivities ranged from 12,700 to 26,700 feet-squared per day. The average specific yield for the alluvial aquifer, based on the two aquifer tests, was 0.2. Additional hydrologic data for the alluvial aquifer include a horizontal gradient of about 0.002 foot per foot and estimated ground- water flow velocities of about 0.1 to 1.8 feet per day. Evaluation of the water-quality data indicates that nitrate concentrations exceed the U.S. Environmental Protection Agency's (USEPA) Maximum Contamination Level of 10 milligrams per liter for drinking water in areas to the east and west of Oshkosh. In these areas, nitrate concentrations generally are continuing to rise. West of Oshkosh the highest

Fulltext PDF

Indian Academy of Sciences (India)

Journal of Earth System Science wishes to place on record the valuable ... Chen Xun-Hong, University of Nebraska-Lincoln, Nebraska, United States ... Dasgupta Somnath, Indian Institute of Science Education and Research, Kolkata.

National variation of ADHD diagnostic prevalence and medication use: health care providers and education policies.

Science.gov (United States)

Fulton, Brent D; Scheffler, Richard M; Hinshaw, Stephen P; Levine, Peter; Stone, Susan; Brown, Timothy T; Modrek, Sepideh

2009-08-01

Attention-deficit hyperactivity disorder (ADHD) diagnostic prevalence and medication use vary across U.S. census regions, but little is known about state-level variation. The purpose of this study was to estimate this variation across states and examine whether a state's health care provider characteristics and education policies are associated with this variation. Logistic regression models were estimated with 69,505 children aged four to 17 from the state-stratified and nationally representative 2003 National Survey of Children's Health, conducted by the Centers for Disease Control and Prevention. Diagnostic prevalence was higher in the South (odds ratio [OR]=1.42, p<.001) than in the West; among children with ADHD diagnoses, medication use was higher in the South (OR=1.60, p<.01) and the Midwest (OR=1.53, p<.01) versus the West. On these measures, several states differed from the U.S. averages, including some states that, on the basis of the regional patterns found above, would not be expected to differ: Michigan had a high diagnostic prevalence; Vermont, South Dakota, and Nebraska had low diagnostic prevalences; and Connecticut, New Jersey, and Kentucky had low medication rates. Both diagnosis and medication status were associated with the number, age, and type of physicians within a state, particularly pediatricians. However, state education policies were not significantly associated with either diagnostic prevalence or medication rates. To better understand the association between a state's health care provider characteristics and both diagnostic prevalence and medication use, it may be fruitful to examine the content of provider continuing education programs, including the recommendations of major health professional organization guidelines to treat ADHD.

Observations of territorial breeding common ravens caching eggs of greater sage-grouse

Science.gov (United States)

Howe, Kristy B.; Coates, Peter S.

2015-01-01

Previous investigations using continuous video monitoring of greater sage-grouse Centrocercus urophasianus nests have unambiguously identified common ravens Corvus corax as an important egg predator within the western United States. The quantity of greater sage-grouse eggs an individual common raven consumes during the nesting period and the extent to which common ravens actively hunt greater sage-grouse nests are largely unknown. However, some evidence suggests that territorial breeding common ravens, rather than nonbreeding transients, are most likely responsible for nest depredations. We describe greater sage-grouse egg depredation observations obtained opportunistically from three common raven nests located in Idaho and Nevada where depredated greater sage-grouse eggs were found at or in the immediate vicinity of the nest site, including the caching of eggs in nearby rock crevices. We opportunistically monitored these nests by counting and removing depredated eggs and shell fragments from the nest sites during each visit to determine the extent to which the common raven pairs preyed on greater sage-grouse eggs. To our knowledge, our observations represent the first evidence that breeding, territorial pairs of common ravens cache greater sage-grouse eggs and are capable of depredating multiple greater sage-grouse nests.

Comparative Education in Greater China: Contexts, Characteristics, Contrasts and Contributions.

Science.gov (United States)

Bray, Mark; Qin, Gui

2001-01-01

The evolution of comparative education in Greater China (mainland China, Taiwan, Hong Kong, and Macau) has been influenced by size, culture, political ideologies, standard of living, and colonialism. Similarities and differences in conceptions of comparative education are identified among the four components and between Greater China and other…

Velocity Drives Greater Power Observed During Back Squat Using Cluster Sets.

Science.gov (United States)

Oliver, Jonathan M; Kreutzer, Andreas; Jenke, Shane C; Phillips, Melody D; Mitchell, Joel B; Jones, Margaret T

2016-01-01

This investigation compared the kinetics and kinematics of cluster sets (CLU) and traditional sets (TRD) during back squat in trained (RT) and untrained (UT) men. Twenty-four participants (RT = 12, 25 ± 1 year, 179.1 ± 2.2 cm, 84.6 ± 2.1 kg; UT = 12, 25 ± 1 year, 180.1 ± 1.8 cm, 85.4 ± 3.8 kg) performed TRD (4 × 10, 120-second rest) and CLU (4 × (2 × 5) 30 seconds between clusters; 90 seconds between sets) with 70% one repetition maximum, randomly. Kinematics and kinetics were sampled through force plate and linear position transducers. Resistance-trained produced greater overall force, velocity, and power; however, similar patterns were observed in all variables when comparing conditions. Cluster sets produced significantly greater force in isolated repetitions in sets 1-3, while consistently producing greater force due to a required reduction in load during set 4 resulting in greater total volume load (CLU, 3302.4 ± 102.7 kg; TRD, 3274.8 ± 102.8 kg). Velocity loss was lessened in CLU resulting in significantly higher velocities in sets 2 through 4. Furthermore, higher velocities were produced by CLU during later repetitions of each set. Cluster sets produced greater power output for an increasing number of repetitions in each set (set 1, 5 repetitions; sets 2 and 3, 6 repetitions; set 4, 8 repetitions), and the difference between conditions increased over subsequent sets. Time under tension increased over each set and was greater in TRD. This study demonstrates greater power output is driven by greater velocity when back squatting during CLU; therefore, velocity may be a useful measure by which to assess power.

Active convergence between the Lesser and Greater Caucasus in Georgia: Constraints on the tectonic evolution of the Lesser-Greater Caucasus continental collision

Science.gov (United States)

Sokhadze, G.; Floyd, M.; Godoladze, T.; King, R.; Cowgill, E. S.; Javakhishvili, Z.; Hahubia, G.; Reilinger, R.

2018-01-01

We present and interpret newly determined site motions derived from GPS observations made from 2008 through 2016 in the Republic of Georgia, which constrain the rate and locus of active shortening in the Lesser-Greater Caucasus continental collision zone. Observation sites are located along two ∼160 km-long profiles crossing the Lesser-Greater Caucasus boundary zone: one crossing the Rioni Basin in western Georgia and the other crossing further east near the longitude of Tbilisi. Convergence across the Rioni Basin Profile occurs along the southern margin of the Greater Caucasus, near the surface trace of the north-dipping Main Caucasus Thrust Fault (MCTF) system, and is consistent with strain accumulation on the fault that generated the 1991 MW6.9 Racha earthquake. In contrast, convergence along the Tbilisi Profile occurs near Tbilisi and the northern boundary of the Lesser Caucasus (near the south-dipping Lesser Caucasus Thrust Fault), approximately 50-70 km south of the MCTF, which is inactive within the resolution of geodetic observations (< ± 0.5 mm/yr) at the location of the Tbilisi Profile. We suggest that the southward offset of convergence along strike of the range is related to the incipient collision of the Lesser-Greater Caucasus, and closing of the intervening Kura Basin, which is most advanced along this segment of the collision zone. The identification of active shortening near Tbilisi requires a reevaluation of seismic hazards in this area.

Strengthening global health security by embedding the International Health Regulations requirements into national health systems.

Science.gov (United States)

Kluge, Hans; Martín-Moreno, Jose Maria; Emiroglu, Nedret; Rodier, Guenael; Kelley, Edward; Vujnovic, Melitta; Permanand, Govin

2018-01-01

The International Health Regulations (IHR) 2005, as the overarching instrument for global health security, are designed to prevent and cope with major international public health threats. But poor implementation in countries hampers their effectiveness. In the wake of a number of major international health crises, such as the 2014 Ebola and 2016 Zika outbreaks, and the findings of a number of high-level assessments of the global response to these crises, it has become clear that there is a need for more joined-up thinking between health system strengthening activities and health security efforts for prevention, alert and response. WHO is working directly with its Member States to promote this approach, more specifically around how to better embed the IHR (2005) core capacities into the main health system functions. This paper looks at how and where the intersections between the IHR and the health system can be best leveraged towards developing greater health system resilience. This merging of approaches is a key component in pursuit of Universal Health Coverage and strengthened global health security as two mutually reinforcing agendas.

Adolescent gambling in greater Athens area: a cross-sectional study.

Science.gov (United States)

Anagnostopoulos, Dimitris C; Lazaratou, Helen; Paleologou, Mina P; Peppou, Lily E; Economou, Marina; Malliori, Melpomeni; Papadimitriou, George N; Papageorgiou, Charalampos

2017-11-01

Problem gambling in adolescents has recently emerged as a pressing public health concern. In this context and in light of the pervasive financial crisis in Greece, the present study aimed to explore adolescents' gambling involvement in Athens region to estimate the prevalence of its problematic form and to identify its risk/protective factors. A total of 2141 students were recruited from a representative sample of 51 schools located in greater Athens area. The presence of problem gambling was assessed through the use of the DSM-IV-MR-J questionnaire. Data were collected in the form of a self-reported questionnaire during one school hour. Results indicate that 1-year prevalence of high severity problem gambling was found to be 5.6%. Regarding the risk factors for problem gambling; male gender, parental engagement with gambling activities, living without the parents, low grades at school, foreign nationality and the referent absence of availability of food in the household, increased the risk of suffering from the disorder. Gambling behavior among adolescents constitutes a problem in Greece and highlights the need for designing and implementing appropriate preventive interventions, especially amid the ongoing financial crisis.

Use of Electronic Health Records and Administrative Data for Public Health Surveillance of Eye Health and Vision-Related Conditions

Science.gov (United States)

Elliott, Amanda; Davidson, Arthur; Lum, Flora; Chiang, Michael; Saaddine, Jinan B; Zhang, Xinzhi; Crews, John E.; Chou, Chiu-Fang

2014-01-01

Purpose To discuss the current trend toward greater use of electronic health records and how these records could enhance public health surveillance of eye health and vision-related conditions. Methods We describe three currently available sources of electronic health data (Kaiser Permanente, the Veterans Health Administration, and the Centers for Medicare & Medicaid Services) and how these sources can contribute to a comprehensive vision and eye health surveillance system. Results Each of the three sources of electronic health data can contribute meaningfully to a comprehensive vision and eye health surveillance system, but none currently provide all the information required. The use of electronic health records for vision and eye health surveillance has both advantages and disadvantages. Conclusions Electronic health records may provide additional information needed to create a comprehensive vision and eye health surveillance system. Recommendations for incorporating electronic health records into such a system are presented. PMID:23158225

Estimation of Leakage Potential of Selected Sites in Interstate and Tri-State Canals Using Geostatistical Analysis of Selected Capacitively Coupled Resistivity Profiles, Western Nebraska, 2004

Science.gov (United States)

Vrabel, Joseph; Teeple, Andrew; Kress, Wade H.

2009-01-01

With increasing demands for reliable water supplies and availability estimates, groundwater flow models often are developed to enhance understanding of surface-water and groundwater systems. Specific hydraulic variables must be known or calibrated for the groundwater-flow model to accurately simulate current or future conditions. Surface geophysical surveys, along with selected test-hole information, can provide an integrated framework for quantifying hydrogeologic conditions within a defined area. In 2004, the U.S. Geological Survey, in cooperation with the North Platte Natural Resources District, performed a surface geophysical survey using a capacitively coupled resistivity technique to map the lithology within the top 8 meters of the near-surface for 110 kilometers of the Interstate and Tri-State Canals in western Nebraska and eastern Wyoming. Assuming that leakage between the surface-water and groundwater systems is affected primarily by the sediment directly underlying the canal bed, leakage potential was estimated from the simple vertical mean of inverse-model resistivity values for depth levels with geometrically increasing layer thickness with depth which resulted in mean-resistivity values biased towards the surface. This method generally produced reliable results, but an improved analysis method was needed to account for situations where confining units, composed of less permeable material, underlie units with greater permeability. In this report, prepared by the U.S. Geological Survey in cooperation with the North Platte Natural Resources District, the authors use geostatistical analysis to develop the minimum-unadjusted method to compute a relative leakage potential based on the minimum resistivity value in a vertical column of the resistivity model. The minimum-unadjusted method considers the effects of homogeneous confining units. The minimum-adjusted method also is developed to incorporate the effect of local lithologic heterogeneity on water

Trouble Sleeping Associated With Lower Work Performance and Greater Health Care Costs: Longitudinal Data From Kansas State Employee Wellness Program.

Science.gov (United States)

Hui, Siu-kuen Azor; Grandner, Michael A

2015-10-01

To examine the relationships between employees' trouble sleeping and absenteeism, work performance, and health care expenditures over a 2-year period. Utilizing the Kansas State employee wellness program (EWP) data set from 2008 to 2009, multinomial logistic regression analyses were conducted with trouble sleeping as the predictor and absenteeism, work performance, and health care costs as the outcomes. EWP participants (N = 11,698 in 2008; 5636 followed up in 2009) who had higher levels of sleep disturbance were more likely to be absent from work (all P work performance ratings (all P health care costs (P work attendance, work performance, and health care costs.

Habitual 'sleep credit' is associated with greater grey matter volume of the medial prefrontal cortex, higher emotional intelligence and better mental health.

