Characterization of Fine Particulate Matter and Associated Health Burden in Nanjing

Science.gov (United States)

Nie, Dongyang; Chen, Mindong; Ge, Xinlei; Zhang, Kai; Ge, Pengxiang

2018-01-01

Particulate matter (PM) air pollution has become a serious environmental problem in Nanjing and poses great health risks to local residents. In this study, characteristics of particulate matter with an aerodynamic diameter less than 2.5 μm (PM2.5) over Nanjing were analyzed using hourly and daily averaged PM2.5 concentrations and meteorological parameters collected from nine national monitoring sites during the period of March 2014 to February 2017. Then, the integrated exposure-response (IER) model was applied to assess premature mortality, years of life lost (YLL) attributable to PM2.5, and mortality benefits due to PM2.5 reductions. The concentrations of PM2.5 varied among hours, seasons and years, which can be explained by differences in emission sources, secondary formations and meteorological conditions. The decreased ratio of PM2.5 to CO suggested that secondary contributions decreased while the relative contributions of vehicle exhaust increased from increased CO data. According to the values of attributable fractions (AF), stroke was the major cause of death, followed by ischemic heart disease (IHD), lung cancer (LC) and chronic obstructive pulmonary disease (COPD). The estimated total deaths in Nanjing due to PM2.5 were 12,055 and 10,771, leading to 98,802 and 87,647 years of life lost in 2014 and 2015, respectively. The elderly and males had higher health risks than youngsters and females. When the PM2.5 concentrations meet the World Health Organization (WHO) Air Quality Guidelines (AQG) of 10 μg/m3, 84% of the premature deaths would be avoided, indicating that the Nanjing government needs to adopt more stringent measure to reduce PM pollution and enhance the health benefits. PMID:29584626

Characterization of Fine Particulate Matter and Associated Health Burden in Nanjing

Directory of Open Access Journals (Sweden)

Dongyang Nie

2018-03-01

Full Text Available Particulate matter (PM air pollution has become a serious environmental problem in Nanjing and poses great health risks to local residents. In this study, characteristics of particulate matter with an aerodynamic diameter less than 2.5 μm (PM2.5 over Nanjing were analyzed using hourly and daily averaged PM2.5 concentrations and meteorological parameters collected from nine national monitoring sites during the period of March 2014 to February 2017. Then, the integrated exposure-response (IER model was applied to assess premature mortality, years of life lost (YLL attributable to PM2.5, and mortality benefits due to PM2.5 reductions. The concentrations of PM2.5 varied among hours, seasons and years, which can be explained by differences in emission sources, secondary formations and meteorological conditions. The decreased ratio of PM2.5 to CO suggested that secondary contributions decreased while the relative contributions of vehicle exhaust increased from increased CO data. According to the values of attributable fractions (AF, stroke was the major cause of death, followed by ischemic heart disease (IHD, lung cancer (LC and chronic obstructive pulmonary disease (COPD. The estimated total deaths in Nanjing due to PM2.5 were 12,055 and 10,771, leading to 98,802 and 87,647 years of life lost in 2014 and 2015, respectively. The elderly and males had higher health risks than youngsters and females. When the PM2.5 concentrations meet the World Health Organization (WHO Air Quality Guidelines (AQG of 10 μg/m3, 84% of the premature deaths would be avoided, indicating that the Nanjing government needs to adopt more stringent measure to reduce PM pollution and enhance the health benefits.

Characterization of Fine Particulate Matter and Associated Health Burden in Nanjing.

Science.gov (United States)

Nie, Dongyang; Chen, Mindong; Wu, Yun; Ge, Xinlei; Hu, Jianlin; Zhang, Kai; Ge, Pengxiang

2018-03-27

Particulate matter (PM) air pollution has become a serious environmental problem in Nanjing and poses great health risks to local residents. In this study, characteristics of particulate matter with an aerodynamic diameter less than 2.5 μm (PM 2.5 ) over Nanjing were analyzed using hourly and daily averaged PM 2.5 concentrations and meteorological parameters collected from nine national monitoring sites during the period of March 2014 to February 2017. Then, the integrated exposure-response (IER) model was applied to assess premature mortality, years of life lost (YLL) attributable to PM 2.5 , and mortality benefits due to PM 2.5 reductions. The concentrations of PM 2.5 varied among hours, seasons and years, which can be explained by differences in emission sources, secondary formations and meteorological conditions. The decreased ratio of PM 2.5 to CO suggested that secondary contributions decreased while the relative contributions of vehicle exhaust increased from increased CO data. According to the values of attributable fractions (AF), stroke was the major cause of death, followed by ischemic heart disease (IHD), lung cancer (LC) and chronic obstructive pulmonary disease (COPD). The estimated total deaths in Nanjing due to PM 2.5 were 12,055 and 10,771, leading to 98,802 and 87,647 years of life lost in 2014 and 2015, respectively. The elderly and males had higher health risks than youngsters and females. When the PM 2.5 concentrations meet the World Health Organization (WHO) Air Quality Guidelines (AQG) of 10 μg/m³, 84% of the premature deaths would be avoided, indicating that the Nanjing government needs to adopt more stringent measure to reduce PM pollution and enhance the health benefits.

Relationship between Particulate matter less than 10 microns exposures and health effects on humans in Ahvaz, Iran

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Sahar Geravandi

2015-06-01

Full Text Available Background & Aims of the Study: Particulate matters less than 10 microns can absorb into your lungs and reacting with the moisture and enter the circulatory system directly through the airways. The aim of this study is to assess Behavior PM 10 data in different seasons and Determination effects on human health in Ahvaz city during 2013. Materials & Methods: Data Particulate matters less than 10 microns were taken from Ahvaz Department of Environment and Meteorological Organization. Sampling was performed for 24 hours in 4 stations. Method of sampling and analysis were performed according to EPA guideline. Processing data include the instruction set correction of averaging, coding and filtering. Finally, health-effects of Particulate matters less than 10 exposures were calculated with impact of meteorological parameters and converted as input file to the Air Q model. Results: PM 10 concentration in winter season was maximum amount in the year 2013. According to the research findings, highest and the lowest Particulate matters less than 10 microns concentrations during 2013 had the Bureau of Meteorology “Havashenasi” and Head office of ADoE “Mohitzist”. Sum of total numbers of cardiovascular death and hospitals admission to respiratory diseases attributed to Particulate matters less than 10 microns were 923 and 2342 cases in 2013. Conclusions: Particulate matter emissions are highly regulated in most industrialized countries. Due to environmental concerns, most industries and dust storm phenomena are required to decrease in source produce particle mater and kind of dust collection system to control particulate emissions. Pollution prevention and control measures that reduce Particulate matters less than 10 microns can very useful for expected to reduce people’s exposures to Sulfur dioxide.

Mindfulness Matters Can Living in the Moment Improve Your Health?

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... Special Issues Subscribe January 2012 Print this issue Mindfulness Matters Can Living in the Moment Improve Your ... good for your health. The idea is called mindfulness. This ancient practice is about being completely aware ...

Spatial Temporal Modelling of Particulate Matter for Health Effects Studies

Science.gov (United States)

Hamm, N. A. S.

2016-10-01

Epidemiological studies of the health effects of air pollution require estimation of individual exposure. It is not possible to obtain measurements at all relevant locations so it is necessary to predict at these space-time locations, either on the basis of dispersion from emission sources or by interpolating observations. This study used data obtained from a low-cost sensor network of 32 air quality monitoring stations in the Dutch city of Eindhoven, which make up the ILM (innovative air (quality) measurement system). These stations currently provide PM10 and PM2.5 (particulate matter less than 10 and 2.5 m in diameter), aggregated to hourly means. The data provide an unprecedented level of spatial and temporal detail for a city of this size. Despite these benefits the time series of measurements is characterized by missing values and noisy values. In this paper a space-time analysis is presented that is based on a dynamic model for the temporal component and a Gaussian process geostatistical for the spatial component. Spatial-temporal variability was dominated by the temporal component, although the spatial variability was also substantial. The model delivered accurate predictions for both isolated missing values and 24-hour periods of missing values (RMSE = 1.4 μg m-3 and 1.8 μg m-3 respectively). Outliers could be detected by comparison to the 95% prediction interval. The model shows promise for predicting missing values, outlier detection and for mapping to support health impact studies.

[Trends of internet use for health matters in Portugal: 2005-2007].

Science.gov (United States)

Santana, Silvina

2009-01-01

This paper discusses trends of Internet use for health or illness matters in Portugal. It is based on two waves of the WHO/Europe eHealth Consumer Trends Survey that took place in 2005 and 2007. The investigation involves 3001 complete interviews to individuals between 15 and 80 years old. Results show that the percentage of the Portuguese population reporting having used the Internet for health or illness matters has increased in average 9.1% (IC 95%, 5.5-12.6) in the 18 months that mediate the two surveys. The analysis by geographical region shows that there are no statistically significant differences between the five studied regions. The analysis by gender and age shows that the difference between men and women is diminishing but detects important exceptions, namely, a Sharp predominance of women in the group of individuals aged 15-34 years old that use the Internet for health or illness matters and the prevalence of men in the age levels 45-54 and 65-80 years old. The analysis by level of education completed show that the use is particularly high among those with complete higher education studies, with an increase of 8.2% (IC 95%, -.6-17.0) in the period under analysis. However, a significant increase has been observed among the Portuguese with before A-level studies, particularly when considering the group of Internet users for health purposes, where it has raised from four users in each ten individuals in 2005 to six users in each ten individuals in 2007. Reading health Web sites is the health related activity that more Portuguese attracts to the Internet but in the restricted group of Internet health users is the activity with higher positive variation in the period (9.2%, IC 95%, 5.3-13.2). Health professionals are still considered as the most important source of health information but their perceived importance has decreased 10% (IC 95%, -12.6, -7.6) between 2005 and 2007, the higher negative variation in this period. Family, friends and colleagues have

Pathways between Acculturation and Health: Does the Measure Matter?

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Miranda, Patricia Y.; Gonzalez, Hector M.; Tarraf, Wassim

2011-01-01

The purpose of this study was to assess the association between acculturation and functional health using multiple proxies of acculturation to examine explanatory pathways to clarify disparate health findings. A population-based cross-sectional, multistage probability sample from the Hispanic Established Populations for the Epidemiologic Studies…

Mineral-associated organic matter: are we now on the right path to accurately measuring and modelling it?

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Cotrufo, M. F.

2017-12-01

Mineral-associated organic matter (MAOM) is the largest and most persistent pool of carbon in soil. Understanding and correctly modeling its dynamic is key to suggest management practices that can augment soil carbon storage for climate change mitigation, as well as increase soil organic matter (SOM) stocks to support soil health on the long-term. In the Microbial Efficiency Mineral Stabilization (MEMS) framework we proposed that, contrary to what originally thought, this form of persistent SOM is derived from the labile components of plant inputs, through their efficient microbial processing. I will present results from several experiments using dual isotope labeling of plant inputs that largely confirm this opinion, and point to the key role of dissolved organic matter in MAOM formation, and to the dynamic nature of the outer layer of MAOM. I will also show how we are incorporating this understanding in a new SOM model, which uses physically defined measurable pools rather than turnover-defined pools to forecast C cycling in soil.

Episodic memory function is associated with multiple measures of white matter integrity in cognitive aging

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Samuel Neal Lockhart

2012-03-01

Full Text Available Previous neuroimaging research indicates that white matter injury and integrity, measured respectively by white matter hyperintensities (WMH and fractional anisotropy (FA obtained from diffusion tensor imaging, differ with aging and cerebrovascular disease and are associated with episodic memory deficits in cognitively normal older adults. However, knowledge about tract-specific relationships between WMH, FA, and episodic memory in aging remains limited. We hypothesized that white matter connections between frontal cortex and subcortical structures as well as connections between frontal and temporo-parietal cortex would be most affected. In the current study, we examined relationships between WMH, FA and episodic memory in 15 young adults, 13 elders with minimal WMH and 15 elders with extensive WMH, using an episodic recognition memory test for object-color associations. Voxel-based statistics were used to identify voxel clusters where white matter measures were specifically associated with variations in episodic memory performance, and white matter tracts intersecting these clusters were analyzed to examine white matter-memory relationships. White matter injury and integrity measures were significantly associated with episodic memory in extensive regions of white matter, located predominantly in frontal, parietal, and subcortical regions. Template based tractography indicated that white matter injury, as measured by WMH, in the uncinate and inferior longitudinal fasciculi were significantly negatively associated with episodic memory performance. Other tracts such as thalamo-frontal projections, superior longitudinal fasciculus, and dorsal cingulum bundle demonstrated strong negative associations as well. The results suggest that white matter injury to multiple pathways, including connections of frontal and temporal cortex and frontal-subcortical white matter tracts, plays a critical role in memory differences seen in older individuals.

Measurement of the dark matter velocity anisotropy profile in galaxy clusters

International Nuclear Information System (INIS)

Host, Ole

2009-01-01

Dark matter halos contribute the major part of the mass of galaxy clusters and the formation of these cosmological structures have been investigated in numerical simulations. Observations have been found to be in good agreement with the numerical predictions regarding the spatial distribution of dark matter, i.e. the mass profile. However, the dynamics of dark matter in halos has so far proved a greater challenge to probe observationally. We have used observations of 16 relaxed galaxy clusters to show that the dark matter velocity dispersion is larger along the radial direction than along the tangential, and that the magnitude of this velocity anisotropy β varies with radius. This measurement implies that the collective behaviour of dark matter particles is fundamentally different from that of baryonic particles and constrains the self-interaction per unit mass. The radial variation of the anisotropy velocity agrees with the predictions so that, on cluster scales, there is now excellent agreement between numerical predictions and observations regarding the phase space of dark matter.

Altered Gray Matter Volume and White Matter Integrity in College Students with Mobile Phone Dependence

OpenAIRE

Wang, Yongming; Zou, Zhiling; Song, Hongwen; Xu, Xiaodan; Wang, Huijun; d?Oleire Uquillas, Federico; Huang, Xiting

2016-01-01

Mobile phone dependence (MPD) is a behavioral addiction that has become an increasing public mental health issue. While previous research has explored some of the factors that may predict MPD, the underlying neural mechanisms of MPD have not been investigated yet. The current study aimed to explore the microstructural variations associated with MPD as measured with functional Magnetic Resonance Imaging (fMRI). Gray matter volume (GMV) and white matter (WM) integrity [four indices: fractional ...

One Health in food safety and security education: Subject matter outline for a curricular framework.

Science.gov (United States)

Angelos, John A; Arens, Amanda L; Johnson, Heather A; Cadriel, Jessica L; Osburn, Bennie I

2017-06-01

Educating students in the range of subjects encompassing food safety and security as approached from a One Health perspective requires consideration of a variety of different disciplines and the interrelationships among disciplines. The Western Institute for Food Safety and Security developed a subject matter outline to accompany a previously published One Health in food safety and security curricular framework. The subject matter covered in this outline encompasses a variety of topics and disciplines related to food safety and security including effects of food production on the environment. This subject matter outline should help guide curriculum development and education in One Health in food safety and security and provides useful information for educators, researchers, students, and public policy-makers facing the inherent challenges of maintaining and/or developing safe and secure food supplies without destroying Earth's natural resources.

One Health in food safety and security education: Subject matter outline for a curricular framework

Directory of Open Access Journals (Sweden)

John A. Angelos

2017-06-01

Full Text Available Educating students in the range of subjects encompassing food safety and security as approached from a One Health perspective requires consideration of a variety of different disciplines and the interrelationships among disciplines. The Western Institute for Food Safety and Security developed a subject matter outline to accompany a previously published One Health in food safety and security curricular framework. The subject matter covered in this outline encompasses a variety of topics and disciplines related to food safety and security including effects of food production on the environment. This subject matter outline should help guide curriculum development and education in One Health in food safety and security and provides useful information for educators, researchers, students, and public policy-makers facing the inherent challenges of maintaining and/or developing safe and secure food supplies without destroying Earth's natural resources.

Precision measurement of the local bias of dark matter halos

Energy Technology Data Exchange (ETDEWEB)

Lazeyras, Titouan; Wagner, Christian; Schmidt, Fabian [Max-Planck-Institut für Astrophysik, Karl-Schwarzschild-Str. 1, Garching, 85748 Germany (Germany); Baldauf, Tobias, E-mail: titouan@mpa-garching.mpg.de, E-mail: cwagner@mpa-garching.mpg.de, E-mail: t.baldauf@tbaweb.de, E-mail: fabians@mpa-garching.mpg.de [Institute for Advanced Study, Einstein Drive, Princeton, NJ, 08540 United States (United States)

2016-02-01

We present accurate measurements of the linear, quadratic, and cubic local bias of dark matter halos, using curved 'separate universe' N-body simulations which effectively incorporate an infinite-wavelength overdensity. This can be seen as an exact implementation of the peak-background split argument. We compare the results with the linear and quadratic bias measured from the halo-matter power spectrum and bispectrum, and find good agreement. On the other hand, the standard peak-background split applied to the Sheth and Tormen (1999) and Tinker et al. (2008) halo mass functions matches the measured linear bias parameter only at the level of 10%. The prediction from the excursion set-peaks approach performs much better, which can be attributed to the stochastic moving barrier employed in the excursion set-peaks prediction. We also provide convenient fitting formulas for the nonlinear bias parameters b{sub 2}(b{sub 1}) and b{sub 3}(b{sub 1}), which work well over a range of redshifts.

A Review of Particulate Matter and Health: Focus on Developing Countries.

OpenAIRE

L. Panyacosit

2000-01-01

The burden of ill human health attributable to particulate air pollution is a critical problem of growing concern. In developing countries it is not uncommon to experience today the same particulate matter levels that characterized the devastating "London fog episodes" of the 1950s which resulted in over 4000 cases of premature mortality and countless cases of exacerbated morbidity related health endpoints. This literature review gives an overview of the situation in developing countries...

Size, Composition, and Sources of Health Relevant Particulate Matter in the San Joaquin Valley

Science.gov (United States)

Ham, Walter Allan

Particulate Matter (PM) is an environment contaminant that has been associated with adverse health effects in epidemiological and toxicological studies. Atmospheric PM is made up of a diverse array of chemical species that are emitted from multiple sources across a range of aerodynamic diameters spanning several orders of magnitude. The focus of the present work was the characterization of ambient PM with aerodynamic diameters below 1.8 mum (PM1.8) in 6 size sub-fractions including PM0.1. Chemical species measured included organic carbon, elemental carbon, water soluble ions, trace metals, and organic molecular markers in urban and rural environments in the San Joaquin Valley. These measurements were used to determine differences in relative diurnal size distributions during a severe winter stagnation event, seasonal changes in PM size and composition, and the source origin of carbonaceous PM. This size-resolved information was used to calculate lung deposition patterns of health relevant PM species to evaluate seasonal differences in PM dose. By accurately calculating PM dose, researchers are able to more directly link ambient PM characterization data with biological endpoints. All of these results are used to support ongoing toxicological health effects studies. These types of analyses are important as this type of information may assist regulators with developing control strategies to reduce health effects caused by particulate air pollution.

Relaxation time measurements of white and grey matter in multiple sclerosis patients

International Nuclear Information System (INIS)

Rinck, P.A.; Appel, B.; Moens, E.; Academisch Ziekenhuis Middelheim, Antwerp

1987-01-01

In a patient population of some 450 with definite, probable, and possible multiple sclerosis referred to us for MRI, some 40 suffering from definite MS were chosen randomly for relaxation time measurements of plaque-free grey and white matter. T 1 values could not be used for diagnostic purposes owing to their broad standard deviation. Overall white matter T 2 was slightly higher in MS patients than in a non-MS population (94 ms versus 89 ms). Because these changes are not visible in MR images, relaxation time measurements may prove valuable for differential diagnosis. (orig.) [de

HLA-DRB*1501 associations with magnetic resonance imaging measures of grey matter pathology in multiple sclerosis.

Science.gov (United States)

Yaldizli, Özgür; Sethi, Varun; Pardini, Matteo; Tur, Carmen; Mok, Kin Y; Muhlert, Nils; Liu, Zheng; Samson, Rebecca S; Wheeler-Kingshott, Claudia A M; Yousry, Tarek A; Houlden, Henry; Hardy, John; Miller, David H; Chard, Declan T

2016-05-01

The HLA-DRB*1501 haplotype influences the risk of developing multiple sclerosis (MS), but it is not known how it affects grey matter pathology. To assess HLA-DRB(*)1501 effects on magnetic resonance imaging (MRI) cortical grey matter pathology. Whole and lesional cortical grey matter volumes, lesional and normal-appearing grey matter magnetization transfer ratio were measured in 85 people with MS and 36 healthy control subjects. HLA-DRB(*)1501 haplotype was determined by genotyping (rs3135388). No significant differences were observed in MRI measures between the HLA-DRB(*)1501 subgroups. The HLA-DRB(*)1501 haplotype is not strongly associated with MRI-visible grey matter pathology. Copyright © 2016 Elsevier B.V. All rights reserved.

MRI markers for mild cognitive impairment: comparisons between white matter integrity and gray matter volume measurements.

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Yu Zhang

Full Text Available The aim of the study was to evaluate the value of assessing white matter integrity using diffusion tensor imaging (DTI for classification of mild cognitive impairment (MCI and prediction of cognitive impairments in comparison to brain atrophy measurements using structural MRI. Fifty-one patients with MCI and 66 cognitive normal controls (CN underwent DTI and T1-weighted structural MRI. DTI measures included fractional anisotropy (FA and radial diffusivity (DR from 20 predetermined regions-of-interest (ROIs in the commissural, limbic and association tracts, which are thought to be involved in Alzheimer's disease; measures of regional gray matter (GM volume included 21 ROIs in medial temporal lobe, parietal cortex, and subcortical regions. Significant group differences between MCI and CN were detected by each MRI modality: In particular, reduced FA was found in splenium, left isthmus cingulum and fornix; increased DR was found in splenium, left isthmus cingulum and bilateral uncinate fasciculi; reduced GM volume was found in bilateral hippocampi, left entorhinal cortex, right amygdala and bilateral thalamus; and thinner cortex was found in the left entorhinal cortex. Group classifications based on FA or DR was significant and better than classifications based on GM volume. Using either DR or FA together with GM volume improved classification accuracy. Furthermore, all three measures, FA, DR and GM volume were similarly accurate in predicting cognitive performance in MCI patients. Taken together, the results imply that DTI measures are as accurate as measures of GM volume in detecting brain alterations that are associated with cognitive impairment. Furthermore, a combination of DTI and structural MRI measurements improves classification accuracy.

A Global Perspective of Fine Particulate Matter Pollution and Its Health Effects.

Science.gov (United States)

Mukherjee, Arideep; Agrawal, Madhoolika

Fine particulate matter (PM) in the ambient air is implicated in a variety of human health issues throughout the globe. Regulation of fine PM in the atmosphere requires information on the dimension of the problem with respect to variations in concentrations and sources. To understand the current status of fine particles in the atmosphere and their potential harmful health effects in different regions of the world this review article was prepared based on peer-reviewed scientific papers, scientific reports, and database from government organizations published after the year 2000 to evaluate the global scenario of the PM 2.5 (particles levels and exceedances of national and international standards were several times higher in Asian countries, while levels in Europe and USA were mostly well below the respective standards. Vehicular traffic has a significant influence on PM 2.5 levels in urban areas; followed by combustion activities (biomass, industrial, and waste burning) and road dust. In urban atmosphere, fine particles are mostly associated with different health effects with old aged people, pregnant women, and more so children being the most susceptible ones. Fine PM chemical constituents severely effect health due to their carcinogenic or mutagenic nature. Most of the research indicated an exceedance of fine PM level of the standards with a diverse array of health effects based on PM 2.5 chemical constituents. Emission reduction policies with epidemiological studies are needed to understand the benefits of sustainable control measures for fine PM mitigation.

Astronomers Take the Measure of Dark Matter in the universe

Science.gov (United States)

2001-09-01

Using NASA's Chandra X-ray Observatory, astronomers have obtained their most accurate determination to date of the amount of dark matter in galaxy clusters, the most massive objects in the universe. The results provide an important step towards a precise measurement of the total matter density of the universe. These results were presented today by Steven W. Allen of the Institute of Astronomy in Cambridge, UK at a press conference at the `Two Years of Science with Chandra' symposium in Washington, DC. Allen and his colleagues Robert W. Schmidt and Andrew C. Fabian at the Institute of Astronomy observed a carefully chosen sample of five of the largest clusters of galaxies known, whose distances range from 1.5 to 4 billion light years. The team made temperature maps of the hot multimillion-degree gas that fills the clusters. "The temperature maps can be used to determine the mass needed to prevent the hot gas from escaping the clusters" explained Allen. "We found that the stars in the galaxies and hot gas together contribute only about 13 percent of the mass. The rest must be in the form of dark matter." The nature of the dark matter is not known, but most astronomers think that it is in the form of an as yet unknown type of elementary particle that contributes to gravity through its mass but otherwise interacts weakly with normal matter. These dark matter particles are often called WIMPs, an acronym for `weakly interacting massive particles'. Clusters of galaxies are vast concentrations of galaxies, hot gas and dark matter spanning millions of light years, held together by gravity. Because of their size, clusters of galaxies are thought to provide a fair sample of the proportion of dark matter in the universe as a whole. "The implication of our results is that we live in a low-density universe" said Allen. "The total mass-density is only about thirty percent of that needed to stop the universe from expanding forever." The result reinforces recent findings from

Perceptions of healthcare quality in Ghana: Does health insurance status matter?

Science.gov (United States)

Duku, Stephen Kwasi Opoku; Nketiah-Amponsah, Edward; Janssens, Wendy; Pradhan, Menno

2018-01-01

This study's objective is to provide an alternative explanation for the low enrolment in health insurance in Ghana by analysing differences in perceptions between the insured and uninsured of the non-technical quality of healthcare. It further explores the association between insurance status and perception of healthcare quality to ascertain whether insurance status matters in the perception of healthcare quality. Data from a survey of 1,903 households living in the catchment area of 64 health centres were used for the analysis. Two sample independent t-tests were employed to compare the average perceptions of the insured and uninsured on seven indicators of non-technical quality of healthcare. A generalised ordered logit regression, controlling for socio-economic characteristics and clustering at the health facility level, tested the association between insurance status and perceived quality of healthcare. The perceptions of the insured were found to be significantly more negative than the uninsured and those of the previously insured were significantly more negative than the never insured. Being insured was associated with a significantly lower perception of healthcare quality. Thus, once people are insured, they tend to perceive the quality of healthcare they receive as poor compared to those without insurance. This study demonstrated that health insurance status matters in the perceptions of healthcare quality. The findings also imply that perceptions of healthcare quality may be shaped by individual experiences at the health facilities, where the insured and uninsured may be treated differently. Health insurance then becomes less attractive due to the poor perception of the healthcare quality provided to individuals with insurance, resulting in low demand for health insurance in Ghana. Policy makers in Ghana should consider redesigning, reorganizing, and reengineering the National Healthcare Insurance Scheme to ensure the provision of better quality healthcare

Recent advances in cross-cultural measurement in psychiatric epidemiology: utilizing 'what matters most' to identify culture-specific aspects of stigma.

Science.gov (United States)

Yang, Lawrence Hsin; Thornicroft, Graham; Alvarado, Ruben; Vega, Eduardo; Link, Bruce George

2014-04-01

While stigma measurement across cultures has assumed growing importance in psychiatric epidemiology, it is unknown to what extent concepts arising from culture have been incorporated. We utilize a formulation of culture-as the everyday interactions that 'matter most' to individuals within a cultural group-to identify culturally-specific stigma dynamics relevant to measurement. A systematic literature review from January 1990 to September 2012 was conducted using PsycINFO, Medline and Google Scholar to identify articles studying: (i) mental health stigma-related concepts; (ii) ≥ 1 non-Western European cultural group. From 5292 abstracts, 196 empirical articles were located. The vast majority of studies (77%) utilized adaptations of existing Western-developed stigma measures to new cultural groups. Extremely few studies (2.0%) featured quantitative stigma measures derived within a non-Western European cultural group. A sizeable amount (16.8%) of studies employed qualitative methods to identify culture-specific stigma processes. The 'what matters most' perspective identified cultural ideals of the everyday activities that comprise 'personhood' of 'preserving lineage' among specific Asian groups, 'fighting hard to overcome problems and taking advantage of immigration opportunities' among specific Latino-American groups, and 'establishing trust among religious institutions due to institutional discrimination' among African-American groups. These essential cultural interactions shaped culture-specific stigma manifestations. Mixed method studies (3.6%) corroborated these qualitative results. Quantitatively-derived, culturally-specific stigma measures were lacking. Further, the vast majority of qualitative studies on stigma were conducted without using stigma-specific frameworks. We propose the 'what matters most' approach to address this key issue in future research.

Complexity analysis in particulate matter measurements

Directory of Open Access Journals (Sweden)

Luciano Telesca

2011-09-01

Full Text Available We investigated the complex temporal fluctuations of particulate matter data recorded in London area by using the Fisher-Shannon (FS information plane. In the FS plane the PM10 and PM2.5 data are aggregated in two different clusters, characterized by different degrees of order and organization. This results could be related to different sources of the particulate matter.

Measurement of atmospheric neutrino oscillations and matter effects with PINGU

Energy Technology Data Exchange (ETDEWEB)

Coenders, Stefan; Euler, Sebastian; Krings, Kai; Vehring, Markus; Wallraff, Marius; Wiebusch, Christopher [RWTH Aachen Univ. (Germany). III. Physikalisches Inst.; Collaboration: IceCube-Collaboration

2013-07-01

With IceCube's low-energy extension DeepCore the first significant effects of atmospheric neutrino oscillations have been observed. The planned ''Precision Icecube Next Generation Upgrade'' (PINGU) inside DeepCore will lower the energy threshold to a few GeV, where matter effects of neutrino oscillations have to be taken into account. The Mikheyev-Smirnov-Wolfenstein (MSW) effect modifies the mixing between flavor and mass eigenstates of the neutrinos, resulting in stronger oscillations. Furthermore, neutrinos when passing through the Earth core experience parametric enhancement due to multiple discontinuities in the electron density. In this talk the effects of matter oscillations and the capabilities to measure these effects with PINGU are investigated.

Memory Matters

Science.gov (United States)

... Staying Safe Videos for Educators Search English Español Memory Matters KidsHealth / For Kids / Memory Matters What's in ... of your complex and multitalented brain. What Is Memory? When an event happens, when you learn something, ...

Particulate matter emission from livestock houses: measurement methods, emission levels and abatement systems

NARCIS (Netherlands)

Winkel, Albert

2016-01-01

Animal houses are extremely dusty environments. Airborne particulate matter (PM) poses a health threat not only to the farmer and the animals, but, as a result of emissions from ventilation systems, also to residents living in livestock farming areas. In relation to this problem, the objectives

Return Migration among Elderly, Chronically Ill Bosnian Refugees: Does Health Matter?

Science.gov (United States)

Handlos, Line Neerup; Olwig, Karen Fog; Bygbjerg, Ib Christian; Kristiansen, Maria; Norredam, Marie Louise

2015-10-12

Elderly migrants constitute a considerable share of global return migration; nevertheless, literature on the health aspects of the return migration among these migrants is still scarce. This study explores the significance of return migration among elderly, chronically ill Bosnian refugees from Denmark and the role of health issues in their decision to return. It is based on semi-structured interviews with 33 elderly, chronically ill Bosnian refugees who have moved back to Bosnia and Herzegovina, and 10 elderly, chronically ill Bosnian refugees who have remained in Denmark. The interviews show that physical health, in the sense of the absence of illness and easy access to necessary health-care services and medicines, was not highly prioritized when the decision was made whether or not to return. However, if health is regarded more broadly as involving more than mere physical health and the absence of illness, health did matter. Viewed as physical, social and mental well-being in line with WHO's definition of health, health was indeed one of the most important factors when the decision to return was made.

Health impact caused by exposure to particulate matter in the air of Tehran in the past decade

Directory of Open Access Journals (Sweden)

Majid Kermani

2017-03-01

Full Text Available Background: Air pollution, especially the phenomenon of dust and particulate matter can cause mortality of many civilians, and causes various diseases including cardiovascular and respiratory diseases. One of the major pollutants in the air is particulate matter that concentration has increased over recent years. So, present study with aim of Quantification Health Endpoints Attributed to particulate matter in Tehran, Capital of Iran during the past decade (2005-2014 by AirQ software, version 2.2.3 (WHO European Centre for Environment and Health was performed. Methods: This study is a descriptive-analytic investigation. The process of performance this study lasted 12 months. Subject of this the study and research was in Environmental Health Engineering Department of Iran University of Medical Sciences. Exact data of every hour pollutants were taken from Department of environmental (DOE Islamic Republic Iran and Air Quality Control Company of Tehran. Then validated according to the World Health Organization (WHO guidelines and Statistical parameters for quantifying health effects were calculated in excel software. Finally, assessment of cases total mortality, cardiovascular mortality, respiratory mortality and cardiovascular disease and respiratory disease, with AirQ software was performed. Results: The results of this study showed that the number of total mortality, cardiovascular mortality and respiratory mortality caused by exposure to Particulate matter smaller than 10 microns (PM10 in the past decade is 11776, 12121 and 33066 cases respectively. Also the total number of hospital admission due to cardiovascular disease and respiratory disease in the past decade is 20990 and 54352 cases in 2005-2014 years. Conclusion: According to the results of this study, during the last decade the level of air pollution and Concentration of pollutants in Tehran Increased. Effects and health consequences due to exposure to Particulate matter smaller than 10

Partial volume correction and image segmentation for accurate measurement of standardized uptake value of grey matter in the brain.

Science.gov (United States)

Bural, Gonca; Torigian, Drew; Basu, Sandip; Houseni, Mohamed; Zhuge, Ying; Rubello, Domenico; Udupa, Jayaram; Alavi, Abass

2015-12-01

Our aim was to explore a novel quantitative method [based upon an MRI-based image segmentation that allows actual calculation of grey matter, white matter and cerebrospinal fluid (CSF) volumes] for overcoming the difficulties associated with conventional techniques for measuring actual metabolic activity of the grey matter. We included four patients with normal brain MRI and fluorine-18 fluorodeoxyglucose (F-FDG)-PET scans (two women and two men; mean age 46±14 years) in this analysis. The time interval between the two scans was 0-180 days. We calculated the volumes of grey matter, white matter and CSF by using a novel segmentation technique applied to the MRI images. We measured the mean standardized uptake value (SUV) representing the whole metabolic activity of the brain from the F-FDG-PET images. We also calculated the white matter SUV from the upper transaxial slices (centrum semiovale) of the F-FDG-PET images. The whole brain volume was calculated by summing up the volumes of the white matter, grey matter and CSF. The global cerebral metabolic activity was calculated by multiplying the mean SUV with total brain volume. The whole brain white matter metabolic activity was calculated by multiplying the mean SUV for the white matter by the white matter volume. The global cerebral metabolic activity only reflects those of the grey matter and the white matter, whereas that of the CSF is zero. We subtracted the global white matter metabolic activity from that of the whole brain, resulting in the global grey matter metabolism alone. We then divided the grey matter global metabolic activity by grey matter volume to accurately calculate the SUV for the grey matter alone. The brain volumes ranged between 1546 and 1924 ml. The mean SUV for total brain was 4.8-7. Total metabolic burden of the brain ranged from 5565 to 9617. The mean SUV for white matter was 2.8-4.1. On the basis of these measurements we generated the grey matter SUV, which ranged from 8.1 to 11.3. The

Measurement and analysis of ambient atmospheric particulate matter in urban and remote environments

Science.gov (United States)

Hagler, Gayle S. W.

Atmospheric particulate matter pollution is a challenging environmental concern in both urban and remote locations worldwide. It is intrinsically difficult to control, given numerous anthropogenic and natural sources (e.g. fossil fuel combustion, biomass burning, dust, and seaspray) and atmospheric transport up to thousands of kilometers after production. In urban regions, fine particulate matter (particles with diameters under 2.5 mum) is of special concern for its ability to penetrate the human respiratory system and threaten cardiopulmonary health. A second major impact area is climate, with particulate matter altering Earth's radiative balance through scattering and absorbing solar radiation, modifying cloud properties, and reducing surface reflectivity after deposition in snow-covered regions. While atmospheric particulate matter has been generally well-characterized in populated areas of developed countries, particulate pollution in developing nations and remote regions is relatively unexplored. This thesis characterizes atmospheric particulate matter in locations that represent the extreme ends of the spectrum in terms of air pollution-the rapidly-developing and heavily populated Pearl River Delta Region of China, the pristine and climate-sensitive Greenland Ice Sheet, and a remote site in the Colorado Rocky Mountains. In China, fine particles were studied through a year-long field campaign at seven sites surrounding the Pearl River Delta. Fine particulate matter was analyzed for chemical composition, regional variation, and meteorological impacts. On the Greenland Ice Sheet and in the Colorado Rocky Mountains, the carbonaceous fraction (organic and elemental carbon) of particulate matter was studied in the atmosphere and snow pack. Analyses included quantifying particulate chemical and optical properties, assessing atmospheric transport, and evaluating post-depositional processing of carbonaceous species in snow.

Precision measurements, dark matter direct detection and LHC Higgs searches in a constrained NMSSM

International Nuclear Information System (INIS)

Bélanger, G.; Hugonie, C.; Pukhov, A.

2009-01-01

We reexamine the constrained version of the Next-to-Minimal Supersymmetric Standard Model with semi universal parameters at the GUT scale (CNMSSM). We include constraints from collider searches for Higgs and susy particles, upper bound on the relic density of dark matter, measurements of the muon anomalous magnetic moment and of B-physics observables as well as direct searches for dark matter. We then study the prospects for direct detection of dark matter in large scale detectors and comment on the prospects for discovery of heavy Higgs states at the LHC

Temperature modifies the health effects of particulate matter in Brisbane, Australia

Science.gov (United States)

Ren, Cizao; Tong, Shilu

2006-11-01

A few epidemiological studies have examined whether there was an interactive effect between temperature and ambient particulate matter on cardiorespiratory morbidity and mortality, but the results were inconsistent. The present study used three time-series approaches to explore whether maximum temperature modified the impact of ambient particulate matter less than 10 μm in diameter (PM10) on daily respiratory hospital admissions, cardiovascular hospital admissions, respiratory emergency visits, cardiovascular emergency visits, non-external cause mortality and cardiovascular mortality in Brisbane between 1996 and 2001. The analytical approaches included a bivariate response surface model, a non-stratification parametric model and a stratification parametric model. Results show that there existed a statistically significant interaction between PM10 and temperature on most health outcomes at various lags. PM10 exhibited more adverse health effects on warm days than cold days. The choice of the degree of freedom for smoothers to adjust for confounders and the selection of arbitrary cut-offs for temperature affected the interaction estimates to a certain extent, but did not change the overall conclusion. The results imply that it is important to control and reduce the emission of air particles in Brisbane, particularly when temperature increases.

Danger of the participate matter emitted by gasoline-engine cars

International Nuclear Information System (INIS)

Abdul-Razzaq, W.; Ismael, N.

2005-01-01

Inhaling magnetic particles could be hazardous as they could interact with man-made electromagnetic signals producing resonance of the inhaled particles inside lung cells causing cell damage. Since many epidemiologic studies have shown associations between pollutants from motor vehicle traffic and adverse health effects, it becomes necessary to investigate these pollutants for magnetic particles. In this preliminary study, magnetic particles were detected in the particulate matter collected from the exhaust of a gasoline engine. Magnetization measurements were used to identify critical magnetic particulate matter that could explain some of the health hazards

Undergraduate Laboratory Experiment: Measuring Matter Antimatter Asymmetries at the Large Hadron Collider

CERN Document Server

Parkes, Chris; Gutierrez, J

2015-01-01

This document is the student manual for a third year undergraduate laboratory experiment at the University of Manchester. This project aims to measure a fundamental difference between the behaviour of matter and antimatter through the analysis of data collected by the LHCb experiment at the Large Hadron Collider. The three-body dmecays $B^\\pm \\rightarrow h^\\pm h^+ h^-$, where $h^\\pm$ is a $\\pi^\\pm$ or $K^\\pm$ are studied. The inclusive matter antimatter asymmetry is calculated, and larger asymmetries are searched for in localized regions of the phase-space.

[Real-time measurement of indoor particulate matter originating from environmental tobacco smoke: a pilot study].

Science.gov (United States)

Invernizzi, Giovanni; Ruprecht, Ario; Mazza, Roberto; Majno, Edoardo; Rossetti, Edoardo; Paredi, Paolo; Boffi, Roberto

2002-01-01

Short-term measurement of suspended particulate matter has been recently made possible since the release of laser-operating portable instruments. Data of a pilot study of field evaluation of environmental tobacco smoke (ETS) with a portable instrument are reported. We analysed the concentrations of total suspended particle (TSP) and of the fine particles PM10, PM7, PM2.5 and PM1 released indoor from a single cigarette, and their levels inside smoking- and non-smoking-areas of a restaurant. The results indicate that ETS creates high level indoor particulate pollution, with concentrations of PM10 exceeding air quality standards. This kind of field evaluation could allow a more careful assessing of short-term exposure to ETS and its relevance to public health.

[Health evaluation of fine particulate matter in indoor air].

Science.gov (United States)

2008-11-01

When evaluating the health effects of indoor air fine particulate matter, the indoor dynamics as well as the physical, chemical and biological properties of fine particles have to be considered. The indoor air fraction PM2.5 largely stems from outdoor air. Accordingly, the German Working Group on Indoor Guideline Values of the Federal Environmental Agency and the States' Health Authorities also recommends WHO's (2006) 24-hour mean guideline value of 25 microg PM2,5 per cubic meter for indoor air evaluation. In contrast to PM2.5, coarse particles (PM10) in schools, kindergartens and dwellings show much higher indoor air concentrations. Additional sources indoors have to be assumed. Because of the different composition of indoor air compared to outdoor air and due to the lack of dose-response relationships of coarse particles in indoor air, the health effects of indoor air PM10 can not be evaluated yet. Sufficient and consistent ventilation is an indispensable basis to reduce PM concentrations in indoor spaces. Furthermore, known sources of PM indoors should be detected consequently and subsequently minimized.

Power plant emissions: particulate matter-related health damages and the benefits of alternative emission reduction scenarios

Energy Technology Data Exchange (ETDEWEB)

Schneider, C.

2004-06-15

This report estimates the avoidable health effects of each of a series of alternative regulatory scenarios for power plants, focusing on the adverse human health effects due to exposure to fine particulate matter (PM2.5) This report uses the same analytical methods that the U.S. Environmental Protection Agency used in 2003 to prepare an analysis of the potential health effects of the proposed Clear Skies Act (EPA 2003). This report conducts an analysis of the impacts in 2010 and 2020 of three policy alternatives to the proposed Clear Skies Act, The Jeffords/Lieberman/Collins 'The Clean Power Act', S. 366, and the EPA August 2001 Straw Proposal (one of several alternatives EPA analyzed prior to the announcement of the Clear Skies Initiative in 2002). The report also examines the health impacts associated with the total emissions from coal fired electricity generating units in 2010. Chapter 2 describes the emissions inventory estimates, and the changes in the emissions associated with each scenario analyzed. Chapter 3 describes the methods used to estimate changes in particulate matter concentrations. Chapter 4 describes general issues arising in estimating and valuing changes in adverse health effects associated with changes in particulate matter. Chapter 5 describes in some detail the methods used for estimating and valuing adverse health effects, and Chapter 6 presents the results of these analyses. Chapter 7 presents estimates of the impact of these alternative policy options on the PM non-attainment status. 117 refs., 21 figs., 32 tabs., 3 apps.

Quantifying Matter

CERN Document Server

Angelo, Joseph A

2011-01-01

Quantifying Matter explains how scientists learned to measure matter and quantify some of its most fascinating and useful properties. It presents many of the most important intellectual achievements and technical developments that led to the scientific interpretation of substance. Complete with full-color photographs, this exciting new volume describes the basic characteristics and properties of matter. Chapters include:. -Exploring the Nature of Matter. -The Origin of Matter. -The Search for Substance. -Quantifying Matter During the Scientific Revolution. -Understanding Matter's Electromagnet

Multifaceted health impacts of Particulate Matter (PM and its management: An overview

Directory of Open Access Journals (Sweden)

Prabhat Kumar Rai

2015-03-01

Full Text Available Urban air quality is becoming a serious public health concern at global scale. Particulate matter (PM pollution is intimately linked with human health. Present review describes the different human health implications associated with PM pollution. PM may derive its origin from natural and anthropogenic sources. Vehicle derived pollutants as well as industrial emissions simultaneously release deleterious fine-grained PM into the atmosphere. Fine PM especially PM2.5 and PM10 are particularly deleterious to human health. Air pollution PM is an important environmental health risk factor for several respiratory and cardiovascular morbidity and mortality. Further, PM is inextricably linked with genotoxicity and mutations. Literature review of the cellular and molecular basis of adverse effects associated with PM is presented in this paper. Finally, management, existing technologies and policy options to reduce or mitigate the adverse health impacts of PM pollution is discussed as an eco-sustainable approach.

Assessing white matter ischemic damage in dementia patients by measurement of myelin proteins

Science.gov (United States)

Barker, Rachel; Wellington, Dannielle; Esiri, Margaret M; Love, Seth

2013-01-01

White matter ischemia is difficult to quantify histologically. Myelin-associated glycoprotein (MAG) is highly susceptible to ischemia, being expressed only adaxonally, far from the oligodendrocyte cell body. Myelin-basic protein (MBP) and proteolipid protein (PLP) are expressed throughout the myelin sheath. We compared MAG, MBP, and PLP levels in parietal white matter homogenates from 17 vascular dementia (VaD), 49 Alzheimer's disease (AD), and 33 control brains, after assessing the post-mortem stability of these proteins. Small vessel disease (SVD) and cerebral amyloid angiopathy (CAA) severity had been assessed in paraffin sections. The concentration of MAG remained stable post-mortem, declined with increasing SVD, and was significantly lower in VaD than controls. The concentration of MBP fell progressively post-mortem, limiting its diagnostic utility in this context. Proteolipid protein was stable post-mortem and increased significantly with SVD severity. The MAG/PLP ratio declined significantly with SVD and CAA severity. The MAG and PLP levels and MAG/PLP did not differ significantly between AD and control brains. We validated the utility of MAG and MAG/PLP measurements on analysis of 74 frontal white matter samples from an Oxford cohort in which SVD had previously been scored. MAG concentration and the MAG/PLP ratio are useful post-mortem measures of ante-mortem white matter ischemia. PMID:23532085

Conference Report: Measuring what matters in a ‘post-truth’ society

NARCIS (Netherlands)

Kusters, C.S.L.; Guijt, I.; Peters, Bram; Plataroti, Lavinia

2017-01-01

This report presents the key highlights and contributions from the conference ‘Measuring what matters in a ‘post-truth’ society’. This conference was held on the 6th of April 2017 in Wageningen, the Netherlands. This conference was the 10th annual ‘M&E on the Cutting Edge’ conference. These

Ordinary Dark Matter versus Mysterious Dark Matter in Galactic Rotation

Science.gov (United States)

Gallo, C. F.; Feng, James

2008-04-01

To theoretically describe the measured rotational velocity curves of spiral galaxies, there are two different approaches and conclusions. (1) ORDINARY DARK MATTER. We assume Newtonian gravity/dynamics and successfully find (via computer) mass distributions in bulge/disk configurations that duplicate the measured rotational velocities. There is ordinary dark matter within the galactic disk towards the cooler periphery which has lower emissivity/opacity. There are no mysteries in this scenario based on verified physics. (2) MYSTERIOUS DARK MATTER. Others INaccurately assume the galactic mass distributions follow the measured light distributions, and then the measured rotational velocity curves are NOT duplicated. To alleviate this discrepancy, speculations are invoked re ``Massive Peripheral Spherical Halos of Mysterious Dark Matter.'' But NO matter has been detected in this UNtenable Halo configuration. Many UNverified ``Mysteries'' are invoked as necessary and convenient. CONCLUSION. The first approach utilizing Newtonian gravity/dynamics and searching for the ordinary mass distributions within the galactic disk simulates reality and agrees with data.

Extended use of electronic health records by primary care physicians: Does the electronic health record artefact matter?

Science.gov (United States)

Raymond, Louis; Paré, Guy; Marchand, Marie

2017-04-01

The deployment of electronic health record systems is deemed to play a decisive role in the transformations currently being implemented in primary care medical practices. This study aims to characterize electronic health record systems from the perspective of family physicians. To achieve this goal, we conducted a survey of physicians practising in private clinics located in Quebec, Canada. We used valid responses from 331 respondents who were found to be representative of the larger population. Data provided by the physicians using the top three electronic health record software products were analysed in order to obtain statistically adequate sub-sample sizes. Significant differences were observed among the three products with regard to their functional capability. The extent to which each of the electronic health record functionalities are used by physicians also varied significantly. Our results confirm that the electronic health record artefact 'does matter', its clinical functionalities explaining why certain physicians make more extended use of their system than others.

Globalisation and local power: influences on health matters in South Africa.

Science.gov (United States)

Gilbert, Tal; Gilbert, Leah

2004-03-01

This paper reviews some of the multiple influences on health issues in South Africa, placing them in the context of globalisation. By examining the complexity of factors, both domestic and global, which impact on these issues, it questions the extent to which global patterns in areas such as health policy, HIV/AIDS, health care pluralism, and neo-liberal macroeconomic policy have played out in South Africa. The identification of some of the multiple and complex forces in each case reveals a relatively consistent story of global pressures interacting with domestic realities, with some recognizably local results. There is no doubt that a full and nuanced understanding of health in South Africa requires an appreciation of developments in the global political economy, international organizations such as the WHO and World Bank, and forces which operate outside of institutions. In each case, however, the specific opportunities available to actors within the country, as well as the relative power of those actors, should be given their due consideration in analysing their potential impact on health matters.

Particulate matter and health - from air to human lungs

International Nuclear Information System (INIS)

Piniero, T.; Cerqueira Alves, L.; Reis, M.

1998-01-01

The aim of this project is to search for respiratory system particular aggressors to which workers are submitted in their labouring activity. The work plan under the current IAEA contract comprise a prospective study to identify particulate matter deposited in the human respiratory ducts and lung tissue and workers respiratory health status survey at a steel plant, Siderurgia Nacional (SN). So far, the selection of areas of interest at SN, workers exposed, airborne particulate monitoring sites according to the periodicity of labouring cycles, and the beginning of workers medical survey have been achieved and/or initiated. The SN selected area, where steel is processed and steel casting is achieved, involve approximately 80 workers, most of them working at that location for more than 15 years. Blood elemental content data determined by PIXE and INAA and a preliminary health status evaluation from 32 of the 80 workers included in this survey are presented and discussed. (author)

Measuring the opacity of stellar interior matter in terrestrial laboratories

Science.gov (United States)

Bailey, James

2015-11-01

How does energy propagate from the core to the surface of the Sun, where it emerges to warm the Earth? Nearly a century ago Eddington recognized that the attenuation of radiation by stellar matter controls the internal structure of stars like the sun. Opacities for high energy density (HED) matter are challenging to calculate because accurate and complete descriptions of the energy levels, populations, and plasma effects such as continuum lowering and line broadening are needed for partially ionized atoms. This requires approximations, in part because billions of bound-bound and bound-free electronic transitions can contribute to the opacity. Opacity calculations, however, have never been benchmarked against laboratory measurements at stellar interior conditions. Laboratory opacity measurements were limited in the past by the challenges of creating and diagnosing sufficiently large and uniform samples at the extreme conditions found inside stars. In research conducted over more than 10 years, we developed an experimental platform on the Z facility and measured wavelength-resolved iron opacity at electron temperatures Te = 156-195 eV and densities ne = 0.7-4.0 x 1022 cm-3 - conditions very similar to the radiation/convection boundary zone within the Sun. The wavelength-dependent opacity in the 975-1775 eV photon energy range is 30-400% higher than models predict. This raises questions about how well we understand the behavior of atoms in HED plasma. These measurements may also help resolve decade-old discrepancies between solar model predictions and helioseismic observations. This talk will provide an overview of the measurements, investigations of possible errors, and ongoing experiments aimed at testing hypotheses to resolve the model-data discrepancy. Sandia is a multiprogram laboratory operated by Sandia Corporation, a Lockheed Martin Company, for the United States Department of Energy under contract DE-AC04-94AL85000.

A rapid alpha dosimeter for measuring nasal cavity wipe matter

International Nuclear Information System (INIS)

Tuo, Xianguo; Mu, Keliang; Zhong, Hongmei; Yang, Guoshan; Yuan, Yong

2008-01-01

Full text: It is necessary for people who work in the special condition to know whether the alpha radiation is inhaled through detecting quickly nasal cavity wipe matter. This measure method requires that the dosimeter must be portable and easy to operate, and be able to overcome some disadvantages, such as high environment background, few sample quantity, short measure time, and so on. Based on the above requests, a new intelligent portable system is developed for measuring alpha radiated degree, which is suitable for solid wiping matter detected of which diameter is smaller than 20 mm. This system is mainly made up of the detector, self- circumrotating sample shelf, I/A converter, signal gathering and processing system, power supply etc. The system chooses PIPS (Planar Implanted Passivated Silicon) detector which is a designed logical signal gathering hardware. The detector is with small volume, high efficiency and good resolution. PIPS detector doesn't need working gas and is easy to use compared with gas ionization chamber detector. The self-circumrotating sample shelf carries on measuring samples cubically and this improves the accuracy. The system uses compensating adjustment technology to remove background, automatically identify and compensate for radon, thoron and progeny interference, and is able to obtain the reliable measurement result. And the power for this system is supplied simultaneously by 220 V AV power and rechargeable Li-battery supply; it also has a mobile storage for more environments. The dosimeter is used to measure the samples of which diameters are 10∼20 mm , the result of tests shows that: detection efficiency ≥ 30%, background count ≤ 0.2 cpm, stability ≤ 0.3% / h, working temperature -10∼40 C degrees. The parameters of the system basically meet the rapid measurement in a special environment, so it has valuable application prospect in the field of environment, laboratories, and nuclear facilities etc. (author)

Health System Measurement Project

Data.gov (United States)

U.S. Department of Health & Human Services — The Health System Measurement Project tracks government data on critical U.S. health system indicators. The website presents national trend data as well as detailed...

A Comparison of the Health Effects of Ambient Particulate Matter Air Pollution from Five Emission Sources

Directory of Open Access Journals (Sweden)

Neil J. Hime

2018-06-01

Full Text Available This article briefly reviews evidence of health effects associated with exposure to particulate matter (PM air pollution from five common outdoor emission sources: traffic, coal-fired power stations, diesel exhaust, domestic wood combustion heaters, and crustal dust. The principal purpose of this review is to compare the evidence of health effects associated with these different sources with a view to answering the question: Is exposure to PM from some emission sources associated with worse health outcomes than exposure to PM from other sources? Answering this question will help inform development of air pollution regulations and environmental policy that maximises health benefits. Understanding the health effects of exposure to components of PM and source-specific PM are active fields of investigation. However, the different methods that have been used in epidemiological studies, along with the differences in populations, emission sources, and ambient air pollution mixtures between studies, make the comparison of results between studies problematic. While there is some evidence that PM from traffic and coal-fired power station emissions may elicit greater health effects compared to PM from other sources, overall the evidence to date does not indicate a clear ‘hierarchy’ of harmfulness for PM from different emission sources. Further investigations of the health effects of source-specific PM with more advanced approaches to exposure modeling, measurement, and statistics, are required before changing the current public health protection approach of minimising exposure to total PM mass.

[Mental Health: Concepts, Measures, Determinants].

Science.gov (United States)

Doré, Isabelle; Caron, Jean

Objectives This article aims to situate the concept of mental health in a historical perspective. This article presents the most commonly used measurement tools in Canada and elsewhere in the world to assess specific and multiple dimensions of mental health; when available, psychometric properties are discussed. Finally, research findings on quality of life and mental health determinants are presented.Methods A literature review of concepts, measurement and determinants of mental health is presented in this paper. The selection of measurement scales presented is based on the findings of the research reports conducted by the second author, an expert on mental health measures, for Health Canada and Statistics Canada.Results Mental health is more than the absence of mental illness; rather it is a state of complete well-being, which refers to our ability to enjoy life and deal with the challenges we face. Accordingly, mental health and mental illness are not extremes of the same continuum, but distinct yet correlated concepts. The traditional conceptualization suggesting that mental health represents simply the absence of mental illness has been replaced, in the last few decades, by a more holistic characterization, which directly concerns public health. The components of mental health include emotional well-being/quality of life (QOL) and psychological and social well-being. Mental health influences the personal and social functioning of individuals, justifying the importance of intervening upstream to promote mental health. Specific scales are relevant for obtaining a detailed measure of one aspect of well-being in particular (emotional/quality of life, psychological or social well-being); however, to account for the global mental health status, measurement tools that integrate all three forms of well-being (emotional, psychological and social) should be privileged. A diversity of determinants at the individual, social and neighbourhood levels influence quality of

Physics measurements and health education

OpenAIRE

HAJDUCH, Petr

2016-01-01

The thesis "Physical measurements and health education" looks at physical quantities that are related to human health and can be measured in a elementary school environment. It focuses especially on the cross-curricular relationship between physics and health education and also on the use of relevant online measurement systems. As part of this thesis, we suggest a number of activities that exploit this relationship.

Health effects of ambient levels of respirable particulate matter (PM) on healthy, young-adult population

Science.gov (United States)

Shaughnessy, William J.; Venigalla, Mohan M.; Trump, David

2015-12-01

There is an absence of studies that define the relationship between ambient particulate matter (PM) levels and adverse health outcomes among the young and healthy adult sub-group. In this research, the relationship between exposures to ambient levels of PM in the 10 micron (PM10) and 2.5 micron (PM2.5) size fractions and health outcomes in members of the healthy, young-adult subgroup who are 18-39 years of age was examined. Active duty military personnel populations at three strategically selected military bases in the United States were used as a surrogate to the control group. Health outcome data, which consists of the number of diagnoses for each of nine International Classification of Diseases, 9th Revision (ICD-9) categories related to respiratory illness, were derived from outpatient visits at each of the three military bases. Data on ambient concentrations of particulate matter, specifically PM10 and PM2.5, were obtained for these sites. The health outcome data were correlated and regressed with the PM10 and PM2.5 data, and other air quality and weather-related data on a daily and weekly basis for the period 1998 to 2004. Results indicate that at Fort Bliss, which is a US Environmental Protection Agency designated non-attainment area for PM10, a statistically significant association exists between the weekly-averaged number of adverse health effects in the young and healthy adult population and the corresponding weekly-average ambient PM10 concentration. A least squares regression analysis was performed on the Fort Bliss data sets indicated that the health outcome data is related to several environmental parameters in addition to PM10. Overall, the analysis estimates a .6% increase in the weekly rate of emergency room visits for upper respiratory infections for every 10 μg/m3 increase in the weekly-averaged PM10 concentration above the mean. The findings support the development of policy and guidance opportunities that can be developed to mitigate exposures

Limited english proficiency, primary language at home, and disparities in children's health care: how language barriers are measured matters.

Science.gov (United States)

Flores, Glenn; Abreu, Milagros; Tomany-Korman, Sandra C

2005-01-01

Approximately 3.5 million U.S. schoolchildren are limited in English proficiency (LEP). Disparities in children's health and health care are associated with both LEP and speaking a language other than English at home, but prior research has not examined which of these two measures of language barriers is most useful in examining health care disparities. Our objectives were to compare primary language spoken at home vs. parental LEP and their associations with health status, access to care, and use of health services in children. We surveyed parents at urban community sites in Boston, asking 74 questions on children's health status, access to health care, and use of health services. Some 98% of the 1,100 participating children and families were of non-white race/ethnicity, 72% of parents were LEP, and 13 different primary languages were spoken at home. "Dose-response" relationships were observed between parental English proficiency and several child and parental sociodemographic features, including children's insurance coverage, parental educational attainment, citizenship and employment, and family income. Similar "dose-response" relationships were noted between the primary language spoken at home and many but not all of the same sociodemographic features. In multivariate analyses, LEP parents were associated with triple the odds of a child having fair/poor health status, double the odds of the child spending at least one day in bed for illness in the past year, and significantly greater odds of children not being brought in for needed medical care for six of nine access barriers to care. None of these findings were observed in analyses of the primary language spoken at home. Individual parental LEP categories were associated with different risks of adverse health status and outcomes. Parental LEP is superior to the primary language spoken at home as a measure of the impact of language barriers on children's health and health care. Individual parental LEP

Measuring health lifestyles in a comparative analysis: theoretical issues and empirical findings.

Science.gov (United States)

Abel, T

1991-01-01

The concept of lifestyle bears great potential for research in medical sociology. Yet, weaknesses in current methods have restrained lifestyle research from realizing its full potentials. The present focus is on the links between theoretical conceptions and their empirical application. The paper divides into two parts. The first part provides a discussion of basic theoretical and methodological issues. In particular selected lines of thought from Max Weber are presented and their usefulness in providing a theoretical frame of reference for health lifestyle research is outlined. Next, a theory guided definition of the subject matter is introduced and basic problems in empirical applications of theoretical lifestyle concepts are discussed. In its second part the paper presents findings from comparative lifestyle analyses. Data from the U.S. and West Germany are utilized to explore issues of measurement equivalence and theoretical validity. Factor analyses indicate high conceptual equivalence for new measures of health lifestyle dimensions in both the U.S. and West Germany. Divisive cluster analyses detect three distinct lifestyle groups in both nations. Implications for future lifestyle research are discussed.

Air Quality Measures on the National Environmental Health Tracking Network

Data.gov (United States)

U.S. Department of Health & Human Services — The Environmental Protection Agency (EPA) provides air pollution data about ozone and particulate matter (PM2.5) to CDC for the Tracking Network. The EPA maintains a...

On the radiometric measurement of the density distribution occuring at the horizontal hydraulic transport of solid matter

International Nuclear Information System (INIS)

Goedde, E.; Weber, M.

1977-01-01

In order to estimate the phenomena of the flow in horizontal hydraulic transport of solid matter, measuring the density structure along the vertical pipe diameter is of vital interest for basic investigations. The measurement technology in mixed flows of solid matter and water is very difficult and therefore only few publications on characteristic flow profiles in horizontal pipes are known. In a research programme advanced by the Deutsche Forschungsgemeinschaft investigations were made on the possibility to measure the density profile by means of plain measuring equipment based upon radiometrics. In this paper a combination of a nuclear radiometric polar and parallel scanning method is shown to be suitable for this kind of measurements. (orig.) [de

Measuring population health in Moldova: health expectancies

Directory of Open Access Journals (Sweden)

Cristina Avram

2018-05-01

Full Text Available Health measures are decisive for the development and implementation of population health policies. Monitoring health indicators can lead to improvements in health and decrease in the inequalities among subpopulations. The life expectancy at birth for the Moldovan population did not increase considerably during the last decades, due to the social and economic crisis which led to high mortality and poor health. In Moldova, no aggregated health indicators are utilized for health monitoring. Therefore, the authors calculated health indicators to assess the population health and argue their importance. Mortality and subjective data on self-perceived health and self-rated morbidity from the Household Budget Survey was used for constructing period morbidity-mortality tables. Thus, the authors applied Sullivan’s method to calculate the life expectancy in very good/good/fair health and the life expectancy without chronic morbidity for the period 2006 - 2015. The life expectancies in very good/good/fair health showed a compression of morbidity in the older ages for both sexes, and for rural and urban types of residence. The life expectancies without chronic morbidity for males and for urban dwellers demonstrated an expansion of morbidity. Although the life expectancy is slowly increasing, the trends in population health are contradictory, depending on the applied measures. The health expectancy indicators, based on self-perceived health, depict the actual situation in the population health. These indicators are becoming more essential with the ageing process and can be used for the tailoring of social and health policies and services to the real needs of the population.

Health-physics Measurements: Services

International Nuclear Information System (INIS)

Hardeman, F.; Hurtgen, C.; Vanhavere, F.; Vanmarcke, H.

1998-01-01

SCK-CEN's programme on health-physics (1) offers complete services in health-physics measurements according to international quality standards; (2) contributes to improve continuously these measurement techniques and follows up international recommendations and legislation concerning the surveillance of workers; (3) provides support and advise to nuclear and non-nuclear industry on issues of radioactive contamination. Progress and achievements in 1997 are summarised

Soft-Matter Resistive Sensor for Measuring Shear and Pressure Stresses

Science.gov (United States)

Tepayotl-Ramirez, Daniel; Roberts, Peter; Majidi, Carmel

2013-03-01

Building on emerging paradigms in soft-matter electronics, we introduce liquid-phase electronic sensors that simultaneously measures elastic pressure and shear deformation. The sensors are com- posed of a sheet of elastomer that is embedded with fluidic channels containing eutectic Gallium- Indium (EGaIn), a metal alloy that is liquid at room temperature. Applying pressure or shear traction to the surface of the surrounding elastomer causes the elastomer to elastically deform and changes the geometry and electrical properties of the embedded liquid-phase circuit elements. We introduce analytic models that predict the electrical response of the sensor to prescribed surface tractions. These models are validated with both Finite Element Analysis (FEA) and experimental measurements.

Frameworks matter: ecosocial and health and human rights perspectives on disparities in women's health--the case of tuberculosis.

Science.gov (United States)

Krieger, N; Gruskin, S

2001-01-01

Frameworks matter. To understand, intervene in, and improve the health of girls and women requires more than just good intentions and an eclectic list of "risk factors" or policy prescriptions, even if dressed up in notions of "gender." In this article, we present two frameworks-ecosocial and health and human rights-that, if considered singly and in combination, we believe could prove useful to furthering work on understanding and addressing societal patterns of health, disease, and well-being. After explicitly summarizing our theoretical stances, we sketch the kinds of questions these frameworks invite us to consider, with reference to a particular case example: women and tuberculosis. By taking on the challenge of articulating and applying our frameworks, separately and in relation to each other, we hope to deepen understanding and generate new ideas that can make a difference for the health of girls and women.

Do measures matter? Comparing surface-density-derived and census-tract-derived measures of racial residential segregation

Directory of Open Access Journals (Sweden)

Waller Lance A

2010-06-01

Full Text Available Abstract Background Racial residential segregation is hypothesized to affect population health by systematically patterning health-relevant exposures and opportunities according to individuals' race or income. Growing interest into the association between residential segregation and health disparities demands more rigorous appraisal of commonly used measures of segregation. Most current studies rely on census tracts as approximations of the local residential environment when calculating segregation indices of either neighborhoods or metropolitan areas. Because census tracts are arbitrary in size and shape, reliance on this geographic scale limits understanding of place-health associations. More flexible, explicitly spatial derivations of traditional segregation indices have been proposed but have not been compared with tract-derived measures in the context of health disparities studies common to social epidemiology, health demography, or medical geography. We compared segregation measured with tract-derived as well as GIS surface-density-derived indices. Measures were compared by region and population size, and segregation measures were linked to birth record to estimate the difference in association between segregation and very preterm birth. Separate analyses focus on metropolitan segregation and on neighborhood segregation. Results Across 231 metropolitan areas, tract-derived and surface-density-derived segregation measures are highly correlated. However overall correlation obscures important differences by region and metropolitan size. In general the discrepancy between measure types is greatest for small metropolitan areas, declining with increasing population size. Discrepancies in measures are greatest in the South, and smallest in Western metropolitan areas. Choice of segregation index changed the magnitude of the measured association between segregation and very preterm birth. For example among black women, the risk ratio for very

Results of measurements of particulate matter concentrations inside a pig fattening facility

Directory of Open Access Journals (Sweden)

Ulens, T.

2016-01-01

Full Text Available Description of the subject. This research note discusses the results of measurements of particulate matter concentrations inside a pig fattening facility. Objectives. The objectives of the present study were to investigate the correlations between the different size fractions of indoor particulate matter (PM inside a pig fattening facility and to investigate the evolution of particle size distribution (PSD through a fattening period and between two housing systems and two cleaning protocols. Method. Data from two consecutive fattening periods in a commercial pig barn were used. Results. Very high correlations were found between PM10 and PM2.5 indoor concentrations. Depending on the measuring instrument, high or low correlations were found between PM1 and PM10 or PM2.5 indoor concentrations. No differences in PSD could be found between the two housing systems or the two cleaning protocols. Conclusions. The results from the present study showed high correlations between the indoor concentrations of PM10 and PM2.5. In the present study, no differences in PSD were found.

Demonstration of Novel Sampling Techniques for Measurement of Turbine Engine Volatile and Non-Volatile Particulate Matter (PM) Emissions

Science.gov (United States)

2017-03-06

WP-201317) Demonstration of Novel Sampling Techniques for Measurement of Turbine Engine Volatile and Non-volatile Particulate Matter (PM... Engine Volatile and Non-Volatile Particulate Matter (PM) Emissions 6. AUTHOR(S) E. Corporan, M. DeWitt, C. Klingshirn, M.D. Cheng, R. Miake-Lye, J. Peck...the performance and viability of two devices to condition aircraft turbine engine exhaust to allow the accurate measurement of total (volatile and non

The resources that matter: fundamental social causes of health disparities and the challenge of intelligence.

Science.gov (United States)

Link, Bruce G; Phelan, Jo C; Miech, Richard; Westin, Emily Leckman

2008-03-01

A robust and very persistent association between indicators of socioeconomic status (SES) and the onset of life-threatening disease is a prominent concern of medical sociology. The persistence of the association over time and its generality across very different places suggests that no fixed set of intervening risk and protective factors can account for the connection. Instead, fundamental-cause theory views SES-related resources of knowledge, money, power prestige, and beneficial social connections as flexible resources that allow people to avoid risks and adopt protective strategies no matter what the risk and protective factors are in a given place or time. Recently, however, intelligence has been proposed as an alternative flexible resource that could fully account for the association between SES and health and thereby find its place as the epidemiologists' "elusive fundamental cause" (Gottfredson 2004). We examine the direct effects of intelligence test scores and adult SES in two data sets containing measures of intelligence, SES, and health. In analyses of prospective data from both the Wisconsin Longitudinal Study and the Health and Retirement Survey, we find little evidence of a direct effect of intelligence on health once adult education and income are held constant. In contrast, the significant effects of education and income on health change very little when intelligence is controlled. Although data limitations do not allow a definitive resolution of the issue, this evidence is inconsistent with the claim that intelligence is the elusive fundamental cause of health disparities, and instead supports the idea that the flexible resources people actively use to gain a health advantage are the SES-related resources of knowledge, money, power, prestige, and beneficial social connections.

Measuring health inequality among children in developing countries: does the choice of the indicator of economic status matter?

NARCIS (Netherlands)

Houweling, Tanja A. J.; Kunst, Anton E.; Mackenbach, Johan P.

2003-01-01

BACKGROUND: Currently, poor-rich inequalities in health in developing countries receive a lot of attention from both researchers and policy makers. Since measuring economic status in developing countries is often problematic, different indicators of wealth are used in different studies. Until now,

The German Energiewende-a matter for health?

Science.gov (United States)

Sutcliffe, Robynne; Orban, Ester; McDonald, Kelsey; Moebus, Susanne

2016-08-01

Germany's enormous transformation away from nuclear energy and fossil fuels towards a renewable and energy efficient system-called the Energiewende-is playing an essential role in Germany's economy and policymaking. This article summarises the current knowledge on possible health impacts of the Energiewende and describes the need and opportunities to incorporate health into energy-related policy. A structural model helped to narrow down specific topics and to conceptualise links between the Energiewende, the environment and health. A comprehensive literature search was conducted within policy documents and scientific databases with English and German language selections. Of 7800 publications first identified only 46 explicitly related energy measures to health, of which 40 were grey literature. Notably, only 12% published by health authorities all others were issued by environmental, energy or consumer protection agencies, ministries or institutions. Our study shows that health impacts of the German Energiewende are rarely explicitly addressed. An integration of a health perspective into energy-related policy is needed including the involvement of public health authorities. A health impact assessment can be a suitable tool to support and evaluate Energiewende-related developments from a health perspective. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Methodology for measuring environmental health within Europe. Health Risk from Environmental Pollution Levels in Urban Systems (HEREPLUS

Directory of Open Access Journals (Sweden)

Anja Zscheppang

2008-12-01

Full Text Available

Background: The European Commission funds a European research project titled “Health Risk from Environmental Pollution Levels in Urban Systems” (HEREPLUS that focuses on environmental health within Europe. The HEREPLUS project was presented at the 16th EUPHA conference in Lisbon in November 2008 within a workshop named “The assessment of the effect of air pollution on population and environmental health: the integration of epidemiology and geographical information system (GIS”.

Methods: The HEREPLUS project aims to measure the correlation between air pollution (especially ozone and particulate matter, meteorology, vegetation and human health in four European cities (Rome, Madrid, Athens and Dresden by using a Geoinformation System to develop risk maps and subsequently guidelines to reduce air pollution and number of diseases.

Results: The project started in September 2008 and a large, structured, relational database has been developed and completed. A literature review including national as well as international scientific literature goes on and will be completed in April 2009. Final results will be presented and published in 2011.