Science.gov (United States)

Weber, Mareen; Webb, Christian A; Deldonno, Sophie R; Kipman, Maia; Schwab, Zachary J; Weiner, Melissa R; Killgore, William D S

2013-10-01

In modern society, people often fail to obtain the amount of sleep that experts recommend for good health and performance. Insufficient sleep can lead to degraded cognitive performance and alterations in emotional functioning. However, most people also acknowledge that on a regular basis they obtain more sleep than they subjectively perceive they need at a minimum to stave off performance decrements, a construct we describe as subjective 'sleep credit'. Few people would contest the notion that getting more sleep is better, but data on both behavioural and neuroanatomical correlates of 'sleep credit' are surprisingly limited. We conducted a voxel-based morphometric study to assess cerebral grey matter correlates of habitually sleeping more than one's subjective requirements. We further tested whether these structural correlates are associated with perceived emotional intelligence and indices of psychopathology while controlling for age, gender, and total intracranial volume. In a sample of 55 healthy adults aged 18-45 years (28 males, 27 females), whole-brain multiple regression showed that habitual subjective 'sleep credit' was correlated positively with grey matter volume within regions of the left medial prefrontal cortex and right orbitofrontal gyrus. Volumes were extracted and regressed against self-report emotion and psychopathology indices. Only grey matter volume of the medial prefrontal cortex cluster correlated with greater emotional intelligence and lower scores on several indices of psychopathology. Findings converge with previous evidence of the role of the medial prefrontal cortex in the relationship between sleep and emotional functioning, and suggest that behaviour and brain structure vary with habitual 'sleep credit'. © 2013 European Sleep Research Society.

Evaluating the unintended health consequences of poverty alleviation strategies: or what is the relevance of Mohammed Yunus to public health?

Science.gov (United States)

Mohindra, K S; Haddad, Slim

2008-01-01

Public health researchers are increasingly shifting their attention away from merely documenting those factors that determine health--a solid evidence base on health determinants now exists--to improving our understanding of how various interventions influence population health. This paper argues for greater investigations of the potential unintended health benefits associated with participation in a poverty alleviation strategy (PAS) in low-income countries. We focus on microcredit, a PAS that has been spreading across the developing world. Microcredit aims to address the "credit gap" between the poor and the better off by offering an alternative for the poor to acquire loans: small groups are formed and loans are allocated to members based on group solidarity instead of formal collateral. We argue that microcredit corresponds with activities that will help build up health capital (e.g., greater access to resources) and describe the main pathways from microcredit participation to health. We advocate that microcredit and other potential pro-health PAS be included among the range of interventions considered by public health researchers in improving the health of the poor.

Breeding of Greater and Lesser Flamingos at Sua Pan, Botswana ...

African Journals Online (AJOL)

to fledging was unknown owing to the rapid drying of the pan in late March 1999. No Greater Flamingo breeding was seen that season. Exceptional flooding during 1999–2000 produced highly favourable breeding conditions, with numbers of Greater and Lesser Flamingos breeding estimated to be 23 869 and 64 287 pairs, ...

Surgical anatomy of greater occipital nerve and its relation to ...

African Journals Online (AJOL)

Introduction: The knowledge of the anatomy of greater occipital nerve and its relation to occipital artery is important for the surgeon. Blockage or surgical release of greater occipital nerve is clinically effective in reducing or eliminating chronic migraine symptoms. Aim: The aim of this research was to study the anatomy of ...

Surgical anatomy of greater occipital nerve and its relation to ...

African Journals Online (AJOL)

Nancy Mohamed El Sekily

2014-08-19

Aug 19, 2014 ... Abstract Introduction: The knowledge of the anatomy of greater occipital nerve and its relation to occipital artery is important for the surgeon. Blockage or surgical release of greater occipital nerve is clinically effective in reducing or eliminating chronic migraine symptoms. Aim: The aim of this research was to ...

Poverty, tobacco, and health: an Indian scenario.

Science.gov (United States)

Majra, J P; Gur, A

2009-06-01

Poverty and health have a two-way relationship. Poverty increases the vulnerability of people to disease, and sickness affects their income leading to poverty. Tobacco has been identified as a major avoidable cause of illness and premature death. In India, more than half of men and one-tenth of women use one or more forms of tobacco. Tobacco-use shows a clear and continual increase with decreasing wealth quintiles. Poor smokers, who are at a greater risk of illness, are also at a greater risk of not being treated or of falling into greater poverty if they seek treatment. Poor people spend money on tobacco that could be spent on food, shelter, education, and healthcare. These decisions can entrench families in an ongoing cycle of poverty and ill-health. The direct and indirect costs of tobacco-use are immense for national economy. This has positioned control of tobacco relevant in India's per suite to achieve the goals of poverty eradication and health for all.

Technical concept for a Greater Confinement Disposal test facility

International Nuclear Information System (INIS)

Hunter, P.H.

1982-01-01

For the past two years, Ford, Bacon and Davis has been performing technical services for the Department of Energy at the Nevada Test Site in specific development of defense low-level waste management concepts for greater confinement disposal concept with particular application to arid sites. The investigations have included the development of Criteria for Greater Confinement Disposal, NVO-234, which was published in May of 1981 and the draft of the technical concept for Greater Confinement Disposal, with the latest draft published in November 1981. The final draft of the technical concept and design specifications are expected to be published imminently. The document is prerequisite to the actual construction and implementation of the demonstration facility this fiscal year. The GCD Criteria Document, NVO-234 is considered to contain information complimentary and compatible with that being developed for the reserved section 10 CFR 61.51b of the NRCs proposed licensing rule for low level waste disposal facilities

Long-term storage of Greater-Than-Class C Low-Level Waste

International Nuclear Information System (INIS)

Magleby, M.T.

1990-01-01

Under Federal law, the Department of Energy (DOE) is responsible for safe disposal of Greater-Than-Class C Low-Level Waste (GTCC LLW) generated by licenses of the Nuclear Regulatory commission (NRC) or Agreement States. Such waste must be disposed of in a facility licensed by the NRC. It is unlikely that licensed disposal of GTCC LLW will be available prior to the year 2010. Pending availability of disposal capacity, DOE is assessing the need for collective, long-term storage of GTCC LLW. Potential risks to public health and safety caused by long-term storage of GTCC LLW at the place of generation will be evaluated to determine if alternative facilities are warranted. If warranted, several options will be investigated to determine the preferred alternative for long-term storage. These options include modification of an existing DOE facility, development of a new DOE facility, or development of a facility by the private sector with or without DOE support. Reasonable costs for long-term storage would be borne by the waste generators. 5 refs., 1 fig

Epidemiological link of a major cholera outbreak in Greater Accra region of Ghana, 2014.

Science.gov (United States)

Ohene-Adjei, Kennedy; Kenu, Ernest; Bandoh, Delia Akosua; Addo, Prince Nii Ossah; Noora, Charles Lwanga; Nortey, Priscillia; Afari, Edwin Andrew

2017-10-11

Cholera remains an important public health challenge globally. Several pandemics have occurred in different parts of the world and have been epidemiologically linked by different researchers to illustrate how the cases were spread and how they were related to index cases. Even though the risk factors associated with the 2014 cholera outbreak were investigated extensively, the link between index cases and the source of infection was not investigated to help break the transmission process. This study sought to show how the index cases from various districts of the Greater Accra Region may have been linked. We carried out a descriptive cross sectional study to investigate the epidemiological link of the 2014 cholera outbreak in the Greater Accra region of Ghana. An extensive review of all district records on cholera cases in the Greater Accra region was carried out. Index cases were identified with the help of line lists. Univariate analyses were expressed as frequency distributions, percentages, mean ± Standard Deviation, and rates (attack rates, case-fatality rates etc.) as appropriate. Maps were drawn using Arc GIS and Epi info software to describe the pattern of transmission. Up to 20,199 cholera cases were recorded. Sixty percent of the cases were between 20 and 40 years and about 58% (11,694) of the total cases were males. Almost 50% of the cases occurred in the Accra Metro district. Two-thirds of the index cases ate food prepared outside their home and had visited the Accra Metropolis. The 2014 cholera outbreak can be described as a propagated source outbreak linked to the Accra Metropolis. The link between index cases and the source of infection, if investigated earlier could have helped break the transmission process. Such investigations also inform decision-making about the appropriate interventions to be instituted to prevent subsequent outbreaks.

9 CFR 166.15 - State status.

Science.gov (United States)

2010-01-01

..., Iowa, Kansas, Kentucky, Louisiana, Mississippi, Nebraska, New York, North Dakota, Oregon, South... enforcement responsibility under the Act: Alabama, Arizona, California, Colorado, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada...

Community health events for enrolling uninsured into public health insurance programs: implications for health reform.

Science.gov (United States)

Cheng, Scott; Tsai, Kai-ya; Nascimento, Lori M; Cousineau, Michael R

2014-01-01

To determine whether enrollment events may serve as a venue to identify eligible individuals, enroll them into health insurance programs, and educate them about the changes the Patient Protection and Affordable Care Act will bring about. More than 2900 surveys were administered to attendees of 7 public health insurance enrollment events in California. Surveys were used to identify whether participants had any change in understanding of health reform after participating in the event. More than half of attendees at nearly all events had no knowledge about health reform before attending the event. On average, more than 80% of attendees knew more about health reform following the event and more than 80% believed that the law would benefit their families. Enrollment events can serve as an effective method to educate the public on health reform. Further research is recommended to explore in greater detail the impact community enrollment events can have on expanding public understanding of health reform.

Custody battle ends.

Science.gov (United States)

1996-02-09

A four-year-old child will be allowed to remain with his foster parents, although the foster mother is HIV-positive. The State Court of Appeals of Nebraska ruled that living with an HIV-positive foster mother places [name removed]. at no increased health risk. This court ruling overturns the State Department of Social Services' decision to remove the boy from the custody of his foster parents.

Tamper-Resistant Mobile Health Using Blockchain Technology

OpenAIRE

Ichikawa, Daisuke; Kashiyama, Makiko; Ueno, Taro

2017-01-01

Background Digital health technologies, including telemedicine, mobile health (mHealth), and remote monitoring, are playing a greater role in medical practice. Safe and accurate management of medical information leads to the advancement of digital health, which in turn results in a number of beneficial effects. Furthermore, mHealth can help lower costs by facilitating the delivery of care and connecting people to their health care providers. Mobile apps help empower patients and health care p...

Perceived health in lung cancer patients: the role of positive and negative affect.

Science.gov (United States)

Hirsch, Jameson K; Floyd, Andrea R; Duberstein, Paul R

2012-03-01

To examine the association of affective experience and health-related quality of life in lung cancer patients, we hypothesized that negative affect would be positively, and positive affect would be negatively, associated with perceived health. A sample of 133 English-speaking lung cancer patients (33% female; mean age = 63.68 years old, SD = 9.37) completed a battery of self-report surveys. Results of our secondary analysis indicate that trait negative affect was significantly associated with poor physical and social functioning, greater role limitations due to emotional problems, greater bodily pain, and poor general health. Positive affect was significantly associated with adaptive social functioning, fewer emotion-based role limitations, and less severe bodily pain. In a full model, positive affect was significantly associated with greater levels of social functioning and general health, over and above the effects of negative affect. Reduction of negative affect is an important therapeutic goal, but the ability to maintain positive affect may result in greater perceived health. Indeed, engagement in behaviors that result in greater state positive affect may, over time, result in dispositional changes and enhancement of quality of life.

International Students and Mental Health

Science.gov (United States)

Forbes-Mewett, Helen; Sawyer, Anne-Maree

2016-01-01

Since the early 2000s, reports of increased rates of mental ill health among young people worldwide have received much attention. Several studies indicate a greater incidence of mental health problems among tertiary students, compared with the general population, and higher levels of anxiety, in particular, among international students compared…

Butterfly valves: greater use in power plants

International Nuclear Information System (INIS)

McCoy, M.

1975-01-01

Improvements in butterfly valves, particularly in the areas of automatic control and leak tightness are described. The use of butterfly valves in nuclear power plants is discussed. These uses include service in component cooling, containment cooling, and containment isolation. The outlook for further improvements and greater uses is examined. (U.S.)

Families with children with diabetes: implications of parent stress for parent and child health.

Science.gov (United States)

Helgeson, Vicki S; Becker, Dorothy; Escobar, Oscar; Siminerio, Linda

2012-05-01

To examine the relation of parent stress to parent mental health and child mental and physical health. We interviewed children with type 1 diabetes (n = 132; mean age 12 years) annually for 5 years and had one parent complete a questionnaire at each assessment. Parents completed measures of general life stress, stress related to caring for a child with diabetes, benefit finding, and mental health. Child outcomes were depressive symptoms, self-care behavior, and glycemic control. Multilevel modeling was used to examine concurrent and longitudinal relations. Greater parent general stress and greater parent diabetes-specific stress were associated with poorer parent mental health. Overall, greater parent general stress was associated with poorer child outcomes, whereas greater parent diabetes-specific stress was associated with better child outcomes. Families with high levels of general life stress should be identified as they are at risk for both poor parent and child health outcomes.

Age and quality of ground water and sources of nitrogen in the aquifers in Pumpkin Creek Valley, western Nebraska, 2000

Science.gov (United States)

Steele, G.V.; Cannia, J.C.; Sibray, S.S.; McGuire, V.L.

2005-01-01

Ground water is the source of drinking water for the residents of Pumpkin Creek Valley, western Nebraska. In this largely agricultural area, shallow aquifers potentially are susceptible to nitrate contamination. During the last 10 years, ground-water levels in the North Platte Natural Resources District have declined and contamination has become a major problem for the district. In 2000, the U.S. Geological Survey and the North Platte Natural Resources District began a cooperative study to determine the age and quality of the ground water and the sources of nitrogen in the aquifers in Pumpkin Creek Valley. Water samples were collected from 8 surface-water sites, 2 springs, and 88 ground-water sites during May, July, and August 2000. These samples were analyzed for physical properties, nutrients or nitrate, and hydrogen and oxygen isotopes. In addition, a subset of samples was analyzed for any combination of chlorofluorocarbons, tritium, tritium/helium, sulfur-hexafluoride, carbon-14, and nitrogen-15. The apparent age of ground water in the alluvial aquifer typically varied from about 1980 to modern, whereas ground water in the fractured Brule Formation had a median value in the 1970s. The Brule Formation typically contained ground water that ranged from the 1940s to the 1990s, but low-yield wells had apparent ages of 5,000 to 10,000 years before present. Data for oxygen-18 and deuterium indicated that lake-water samples showed the greatest effects from evaporation. Ground-water data showed no substantial evaporative effects and some ground water became isotopically heavier as the water moved downgradient. In addition, the physical and chemical ground-water data indicate that Pumpkin Creek is a gaining stream because little, if any, of its water is lost to the ground-water system. The water-quality type changed from a sodium calcium bicarbonate type near Pumpkin Creek's headwaters to a calcium sodium bicarbonate type near its mouth. Nitrate concentrations were

A collaborative project to improve identification and management of patients with chronic kidney disease in a primary care setting in Greater Manchester.

Science.gov (United States)

Humphreys, John; Harvey, Gill; Coleiro, Michelle; Butler, Brook; Barclay, Anna; Gwozdziewicz, Maciek; O'Donoghue, Donal; Hegarty, Janet

2012-08-01

Research has demonstrated a knowledge and practice gap in the identification and management of chronic kidney disease (CKD). In 2009, published data showed that general practices in Greater Manchester had a low detection rate for CKD. A 12-month improvement collaborative, supported by an evidence-informed implementation framework and financial incentives. 19 general practices from four primary care trusts within Greater Manchester. Number of recorded patients with CKD on practice registers; percentage of patients on registers achieving nationally agreed blood pressure targets. The collaborative commenced in September 2009 and involved three joint learning sessions, interspersed with practice level rapid improvement cycles, and supported by an implementation team from the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Greater Manchester. At baseline, the 19 collaborative practices had 4185 patients on their CKD registers. At final data collection in September 2010, this figure had increased by 1324 to 5509. Blood pressure improved from 34% to 74% of patients on practice registers having a recorded blood pressure within recommended guidelines. Evidence-based improvement can be implemented in practice for chronic disease management. A collaborative approach has been successful in enabling teams to test and apply changes to identify patients and improve care. The model has proved to be more successful for some practices, suggesting a need to develop more context-sensitive approaches to implementation and actively manage the factors that influence the success of the collaborative.

Greater dietary acculturation (dietary change) is associated with poorer current self-rated health among African immigrant adults.

Science.gov (United States)

Okafor, Maria-Theresa C; Carter-Pokras, Olivia D; Zhan, Min

2014-01-01

Investigate the relationship between dietary acculturation and current self-rated health (SRH) among African immigrants, by country or region of origin. Cross-sectional, mixed-methods design using baseline data from longitudinal study of immigrants granted legal permanent residence May to November, 2003, and interviewed June, 2003 to June, 2004. 2003 New Immigrant Survey. African immigrants from a nationally representative sample (n = 763) averaged 34.7 years of age and 5.5 years' US residency; 56.6% were male, 54.1% were married, 26.1% were Ethiopian, and 22.5% were Nigerian. Current SRH (dependent variable) was measured using 5-point Likert scale questions; dietary acculturation (independent variable) was assessed using a quantitative dietary change scale. Multivariate logistic regression tested the relationship of dietary acculturation with current SRH (α = .05; P food/beverages consumed pre-/post-migration. African immigrants reporting moderate dietary change since arrival in the US had higher odds of poorer SRH status than immigrants reporting low dietary change (odds ratio, 1.903; 95% confidence interval, 1.143-3.170; P = .01). Among most dietary change groups, there was an increase in fast food consumption and decrease in fruit and vegetable consumption. Nutrition educators and public health practitioners should develop targeted nutrition education for African immigrants who are older, less educated, and at increased health risk. Copyright © 2014 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

Electronic health records

DEFF Research Database (Denmark)

Kierkegaard, Patrick

2011-01-01

that a centralised European health record system will become a reality even before 2020. However, the concept of a centralised supranational central server raises concern about storing electronic medical records in a central location. The privacy threat posed by a supranational network is a key concern. Cross......-border and Interoperable electronic health record systems make confidential data more easily and rapidly accessible to a wider audience and increase the risk that personal data concerning health could be accidentally exposed or easily distributed to unauthorised parties by enabling greater access to a compilation...... of the personal data concerning health, from different sources, and throughout a lifetime....

Social capital and health: measuring and understanding social capital at a local level could help to tackle health inequalities more effectively.

Science.gov (United States)

Pilkington, Paul

2002-09-01

This paper examines whether an understanding of the concept of social capital and its local measurement can help to tackle inequalities in health within and across communities. The paper concludes that the concept of social capital offers a valuable opportunity to help public health professionals understand how to approach inequalities in health with a greater awareness of the social processes affecting the health of communities. The measurement of social capital has been problematic. However, new guidance from the Health Development Agency (HDA) provides a useful tool for developing social capital research. A greater understanding of whether, and how social capital relates to health will help to improve strategies to reduce health inequalities at the community level. Public health professionals contributing to community development strategies such as Neighbourhood Renewal Projects, Community Safety Partnerships, Health Action Zones and Health Improvement Programmes (HImPs) should encourage thought to be given about the role that an understanding of social capital could play in making these strategies more effective. Using the HDA measurement tool locally could be one way of doing this.

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

Directory of Open Access Journals (Sweden)

Anne Parkinson

2011-10-01

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

Rethinking the health selection explanation for health inequalities.

Science.gov (United States)

West, P

1991-01-01

As one of several explanations for class differentials in health, health selection has received remarkably little systematic attention in the inequalities debate. It is widely regarded as having (at best) a very minor role in the production of inequalities, and a theoretical debt to social Darwinism. This paper examines the validity of those assumptions in terms of the evidence which has emerged since the publication of the 'Black Report'. It is suggested that it is too easy to write off health selection as of little or no significance, and that reconceptualising the issue within a specifically sociological perspective owing much to labelling theory offers much greater potential for understanding the processes involved. From this perspective, health selection has many of the features of discrimination of the sort that characterises race and sex.

Expatriate job performance in Greater China: Does age matter?

DEFF Research Database (Denmark)

Selmer, Jan; Lauring, Jakob; Feng, Yunxia

to expatriates in Chinese societies. It is possible that older business expatriates will receive more respect and be treated with more deference in a Chinese cultural context than their apparently younger colleagues. This may have a positive impact on expatriates’ job performance. To empirically test...... this presumption, business expatriates in Greater Chine were targeted by a survey. Controlling for the potential bias of a number of background variables, results indicate that contextual/managerial performance, including general managerial functions applied to the subsidiary in Greater China, had a positive...

Absenteeism movement in Greater Poland in 1840–1902

OpenAIRE

Izabela Krasińska

2013-01-01

The article presents the origins and development of the idea of absenteeism in Greater Poland in the 19th century. The start date for the research is 1840, which is considered to be a breakthrough year in the history of an organized absenteeism movement in Greater Poland. It was due to the Association for the Suppression of the Use of Vodka (Towarzystwo ku Przytłumieniu Używania Wódki) in the Great Duchy of Posen that was then established in Kórnik. It was a secular organization that came int...

Gender differences in commuting behavior: Women's greater sensitivity

Energy Technology Data Exchange (ETDEWEB)

Olmo Sanchez, M.I.; Maeso Gonzalez, E.

2016-07-01

Women's greater sensitivity to changes in their environment is one of the most distinguishing features between both genders. This article raises women's greater sensitivity to the different variables which influence their commuting modal choice. In order to do this, gender gaps detected in the choice of means of transport in commuting trips with respect to the decision factors such as age, education level, driver's license, private transport access; location, household size and net income, are quantified.The results show a greater female sensitivity to the different variables that affect their modal choice, which helps to better understand the different mobility patterns and it is useful for planning measures favoring sustainable mobility policies and equity. (Author)

75 FR 24946 - Proposed Consent Decree, Clean Air Act Citizen Suit

Science.gov (United States)

2010-05-06

..., South Carolina, Wisconsin, Indiana, Michigan, Ohio, Louisiana, Kansas, Nebraska, Missouri, Colorado..., Wisconsin, Indiana, Michigan, Ohio, Louisiana, Kansas, Nebraska, Missouri, Colorado, Montana, South Dakota... ENVIRONMENTAL PROTECTION AGENCY [FRL-9146-3] Proposed Consent Decree, Clean Air Act Citizen Suit...

Differences in health status and health behaviour among young Swiss adults between 1993 and 2003.

Science.gov (United States)

Mohler-Kuo, Meichun; Wydler, Hans; Zellweger, Ueli; Gutzwiller, Felix

2006-07-22

Very few studies specifically have examined the health status of 20-year-olds. The purpose of the present study is to examine the changes in health status and behaviour among young Swiss adults between 1993 and 2003. The present study used data from the Swiss Federal Surveys of Adolescents, conducted in 1993 and 2003 among 20-year-olds in Switzerland. The study sample included military recruits and a representative community cohort. More than 20,000 subjects participated in each survey. Young adults in 2003 reported fewer traffic- and sports-related accidents, but more work-related and other accidents versus young adults in 1993. A greater percentage of men were overweight or obese in 2003. Also in 2003, a greater percentage of males and females regularly used alcohol, cigarettes and cannabis. In particular, the number that smoked cigarettes daily increased by almost 30% and daily cannabis users increased more than two-fold. Young adults reported higher rates of inter-personal violence and theft in 2003. Compared to 1993, in 2003 young adults were more likely to report a sense of coherence; they also had fewer thoughts of suicide, but a greater sense that life is meaningless. Our study provides the first Swiss data comparing the health status of 20-year-olds a decade apart. The findings suggest a significant increase in substance use. Health prevention efforts among young adults ages 18-24 should focus on substance use. In addition, developing strategies to decrease interpersonal violence, delinquent behaviour, and obesity should be a major public health priority.

Measles outbreak in Greater Manchester, England, October 2012 to September 2013: epidemiology and control.

Science.gov (United States)

Pegorie, M; Shankar, K; Welfare, W S; Wilson, R W; Khiroya, C; Munslow, G; Fiefield, D; Bothra, V; McCann, R

2014-12-11

This paper describes the epidemiology and management of a prolonged outbreak of measles across the 2.7 million conurbation of Greater Manchester in the United Kingdom. Over a period of one year (from October 2012 to September 2013), over a thousand suspected measles cases (n = 1,073) were notified across Greater Manchester; of these, 395 (37%) were laboratory-confirmed, 91 (8%) were classed as probable, 312 (29%) were classed as possible and 275 (26%) excluded. Most confirmed and probable cases occurred in children within two age groups—infants (too young to be eligible for measles-mumps-rubella (MMR) vaccination according to the national immunisation programme) and children aged 10-19 years (low vaccine uptake in this cohort because of unfounded alleged links between the MMR vaccine and autism). During this one year period, there were a series of local outbreaks and many of these occurred within the secondary school setting. A series of public health measures were taken to control this prolonged outbreak: setting up incident management teams to control local outbreaks, a concerted immunisation catch-up campaign (initially local then national) to reduce the pool of children partially or totally unprotected against measles, and the exclusion of close contacts from nurseries and school settings for a period of 10 days following the last exposure to a case of measles.

[Autoerotic fatalities in Greater Dusseldorf].

Science.gov (United States)

Hartung, Benno; Hellen, Florence; Borchard, Nora; Huckenbeck, Wolfgang

2011-01-01

Autoerotic fatalities in the Greater Dusseldorf area correspond to the relevant medicolegal literature. Our results included exclusively young to middle-aged, usually single men who were found dead in their city apartments. Clothing and devices used showed a great variety. Women's or fetish clothing and complex shackling or hanging devices were disproportionately frequent. In most cases, death occurred due to hanging or ligature strangulation. There was no increased incidence of underlying psychiatric disorders. In most of the deceased no or at least no remarkable alcohol intoxication was found. Occasionally, it may be difficult to reliably differentiate autoerotic accidents, accidents occurring in connection with practices of bondage & discipline, dominance & submission (BDSM) from natural death, suicide or homicide.