Conclusions: Detailed scientific knowledge is important and needed to implement environmental programmes with the overall aim to protect human population against environmental related diseases.

Measuring the health of the Indian elderly: evidence from National Sample Survey data

Directory of Open Access Journals (Sweden)

Mahal Ajay

2010-11-01

Full Text Available Abstract Background Comparable health measures across different sets of populations are essential for describing the distribution of health outcomes and assessing the impact of interventions on these outcomes. Self-reported health (SRH is a commonly used indicator of health in household surveys and has been shown to be predictive of future mortality. However, the susceptibility of SRH to influence by individuals' expectations complicates its interpretation and undermines its usefulness. Methods This paper applies the empirical methodology of Lindeboom and van Doorslaer (2004 to investigate elderly health in India using data from the 52nd round of the National Sample Survey conducted in 1995-96 that includes both an SRH variable as well as a range of objective indicators of disability and ill health. The empirical testing was conducted on stratified homogeneous groups, based on four factors: gender, education, rural-urban residence, and region. Results We find that region generally has a significant impact on how women perceive their health. Reporting heterogeneity can arise not only from cut-point shifts, but also from differences in health effects by objective health measures. In contrast, we find little evidence of reporting heterogeneity due to differences in gender or educational status within regions. Rural-urban residence does matter in some cases. The findings are robust with different specifications of objective health indicators. Conclusions Our exercise supports the thesis that the region of residence is associated with different cut-points and reporting behavior on health surveys. We believe this is the first paper that applies the Lindeboom-van Doorslaer methodology to data on the elderly in a developing country, showing the feasibility of applying this methodology to data from many existing cross-sectional health surveys.

Do governance choices matter in health care networks?: an exploratory configuration study of health care networks

Science.gov (United States)

2013-01-01

Background Health care networks are widely used and accepted as an organizational form that enables integrated care as well as dealing with complex matters in health care. However, research on the governance of health care networks lags behind. The research aim of our study is to explore the type and importance of governance structure and governance mechanisms for network effectiveness. Methods The study has a multiple case study design and covers 22 health care networks. Using a configuration view, combinations of network governance and other network characteristics were studied on the level of the network. Based on interview and questionnaire data, network characteristics were identified and patterns in the data looked for. Results Neither a dominant (or optimal) governance structure or mechanism nor a perfect fit among governance and other characteristics were revealed, but a number of characteristics that need further study might be related to effective networks such as the role of governmental agencies, legitimacy, and relational, hierarchical, and contractual governance mechanisms as complementary factors. Conclusions Although the results emphasize the situational character of network governance and effectiveness, they give practitioners in the health care sector indications of which factors might be more or less crucial for network effectiveness. PMID:23800334

Background radiation measurements at 400 meter underground for dark matter search study

International Nuclear Information System (INIS)

Kim, T. Y.; Kim, H. J.; Lee, Y. C.; Won, E.; Kim, S. K.; Kim, Y. D.; So, W. Y.

1999-01-01

Recently we have performed measurements of background radiation, which is crucial for any dark matter search experiments. We measured muons, neutrons, and gamma backgrounds at approximately 400 meter underground tunnel in the electric generating facility located about 120 km east of Seoul. We believe this may be the first measurement at this depth in Korea. The muon flux measured with triple coincidence between 3 scintillating plates was reduced by a factor of 10 4 compared with the flux at ground level as expected at this depth. The unshielded gamma background measured with 15% relative efficiency germanium detector was rather high due to the surrounding rocks. Shielded with 15 cm normal lead and 2.5 cm electrode copper gave about 0.5 counts/second. (author)

Measurement of positron range in matter in strong magnetic fields

International Nuclear Information System (INIS)

Hammer, B.E.; Christensen, N.L.

1995-01-01

Positron range is one factor that places a limitation on Positron Emission Tomography (PET) resolution. The distance a positron travels through matter before it annihilates with an electron is a function of its initial energy and the electron density of the medium. A strong magnetic field limits positron range when momentum components are transverse to the field. Measurement of positron range was determined by deconvolving the effects of detector response and radioactive distribution from the measured annihilation spread function. The annihilation spread function for a 0.5 mm bead of 68 Ga was measured with 0.2 and 1.0 mm wide slit collimators. Based on the annihilation spread function FWHM (Full Width at Half Maximum) for a 1.0 mm wide slit the median positron range in tissue equivalent material is 0.87, 0.50, 0.22 mm at 0, 5.0 and 9.4 T, respectively

Predicting physical health: implicit mental health measures versus self-report scales.

Science.gov (United States)

Cousineau, Tara McKee; Shedler, Jonathan

2006-06-01

Researchers have traditionally relied on self-report questionnaires to assess psychological well-being, but such measures may be unable to differentiate individuals who are genuinely psychologically healthy from those who maintain a facade or illusion of mental health based on denial and self-deception. Prior research suggests that clinically derived assessment procedures that assess implicit psychological processes may have advantages over self-report mental health measures. This prospective study compared the Early Memory Index, an implicit measure of mental health/distress, with a range of familiar self-report scales as predictors of physical health. The Early Memory Index showed significant prospective associations with health service utilization and clinically verified illness. In contrast, self-report measures of mental health, perceived stress, life events stress, and mood states did not predict health outcomes. The findings highlight the limitations of self-report questionnaires and suggest that implicit measures have an important role to play in mental health research.

Measuring the pollutant transport capacity of dissolved organic matter in complex matrixes

DEFF Research Database (Denmark)

Persson, L.; Alsberg, T.; Odham, G.

2003-01-01

Dissolved organic matter (DOM) facilitated transport in contaminated groundwater was investigated through the measurement of the binding capacity of landfill leachate DOM (Vejen, Denmark) towards two model pollutants (pyrene and phenanthrene). Three different methods for measuring binding capacity....... It was further concluded that DOM facilitated transport should be taken into account for non-ionic PAHs with lg K OW above 5, at DOM concentrations above 250 mg C/L. The total DOM concentration was found to be more important for the potential of facilitated transport than differences in the DOM binding capacity....

Measuring health inequalities over time

Directory of Open Access Journals (Sweden)

Gustavo Bergonzoli

2007-11-01

Full Text Available Background: several methodologies have been used to measure health inequalities. Most of them do so in a cross- sectional fashion, causing significant loss of information. None of them measure health inequalities in social territories over time. Methods: this article presents two approaches measure health inequalities: one approach consists of a refinement of cross-sectional study, by using the analysis of ANOVA variance (ANOVA procedure to explore whether the gap between social territories is real or due to chance. Several adjustments were made to limit errors inevitably found in multiple comparisons. Polynomial procedures were then applied to identify and evaluate any trends. The second sociales se utilizó approach measures the health gap between social territories or strata (as defined in this study over time using the Poisson regression. These approaches were applied using life expectancy and maternal mortality data from Venezuela. Results: a positive relationship between tendenterritories and life expectancy was found, with a significant cia linal trend. The relation between maternal mortality and materna y territorios sociales fue cuadrática. La medición desocial territories was quadratic. The measurement of the la brecha, gap between least developed social territory and the most, a developed territory showed a gap reduction from the first to the second decade, mainly because of an increase of territorio social maternal mortality in the more developed area, rather than a real improvement in the least developed. Conclusions: study helps to clarify the impact that public policies and interventions have in reducing the health gap. Knowledge that a health gap between social territories can decrease without showing improvement in the least developed sector , is an important finding for monitoring and evaluating health interventions for improving living and health conditions in the population.

Low mass dielectrons radiated off cold nuclear matter measured with HADES

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Lorenz M.

2014-03-01

Full Text Available The High Acceptance DiElectron Spectrometer HADES [1] is installed at the Helmholtzzentrum für Schwerionenforschung (GSI accelerator facility in Darmstadt. It investigates dielectron emission and strangeness production in the 1-3 AGeV regime. A recent experiment series focusses on medium-modifications of light vector mesons in cold nuclear matter. In two runs, p+p and p+Nb reactions were investigated at 3.5 GeV beam energy; about 9·109 events have been registered. In contrast to other experiments the high acceptance of the HADES allows for a detailed analysis of electron pairs with low momenta relative to nuclear matter, where modifications of the spectral functions of vector mesons are predicted to be most prominent. Comparing these low momentum electron pairs to the reference measurement in the elementary p+p reaction, we find in fact a strong modification of the spectral distribution in the whole vector meson region.

How Different Forms of Health Matter to Political Participation

Science.gov (United States)

Burden, Barry C.; Fletcher, Jason M.; Herd, Pamela; Jones, Bradley M.; Moynihan, Donald P.

2018-01-01

Physical and mental health is known to have wide influence over most aspects of social life—be it schooling and employment or marriage and broader social engagement—but has received limited attention in explaining different forms of political participation. We analyze a unique dataset with a rich array of objective measures of cognitive and physical well-being and two objective measures of political participation, voting and contributing money to campaigns and parties. For voting, each aspect of health has a powerful effect on par with traditional predictors of participation such as education. In contrast, health has little to no effect on making campaign contributions. We recommend additional attention to the multifaceted affects of health on different forms of political participation. PMID:29503463

In vivo magnetic resonance spectroscopy measurement of gray-matter and white-matter gamma-aminobutyric acid concentration in sensorimotor cortex using a motion-controlled MEGA point-resolved spectroscopy sequence.

Science.gov (United States)

Bhattacharyya, Pallab K; Phillips, Micheal D; Stone, Lael A; Lowe, Mark J

2011-04-01

Gamma-aminobutyric acid (GABA) is a major inhibitory neurotransmitter in the brain. Understanding the GABA concentration, in vivo, is important to understand normal brain function. Using MEGA point-resolved spectroscopy sequence with interleaved water scans to detect subject motion, GABA level of sensorimotor cortex was measured using a voxel identified from a functional magnetic resonance imaging scan. The GABA level in a 20×20×20-mm(3) voxel consisting of 37%±7% gray matter, 52%±12% white matter and 11%±8% cerebrospinal fluid in the sensorimotor region was measured to be 1.43±0.48 mM. In addition, using linear regression analysis, GABA concentrations within gray and white matter were calculated to be 2.87±0.61 and 0.33±0.11 mM, respectively. Copyright © 2011 Elsevier Inc. All rights reserved.

Dark matter in the universe

International Nuclear Information System (INIS)

Kormendy, J.; Knapp, G.R.

1987-01-01

Until recently little more was known than that dark matter appears to exist; there was little systematic information about its properties. Only in the past several years was progress made to the point where dark matter density distributions can be measured. For example, with accurate rotation curves extending over large ranges in radius, decomposing the effects of visible and dark matter to measure dark matter density profiles can be tried. Some regularities in dark matter behaviour have already turned up. This volume includes review and invited papers, poster papers, and the two general discussions. (Auth.)

Composition and Sources of Particulate Matter Measured near Houston, TX: Anthropogenic-Biogenic Interactions

Directory of Open Access Journals (Sweden)

Jeffrey K. Bean

2016-05-01

Full Text Available Particulate matter was measured in Conroe, Texas (~60 km north of downtown Houston, Texas during the September 2013 DISCOVER-AQ campaign to determine the sources of particulate matter in the region. The measurement site is influenced by high biogenic emission rates as well as transport of anthropogenic pollutants from the Houston metropolitan area and is therefore an ideal location to study anthropogenic-biogenic interactions. Data from an Aerosol Chemical Speciation Monitor (ACSM suggest that on average 64 percent of non-refractory PM1 was organic material, including a high fraction (27%–41% of organic nitrates. There was little diurnal variation in the concentrations of ammonium sulfate; however, concentrations of organic and organic nitrate aerosol were consistently higher at night than during the day. Potential explanations for the higher organic aerosol loadings at night include changing boundary layer height, increased partitioning to the particle phase at lower temperatures, and differences between daytime and nighttime chemical processes such as nitrate radical chemistry. Positive matrix factorization was applied to the organic aerosol mass spectra measured by the ACSM and three factors were resolved—two factors representing oxygenated organic aerosol and one factor representing hydrocarbon-like organic aerosol. The factors suggest that the measured aerosol was well mixed and highly processed, consistent with the distance from the site to major aerosol sources, as well as the high photochemical activity.

Motivation Matters: Lessons for REDD+ Participatory Measurement, Reporting and Verification from Three Decades of Child Health Participatory Monitoring in Indonesia.

Science.gov (United States)

Ekowati, Dian; Hofstee, Carola; Praputra, Andhika Vega; Sheil, Douglas

2016-01-01

Participatory Measurement, Reporting and Verification (PMRV), in the context of reducing emissions from deforestation and forest degradation with its co-benefits (REDD+) requires sustained monitoring and reporting by community members. This requirement appears challenging and has yet to be achieved. Other successful, long established, community self-monitoring and reporting systems may provide valuable lessons. The Indonesian integrated village healthcare program (Posyandu) was initiated in the 1980s and still provides effective and successful participatory measurement and reporting of child health status across the diverse, and often remote, communities of Indonesia. Posyandu activities focus on the growth and development of children under the age of five by recording their height and weight and reporting these monthly to the Ministry of Health. Here we focus on the local Posyandu personnel (kaders) and their motivations and incentives for contributing. While Posyandu and REDD+ measurement and reporting activities differ, there are sufficient commonalities to draw useful lessons. We find that the Posyandu kaders are motivated by their interests in health care, by their belief that it benefits the community, and by encouragement by local leaders. Recognition from the community, status within the system, training opportunities, competition among communities, and small payments provide incentives to sustain participation. We examine these lessons in the context of REDD+.

Dark matter detectors

International Nuclear Information System (INIS)

Forster, G.

1995-01-01

A fundamental question of astrophysics and cosmology is the nature of dark matter. Astrophysical observations show clearly the existence of some kind of dark matter, though they cannot yet reveal its nature. Dark matter can consist of baryonic particles, or of other (known or unknown) elementary particles. Baryonic dark matter probably exists in the form of dust, gas, or small stars. Other elementary particles constituting the dark matter can possibly be measured in terrestrial experiments. Possibilities for dark matter particles are neutrinos, axions and weakly interacting massive particles (WIMPs). While a direct detection of relic neutrinos seems at the moment impossible, there are experiments looking for baryonic dark matter in the form of Massive Compact Halo Objects, and for particle dark matter in the form of axions and WIMPS. (orig.)

Does it matter who organises your health care?

Directory of Open Access Journals (Sweden)

Paresh Dawda

2015-05-01

Full Text Available Background: As the prevalence of long-term and multimorbid conditions is increasing, patients increasingly require consultations with multiple health care professionals and coordination of their care needs. Methods: This study is based on a 2011 survey of older Australians which draws on sub-populations of people with diabetes aged 50 years or over, people with chronic obstructive pulmonary disease, and members of Nationals Seniors Australia. We develop a composite coordination measure and examine differences in the measure with different care coordination indicators using both descriptive and regression methods. Three categories of respondent-perceived care organisers are used: health care professionals; “no one”; and patients, their partner, relative or friend. Results: Of the 2,540 survey respondents (an overall response rate of 24%, 1,865 provided information on who organised their health care, and composite coordination measures were calculated for 1,614. Multivariate analysis showed the composite score was highest where a health care professional coordinated care, followed by care organised by self or a carer, and then the group reporting no organiser. Conclusion: In moving towards care coordination there are opportunities to improve the care coordination process itself, and the key enablers to improving care coordination appear to be the availability and communication of clinical information and the role of the clinical team. Normal 0 false false false EN-AU X-NONE X-NONE Quality and Reputation: The Indirect Effect of Fine Particulate Matter on Health through Individuals' Life-style

OpenAIRE

Cinzia Di Novi

2011-01-01

Limited literature has been published on the association between environmental health indicators, life-style habits and ambient air pollution. We have examined the association of asthma prevalence and the amount of health investment with daily mean concentrations of particulate matter (PM) with a mass median aerodynamic diameter less than 2.5 mm (PM 2.5 ) in 16 metropolitan areas in U.S. using the Behavioral Risk Factor Surveillance System (2001) data in conjunction with the Air Quality Syste...

Health literacy revisited: what do we mean and why does it matter?

Science.gov (United States)

Peerson, Anita; Saunders, Margo

2009-09-01

'Health literacy' refers to accessing, understanding and using information to make health decisions. However, despite its introduction into the World Health Organization's Health Promotion Glossary, the term remains a confusing concept. We consider various definitions and measurements of health literacy in the international and Australian literature, and discuss the distinction between the broader concept of 'health literacy' (applicable to everyday life) and 'medical literacy' (related to individuals as patients within health care settings). We highlight the importance of health literacy in relation to the health promotion and preventive health agenda. Because health literacy involves knowledge, motivation and activation, it is a complex thing to measure and to influence. The development of health literacy policies will be facilitated by better evidence on the extent, patterns and impact of low health literacy, and what might be involved in improving it. However, the current lack of consensus of definitions and measurement of health literacy will first need to be overcome.

Colored Dissolved Organic Matter in Shallow Estuaries: The Effects of Source and Transport on Light Attenuation and Measurement

Science.gov (United States)

Oestreich, W. K.; Ganju, N. K.; Pohlman, J.; Suttles, S. E.

2014-12-01

Light is of great importance to the health and ecological function of shallow estuaries. Primary production in such estuaries, which is typically dominated by seagrass, is contingent upon light penetration to the deeper part of the estuarine water column. A major component contributing to light attenuation in these systems is colored dissolved organic matter (CDOM). CDOM is most often measured via a proxy, fluorescing dissolved organic matter (fDOM), due to the ease of taking rapid, accurate fDOM measurements. Fluorescence data can then be converted to absorbance by CDOM for use in light attenuation models. However, this fDOM-CDOM conversion has proven to be quite variable between estuaries, and even between sites along a given estuary. We displayed and attempted to explain this variability through the study of three diverse estuaries: West Falmouth Harbor (MA), Barnegat Bay (NJ), and Chincoteague Bay (MD/VA). Land use surrounding these estuaries ranges from wastewater treatment to agricultural operations and residential communities. Measurements of fDOM and absorbance by CDOM (quantified via spectrophotometer measurement of 0.2μm-filtered samples) were taken along a gradient from terrestrial to oceanic end-members. These measurements yielded highly variable fDOM-CDOM relationships between estuaries. The mean ratio of absorption coefficient at 340nm (m-1) to fDOM (QSU) was much higher in West Falmouth Harbor (0.874) than in Barnegat Bay (0.227) and Chincoteague Bay (0.173). This fDOM-CDOM relationship was also observed to be variable between sites within West Falmouth Harbor and Barnegat Bay, but consistent throughout sites along Chincoteague Bay. This variability, both within and between estuaries, is likely due to differing CDOM sources as a result of differences in land use in the areas surrounding these estuaries. Stable carbon isotope analysis of DOC from each site and hydrodynamic model results will be used to differentiate sources and further elucidate the

Estimation of atmospheric columnar organic matter (OM) mass concentration from remote sensing measurements of aerosol spectral refractive indices

Science.gov (United States)

Zhang, Ying; Li, Zhengqiang; Sun, Yele; Lv, Yang; Xie, Yisong

2018-04-01

Aerosols have adverse effects on human health and air quality, changing Earth's energy balance and lead to climate change. The components of aerosol are important because of the different spectral characteristics. Based on the low hygroscopic and high scattering properties of organic matter (OM) in fine modal atmospheric aerosols, we develop an inversion algorithm using remote sensing to obtain aerosol components including black carbon (BC), organic matter (OM), ammonium nitrate-like (AN), dust-like (DU) components and aerosol water content (AW). In the algorithm, the microphysical characteristics (i.e. volume distribution and complex refractive index) of particulates are preliminarily separated to fine and coarse modes, and then aerosol components are retrieved using bimodal parameters. We execute the algorithm using remote sensing measurements of sun-sky radiometer at AERONET site (Beijing RADI) in a period from October of 2014 to January of 2015. The results show a reasonable distribution of aerosol components and a good fit for spectral feature calculations. The mean OM mass concentration in atmospheric column is account for 14.93% of the total and 56.34% of dry and fine-mode aerosol, being a fairly good correlation (R = 0.56) with the in situ observations near the surface layer.

Galactic searches for dark matter

International Nuclear Information System (INIS)

Strigari, Louis E.

2013-01-01

For nearly a century, more mass has been measured in galaxies than is contained in the luminous stars and gas. Through continual advances in observations and theory, it has become clear that the dark matter in galaxies is not comprised of known astronomical objects or baryonic matter, and that identification of it is certain to reveal a profound connection between astrophysics, cosmology, and fundamental physics. The best explanation for dark matter is that it is in the form of a yet undiscovered particle of nature, with experiments now gaining sensitivity to the most well-motivated particle dark matter candidates. In this article, I review measurements of dark matter in the Milky Way and its satellite galaxies and the status of Galactic searches for particle dark matter using a combination of terrestrial and space-based astroparticle detectors, and large scale astronomical surveys. I review the limits on the dark matter annihilation and scattering cross sections that can be extracted from both astroparticle experiments and astronomical observations, and explore the theoretical implications of these limits. I discuss methods to measure the properties of particle dark matter using future experiments, and conclude by highlighting the exciting potential for dark matter searches during the next decade, and beyond

Magnetisation transfer measurements of the subcortical grey and white matter in Parkinson's disease with and without dementia and in progressive supranuclear palsy

International Nuclear Information System (INIS)

Hanyu, H.; Asano, T.; Sakurai, H.; Takasaki, M.; Shindo, H.; Abe, K.

2001-01-01

We measured the magnetisation transfer ratio (MTR) in the subcortical grey and white matter of 11 patients with idiopathic Parkinson's disease (PD) without dementia, six with PD with dementia (PDD), six with progressive supranuclear palsy (PSP), and 12 elderly control subjects to assess regional differences in structural brain damage. There were no significant differences in MTR in any region between PD and controls. However, patients with PDD had significantly lower MTR in the subcortical white matter, including the frontal white matter and the genu of the corpus callosum than the controls, whereas PSP had significantly lower MTR in the subcortical grey matter, including the putamen, globus pallidus and thalamus, in addition to the subcortical white matter. This suggests that regional patterns of structural brain damage can be detected using the magnetisation transfer technique. Measurement of MTR in the subcortical grey and white matter may be useful in differential diagnosis. (orig.)

Measurement of Nuclear Recoils in the CDMS II Dark Matter Search

Energy Technology Data Exchange (ETDEWEB)

Fallows, Scott Mathew [Univ. of Minnesota, Minneapolis, MN (United States)

2014-12-01

The Cryogenic Dark Matter Search (CDMS) experiment is designed to directly detect elastic scatters of weakly-interacting massive dark matter particles (WIMPs), on target nuclei in semiconductor crystals composed of Si and Ge. These scatters would occur very rarely, in an overwhelming background composed primarily of electron recoils from photons and electrons, as well as a smaller but non-negligible background of WIMP-like nuclear recoils from neutrons. The CDMS II generation of detectors simultaneously measure ionization and athermal phonon signals from each scatter, allowing discrimination against virtually all electron recoils in the detector bulk. Pulse-shape timing analysis allows discrimination against nearly all remaining electron recoils taking place near detector surfaces. Along with carefully limited neutron backgrounds, this experimental program allowed for \\background- free" operation of CDMS II at Soudan, with less than one background event expected in each WIMP-search analysis. As a result, exclusionary upper-limits on WIMP-nucleon interaction cross section were placed over a wide range of candidate WIMP masses, ruling out large new regions of parameter space.

Comparison of grey matter volume and thickness for analysing cortical changes in chronic schizophrenia: a matter of surface area, grey/white matter intensity contrast, and curvature.

Science.gov (United States)

Kong, Li; Herold, Christina J; Zöllner, Frank; Salat, David H; Lässer, Marc M; Schmid, Lena A; Fellhauer, Iven; Thomann, Philipp A; Essig, Marco; Schad, Lothar R; Erickson, Kirk I; Schröder, Johannes

2015-02-28

Grey matter volume and cortical thickness are the two most widely used measures for detecting grey matter morphometric changes in various diseases such as schizophrenia. However, these two measures only share partial overlapping regions in identifying morphometric changes. Few studies have investigated the contributions of the potential factors to the differences of grey matter volume and cortical thickness. To investigate this question, 3T magnetic resonance images from 22 patients with schizophrenia and 20 well-matched healthy controls were chosen for analyses. Grey matter volume and cortical thickness were measured by VBM and Freesurfer. Grey matter volume results were then rendered onto the surface template of Freesurfer to compare the differences from cortical thickness in anatomical locations. Discrepancy regions of the grey matter volume and thickness where grey matter volume significantly decreased but without corresponding evidence of cortical thinning involved the rostral middle frontal, precentral, lateral occipital and superior frontal gyri. Subsequent region-of-interest analysis demonstrated that changes in surface area, grey/white matter intensity contrast and curvature accounted for the discrepancies. Our results suggest that the differences between grey matter volume and thickness could be jointly driven by surface area, grey/white matter intensity contrast and curvature. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Coverage matters: insurance and health care

National Research Council Canada - National Science Library

Board on Health Care Services Staff; Institute of Medicine Staff; Institute of Medicine; National Academy of Sciences

2001-01-01

...? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters...

Development of the Health Insurance Literacy Measure (HILM): Conceptualizing and Measuring Consumer Ability to Choose and Use Private Health Insurance

OpenAIRE

Paez, Kathryn A.; Mallery, Coretta J.; Noel, HarmoniJoie; Pugliese, Christopher; McSorley, Veronica E.; Lucado, Jennifer L.; Ganachari, Deepa

2014-01-01

Understanding health insurance is central to affording and accessing health care in the United States. Efforts to support consumers in making wise purchasing decisions and using health insurance to their advantage would benefit from the development of a valid and reliable measure to assess health insurance literacy. This article reports on the development of the Health Insurance Literacy Measure (HILM), a self-assessment measure of consumers' ability to select and use private health insurance...

Measurement plans for process flow improvement in services and health care

NARCIS (Netherlands)

Kemper, B.; de Mast, J.

2013-01-01

The discussion of performance measurement is often on a conceptual, not operational, level; advice on the operational and practical matters of obtaining data for process flow improvement is scarce. We define a measurement plan and study four measurement study designs and corresponding methods and

Fundamental tests and measures of the structure of matter at short distances

International Nuclear Information System (INIS)

Brodsky, S.J.

1981-07-01

Recent progress in gauge field theories has led to a new perspective on the structure of matter and basic interactions at short distances. It is clear that at very high energies quantum electrodynamics, together with the weak and strong interactions, are part of a unified theory with new fundamental constants, new symmetries, and new conservation laws. A non-technical introduction to these topics is given, with emphasis on fundamental tests and measurements. 21 references

Measurement of cerebral white matter perfusion using pseudocontinuous arterial spin labeling 3T magnetic resonance imaging--an experimental and theoretical investigation of feasibility.

Directory of Open Access Journals (Sweden)

Wen-Chau Wu

Full Text Available PURPOSE: This study was aimed to experimentally and numerically investigate the feasibility of measuring cerebral white matter perfusion using pseudocontinuous arterial spin labeling (PCASL 3T magnetic resonance imaging (MRI at a relatively fine resolution to mitigate partial volume effect from gray matter. MATERIALS AND METHODS: The Institutional Research Ethics Committee approved this study. On a clinical 3T MR system, ten healthy volunteers (5 females, 5 males, age = 28 ± 3 years were scanned after providing written informed consent. PCASL imaging was performed with varied combinations of labeling duration (τ = 1000, 1500, 2000, and 2500 ms and post-labeling delay (PLD = 1000, 1400, 1800, and 2200 ms, at a spatial resolution (1.56 x 1.56 x 5 mm(3 finer than commonly used (3.5 x 3.5 mm(2, 5-8 mm in thickness. Computer simulations were performed to calculate the achievable perfusion-weighted signal-to-noise ratio at varied τ, PLD, and transit delay. RESULTS: Based on experimental and numerical data, the optimal τ and PLD were found to be 2000 ms and 1500-1800 ms, respectively, yielding adequate SNR (~2 to support perfusion measurement in the majority (~60% of white matter. The measurement variability was about 9% in a one-week interval. The measured white matter perfusion and perfusion ratio of gray matter to white matter were 15.8-27.5 ml/100ml/min and 1.8-4.0, respectively, depending on spatial resolution as well as the amount of deep white matter included. CONCLUSION: PCASL 3T MRI is able to measure perfusion in the majority of cerebral white matter at an adequate signal-to-noise ratio by using appropriate tagging duration and post-labeling delay. Although pixel-wise comparison may not be possible, region-of-interest based flow quantification is feasible.

Development of the Health Insurance Literacy Measure (HILM): Conceptualizing and Measuring Consumer Ability to Choose and Use Private Health Insurance

Science.gov (United States)

Paez, Kathryn A.; Mallery, Coretta J.; Noel, HarmoniJoie; Pugliese, Christopher; McSorley, Veronica E.; Lucado, Jennifer L.; Ganachari, Deepa

2014-01-01

Understanding health insurance is central to affording and accessing health care in the United States. Efforts to support consumers in making wise purchasing decisions and using health insurance to their advantage would benefit from the development of a valid and reliable measure to assess health insurance literacy. This article reports on the development of the Health Insurance Literacy Measure (HILM), a self-assessment measure of consumers' ability to select and use private health insurance. The authors developed a conceptual model of health insurance literacy based on formative research and stakeholder guidance. Survey items were drafted using the conceptual model as a guide then tested in two rounds of cognitive interviews. After a field test with 828 respondents, exploratory factor analysis revealed two HILM scales, choosing health insurance and using health insurance, each of which is divided into a confidence subscale and likelihood of behavior subscale. Correlations between the HILM scales and an objective measure of health insurance knowledge and skills were positive and statistically significant which supports the validity of the measure. PMID:25315595

Contrasts in oxidative potential and other particulate matter characteristics collected near major streets and background locations

NARCIS (Netherlands)

Boogaard, H.; Janssen, N.A.H.; Fischer, P.H.; Kos, G.P.A.; Weijers, E.P.; Cassee, F.R.; van der Zee, S.C.; Hartog, J. de; Brunekreef, B.; Hoek, G.

2012-01-01

BACKGROUND: Measuring the oxidative potential of airborne particulate matter (PM) may provide a more health-based exposure measure by integrating various biologically relevant properties of PM into a single predictor of biological activity. OBJECTIVES: We aimed to assess the contrast in oxidative

Contrasts in oxidative potential and other particulate matter characteristics collected near major streets and background locations.

NARCIS (Netherlands)

Boogaard, H.; Janssen, N.A.; Fischer, P.H.; Kos, G.P.; Weijers, E.P.; Cassee, F.R.; Zee, S.C. van der; Hartog, J.J. de; Brunekreef, B.; Hoek, G.

2012-01-01

BACKGROUND: Measuring the oxidative potential of airborne particulate matter (PM) may provide a more health-based exposure measure by integrating various biologically relevant properties of PM into a single predictor of biological activity. OBJECTIVES: We aimed to assess the contrast in oxidative

Green Ocean Amazon 2014/15 High-Volume Filter Sampling: Atmospheric Particulate Matter of an Amazon Tropical City and its Relationship to Population Health Field Campaign Report

Energy Technology Data Exchange (ETDEWEB)

Machado, C. M. [Federal Univ. of Amazonas (Brazil); Santos, Erickson O. [Federal Univ. of Amazonas (Brazil); Fernandes, Karenn S. [Federal Univ. of Amazonas (Brazil); Neto, J. L. [Federal Univ. of Amazonas (Brazil); Souza, Rodrigo A. [Univ. of the State of Amazonas (Brazil)

2016-08-01

Manaus, the capital of the Brazilian state of Amazonas, is developing very rapidly. Its pollution plume contains aerosols from fossil fuel combustion mainly due to vehicular emission, industrial activity, and a thermal power plant. Soil resuspension is probably a secondary source of atmospheric particles. The plume transports from Manaus to the U.S. Department of Energy (DOE) Atmospheric Radiation Measurement (ARM) Climate Research Facility ARM site at Manacapuru urban pollutants as well as pollutants from pottery factories along the route of the plume. Considering the effects of particulate matter on health, atmospheric particulate matter was evaluated at this site as part of the ARM Facility’s Green Ocean Amazon 2014/15 (GoAmazon 2014/15) field campaign. Aerosol or particulate matter (PM) is typically defined by size, with the smaller particles having more health impact. Total suspended particulate (TSP) are particles smaller than 100 μm; particles smaller than 2.5 μm are called PM2.5. In this work, the PM2.5 levels were obtained from March to December of 2015, totaling 34 samples and TSP levels from October to December of 2015, totaling 17 samples. Sampling was conducted with PM2.5 and TSP high-volume samplers using quartz filters (Figure 1). Filters were stored during 24 hours in a room with temperature (21,1ºC) and humidity (44,3 %) control, in order to do gravimetric analyses by weighing before and after sampling. This procedure followed the recommendations of the Brazilian Association for Technical Standards local norm (NBR 9547:1997). Mass concentrations of particulate matter were obtained from the ratio between the weighted sample and the volume of air collected. Defining a relationship between particulate matter (PM2.5 and TSP) and respiratory diseases of the local population is an important goal of this project, since no information exists on that topic.

Why estrogens matter for behavior and brain health.

Science.gov (United States)

Galea, Liisa A M; Frick, Karyn M; Hampson, Elizabeth; Sohrabji, Farida; Choleris, Elena

2017-05-01

The National Institutes of Health (NIH) has required the inclusion of women in clinical studies since 1993, which has enhanced our understanding of how biological sex affects certain medical conditions and allowed the development of sex-specific treatment protocols. However, NIH's policy did not previously apply to basic research, and the NIH recently introduced a new policy requiring all new grant applications to explicitly address sex as a biological variable. The policy itself is grounded in the results of numerous investigations in animals and humans illustrating the existence of sex differences in the brain and behavior, and the importance of sex hormones, particularly estrogens, in regulating physiology and behavior. Here, we review findings from our laboratories, and others, demonstrating how estrogens influence brain and behavior in adult females. Research from subjects throughout the adult lifespan on topics ranging from social behavior, learning and memory, to disease risk will be discussed to frame an understanding of why estrogens matter to behavioral neuroscience. Copyright © 2016 Elsevier Ltd. All rights reserved.

Measured and modelled concentrations and vertical profiles of airborne particulate matter within the boundary layer of a street canyon

International Nuclear Information System (INIS)

Colls, J.J.; Micallef, A.

1999-01-01

Concentrations and vertical profiles of various fractions of airborne particulate matter (suspended particulate matter (SPM), PM 10 and PM 2.5 ) have been measured over the first three metres from ground in a street canyon. Measurements were carried out using automated near real-time apparatus called the Kinetic Sequential Sampling (KSS) system. KSS system is essentially an electronically-controlled lift carrying a real-time particle monitor for sampling air sequentially, at different heights within the breathing zone, which includes all heights within the surface layer of a street canyon at which people may breathe. Data is automatically logged at the different receptor levels, for the determination of the average vertical concentration profile of airborne particulate matter. For measuring the airborne particle concentration, a Grimm Dust Monitor 1.104/5 was used. The recorded data also allows for time series analysis of airborne particulate matter concentration at different heights. Time series data and hourly-average vertical concentration profiles in the boundary layer of the confines of a street are thought to be mainly determined by traffic emissions and traffic associated processes. Hence the measured data were compared with results of a street canyon emission-dispersion model in time and space. This Street Level Air Quality (SLAQ) model employs the plume-box technique and includes modules for simulating vehicle-generated effects such as thermally- and mechanically-generated turbulence and resuspension of road dust. Environmental processes, such as turbulence resulting from surface sensible heat and the formation of sulphate aerosol from sulphur dioxide exhaust emissions, are taken into account. The paper presents an outline description of the measuring technique and model used, and a comparison of the measured and modelled data

Structural racism in the workplace: Does perception matter for health inequalities?

Science.gov (United States)

McCluney, Courtney L; Schmitz, Lauren L; Hicken, Margaret T; Sonnega, Amanda

2018-02-01

Structural racism has been linked to racial health inequalities and may operate through an unequal labor market that results in inequalities in psychosocial workplace environments (PWE). Experiences of the PWE may be a critical but understudied source of racial health disparities as most adults spend a large portion of their lives in the workplace, and work-related stress affects health outcomes. Further, it is not clear if the objective characteristics of the workplace are important for health inequalities or if these inequalities are driven by the perception of the workplace. Using data from the 2008 to 2012 waves of the Health and Retirement Study (HRS), a probability-based sample of US adults 50 years of age and older and the Department of Labor's Occupational Information Network (O*NET), we examine the role of both standardized, objective (O*NET) and survey-based, subjective (as in HRS) measures of PWEs on health and Black-White health inequalities. We find that Blacks experience more stressful PWEs and have poorer health as measured by self-rated health, episodic memory function, and mean arterial pressure. Mediation analyses suggest that these objective O*NET ratings, but not the subjective perceptions, partially explain the relationship between race and health. We discuss these results within the extant literature on workplace and health and health inequalities. Furthermore, we discuss the use of standardized objective measures of the PWE to capture racial inequalities in workplace environment. Copyright © 2017 Elsevier Ltd. All rights reserved.

Get 150 minutes/week of moderate physical activity: It doesn’t matter how

Science.gov (United States)

Researchers at the National Cancer Institute have shown that people who engage in more minutes of moderate-intensity physical activity enjoy health benefits (measured here by likelihood of dying during the study period), but it does not matter how those minutes are accumulated.

Lies, Damned Lies, and Health Inequality Measurements

Science.gov (United States)

Gerdtham, Ulf-G; Petrie, Dennis

2015-01-01

Measuring and monitoring socioeconomic health inequalities are critical for understanding the impact of policy decisions. However, the measurement of health inequality is far from value neutral, and one can easily present the measure that best supports one’s chosen conclusion or selectively exclude measures. Improving people’s understanding of the often implicit value judgments is therefore important to reduce the risk that researchers mislead or policymakers are misled. While the choice between relative and absolute inequality is already value laden, further complexities arise when, as is often the case, health variables have both a lower and upper bound, and thus can be expressed in terms of either attainments or shortfalls, such as for mortality/survival. We bring together the recent parallel discussions from epidemiology and health economics regarding health inequality measurement and provide a deeper understanding of the different value judgments within absolute and relative measures expressed both in attainments and shortfalls, by graphically illustrating both hypothetical and real examples. We show that relative measures in terms of attainments and shortfalls have distinct value judgments, highlighting that for health variables with two bounds the choice is no longer only between an absolute and a relative measure but between an absolute, an attainment- relative and a shortfall-relative one. We illustrate how these three value judgments can be combined onto a single graph which shows the rankings according to all three measures, and illustrates how the three measures provide ethical benchmarks against which to judge the difference in inequality between populations. PMID:26133019

Measuring health care process quality with software quality measures.

Science.gov (United States)

Yildiz, Ozkan; Demirörs, Onur

2012-01-01

Existing quality models focus on some specific diseases, clinics or clinical areas. Although they contain structure, process, or output type measures, there is no model which measures quality of health care processes comprehensively. In addition, due to the not measured overall process quality, hospitals cannot compare quality of processes internally and externally. To bring a solution to above problems, a new model is developed from software quality measures. We have adopted the ISO/IEC 9126 software quality standard for health care processes. Then, JCIAS (Joint Commission International Accreditation Standards for Hospitals) measurable elements were added to model scope for unifying functional requirements. Assessment (diagnosing) process measurement results are provided in this paper. After the application, it was concluded that the model determines weak and strong aspects of the processes, gives a more detailed picture for the process quality, and provides quantifiable information to hospitals to compare their processes with multiple organizations.

Mind over matter: exploring job stress among female blue-collar workers.

Science.gov (United States)

Griffin-Blake, C Shannon; Tucker, Pattie J; Liburd, Leandris

2006-12-01

Although overall health has been defined holistically as the integration of a person's optimal mental, physical, social, intellectual, and spiritual well-being, a mental health focus remains on the fringe of many public health efforts. This report describes recent efforts by the Centers for Disease Control and Prevention (CDC) to explore job stress among female blue-collar workers. Using a more holistic approach to understand its impact on blue-collar women's overall health, health-related quality of life (HRQOL) was used to assess optimal human performance. Attempting to encapsulate how overall health affects one's ability to participate and fulfill daily personal/professional tasks, HRQOL yields a broader understanding of the interaction between psychological well-being (mind) and physical functioning (matter). Embedding CDC HRQOL-4 measures into a questionnaire used as part of a larger mixed methods project, blue-collar women responded to questions about their health, including both mental and physical. For these female workers, mental health appeared to be of greater consequence, which could be interpreted as mind being more significant than matter. This paper highlights the findings related to HRQOL issues experienced by these female blue-collar workers and summarizes recommendations for effective individual and organizational approaches to address job stress.

Experimental study of ion stopping power in warm dense matter: charge-state distribution measurements of ions leaving warm dense matter

International Nuclear Information System (INIS)

Gauthier, Maxence

2013-01-01

The determination if the ion slowing down process (or stopping power) in warm dense matter is essential especially in the frame of inertial confinement fusion. During my thesis, our interest was driven by the modification of the charge state of ion beam emerging from warm dense matter, this quantity playing a major role in ion stopping power calculation. We took advantage of the properties exhibited by ion beams produced by high intensity short pulse lasers to study during two experiments performed at ELFIE and TITAN facilities, the charge state modification of a carbon and helium ion beams emerging from an aluminum foil isochorically heated by an energetic proton beam. In the first two chapters are presented the major challenges regarding the subject from both a theoretical and experimental point of view. Here are exposed the different simulation tools used during the thesis. The third chapter is devoted to the study of the property of laser-produced ion beams in the scope of our experiments aiming at studying the stopping power. We have studied in particular ion beams generated using lower-than-solid density targets during two experiments: helium gas jet and laser-exploded target. In the last chapter are presented the set-ups and results of the two experiments on the charge state of ion beam emerging from warm dense matter. The data we measured in solid-density cold aluminum are successfully compared with the results already obtained in conventional accelerators. (author) [fr

Advancing Health Literacy Measurement: A Pathway to Better Health and Health System Performance

Science.gov (United States)

Pleasant, Andrew

2014-01-01

The concept of health literacy initially emerged and continues to gain strength as an approach to improving health status and the performance of health systems. Numerous studies clearly link low levels of education, literacy, and health literacy with poor health, poor health care utilization, increased barriers to care, and early death. However, theoretical understandings and methods of measuring the complex social construct of health literacy have experienced a continual evolution that remains incomplete. As a result, the seemingly most-cited definition of health literacy proposed in the now-decade-old Institute of Medicine report on health literacy is long overdue for updating. Such an effort should engage a broad and diverse set of health literacy researchers, practitioners, and members of the public in creating a definition that can earn broad consensus through validation testing in a rigorous scientific approach. That effort also could produce the basis for a new universally applicable measure of health literacy. Funders, health systems, and policymakers should reconsider their timid approach to health literacy. Although the field and corresponding evidence base are not perfect, health literacy—especially when combined with a focus on prevention and integrative health—is one of the most promising approaches to advancing public health. PMID:25491583

Measuring what matters to rare disease patients - reflections on the work by the IRDiRC taskforce on patient-centered outcome measures.

Science.gov (United States)

Morel, Thomas; Cano, Stefan J

2017-11-02

Our ability to evaluate outcomes which genuinely reflect patients' unmet needs, hopes and concerns is of pivotal importance. However, much current clinical research and practice falls short of this objective by selecting outcome measures which do not capture patient value to the fullest. In this Opinion, we discuss Patient-Centered Outcomes Measures (PCOMs), which have the potential to systematically incorporate patient perspectives to measure those outcomes that matter most to patients. We argue for greater multi-stakeholder collaboration to develop PCOMs, with rare disease patients and families at the center. Beyond advancing the science of patient input, PCOMs are powerful tools to translate care or observed treatment benefit into an 'interpretable' measure of patient benefit, and thereby help demonstrate clinical effectiveness. We propose mixed methods psychometric research as the best route to deliver fit-for-purpose PCOMs in rare diseases, as this methodology brings together qualitative and quantitative research methods in tandem with the explicit aim to efficiently utilise data from small samples. And, whether one opts to develop a brand-new PCOM or to select or adapt an existing outcome measure for use in a rare disease, the anchors remain the same: patients, their daily experience of the rare disease, their preferences, core concepts and values. Ultimately, existing value frameworks, registries, and outcomes-based contracts largely fall short of consistently measuring the full range of outcomes that matter to patients. We argue that greater use of PCOMs in rare diseases would enable a fast track to Patient-Centered Care.

A new measure for infant mental health screening

DEFF Research Database (Denmark)

Ammitzbøll, Janni; Holstein, Bjorn E.; Wilms, Lisbeth

2016-01-01

by community health nurses (CHN) in existing service settings in Denmark. This study was conducted to describe the development of a service setting based measure to screen for infant mental health problems, to investigate problems identified by the measure and assess the validity and feasibility in existing......Background: Mental health problems are a major public health challenges, and strategies of early prevention are needed. Effective prevention depends on feasible and validated measures of screening and intervention. Previous research has demonstrated potentials for infant mental health screening...... and feasibility was demonstrated, and the participation was 91%. Conclusions:The new measure shows potentials for infant mental health screening. However, further exploration of construct validity and reliability is needed....

Outline of experimental schemes for measurements of thermophysical and transport properties in warm dense matter at GSI and FAIR

International Nuclear Information System (INIS)

Tauschwitz, Anna; Jacoby, Joachim; Maruhn, Joachim; Basko, Mikhail; Efremov, Vladimir; Iosilevskiy, Igor; Neumayer, Paul; Novikov, Vladimir; Tauschwitz, Andreas; Rosmej, Frank

2010-01-01

Different experimental schemes for investigation of warm dense matter produced with intense energetic ion beams are presented. The described target configurations allow direct measurements of thermophysical and transport properties of warm dense matter without hydrodynamic recalculations. The presented experiments will be realized at the current GSI synchrotron SIS-18 and the future FAIR facility in the framework of the WDM-collaboration.

Dark matters

International Nuclear Information System (INIS)

Silk, Joseph

2010-01-01

One of the greatest mysteries in the cosmos is that it is mostly dark. That is, not only is the night sky dark, but also most of the matter and the energy in the universe is dark. For every atom visible in planets, stars and galaxies today there exists at least five or six times as much 'Dark Matter' in the universe. Astronomers and particle physicists today are seeking to unravel the nature of this mysterious but pervasive dark matter, which has profoundly influenced the formation of structure in the universe. Dark energy remains even more elusive, as we lack candidate fields that emerge from well established physics. I will describe various attempts to measure dark matter by direct and indirect means, and discuss the prospects for progress in unravelling dark energy.

Assessing alternative measures of wealth in health research.

Science.gov (United States)

Cubbin, Catherine; Pollack, Craig; Flaherty, Brian; Hayward, Mark; Sania, Ayesha; Vallone, Donna; Braveman, Paula

2011-05-01

We assessed whether it would be feasible to replace the standard measure of net worth with simpler measures of wealth in population-based studies examining associations between wealth and health. We used data from the 2004 Survey of Consumer Finances (respondents aged 25-64 years) and the 2004 Health and Retirement Survey (respondents aged 50 years or older) to construct logistic regression models relating wealth to health status and smoking. For our wealth measure, we used the standard measure of net worth as well as 9 simpler measures of wealth, and we compared results among the 10 models. In both data sets and for both health indicators, models using simpler wealth measures generated conclusions about the association between wealth and health that were similar to the conclusions generated by models using net worth. The magnitude and significance of the odds ratios were similar for the covariates in multivariate models, and the model-fit statistics for models using these simpler measures were similar to those for models using net worth. Our findings suggest that simpler measures of wealth may be acceptable in population-based studies of health.

Altered gray matter volume and white matter integrity in college students with mobile phone dependence

Directory of Open Access Journals (Sweden)

Yongming eWang

2016-05-01

Full Text Available Mobile phone dependence (MPD is a behavioral addiction that has become an increasing public mental health issue. While previous research has explored some of the factors that may predict MPD, the underlying neural mechanisms of MPD have not been investigated yet. The current study aimed to explore the microstructural variations associated with MPD as measured with functional Magnetic Resonance Imaging (fMRI. Gray matter volume (GMV and white matter (WM integrity (four indexes: fractional anisotropy, FA; mean diffusivity, MD; axial diffusivity, AD; and radial diffusivity, RD were calculated via voxel-based morphometry (VBM and tract-based spatial statistics (TBSS analysis, respectively. Sixty-eight college students (42 female were enrolled and separated into two groups (MPD group, N=34; control group, N=34 based on Mobile Phone Addiction Index (MPAI scale score. Trait impulsivity was also measured using the Barrett Impulsivity Scale (BIS-11. In light of underlying trait impulsivity, results revealed decreased GMV in the MPD group relative to controls in regions such as the right superior frontal gyrus (sFG, right inferior frontal gyrus (iFG, and bilateral thalamus (Thal. In the MPD group, GMV in the above mentioned regions was negatively correlated with scores on the MPAI. Results also showed significantly less FA and AD measures of white matter integrity in the MPD group relative to controls in bilateral hippocampal cingulum bundle fibers (CgH. Additionally, in the MPD group, FA of the CgH was also negatively correlated with scores on the MPAI. These findings provide the first morphological evidence of altered brain structure with phone-overuse, and may help to better understand the neural mechanisms of MPD in relation with other behavioral and substance addiction disorders.

Students Matter: Quality Measurements in Online Courses

Science.gov (United States)

Unal, Zafer; Unal, Aslihan

2016-01-01

Quality Matters (QM) is a peer review process designed to certify the quality of online courses and online components. It has generated widespread interest and received national recognition for its peer-based approach to quality assurance and continuous improvement in online education. While the entire QM online course design process is…

Measuring health systems strength and its impact: experiences from the African Health Initiative.

Science.gov (United States)

Sherr, Kenneth; Fernandes, Quinhas; Kanté, Almamy M; Bawah, Ayaga; Condo, Jeanine; Mutale, Wilbroad

2017-12-21

Health systems are essential platforms for accessible, quality health services, and population health improvements. Global health initiatives have dramatically increased health resources; however, funding to strengthen health systems has not increased commensurately, partially due to concerns about health system complexity and evidence gaps demonstrating health outcome improvements. In 2009, the African Health Initiative of the Doris Duke Charitable Foundation began supporting Population Health Implementation and Training Partnership projects in five sub-Saharan African countries (Ghana, Mozambique, Rwanda, Tanzania, and Zambia) to catalyze significant advances in strengthening health systems. This manuscript reflects on the experience of establishing an evaluation framework to measure health systems strength, and associate measures with health outcomes, as part of this Initiative. Using the World Health Organization's health systems building block framework, the Partnerships present novel approaches to measure health systems building blocks and summarize data across and within building blocks to facilitate analytic procedures. Three Partnerships developed summary measures spanning the building blocks using principal component analysis (Ghana and Tanzania) or the balanced scorecard (Zambia). Other Partnerships developed summary measures to simplify multiple indicators within individual building blocks, including health information systems (Mozambique), and service delivery (Rwanda). At the end of the project intervention period, one to two key informants from each Partnership's leadership team were asked to list - in rank order - the importance of the six building blocks in relation to their intervention. Though there were differences across Partnerships, service delivery and information systems were reported to be the most common focus of interventions, followed by health workforce and leadership and governance. Medical products, vaccines and technologies, and

Designing eHealth that Matters via a Multidisciplinary Requirements Development Approach.

Science.gov (United States)

Van Velsen, Lex; Wentzel, Jobke; Van Gemert-Pijnen, Julia Ewc

2013-06-24

Requirements development is a crucial part of eHealth design. It entails all the activities devoted to requirements identification, the communication of requirements to other developers, and their evaluation. Currently, a requirements development approach geared towards the specifics of the eHealth domain is lacking. This is likely to result in a mismatch between the developed technology and end user characteristics, physical surroundings, and the organizational context of use. It also makes it hard to judge the quality of eHealth design, since it makes it difficult to gear evaluations of eHealth to the main goals it is supposed to serve. In order to facilitate the creation of eHealth that matters, we present a practical, multidisciplinary requirements development approach which is embedded in a holistic design approach for eHealth (the Center for eHealth Research roadmap) that incorporates both human-centered design and business modeling. Our requirements development approach consists of five phases. In the first, preparatory, phase the project team is composed and the overall goal(s) of the eHealth intervention are decided upon. Second, primary end users and other stakeholders are identified by means of audience segmentation techniques and our stakeholder identification method. Third, the designated context of use is mapped and end users are profiled by means of requirements elicitation methods (eg, interviews, focus groups, or observations). Fourth, stakeholder values and eHealth intervention requirements are distilled from data transcripts, which leads to phase five, in which requirements are communicated to other developers using a requirements notation template we developed specifically for the context of eHealth technologies. The end result of our requirements development approach for eHealth interventions is a design document which includes functional and non-functional requirements, a list of stakeholder values, and end user profiles in the form of

75 FR 25887 - Order of Suspension of Trading; In the Matter of Alyn Corp., American HealthChoice, Inc...

Science.gov (United States)

2010-05-10

... SECURITIES AND EXCHANGE COMMISSION [File No. 500-1] Order of Suspension of Trading; In the Matter of Alyn Corp., American HealthChoice, Inc., American Holding Investments, Inc., American Midland Corp... Amwest Environmental Group, Inc. May 6, 2010. It appears to the Securities and Exchange Commission that...

Measurements of particulate matter and 3,4-benzopyrene in Zurich

Energy Technology Data Exchange (ETDEWEB)

Waibel, M; Wanner, H U

1974-01-01

Measurements of particulate matter and 3,4 benzoyrene were carried out at six measuring points in and around Zurich in 1971/72. The measuring points differed according to their immediate surroundings; they were subdivided into industrial zone, heavy traffic spots, residential area, and recreation ground. The correlations were calculated to clarify the connections between emissions and meteorological influences including temperature, inversions, humidity, air pressure, wind strength, visibility, and sunlight. The annual average values for the aerosol concentration were highest (160-181 microgram/cu m) where traffic is very heavy. An industrial center and a residential area of the old part of the city assumed a middle position. The modern residential section of Triemli measured the lowest concentration, 100 micrograms/cu m. The annual average concentrations for BaP were 5.3 ng/cu m for the industrial center, 5.5 and 7/7 ng/cu m for Paradeplatz and Albisriederplatz and 4.1 ng/cu m for Triemli. A high BaP concentration of 6.4 ng/cu m was measured in the old residential section. A correlation between the aerosol concentration of the air and the mortality from stomach cancer was found. Particularly pronounced was the influence of air pollution on mortality due to respiratory diseases. It tripled from the zone with lowest aerosol concentration (less than 80 micrograms/cu m) to the zone with highest air pollution (more than 135 micrograms/cu m). Compared to West German and U.S. cities the aerosol and BaP concentrations measured in Zurich were rather high.

A Critique of Health System Performance Measurement.

Science.gov (United States)

Lynch, Thomas

2015-01-01

Health system performance measurement is a ubiquitous phenomenon. Many authors have identified multiple methodological and substantive problems with performance measurement practices. Despite the validity of these criticisms and their cross-national character, the practice of health system performance measurement persists. Theodore Marmor suggests that performance measurement invokes an "incantatory response" wrapped within "linguistic muddle." In this article, I expand upon Marmor's insights using Pierre Bourdieu's theoretical framework to suggest that, far from an aberration, the "linguistic muddle" identified by Marmor is an indicator of a broad struggle about the representation and classification of public health services as a public good. I present a case study of performance measurement from Alberta, Canada, examining how this representational struggle occurs and what the stakes are. © The Author(s) 2015.

Measurement properties of tools measuring mental health knowledge: a systematic review.

Science.gov (United States)

Wei, Yifeng; McGrath, Patrick J; Hayden, Jill; Kutcher, Stan

2016-08-23

Mental health literacy has received great attention recently to improve mental health knowledge, decrease stigma and enhance help-seeking behaviors. We conducted a systematic review to critically appraise the qualities of studies evaluating the measurement properties of mental health knowledge tools and the quality of included measurement properties. We searched PubMed, PsycINFO, EMBASE, CINAHL, the Cochrane Library, and ERIC for studies addressing psychometrics of mental health knowledge tools and published in English. We applied the COSMIN checklist to assess the methodological quality of each study as "excellent", "good", "fair", or "indeterminate". We ranked the level of evidence of the overall quality of each measurement property across studies as "strong", "moderate", "limited", "conflicting", or "unknown". We identified 16 mental health knowledge tools in 17 studies, addressing reliability, validity, responsiveness or measurement errors. The methodological quality of included studies ranged from "poor" to "excellent" including 6 studies addressing the content validity, internal consistency or structural validity demonstrating "excellent" quality. We found strong evidence of the content validity or internal consistency of 6 tools; moderate evidence of the internal consistency, the content validity or the reliability of 8 tools; and limited evidence of the reliability, the structural validity, the criterion validity, or the construct validity of 12 tools. Both the methodological qualities of included studies and the overall evidence of measurement properties are mixed. Based on the current evidence, we recommend that researchers consider using tools with measurement properties of strong or moderate evidence that also reached the threshold for positive ratings according to COSMIN checklist.

Matter Density Profile Shape Effects at DUNE

Energy Technology Data Exchange (ETDEWEB)

Kelly, Kevin J. [Northwestern U.; Parke, Stephen J. [Fermilab

2018-02-19

Quantum mechanical interactions between neutrinos and matter along the path of propagation, the Wolfenstein matter effect, are of particular importance for the upcoming long-baseline neutrino oscillation experiments, specifically the Deep Underground Neutrino Experiment (DUNE). Here, we explore specifically what about the matter density profile can be measured by DUNE, considering both the shape and normalization of the profile between the neutrinos' origin and detection. Additionally, we explore the capability of a perturbative method for calculating neutrino oscillation probabilities and whether this method is suitable for DUNE. We also briefly quantitatively explore the ability of DUNE to measure the Earth's matter density, and the impact of performing this measurement on measuring standard neutrino oscillation parameters.

Measuring and improving patient safety through health information technology: The Health IT Safety Framework.

Science.gov (United States)

Singh, Hardeep; Sittig, Dean F

2016-04-01

Health information technology (health IT) has potential to improve patient safety but its implementation and use has led to unintended consequences and new safety concerns. A key challenge to improving safety in health IT-enabled healthcare systems is to develop valid, feasible strategies to measure safety concerns at the intersection of health IT and patient safety. In response to the fundamental conceptual and methodological gaps related to both defining and measuring health IT-related patient safety, we propose a new framework, the Health IT Safety (HITS) measurement framework, to provide a conceptual foundation for health IT-related patient safety measurement, monitoring, and improvement. The HITS framework follows both Continuous Quality Improvement (CQI) and sociotechnical approaches and calls for new measures and measurement activities to address safety concerns in three related domains: 1) concerns that are unique and specific to technology (e.g., to address unsafe health IT related to unavailable or malfunctioning hardware or software); 2) concerns created by the failure to use health IT appropriately or by misuse of health IT (e.g. to reduce nuisance alerts in the electronic health record (EHR)), and 3) the use of health IT to monitor risks, health care processes and outcomes and identify potential safety concerns before they can harm patients (e.g. use EHR-based algorithms to identify patients at risk for medication errors or care delays). The framework proposes to integrate both retrospective and prospective measurement of HIT safety with an organization's existing clinical risk management and safety programs. It aims to facilitate organizational learning, comprehensive 360 degree assessment of HIT safety that includes vendor involvement, refinement of measurement tools and strategies, and shared responsibility to identify problems and implement solutions. A long term framework goal is to enable rigorous measurement that helps achieve the safety

Cosmological constraints on the gravitational interactions of matter and dark matter

International Nuclear Information System (INIS)

Bai, Yang; Salvado, Jordi; Stefanek, Ben A.

2015-01-01

Although there is overwhelming evidence of dark matter from its gravitational interaction, we still do not know its precise gravitational interaction strength or whether it obeys the equivalence principle. Using the latest available cosmological data and working within the framework of ΛCDM, we first update the measurement of the multiplicative factor of cosmology-relevant Newton’s constant over the standard laboratory-based value and find that it is consistent with one. In general relativity, dark matter equivalence principle breaking can be mimicked by a long-range dark matter force mediated by an ultra light scalar field. Using the Planck three year data, we find that the dark matter “fifth-force” strength is constrained to be weaker than 10 −4 of the gravitational force. We also introduce a phenomenological, post-Newtonian two-fluid description to explicitly break the equivalence principle by introducing a difference between dark matter inertial and gravitational masses. Depending on the decoupling time of the dark matter and ordinary matter fluids, the ratio of the dark matter gravitational mass to inertial mass is constrained to be unity at the 10 −6 level

Carbonaceous Aerosols in Fine Particulate Matter of Santiago Metropolitan Area, Chile

Science.gov (United States)

Toro Araya, Richard; Flocchini, Robert; Morales Segura, Rául G. E.; Leiva Guzmán, Manuel A.

2014-01-01

Measurements of carbonaceous aerosols in South American cities are limited, and most existing data are of short term and limited to only a few locations. For 6 years (2002–2007), concentrations of fine particulate matter and organic and elemental carbon were measured continuously in the capital of Chile. The contribution of carbonaceous aerosols to the primary and secondary fractions was estimated at three different sampling sites and in the warm and cool seasons. The results demonstrate that there are significant differences in the levels in both the cold (March to August) and warm (September to February) seasons at all sites studied. The percent contribution of total carbonaceous aerosol fine particulate matter was greater in the cool season (53 ± 41%) than in the warm season (44 ± 18%). On average, the secondary organic carbon in the city corresponded to 29% of the total organic carbon. In cold periods, this proportion may reach an average of 38%. A comparison of the results with the air quality standards for fine particulate matter indicates that the total carbonaceous fraction alone exceeds the World Health Organization standard (10 µg/m3) and the United States Environmental Protection Agency standard (15 µg/m3) for fine particulate matter. PMID:24587753

Carbonaceous Aerosols in Fine Particulate Matter of Santiago Metropolitan Area, Chile

Directory of Open Access Journals (Sweden)

Richard Toro Araya

2014-01-01

Full Text Available Measurements of carbonaceous aerosols in South American cities are limited, and most existing data are of short term and limited to only a few locations. For 6 years (2002–2007, concentrations of fine particulate matter and organic and elemental carbon were measured continuously in the capital of Chile. The contribution of carbonaceous aerosols to the primary and secondary fractions was estimated at three different sampling sites and in the warm and cool seasons. The results demonstrate that there are significant differences in the levels in both the cold (March to August and warm (September to February seasons at all sites studied. The percent contribution of total carbonaceous aerosol fine particulate matter was greater in the cool season (53 ± 41% than in the warm season (44 ± 18%. On average, the secondary organic carbon in the city corresponded to 29% of the total organic carbon. In cold periods, this proportion may reach an average of 38%. A comparison of the results with the air quality standards for fine particulate matter indicates that the total carbonaceous fraction alone exceeds the World Health Organization standard (10 µg/m3 and the United States Environmental Protection Agency standard (15 µg/m3 for fine particulate matter.

Carbonaceous aerosols in fine particulate matter of Santiago Metropolitan Area, Chile.

Science.gov (United States)

Toro Araya, Richard; Flocchini, Robert; Morales Segura, Rául G E; Leiva Guzmán, Manuel A

2014-01-01

Measurements of carbonaceous aerosols in South American cities are limited, and most existing data are of short term and limited to only a few locations. For 6 years (2002-2007), concentrations of fine particulate matter and organic and elemental carbon were measured continuously in the capital of Chile. The contribution of carbonaceous aerosols to the primary and secondary fractions was estimated at three different sampling sites and in the warm and cool seasons. The results demonstrate that there are significant differences in the levels in both the cold (March to August) and warm (September to February) seasons at all sites studied. The percent contribution of total carbonaceous aerosol fine particulate matter was greater in the cool season (53 ± 41%) than in the warm season (44 ± 18%). On average, the secondary organic carbon in the city corresponded to 29% of the total organic carbon. In cold periods, this proportion may reach an average of 38%. A comparison of the results with the air quality standards for fine particulate matter indicates that the total carbonaceous fraction alone exceeds the World Health Organization standard (10 µg/m(3)) and the United States Environmental Protection Agency standard (15 µg/m(3)) for fine particulate matter.

Health outcome after major trauma: what are we measuring?

Science.gov (United States)

Hoffman, Karen; Cole, Elaine; Playford, E Diane; Grill, Eva; Soberg, Helene L; Brohi, Karim

2014-01-01

Trauma is a global disease and is among the leading causes of disability in the world. The importance of outcome beyond trauma survival has been recognised over the last decade. Despite this there is no internationally agreed approach for assessment of health outcome and rehabilitation of trauma patients. To systematically examine to what extent outcomes measures evaluate health outcomes in patients with major trauma. MEDLINE, EMBASE, and CINAHL (from 2006-2012) were searched for studies evaluating health outcome after traumatic injuries. Studies of adult patients with injuries involving at least two body areas or organ systems were included. Information on study design, outcome measures used, sample size and outcomes were extracted. The World Health Organisation International Classification of Function, Disability and Health (ICF) were used to evaluate to what extent outcome measures captured health impacts. 34 studies from 755 studies were included in the review. 38 outcome measures were identified. 21 outcome measures were used only once and only five were used in three or more studies. Only 6% of all possible health impacts were captured. Concepts related to activity and participation were the most represented but still only captured 12% of all possible concepts in this domain. Measures performed very poorly in capturing concepts related to body function (5%), functional activities (11%) and environmental factors (2%). Outcome measures used in major trauma capture only a small proportion of health impacts. There is no inclusive classification for measuring disability or health outcome following trauma. The ICF may provide a useful framework for the development of a comprehensive health outcome measure for trauma care.

Creating a Screening Measure of Health Literacy for the Health Information National Trends Survey.

Science.gov (United States)

Champlin, Sara; Mackert, Michael

2016-03-01

Create a screening measure of health literacy for use with the Health Information National Trends Survey (HINTS). Participants completed a paper-based survey. Items from the survey were used to construct a health literacy screening measure. A population-based survey conducted in geographic areas of high and low minority frequency and in Central Appalachia. Two thousand nine hundred four English-speaking participants were included in this study: 66% white, 93% completed high school, mean age = 52.53 years (SD = 16.24). A health literacy screening measure was created using four items included in the HINTS survey. Scores could range from 0 (no questions affirmative/correct) to 4 (all questions answered affirmatively/correctly). Multiple regression analysis was used to determine whether demographic variables known to predict health literacy were indeed associated with the constructed health literacy screening measure. The weighted average health literacy score was 2.63 (SD = 1.00). Those who were nonwhite (p = .0005), were older (p literacy screening measure scores. This study highlights the need to assess health literacy in national surveys, but also serves as evidence that screening measures can be created within existing datasets to give researchers the ability to consider the impact of health literacy. © The Author(s) 2016.

Dynamic measurement of matter creation using a feedback rotor

International Nuclear Information System (INIS)

Winkler, L.I.

1989-01-01

A room-temperature version of an experiment to search for cosmological matter creation using a precision rotor has been underway at University of Virginia since the late 1970's. The ultimate goal of this experiment is to be able to detect a change in the rotor moment of inertia I at a rate I/I≤10 -18 per second. In the original measurement strategy, and I/I was to be detected as an anomalous drag torque causing the rotor angular momentum to decay, with time constant Γ* = 10 -18 seconds. Here an alternate method of detecting an I/I using a precision rotor is proposed. In this alternate strategy, the rotor is driven by negative derivative feedback to follow a time-dependent reference of either exponential or sinusoidal form. An I/I is detected as an anomalous response of the rotor to the drive torque. Since this alternate strategy is not based on the detection of a drag torque, it can be used to verify that an observed rotor spin-down is caused by an I/I, rather than some other loss mechanism. Signal-to-noise ratios are developed for this strategy, and a way of differentiating positive from null results is described. Matter-creation tests performed using the alternate strategy indicate that the EST device produces noise which currently limits the sensitivity of the experiment. Null results were at least one order of magnitude above the theoretical values of the minimum detectable I/I. Also, anomalous drift in the rotor response caused the detection of positive results. These limitations are shown to be due to nonlinearity and asymmetry in the EST device, which can be corrected in future efforts

Health problems in connection with radiation from radioactive matter in fertilizers, soils and rocks

International Nuclear Information System (INIS)

Laag, J.

1988-01-01

Under the last world congress of the International Society of Soil Science in Hamburg in August 1986, the working group ''Soil and Geomedicine'' was set up. The symposium on health problems in connection with radiation from radioactive matter in fertilizers, soils and rocks was a joint arrangement of this working group and a permanent committe of The Norwegian Academy of Science and Letters. The book presents the full text of 13 of the papers presented at the symposium. Separate abstacts have been submitted for 12 of these papers

Effects of organic matter and ageing on the bioaccessibility of arsenic

International Nuclear Information System (INIS)

Meunier, Louise; Koch, Iris; Reimer, Kenneth J.

2011-01-01

Arsenic-contaminated soils may pose a risk to human health. Redevelopment of contaminated sites may involve amending soils with organic matter, which potentially increases arsenic bioaccessibility. The effects of ageing on arsenic-contaminated soils mixed with peat moss were evaluated in a simulated ageing period representing two years, during which arsenic bioaccessibility was periodically measured. Significant increases (p = 0.032) in bioaccessibility were observed for 15 of 31 samples tested, particularly in comparison with samples originally containing >30% bioaccessible arsenic in soils naturally rich in organic matter (>25%). Samples where percent arsenic bioaccessibility was unchanged with age were generally poor in organic matter (average 7.7%) and contained both arsenopyrite and pentavalent arsenic forms that remained unaffected by the organic matter amendments. Results suggest that the addition of organic matter may lead to increases in arsenic bioaccessibility, which warrants caution in the evaluation of risks associated with redevelopment of arsenic-contaminated land. - Highlights: → Adding organic matter to contaminated soils may increase arsenic bioaccessibility. → Ageing soils with >25% organic matter can lead to increased arsenic bioaccessibility. → No changes in arsenic bioaccessibility for soils poor in organic matter (mean 7.7%). → No changes in arsenic bioaccessibility for samples containing arsenopyrite. → Organic matter in soil may favour oxidation of trivalent arsenic to pentavalent form. - Adding organic carbon may increase arsenic bioaccessibility, especially in samples originally containing >30% bioaccessible arsenic in organic carbon-rich soils (>25%).

[Implicit value judgments in the measurement of health inequalities].

Science.gov (United States)

Harper, Sam; King, Nicholas B; Meersman, Stephen C; E Reichman, Marsha; Breen, Nancy; Lynch, John

2014-04-01

Quantitative estimates of the magnitude, direction, and rate of change of health inequalities play a crucial role in creating and assessing policies aimed at eliminating the disproportionate burden of disease in disadvantaged populations. It is generally assumed that the measurement of health inequalities is a value-neutral process, providing objective data that are then interpreted using normative judgments about whether a particular distribution of health is just, fair, or socially acceptable. We discuss five examples in which normative judgments play a role in the measurement process itself, through either the selection of one measurement strategy to the exclusion of others or the selection of the type, significance, or weight assigned to the variables being measured. Overall, we find that many commonly used measures of inequality are value laden and that the normative judgments implicit in these measures have important consequences for interpreting and responding to health inequalities. Because values implicit in the generation of health inequality measures may lead to radically different interpretations of the same underlying data,we urge researchers to explicitly consider and transparently discuss the normative judgments underlying their measures. We also urge policymakers and other consumers of health inequalities data to pay close attention to the measures on which they base their assessments of current and future health policies.

Implicit value judgments in the measurement of health inequalities.

Science.gov (United States)

Harper, Sam; King, Nicholas B; Meersman, Stephen C; Reichman, Marsha E; Breen, Nancy; Lynch, John

2010-03-01

Quantitative estimates of the magnitude, direction, and rate of change of health inequalities play a crucial role in creating and assessing policies aimed at eliminating the disproportionate burden of disease in disadvantaged populations. It is generally assumed that the measurement of health inequalities is a value-neutral process, providing objective data that are then interpreted using normative judgments about whether a particular distribution of health is just, fair, or socially acceptable. We discuss five examples in which normative judgments play a role in the measurement process itself, through either the selection of one measurement strategy to the exclusion of others or the selection of the type, significance, or weight assigned to the variables being measured. Overall, we find that many commonly used measures of inequality are value laden and that the normative judgments implicit in these measures have important consequences for interpreting and responding to health inequalities. Because values implicit in the generation of health inequality measures may lead to radically different interpretations of the same underlying data, we urge researchers to explicitly consider and transparently discuss the normative judgments underlying their measures. We also urge policymakers and other consumers of health inequalities data to pay close attention to the measures on which they base their assessments of current and future health policies.

Health outcome after major trauma: what are we measuring?