Radiographic features of tuberculous osteitis in greater trochanter and lschium

International Nuclear Information System (INIS)

Hahm, So Hee; Lee, Ye Ri; Kim, Dong Jin; Sung, Ki Jun; Lim, Jong Nam

1996-01-01

To evaluate, if possible, the radiographic features of tuberculous osteitis in the greater trochanter and ischium, and to determine the cause of the lesions. We reterospectively reviewed the plain radiographic findings of 14 ptients with histologically proven tuberculous osteitis involving the greater trochanter and ischium. In each case, the following were analyzed:morphology of bone destruction, including cortical erosion;periosteal reaction;presence or abscence of calcific shadows in adjacent soft tissue. On the basis of an analysis of radiographic features and correlation of the anatomy with adjacent structures we attempted to determine causes. Of the 14 cases evaluated, 12 showed varrious degrees of extrinsic erosion on the outer cortical bone of the greater trochanter and ischium ; in two cases, bone destruction was so severe that the radiographic features of advanced perforated osteomyelitis were simulated. In addition to findings of bone destruction, in these twelve cases, the presence of sequestrum or calcific shadows was seen in adjacent soft tissue. Tuberculous osteitis in the greater trochanter and ischium showed the characteristic findings of chronic extrinsic erosion. On the basis of these findings we can suggest that these lesions result from an extrinsic pathophysiologic cause such as adjacent bursitis

Radiographic features of tuberculous osteitis in greater trochanter and lschium

Energy Technology Data Exchange (ETDEWEB)

Hahm, So Hee; Lee, Ye Ri [Hanil Hospital Affiliated to KEPCO, Seoul (Korea, Republic of); Kim, Dong Jin; Sung, Ki Jun [Yonsei Univ. Wonju College of Medicine, Wonju (Korea, Republic of); Lim, Jong Nam [Konkuk Univ. College of Medicine, Seoul (Korea, Republic of)

1996-11-01

To evaluate, if possible, the radiographic features of tuberculous osteitis in the greater trochanter and ischium, and to determine the cause of the lesions. We reterospectively reviewed the plain radiographic findings of 14 ptients with histologically proven tuberculous osteitis involving the greater trochanter and ischium. In each case, the following were analyzed:morphology of bone destruction, including cortical erosion;periosteal reaction;presence or abscence of calcific shadows in adjacent soft tissue. On the basis of an analysis of radiographic features and correlation of the anatomy with adjacent structures we attempted to determine causes. Of the 14 cases evaluated, 12 showed varrious degrees of extrinsic erosion on the outer cortical bone of the greater trochanter and ischium ; in two cases, bone destruction was so severe that the radiographic features of advanced perforated osteomyelitis were simulated. In addition to findings of bone destruction, in these twelve cases, the presence of sequestrum or calcific shadows was seen in adjacent soft tissue. Tuberculous osteitis in the greater trochanter and ischium showed the characteristic findings of chronic extrinsic erosion. On the basis of these findings we can suggest that these lesions result from an extrinsic pathophysiologic cause such as adjacent bursitis.

Search for greater stability in nuclear regulation

International Nuclear Information System (INIS)

Asselstine, J.K.

1985-01-01

The need for greater stability in nuclear regulation is discussed. Two possible approaches for dealing with the problems of new and rapidly changing regulatory requirements are discussed. The first approach relies on the more traditional licensing reform initiatives that have been considered off and on for the past decade. The second approach considers a new regulator philosophy aimed at the root causes of the proliferation of new safety requirements that have been imposed in recent years. For the past few years, the concepts of deregulation and regulatory reform have been in fashion in Washington, and the commercial nuclear power program has not remained unaffected. Many look to these concepts to provide greater stability in the regulatory program. The NRC, the nuclear industry and the administration have all been avidly pursuing regulatory reform initiatives, which take the form of both legislative and administrative proposals. Many of these proposals look to the future, and, if adopted, would have little impact on currently operating nuclear power plants or plants now under construction

Nonoxidative free fatty acid disposal is greater in young women than men.

Science.gov (United States)

Koutsari, Christina; Basu, Rita; Rizza, Robert A; Nair, K Sreekumaran; Khosla, Sundeep; Jensen, Michael D

2011-02-01

Large increases in systemic free fatty acid (FFA) availability in the absence of a corresponding increase in fatty acid oxidation can create a host of metabolic abnormalities. These adverse responses are thought to be the result of fatty acids being shunted into hepatic very low-density lipoprotein-triglyceride production and/or intracellular lipid storage and signaling pathways because tissues are forced to increase nonoxidative FFA disposal. The objective of the study was to examine whether variations in postabsorptive nonoxidative FFA disposal within the usual range predict insulin resistance and hypertriglyceridemia. We measured: systemic FFA turnover using a continuous iv infusion of [9-10, (3)H]palmitate; substrate oxidation with indirect calorimetry combined with urinary nitrogen excretion; whole-body and peripheral insulin sensitivity with the labeled iv glucose tolerance test minimal model. the study was conducted at the Mayo Clinic General Clinical Research Center. Participants included healthy, postabsorptive, nonobese adults (21 women and 21 men). There were no interventions. Nonoxidative FFA disposal (micromoles per minute), defined as the FFA disappearance rate minus fatty acid oxidation. Women had 64% greater nonoxidative FFA disposal rate than men but a better lipid profile and similar insulin sensitivity. There was no significant correlation between nonoxidative FFA disposal and whole-body sensitivity, peripheral insulin sensitivity, or fasting serum triglyceride concentrations in men or women. Healthy nonobese women have greater rates of nonoxidative FFA disposal than men, but this does not appear to relate to adverse health consequences. Understanding the sex-specific interaction between adipose tissue lipolysis and peripheral FFA removal will help to discover new approaches to treat FFA-induced abnormalities.

Education reduces the effects of genetic susceptibilities to poor physical health.

Science.gov (United States)

Johnson, Wendy; Kyvik, Kirsten Ohm; Mortensen, Erik L; Skytthe, Axel; Batty, G David; Deary, Ian J

2010-04-01

Greater education is associated with better physical health. This has been of great concern to public health officials. Most demonstrations show that education influences mean levels of health. Little is known about the influence of education on variance in health status, or about how this influence may impact the underlying genetic and environmental sources of health problems. This study explored these influences. In a 2002 postal questionnaire, 21 522 members of same-sex pairs in the Danish Twin Registry born between 1931 and 1982 reported physical health in the 12-item Short Form Health Survey. We used quantitative genetic models to examine how genetic and environmental variance in physical health differed with level of education, adjusting for birth-year effects. and Conclusions As expected, greater education was associated with better physical health. Greater education was also associated with smaller variance in health status. In both sexes, 2 standard deviations (SDs) above mean educational level, variance in physical health was only about half that among those 2 SDs below. This was because fewer highly educated people reported poor health. There was less total variance in health primarily because there was less genetic variance. Education apparently reduced expression of genetic susceptibilities to poor health. The patterns of genetic and environmental correlations suggested that this might take place because more educated people manage their environments to protect their health. If so, fostering the personal charactieristics associated with educational attainment could be important in reducing the education-health gradient.

Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration): a population study.

Science.gov (United States)

Anderson, Ian; Robson, Bridget; Connolly, Michele; Al-Yaman, Fadwa; Bjertness, Espen; King, Alexandra; Tynan, Michael; Madden, Richard; Bang, Abhay; Coimbra, Carlos E A; Pesantes, Maria Amalia; Amigo, Hugo; Andronov, Sergei; Armien, Blas; Obando, Daniel Ayala; Axelsson, Per; Bhatti, Zaid Shakoor; Bhutta, Zulfiqar Ahmed; Bjerregaard, Peter; Bjertness, Marius B; Briceno-Leon, Roberto; Broderstad, Ann Ragnhild; Bustos, Patricia; Chongsuvivatwong, Virasakdi; Chu, Jiayou; Deji; Gouda, Jitendra; Harikumar, Rachakulla; Htay, Thein Thein; Htet, Aung Soe; Izugbara, Chimaraoke; Kamaka, Martina; King, Malcolm; Kodavanti, Mallikharjuna Rao; Lara, Macarena; Laxmaiah, Avula; Lema, Claudia; Taborda, Ana María León; Liabsuetrakul, Tippawan; Lobanov, Andrey; Melhus, Marita; Meshram, Indrapal; Miranda, J Jaime; Mu, Thet Thet; Nagalla, Balkrishna; Nimmathota, Arlappa; Popov, Andrey Ivanovich; Poveda, Ana María Peñuela; Ram, Faujdar; Reich, Hannah; Santos, Ricardo V; Sein, Aye Aye; Shekhar, Chander; Sherpa, Lhamo Y; Skold, Peter; Tano, Sofia; Tanywe, Asahngwa; Ugwu, Chidi; Ugwu, Fabian; Vapattanawong, Patama; Wan, Xia; Welch, James R; Yang, Gonghuan; Yang, Zhaoqing; Yap, Leslie

2016-07-09

International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populations, but have been restricted in their coverage of countries or the range of health indicators. Our objective is to describe the health and social status of Indigenous and tribal peoples relative to benchmark populations from a sample of countries. Collaborators with expertise in Indigenous health data systems were identified for each country. Data were obtained for population, life expectancy at birth, infant mortality, low and high birthweight, maternal mortality, nutritional status, educational attainment, and economic status. Data sources consisted of governmental data, data from non-governmental organisations such as UNICEF, and other research. Absolute and relative differences were calculated. Our data (23 countries, 28 populations) provide evidence of poorer health and social outcomes for Indigenous peoples than for non-Indigenous populations. However, this is not uniformly the case, and the size of the rate difference varies. We document poorer outcomes for Indigenous populations for: life expectancy at birth for 16 of 18 populations with a difference greater than 1 year in 15 populations; infant mortality rate for 18 of 19 populations with a rate difference greater than one per 1000 livebirths in 16 populations; maternal mortality in ten populations; low birthweight with the rate difference greater than 2% in three populations; high birthweight with the rate difference greater than 2% in one population; child malnutrition for ten of 16 populations with a difference greater than 10% in five populations; child obesity for eight of 12 populations with a difference greater than 5% in four populations; adult obesity for seven of 13 populations with a difference greater than 10% in

Greater number of group identifications is associated with healthier behaviour: Evidence from a Scottish community sample.

Science.gov (United States)

Sani, Fabio; Madhok, Vishnu; Norbury, Michael; Dugard, Pat; Wakefield, Juliet R H

2015-09-01

This paper investigates the interplay between group identification (i.e., the extent to which one has a sense of belonging to a social group, coupled with a sense of commonality with in-group members) and four types of health behaviour, namely physical exercise, smoking, drinking, and diet. Specifically, we propose a positive relationship between one's number of group identifications and healthy behaviour. This study is based on the Scottish portion of the data obtained for Wave 1 of the two-wave cross-national Health in Groups project. Totally 1,824 patients from five Scottish general practitioner (GP) surgeries completed the Wave 1 questionnaire in their homes. Participants completed measures of group identification, group contact, health behaviours, and demographic variables. Results demonstrate that the greater the number of social groups with which one identifies, the healthier one's behaviour on any of the four health dimensions considered. We believe our results are due to the fact that group identification will generally (1) enhance one's sense of meaning in life, thereby leading one to take more care of oneself, (2) increase one's sense of responsibility towards other in-group members, thereby enhancing one's motivation to be healthy in order to fulfil those responsibilities, and (3) increase compliance with healthy group behavioural norms. Taken together, these processes amply overcompensate for the fact that some groups with which people may identify can actually prescribe unhealthy behaviours. © 2014 The British Psychological Society.

An analysis of the effectiveness of Spanish primary health care teams.

Science.gov (United States)

Goñi, S

1999-08-01

One of the main objectives of the managers of public health systems in most developed countries is the modernisation of public services through managerial reforms as a way of resolving the traditional inefficiency of this sector. The objective of this article is to observe how the introduction of one tool traditionally used in the private sector, the organisation of work through teams, can contribute to improved performance in public health services. The study was conducted in the primary health care teams of Navarre, an autonomous region of Spain, where a new model of primary health care, based on teamwork was implanted. We analyse the relationship between team characteristics, team members' individual features and team performance from a stakeholder approach. We can conclude that teams are a form of organisational design useful for improving performance in primary health care because insofar as they function properly, they achieve greater degrees of job satisfaction for the employees, greater perceived quality by the users and greater efficiency for the Administration.

Health Conditions and Passive Suicidal Ideation in the Survey of Health, Ageing, and Retirement in Europe

Science.gov (United States)

Morton, Kimberly; Turiano, Nicholas A.; Fiske, Amy

2016-01-01

Objectives: To examine the associations between health conditions and passive suicidal ideation in middle-aged and older adults. Method: Multivariate logistic regression analyses were conducted on data from 35,664 middle-aged and older adults from the Survey of Health, Ageing, and Retirement in Europe. Mediation analyses were also conducted to test the roles of disability and depression in risk of ideation. Results: After including demographic variables, disability, depression, and other health conditions as covariates, heart attack, diabetes/high blood sugar, chronic lung disease, arthritis, ulcer, and hip/femoral fractures were associated with increased odds of passive suicidal ideation. When grouped by organ systems, conditions affecting the endocrine, respiratory, and musculoskeletal systems were associated with increased odds of passive suicidal ideation, as was the total number of conditions. Individuals with greater numbers of health conditions exhibited greater levels of disability and depression, which partially explained the increased risk of passive suicidal ideation among those with more health conditions. Discussion: Certain specific health conditions, as well as total number of conditions, are associated with passive suicidal ideation in middle age and older adulthood. Health is a critical risk factor for suicidal ideation in late life and should be further studied in this particularly at-risk population. PMID:27013533

An Assessment of Hydrology, Fluvial Geomorphology, and Stream Ecology in the Cardwell Branch Watershed, Nebraska, 2003-04

Science.gov (United States)

Rus, David L.; Dietsch, Benjamin J.; Woodward, Brenda K.; Fry, Beth E.; Wilson, Richard C.

2007-01-01

An assessment of the 16.3-square-mile Cardwell Branch watershed characterized the hydrology, fluvial geomorphology, and stream ecology in 2003-04. The study - performed by the U.S. Geological Survey in cooperation with the City of Lincoln, Nebraska, and the Lower Platte South Natural Resources District - focused on the 7.7-square-mile drainage downstream from Yankee Hill Reservoir. Hydrologic and hydraulic models were developed using the Hydrologic Modeling System (HEC-HMS) and River Analysis System (HEC-RAS) of the U.S. Army Corps of Engineers Hydraulic Engineering Center. Estimates of streamflow and water-surface elevation were simulated for 24-hour-duration design rainstorms ranging from a 50-percent frequency to a 0.2-percent frequency. An initial HEC-HMS model was developed using the standardized parameter estimation techniques associated with the Soil Conservation Service curve number technique. An adjusted HEC-HMS model also was developed in which parameters were adjusted in order for the model output to better correspond to peak streamflows estimated from regional regression equations. Comparisons of peak streamflow from the two HEC-HMS models indicate that the initial HEC-HMS model may better agree with the regional regression equations for higher frequency storms, and the adjusted HEC-HMS model may perform more closely to regional regression equations for larger, rarer events. However, a lack of observed streamflow data, coupled with conflicting results from regional regression equations and local high-water marks, introduced considerable uncertainty into the model simulations. Using the HEC-RAS model to estimate water-surface elevations associated with the peak streamflow, the adjusted HEC-HMS model produced average increases in water-surface elevation of 0.2, 1.1, and 1.4 feet for the 50-, 1-, and 0.2-percent-frequency rainstorms, respectively, when compared to the initial HEC-HMS model. Cross-sectional surveys and field assessments conducted between

Responsibility for health: personal, social, and environmental.