Directory of Open Access Journals (Sweden)

Karen Hoffman

Full Text Available Trauma is a global disease and is among the leading causes of disability in the world. The importance of outcome beyond trauma survival has been recognised over the last decade. Despite this there is no internationally agreed approach for assessment of health outcome and rehabilitation of trauma patients.To systematically examine to what extent outcomes measures evaluate health outcomes in patients with major trauma.MEDLINE, EMBASE, and CINAHL (from 2006-2012 were searched for studies evaluating health outcome after traumatic injuries.Studies of adult patients with injuries involving at least two body areas or organ systems were included. Information on study design, outcome measures used, sample size and outcomes were extracted. The World Health Organisation International Classification of Function, Disability and Health (ICF were used to evaluate to what extent outcome measures captured health impacts.34 studies from 755 studies were included in the review. 38 outcome measures were identified. 21 outcome measures were used only once and only five were used in three or more studies. Only 6% of all possible health impacts were captured. Concepts related to activity and participation were the most represented but still only captured 12% of all possible concepts in this domain. Measures performed very poorly in capturing concepts related to body function (5%, functional activities (11% and environmental factors (2%.Outcome measures used in major trauma capture only a small proportion of health impacts. There is no inclusive classification for measuring disability or health outcome following trauma. The ICF may provide a useful framework for the development of a comprehensive health outcome measure for trauma care.

SOLAR CONSTRAINTS ON ASYMMETRIC DARK MATTER

International Nuclear Information System (INIS)

Lopes, Ilídio; Silk, Joseph

2012-01-01

The dark matter content of the universe is likely to be a mixture of matter and antimatter, perhaps comparable to the measured asymmetric mixture of baryons and antibaryons. During the early stages of the universe, the dark matter particles are produced in a process similar to baryogenesis, and dark matter freezeout depends on the dark matter asymmetry and the annihilation cross section (s-wave and p-wave annihilation channels) of particles and antiparticles. In these η-parameterized asymmetric dark matter (ηADM) models, the dark matter particles have an annihilation cross section close to the weak interaction cross section, and a value of dark matter asymmetry η close to the baryon asymmetry η B . Furthermore, we assume that dark matter scattering of baryons, namely, the spin-independent scattering cross section, is of the same order as the range of values suggested by several theoretical particle physics models used to explain the current unexplained events reported in the DAMA/LIBRA, CoGeNT, and CRESST experiments. Here, we constrain ηADM by investigating the impact of such a type of dark matter on the evolution of the Sun, namely, the flux of solar neutrinos and helioseismology. We find that dark matter particles with a mass smaller than 15 GeV, a spin-independent scattering cross section on baryons of the order of a picobarn, and an η-asymmetry with a value in the interval 10 –12 -10 –10 , would induce a change in solar neutrino fluxes in disagreement with current neutrino flux measurements. This result is also confirmed by helioseismology data. A natural consequence of this model is suppressed annihilation, thereby reducing the tension between indirect and direct dark matter detection experiments, but the model also allows a greatly enhanced annihilation cross section. All the cosmological ηADM scenarios that we discuss have a relic dark matter density Ωh 2 and baryon asymmetry η B in agreement with the current WMAP measured values, Ω DM h 2 = 0

Breastfeeding and Childhood IQ: The Mediating Role of Gray Matter Volume

Science.gov (United States)

Luby, Joan L.; Belden, Andy C.; Whalen, Diana; Harms, Michael P.; Barch, Deanna M.

2016-01-01

Objective A substantial body of literature has established the positive effect of breastfeeding on child developmental outcomes. There is increasing consensus that breastfed children have higher IQs after accounting for key variables, including maternal education, IQ, and socioeconomic status. Cross-sectional investigations of the effects of breastfeeding on structural brain development suggest that breastfed infants have larger whole brain, cortical, and white matter volumes. To date, few studies have related these measures of brain structure to IQ in breastfed versus nonbreastfed children in a longitudinal sample. Method Data were derived from the Preschool Depression Study (PDS), a prospective longitudinal study in which children and caregivers were assessed annually for 8 waves over 11 years. A subset completed neuroimaging between the ages of 9.5 and 14.11 years. A total of 148 individuals had breastfeeding data at baseline and complete data on all variables of interest, including IQ and structural neuroimaging. General linear models and process mediation models were used. Results Breastfed children had significantly higher IQ scores and larger whole brain, total gray matter, total cortical gray matter, and subcortical gray matter volumes compared with the nonbreastfed group in models that covaried for key variables. Subcortical gray matter volume significantly mediated the association between breast-feeding and children's IQ scores. Conclusion The study findings suggest that the effects of breastfeeding on child IQ are mediated through subcortical gray volume. This effect and putative mechanism is of public health significance and further supports the importance of breastfeeding in mental health promotion. PMID:27126850

Management Certainly Matters, and There Are Multiple Ways to Conceptualize the Process; Comment on “Management Matters: A Leverage Point for Health Systems Strengthening in Global Health”

Directory of Open Access Journals (Sweden)

Beaufort B. Longest

2015-11-01

Full Text Available The authors of “Management matters: a leverage point for health systems strengthening in global health,” raise a crucial issue. Because more effective management can contribute to better performing health systems, attempts to strengthen health systems require attention to management. As a guide toward management capacity building, the authors outline a comprehensive set of core management competencies needed for managing global health efforts. Although, I agree with the authors’ central premise about the important role of management in improving global health and concur that focusing on competencies can guide management capacity building, I think it is important to recognize that a set of relevant competencies is not the only way to conceptualize and organize efforts to teach, learn, practice, or conduct research on management. I argue the added utility of also viewing management as a set of functions or activities as an alternative paradigm and suggest that the greatest utility could lie in some hybrid that combines various ways of conceptualizing management for study, practice, and research.

The use of the lumbosacral enlargement as an intrinsic imaging biomarker: feasibility of grey matter and white matter cross-sectional area measurements using MRI at 3T.

Directory of Open Access Journals (Sweden)

Marios C Yiannakas

Full Text Available Histopathological studies have demonstrated the involvement of spinal cord grey matter (GM and white matter (WM in several diseases and recent research has suggested the use of magnetic resonance imaging (MRI as a promising tool for in vivo assessment of the upper spinal cord. However, many neurological conditions would benefit from quantitative assessment of tissue integrity at different levels and relatively little work has been done, mainly due to technical challenges associated with imaging the lower spinal cord. In this study, the value of the lumbosacral enlargement (LSE as an intrinsic imaging biomarker was determined by exploring the feasibility of obtaining within it reliable GM and WM cross-sectional area (CSA measurements by means of a commercially available MRI system at 3 tesla (T. 10 healthy volunteers (mean age 27.5 years, 6 female gave written informed consent and high resolution images of the LSE were acquired and analysed using an optimised MRI acquisition and analysis protocol. GM and WM mean CSA measurements were obtained from a 15 mm section at the level of the LSE and the reproducibility of the measurements was determined by means of scan-rescan, intra- and inter-observer assessments. Mean (±SD LSE cross-sectional area (LSE-CSA was 62.3 (±4.1 mm2 and mean (±SD LSE grey matter cross-sectional area (LSE-GM-CSA was 19.8 (±3.3 mm2. The mean scan-rescan, intra- and inter-observer % coefficient of variation (COV for measuring the LSE-CSA were 2%, 2% and 2.5%, respectively and for measuring the LSE-GM-CSA were 7.8%, 8% and 8.6%, respectively. This study has shown that the LSE can be used reliably as an intrinsic imaging biomarker. The method presented here can be potentially extended to study the LSE in the diseased state and could provide a solid foundation for subsequent multi-parametric MRI investigations.

The conceptualization and measurement of cognitive health sophistication.

Science.gov (United States)

Bodie, Graham D; Collins, William B; Jensen, Jakob D; Davis, Lashara A; Guntzviller, Lisa M; King, Andy J

2013-01-01

This article develops a conceptualization and measure of cognitive health sophistication--the complexity of an individual's conceptual knowledge about health. Study 1 provides initial validity evidence for the measure--the Healthy-Unhealthy Other Instrument--by showing its association with other cognitive health constructs indicative of higher health sophistication. Study 2 presents data from a sample of low-income adults to provide evidence that the measure does not depend heavily on health-related vocabulary or ethnicity. Results from both studies suggest that the Healthy-Unhealthy Other Instrument can be used to capture variability in the sophistication or complexity of an individual's health-related schematic structures on the basis of responses to two simple open-ended questions. Methodological advantages of the Healthy-Unhealthy Other Instrument and suggestions for future research are highlighted in the discussion.

Health Physics Measurements Services

International Nuclear Information System (INIS)

Carchon, R.

2001-01-01

SCK-CEN's programme on health physics measurements includes various activities in dosimetry, calibration , instrumentation , gamma-ray spectrometry, whole body counting , the preparation of standard sources, non-destructive assay and the maintenance of Euratom Fork detectors. Main achievements in these topical areas in 2000 are summarised

Valuing Informal Care Experience: Does Choice of Measure Matter?

Science.gov (United States)

Mentzakis, Emmanouil; McNamee, Paul; Ryan, Mandy; Sutton, Matthew

2012-01-01

Well-being equations are often estimated to generate monetary values for non-marketed activities. In such studies, utility is often approximated by either life satisfaction or General Health Questionnaire scores. We estimate and compare monetary valuations of informal care for the first time in the UK employing both measures, using longitudinal…

'Race' matters: racialization and egalitarian discourses involving Aboriginal people in the Canadian health care context.

Science.gov (United States)

Tang, Sannie Y; Browne, Annette J

2008-04-01

The major purpose of this paper is to examine how 'race' and racialization operate in health care. To do so, we draw upon data from an ethnographic study that examines the complex issues surrounding health care access for Aboriginal people in an urban center in Canada. In our analysis, we strategically locate our critical examination of racialization in the 'tension of difference' between two emerging themes, namely the health care rhetoric of 'treating everyone the same,' and the perception among many Aboriginal patients that they were 'being treated differently' by health care providers because of their identity as Aboriginal people, and because of their low socio-economic status. Contrary to the prevailing discourse of egalitarianism that paints health care and other major institutions as discrimination-free, we argue that 'race' matters in health care as it intersects with other social categories including class, substance use, and history to organize inequitable access to health and health care for marginalized populations. Specifically, we illustrate how the ideological process of racialization can shape the ways that health care providers 'read' and interact with Aboriginal patients, and how some Aboriginal patients avoid seeking health care based on their expectation of being treated differently. We conclude by urging those of us in positions of influence in health care, including doctors and nurses, to critically reflect upon our own positionality and how we might be complicit in perpetuating social inequities by avoiding a critical discussion of racialization.

Health Physics Measurements Services

Energy Technology Data Exchange (ETDEWEB)

Carchon, R

2001-04-01

SCK-CEN's programme on health physics measurements includes various activities in dosimetry, calibration , instrumentation , gamma-ray spectrometry, whole body counting , the preparation of standard sources, non-destructive assay and the maintenance of Euratom Fork detectors. Main achievements in these topical areas in 2000 are summarised.

Implementing health management information systems: measuring success in Korea's health centers.

Science.gov (United States)

Chae, Y M; Kim, S I; Lee, B H; Choi, S H; Kim, I S

1994-01-01

This article analyses the effects that the introduction and adoption of a health management information system (HMIS) can have on both the productivity of health center staff as well as on user-satisfaction. The focus is upon the service provided by the Kwonsun Health Center located in Suwon City, Korea. Two surveys were conducted to measure the changes in productivity and adoption (knowledge, persuasion, decision, implementation and confirmation) of health center staff over time. In addition, a third survey was conducted to measure the effects of HMIS on the level of satisfaction perceived by the visitors, by comparing the satisfaction level between the study health center and a similar health center identified as a control. The results suggest that HMIS increased the productivity and satisfaction of the staff but did not increase their persuasion and decision levels; and, that is also succeeded in increasing the levels of visitors' satisfaction with the services provided.

Gray matter and white matter abnormalities in online game addiction

Energy Technology Data Exchange (ETDEWEB)

Weng, Chuan-Bo, E-mail: send007@163.com [Department of Neurosurgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, 17 Lujiang Road, Hefei, Ahui Province 230001 (China); School of Neurosurgery, Anhui Medical University, 81 Meishang Road, Hefei, Anhui Province 230032 (China); Qian, Ruo-Bing, E-mail: rehomail@163.com [Department of Neurosurgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, 17 Lujiang Road, Hefei, Ahui Province 230001 (China); Anhui Provincial Institute of Stereotactic Neurosurgery, 9 Lujiang Road, Hefei, Ahui Province 230001 (China); Fu, Xian-Ming, E-mail: 506537677@qq.com [Department of Neurosurgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, 17 Lujiang Road, Hefei, Ahui Province 230001 (China); Anhui Provincial Institute of Stereotactic Neurosurgery, 9 Lujiang Road, Hefei, Ahui Province 230001 (China); Lin, Bin, E-mail: 274722758@qq.com [School of Neurosurgery, Anhui Medical University, 81 Meishang Road, Hefei, Anhui Province 230032 (China); Han, Xiao-Peng, E-mail: hanxiaopeng@163.com [Department of Psychology, Anhui Provincial Hospital Affiliated to Anhui Medical University, 17 Lujiang Road, Hefei, Ahui Province 230001 (China); Niu, Chao-Shi, E-mail: niuchaoshi@163.com [Department of Neurosurgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, 17 Lujiang Road, Hefei, Ahui Province 230001 (China); Anhui Provincial Institute of Stereotactic Neurosurgery, 9 Lujiang Road, Hefei, Ahui Province 230001 (China); Wang, Ye-Han, E-mail: wangyehan@163.com [Department of Neurosurgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, 17 Lujiang Road, Hefei, Ahui Province 230001 (China); Anhui Provincial Institute of Stereotactic Neurosurgery, 9 Lujiang Road, Hefei, Ahui Province 230001 (China)

2013-08-15

Online game addiction (OGA) has attracted greater attention as a serious public mental health issue. However, there are only a few brain magnetic resonance imaging studies on brain structure about OGA. In the current study, we used voxel-based morphometry (VBM) analysis and tract-based spatial statistics (TBSS) to investigate the microstructural changes in OGA and assessed the relationship between these morphology changes and the Young's Internet Addiction Scale (YIAS) scores within the OGA group. Compared with healthy subjects, OGA individuals showed significant gray matter atrophy in the right orbitofrontal cortex, bilateral insula, and right supplementary motor area. According to TBSS analysis, OGA subjects had significantly reduced FA in the right genu of corpus callosum, bilateral frontal lobe white matter, and right external capsule. Gray matter volumes (GMV) of the right orbitofrontal cortex, bilateral insula and FA values of the right external capsule were significantly positively correlated with the YIAS scores in the OGA subjects. Our findings suggested that microstructure abnormalities of gray and white matter were present in OGA subjects. This finding may provide more insights into the understanding of the underlying neural mechanisms of OGA.

Gray matter and white matter abnormalities in online game addiction

International Nuclear Information System (INIS)

Weng, Chuan-Bo; Qian, Ruo-Bing; Fu, Xian-Ming; Lin, Bin; Han, Xiao-Peng; Niu, Chao-Shi; Wang, Ye-Han

2013-01-01

Online game addiction (OGA) has attracted greater attention as a serious public mental health issue. However, there are only a few brain magnetic resonance imaging studies on brain structure about OGA. In the current study, we used voxel-based morphometry (VBM) analysis and tract-based spatial statistics (TBSS) to investigate the microstructural changes in OGA and assessed the relationship between these morphology changes and the Young's Internet Addiction Scale (YIAS) scores within the OGA group. Compared with healthy subjects, OGA individuals showed significant gray matter atrophy in the right orbitofrontal cortex, bilateral insula, and right supplementary motor area. According to TBSS analysis, OGA subjects had significantly reduced FA in the right genu of corpus callosum, bilateral frontal lobe white matter, and right external capsule. Gray matter volumes (GMV) of the right orbitofrontal cortex, bilateral insula and FA values of the right external capsule were significantly positively correlated with the YIAS scores in the OGA subjects. Our findings suggested that microstructure abnormalities of gray and white matter were present in OGA subjects. This finding may provide more insights into the understanding of the underlying neural mechanisms of OGA

Gray matter and white matter abnormalities in online game addiction.

Science.gov (United States)

Weng, Chuan-Bo; Qian, Ruo-Bing; Fu, Xian-Ming; Lin, Bin; Han, Xiao-Peng; Niu, Chao-Shi; Wang, Ye-Han

2013-08-01

Online game addiction (OGA) has attracted greater attention as a serious public mental health issue. However, there are only a few brain magnetic resonance imaging studies on brain structure about OGA. In the current study, we used voxel-based morphometry (VBM) analysis and tract-based spatial statistics (TBSS) to investigate the microstructural changes in OGA and assessed the relationship between these morphology changes and the Young's Internet Addiction Scale (YIAS) scores within the OGA group. Compared with healthy subjects, OGA individuals showed significant gray matter atrophy in the right orbitofrontal cortex, bilateral insula, and right supplementary motor area. According to TBSS analysis, OGA subjects had significantly reduced FA in the right genu of corpus callosum, bilateral frontal lobe white matter, and right external capsule. Gray matter volumes (GMV) of the right orbitofrontal cortex, bilateral insula and FA values of the right external capsule were significantly positively correlated with the YIAS scores in the OGA subjects. Our findings suggested that microstructure abnormalities of gray and white matter were present in OGA subjects. This finding may provide more insights into the understanding of the underlying neural mechanisms of OGA. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Measurement of Quark Energy Loss in Cold Nuclear Matter at Fermilab E906/SeaQuest

Energy Technology Data Exchange (ETDEWEB)

Lin, Po-Ju [Univ. of Colorado, Boulder, CO (United States)

2017-01-01

Parton energy loss is a process within QCD that draws considerable interest. The measurement of parton energy loss can provide valuable information for other hard-scattering processes in nuclei, and also serves as an important tool for exploring the properties of the quark-gluon plasma (QGP). Quantifying the energy loss in cold nuclear matter will help to set a baseline relative to energy loss in the QGP. With the Drell-Yan process, the energy loss of incoming quarks in cold nuclear matter can be ideally investigated since the final state interaction is expected to be minimal. E906/SeaQuest is a fixed-target experiment using the 120 GeV proton beam from the Fermilab Main Injector and has been collecting data from p+p, p+d, p+C, p+Fe, and p+W collisions. Within the E906 kinematic coverage of Drell-Yan production via the dimuon channel, the quark energy loss can be measured in a regime where other nuclear effects are expected to be small. In this thesis, the study of quark ener gy loss from different cold nuclear targets is presented.

Stars of strange matter

International Nuclear Information System (INIS)

Bethe, H.A.; Brown, G.E.; Cooperstein, J.

1987-01-01

We investigate suggestions that quark matter with strangeness per baryon of order unity may be stable. We model this matter at nuclear matter densities as a gas of close packed Λ-particles. From the known mass of the Λ-particle we obtain an estimate of the energy and chemical potential of strange matter at nuclear densities. These are sufficiently high to preclude any phase transition from neutron matter to strange matter in the region near nucleon matter density. Including effects from gluon exchange phenomenologically, we investigate higher densities, consistently making approximations which underestimate the density of transition. In this way we find a transition density ρ tr > or approx.7ρ 0 , where ρ 0 is nuclear matter density. This is not far from the maximum density in the center of the most massive neutron stars that can be constructed. Since we have underestimated ρ tr and still find it to be ∝7ρ 0 , we do not believe that the transition from neutron to quark matter is likely in neutron stars. Moreover, measured masses of observed neutron stars are ≅1.4 M sun , where M sun is the solar mass. For such masses, the central (maximum) density is ρ c 0 . Transition to quark matter is certainly excluded for these densities. (orig.)

Evaluating the influence of particulate matter on spectroscopic measurements of a combusting flow

Science.gov (United States)

Herlan, Jonathan; Murray, Nathan

2017-11-01

An adiabatic table-top burner has been used to develop a method for estimating the temperature and concentration of OH in a measurement volume of a non-premixed, hydrogen-air flame. The estimation method uses a nonlinear curve-fitting routine to compare experimental absorption spectra with a model derived, using statistical mechanics, from the Beer-Lambert law. With the aim of applying this method to the analysis of rocket exhaust plumes, this study evaluates whether or not it provides faithful estimates of temperature and OH concentration when the combusting flow contains particulate matter-such as soot or tracers used for particle image velocimetry (PIV) measurements. The hydrogen line of the table-top burner will be seeded with alumina, Al2O3, particles and their influence on spectroscopic measurements elucidated. The authors wish to thank Mr. Bernard Jansen for his support and insight in laboratory activities.

Including health insurance in poverty measurement: The impact of Massachusetts health reform on poverty.

Science.gov (United States)

Korenman, Sanders D; Remler, Dahlia K

2016-12-01

We develop and implement what we believe is the first conceptually valid health-inclusive poverty measure (HIPM) - a measure that includes health care or insurance in the poverty needs threshold and health insurance benefits in family resources - and we discuss its limitations. Building on the Census Bureau's Supplemental Poverty Measure, we construct a pilot HIPM for the under-65 population under ACA-like health reform in Massachusetts. This pilot demonstrates the practicality, face validity and value of a HIPM. Results suggest that public health insurance benefits and premium subsidies accounted for a substantial, one-third reduction in the health inclusive poverty rate. Copyright © 2016 Elsevier B.V. All rights reserved.

Searches for Dark Matter at the LHC

CERN Document Server

Butler, John; The ATLAS collaboration

2018-01-01

The existance of a new form of matter, Dark Matter, has been established by a large body of astrophysical measurements. The particle nature of Dark Matter is one of the most intriguing and important open issues in physics today. A review of searches for Dark Matter by the LHC experiments is presented

Constraints on the Galactic Halo Dark Matter from Fermi-LAT Diffuse Measurements

Science.gov (United States)

Ackermann, M.; Ajello, M.; Atwood, W. B.; Baldini, L.; Barbiellini, G.; Bastieri, D.; Bechtol, K.; Bellazzini, R.; Blandford, R. D.; Bloom, E. D.;

Measuring health: a practical challenge with a philosophical solution?

Science.gov (United States)

Shroufi, Amir; Chowdhury, Rajiv; Aston, Louise M; Pashayan, Nora; Franco, Oscar H

2011-03-01

With the current demographic shift being experienced by populations globally, almost linear increases in life expectancy have been seen and can be expected. However, increases in healthy life expectancy may not keep pace. Among older populations the proportion of time spent in less than full health tends to increase. As a result, the accurate valuation of life spent in states less than full health will become increasingly important. Different techniques and approaches have been used to measure health in populations. The use of summary measures of population health such as DALYs (Disability Adjusted Life Years) has become common, and is widely used to compare health between populations and to evaluate the potential impact of interventions in economic analyses. Most of the commonly used summary measures of health express some measure of life lived in full health and life lived with disability or in a state of sub-optimal health. Critical to the construction of summary health measures are values assigned to health states. Current tools used in determining these values include the standard gamble, time trade off, person trade off, and the visual analogue scale. However, these techniques all have the disadvantage of incorporating individual biases (derived from particular characteristics specific to individuals or populations) into the process through which health state valuations are derived. As a consequence health states are often not directly comparable between populations, since characteristics such as nationality and ethnicity can influence how health states are valued. Furthermore, health can be judged differently by those of different ages, with the young often assigning a lower value to life lived at less than full health compared to older people. The challenge of obtaining opinions which are not influenced by an individual's own circumstances is not new. This issue was encountered and described by the American philosopher John Rawls in 'A Theory of Justice

SOLAR CONSTRAINTS ON ASYMMETRIC DARK MATTER

Energy Technology Data Exchange (ETDEWEB)

Lopes, Ilidio [Centro Multidisciplinar de Astrofisica, Instituto Superior Tecnico, Universidade Tecnica de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa (Portugal); Silk, Joseph, E-mail: ilidio.lopes@ist.utl.pt, E-mail: silk@astro.ox.ac.uk [Institut d' Astrophysique de Paris, F-75014 Paris (France)

2012-10-01

The dark matter content of the universe is likely to be a mixture of matter and antimatter, perhaps comparable to the measured asymmetric mixture of baryons and antibaryons. During the early stages of the universe, the dark matter particles are produced in a process similar to baryogenesis, and dark matter freezeout depends on the dark matter asymmetry and the annihilation cross section (s-wave and p-wave annihilation channels) of particles and antiparticles. In these {eta}-parameterized asymmetric dark matter ({eta}ADM) models, the dark matter particles have an annihilation cross section close to the weak interaction cross section, and a value of dark matter asymmetry {eta} close to the baryon asymmetry {eta}{sub B}. Furthermore, we assume that dark matter scattering of baryons, namely, the spin-independent scattering cross section, is of the same order as the range of values suggested by several theoretical particle physics models used to explain the current unexplained events reported in the DAMA/LIBRA, CoGeNT, and CRESST experiments. Here, we constrain {eta}ADM by investigating the impact of such a type of dark matter on the evolution of the Sun, namely, the flux of solar neutrinos and helioseismology. We find that dark matter particles with a mass smaller than 15 GeV, a spin-independent scattering cross section on baryons of the order of a picobarn, and an {eta}-asymmetry with a value in the interval 10{sup -12}-10{sup -10}, would induce a change in solar neutrino fluxes in disagreement with current neutrino flux measurements. This result is also confirmed by helioseismology data. A natural consequence of this model is suppressed annihilation, thereby reducing the tension between indirect and direct dark matter detection experiments, but the model also allows a greatly enhanced annihilation cross section. All the cosmological {eta}ADM scenarios that we discuss have a relic dark matter density {Omega}h {sup 2} and baryon asymmetry {eta}{sub B} in agreement with

How is eHealth literacy measured and what do the measurements tell us?

DEFF Research Database (Denmark)

Knudsen, Astrid Karnøe; Kayser, Lars

2015-01-01

The increasing use of digital services and technologies in health care calls for effective tools to evaluate the users’ eHealth literacy in order to better understand the users’ interaction with health technologies. We here present a systematic review of existing tools to measure eHealth literacy...... and for what these tools have been used to investigate. We identified eight tools, of which three of them are bases upon a conceptual model of eHealth literacy and the remaining five are dual tools, i.a. comprised of individual measures for health literacy and digital literacy. Of these eight tools, only one...... tool (The eHealth literacy Scale - eHEALS) was used in other studies than the one it was originally published in. eHEALS has primarily been used to establish eHealth literacy levels in different populations. Five of the studies have been conducted by examining eHealth literacy’s impact on health...

Dark matter and cosmology

Energy Technology Data Exchange (ETDEWEB)

Schramm, D.N.

1992-03-01

The cosmological dark matter problem is reviewed. The Big Bang Nucleosynthesis constraints on the baryon density are compared with the densities implied by visible matter, dark halos, dynamics of clusters, gravitational lenses, large-scale velocity flows, and the {Omega} = 1 flatness/inflation argument. It is shown that (1) the majority of baryons are dark; and (2) non-baryonic dark matter is probably required on large scales. It is also noted that halo dark matter could be either baryonic or non-baryonic. Descrimination between ``cold`` and ``hot`` non-baryonic candidates is shown to depend on the assumed ``seeds`` that stimulate structure formation. Gaussian density fluctuations, such as those induced by quantum fluctuations, favor cold dark matter, whereas topological defects such as strings, textures or domain walls may work equally or better with hot dark matter. A possible connection between cold dark matter, globular cluster ages and the Hubble constant is mentioned. Recent large-scale structure measurements, coupled with microwave anisotropy limits, are shown to raise some questions for the previously favored density fluctuation picture. Accelerator and underground limits on dark matter candidates are also reviewed.

Dark matter and cosmology

Energy Technology Data Exchange (ETDEWEB)

Schramm, D.N.

1992-03-01

The cosmological dark matter problem is reviewed. The Big Bang Nucleosynthesis constraints on the baryon density are compared with the densities implied by visible matter, dark halos, dynamics of clusters, gravitational lenses, large-scale velocity flows, and the {Omega} = 1 flatness/inflation argument. It is shown that (1) the majority of baryons are dark; and (2) non-baryonic dark matter is probably required on large scales. It is also noted that halo dark matter could be either baryonic or non-baryonic. Descrimination between cold'' and hot'' non-baryonic candidates is shown to depend on the assumed seeds'' that stimulate structure formation. Gaussian density fluctuations, such as those induced by quantum fluctuations, favor cold dark matter, whereas topological defects such as strings, textures or domain walls may work equally or better with hot dark matter. A possible connection between cold dark matter, globular cluster ages and the Hubble constant is mentioned. Recent large-scale structure measurements, coupled with microwave anisotropy limits, are shown to raise some questions for the previously favored density fluctuation picture. Accelerator and underground limits on dark matter candidates are also reviewed.

Dark matter and cosmology

International Nuclear Information System (INIS)

Schramm, D.N.

1992-03-01

The cosmological dark matter problem is reviewed. The Big Bang Nucleosynthesis constraints on the baryon density are compared with the densities implied by visible matter, dark halos, dynamics of clusters, gravitational lenses, large-scale velocity flows, and the Ω = 1 flatness/inflation argument. It is shown that (1) the majority of baryons are dark; and (2) non-baryonic dark matter is probably required on large scales. It is also noted that halo dark matter could be either baryonic or non-baryonic. Descrimination between ''cold'' and ''hot'' non-baryonic candidates is shown to depend on the assumed ''seeds'' that stimulate structure formation. Gaussian density fluctuations, such as those induced by quantum fluctuations, favor cold dark matter, whereas topological defects such as strings, textures or domain walls may work equally or better with hot dark matter. A possible connection between cold dark matter, globular cluster ages and the Hubble constant is mentioned. Recent large-scale structure measurements, coupled with microwave anisotropy limits, are shown to raise some questions for the previously favored density fluctuation picture. Accelerator and underground limits on dark matter candidates are also reviewed

Basic experimental preparation for the measurement of the stopping power of heavy ions in matter

International Nuclear Information System (INIS)

Carvalho Brito Brum, H. de.

1976-02-01

To measure the stopping power of heavy ions in solid matter one must develop both an experimental apparatus and a data analysis program. This thesis discusses these preparatory works and the methods to be employed. The design, building and testing of a scattering chamber with many detectors; the preparation of thin solid films, their analysis by electron diffraction and their thickness measurements; the testing of the electronic system; the calibration of the 4 MeV Van de Graaf accelerator at PUC/RJ; and the development of an original data analysis computer program are presented. (Author) [pt

Comprehensive asymmetric dark matter model

OpenAIRE

Lonsdale, Stephen J.; Volkas, Raymond R.

2018-01-01

Asymmetric dark matter (ADM) is motivated by the similar cosmological mass densities measured for ordinary and dark matter. We present a comprehensive theory for ADM that addresses the mass density similarity, going beyond the usual ADM explanations of similar number densities. It features an explicit matter-antimatter asymmetry generation mechanism, has one fully worked out thermal history and suggestions for other possibilities, and meets all phenomenological, cosmological and astrophysical...

Normal frontal lobe gray matter-white matter CT volume ratio in children

International Nuclear Information System (INIS)

Thompson, J.R.; Engelhart, J.; Hasso, A.N.; Hinshaw, D.B. Jr.

1985-01-01

We attempted to establish a computed tomographic value representing the normal volume ratio of gray matter to white matter (G/W) in children in order to have a baseline for studying various developmental disorders such as white matter hypoplasia. The records of 150 children 16 years of age or younger who had normal cranial computed tomography were reviewed. From these a group of 119 were excluded for various reasons. The remaining 3 were presumed to have normal brains. Using the region of interest function for tracing gray and white matter boundaries, superior and ventral to the foramen of Munro area, measurements were determined for consecutive adjacent frontal slices. Volumes were then calculated for both gray and white matter. A volume ratio of 2.010 (sigma=0.349), G/W, was then derived from each of 31 children. The clinical value of this ratio will be determined by future investigation. (orig.)

Pay Matters: The Piece Rate and Health in the Developing World.

Science.gov (United States)

Davis, Mary E

Piece rate pay remains a common form of compensation in developing-world industries. While the piece rate may boost productivity, it has been shown to have unintended consequences for occupational safety and health, including increased accident and injury risk. This paper explores the relationship between worker pay and physical and emotional health, and questions the modern day business case for piece rate pay in the developing world. The relationship between piece rate and self-reported measures of physical and emotional health is estimated using a large survey of garment workers in 109 Vietnamese factories between 2010 and 2014. A random effects logit model controls for factory and year, predicting worker health as a function of pay type, demographics, and factory characteristics. Workers paid by the piece report worse physical and emotional health than workers paid by the hour (OR = 1.38-1.81). Wage incentives provide the most consistently significant evidence of all demographic and factory-level variables, including the factory's own performance on occupational safety and health compliance measures. These results highlight the importance of how workers are paid to understanding the variability in worker health outcomes. More research is needed to better understand the business case supporting the continued use of piece rate pay in the developing world. Copyright © 2016 The Author. Published by Elsevier Inc. All rights reserved.

Nuclear matter and electron scattering

Energy Technology Data Exchange (ETDEWEB)

Sick, I [Dept. fuer Physik und Astronomie, Univ. Basel (Switzerland)

1998-06-01

We show that inclusive electron scattering at large momentum transfer allows a measurement of short-range properties of nuclear matter. This provides a very valuable constraint in selecting the calculations appropriate for predicting nuclear matter properties at the densities of astrophysical interest. (orig.)

Radon in indoor air. Health risk, measurement methods and remedial measures

International Nuclear Information System (INIS)

Strand, T.

1996-02-01

Radon in indoor air is the main source of ionizing radiation in Norway. The booklet contains a presentation of radon sources, measurement methods, indoor radon concentrations, action levels, health risk and remedial measures

Input energy measurement toward warm dense matter generation using intense pulsed power generator

Science.gov (United States)

Hayashi, R.; Ito, T.; Ishitani, T.; Tamura, F.; Kudo, T.; Takakura, N.; Kashine, K.; Takahashi, K.; Sasaki, T.; Kikuchi, T.; Harada, Nob.; Jiang, W.; Tokuchi, A.

2016-05-01

In order to investigate properties of warm dense matter (WDM) in inertial confinement fusion (ICF), evaluation method for the WDM with isochoric heating on the implosion time-scale using an intense pulsed power generator ETIGO-II (∼1 TW, ∼50 ns) has been considered. In this study, the history of input energy into the sample is measured from the voltage and the current waveforms. To achieve isochoric heating, a foamed aluminum with pore sizes 600 μm and with 90% porosity was packed into a hollow glass capillary (ø 5 mm × 10 mm). The temperature of the sample is calculated from the numerical calculation using the measured input power. According to the above measurements, the input energy into a sample and the achievable temperature are estimated to be 300 J and 6000 K. It indicates that the WDM state is generated using the proposed method with ICF implosion time-scale.

Why psychopathy matters: Implications for public health and violence prevention✩

Science.gov (United States)

Reidy, Dennis E.; Kearns, Megan C.; DeGue, Sarah; Lilienfeld, Scott O.; Massetti, Greta; Kiehl, Kent A.

2018-01-01

Psychopathy is an early-appearing risk factor for severe and chronic violence. The violence largely attributable to psychopathy constitutes a substantial portion of the societal burden to the public health and criminal justice systems, and thus necessitates significant attention from prevention experts. Yet, despite a vast base of research in psychology and criminology, the public health approach to violence has generally neglected to consider this key variable. Fundamentally, the public health approach to violence prevention is focused on achieving change at the population level to provide the most benefit to the maximum number of people. Increasing attention to the individual-level factor of psychopathy in public health could improve our ability to reduce violence at the community and societal levels. We conclude that the research literature on psychopathy points to a pressing need for a broad-based public health approach with a focus on primary prevention. Further, we consider how measuring psychopathy in public health research may benefit violence prevention, and ultimately society, in general. PMID:29593448

Pan-arctic trends in terrestrial dissolved organic matter from optical measurements

Directory of Open Access Journals (Sweden)

Paul James Mann

2016-03-01

Full Text Available Climate change is causing extensive warming across arctic regions resulting in permafrost degradation, alterations to regional hydrology, and shifting amounts and composition of dissolved organic matter (DOM transported by streams and rivers. Here, we characterize the DOM composition and optical properties of the six largest arctic rivers draining into the Arctic Ocean to examine the ability of optical measurements to provide meaningful insights into terrigenous carbon export patterns and biogeochemical cycling. The chemical composition of aquatic DOM varied with season, spring months were typified by highest lignin phenol and dissolved organic carbon (DOC concentrations with greater hydrophobic acid content, and lower proportions of hydrophilic compounds, relative to summer and winter months. Chromophoric DOM (CDOM spectral slope (S275-295 tracked seasonal shifts in DOM composition across river basins. Fluorescence and parallel factor analysis identified seven components across the six Arctic rivers. The ratios of ‘terrestrial humic-like’ versus ‘marine humic-like’ fluorescent components co-varied with lignin monomer ratios over summer and winter months, suggesting fluorescence may provide information on the age and degradation state of riverine DOM. CDOM absorbance (a350 proved a sensitive proxy for lignin phenol concentrations across all six river basins and over the hydrograph, enabling for the first time the development of a single pan-arctic relationship between a350 and terrigenous DOC (R2 = 0.93. Combining this lignin proxy with high-resolution monitoring of a350, pan-arctic estimates of annual lignin flux were calculated to range from 156 to 185 Gg, resulting in shorter and more constrained estimates of terrigenous DOM residence times in the Arctic Ocean (spanning 7 months to 2½ years. Furthermore, multiple linear regression models incorporating both absorbance and fluorescence variables proved capable of explaining much of the

Pan-arctic trends in terrestrial dissolved organic matter from optical measurements

Science.gov (United States)

Mann, Paul; Spencer, Robert; Hernes, Peter; Six, Johan; Aiken, George; Tank, Suzanne; McClelland, James; Butler, Kenna; Dyda, Rachael; Holmes, Robert

2016-03-01

Climate change is causing extensive warming across arctic regions resulting in permafrost degradation, alterations to regional hydrology, and shifting amounts and composition of dissolved organic matter (DOM) transported by streams and rivers. Here, we characterize the DOM composition and optical properties of the six largest arctic rivers draining into the Arctic Ocean to examine the ability of optical measurements to provide meaningful insights into terrigenous carbon export patterns and biogeochemical cycling. The chemical composition of aquatic DOM varied with season, spring months were typified by highest lignin phenol and dissolved organic carbon (DOC) concentrations with greater hydrophobic acid content, and lower proportions of hydrophilic compounds, relative to summer and winter months. Chromophoric DOM (CDOM) spectral slope (S275-295) tracked seasonal shifts in DOM composition across river basins. Fluorescence and parallel factor analysis identified seven components across the six Arctic rivers. The ratios of 'terrestrial humic-like' versus 'marine humic-like' fluorescent components co-varied with lignin monomer ratios over summer and winter months, suggesting fluorescence may provide information on the age and degradation state of riverine DOM. CDOM absorbance (a350) proved a sensitive proxy for lignin phenol concentrations across all six river basins and over the hydrograph, enabling for the first time the development of a single pan-arctic relationship between a350 and terrigenous DOC (R2 = 0.93). Combining this lignin proxy with high-resolution monitoring of a350, pan-arctic estimates of annual lignin flux were calculated to range from 156 to 185 Gg, resulting in shorter and more constrained estimates of terrigenous DOM residence times in the Arctic Ocean (spanning 7 months to 2½ years). Furthermore, multiple linear regression models incorporating both absorbance and fluorescence variables proved capable of explaining much of the variability in

Atmospheric Light Detection and Ranging (LiDAR) Coupled With Point Measurement Air Quality Samplers to Measure Fine Particulate Matter (PM) Emissions From Agricultural Operations: The Los Banos CA Fall 2007 Tillage Campaign.

Science.gov (United States)

Airborne particles, especially fine particulate matter 2.5 micrometers (μm) or less in aerodynamic diameter (PM2.5), are microscopic solids or liquid droplets that can cause serious health problems, including increased respiratory symptoms such as coughing or difficulty breathing...

Implications of the DAMA and CRESST experiments for mirror matter-type dark matter

International Nuclear Information System (INIS)

Foot, R.

2004-01-01

Mirror atoms are expected to be a significant component of the galactic dark matter halo if mirror matter is identified with the nonbaryonic dark matter in the Universe. Mirror matter can interact with ordinary matter via gravity and via the photon-mirror photon kinetic mixing interaction--causing mirror charged particles to couple to ordinary photons with an effective electric charge εe. This means that the nuclei of mirror atoms can elastically scatter off the nuclei of ordinary atoms, leading to nuclear recoils, which can be detected in existing dark matter experiments. We show that the dark matter experiments most sensitive to this type of dark matter candidate (via the nuclear recoil signature) are the DAMA/NaI and CRESST/Sapphire experiments. Furthermore, we show that the impressive annual modulation signal obtained by the DAMA/NaI experiment can be explained by mirror matter-type dark matter for vertical bar ε vertical bar ∼5x10 -9 and is supported by DAMA's absolute rate measurement as well as the CRESST/Sapphire data. This value of vertical bar ε vertical bar is consistent with the value obtained from various solar system anomalies including the Pioneer spacecraft anomaly, anomalous meteorite events and lack of small craters on the asteroid Eros. It is also consistent with standard big bang nucleosynthesis

Measurements of mechanical anisotropy in brain tissue and implications for transversely isotropic material models of white matter

Science.gov (United States)

Feng, Yuan; Okamoto, Ruth J.; Namani, Ravi; Genin, Guy M.; Bayly, Philip V.

2013-01-01

White matter in the brain is structurally anisotropic, consisting largely of bundles of aligned, myelin-sheathed axonal fibers. White matter is believed to be mechanically anisotropic as well. Specifically, transverse isotropy is expected locally, with the plane of isotropy normal to the local mean fiber direction. Suitable material models involve strain energy density functions that depend on the I4 and I5 pseudo-invariants of the Cauchy–Green strain tensor to account for the effects of relatively stiff fibers. The pseudo-invariant I4 is the square of the stretch ratio in the fiber direction; I5 contains contributions of shear strain in planes parallel to the fiber axis. Most, if not all, published models of white matter depend on I4 but not on I5. Here, we explore the small strain limits of these models in the context of experimental measurements that probe these dependencies. Models in which strain energy depends on I4 but not I5 can capture differences in Young’s (tensile) moduli, but will not exhibit differences in shear moduli for loading parallel and normal to the mean direction of axons. We show experimentally, using a combination of shear and asymmetric indentation tests, that white matter does exhibit such differences in both tensile and shear moduli. Indentation tests were interpreted through inverse fitting of finite element models in the limit of small strains. Results highlight that: (1) hyperelastic models of transversely isotropic tissues such as white matter should include contributions of both the I4 and I5 strain pseudo-invariants; and (2) behavior in the small strain regime can usefully guide the choice and initial parameterization of more general material models of white matter. PMID:23680651

Decomposition of litter and soil organic matter - Can we distinguish a mechanism for soil organic matter buildup ?

International Nuclear Information System (INIS)

Berg, B.; Johansson, M.B.; McClaugherty, C.; Virzo de Santo, A.; Ekbohm, G.

1995-01-01

This synthesis paper presents a model for estimating the buildup of soil organic matter in various types of coniferous forests. The knowledge used was obtained from a well-studied forest with good litterfall data, decomposition information and validation measurements of the soil organic matter layer. By constructing a simple model for litterfall, and the information on maximum decomposition levels for litter, we could estimate the annual increase in soil organic matter and extend this to encompass stand age. The validation measurement and the estimated amount of soil organic matter differed by about 8 or 26% over a 120-yr period, depending on the litterfall model. The estimated increased storage of soil organic matter as a consequence of climate change was found to be drastic. We thus found that the soil organic matter layer would grow about four times as fast as a result of the needle component only. This estimate was based on a comparison between latitudes with a difference of 17 degrees. 35 refs, 7 figs, 3 tabs

Dark matter and the equivalence principle

Science.gov (United States)

Frieman, Joshua A.; Gradwohl, Ben-Ami

1993-01-01

A survey is presented of the current understanding of dark matter invoked by astrophysical theory and cosmology. Einstein's equivalence principle asserts that local measurements cannot distinguish a system at rest in a gravitational field from one that is in uniform acceleration in empty space. Recent test-methods for the equivalence principle are presently discussed as bases for testing of dark matter scenarios involving the long-range forces between either baryonic or nonbaryonic dark matter and ordinary matter.

The Public Health and Air Pollution in Asia (PAPA) Project: estimating the mortality effects of particulate matter in Bangkok, Thailand.

Science.gov (United States)

Vichit-Vadakan, Nuntavarn; Vajanapoom, Nitaya; Ostro, Bart

2008-09-01

Air pollution data in Bangkok, Thailand, indicate that levels of particulate matter with aerodynamic diameter air pollution in Bangkok, Thailand. The study period extended from 1999 to 2003, for which the Ministry of Public Health provided the mortality data. Measures of air pollution were derived from air monitoring stations, and information on temperature and relative humidity was obtained from the weather station in central Bangkok. The statistical analysis followed the common protocol for the multicity PAPA (Public Health and Air Pollution Project in Asia) project in using a natural cubic spline model with smooths of time and weather. The excess risk for non-accidental mortality was 1.3% [95% confidence interval (CI), 0.8-1.7] per 10 microg/m(3) of PM(10), with higher excess risks for cardiovascular and above age 65 mortality of 1.9% (95% CI, 0.8-3.0) and 1.5% (95% CI, 0.9-2.1), respectively. In addition, the effects from PM(10) appear to be consistent in multipollutant models. The results suggest strong associations between several different mortality outcomes and PM(10). In many cases, the effect estimates were higher than those typically reported in Western industrialized nations.

Does gender matter? Exploring mental health recovery court legal and health outcomes.

Science.gov (United States)

Kothari, Catherine L; Butkiewicz, Robert; Williams, Emily R; Jacobson, Caron; Morse, Diane S; Cerulli, Catherine

2014-12-05

Based upon therapeutic justice principles, mental health courts use legal leverage to improve access and compliance to treatment for defendants who are mentally ill. Justice-involved women have a higher prevalence of mental illness than men, and it plays a greater role in their criminal behavior. Despite this, studies examining whether women respond differently than men to mental health courts are lacking. Study goals were to examine gender-related differences in mental health court participation, and in criminal justice, psychiatric and health-related outcomes. This study utilized a quasi-experimental pre-posttest design without a control group. The data were abstracted from administrative records of Kalamazoo Community Mental Health and Substance Abuse agency, the county jail and both county hospitals, 2008 through 2011. Generalized estimating equation regression was used to assess gender-differences in pre-post program outcomes (jail days, psychiatric and medical hospitalization days, emergency department visits) for the 30 women and 63 men with a final mental health court disposition. Program-eligible females were more likely than males to become enrolled in mental health court. Otherwise they were similar on all measured program-participation characteristics: treatment compliance, WRAP participation and graduation rate. All participants showed significant reductions in emergency department visits, but women-completers had significantly steeper drops than males: from 6.7 emergency department visits to 1.3 for women, and from 4.1 to 2.4 for men. A similar gender pattern emerged with medical-hospitalization-days: from 2.2 medical hospital days down to 0.1 for women, and from 0.9 days up to 1.8 for men. While women had fewer psychiatric hospitalization days than men regardless of program involvement (2.5 and 4.6, respectively), both genders experienced fewer days after MHRC compared to before. Women and men showed equal gains from successful program completion in

Measurement-based management of mental health quality and access in VHA: SAIL mental health domain.

Science.gov (United States)

Lemke, Sonne; Boden, Matthew Tyler; Kearney, Lisa K; Krahn, Dean D; Neuman, Matthew J; Schmidt, Eric M; Trafton, Jodie A

2017-02-01

We outline the development of a Mental Health Domain to track accessibility and quality of mental health care in the United States Veterans Health Administration (VHA) as part of a broad-based performance measurement system. This domain adds an important element to national performance improvement efforts by targeting regional and facility leadership and providing them a concise yet comprehensive measure to identify facilities facing challenges in their mental health programs. We present the conceptual framework and rationale behind measure selection and development. The Mental Health Domain covers three important aspects of mental health treatment: Population Coverage, Continuity of Care, and Experience of Care. Each component is a composite of existing and newly adapted measures with moderate to high internal consistency; components are statistically independent or moderately related. Development and dissemination of the Mental Health Domain involved a variety of approaches and benefited from close collaboration between local, regional, and national leadership and from coordination with existing quality-improvement initiatives. During the first year of use, facilities varied in the direction and extent of change. These patterns of change were generally consistent with qualitative information, providing support for the validity of the domain and its component measures. Measure maintenance remains an iterative process as the VHA mental health system and potential data resources continue to evolve. Lessons learned may be helpful to the broader mental health-provider community as mental health care consolidates and becomes increasingly integrated within healthcare systems. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Measurement of Nuclear Recoils in the CDMS II Dark Matter Search

Science.gov (United States)

Fallows, Scott M.

The Cryogenic Dark Matter Search (CDMS) experiment is designed to directly detect elastic scatters of weakly-interacting massive dark matter particles (WIMPs), on target nuclei in semiconductor crystals composed of Si and Ge. These scatters would occur very rarely, in an overwhelming background composed primarily of electron recoils from photons and electrons, as well as a smaller but non-negligible background of WIMP-like nuclear recoils from neutrons. The CDMS~II generation of detectors simultaneously measure ionization and athermal phonon signals from each scatter, allowing discrimination against virtually all electron recoils in the detector bulk. Pulse-shape timing analysis allows discrimination against nearly all remaining electron recoils taking place near detector surfaces. Along with carefully limited neutron backgrounds, this experimental program allowed for "background-free'' operation of CDMS~II at Soudan, with less than one background event expected in each WIMP-search analysis. As a result, exclusionary upper-limits on WIMP-nucleon interaction cross section were placed over a wide range of candidate WIMP masses, ruling out large new regions of parameter space. These results, like any others, are subject to a variety of systematic effects that may alter their final interpretations. A primary focus of this dissertation will be difficulties in precisely calibrating the energy scale for nuclear recoil events like those from WIMPs. Nuclear recoils have suppressed ionization signals relative to electron recoils of the same recoil energy, so the response of the detectors is calibrated differently for each recoil type. The overall normalization and linearity of the energy scale for electron recoils in CDMS~II detectors is clearly established by peaks of known gamma energy in the ionization spectrum of calibration data from a 133Ba source. This electron-equivalent keVee) energy scale enables calibration of the total phonon signal (keVt) by enforcing unity

Determinants of Oral Health: Does Oral Health Literacy Matter?

OpenAIRE

Naghibi Sistani, Mohammad Mehdi; Yazdani, Reza; Virtanen, Jorma; Pakdaman, Afsaneh; Murtomaa, Heikki

2013-01-01

Objective. To evaluate oral health literacy, independent of other oral health determinants, as a risk indicator for self-reported oral health. Methods. A cross-sectional population-based survey conducted in Tehran, Iran. Multiple logistic regression analysis served to estimate the predictive effect of oral health literacy on self-reported oral health status (good versus poor) controlling for socioeconomic and demographic factors and tooth-brushing behavior. Results. In all, among 1031 partici...

The impact of European legislative and technology measures to reduce air pollutants on air quality, human health and climate

International Nuclear Information System (INIS)

Turnock, S T; Butt, E W; Richardson, T B; Mann, G W; Reddington, C L; Forster, P M; Carslaw, K S; Spracklen, D V; Haywood, J; Johnson, C E; Crippa, M; Janssens-Maenhout, G; Bellouin, N

2016-01-01

European air quality legislation has reduced emissions of air pollutants across Europe since the 1970s, affecting air quality, human health and regional climate. We used a coupled composition-climate model to simulate the impacts of European air quality legislation and technology measures implemented between 1970 and 2010. We contrast simulations using two emission scenarios; one with actual emissions in 2010 and the other with emissions that would have occurred in 2010 in the absence of technological improvements and end-of-pipe treatment measures in the energy, industrial and road transport sectors. European emissions of sulphur dioxide, black carbon (BC) and organic carbon in 2010 are 53%, 59% and 32% lower respectively compared to emissions that would have occurred in 2010 in the absence of legislative and technology measures. These emission reductions decreased simulated European annual mean concentrations of fine particulate matter (PM 2.5 ) by 35%, sulphate by 44%, BC by 56% and particulate organic matter by 23%. The reduction in PM 2.5 concentrations is calculated to have prevented 80 000 (37 000–116 000, at 95% confidence intervals) premature deaths annually across the European Union, resulting in a perceived financial benefit to society of US$232 billion annually (1.4% of 2010 EU GDP). The reduction in aerosol concentrations due to legislative and technology measures caused a positive change in the aerosol radiative effect at the top of atmosphere, reduced atmospheric absorption and also increased the amount of solar radiation incident at the surface over Europe. We used an energy budget approximation to estimate that these changes in the radiative balance have increased European annual mean surface temperatures and precipitation by 0.45 ± 0.11 °C and by 13 ± 0.8 mm yr −1 respectively. Our results show that the implementation of European legislation and technological improvements to reduce the emission of air pollutants has improved air quality

Interaction of radiation with matter

CERN Document Server

Nikjoo, Hooshang; Emfietzoglou, Dimitris

2012-01-01

Written for students approaching the subject for the first time, this text provides a solid grounding in the physics of the interactions of photons and particles with matter, which is the basis of radiological physics and radiation dosimetry. The authors first present the relevant atomic physics and then describe the interactions, emphasizing practical applications in health/medical physics and radiation biology. They cover such important topics as microdosimetry, interaction of photons with matter, electron energy loss, and dielectric response. Each chapter includes exercises and a summary.

Breastfeeding and Childhood IQ: The Mediating Role of Gray Matter Volume.

Science.gov (United States)

Luby, Joan L; Belden, Andy C; Whalen, Diana; Harms, Michael P; Barch, Deanna M

2016-05-01

A substantial body of literature has established the positive effect of breastfeeding on child developmental outcomes. There is increasing consensus that breastfed children have higher IQs after accounting for key variables, including maternal education, IQ, and socioeconomic status. Cross-sectional investigations of the effects of breastfeeding on structural brain development suggest that breastfed infants have larger whole brain, cortical, and white matter volumes. To date, few studies have related these measures of brain structure to IQ in breastfed versus nonbreastfed children in a longitudinal sample. Data were derived from the Preschool Depression Study (PDS), a prospective longitudinal study in which children and caregivers were assessed annually for 8 waves over 11 years. A subset completed neuroimaging between the ages of 9.5 and 14.11 years. A total of 148 individuals had breastfeeding data at baseline and complete data on all variables of interest, including IQ and structural neuroimaging. General linear models and process mediation models were used. Breastfed children had significantly higher IQ scores and larger whole brain, total gray matter, total cortical gray matter, and subcortical gray matter volumes compared with the nonbreastfed group in models that covaried for key variables. Subcortical gray matter volume significantly mediated the association between breastfeeding and children's IQ scores. The study findings suggest that the effects of breastfeeding on child IQ are mediated through subcortical gray volume. This effect and putative mechanism is of public health significance and further supports the importance of breastfeeding in mental health promotion. Copyright © 2016 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

Measuring what matters to patients: Using goal content to inform measure choice and development.

Science.gov (United States)

Jacob, Jenna; Edbrooke-Childs, Julian; Law, Duncan; Wolpert, Miranda

2017-04-01

Personalised care requires personalised outcomes and ways of feeding back clinically useful information to clinicians and practitioners, but it is not clear how to best personalise outcome measurement and feedback using existing standardised outcome measures. The constant comparison method of grounded theory was used to compare goal themes derived from goals set at the outset of therapy for 180 children aged between 4 and 17 years, visiting eight child and adolescent mental health services, to existing standardised outcome measures used as part of common national datasets. In all, 20 out of 27 goal themes corresponded to items on at least one commonly used outcome measure. Consideration of goal themes helped to identify potential relevant outcome measures. However, there were several goal themes that were not captured by items on standardised outcome measures. These seemed to be related to existential factors such as understanding, thinking about oneself and future planning. This presents a powerful framework for how clinicians can use goals to help select a standardised outcome measure (where this is helpful) in addition to the use of a goal-based outcome measure and personalise choices. There may be areas not captured by standardised outcome measures that may be important for children and young people and which may only be currently captured in goal measurement. There is an indication that we may not be measuring what is important to children and young people. We may need to develop or look for new measures that capture these areas.

Measurement and modeling of diameter distributions of particulate matter in terrestrial solutions

Science.gov (United States)

Levia, Delphis F.; Michalzik, Beate; Bischoff, Sebastian; NäThe, Kerstin; Legates, David R.; Gruselle, Marie-Cecile; Richter, Susanne

2013-04-01

Particulate matter (PM) plays an important role in biogeosciences, affecting biosphere-atmosphere interactions and ecosystem health. This is the first known study to quantify and model PM diameter distributions of bulk precipitation, throughfall, stemflow, and organic layer (Oa) solution. Solutions were collected from a European beech (Fagus sylvatica L.) forest during leafed and leafless periods. Following scanning electron microscopy and image analysis, PM distributions were quantified and then modeled with the Box-Cox transformation. Based on an analysis of 43,278 individual particulates, median PM diameter of all solutions was around 3.0 µm. All PM diameter frequency distributions were skewed significantly to the right. Optimal power transformations of PM diameter distributions were between -1.00 and -1.56. The utility of this model reconstruction would be that large samples having a similar probability density function can be developed for similar forests. Further work on the shape and chemical composition of particulates is warranted.

Health impact assessment of ambient fine particulate matter exposure in impacts by different vehicle control measures in China

Science.gov (United States)

LI, S.; Wang, H.; Jiang, F.; Zhang, S.

2017-12-01

Road transportation is the one of the largest emission sources contributing to ambient PM2.5 pollution in China. Since the 1990s, China has adopted comprehensive control measures to mitigate vehicle emissions. However, the effects of these measures on reducing emissions, improving air quality and avoiding negative health impacts have not been systematically evaluated. In this study, we combine emissions inventory, air quality modeling, and IER model to evaluate the effect of various vehicle control measures on premature deaths attributable to ambient PM2.5 at a spatial resolution of 36 km × 36 km across China. Our results show that, comparing to no control scenarios, the total vehicular emissions with the actual vehicle emission controls implemented have reduced the emissions of NOX, HC, CO, PM2.5 by 57%, 69%, 75%, 71% respectively; and reduced the national annual mean PM2.5 concentration by 2.5ug/m³ across China by 2010. The number of avoidable deaths associated with reducing PM2.5 level is 150 thousands (95% Confidence interval: 66 thousand - 212 thousand). The geographic distribution of the absolute number of avoidable deaths presents a distinct regional feature and is particularly evident in several regions. The most influential areas are mainly concentrated in Beijing and its south part, which formed a large area of continuous high value. Our results have important policy implications on prioritizing vehicular emission control strategy in China.

Constraints on Leptophilic Dark Matter from the AMS-02 Experiment

International Nuclear Information System (INIS)

Cavasonza, Leila Ali; Gast, Henning; Schael, Stefan; Krämer, Michael; Pellen, Mathieu

2017-01-01

The annihilation of dark matter particles in the Galactic halo of the Milky Way may lead to cosmic ray signatures that can be probed by the AMS-02 experiment, which has measured the composition and fluxes of charged cosmic rays with unprecedented precision. Given the absence of characteristic spectral features in the electron and positron fluxes measured by AMS-02, we derive upper limits on the dark matter annihilation cross section for leptophilic dark matter models. Our limits are based on a new background model that describes all recent measurements of the energy spectra of cosmic-ray positrons and electrons. For thermal dark matter relics, we can exclude dark matter masses below about 100 GeV. We include the radiation of electroweak gauge bosons in the dark matter annihilation process and compute the antiproton signal that can be expected within leptophilic dark matter models.

Constraints on Leptophilic Dark Matter from the AMS-02 Experiment

Energy Technology Data Exchange (ETDEWEB)

Cavasonza, Leila Ali; Gast, Henning; Schael, Stefan [I. Physikalisches Institut, RWTH Aachen University, D-52074 Aachen (Germany); Krämer, Michael [Institute for Theoretical Particle Physics and Cosmology, RWTH Aachen University, D-52074 Aachen (Germany); Pellen, Mathieu, E-mail: cavasonza@physik.rwth-aachen.de [Institut für Theoretische Physik und Astrophysik, Universität Würzburg, D-97074 Würzburg (Germany)

2017-04-10

The annihilation of dark matter particles in the Galactic halo of the Milky Way may lead to cosmic ray signatures that can be probed by the AMS-02 experiment, which has measured the composition and fluxes of charged cosmic rays with unprecedented precision. Given the absence of characteristic spectral features in the electron and positron fluxes measured by AMS-02, we derive upper limits on the dark matter annihilation cross section for leptophilic dark matter models. Our limits are based on a new background model that describes all recent measurements of the energy spectra of cosmic-ray positrons and electrons. For thermal dark matter relics, we can exclude dark matter masses below about 100 GeV. We include the radiation of electroweak gauge bosons in the dark matter annihilation process and compute the antiproton signal that can be expected within leptophilic dark matter models.

Relationship of Hypertension, Blood Pressure, and Blood Pressure Control With White Matter Abnormalities in the Women’s Health Initiative Memory Study (WHIMS)—MRI Trial

OpenAIRE

Kuller, Lewis H.; Margolis, Karen L.; Gaussoin, Sarah A.; Bryan, Nick R.; Kerwin, Diana; Limacher, Marian; Wassertheil-Smoller, Sylvia; Williamson, Jeff; Robinson, Jennifer G.

2010-01-01

This paper evaluates the relationship of blood pressure (BP) levels at Women’s Health Initiative (WHI) baseline, treatment of hypertension, and white matter abnormalities among women in conjugated equine estrogen (CEE) and medroxyprogesterone acetate and CEE-alone arms. The WHI Memory Study—Magnetic Resonance Imaging (WHIMS-MRI) trial scanned 1424 participants. BP levels at baseline were significantly positively related to abnormal white matter lesion (WML) volumes. Participants treated for h...

Health Outcomes of Exposure to Biological and Chemical Components of Inhalable and Respirable Particulate Matter.

Science.gov (United States)

Morakinyo, Oyewale Mayowa; Mokgobu, Matlou Ingrid; Mukhola, Murembiwa Stanley; Hunter, Raymond Paul

2016-06-14

Particulate matter (PM) is a key indicator of air pollution and a significant risk factor for adverse health outcomes in humans. PM is not a self-contained pollutant but a mixture of different compounds including chemical and biological fractions. While several reviews have focused on the chemical components of PM and associated health effects, there is a dearth of review studies that holistically examine the role of biological and chemical components of inhalable and respirable PM in disease causation. A literature search using various search engines and (or) keywords was done. Articles selected for review were chosen following predefined criteria, to extract and analyze data. The results show that the biological and chemical components of inhalable and respirable PM play a significant role in the burden of health effects attributed to PM. These health outcomes include low birth weight, emergency room visit, hospital admission, respiratory and pulmonary diseases, cardiovascular disease, cancer, non-communicable diseases, and premature death, among others. This review justifies the importance of each or synergistic effects of the biological and chemical constituents of PM on health. It also provides information that informs policy on the establishment of exposure limits for PM composition metrics rather than the existing exposure limits of the total mass of PM. This will allow for more effective management strategies for improving outdoor air quality.

Health Outcomes of Exposure to Biological and Chemical Components of Inhalable and Respirable Particulate Matter

Directory of Open Access Journals (Sweden)

Oyewale Mayowa Morakinyo

2016-06-01

Full Text Available Particulate matter (PM is a key indicator of air pollution and a significant risk factor for adverse health outcomes in humans. PM is not a self-contained pollutant but a mixture of different compounds including chemical and biological fractions. While several reviews have focused on the chemical components of PM and associated health effects, there is a dearth of review studies that holistically examine the role of biological and chemical components of inhalable and respirable PM in disease causation. A literature search using various search engines and (or keywords was done. Articles selected for review were chosen following predefined criteria, to extract and analyze data. The results show that the biological and chemical components of inhalable and respirable PM play a significant role in the burden of health effects attributed to PM. These health outcomes include low birth weight, emergency room visit, hospital admission, respiratory and pulmonary diseases, cardiovascular disease, cancer, non-communicable diseases, and premature death, among others. This review justifies the importance of each or synergistic effects of the biological and chemical constituents of PM on health. It also provides information that informs policy on the establishment of exposure limits for PM composition metrics rather than the existing exposure limits of the total mass of PM. This will allow for more effective management strategies for improving outdoor air quality.

Child outpatient mental health service use: why doesn't insurance matter?

Science.gov (United States)

Glied, Sherry; Bowen Garrett, A.; Hoven, Christina; Rubio-Stipec, Maritza; Regier, Darrel; Moore, Robert E.; Goodman, Sherryl; Wu, Ping; Bird, Hector

1998-12-01

BACKGROUND: Several recent studies of child outpatient mental health service use in the US have shown that having private insurance has no effect on the propensity to use services. Some studies also find that public coverage has no beneficial effect relative to no insurance. AIMS: This study explores several potential explanations, including inadequate measurement of mental health status, bandwagon effects, unobservable heterogeneity and public sector substitution for private services, for the lack of an effect of private insurance on service use. METHODS: We use secondary analysis of data from the three mainland US sites of NIMH's 1992 field trial of the Cooperative Agreement for Methodological Research for Multi-Site Surveys of Mental Disorders in Child and Adolescent Populations (MECA) Study. We examine whether or not a subject used any mental health service, school-based mental health services or outpatient mental health services, and the number of outpatient visits among users. We also examine use of general medical services as a check on our results. We conduct regression analysis; instrumental variables analysis, using instruments based on employment and parental history of mental health problems to identify insurance choice, and bivariate probit analysis to examine multiservice use. RESULTS: We find evidence that children with private health insurance have fewer observable (measured) mental health problems. They also appear to have a lower unobservable (latent) propensity to use mental health services than do children without coverage and those with Medicaid coverage. Unobserved differences in mental health status that relate to insurance choice are found to contribute to the absence of a positive effect for private insurance relative to no coverage in service use regressions. We find no evidence to suggest that differences in attitudes or differences in service availability in children's census tracts of residence explain the non-effect of insurance

Does job satisfaction improve the health of workers? New evidence using panel data and objective measures of health.

Science.gov (United States)

Fischer, Justina A V; Sousa-Poza, Alfonso

2009-01-01

This paper evaluates the relationship between job satisfaction and measures of health of workers using the German Socio-Economic Panel. Methodologically, it addresses two important design problems encountered frequently in the literature: (a) cross-sectional causality problems and (b) the absence of objective measures of physical health that complement self-reported measures of health status. Not only does using the panel structure with individual fixed effects mitigate the bias from omitting unobservable personal psycho-social characteristics, but employing more objective health measures such as health-system contacts and disability addresses such measurement problems relating to self-report assessments of health status.We find a positive link between job satisfaction (and changes over time therein) and subjective health measures (and changes therein); that is, employees with higher or improved job satisfaction levels feel healthier and are more satisfied with their health. This observation also holds true for more objective measures of health. Particularly, improvements in job satisfaction over time appear to prevent workers from (further) health deterioration. Copyright (c) 2008 John Wiley & Sons, Ltd.

Money Matters: Recommendations for Financial Stress Research in Occupational Health Psychology.

Science.gov (United States)

Sinclair, Robert R; Cheung, Janelle H

2016-08-01

Money is arguably the most important resource derived from work and the most important source of stress for contemporary employees. A substantial body of research supports the relationship between access to financial resources and health and well-being, both at individual and aggregated (e.g. national) levels of analysis. Yet, surprisingly little occupational health psychology research has paid attention to financial issues experienced specifically by those in the labour force. With these issues in mind, the overarching goal of the present paper was to address conceptual and measurement issues in the study of objective and subjective aspects of financial stress and review several assessment options available to occupational health psychology researchers for both aspects of financial stress. Where appropriate, we offer guidance to researchers about choices among various financial stress measures and identify issues that require further research attention. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Measurement of matter-antimatter differences in beauty baryon decays

NARCIS (Netherlands)

Dufour, L.; Mulder, M; Onderwater, C. J. G.; Pellegrino, A.; Tolk, S.; van Veghel, M.

Differences in the behaviour of matter and antimatter have been observed in K and B meson decays, but not yet in any baryon decay. Such differences are associated with the non-invariance of fundamental interactions under the combined chargeconjugation and parity transformations, known as CP

Effects of ambient particulate matter on aerobic exercise performance

Directory of Open Access Journals (Sweden)

Dale R. Wagner

2018-04-01

Full Text Available Background/Objective: Wintertime thermal inversions in narrow mountain valleys create a ceiling effect, increasing concentration of small particulate matter (PM2.5. Despite potential health risks, many people continue to exercise outdoors in thermal inversions. This study measured the effects of ambient PM2.5 exposure associated with a typical thermal inversion on exercise performance, pulmonary function, and biological markers of inflammation. Methods: Healthy, active adults (5 males, 11 females performed two cycle ergometer time trials outdoors in a counterbalanced design: 1 low ambient PM2.5 concentrations ( .05 for PM2.5 concentration and the measured variables. Conclusion: An acute bout of vigorous exercise during an AQI of “yellow” did not diminish exercise performance in healthy adults, nor did it have a negative effect on pulmonary function or biological health markers. These variables might not be sensitive to small changes from acute, mild PM2.5 exposure. Keywords: Air pollution, Cycle ergometry, Pulmonary function, Time trial, Vigorous exercise

Johns Hopkins Particulate Matter Research Center

Data.gov (United States)

Federal Laboratory Consortium — The Johns Hopkins Particulate Matter Research Center will map health risks of PM across the US based on analyses of national databases on air pollution, mortality,...

Measuring up: Implementing a dental quality measure in the electronic health record context.

Science.gov (United States)

Bhardwaj, Aarti; Ramoni, Rachel; Kalenderian, Elsbeth; Neumann, Ana; Hebballi, Nutan B; White, Joel M; McClellan, Lyle; Walji, Muhammad F

2016-01-01

Quality improvement requires using quality measures that can be implemented in a valid manner. Using guidelines set forth by the Meaningful Use portion of the Health Information Technology for Economic and Clinical Health Act, the authors assessed the feasibility and performance of an automated electronic Meaningful Use dental clinical quality measure to determine the percentage of children who received fluoride varnish. The authors defined how to implement the automated measure queries in a dental electronic health record. Within records identified through automated query, the authors manually reviewed a subsample to assess the performance of the query. The automated query results revealed that 71.0% of patients had fluoride varnish compared with the manual chart review results that indicated 77.6% of patients had fluoride varnish. The automated quality measure performance results indicated 90.5% sensitivity, 90.8% specificity, 96.9% positive predictive value, and 75.2% negative predictive value. The authors' findings support the feasibility of using automated dental quality measure queries in the context of sufficient structured data. Information noted only in free text rather than in structured data would require using natural language processing approaches to effectively query electronic health records. To participate in self-directed quality improvement, dental clinicians must embrace the accountability era. Commitment to quality will require enhanced documentation to support near-term automated calculation of quality measures. Copyright © 2016 American Dental Association. Published by Elsevier Inc. All rights reserved.

Exploring fermionic dark matter via Higgs boson precision measurements at the Circular Electron Positron Collider

Science.gov (United States)

Xiang, Qian-Fei; Bi, Xiao-Jun; Yin, Peng-Fei; Yu, Zhao-Huan

2018-03-01

We study the impact of fermionic dark matter (DM) on projected Higgs precision measurements at the Circular Electron Positron Collider (CEPC), including the one-loop effects on the e+e-→Z h cross section and the Higgs boson diphoton decay, as well as the tree-level effects on the Higgs boson invisible decay. As illuminating examples, we discuss two UV-complete DM models, whose dark sector contains electroweak multiplets that interact with the Higgs boson via Yukawa couplings. The CEPC sensitivity to these models and current constraints from DM detection and collider experiments are investigated. We find that there exist some parameter regions where the Higgs measurements at the CEPC will be complementary to current DM searches.

Neighborhood Perceptions and Cumulative Impacts of Low Level Chronic Exposure to Fine Particular Matter (PM2.5 on Cardiopulmonary Health

Directory of Open Access Journals (Sweden)

Kristen M. C. Malecki

2018-01-01

Full Text Available Adverse perceptions of neighborhood safety, aesthetics and quality including access to resources can induce stress and may make individuals more sensitive to cardiopulmonary effects of air pollution exposure. Few studies have examined neighborhood perceptions as important and modifiable non-chemical stressors of the built environment that may exacerbate effects of air pollution on cardiopulmonary health outcomes, particularly among general population based cohorts. This study examined associations between low-level chronic exposure to fine particulate matter (PM2.5 and cardiopulmonary health, and the potential mediating or modifying effects of adverse neighborhood perceptions. Using data from the Survey of the Health of Wisconsin (SHOW, 2230 non-asthmatic adults age 21–74 were included in the analyses. The overall goals of this study were to assess if individuals who experience stress from neighborhood environments in which they live were more sensitive to low levels of fine particular matter (PM2.5 μg/m3. Demographic predictors of air pollution exposure included younger age, non-White race, lower education and middle class income. After adjustments, objective lung function measures (FEV1 and FEV1 to FVC ratio were the only cardiopulmonary health indicators significantly associated with chronic three-year annual averages of PM2.5. Among all non-asthmatics, a ten unit increase in estimated three year annual average PM2.5 exposure was significantly associated with lower forced expiratory volume (L in one second FEV1 (β = −0.40 μg/L; 95% CI −0.45, −0.06. Among all individuals, adverse perceptions of the neighborhood built environment did not appear to statistically moderate or mediate associations. However, stratified analysis did reveal significant associations between PM2.5 and lung function (FEV1 only among individuals with negative perceptions and increased reports of neighborhood stressors. These findings included individuals who

Neighborhood Perceptions and Cumulative Impacts of Low Level Chronic Exposure to Fine Particular Matter (PM2.5) on Cardiopulmonary Health.