Science.gov (United States)

Resnik, D B

2007-08-01

Most of the discussion in bioethics and health policy concerning social responsibility for health has focused on society's obligation to provide access to healthcare. While ensuring access to healthcare is an important social responsibility, societies can promote health in many other ways, such as through sanitation, pollution control, food and drug safety, health education, disease surveillance, urban planning and occupational health. Greater attention should be paid to strategies for health promotion other than access to healthcare, such as environmental and public health and health research.

Food Insecurity and Health Care Expenditures in the United States, 2011-2013.

Science.gov (United States)

Berkowitz, Seth A; Basu, Sanjay; Meigs, James B; Seligman, Hilary K

2018-06-01

To determine whether food insecurity, limited or uncertain food access owing to cost, is associated with greater health care expenditures. Nationally representative sample of the civilian noninstitutionalized population of the United States (2011 National Health Interview Survey [NHIS] linked to 2012-2013 Medication Expenditure Panel Survey [MEPS]). Longitudinal retrospective cohort. A total of 16,663 individuals underwent assessment of food insecurity, using the 10-item adult 30-day food security module, in the 2011 NHIS. Their total health care expenditures in 2012 and 2013 were recorded in MEPS. Expenditure data were analyzed using zero-inflated negative binomial regression and adjusted for age, gender, race/ethnicity, education, income, insurance, and residence area. Fourteen percent of individuals reported food insecurity, representing 41,616,255 Americans. Mean annualized total expenditures were $4,113 (standard error $115); 9.2 percent of all individuals had no health care expenditures. In multivariable analyses, those with food insecurity had significantly greater estimated mean annualized health care expenditures ($6,072 vs. $4,208, p insecurity was associated with greater subsequent health care expenditures. Future studies should determine whether food insecurity interventions can improve health and reduce health care costs. © Health Research and Educational Trust.

Mental Health Disorder Therapeutic Modalities Modified for the GMS.

Science.gov (United States)

Sumneangsanor, Tipsuda; Vuthiarpa, Sararud; Somprasert, Chomchueun

2017-12-01

Mental health disorders can affect physical and psychological behaviors. The people of the Greater Mekong Subregion (GMS) have a high risk of mental health disorders, such as depression, stress, and substance abuse be-cause the people in this region are trafficked for forced sex work and various forms of forced labor. In these situations, vic-tims often endure violence and abuse from trafficking recruiters, employers, and other individuals. The purposes of this study were to identify the elements characterizing mental health disorders, especially in terms of depression, stress, and sub-stance abuse, and to identify the treatment modalities for mental health disorders in the GMS. The researcher undertook a comparative analysis of the literature, reviews of epidemiological studies and mental disorder therapies, and overviews of previous research studies, were used to generate a synthesis of the existing knowledge of the mental disorder therapeutic modalities. Regarding the search methods, the data from the electronic databases PubMed, PsycINFO, Dynamed and ScienceDirect were supplemented with a manual reference search covering relevant studies from 2005 to 2016. Thirty-one papers were included in the review of elements characterizing mental health disorders, especially in terms of depression, stress, and substance abuse, and to identify the treatment modalities for mental health disorders in the GMS. Nine papers defined characterizing mental health disorders, in terms of depression, stress, and substance abuse. Twenty-two papers showed the treatment modalities for mental health disorders that the treatment was effective, these in-cluded pharmacological treatments and psychological treatments, such as mindfulness-based cognitive therapy, biofeedback, and music therapy. Useful guidance can be provided for the prevention and treatment of mental health disorders, and for the care of people in the Greater Mekong Subregion. The finding of this review confirms the

The Role of Grit in College Student Health Care Management Skills and Health-Related Quality of Life.

Science.gov (United States)

Sharkey, Christina M; Bakula, Dana M; Gamwell, Kaitlyn L; Mullins, Alexandria J; Chaney, John M; Mullins, Larry L

2017-10-01

To examine the relationship of grit, an intrapersonal characteristic defined by perseverance and passion for long-term goals, to health care management skills and adolescent and young adult (AYA) health-related quality of life (HRQoL). Higher levels of grit were expected to relate to greater health care management skills and HRQoL, and skills were predicted to mediate the relationship between grit and HRQoL. Four hundred seventy undergraduates (Mdnage=19, interquartile range = 2) completed online questionnaires, including the short Grit Scale, Transition Readiness Assessment Questionnaire, and 36-Item Short Form Survey (SF-36) (HRQoL). Higher grit related to greater health care management skills (R2=0.15 p.05). This preliminary investigation illustrates the role of grit in AYA health, suggesting that it may be a target for interventions aimed at improving skills and HRQoL outcomes. © The Author 2017. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Health-damaging policing practices among persons who inject drugs in Mexico: Are deported migrants at greater risk?

Science.gov (United States)

Pinedo, Miguel; Beletsky, Leo; Alamillo, Nathan; Ojeda, Victoria D

2017-08-01

Evidence-based public health and criminal justice policies aimed at addressing the structurally vulnerable population of persons who inject drugs (PWID) and who are involved in the immigrant enforcement and deportation system are lacking. Policing practices are critical structural determinants of HIV among PWID. PWID in Mexico who have been deported from the US are at elevated risk of HIV. From 2011 to 2013, 733 PWID were recruited to complete structured questionnaires, including past 6-month experiences with police. Eligible PWID were 18 years or older, had injected in the past month, and resided in Tijuana, Mexico with no intentions of moving. To determine if deportation status was associated with experiences of arrests and problematic policing practices, we conducted separate multivariate logistic regression models for independent policing variables. In multivariate analyses, deportation status was independently associated with higher odds of being arrested (Adjusted Odds Ratio (AOR): 1.45; 95% Confidence Interval (CI): 1.02-2.05), being asked for a bribe (AOR: 1.39; 95% CI: 1.05-2.04), and being forced to leave a place of residence (AOR: 2.00; 95% CI: 1.08-3.70) in the past 6 months. Results highlight a previously poorly understood elements of the US-deportation experience: migrants' experiences with law enforcement post-deportation and the role of deportation policies and practices as structural drivers of public health risk in destination countries. We provide policy recommendations for Mexico and the US based on our findings, which have potential application in other countries seeking to improve enforcement and related policing practices from a public health perspective. Copyright © 2017. Published by Elsevier B.V.

Advances in dental public health.

Science.gov (United States)

Holt, R D

2001-07-01

Dental public health has been defined as 'the science and art of preventing oral diseases, promoting oral health and improving the quality of life through the organised efforts of society'. Dental practitioners most often have the oral health of individual patients as their primary focus but the aim of public health is to benefit populations. Early developments in dental public health were concerned largely with demonstrating levels of disease and with treatment services. With greater appreciation of the nature of oral health and disease, and of their determinants has come recognition of the need for wider public health action if the effects of prevention and oral health promotion are to be maximized.

The flipped classroom: practices and opportunities for health sciences librarians.

Science.gov (United States)

Youngkin, C Andrew

2014-01-01

The "flipped classroom" instructional model is being introduced into medical and health sciences curricula to provide greater efficiency in curriculum delivery and produce greater opportunity for in-depth class discussion and problem solving among participants. As educators employ the flipped classroom to invert curriculum delivery and enhance learning, health sciences librarians are also starting to explore the flipped classroom model for library instruction. This article discusses how academic and health sciences librarians are using the flipped classroom and suggests opportunities for this model to be further explored for library services.

Socioeconomic inequality in domains of health: results from the World Health Surveys

Directory of Open Access Journals (Sweden)

Hosseinpoor Ahmad

2012-03-01

Full Text Available Abstract Background In all countries people of lower socioeconomic status evaluate their health more poorly. Yet in reporting overall health, individuals consider multiple domains that comprise their perceived health state. Considered alone, overall measures of self-reported health mask differences in the domains of health. The aim of this study is to compare and assess socioeconomic inequalities in each of the individual health domains and in a separate measure of overall health. Methods Data on 247,037 adults aged 18 or older were analyzed from 57 countries, drawn from all national income groups, participating in the World Health Survey 2002-2004. The analysis was repeated for lower- and higher-income countries. Prevalence estimates of poor self-rated health (SRH were calculated for each domain and for overall health according to wealth quintiles and education levels. Relative socioeconomic inequalities in SRH were measured for each of the eight health domains and for overall health, according to wealth quintiles and education levels, using the relative index of inequality (RII. A RII value greater than one indicated greater prevalence of self-reported poor health among populations of lower socioeconomic status, called pro-rich inequality. Results There was a descending gradient in the prevalence of poor health, moving from the poorest wealth quintile to the richest, and moving from the lowest to the highest educated groups. Inequalities which favor groups who are advantaged either with respect to wealth or education, were consistently statistically significant in each of the individual domains of health, and in health overall. However the size of these inequalities differed between health domains. The prevalence of reporting poor health was higher in the lower-income country group. Relative socioeconomic inequalities in the health domains and overall health were higher in the higher-income country group than the lower-income country group

Ecological Risk Assessment of Metal Pollution along Greater Cairo Sector of the River Nile, Egypt, Using Nile Tilapia, Oreochromis niloticus, as Bioindicator

Directory of Open Access Journals (Sweden)

Wael A. Omar

2015-01-01

Full Text Available The present work aims to evaluate seasonal metal pollution along Greater Cairo sector of the River Nile, Egypt, using wild Nile tilapia, Oreochromis niloticus, as bioindicator and to conduct a risk assessment for human consumers. Greater Cairo is the largest populated area along the whole course of River Nile with a wide range of anthropogenic activities. Effects of metal pollution on fish body indices were studied using condition factor (CF and scaled mass index (SMI. Metal pollution index (MPI showed that the total metal load in fish organs followed the follwoing order: kidney > liver > gill > muscle which gives a better idea about the target organs for metal accumulation. Metal concentrations in fish muscle (edible tissue showed the following arrangement: Fe > Zn > Cu > Mn > Pb > Cd. Metal’s bioaccumulation factor (BAF in fish muscle showed the following arrangement: Zn > Cu > Fe > Mn > Cd and Pb. The hazard index (HI as an indicator of human health risks associated with fish consumption showed that adverse health effects are not expected to occur in most cases. However, the metals’ cumulative risk effects gave an alarming sign specifically at high fish consumption rates.

Factors increasing vulnerability to health effects before, during and after floods.

Science.gov (United States)

Lowe, Dianne; Ebi, Kristie L; Forsberg, Bertil

2013-12-11

Identifying the risk factors for morbidity and mortality effects pre-, during and post-flood may aid the appropriate targeting of flood-related adverse health prevention strategies. We conducted a systematic PubMed search to identify studies examining risk factors for health effects of precipitation-related floods, among Organisation for Economic Co-Operation and Development (OECD) member countries. Research identifying flood-related morbidity and mortality risk factors is limited and primarily examines demographic characteristics such as age and gender. During floods, females, elderly and children appear to be at greater risk of psychological and physical health effects, while males between 10 to 29 years may be at greater risk of mortality. Post-flood, those over 65 years and males are at increased risk of physical health effects, while females appear at greater risk of psychological health effects. Other risk factors include previous flood experiences, greater flood depth or flood trauma, existing illnesses, medication interruption, and low education or socio-economic status. Tailoring messages to high-risk groups may increase their effectiveness. Target populations differ for morbidity and mortality effects, and differ pre-, during, and post-flood. Additional research is required to identify the risk factors associated with pre- and post-flood mortality and post-flood morbidity, preferably using prospective cohort studies.

Helicopter electromagnetic and magnetic geophysical survey data, portions of the North Platte and South Platte Natural Resources Districts, western Nebraska, May 2009

Science.gov (United States)

Smith, B.D.; Abraham, J.D.; Cannia, J.C.; Minsley, B.J.; Deszcz-Pan, M.; Ball, L.B.

2010-01-01

This report is a release of digital data from a helicopter electromagnetic and magnetic survey that was conducted during June 2009 in areas of western Nebraska as part of a joint hydrologic study by the North Platte Natural Resource District (NRD), South Platte NRD, and U.S. Geological Survey (USGS). Flight lines for the survey totaled 937 line kilometers (582 line miles). The objective of the contracted survey, conducted by Fugro Airborne, Ltd., is to improve the understanding of the relation between surface-water and groundwater systems critical to developing groundwater models used in management programs for water resources. A unique aspect of the survey is the flight line layout. One set of flight lines was flown in a zig-zag pattern extending along the length of the previously collected airborne data. The success of this survey design depended on a well-understood regional hydrogeologic framework and model developed by the Cooperative Hydrologic Study of the Platte River Basin and the airborne geophysical data collected in 2008. Resistivity variations along lines could be related to this framework. In addition to these lines, more traditional surveys consisting of parallel flight lines, separated by about 400 meters were carried out for three blocks in the North Platte NRD, the South Platte NRD and in the area of Crescent Lakes. These surveys helped to establish the spatial variations of the resistivity of hydrostratigraphic units. An additional survey was flown over the Crescent Lake area. The objective of this survey, funded by the USGS Office of Groundwater, was to map shallow hydrogeologic features of the southwestern part of the Sand Hills that contain a mix of fresh to saline lakes.

The growing impact of globalization for health and public health practice.