Science.gov (United States)

Malecki, Kristen M C; Schultz, Amy A; Bergmans, Rachel S

2018-01-06

Adverse perceptions of neighborhood safety, aesthetics and quality including access to resources can induce stress and may make individuals more sensitive to cardiopulmonary effects of air pollution exposure. Few studies have examined neighborhood perceptions as important and modifiable non-chemical stressors of the built environment that may exacerbate effects of air pollution on cardiopulmonary health outcomes, particularly among general population based cohorts. This study examined associations between low-level chronic exposure to fine particulate matter (PM 2.5 ) and cardiopulmonary health, and the potential mediating or modifying effects of adverse neighborhood perceptions. Using data from the Survey of the Health of Wisconsin (SHOW), 2230 non-asthmatic adults age 21-74 were included in the analyses. The overall goals of this study were to assess if individuals who experience stress from neighborhood environments in which they live were more sensitive to low levels of fine particular matter (PM 2.5 μg/m³). Demographic predictors of air pollution exposure included younger age, non-White race, lower education and middle class income. After adjustments, objective lung function measures (FEV1 and FEV1 to FVC ratio) were the only cardiopulmonary health indicators significantly associated with chronic three-year annual averages of PM 2.5 . Among all non-asthmatics, a ten unit increase in estimated three year annual average PM 2.5 exposure was significantly associated with lower forced expiratory volume (L) in one second FEV1 (β = -0.40 μg/L; 95% CI -0.45, -0.06). Among all individuals, adverse perceptions of the neighborhood built environment did not appear to statistically moderate or mediate associations. However, stratified analysis did reveal significant associations between PM 2.5 and lung function (FEV1) only among individuals with negative perceptions and increased reports of neighborhood stressors. These findings included individuals who felt their

Measurement of matter-antimatter differences in beauty baryon decays

NARCIS (Netherlands)

Aaij, R.; Adeva, B.; Adinolfi, M.; Ajaltouni, Z.; Akar, S.; Albrecht, J.; Alessio, F.; Alexander, M.; Ali, S.; Alkhazov, G.; Alvarez Cartelle, P.; Alves, A. A.; Amato, S.; Amerio, S.; Amhis, Y.; Everse, LA; Anderlini, L.; Andreassi, G.; Andreotti, M.; Andrews, J.E.; Appleby, R. B.; Archilli, F.; d'Argent, P.; Arnau Romeu, J.; Artamonov, A.; Artuso, M.; Aslanides, E.; Auriemma, G.; Baalouch, M.; Babuschkin, I.; Carvalho Akiba, K.; Coco, V.; David, P. N.Y.; De Bruyn, K.; Ferro-Luzzi, M.; Ketel, T.; Koopman, R. F.; Van Leerdam, J.; Merk, M.; Onderwater, C. J.G.; Raven, G.; Schiller, M.; Serra, N.; Snoek, H.; Storaci, B.; Syropoulos, V.; Van Tilburg, J.; Tolk, S.; Tsopelas, P.; Tuning, N.

Differences in the behaviour of matter and antimatter have been observed in K and B meson decays, but not yet in any baryon decay. Such differences are associated with the non-invariance of fundamental interactions under the combined charge-conjugation and parity transformations, known as CP

Methodology of Young Minds Matter: The second Australian Child and Adolescent Survey of Mental Health and Wellbeing.

Science.gov (United States)

Hafekost, Jennifer; Lawrence, David; Boterhoven de Haan, Katrina; Johnson, Sarah E; Saw, Suzy; Buckingham, William J; Sawyer, Michael G; Ainley, John; Zubrick, Stephen R

2016-09-01

To describe the study design of Young Minds Matter: The second Australian Child and Adolescent Survey of Mental Health and Wellbeing. The aims of the study, sample design, development of survey content, field procedures and final questionnaires are detailed. During 2013-2014, a national household survey of the mental health and wellbeing of young people was conducted involving a sample of 6310 families selected at random from across Australia. The survey included a face-to-face diagnostic interview with parents/carers of 4- to 17-year-olds and a self-report questionnaire completed by young people aged 11-17 years. The overall response rate to the survey was 55% with 6310 parents/carers of eligible households participating in the survey. In addition, 2967 or 89% of young people aged 11-17 years in these participating households completed a questionnaire. The survey sample was found to be broadly representative of the Australian population on major demographic characteristics when compared with data from the Census of Population and Housing. However, adjustments were made for an over-representation of younger children aged 4 to 7 years and also families with more than one eligible child in the household. Young Minds Matter provides updated national prevalence estimates of common child and adolescent mental disorders, describes patterns of service use and will help to guide future decisions in the development of policy and provision of mental health services for children and adolescents. Advancements in interviewing methodology, addition of a data linkage component and informed content development contributed to improved breadth and quality of the data collected. © The Royal Australian and New Zealand College of Psychiatrists 2015.

Thermal Dark Matter Below an MeV

OpenAIRE

Berlin, Asher; Blinov, Nikita

2017-01-01

We consider a class of models in which thermal dark matter is lighter than an MeV. If dark matter thermalizes with the Standard Model below the temperature of neutrino-photon decoupling, equilibration and freeze-out cools and heats the Standard Model bath comparably, alleviating constraints from measurements of the effective number of neutrino species. We demonstrate this mechanism in a model consisting of fermionic dark matter coupled to a light scalar mediator. Thermal dark matter can be as...

Development and Dissemination of the El Centro Health Disparities Measures Library.

Science.gov (United States)

Mitrani, Victoria Behar; O'Day, Joanne E; Norris, Timothy B; Adebayo, Oluwamuyiwa Winifred

2017-09-01

This report describes the development and dissemination of a library of English measures, with Spanish translations, on constructs relevant to social determinants of health and behavioral health outcomes. The El Centro Measures Library is a product of the Center of Excellence for Health Disparities Research: El Centro, a program funded by the National Institute on Minority Health and Health Disparities of the U.S. National Institutes of Health. The library is aimed at enhancing capacity for minority health and health disparities research, particularly for Hispanics living in the United States and abroad. The open-access library of measures (available through www.miami.edu/sonhs/measureslibrary) contains brief descriptions of each measure, scoring information (where available), links to related peer-reviewed articles, and measure items in both languages. Links to measure websites where commercially available measures can be purchased are included, as is contact information for measures that require author permission. Links to several other measures libraries are hosted on the library website. Other researchers may contribute to the library. El Centro investigators began the library by electing to use a common set of measures across studies to assess demographic information, culture-related variables, proximal outcomes of interest, and major outcomes. The collection was expanded to include other health disparity research studies. In 2012, a formal process was developed to organize, expand, and centralize the library in preparation for a gradual process of dissemination to the national and international community of researchers. The library currently contains 61 measures encompassing 12 categories of constructs. Thus far, the library has been accessed 8,883 times (unique page views as generated by Google Analytics), and responses from constituencies of users and measure authors have been favorable. With the paucity of availability and accessibility of translated

Matter-antimatter and matter-matter interactions at intermediate energies

International Nuclear Information System (INIS)

Santos, Antonio Carlos Fontes dos

2002-01-01

This article presents some of the recent experimental advances on the study on antimatter-matter and matter-matter interactions, and some of the subtle differences stimulated a great theoretical efforts for explanation of the results experimentally observed

Indirect detection of dark matter

International Nuclear Information System (INIS)

Carr, J; Lamanna, G; Lavalle, J

2006-01-01

This article is an experimental review of the status and prospects of indirect searches for dark matter. Experiments observe secondary particles such as positrons, antiprotons, antideuterons, gamma-rays and neutrinos which could originate from annihilations of dark matter particles in various locations in the galaxy. Data exist from some experiments which have been interpreted as hints of evidence for dark matter. These data and their interpretations are reviewed together with the new experiments which are planned to resolve the puzzles and make new measurements which could give unambiguous results

Going Smokefree Matters - Multiunit Housing Infographic

Data.gov (United States)

U.S. Department of Health & Human Services — Explore the Going Smokefree Matters – Multiunit Housing Infographic which outlines key facts related to the effects of secondhand smoke exposure in multiunit housing.

Ultimate energy density of observable cold baryonic matter.

Science.gov (United States)

Lattimer, James M; Prakash, Madappa

2005-03-25

We demonstrate that the largest measured mass of a neutron star establishes an upper bound to the energy density of observable cold baryonic matter. An equation of state-independent expression satisfied by both normal neutron stars and self-bound quark matter stars is derived for the largest energy density of matter inside stars as a function of their masses. The largest observed mass sets the lowest upper limit to the density. Implications from existing and future neutron star mass measurements are discussed.

Evaluating Cost-Effectiveness of Interventions that Affect Fertility and Childbearing: How Health Effects are Measured Matters

Science.gov (United States)

Goldhaber-Fiebert, Jeremy D.; Brandeau, Margaret L.

2015-01-01

Background Current guidelines for economic evaluations of health interventions define relevant outcomes as those accruing to individuals receiving interventions. Little consensus exists on counting health impacts on current and future fertility and childbearing. Objective To characterize current practices for counting such health outcomes. Design We developed a framework characterizing health interventions with direct and/or indirect effects on fertility and childbearing and how such outcomes are reported. We identified interventions spanning the framework and performed a targeted literature review for economic evaluations of these interventions. For each article, we characterized how the potential health outcomes from each intervention were considered, focusing on QALYs associated with fertility and childbearing. Results We reviewed 108 studies, identifying seven themes: 1) Studies were heterogeneous in reporting outcomes. 2) Studies often selected outcomes for inclusion that tend to bias toward finding the intervention to be cost-effective. 3) Studies often avoided the challenges of assigning QALYs for pregnancy and fertility by instead considering cost per intermediate outcome. 4) Even for the same intervention, studies took heterogeneous approaches to outcome evaluation. 5) Studies employed multiple, competing rationales for whether and how to include fertility-related QALYs and whose QALYs to include. 6) Studies examining interventions with indirect effects on fertility typically ignored such QALYs. 7) Even recent studies had these shortcomings. Limitations The review was targeted rather than systematic. Conclusions Economic evaluations inconsistently consider QALYs from current and future fertility and childbearing in ways that frequently appear biased towards the interventions considered. As the Panel on Cost-Effectiveness in Health and Medicine updates its guidelines, making the practice of cost-effectiveness analysis more consistent is a priority. Our

Measuring health indicators and allocating health resources: a DEA-based approach.

Science.gov (United States)

Yang, Chih-Ching

2016-02-03

This paper suggests new empirical DEA models for the measurement of health indicators and the allocation of health resources. The proposed models were developed by first suggesting a population-based health indicator. By introducing the suggested indicator into DEA models, a new approach that solves the problem of health resource allocation has been developed. The proposed models are applied to an empirical study of Taiwan's health system. Empirical findings show that the suggested indicator can successfully accommodate the differences in health resource demands between populations, providing more reliable performance information than traditional indicators such as physician density. Using our models and a commonly used allocation mechanism, capitation, to allocate medical expenditures, it is found that the proposed model always obtains higher performance than those derived from capitation, and the superiority increases as allocated expenditures rise.

Health Plan Performance Measurement within Medicare Subvention.

Science.gov (United States)

1998-06-01

the causes of poor performance (Siren & Laffel, 1996). Although outcomes measures such as nosocomial infection rates, admission rates for select...defined. Traditional outcomes measures include infection rates, morbidity, and mortality. The problem with these traditional measures is... Maternal /Child Care Indicators Nursing Staffing Indicators Outcome Indicators Technical Outcomes Plan Performance Stability of Health Plan

Going Smokefree Matters - Multiunit Housing Infographic

Data.gov (United States)

U.S. Department of Health & Human Services — Explore the Going Smokefree Matters – Multiunit Housing Infographic which outlines key facts related to the effects of secondhand smoke exposure in multiunit...

Gray-Matter Volume Estimate Score: A Novel Semi-Automatic Method Measuring Early Ischemic Change on CT

OpenAIRE

Song, Dongbeom; Lee, Kijeong; Kim, Eun Hye; Kim, Young Dae; Lee, Hye Sun; Kim, Jinkwon; Song, Tae-Jin; Ahn, Sung Soo; Nam, Hyo Suk; Heo, Ji Hoe

2015-01-01

Background and Purpose We developed a novel method named Gray-matter Volume Estimate Score (GRAVES), measuring early ischemic changes on Computed Tomography (CT) semi-automatically by computer software. This study aimed to compare GRAVES and Alberta Stroke Program Early CT Score (ASPECTS) with regards to outcome prediction and inter-rater agreement. Methods This was a retrospective cohort study. Among consecutive patients with ischemic stroke in the anterior circulation who received intra-art...

Lower digit symbol substitution score in the oldest old is related to magnetization transfer and diffusion tensor imaging of the white matter.

Directory of Open Access Journals (Sweden)

Vijay eVenkatraman

2011-09-01

Full Text Available Background: Slowing information processing is common among community-dwelling elderly and it predicts greater mortality and disability risk. Slowing information processing is related to brain macro-structural abnormalities. Specifically, greater global atrophy and greater small vessel disease of the white matter have been associated to slower processing speed. However, community-dwelling elderly with such macro-structural abnormalities can maintain processing speed. The roles of brain micro-structure for slow processing in very old adults living in the community is uncertain, as epidemiological studies relating these brain markers to cognition and in the context of other health characteristics are sparse. Hypothesis: Information processing is cross-sectionally associated with white matter micro-structure independent of overt macro-structural abnormalities and also independent of health related characteristics. Methods: Imaging indices of micro-structure (diffusion tensor imaging, DTI, and magnetization transfer imaging, MTI, macro-structure (white matter hyperintensities, gray matter volume, Digit Symbol Substitution Test (DSST and health characteristics were measured in 272 elderly (mean age 83 years old, 43% men, 40% Black living in the community. Results: The DTI- and MTI-indices of micro-structure from the normal appearing white matter and not from the normal appearing gray matter were associated with DSST score independent of white matter hyperintensities and gray matter volumes. Associations were also independent of age, race, gender, mini-mental score, systolic blood pressure, prevalent myocardial infarction. Interpretation: DTI and MTI indices of normal appearing white matter are indicators of information processing speed in this cohort of very old adults living in the community. Since processing slowing is a potent index of mortality and disability, these indices may serve as biomarkers in prevention or treatment trials of disability.

The value of health care – a matter of discussion in Germany

OpenAIRE

Porzsolt, Franz; Ackermann, Moritz; Amelung, Volker

2007-01-01

Abstract Background Interest in assessing the value of health-care services in Germany has considerably increased since the foundation of the Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, IQWiG (Institute for Quality and Efficiency in Health Care). The practical application of value assessment illustrates how problematic the process can be. In all decisions made for the provision of health care, data concerning the measurable dimensions (quantity and quality of efficacy an...

Study and optimization of bolometers designed to measure both ionization and heat in order to detect black matter

International Nuclear Information System (INIS)

Navick, X.F.

1997-01-01

The detection of black matter in the form of wimp (weakly interactive massive particle) requires the identification of the incident particle so that events due to wimp interactions can be set apart from events due to surrounding radioactivity. Bolometers allow to measure both the energy deposited and the ionization made by a particle. The amount of energy is determined by calorimetry. Wimp detection implies bolometers to run at very low temperature. After a presentation of particle interactions with matter, this thesis describes the physical phenomena involved in heat and ionization measurements. The behaviour of semiconductors at low temperature is investigated and qualitative expectations are drawn about the working of metal-semiconductor interface and the pin diode. An experimental setting is presented. The operating voltage needs to be very low in order to be the least disturbing possible. At so low voltage, a decrease of the ionization signal in terms of time appears. It is shown that this phenomenon is linked to the level density in the forbidden band of the semiconductor and to the intensity of infrared radiation reaching the detector. (A.C.)

Measuring and Assuring the Quality of Home Health Care

Science.gov (United States)

Shaughnessy, Peter W.; Crisler, Kathryn S.; Schlenker, Robert E.; Arnold, Angela G.; Kramer, Andrew M.; Powell, Martha C.; Hittle, David F.

1994-01-01

The growth in home health care in the United States since 1970, and the exponential increase in the provision of Medicare-covered home health services over the past 5 years, underscores the critical need to assess the effectiveness of home health care in our society. This article presents conceptual and applied topics and approaches involved in assessing effectiveness through measuring the outcomes of home health care. Definitions are provided for a number of terms that relate to quality of care, outcome measures, risk adjustment, and quality assurance (QA) in home health care. The goal is to provide an overview of a potential systemwide approach to outcome-based QA that has its basis in a partnership between the home health industry and payers or regulators. PMID:10140157

A dark matter detector based on the simultaneous measurement of phonons and ionization at 20 mK

Energy Technology Data Exchange (ETDEWEB)

Shutt, Thomas Alan [UC, Berkeley

1993-01-01

One of the most important issues in astrophysics and cosmology is understanding the nature of dark matter. One possibility is that it is made of weakly interacting subatomic particles created in the big bang, such as the lightest particle in supersymmetry models. These particles should scatter elastically of nuclei in a detector on earth at a rate of ~events/kg/week, and will deposit energies of a few keV. Current attempts to detect these interactions are limited by a radioactive background of photons and beta particles which scatter on electrons. We have developed a novel particle detector to look for dark matter based on the simultaneous measurement of ionization and phonons in a 60 g crystal of high purity germanium at a temperature of 20 mK. Background events can be distinguished by our detector because they produce more ionization per unit phonon energy than dark matter interactions. The phonon energy is measured as a temperature change in the detector by means of neutron transmutation doped germanium thermistors attached to the crystal. The ionization measurement is accomplished by applying a bias to implanted contacts on the faces of the disk. Charge collection differs from the normal situation at 77 K in that no thermally generated free charge exists in the crystal at 20 mK. The collection efficiency is good with an electric field of only ~0.2 V/cm after the charged impurities in the crystal have been neutralized by free charge created by particle interactions from a radioactive source. For fields below this charge collection is poor, and affects the amount of phonon energy measured. We have modeled this in terms of charge trapping. The r.m.s resolution of the detector is 800 eV in phonons and 600 eV in ionization. We have tested the background rejection capability of the detector by exposing it to neutrons from a 251Cf source which scatter elastically on nuclei. The neutrons are distinguished at energies of a few keV, and the current background rejection

Altered Gray Matter Volume and White Matter Integrity in College Students with Mobile Phone Dependence.

Science.gov (United States)

Wang, Yongming; Zou, Zhiling; Song, Hongwen; Xu, Xiaodan; Wang, Huijun; d'Oleire Uquillas, Federico; Huang, Xiting

2016-01-01

Mobile phone dependence (MPD) is a behavioral addiction that has become an increasing public mental health issue. While previous research has explored some of the factors that may predict MPD, the underlying neural mechanisms of MPD have not been investigated yet. The current study aimed to explore the microstructural variations associated with MPD as measured with functional Magnetic Resonance Imaging (fMRI). Gray matter volume (GMV) and white matter (WM) integrity [four indices: fractional anisotropy (FA); mean diffusivity (MD); axial diffusivity (AD); and radial diffusivity (RD)] were calculated via voxel-based morphometry (VBM) and tract-based spatial statistics (TBSS) analysis, respectively. Sixty-eight college students (42 female) were enrolled and separated into two groups [MPD group, N = 34; control group (CG), N = 34] based on Mobile Phone Addiction Index (MPAI) scale score. Trait impulsivity was also measured using the Barratt Impulsiveness Scale (BIS-11). In light of underlying trait impulsivity, results revealed decreased GMV in the MPD group relative to controls in regions such as the right superior frontal gyrus (sFG), right inferior frontal gyrus (iFG), and bilateral thalamus (Thal). In the MPD group, GMV in the above mentioned regions was negatively correlated with scores on the MPAI. Results also showed significantly less FA and AD measures of WM integrity in the MPD group relative to controls in bilateral hippocampal cingulum bundle fibers (CgH). Additionally, in the MPD group, FA of the CgH was also negatively correlated with scores on the MPAI. These findings provide the first morphological evidence of altered brain structure with mobile phone overuse, and may help to better understand the neural mechanisms of MPD in relation to other behavioral and substance addiction disorders.

Altered Gray Matter Volume and White Matter Integrity in College Students with Mobile Phone Dependence

Science.gov (United States)

Wang, Yongming; Zou, Zhiling; Song, Hongwen; Xu, Xiaodan; Wang, Huijun; d’Oleire Uquillas, Federico; Huang, Xiting

2016-01-01

Mobile phone dependence (MPD) is a behavioral addiction that has become an increasing public mental health issue. While previous research has explored some of the factors that may predict MPD, the underlying neural mechanisms of MPD have not been investigated yet. The current study aimed to explore the microstructural variations associated with MPD as measured with functional Magnetic Resonance Imaging (fMRI). Gray matter volume (GMV) and white matter (WM) integrity [four indices: fractional anisotropy (FA); mean diffusivity (MD); axial diffusivity (AD); and radial diffusivity (RD)] were calculated via voxel-based morphometry (VBM) and tract-based spatial statistics (TBSS) analysis, respectively. Sixty-eight college students (42 female) were enrolled and separated into two groups [MPD group, N = 34; control group (CG), N = 34] based on Mobile Phone Addiction Index (MPAI) scale score. Trait impulsivity was also measured using the Barratt Impulsiveness Scale (BIS-11). In light of underlying trait impulsivity, results revealed decreased GMV in the MPD group relative to controls in regions such as the right superior frontal gyrus (sFG), right inferior frontal gyrus (iFG), and bilateral thalamus (Thal). In the MPD group, GMV in the above mentioned regions was negatively correlated with scores on the MPAI. Results also showed significantly less FA and AD measures of WM integrity in the MPD group relative to controls in bilateral hippocampal cingulum bundle fibers (CgH). Additionally, in the MPD group, FA of the CgH was also negatively correlated with scores on the MPAI. These findings provide the first morphological evidence of altered brain structure with mobile phone overuse, and may help to better understand the neural mechanisms of MPD in relation to other behavioral and substance addiction disorders. PMID:27199831

Particulate matter and neutron activation analysis

International Nuclear Information System (INIS)

Otoshi, Tsunehiko

2003-01-01

In these years, economy of East Asian region is rapidly growing, and countries in this region are facing serious environmental problems. Neutron activation analysis is known as one of high-sensitive analytical method for multi elements. And it is a useful tool for environmental research, particularly for the study on atmospheric particulate matter that consists of various constituents. Elemental concentration represents status of air, such as emission of heavy metals from industries and municipal incinerators, transportation of soil derived elements more than thousands of kilometers, and so on. These monitoring data obtained by neutron activation analysis can be a cue to evaluate environment problems. Japanese government launched National Air Surveillance Network (NASN) employing neutron activation analysis in 1974, and the data has been accumulated at about twenty sampling sites. As a result of mitigation measure of air pollution sources, concentrations of elements that have anthropogenic sources decreased particularly at the beginning of the monitoring period. However, even now, concentrations of these anthropogenic elements reflect the characteristics of each sampling site, e.g. industrial/urban, rural, and remote. Soil derived elements have a seasonal variation because of the contribution of continental dust transported by strong westerly winds prevailing in winter and spring season. The health effects associated with trace elements in particulate matter have not been well characterized. However, there is increasing evidence that particulate air pollution, especially fine portion of particles in many different cities is associated with acute mortality. Neutron activation analysis is also expected to provide useful information to this new study field related to human exposures and health risk. (author)

Health seeking behavior in karnataka: does micro-health insurance matter?

Science.gov (United States)

Savitha, S; Kiran, Kb

2013-10-01

Health seeking behaviour in the event of illness is influenced by the availability of good health care facilities and health care financing mechanisms. Micro health insurance not only promotes formal health care utilization at private providers but also reduces the cost of care by providing the insurance coverage. This paper explores the impact of Sampoorna Suraksha Programme, a micro health insurance scheme on the health seeking behaviour of households during illness in Karnataka, India. The study was conducted in three randomly selected districts in Karnataka, India in the first half of the year 2011. The hypothesis was tested using binary logistic regression analysis on the data collected from randomly selected 1146 households consisting of 4961 individuals. Insured individuals were seeking care at private hospitals than public hospitals due to the reduction in financial barrier. Moreover, equity in health seeking behaviour among insured individuals was observed. Our finding does represent a desirable result for health policy makers and micro finance institutions to advocate for the inclusion of health insurance in their portfolio, at least from the HSB perspective.

2014 Child and Adult Health Care Quality Measures

Data.gov (United States)

U.S. Department of Health & Human Services — Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2014 reporting. Dataset contains...

2016 Child and Adult Health Care Quality Measures

Data.gov (United States)

U.S. Department of Health & Human Services — Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2016 reporting. Source: Mathematica...

2015 Child and Adult Health Care Quality Measures

Data.gov (United States)

U.S. Department of Health & Human Services — Performance rates on frequently reported health care quality measures in the CMS Medicaid/CHIP Child and Adult Core Sets, for FFY 2015 reporting. Source: Mathematica...

Dynamics of Soft Matter

CERN Document Server

García Sakai, Victoria; Chen, Sow-Hsin

2012-01-01

Dynamics of Soft Matter: Neutron Applications provides an overview of neutron scattering techniques that measure temporal and spatial correlations simultaneously, at the microscopic and/or mesoscopic scale. These techniques offer answers to new questions arising at the interface of physics, chemistry, and biology. Knowledge of the dynamics at these levels is crucial to understanding the soft matter field, which includes colloids, polymers, membranes, biological macromolecules, foams, emulsions towards biological & biomimetic systems, and phenomena involving wetting, friction, adhesion, or micr

Measuring the diffusion of innovative health promotion programs.

Science.gov (United States)

Steckler, A; Goodman, R M; McLeroy, K R; Davis, S; Koch, G

1992-01-01

Once a health promotion program has proven to be effective in one or two initial settings, attempts may be made to transfer the program to new settings. One way to conceptualize the transference of health promotion programs from one locale to another is by considering the programs to be innovations that are being diffused. In this way, diffusion of innovation theory can be applied to guide the process of program transference. This article reports on the development of six questionnaires to measure the extent to which health promotion programs are successfully disseminated: Organizational Climate, Awareness-Concern, Rogers's Adoption Variables, Level of Use, Level of Success, and Level of Institutionalization. The instruments are being successfully used in a study of the diffusion of health promotion/tobacco prevention curricula to junior high schools in North Carolina. The instruments, which measure the four steps of the diffusion process, have construct validity since they were developed within existing theories and are derived from the work of previous researchers. No previous research has attempted to use instruments like these to measure sequentially the stages of the diffusion process.

Long-Term Exposure to Fine Particulate Matter: Association with Nonaccidental and Cardiovascular Mortality in the Agricultural Health Study Cohort

OpenAIRE

Weichenthal, Scott; Villeneuve, Paul J.; Burnett, Richard T.; van Donkelaar, Aaron; Martin, Randall V.; Jones, Rena R.; DellaValle, Curt T.; Sandler, Dale P.; Ward, Mary H.; Hoppin, Jane A.

2014-01-01

Background: Few studies have examined the relationship between long-term exposure to ambient fine particulate matter (PM2.5) and nonaccidental mortality in rural populations. Objective: We examined the relationship between PM2.5 and nonaccidental and cardiovascular mortality in the U.S. Agricultural Health Study cohort. Methods: The cohort (n = 83,378) included farmers, their spouses, and commercial pesticide applicators residing primarily in Iowa and North Carolina. Deaths occurring between ...

Particulate Matter: a closer look

NARCIS (Netherlands)

Buijsman E; Beck JP; Bree L van; Cassee FR; Koelemeijer RBA; Matthijsen J; Thomas R; Wieringa K; LED; MGO

2005-01-01

The summary in booklet form 'Fijn stof nader bekeken' (Particulate Matter: a closer look) , published in Dutch by the Netherlands Environmental Assessment Agency (MNP) and the Environment and Safety Division of the National Institute for Public Health and the Environment (RIVM), has been designed to

Dark matter and galactic cosmic rays

International Nuclear Information System (INIS)

Taillet, R.

2010-12-01

Dark matter is one of the major problems encountered by modern cosmology and astrophysics, resisting the efforts of both theoreticians and experimentalists. The problem itself is easy to state: many indirect astrophysical measurements indicate that the mass contained in the Universe seems to be dominated by a new type of matter which has never been directly seen yet, this is why it is called dark matter. This hypothesis of dark matter being made of new particles is of great interest for particle physicists, whose theories provide many candidates: dark matter is one of the major topics of astro-particle physics. This work focuses on searching dark matter in the form of new particles, more precisely to indirect detection, i.e. the search of particles produced by dark matter annihilation rather than dark matter particles themselves. In this framework, I will present the studies I have been doing in the field of cosmic rays physics (particularly cosmic ray sources), in several collaborations. In particular, the study of the antimatter component of cosmic rays can give relevant information about dark matter. The last chapter is dedicated to my teaching activities

Make dark matter charged again

Energy Technology Data Exchange (ETDEWEB)

Agrawal, Prateek; Cyr-Racine, Francis-Yan; Randall, Lisa; Scholtz, Jakub, E-mail: prateekagrawal@fas.harvard.edu, E-mail: fcyrraci@physics.harvard.edu, E-mail: randall@physics.harvard.edu, E-mail: jscholtz@physics.harvard.edu [Department of Physics, Harvard University, Cambridge, MA 02138 (United States)

2017-05-01

We revisit constraints on dark matter that is charged under a U(1) gauge group in the dark sector, decoupled from Standard Model forces. We find that the strongest constraints in the literature are subject to a number of mitigating factors. For instance, the naive dark matter thermalization timescale in halos is corrected by saturation effects that slow down isotropization for modest ellipticities. The weakened bounds uncover interesting parameter space, making models with weak-scale charged dark matter viable, even with electromagnetic strength interaction. This also leads to the intriguing possibility that dark matter self-interactions within small dwarf galaxies are extremely large, a relatively unexplored regime in current simulations. Such strong interactions suppress heat transfer over scales larger than the dark matter mean free path, inducing a dynamical cutoff length scale above which the system appears to have only feeble interactions. These effects must be taken into account to assess the viability of darkly-charged dark matter. Future analyses and measurements should probe a promising region of parameter space for this model.

How differences matter: tracing diversity practices in obesity treatment and health promotion.

Science.gov (United States)

Felt, Ulrike; Felder, Kay; Penkler, Michael

2017-01-01

Diversity has become a buzzword in medical care, denoting a re-evaluation of what it means to attend to differences among human bodies and lives. Questions about what types of differences matter and how they should be defined have become important normative and analytical challenges. Drawing on two case studies, we show how differences between patients and patient-collectives are not simply waiting to be recognised and addressed but also enacted within situated healthcare practices. Although concerns with diversity are present in both cases, they take different forms. In a Viennese health-promotion project for obese clients, care practices are both based on and reproduce large-scale categories that divide the population into distinct subgroups with specific needs. Conversely, in an outpatient clinic for bariatric surgery patients, a technical fix-oriented procedure leads to concerns over diversity becoming an add-on realised by tending to each patient's idiosyncrasies and personal stories. By tracing the practices of diversity and the tensions they produce, we show how classifications and understandings of human difference are based on infrastructures that enable and constrain them. Furthermore, we discuss how they become consequential in healthcare, thereby indicating the importance of remaining reflexive about the political implications of diversity discourse and practice. © 2016 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL.

Health seeking behavior in Karnataka: Does micro-health insurance matter?

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S Savitha

2013-01-01

Full Text Available Background: Health seeking behaviour in the event of illness is influenced by the availability of good health care facilities and health care financing mechanisms. Micro health insurance not only promotes formal health care utilization at private providers but also reduces the cost of care by providing the insurance coverage. Objectives: This paper explores the impact of Sampoorna Suraksha Programme, a micro health insurance scheme on the health seeking behaviour of households during illness in Karnataka, India. Materials and Methods: The study was conducted in three randomly selected districts in Karnataka, India in the first half of the year 2011. The hypothesis was tested using binary logistic regression analysis on the data collected from randomly selected 1146 households consisting of 4961 individuals. Results: Insured individuals were seeking care at private hospitals than public hospitals due to the reduction in financial barrier. Moreover, equity in health seeking behaviour among insured individuals was observed. Conclusion : Our finding does represent a desirable result for health policy makers and micro finance institutions to advocate for the inclusion of health insurance in their portfolio, at least from the HSB perspective.

Dynamic measurement of coal thermal properties and elemental composition of volatile matter during coal pyrolysis

Directory of Open Access Journals (Sweden)

Rohan Stanger

2014-01-01

Full Text Available A new technique that allows dynamic measurement of thermal properties, expansion and the elemental chemistry of the volatile matter being evolved as coal is pyrolysed is described. The thermal and other properties are measured dynamically as a function of temperature of the coal without the need for equilibration at temperature. In particular, the technique allows for continuous elemental characterisation of tars as they are evolved during pyrolysis and afterwards as a function of boiling point. The technique is demonstrated by measuring the properties of maceral concentrates from a coal. The variation in heats of reaction, thermal conductivity and expansion as a function of maceral composition is described. Combined with the elemental analysis, the results aid in the interpretation of the chemical processes contributing to the physical and thermal behaviour of the coal during pyrolysis. Potential applications in cokemaking studies are discussed.

Impact of ambient fine particulate matter air pollution on health behaviors: a longitudinal study of university students in Beijing, China.

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An, R; Yu, H

2018-03-19

Poor air quality has become a national public health concern in China. This study examines the impact of ambient fine particulate matter (PM 2.5 ) air pollution on health behaviors among college students in Beijing, China. Prospective cohort study. Health surveys were repeatedly administered among 12,000 newly admitted students at Tsinghua University during 2012-2015 over their freshman year. Linear individual fixed-effect regressions were performed to estimate the impacts of ambient PM 2.5 concentration on health behaviors among survey participants, adjusting for various time-variant individual characteristics and environmental measures. Ambient PM 2.5 concentration was found to be negatively associated with time spent on walking, vigorous physical activity and sedentary behavior in the last week, but positively associated with time spent on nighttime/daytime sleep among survey participants. An increase in the ambient PM 2.5 concentration by one standard deviation (36.5 μg/m³) was associated with a reduction in weekly total minutes of walking by 7.3 (95% confidence interval [CI] = 5.3-9.4), a reduction in weekly total minutes of vigorous physical activity by 10.1 (95% CI = 8.5-11.7), a reduction in daily average hours of sedentary behavior by 0.06 (95% CI = 0.02-0.10) but an increase in daily average hours of nighttime/daytime sleep by 1.07 (95% CI = 1.04-1.11). Ambient PM 2.5 air pollution was inversely associated with physical activity level but positively associated with sleep duration among college students. Future studies are warranted to replicate study findings in other Chinese cities and universities, and policy interventions are urgently called to reduce air pollution level in China's urban areas. Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Conceptual measurement framework for help-seeking for mental health problems

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Rickwood D

2012-12-01

Full Text Available Debra Rickwood, Kerry ThomasFaculty of Health, University of Canberra, ACT, AustraliaBackground: Despite a high level of research, policy, and practice interest in help-seeking for mental health problems and mental disorders, there is currently no agreed and commonly used definition or conceptual measurement framework for help-seeking.Methods: A systematic review of research activity in the field was undertaken to investigate how help-seeking has been conceptualized and measured. Common elements were used to develop a proposed conceptual measurement framework.Results: The database search revealed a very high level of research activity and confirmed that there is no commonly applied definition of help-seeking and no psychometrically sound measures that are routinely used. The most common element in the help-seeking research was a focus on formal help-seeking sources, rather than informal sources, although studies did not assess a consistent set of professional sources; rather, each study addressed an idiosyncratic range of sources of professional health and community care. Similarly, the studies considered help-seeking for a range of mental health problems and no consistent terminology was applied. The most common mental health problem investigated was depression, followed by use of generic terms, such as mental health problem, psychological distress, or emotional problem. Major gaps in the consistent measurement of help-seeking were identified.Conclusion: It is evident that an agreed definition that supports the comparable measurement of help-seeking is lacking. Therefore, a conceptual measurement framework is proposed to fill this gap. The framework maintains that the essential elements for measurement are: the part of the help-seeking process to be investigated and respective time frame, the source and type of assistance, and the type of mental health concern. It is argued that adopting this framework will facilitate progress in the field by

Measuring Self-perceived Social Health of Iranians; Finding from Iran Social Health Survey

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kambiz Abachizadeh

2017-06-01

Full Text Available Background: The novelty of the study is to measure self-perceived social health of Iranians as one of the main dimensions of health.Materials and Methods: This cross-sectional study was conducted in all provinces of Iran in September 2014 with 10500 participants to measure self-perceived social health on a scale from 33 to 165 arranged in three areas; family, friends and relatives, and community. Area of "family" was measure in a range from 6 to 30; area of "friends and relatives" was from 9 to 45; and area of "community" was from 19 to 95. The psychometrics of scale was examined in separate previous study.Results: From a total of 10500 participants, 10244 fulfilled questionnaire (Response rate= 97.6%. 49.2% of participants were male. Mean of the total social health score was 99.91; area of "family" was 22; area of "friends and relatives" was 27.6; and area of "community" was 51.2. The main factors negatively influences on social health were low house size, unemployment, being divorced or widow and being at the age of 18-30. There was no significant relationship between social health score and educational level.Conclusion: It is magnificently attained that standardized social health rate in the present study was 3.9% lower than the rate has been estimated in comparison to similar previously conducted study in three big cities of Iran, two years earlier. Area of "community" is also the main accountant for this drop. To continue monitoring the social health of Iranians, we recommend conducting the next rounds every 3-5 years.