Science.gov (United States)

Labonté, Ronald; Mohindra, Katia; Schrecker, Ted

2011-01-01

In recent decades, public health policy and practice have been increasingly challenged by globalization, even as global financing for health has increased dramatically. This article discusses globalization and its health challenges from a vantage of political science, emphasizing increased global flows (of pathogens, information, trade, finance, and people) as driving, and driven by, global market integration. This integration requires a shift in public health thinking from a singular focus on international health (the higher disease burden in poor countries) to a more nuanced analysis of global health (in which health risks in both poor and rich countries are seen as having inherently global causes and consequences). Several globalization-related pathways to health exist, two key ones of which are described: globalized diseases and economic vulnerabilities. The article concludes with a call for national governments, especially those of wealthier nations, to take greater account of global health and its social determinants in all their foreign policies.

Source Similarity and Social Media Health Messages: Extending Construal Level Theory to Message Sources.

Science.gov (United States)

Young, Rachel

2015-09-01

Social media users post messages about health goals and behaviors to online social networks. Compared with more traditional sources of health communication such as physicians or health journalists, peer sources are likely to be perceived as more socially close or similar, which influences how messages are processed. This experimental study uses construal level theory of psychological distance to predict how mediated health messages from peers influence health-related cognition and behavioral intention. Participants were exposed to source cues that identified peer sources as being either highly attitudinally and demographically similar to or different from participants. As predicted by construal level theory, participants who perceived sources of social media health messages as highly similar listed a greater proportion of beliefs about the feasibility of health behaviors and a greater proportion of negative beliefs, while participants who perceived sources as more dissimilar listed a greater proportion of positive beliefs about the health behaviors. Results of the study could be useful in determining how health messages from peers could encourage individuals to set realistic health goals.

Assessing Health Workers Knowledge on the Determinants of ...

African Journals Online (AJOL)

The participants were interviewed with a structured questionnaire used to elicit the knowledge of health workers on health determinants. Results: When individual factors were considered, a greater percentage of health workers, believed that safe drinking water (98.9%), where a person lives (96.6%) and a balanced diet, ...

Simulations of Ground-Water Flow, Transport, Age, and Particle Tracking near York, Nebraska, for a Study of Transport of Anthropogenic and Natural Contaminants (TANC) to Public-Supply Wells

Science.gov (United States)

Clark, Brian R.; Landon, Matthew K.; Kauffman, Leon J.; Hornberger, George Z.

2008-01-01

Contamination of public-supply wells has resulted in public-health threats and negative economic effects for communities that must treat contaminated water or find alternative water supplies. To investigate factors controlling vulnerability of public-supply wells to anthropogenic and natural contaminants using consistent and systematic data collected in a variety of principal aquifer settings in the United States, a study of Transport of Anthropogenic and Natural Contaminants to public-supply wells was begun in 2001 as part of the U.S. Geological Survey National Water-Quality Assessment Program. The area simulated by the ground-water flow model described in this report was selected for a study of processes influencing contaminant distribution and transport along the direction of ground-water flow towards a public-supply well in southeastern York, Nebraska. Ground-water flow is simulated for a 60-year period from September 1, 1944, to August 31, 2004. Steady-state conditions are simulated prior to September 1, 1944, and represent conditions prior to use of ground water for irrigation. Irrigation, municipal, and industrial wells were simulated using the Multi-Node Well package of the modular three-dimensional ground-water flow model code, MODFLOW-2000, which allows simulation of flow and solutes through wells that are simulated in multiple nodes or layers. Ground-water flow, age, and transport of selected tracers were simulated using the Ground-Water Transport process of MODFLOW-2000. Simulated ground-water age was compared to interpreted ground-water age in six monitoring wells in the unconfined aquifer. The tracer chlorofluorocarbon-11 was simulated directly using Ground-Water Transport for comparison with concentrations measured in six monitoring wells and one public supply well screened in the upper confined aquifer. Three alternative model simulations indicate that simulation results are highly sensitive to the distribution of multilayer well bores where leakage

Greater Vancouver regional district air quality management plan : implementation status report

International Nuclear Information System (INIS)

2001-03-01

In December 1994, an Air Quality Management Plan (AQMP) was adopted by the Greater Vancouver Regional District. The AQMP included ways to improve air quality in the region, leading to reduced emissions from commercial and industrial operations. This Plan encourages cooperation with the various communities affected to achieve clean air lifestyles and manage emissions from human activity to enhance human health and the integrity of the environment. The reduction of total emissions of the common air contaminants sulphur and nitrogen oxides, particulate matter, carbon monoxide and volatile organic compounds by 38 per cent is the stated aim of the AQMP. Five years of planning resulted in the formulation of the AQMP. The issues addressed were assigned one of four priorities as follows: priority 1 deals with ground level ozone and fine particulate, priority 2 looks at visibility, hazardous air pollutants, and global climate change, priority 3 concerns odour, carbon monoxide, sulphur dioxide, acidic deposition, and nitrogen dioxide, and priority 4 contains total suspended particulate matter and volatile organic compounds. A total of 54 Emission Reduction Measures were established, and the document reviewed them. Progress is being made in all areas. 2 tabs., 3 figs

A spatio-temporal model for estimating the long-term effects of air pollution on respiratory hospital admissions in Greater London.

Science.gov (United States)

Rushworth, Alastair; Lee, Duncan; Mitchell, Richard

2014-07-01

It has long been known that air pollution is harmful to human health, as many epidemiological studies have been conducted into its effects. Collectively, these studies have investigated both the acute and chronic effects of pollution, with the latter typically based on individual level cohort designs that can be expensive to implement. As a result of the increasing availability of small-area statistics, ecological spatio-temporal study designs are also being used, with which a key statistical problem is allowing for residual spatio-temporal autocorrelation that remains after the covariate effects have been removed. We present a new model for estimating the effects of air pollution on human health, which allows for residual spatio-temporal autocorrelation, and a study into the long-term effects of air pollution on human health in Greater London, England. The individual and joint effects of different pollutants are explored, via the use of single pollutant models and multiple pollutant indices. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

A Review of the Relationships among the Key Determinants Affecting the Mental Health Disorders of the People in Greater Mekong Subregion Countries.

Science.gov (United States)

Nget, Manndy; Muijeen, Kasorn

2017-12-01

ASEAN integration aims to transform the GMS into a single market with free flows of products, services, and skilled labor, as well as investment openness, which will ultimately force regional economic growth. Therefore, this integration is likely to bring about a big change to this area in the new era; it can subsequently cause many problems as well, including mental health issues of the people in this region. The characteristic differences among the GMS member countries in terms of trade and investment, so-cial and cultural values, medical information and technology, and the living and working environment have become major problems affecting mental health disorders, which are usually identified as depression, stress, and substance abuse. This review paper is a literature review of the relationship of the determinants affecting GMS mental disorders conducted using the following strategies: 1) collecting data from previous qualitative and quantitative research studies, com-paratively analyzing the literature, articles, published papers, and reports relevant to the existing policies on economic, environmental, and healthcare issues obtained from the GMS; and 2) exchanging information from the institutions involved, including reports and papers regarding the determinants affecting mental health disorders of the people in the GMS, which were used to generate the synthesis of the existing knowledge of the mental health and to provide recommenda-tion programs for the GMS people. Based on the reviewed literature there are four key factors affecting mental health, especially mental health in GMS populations: 1) the living and work environments; 2) trade and investment; 3) technology and medical information; and 4) social and cultural values. The study found that the increasing number of mental health dis-orders is a big burden for national healthcare spending. Financial issues have become a major key to the wide prevalence of mental disorders in the GMS. Health issues

Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.

Science.gov (United States)

Long, Suzanne S; Surrey, David E; Nazarian, Levon N

2013-11-01

Greater trochanteric pain syndrome is a common condition with clinical features of pain and tenderness at the lateral aspect of the hip. Diagnosing the origin of greater trochanteric pain is important because the treatment varies depending on the cause. We hypothesized that sonographic evaluation of sources for greater trochanteric pain syndrome would show that bursitis was not the most commonly encountered abnormality. We performed a retrospective review of musculoskeletal sonographic examinations performed at our institution over a 6-year period for greater trochanteric pain syndrome; completed a tabulation of the sonographic findings; and assessed the prevalence of trochanteric bursitis, gluteal tendon abnormalities, iliotibial band abnormalities, or a combination of findings. Prevalence of abnormal findings, associations of bursitis, gluteal tendinosis, gluteal tendon tears, and iliotibial band abnormalities were calculated. The final study population consisted of 877 unique patients: 602 women, 275 men; average age, 54 years; and age range, 15-87 years). Of the 877 patients with greater trochanteric pain, 700 (79.8%) did not have bursitis on ultrasound. A minority of patients (177, 20.2%) had trochanteric bursitis. Of the 877 patients with greater trochanteric pain, 438 (49.9%) had gluteal tendinosis, four (0.5%) had gluteal tendon tears, and 250 (28.5%) had a thickened iliotibial band. The cause of greater trochanteric pain syndrome is usually some combination of pathology involving the gluteus medius and gluteus minimus tendons as well as the iliotibial band. Bursitis is present in only the minority of patients. These findings have implications for treatment of this common condition.

National eHealth strategy toolkit

CERN Document Server

2012-01-01

Worldwide the application of information and communication technologies to support national health-care services is rapidly expanding and increasingly important. This is especially so at a time when all health systems face stringent economic challenges and greater demands to provide more and better care especially to those most in need. The National eHealth Strategy Toolkit is an expert practical guide that provides governments their ministries and stakeholders with a solid foundation and method for the development and implementation of a national eHealth vision action plan and monitoring fram

Natural disaster and mental health in Asia.

Science.gov (United States)

Kokai, Masahiro; Fujii, Senta; Shinfuku, Naotaka; Edwards, Glen

2004-04-01

The purpose of the present article was to review the literature on disaster mental health in relation to natural disasters such as earthquakes, volcanic eruptions, typhoons and cyclones throughout Asia. Articles reviewed show that disaster psychiatry in Asia is beginning to emerge from and leave behind the stigma attached to mental health. The emergence of the acceptance of disaster mental health throughout Asia can be attributed in part to the acceptance of the notion of post-traumatic stress disorder (PTSD). This has allowed greater involvement of mental health professionals in providing ongoing support to survivors of natural disasters as well as providing greater opportunities for further research. Also, articles reviewed in the present paper commonly suggested the need for using standardized diagnostic tools for PTSD to appropriately interpret the discrepancy of results among studies. The importance of post-disaster support services and cultural differences is highlighted.

Greater saphenous vein anomaly and aneurysm with subsequent pulmonary embolism

OpenAIRE

Ma, Truong; Kornbau, Craig

2017-01-01

Abstract Venous aneurysms often present as painful masses. They can present either in the deep or superficial venous system. Deep venous system aneurysms have a greater risk of thromboembolism. Though rare, there have been case reports of superficial aneurysms and thrombus causing significant morbidity such as pulmonary embolism. We present a case of an anomalous greater saphenous vein connection with an aneurysm and thrombus resulting in a pulmonary embolism. This is the only reported case o...

Ecology of greater sage-grouse in the Dakotas

Science.gov (United States)

Christopher C. Swanson

2009-01-01

Greater sage-grouse (Centrocercus urophasianus) populations and the sagebrush (Artemisia spp.) communities that they rely on have dramatically declined from historic levels. Moreover, information regarding sage-grouse annual life-history requirements at the eastern-most extension of sagebrush steppe communities is lacking....

Planning for greater confinement disposal

International Nuclear Information System (INIS)

Gilbert, T.L.; Luner, C.; Meshkov, N.K.; Trevorrow, L.E.; Yu, C.

1985-01-01

A report that provides guidance for planning for greater-confinement disposal (GCD) of low-level radioactive waste is being prepared. The report addresses procedures for selecting a GCD technology and provides information for implementing these procedures. The focus is on GCD; planning aspects common to GCD and shallow-land burial are covered by reference. Planning procedure topics covered include regulatory requirements, waste characterization, benefit-cost-risk assessment and pathway analysis methodologies, determination of need, waste-acceptance criteria, performance objectives, and comparative assessment of attributes that support these objectives. The major technologies covered include augered shafts, deep trenches, engineered structures, hydrofracture, improved waste forms, and high-integrity containers. Descriptive information is provided, and attributes that are relevant for risk assessment and operational requirements are given. 10 refs., 3 figs., 2 tabs

Nesting success and resource selection of Greater Sage-Grouse [chapter 8

Science.gov (United States)

Nicholas W. Kaczor; Kent C. Jensen; Robert W. Klaver; Mark A. Rumble; Katie M. Herman-Brunson; Christopher C. Swanson

2011-01-01

Declines of Greater Sage-Grouse (Centrocercus urophasianus) in South Dakota are a concern because further population declines may lead to isolation from populations in Wyoming and Montana. Furthermore, little information exists about reproductive ecology and resource selection of sage grouse on the eastern edge of their distribution. We investigated Greater Sage-Grouse...

Resource selection during brood-rearing by Greater Sage-Grouse [chapter 12

Science.gov (United States)

Nicholas W. Kaczor; Katie M. Herman-Brunson; Kent C. Jensen; Mark A. Rumble; Robert W. Klaver; Christopher C. Swanson

2011-01-01

Understanding population dynamics and resource selection is crucial in developing wildlife resource management plans for sensitive species such as Greater Sage-Grouse (Centrocercus urophasianus). Little is known about sage grouse habitats on the eastern edge of their range. We investigated resource selection of Greater Sage-Grouse during brood- rearing in North and...

Development of Enriched Core Competencies for Health Services and Policy Research: Training for Stronger Career Readiness and Greater Impact.

Science.gov (United States)

Bornstein, Stephen; Heritage, Melissa; Chudak, Amanda; Tamblyn, Robyn; McMahon, Meghan; Brown, Adalsteinn

2018-03-11

To develop an enriched set of core competencies for health services and policy research (HSPR) doctoral training that will help graduates maximize their impact across a range of academic and nonacademic work environments and roles. Data were obtained from multiple sources, including literature reviews, key informant interviews, stakeholder consultations, and Expert Working Group (EWG) meetings between January 2015 and March 2016. The study setting is Canada. The study used qualitative methods and an iterative development process with significant stakeholder engagement throughout. The literature reviews, key informant interviews, existing data on graduate career trajectories, and EWG deliberations informed the identification of career profiles for HSPR graduates and the competencies required to succeed in these roles. Stakeholder consultations were held to vet, refine, and validate the competencies. The EWG reached consensus on six sectors and eight primary roles in which HSPR doctoral graduates can bring value to employers and the health system. Additionally, 10 core competencies were identified that should be included or further emphasized in the training of HSPR doctoral students to increase their preparedness and potential for impact in a variety of roles within and outside of traditional academic workplaces. The results offer an expanded view of potential career paths for HSPR doctoral graduates and provide recommendations for an expanded set of core competencies that will better equip graduates to maximize their impact on the health system. © Health Research and Educational Trust.

The economic implications of greater global trade in livestock and livestock products.

Science.gov (United States)

Leslie, J; Upton, M

1999-08-01

The Uruguay Round of the General Agreement on Tariffs and Trade (GATT) established the World Trade Organization to supervise the reduction of barriers to, and liberalisation of, world trade. The application of sanitary and phytosanitary measures will be standardised to avoid use for protectionist purposes by countries or regional trade blocks. Harmonisation of animal disease control measures within regional blocks is essential if benefits to freer trade are to occur, but this harmonisation must be balanced against potential disease risks and costs associated with disease outbreaks. World trade in livestock products is concentrated among developed countries, although developing countries are responsible for approximately a third of poultry meat imports and exports. Despite liberalisation, the share of global trade by developing countries is unlikely to increase greatly in the short term. The benefits of trade and of freer trade are emphasised. Examples are given of the impacts of trade barriers on developing countries and of the harmonisation of European Union animal health standards. Economic implications for the future of greater global trade are assessed.

A nationally representative study of emotional competence and health.

Science.gov (United States)

Mikolajczak, Moïra; Avalosse, Hervé; Vancorenland, Sigrid; Verniest, Rebekka; Callens, Michael; van Broeck, Nady; Fantini-Hauwel, Carole; Mierop, Adrien

2015-10-01

Emotional competence (EC; also called "emotional intelligence"), which refers to individual differences in the identification, understanding, expression, regulation, and use of one's emotions and those of others, has been found to be an important predictor of individuals' adaptation to their environment. Higher EC is associated with greater happiness, better mental health, more satisfying social and marital relationships, and greater occupational success. Whereas a considerable amount of research has documented the significance of EC, 1 domain has been crucially under investigated: the relationship between EC and physical health. We examined the relationship between EC and objective health indicators in 2 studies (N1 = 1,310; N2 = 9,616) conducted in collaboration with the largest Mutual Benefit Society in Belgium. These studies allowed us (a) to compare the predictive power of EC with other well-known predictors of health such as age, sex, Body Mass Index, education level, health behaviors (diet, physical activity, smoking and drinking habits), positive and negative affect, and social support; (b) to clarify the relative weight of the various EC dimensions in predicting health; and (c) to determine to what extent EC moderates the effect of already known predictors on health. Results show that EC is a significant predictor of health that has incremental predictive power over and above other predictors. Findings also show that high EC significantly attenuates (and sometimes compensates for) the impact of other risk factors. Therefore, we argue that EC deserves greater interest and attention from health professionals and governments. (c) 2015 APA, all rights reserved).

Perceptions and practices regarding herbal medicine prescriptions among physicians in Greater Beirut.

Science.gov (United States)

Ala Aeddine, Nada; Khayat, Mohamed; Alawieh, Hanaa; Adibilly, Siham; Adib, Salim

2014-01-01

This survey aimed at assessing the perceptions of physicians regarding the appropriateness of prescribing herbal medicines (HM), their prescribing patterns and their knowledge regarding the interaction between HM and conventional drugs. No data are currently available in Lebanon concerning the frequency of HM prescription and indications. HM poorly prescribed can affect the overall quality of health among patients taking conventional drugs. This descriptive survey study was conducted in the Greater Beirut area in Lebanon during May-June 2009. All Primary Health Care (PHC) physicians in private community-based solo practice were identified from the Lebanese Order of Physicians listing, contacted and invited to participate. Those who agreed had to complete a pre-piloted face-to-face questionnaire. Of two hundred twelve participating physicians, 45% routinely prescribed HM to their patients. Between 64 to 67% prescribers believed that HM have more benefits, faster results and fewer side effects than conventional drugs. In addition, 58% thought that HM were less expensive, and 76% that they were easier to take than conventional drugs. More importantly, in a series of eight questions concerning the physicians' knowledge about the possible mechanism of drug-herb interactions, the general tendency was towards poor knowledge. A good percentage of PHC physicians who routinely prescribe HM do not know their mechanism of action or their possible interactions with the conventional drugs. Knowledge about mechanism of drug-herb interactions should be an integral part of the medical curriculum. The knowledge about HM should be an integral part of the medical curriculum as they are frequently prescribed by PHC physicians.

Provision of oral health care services in Tanzania: implementation ...

African Journals Online (AJOL)

Oral health is integral to general health. Those with ill health are at greater risk of oral diseases that, in turn further complicate their overall health. The experience of pain, endurance of dental abscesses, problems with eating and chewing, embarrassment about the shape or missing of teeth, discoloured or damaged teeth ...

Perceived stimulus complexity and food preference development

NARCIS (Netherlands)

Levy, C.M.; MacRae, A.; Köster, E.P.

2006-01-01

The importance of perceived complexity, a 'collative property' as defined by [Berlyne, D. E. (1967). Arousal and reinforcement. In Nebraska symposium on motivation (pp. 1-110). University of Nebraska Press], to the dynamic development of preference was investigated. Eighty-six female and 82 male

Current stress and poor oral health.

Science.gov (United States)

Vasiliou, A; Shankardass, K; Nisenbaum, R; Quiñonez, C

2016-09-02

Psychological stress appears to contribute to poor oral health systemically in combination with other chronic diseases. Few studies directly examine this relationship. Data from a cross-sectional study of 2,412 participants between the ages of 25-64 years old living in the City of Toronto between 2009 and 2012 were used to examine the relationship between current stress and two self-rated oral health outcomes (general oral health and oral pain). Dental care utilization and access to dental insurance were examined as effect modifiers. A positive relationship between current stress and poor oral health was observed for both outcomes (oral pain coefficient 0.32, 95 % CI 0.26-0.38; general oral health coefficient 0.28, 95 % CI 0.19-0.36). Effects on oral pain were stronger for the uninsured, while effects on general oral health were stronger with decreasing socioeconomic position. Our findings suggest that individuals with greater perceived stress also report poorer oral health, and that this relationship is modified by dental insurance and socioeconomic position. These findings warrant a greater focus on the role of psychological stress in the development of oral disease, including how perceived stress contributes to health inequities in self-reported oral health status. Patients experiencing stressful lives may differentially require closer monitoring and more vigilant maintenance of their oral health, above and beyond that which is needed to achieve a state of health in the oral environment of less stressed individuals. There may be health promoting effects of addressing psychosocial concerns related to dental care - particularly for the poor and uninsured.

On carrots and curiosity: eating fruit and vegetables is associated with greater flourishing in daily life.

Science.gov (United States)

Conner, Tamlin S; Brookie, Kate L; Richardson, Aimee C; Polak, Maria A

2015-05-01

that FV consumption may be related to a broader range of well-being states that signal human flourishing in early adulthood. Statement of contribution What is already known on this subject? There is growing evidence that a diet rich in fruits and vegetables (FV) is related to greater happiness, life satisfaction, and positive affect. These associations are not entirely explained by demographic or health variables including socio-economic status, exercise, smoking, and body mass index (BMI). Recent experimental and daily diary research suggests that FV consumption may be a causal factor in promoting states of positive well-being. Research has examined the links between FV consumption and hedonic well-being - whether people feel good (vs. bad) and satisfied-but has not addressed links between FV consumption and eudaemonic well-being- whether people feel engaged and experience their lives as meaningful and purposeful. What does this study add? It provides the first evidence that eating FV is related to greater eudaemonic well-being in a naturalistic setting. Eating FV was also related to greater self-reported curiosity and creativity. FV consumption may underlie a broad range of experiences that signal flourishing. Future randomised controlled trials of FV should include measures of eudaemonic well-being as outcome variables. © 2014 The British Psychological Society.

Scaling cost-sharing to wages: how employers can reduce health spending and provide greater economic security.

Science.gov (United States)

Robertson, Christopher T

2014-01-01

In the employer-sponsored insurance market that covers most Americans; many workers are "underinsured." The evidence shows onerous out-of-pocket payments causing them to forgo needed care, miss work, and fall into bankruptcies and foreclosures. Nonetheless, many higher-paid workers are "overinsured": the evidence shows that in this domain, surplus insurance stimulates spending and price inflation without improving health. Employers can solve these problems together by scaling cost-sharing to wages. This reform would make insurance better protect against risk and guarantee access to care, while maintaining or even reducing insurance premiums. Yet, there are legal obstacles to scaled cost-sharing. The group-based nature of employer health insurance, reinforced by federal law, makes it difficult for scaling to be achieved through individual choices. The Affordable Care Act's (ACA) "essential coverage" mandate also caps cost-sharing even for wealthy workers that need no such cap. Additionally, there is a tax distortion in favor of highly paid workers purchasing healthcare through insurance rather than out-of-pocket. These problems are all surmountable. In particular, the ACA has expanded the applicability of an unenforced employee-benefits rule that prohibits "discrimination" in favor of highly compensated workers. A novel analysis shows that this statute gives the Internal Revenue Service the authority to require scaling and to thereby eliminate the current inequities and inefficiencies caused by the tax distortion. The promise is smarter insurance for over 150 million Americans.

The labor impacts of policy change in health care: how federal policy transformed home health organizations and their labor practices.

Science.gov (United States)

Szasz, A

1990-01-01

Health care organizations are highly labor-intensive; policies designed to stimulate organizational change are likely to have labor impacts. This paper examines the labor effects of policy change in home health care. Major federal home care policy trends since 1980 have spurred the evolution of the typical home care provider toward greater organizational and market rationality. Greater managerial sophistication has introduced changes in management/labor relations. Survey data from the 1986 DRG Impact Study are used to show how the pressure of cost-containment policies has pushed agencies to cut labor costs by increasing workloads, managerial supervision, and control of the work process. Research on the effects of recent policy change in health care has to date focused primarily on potential client effects. Labor impacts are rarely examined and are poorly understood at the time that policy is made. Findings in this article suggest that these issues deserve greater, more systematic attention, because unanticipated labor impacts may prove to be significant impediments to the realization of intended policy goals.

An examination of electronic health information privacy in older adults.

Science.gov (United States)

Le, Thai; Thompson, Hilaire; Demiris, George

2013-01-01

Older adults are the quickest growing demographic group and are key consumers of health services. As the United States health system transitions to electronic health records, it is important to understand older adult perceptions of privacy and security. We performed a secondary analysis of the Health Information National Trends Survey (2012, Cycle 1), to examine differences in perceptions of electronic health information privacy between older adults and the general population. We found differences in the level of importance placed on access to electronic health information (older adults placed greater emphasis on provider as opposed to personal access) and tendency to withhold information out of concerns for privacy and security (older adults were less likely to withhold information). We provide recommendations to alleviate some of these privacy concerns. This may facilitate greater use of electronic health communication between patient and provider, while promoting shared decision making.

Exploring the Influence of Social Determinants, Social Capital, and Health Expertise on Health and the Rural Church.

Science.gov (United States)

Plunkett, Robyn; Leipert, Beverly; Olson, Joanne

2016-09-01

In rural communities, religious places can significantly shape health for individuals, families, and communities. Rural churches are prominent community centers in rural communities and are deeply woven into rural culture. Thus, health influences arising from the rural church likely have health implications for the greater community. This article explores health influences emerging from rural churches using social determinants of health, social capital, and health expertise. Although nurses are important health resources for all populations, their value in rural areas may be exceedingly significant. The contribution of nurses to church-based health capital in rural communities may be quite significant and underestimated, although it remains poorly understood. © The Author(s) 2015.

Patient expectations predict greater pain relief with joint arthroplasty.

Science.gov (United States)

Gandhi, Rajiv; Davey, John Roderick; Mahomed, Nizar

2009-08-01

We examined the relationship between patient expectations of total joint arthroplasty and functional outcomes. We surveyed 1799 patients undergoing primary hip or knee arthroplasty for demographic data and Western Ontario McMaster University Osteoarthritis Index scores at baseline, 3 months, and 1 year of follow-up. Patient expectations were determined with 3 survey questions. The patients with the greatest expectations of surgery were younger, male, and had a lower body mass index. Linear regression modeling showed that a greater expectation of pain relief with surgery independently predicted greater reported pain relief at 1 year of follow-up, adjusted for all relevant covariates (P relief after joint arthroplasty is an important predictor of outcomes at 1 year.

The new global health.

Science.gov (United States)

De Cock, Kevin M; Simone, Patricia M; Davison, Veronica; Slutsker, Laurence

2013-08-01

Global health reflects the realities of globalization, including worldwide dissemination of infectious and noninfectious public health risks. Global health architecture is complex and better coordination is needed between multiple organizations. Three overlapping themes determine global health action and prioritization: development, security, and public health. These themes play out against a background of demographic change, socioeconomic development, and urbanization. Infectious diseases remain critical factors, but are no longer the major cause of global illness and death. Traditional indicators of public health, such as maternal and infant mortality rates no longer describe the health status of whole societies; this change highlights the need for investment in vital registration and disease-specific reporting. Noncommunicable diseases, injuries, and mental health will require greater attention from the world in the future. The new global health requires broader engagement by health organizations and all countries for the objectives of health equity, access, and coverage as priorities beyond the Millennium Development Goals are set.

Headteachers' prior beliefs on child health and their engagement in school based health interventions: a qualitative study.

Science.gov (United States)

Todd, Charlotte; Christian, Danielle; Davies, Helen; Rance, Jaynie; Stratton, Gareth; Rapport, Frances; Brophy, Sinead

2015-04-18

Schools play an important role in promoting the health of children. However, little consideration is often given to the influence that headteachers' and school staff's prior beliefs have on the implementation of public health interventions. This study examined primary school headteachers' and school health co-ordinators' views regarding child health in order to provide greater insights on the school's perspective for those designing future school-based health interventions. A qualitative study was conducted using 19 semi-structured interviews with headteachers, deputy headteachers and school health co-ordinators in the primary school setting. All transcripts were analysed using thematic analysis. Whilst many participants in this study believed good health was vital for learning, wide variance was evident regarding the perceived health of school pupils and the magnitude of responsibility schools should take in addressing child health behaviours. Although staff in this study acknowledged the importance of their role, many believed the responsibility placed upon schools for health promotion was becoming too much; suggesting health interventions need to better integrate school, parental and societal components. With mental health highlighted as an increasing priority in many schools, incorporating wellbeing outcomes into future school based health interventions is advocated to ensure a more holistic understanding of child health is gained. Understanding the health beliefs of school staff when designing interventions is crucial as there appears to be a greater likelihood of interventions being successfully adopted if staff perceive a health issue as important among their pupils. An increased dependability on schools for addressing health was expressed by headteachers in this study, highlighting a need for better understanding of parental, child and key stakeholder perspectives on responsibility for child health. Without this understanding, there is potential for certain

Moderate Baseline Vagal Tone Predicts Greater Prosociality in Children

Science.gov (United States)

Miller, Jonas G.; Kahle, Sarah; Hastings, Paul D.

2016-01-01

Vagal tone is widely believed to be an important physiological aspect of emotion regulation and associated positive behaviors. However, there is inconsistent evidence for relations between children’s baseline vagal tone and their helpful or prosocial responses to others (Hastings & Miller, 2014). Recent work in adults suggests a quadratic association (inverted U-shape curve) between baseline vagal tone and prosociality (Kogan et al., 2014). The present research examined whether this nonlinear association was evident in children. We found consistent evidence for a quadratic relation between vagal tone and prosociality across 3 samples of children using 6 different measures. Compared to low and high vagal tone, moderate vagal tone in early childhood concurrently predicted greater self-reported prosociality (Study 1), observed empathic concern in response to the distress of others and greater generosity toward less fortunate peers (Study 2), and longitudinally predicted greater self-, mother-, and teacher-reported prosociality 5.5 years later in middle childhood (Study 3). Taken together, our findings suggest that moderate vagal tone at rest represents a physiological preparedness or tendency to engage in different forms of prosociality across different contexts. Early moderate vagal tone may reflect an optimal balance of regulation and arousal that helps prepare children to sympathize, comfort, and share with others. PMID:27819463

Defining greater-than-class-C low-level radioactive waste

International Nuclear Information System (INIS)

Knecht, M.A.; Oztunali, O.I.

1986-01-01

The Low-Level Radioactive Waste Policy Amendments Act of 1985 (LLRWPAA) was signed by President Reagan on January 15, 1986. This act requires the federal government to be responsible for the disposal of greater-than-class-C low-level radioactive waste (LLRW) that is generated commercially by state agencies and by federal entities (other than waste generated by atomic weapons research, development, or testing, or by decommissioning of vessels of the nuclear navy). To plan for disposal, the federal government will require estimates of the volume of waste involved and characterization of this waste. A clear definition of greater-than-class-C LLRW is the first step in determining what wastes will be included in the waste to be received by the federal government. This definition will influence major policy decisions to be made for management of such waste. The purpose of this paper is to examine the existing information on greater-than-class-C LLRW in view of the current definition of such waste and potential changes in this definition - for example, an upper limit on the concentrations of radionuclides in LLRW. The paper identifies further information needs to develop a clear definition of such waste for use in federal planning for acceptance of responsibility for disposal of such waste

Job-Sharing at the Greater Victoria Public Library.

Science.gov (United States)

Miller, Don

1978-01-01

Describes the problems associated with the management of part-time library employees and some solutions afforded by a job sharing arrangement in use at the Greater Victoria Public Library. This is a voluntary work arrangement, changing formerly full-time positions into multiple part-time positions. (JVP)

Family income and child health in the UK.

Science.gov (United States)

Apouey, Bénédicte; Geoffard, Pierre-Yves

2013-07-01

Recent studies examining the relationship between family income and child health in the UK have produced mixed findings. We re-examine the income gradient in child general health and its evolution with child age in this country, using a very large sample of British children. We find that there is no correlation between income and child general health at ages 0-1, that the gradient emerges around age 2 and is constant from age 2 to age 17. In addition, we show that the gradient remains large and significant when we reduce the endogeneity of income. Furthermore, our results indicate that the gradient in general health reflects a greater prevalence of chronic conditions among low-income children and a greater severity of these conditions. Taken together, these findings suggest that income does matter for child health in the UK and may play a role in the intergenerational transmission of socioeconomic status. Copyright © 2013 Elsevier B.V. All rights reserved.

Cost-effectiveness and the socialization of health care.

Science.gov (United States)

Musgrove, P

1995-01-01

The more health care is socialized, the more cost-effectiveness is an appropriate criterion for expenditure. Utility-maximizing individuals, facing divisibility of health care purchases and declining marginal health gains, and complete information about probable health improvements, should buy health care according to its cost-effectiveness. Absent these features, individual health spending will not be cost-effective; and in any case, differences in personal utilities and risk aversion will not lead to the same ranking of health care interventions for everyone. Private insurance frees consumers from concern for cost, which undermines cost-effectiveness, but lets them emphasize effectiveness, which favors value for money. This is most important for costly and cost-effective interventions, especially for poor people. Cost-effectiveness is more appropriate and easier to achieve under second-party insurance. More complete socialization of health care, via public finance, can yield greater efficiency by making insurance compulsory. Cost-effectiveness is also more attractive when taxpayers subsidize others' care: needs (effectiveness) take precedence over wants (utility). The gain in effectiveness may be greater, and the welfare loss from Pareto non-optimality smaller, in poor countries than in rich ones.

Architecture of channel-belt deposits in an aggrading shallow sandbed braided river: the lower Niobrara River, northeast Nebraska

Science.gov (United States)

Skelly, Raymond L.; Bristow, Charlie S.; Ethridge, Frank G.

2003-05-01

Architecture of recent channel-belt deposits of the Niobrara River, northeast Nebraska, USA, records the response of a sandy braided river to rapid base-level rise. Up to 3 m of aggradation has occurred within the lower 14 km of the Niobrara River since the mid-1950s as a result of base-level rise at the confluence of the Niobrara and Missouri Rivers. Aerial photographs and channel surveys indicate that the lower Niobrara has evolved from a relatively deep, stable channel with large, bank-attached braid bars to a relatively shallow, aggrading channel with braid bars and smaller secondary channels. Architecture of channel-belt deposits associated with the recent aggradation has been defined using ground-penetrating radar (GPR) and vibracores. The channel-belt deposits exhibit a series of amalgamated channel fills and braid bar complexes (i.e., macroforms). Radar facies identified in the GPR data represent architectural elements of the braid bar complexes, large and small bedforms [two-dimensional (2-D) and three-dimensional (3-D) dunes], and channels. Individual braid bars appear to consist of basal high-flow and upper low-flow components. Preservation of the complete, high-flow bar geometry is generally incomplete due to frequent migration of smaller scale, secondary channels within the channel belt (i.e., braided channel network) at low discharges. The large-scale stratification of the braid bar deposits is dominated by cross-channel and upstream accretion. Elements of downstream accretion are also recognized. These accretion geometries have not been documented previously in similar sandy braided rivers. Braid bar deposits with low-flow modification (e.g., incision by secondary channels) are recognized in the deeper portions of the deposits imaged by GPR. Preservation of braid bars, with both high- and low-flow components, is a result of the rapid base-level rise and channel-bed aggradation experienced by the Niobrara River over the past 45 years. Recent avulsion

Power distribution, the environment, and public health. A state-level analysis

International Nuclear Information System (INIS)

Boyce, James K.; Klemer, Andrew R.; Templet, Paul H.; Willis, Cleve E.

1999-01-01

This paper examines relationships among power distribution, the environment, and public health by means of a cross-sectional analysis of the 50 US states. A measure of inter-state variations in power distribution is derived from data on voter participation, tax fairness, Medicaid access, and educational attainment. We develop and estimate a recursive model linking the distribution of power to environmental policy, environmental stress, and public health. The results support the hypothesis that greater power inequality leads to weaker environmental policies, which in turn lead to greater environmental degradation and to adverse public health outcomes

Power distribution, the environment, and public health. A state-level analysis

Energy Technology Data Exchange (ETDEWEB)

Boyce, James K. [Department of Economics, University of Massachusetts, Amherst, MA 01003 (United States); Klemer, Andrew R. [Department of Biology, University of Minnesota, Duluth, MN (United States); Templet, Paul H. [Institute of Environmental Studies, Louisiana State University, Baton Rouge, LA (United States); Willis, Cleve E. [Department of Resource Economics, University of Massachusetts, Amherst, MA 01003 (United States)

1999-04-15

This paper examines relationships among power distribution, the environment, and public health by means of a cross-sectional analysis of the 50 US states. A measure of inter-state variations in power distribution is derived from data on voter participation, tax fairness, Medicaid access, and educational attainment. We develop and estimate a recursive model linking the distribution of power to environmental policy, environmental stress, and public health. The results support the hypothesis that greater power inequality leads to weaker environmental policies, which in turn lead to greater environmental degradation and to adverse public health outcomes.

Power distribution, the environment, and public health. A state-level analysis

Energy Technology Data Exchange (ETDEWEB)

Boyce, James K. [Department of Economics, University of Massachusetts, Amherst, MA 01003 (United States); Klemer, Andrew R. [Department of Biology, University of Minnesota, Duluth, MN (United States); Templet, Paul H. [Institute of Environmental Studies, Louisiana State University, Baton Rouge, LA (United States); Willis, Cleve E. [Department of Resource Economics, University of Massachusetts, Amherst, MA 01003 (United States)

1999-04-15

This paper examines relationships among power distribution, the environment, and public health by means of a cross-sectional analysis of the 50 US states. A measure of inter-state variations in power distribution is derived from data on voter participation, tax fairness, Medicaid access, and educational attainment. We develop and estimate a recursive model linking the distribution of power to environmental policy, environmental stress, and public health. The results support the hypothesis that greater power inequality leads to weaker environmental policies, which in turn lead to greater environmental degradation and to adverse public health outcomes

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

Directory of Open Access Journals (Sweden)

Julie A Kirsch

2016-05-01

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

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

Science.gov (United States)

Kirsch, Julie A; Ryff, Carol D

2016-01-01

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

78 FR 60321 - Biweekly Notice; Applications and Amendments to Facility Operating Licenses and Combined Licenses...

Science.gov (United States)

2013-10-01

.... Nebraska Public Power District, Docket No. 50-298, Cooper Nuclear Station, Nemaha County, Nebraska Date of amendment request: February 12, 2013. Brief description of amendment: The amendment modified the Cooper... licensee from the requirement to perform an appendix J Type A test, containment integrated leakage rate...

Women at greater risk of HIV infection.

Science.gov (United States)

Mahathir, M

1997-04-01

Although many people believe that mainly men get infected with HIV/AIDS, women are actually getting infected at a faster rate than men, especially in developing countries, and suffer more from the adverse impact of AIDS. As of mid-1996, the Joint UN Program on AIDS estimated that more than 10 million of the 25 million adults infected with HIV since the beginning of the epidemic are women. The proportion of HIV-positive women is growing, with almost half of the 7500 new infections daily occurring among women. 90% of HIV-positive women live in a developing country. In Asia-Pacific, 1.4 million women have been infected with HIV out of an estimated total 3.08 million adults from the late 1970s until late 1994. Biologically, women are more vulnerable than men to infection because of the greater mucus area exposed to HIV during penile penetration. Women under age 17 years are at even greater risk because they have an underdeveloped cervix and low vaginal mucus production. Concurrent sexually transmitted diseases increase the risk of HIV transmission. Women's risk is also related to their exposure to gender inequalities in society. The social and economic pressures of poverty exacerbate women's risk. Prevention programs are discussed.

Considerations for increasing the competences and capacities of the public health workforce: assessing the training needs of public health workers in Texas.

Science.gov (United States)

Borders, Stephen; Blakely, Craig; Quiram, Barbara; McLeroy, Kenneth

2006-07-26

Over the last two decades, concern has been expressed about the readiness of the public health workforce to adequately address the scientific, technological, social, political and economic challenges facing the field. A 1988 report from the Institute of Medicine (IOM) served as a catalyst for the re-examination of the public health workforce. The IOM's call to increase the relevance of public health education and training prompted a renewed effort to identify competences needed by public health personnel and the organizations that employ them. A recent evaluation sought to address the role of the 10 essential public health services in job services among the Texas public health workforce. Additionally, the evaluation examined the Texas public health workforce's need for training in the 10 essential public health services. Overall, the level of perceived training needs varied dramatically by job category and health department type. When comparing aggregate training needs, public health workers with greater day-to-day contact (nurses, health educators) indicated a greater need for training than their peers who did not, such as those working in administrative positions. When prioritizing and designing future training modules regarding the 10 essential public health services, trainers should consider the effects of job function, location and contact with the public.

Development and validation of a lead emission inventory for the Greater Cairo area