Suspended particulate matter in dwellings - the impact of tobacco smoking

Energy Technology Data Exchange (ETDEWEB)

Revsbech, P.; Korsgaard, J.; Lundqvist, G.R.

1987-01-01

The indoor concentration of suspended particulate matter (SPM) was measured in 44 retrofitted and tight dwellings, which had electric cooking and were central heated and where the basic ventilation rate in median amounted 0.23 air changes per hour as measured with a tracer dilution method. The indoor concentration of SPM was in medium 230 ..mu..g/m/sup 3/ with a strong correlation to the tobacco consumption (r/sub s/ = 0.716), but with no correlation to the frequency of airing or the basic ventilation rate. Tobacco smoking seems to be the main indoor source of SPM in contemporary dwellings. The importance of these findings is underlined by epidemiologic studies on passive smoking and health. Air quality standards for the ambient air are based on certain risk groups such as infants, children, persons with chronic obstructive lung disorders, and indoor air standards should be based on the same concepts of health protection.

The determination of the hadron mean free path for particle-producing collisions in intranuclear matter by measurement

International Nuclear Information System (INIS)

Strugalski, Z.; Mousa, M.

1987-01-01

It is shown how it is possible to determine the hadron mean free path in > for particle-producing collisions in intranuclear matter by measurement. The mean free path for the collisions of pions inside 54 131 Xe nuclei at 3.5 GeV/c momentum has been measured. The relation between in > in units nucleons/S and the hadron-nucleon inelastic cross section σ in in units S/nucleon is found: in >k1/σ in , where S∼10 fm 2 , k=3.0±0.15; physical meaning of S is given in this paper

The changing emphases in health physics

International Nuclear Information System (INIS)

Denham, D.H.; Kathren, R.L.

1987-11-01

This paper explores the changing emphases in health physics as evidenced by the subject matter of published papers in four primary English language journals of interest to health physicists. Articles from each journal were first grouped by subject and date of publication and were then compiled according to the list of professional domains practiced by health physicists. Five domains of practice were examined, measurements including dosimetry and environmental monitoring; regulations and standards; facilities and equipment including shielding, ventilation, and instrumentation; operations and procedures; and education and training. 2 tabs

[Suicide Prevention and Mental Health Measures for Japanese University Students].

Science.gov (United States)

Ohnishi, Masaru; Koyama, Shihomi; Senoo, Akiko; Kawahara, Hiroko; Shimizu, Yukito

2016-01-01

According to the nationwide survey of the National University students in Japan, the annual suicide rate in 2012 was 15.7 per 100,000 undergraduate students. In many universities, suicide prevention is an important issue regarding mental health measures, and each university is actively examining this. The current situation concerning measures for suicide prevention in the Japanese National Universities was investigated in 2009. In 2010, the "college student's suicide prevention measures guideline, 2010" was established based on the results of this investigation. This guideline refers to the basic philosophy of suicide prevention in Chapter 1, risk factors for suicide in Chapter 2, and systems and activities for suicide prevention in Chapter 3. The Health Service Center, Okayama University plays central roles in mental health and suicide prevention measures on the Medical Campus. The primary prevention includes a mini-lecture on mental health, classes on mental health, and periodic workshops and lectures for freshmen. The secondary prevention includes interviews with students with mental health disorders by a psychiatrist during periodic health check-ups and introducing them to a hospital outside the university. The tertiary prevention includes support for students taking a leave of absence to return to school, periodic consultation with such students with mental disorders, and postvention following a suicide. We believe that for mental health measures on the university campus, it is important to efficiently make use of limited resources, and that these efforts will eventually lead to suicide prevention.

Novel dark matter phenomenology at colliders

Science.gov (United States)

Wardlow, Kyle Patrick

While a suitable candidate particle for dark matter (DM) has yet to be discovered, it is possible one will be found by experiments currently investigating physics on the weak scale. If discovered on that energy scale, the dark matter will likely be producible in significant quantities at colliders like the LHC, allowing the properties of and underlying physical model characterizing the dark matter to be precisely determined. I assume that the dark matter will be produced as one of the decay products of a new massive resonance related to physics beyond the Standard Model, and using the energy distributions of the associated visible decay products, develop techniques for determining the symmetry protecting these potential dark matter candidates from decaying into lighter Standard Model (SM) particles and to simultaneously measure the masses of both the dark matter candidate and the particle from which it decays.

Measuring the Impact of the Human Rights on Health in Global Health Financing.

Science.gov (United States)

Davis, Sara L M

2015-12-10

In response to new scientific developments, UNAIDS, WHO, and global health financing institutions have joined together to promote a "fast-track" global scale-up of testing and treatment programs. They have set ambitious targets toward the goal of ending the three diseases by 2030. These numerical indicators, based on infectious disease modeling, can assist in measuring countries' progressive realization of the right to health. However, they only nominally reference the catastrophic impact that human rights abuses have on access to health services; they also do not measure the positive impact provided by law reform, legal aid, and other health-related human rights programs. Drawing on experience at the Global Fund to Fight AIDS, Tuberculosis and Malaria, which has incorporated expanded stakeholder consultation and human rights programming into its grants, the article argues that addressing human rights barriers to access is often an ad hoc activity occurring on the sidelines of a health grantmaking process that has focused on the scale-up of biomedical programs to meet global health indicators. To ensure that these biomedical programs have impact, UN agencies and health financing mechanisms must begin to more systematically and proactively integrate human rights policy and practice into their modeling and measurement tools. Copyright © 2015 Davis. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.

Quantifying Cerebellum Grey Matter and White Matter Perfusion Using Pulsed Arterial Spin Labeling

Science.gov (United States)

Li, Xiufeng; Sarkar, Subhendra N.; Purdy, David E.; Briggs, Richard W.

2014-01-01

To facilitate quantification of cerebellum cerebral blood flow (CBF), studies were performed to systematically optimize arterial spin labeling (ASL) parameters for measuring cerebellum perfusion, segment cerebellum to obtain separate CBF values for grey matter (GM) and white matter (WM), and compare FAIR ASST to PICORE. Cerebellum GM and WM CBF were measured with optimized ASL parameters using FAIR ASST and PICORE in five subjects. Influence of volume averaging in voxels on cerebellar grey and white matter boundaries was minimized by high-probability threshold masks. Cerebellar CBF values determined by FAIR ASST were 43.8 ± 5.1 mL/100 g/min for GM and 27.6 ± 4.5 mL/100 g/min for WM. Quantitative perfusion studies indicated that CBF in cerebellum GM is 1.6 times greater than that in cerebellum WM. Compared to PICORE, FAIR ASST produced similar CBF estimations but less subtraction error and lower temporal, spatial, and intersubject variability. These are important advantages for detecting group and/or condition differences in CBF values. PMID:24949416

Quantifying Cerebellum Grey Matter and White Matter Perfusion Using Pulsed Arterial Spin Labeling

Directory of Open Access Journals (Sweden)

Xiufeng Li

2014-01-01

Full Text Available To facilitate quantification of cerebellum cerebral blood flow (CBF, studies were performed to systematically optimize arterial spin labeling (ASL parameters for measuring cerebellum perfusion, segment cerebellum to obtain separate CBF values for grey matter (GM and white matter (WM, and compare FAIR ASST to PICORE. Cerebellum GM and WM CBF were measured with optimized ASL parameters using FAIR ASST and PICORE in five subjects. Influence of volume averaging in voxels on cerebellar grey and white matter boundaries was minimized by high-probability threshold masks. Cerebellar CBF values determined by FAIR ASST were 43.8 ± 5.1 mL/100 g/min for GM and 27.6 ± 4.5 mL/100 g/min for WM. Quantitative perfusion studies indicated that CBF in cerebellum GM is 1.6 times greater than that in cerebellum WM. Compared to PICORE, FAIR ASST produced similar CBF estimations but less subtraction error and lower temporal, spatial, and intersubject variability. These are important advantages for detecting group and/or condition differences in CBF values.

Quantifying cerebellum grey matter and white matter perfusion using pulsed arterial spin labeling.

Science.gov (United States)

Li, Xiufeng; Sarkar, Subhendra N; Purdy, David E; Briggs, Richard W

2014-01-01

To facilitate quantification of cerebellum cerebral blood flow (CBF), studies were performed to systematically optimize arterial spin labeling (ASL) parameters for measuring cerebellum perfusion, segment cerebellum to obtain separate CBF values for grey matter (GM) and white matter (WM), and compare FAIR ASST to PICORE. Cerebellum GM and WM CBF were measured with optimized ASL parameters using FAIR ASST and PICORE in five subjects. Influence of volume averaging in voxels on cerebellar grey and white matter boundaries was minimized by high-probability threshold masks. Cerebellar CBF values determined by FAIR ASST were 43.8 ± 5.1 mL/100 g/min for GM and 27.6 ± 4.5 mL/100 g/min for WM. Quantitative perfusion studies indicated that CBF in cerebellum GM is 1.6 times greater than that in cerebellum WM. Compared to PICORE, FAIR ASST produced similar CBF estimations but less subtraction error and lower temporal, spatial, and intersubject variability. These are important advantages for detecting group and/or condition differences in CBF values.

Measuring Geographic Inequalities: Dealing with Multiple Health Resources by Data Envelopment Analysis.

Science.gov (United States)

Dlouhý, Martin

2018-01-01

The existence of geographic differences in health resources, health expenditures, the utilization of health services, and health outcomes have been documented by a lot of studies from various countries of the world. In a publicly financed health system, equal access is one of the main objectives of the national health policy. That is why inequalities in the geographic allocation of health resources are an important health policy issue. Measures of inequality express the complexity of variation in the observed variable by a single number, and there is a variety of inequality measures available. The objective of this study is to develop a measure of the geographic inequality in the case of multiple health resources. The measure uses data envelopment analysis (DEA), which is a non-parametric method of production function estimation, to transform multiple resources into a single virtual health resource. The study shows that the DEA originally developed for measuring efficiency can be used successfully to measure inequality. For the illustrative purpose, the inequality measure is calculated for the Czech Republic. The values of separate Robin Hood Indexes (RHIs) are 6.64% for physicians and 3.96% for nurses. In the next step, we use combined RHI for both health resources. Its value 5.06% takes into account that the combinations of two health resources serve regional populations.

Measuring Geographic Inequalities: Dealing with Multiple Health Resources by Data Envelopment Analysis

Science.gov (United States)

Dlouhý, Martin

2018-01-01

The existence of geographic differences in health resources, health expenditures, the utilization of health services, and health outcomes have been documented by a lot of studies from various countries of the world. In a publicly financed health system, equal access is one of the main objectives of the national health policy. That is why inequalities in the geographic allocation of health resources are an important health policy issue. Measures of inequality express the complexity of variation in the observed variable by a single number, and there is a variety of inequality measures available. The objective of this study is to develop a measure of the geographic inequality in the case of multiple health resources. The measure uses data envelopment analysis (DEA), which is a non-parametric method of production function estimation, to transform multiple resources into a single virtual health resource. The study shows that the DEA originally developed for measuring efficiency can be used successfully to measure inequality. For the illustrative purpose, the inequality measure is calculated for the Czech Republic. The values of separate Robin Hood Indexes (RHIs) are 6.64% for physicians and 3.96% for nurses. In the next step, we use combined RHI for both health resources. Its value 5.06% takes into account that the combinations of two health resources serve regional populations. PMID:29541631

Economic stress and well-being: Does population health context matter?

Science.gov (United States)

Probst, Tahira M; Sinclair, Robert R; Sears, Lindsay E; Gailey, Nicholas J; Black, Kristen Jennings; Cheung, Janelle H

2018-05-07

The purpose of this study was to investigate the role of county-level population health determinants in predicting individual employee reactions to economic stress. Using multilevel modeling and a population health perspective, we tested a model linking nationally representative individual-level data (N = 100,968) on exposure to economic stressors and county-level population health determinants (N = 3,026) to responses on a composite measure of individual well-being that included the facets of purpose, community, physical, and social well-being, as well as life satisfaction. Results indicate that higher income- and employment-related economic stress were significantly related to poorer well-being. Additionally, living in a county with more positive population health determinants was significantly predictive of individual well-being. Finally, the Level-1 relationship between income-related stress and well-being was significantly attenuated for individuals living in counties with more positive population health determinants. In contrast, employment-related stress had a stronger negative relationship with well-being for individuals who lived in counties with more positive population health determinants. We discuss these findings in light of conservation of resources and relative deprivation theories, as well as how they may extend the scientific foundation for evidence-based social policy and evidence-based intervention programs aimed at lessening the effects of economic stress on individual well-being. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

EPA scientists develop Federal Reference & Equivalent Methods for measuring key air pollutants

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EPA operates a nationwide air monitoring network to measure six primary air pollutants: carbon monoxide, lead, sulfur dioxide, ozone, nitrogen dioxide, and particulate matter as part of its mission to protect human health and the environment.

Source apportionment studies on particulate matter in Beijing/China

Science.gov (United States)

Suppan, P.; Shen, R.; Shao, L.; Schrader, S.; Schäfer, K.; Norra, S.; Vogel, B.; Cen, K.; Wang, Y.

2013-05-01

More than 15 million people in the greater area of Beijing are still suffering from severe air pollution levels caused by sources within the city itself but also from external impacts like severe dust storms and long range advection from the southern and central part of China. Within this context particulate matter (PM) is the major air pollutant in the greater area of Beijing (Garland et al., 2009). PM did not serve only as lead substance for air quality levels and therefore for adverse health impact effects but also for a strong influence on the climate system by changing e.g. the radiative balance. Investigations on emission reductions during the Olympic Summer Games in 2008 have caused a strong reduction on coarser particles (PM10) but not on smaller particles (PM2.5). In order to discriminate the composition of the particulate matter levels, the different behavior of coarser and smaller particles investigations on source attribution, particle characteristics and external impacts on the PM levels of the city of Beijing by measurements and modeling are performed: a) Examples of long term measurements of PM2.5 filter sampling in 2010/2011 with the objectives of detailed chemical (source attribution, carbon fraction, organic speciation and inorganic composition) and isotopic analyses as well as toxicological assessment in cooperation with several institutions (Karlsruhe Institute of Technology (IfGG/IMG), Helmholtz Zentrum München (HMGU), University Rostock (UR), Chinese University of Mining and Technology Beijing, CUMTB) will be discussed. b) The impact of dust storm events on the overall pollution level of particulate matter in the greater area of Beijing is being assessed by the online coupled comprehensive model system COSMO-ART. First results of the dust storm modeling in northern China (2011, April 30th) demonstrates very well the general behavior of the meteorological parameters temperature and humidity as well as a good agreement between modeled and

Controlling particulate matter under the Clean Air Act: a menu of options

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-07-01

This document was prepared by STAPPA and ALAPCO to help US state and local air pollution control officials understand the effects of particulate matter (PM) on human health and air quality, the relative contribution of various sources to particulate emissions, and the effectiveness and costs of various approaches - including innovative ones - to minimizing these emissions. The document covers particulate matter with a nominal diameter of 10 microns ({mu}m) or less (PM{sub 10}), including `fine` PM of 2.5 microns or less in diameter (PM{sub 2.5}). Sections cover: the effects of particulate matter on human health; regulatory issues; characterization of particulate matter; emission control strategies for mobile sources (diesel engines, small nonroad engines, alternative fuels etc.), particulates from stationary sources (electric utilities, industry and commercial fuel combustion; mineral products industry, metallurgical industry etc.); particulates from area sources; and market-based strategies for controlling particulate matter. 2 apps.

Diffusion measures indicate fight exposure-related damage to cerebral white matter in boxers and mixed martial arts fighters.

Science.gov (United States)

Shin, W; Mahmoud, S Y; Sakaie, K; Banks, S J; Lowe, M J; Phillips, M; Modic, M T; Bernick, C

2014-02-01

Traumatic brain injury is common in fighting athletes such as boxers, given the frequency of blows to the head. Because DTI is sensitive to microstructural changes in white matter, this technique is often used to investigate white matter integrity in patients with traumatic brain injury. We hypothesized that previous fight exposure would predict DTI abnormalities in fighting athletes after controlling for individual variation. A total of 74 boxers and 81 mixed martial arts fighters were included in the analysis and scanned by use of DTI. Individual information and data on fight exposures, including number of fights and knockouts, were collected. A multiple hierarchical linear regression model was used in region-of-interest analysis to test the hypothesis that fight-related exposure could predict DTI values separately in boxers and mixed martial arts fighters. Age, weight, and years of education were controlled to ensure that these factors would not account for the hypothesized effects. We found that the number of knockouts among boxers predicted increased longitudinal diffusivity and transversal diffusivity in white matter and subcortical gray matter regions, including corpus callosum, isthmus cingulate, pericalcarine, precuneus, and amygdala, leading to increased mean diffusivity and decreased fractional anisotropy in the corresponding regions. The mixed martial arts fighters had increased transversal diffusivity in the posterior cingulate. The number of fights did not predict any DTI measures in either group. These findings suggest that the history of fight exposure in a fighter population can be used to predict microstructural brain damage.

Modeling per capita state health expenditure variation: state-level characteristics matter.

Science.gov (United States)

Cuckler, Gigi; Sisko, Andrea

2013-01-01

In this paper, we describe the methods underlying the econometric model developed by the Office of the Actuary in the Centers for Medicare & Medicaid Services, to explain differences in per capita total personal health care spending by state, as described in Cuckler, et al. (2011). Additionally, we discuss many alternative model specifications to provide additional insights for valid interpretation of the model. We study per capita personal health care spending as measured by the State Health Expenditures, by State of Residence for 1991-2009, produced by the Centers for Medicare & Medicaid Services' Office of the Actuary. State-level demographic, health status, economic, and health economy characteristics were gathered from a variety of U.S. government sources, such as the Census Bureau, Bureau of Economic Analysis, the Centers for Disease Control, the American Hospital Association, and HealthLeaders-InterStudy. State-specific factors, such as income, health care capacity, and the share of elderly residents, are important factors in explaining the level of per capita personal health care spending variation among states over time. However, the slow-moving nature of health spending per capita and close relationships among state-level factors create inefficiencies in modeling this variation, likely resulting in incorrectly estimated standard errors. In addition, we find that both pooled and fixed effects models primarily capture cross-sectional variation rather than period-specific variation.

Using and interpreting mental health measures in the National Social Life, Health, and Aging Project.

Science.gov (United States)

Payne, Carolyn; Hedberg, E C; Kozloski, Michael; Dale, William; McClintock, Martha K

2014-11-01

National Social Life, Health, and Aging Project (NSHAP) included five unique mental health measures in Waves 1 and 2 that researchers can use to measure the overall emotional health of participants: depressive symptoms, happiness-unhappiness, anxiety symptoms, perceived stress, and felt loneliness. For each, we detail the rationale for its development and explain how to score, analyze, and interpret results. NSHAP developed its measures by modifying traditional short-form scales to improve response efficiency and reduce respondent burden. Scoring protocols and interpretations were developed for each measure. U.S. population estimates for older adults born between 1920 and 1947 were generated using age-eligible samples from Waves 1 and 2. NSHAP's protocols yielded U.S. prevalence rates similar to other nationally representative studies of older adults and comparable between waves. Higher estimates of anxiety symptoms and perceived stress in Wave 2 compared with Wave 1 were explained by age, administration mode, and time period. Analytic strategies for longitudinal analyses are provided. In Wave 2, mental health generally was worse at older ages, with women having more symptoms at younger ages than men. Women had fewer anxiety symptoms at the oldest ages. NSHAP's mental health measures were successfully integrated into the project's survey and showed acceptable external reliability as well as moderately stable individual characteristics across the 5 years between Waves 1 and 2. Depressive symptoms and unhappiness may form a mental health cluster in the elderly, distinct from anxiety symptoms, perceived stress, and felt loneliness. Gender differences in age-specific patterns of mental health were evident using the exact age of participants rather than the traditional decade groupings. Administration mode and time period (between 2005-2006 and 2010-2011) were determined to be potential confounds that need to be accommodated in longitudinal analyses of aging, whereas

Measuring physical neighborhood quality related to health.

Science.gov (United States)

Rollings, Kimberly A; Wells, Nancy M; Evans, Gary W

2015-04-29

Although sociodemographic factors are one aspect of understanding the effects of neighborhood environments on health, equating neighborhood quality with socioeconomic status ignores the important role of physical neighborhood attributes. Prior work on neighborhood environments and health has relied primarily on level of socioeconomic disadvantage as the indicator of neighborhood quality without attention to physical neighborhood quality. A small but increasing number of studies have assessed neighborhood physical characteristics. Findings generally indicate that there is an association between living in deprived neighborhoods and poor health outcomes, but rigorous evidence linking specific physical neighborhood attributes to particular health outcomes is lacking. This paper discusses the methodological challenges and limitations of measuring physical neighborhood environments relevant to health and concludes with proposed directions for future work.

MEASURING DARK MATTER PROFILES NON-PARAMETRICALLY IN DWARF SPHEROIDALS: AN APPLICATION TO DRACO

International Nuclear Information System (INIS)

Jardel, John R.; Gebhardt, Karl; Fabricius, Maximilian H.; Williams, Michael J.; Drory, Niv

2013-01-01

We introduce a novel implementation of orbit-based (or Schwarzschild) modeling that allows dark matter density profiles to be calculated non-parametrically in nearby galaxies. Our models require no assumptions to be made about velocity anisotropy or the dark matter profile. The technique can be applied to any dispersion-supported stellar system, and we demonstrate its use by studying the Local Group dwarf spheroidal galaxy (dSph) Draco. We use existing kinematic data at larger radii and also present 12 new radial velocities within the central 13 pc obtained with the VIRUS-W integral field spectrograph on the 2.7 m telescope at McDonald Observatory. Our non-parametric Schwarzschild models find strong evidence that the dark matter profile in Draco is cuspy for 20 ≤ r ≤ 700 pc. The profile for r ≥ 20 pc is well fit by a power law with slope α = –1.0 ± 0.2, consistent with predictions from cold dark matter simulations. Our models confirm that, despite its low baryon content relative to other dSphs, Draco lives in a massive halo.

Modified dark matter: Relating dark energy, dark matter and baryonic matter

Science.gov (United States)

Edmonds, Douglas; Farrah, Duncan; Minic, Djordje; Ng, Y. Jack; Takeuchi, Tatsu

Modified dark matter (MDM) is a phenomenological model of dark matter, inspired by gravitational thermodynamics. For an accelerating universe with positive cosmological constant (Λ), such phenomenological considerations lead to the emergence of a critical acceleration parameter related to Λ. Such a critical acceleration is an effective phenomenological manifestation of MDM, and it is found in correlations between dark matter and baryonic matter in galaxy rotation curves. The resulting MDM mass profiles, which are sensitive to Λ, are consistent with observational data at both the galactic and cluster scales. In particular, the same critical acceleration appears both in the galactic and cluster data fits based on MDM. Furthermore, using some robust qualitative arguments, MDM appears to work well on cosmological scales, even though quantitative studies are still lacking. Finally, we comment on certain nonlocal aspects of the quanta of modified dark matter, which may lead to novel nonparticle phenomenology and which may explain why, so far, dark matter detection experiments have failed to detect dark matter particles.

Taiwan's Travel and Border Health Measures in Response to Zika

Science.gov (United States)

Ho, Li-Li; Tsai, Yu-Hui; Lee, Wang-Ping; Liao, Szu-Tsai; Wu, Li-Gin

2017-01-01

Zika virus has recently emerged as a worldwide public health concern. Travel and border health measures stand as one of the main strategies and frontline defenses in responding to international epidemics. As of October 31, 2016, Taiwan has reported 13 imported cases, 5 of which were detected through routine entry screening and active monitoring at international airports. This article shares Taiwan's disease surveillance activities at designated points of entry and travel and border health measures in response to Zika. The Taiwan government collaborates with its tourism industry to disseminate information about precautionary measures and encourages tour guides to report suspected individuals or events to activate early response measures. Taiwan also engages in vector control activities at points of entry, including targeting aircraft from countries where vector-borne diseases are endemic, implementing mosquito sweep measures, and collecting vector surveillance data. In future emerging and reemerging disease events, entry surveillance at designated points of entry may enable early detection of diseases of international origin and more rapid activation of public health preparedness activities and international collaboration. Taiwan will continue to maximize border and travel health measures in compliance with IHR (2005) requirements, which rely on continued risk assessment, practical implementation activities, and engagement with all stakeholders. PMID:28418744

Taiwan's Travel and Border Health Measures in Response to Zika.

Science.gov (United States)

Ho, Li-Li; Tsai, Yu-Hui; Lee, Wang-Ping; Liao, Szu-Tsai; Wu, Li-Gin; Wu, Yi-Chun

Zika virus has recently emerged as a worldwide public health concern. Travel and border health measures stand as one of the main strategies and frontline defenses in responding to international epidemics. As of October 31, 2016, Taiwan has reported 13 imported cases, 5 of which were detected through routine entry screening and active monitoring at international airports. This article shares Taiwan's disease surveillance activities at designated points of entry and travel and border health measures in response to Zika. The Taiwan government collaborates with its tourism industry to disseminate information about precautionary measures and encourages tour guides to report suspected individuals or events to activate early response measures. Taiwan also engages in vector control activities at points of entry, including targeting aircraft from countries where vector-borne diseases are endemic, implementing mosquito sweep measures, and collecting vector surveillance data. In future emerging and reemerging disease events, entry surveillance at designated points of entry may enable early detection of diseases of international origin and more rapid activation of public health preparedness activities and international collaboration. Taiwan will continue to maximize border and travel health measures in compliance with IHR (2005) requirements, which rely on continued risk assessment, practical implementation activities, and engagement with all stakeholders.

Evidence for dark matter interactions in cosmological precision data?

International Nuclear Information System (INIS)

Lesgourgues, Julien; Marques-Tavares, Gustavo; Schmaltz, Martin

2016-01-01

We study a two-parameter extension of the cosmological standard model ΛCDM in which cold dark matter interacts with a new form of dark radiation. The two parameters correspond to the energy density in the dark radiation fluid ΔN fluid and the interaction strength between dark matter and dark radiation. The interactions give rise to a very weak ''dark matter drag'' which damps the growth of matter density perturbations throughout radiation domination, allowing to reconcile the tension between predictions of large scale structure from the CMB and direct measurements of σ 8 . We perform a precision fit to Planck CMB data, BAO, large scale structure, and direct measurements of the expansion rate of the universe today. Our model lowers the χ-squared relative to ΛCDM by about 12, corresponding to a preference for non-zero dark matter drag by more than 3σ. Particle physics models which naturally produce a dark matter drag of the required form include the recently proposed non-Abelian dark matter model in which the dark radiation corresponds to massless dark gluons

A National Initiative to Advance School Mental Health Performance Measurement in the US

Science.gov (United States)

Connors, Elizabeth Halsted; Stephan, Sharon Hoover; Lever, Nancy; Ereshefsky, Sabrina; Mosby, Amanda; Bohnenkamp, Jill

2016-01-01

Standardized health performance measurement has increasingly become an imperative for assuring quality standards in national health care systems. As compared to somatic health performance measures, behavioral health performance measures are less developed. There currently is no national standardized performance measurement system for monitoring…

Health and nutritional status of children in Ethiopia: do maternal characteristics matter?

Science.gov (United States)

Seid, Abdu Kedir

2013-03-01

In Ethiopia, despite some recent improvements, the health and nutritional status of children is very poor. A better understanding of the main socioeconomic determinants of child health and nutrition is essential to address the problem and make appropriate interventions. In the present study, an attempt is made to explore the effect of maternal characteristics on the health and nutritional status of under-five children using the 2005 Ethiopian Demographic and Health Survey. The health and nutritional status of children are measured using the two widely used anthropometric indicators height-for-age (HAZ) and weight-for-height (WHZ). In the ordinary least squares (OLS) estimation, it is observed that maternal characteristics have a significant impact on child health and nutritional status. The magnitudes of the coefficients, however, are found to slightly increase when maternal education is instrumented in the 2SLS estimation. Moreover, in the quantile regression (QR) estimation, the impacts of maternal characteristics are observed to vary between long-term and current child health and nutritional status.

Thermal Dark Matter Below a MeV.

Science.gov (United States)

Berlin, Asher; Blinov, Nikita

2018-01-12

We consider a class of models in which thermal dark matter is lighter than a MeV. If dark matter thermalizes with the standard model below the temperature of neutrino-photon decoupling, equilibration and freeze-out cool and heat the standard model bath comparably, alleviating constraints from measurements of the effective number of neutrino species. We demonstrate this mechanism in a model consisting of fermionic dark matter coupled to a light scalar mediator. Thermal dark matter can be as light as a few keV, while remaining compatible with existing cosmological and astrophysical observations. This framework motivates new experiments in the direct search for sub-MeV thermal dark matter and light force carriers.

Dynamics of Stars, Dark Matter and the Universe

DEFF Research Database (Denmark)

Samsing, Johan Georg Mulvad

of these X-rays alone. This has implication for mass measurements which can be used for constraining the amount of matter and dark energy we have in our universe. On even smaller scales I did an interesting study on the interaction between stars and black holes. I especially looked into the interaction where...... a new model independent way of doing this which also seems promising for measuring modifications to the theory of gravity itself. On slightly smaller scales I looked into what happens when two dark matter structures merge. Numerical simulations show that a smaller fraction of the dark matter particles...

The use of nuclear and related techniques for the studies of possible health impact of airborne particulate matter in a metal industry

International Nuclear Information System (INIS)

Djojosubroto, Harjoto; Supriatna, Dadang; Kumolowati, Endang; Widjajakusuma, Benjamin

2000-01-01

Various processes in an industry may produce gases and fine airborne particulate matters. Elements and hazardous chemicals in the fine particulate matters may enter the human body through inhalation and direct contact with the skin. Excessive inhalation and contact with the fine airborne particulate matter may lead to intoxication due to excessive intake of the hazardous chemicals and toxic elements. The elements will be accumulated in human organs, such as liver, kidneys and brain, manifest in clinical syndromes such as hypertension, renal failure and neurological symptoms and signs. The absorbed elements are excreted through the urinary tract as urine. They also can be excreted through hair and nails. Elevated blood and urinary aluminum levels have been observed after occupational exposure to various aluminum compounds. This phenomenon indicates the absorption through inhalation, as there are no data indicating significant dermal absorption for aluminum. Absorption of chromium compounds in the workplace occurs mainly through inhalation. The absorption is dependent on the valence and solubility of the particular chromium species. Some elements such as trivalent chromium ions are readily cleared from the blood, but hexavalent chromium ions are retained much longer in the blood. The aluminum compounds vary greatly in their toxic and carcinogenic effects. Although the trivalent chromium is readily excreted, continuous intake may cause the blood chromium level to be higher than normal. These elements may either have an deleterious effect on, or be considered essential for human health. In this study, the levels and health effects of airborne particulate matter in the workplace are assessed by elemental quantification of blood, hair and nail of workers in a metal industry and in airborne particulate samples that are collected at the workplace. The present report represents progress of activities following the first Research Co-ordination Meeting 1997 in Vienna

The Agency's Health and Safety Measures

Energy Technology Data Exchange (ETDEWEB)

NONE

1960-05-31

The Agency's health and safety measures as approved by the Board of Governors on 31 March 1960 in implementation of Articles III. A. 6 and XII of the Statute of the Agency are reproduced in this document for the information of all Members.

Mental health measurement among women veterans receiving co-located, collaborative care services.

Science.gov (United States)

Lilienthal, Kaitlin R; Buchholz, Laura J; King, Paul R; Vair, Christina L; Funderburk, Jennifer S; Beehler, Gregory P

2017-12-01

Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings. The current study utilized regional retrospective data obtained from the Veterans Health Administration's electronic medical record system to: (1) explore rates of mental health measurement for women receiving co-located collaborative care services (N = 1008); and (2) to identify predictors of mental health measurement in women veterans in these settings. Overall, only 8% of women had documentation of standard mental health measures. Measurement was predicted by diagnosis, facility size, length of care episode and care setting. Specifically, women diagnosed with depression were less likely than those with anxiety disorders to have standard mental health measurement documented. Several suggestions are offered to increase the quality of mental health care for women through regular use of measurement in integrated care settings.

Particulate matter mass concentrations produced from pavement surface abrasion

Directory of Open Access Journals (Sweden)

Fullova Dasa

2017-01-01

Full Text Available According to the latest findings particulate matter belong to the most significant pollutants in Europe together with ground-level ozone O3 and nitrogen dioxide NO2. Road traffic is one of the main sources of particulate matter. Traffic volume has unpleasant impact on longevity of the pavements and also on the environment. Vehicle motions cause mechanical wearing of the asphalt pavement surface - wearing course by vehicle tyres. The paper deals with abrasion of bituminous wearing courses of pavements. The asphalt mixtures are compared in terms of mechanically separated particulate matter. The samples of asphalt mixtures were rutted in wheel tracking machine. The particulate matter measurements were performed in laboratory conditions. The experimental laboratory measurements make it possible to sample particulates without contamination from exhaust emissions, abraded particles from vehicles, resuspension of road dust and climate affects. The paper offers partial results of measurements on six trial samples of asphalt mixtures with different composition. It presents particulate matter morphology and the comparison of rutted asphalt samples in terms of PM mass concentrations and chemical composition.

Health Care System Measures to Advance Preconception Wellness: Consensus Recommendations of the Clinical Workgroup of the National Preconception Health and Health Care Initiative.

Science.gov (United States)

Frayne, Daniel J; Verbiest, Sarah; Chelmow, David; Clarke, Heather; Dunlop, Anne; Hosmer, Jennifer; Menard, M Kathryn; Moos, Merry-K; Ramos, Diana; Stuebe, Alison; Zephyrin, Laurie

2016-05-01

Preconception wellness reflects a woman's overall health before conception as a strategy to affect health outcomes for the woman, the fetus, and the infant. Preconception wellness is challenging to measure because it attempts to capture health status before a pregnancy, which may be affected by many different service points within a health care system. The Clinical Workgroup of the National Preconception Health and Health Care Initiative proposes nine core measures that can be assessed at initiation of prenatal care to index a woman's preconception wellness. A two-stage web-based modified Delphi survey and a face-to-face meeting of key opinion leaders in women's reproductive health resulted in identifying seven criteria used to determine the core measures. The Workgroup reached unanimous agreement on an aggregate of nine preconception wellness measures to serve as a surrogate but feasible assessment of quality preconception care within the larger health community. These include indicators for: 1) pregnancy intention, 2) access to care, 3) preconception multivitamin with folic acid use, 4) tobacco avoidance, 5) absence of uncontrolled depression, 6) healthy weight, 7) absence of sexually transmitted infections, 8) optimal glycemic control in women with pregestational diabetes, and 9) teratogenic medication avoidance. The focus of the proposed measures is to quantify the effect of health care systems on advancing preconception wellness. The Workgroup recommends that health care systems adopt these nine preconception wellness measures as a metric to monitor performance of preconception care practice. Over time, monitoring these baseline measures will establish benchmarks and allow for comparison within and among regions, health care systems, and communities to drive improvements.

Environmental correlates of mental health measures for women in Western Australia.

Science.gov (United States)

Fearnley, Emily Jane; Magalhães, Ricardo Jorge Soares; Speldewinde, Peter; Weinstein, Philip; Dobson, Annette

2014-12-01

A recent study in Western Australia identified area level associations between soil salinisation and hospital admissions for depression. Our study assessed the quantitative relationship between mental health measures at the individual level and location specific environmental measurements on salinity, as well as two other indicators of environmental degradation and change: land surface temperature and normalised difference vegetation index, a proxy for rainfall. Location-specific environmental measurements were linked to individual mental health scores of women in three age cohorts from the Australian Longitudinal Study on Women's Health using a geographic information system. Bayesian geostatistical linear regression models were developed to assess associations between environmental exposures and mental health scores of women. In contrast to previous studies using area level measures, our study found no associations between individual level measurements of mental health scores for women in south-west Western Australia and salinity, LST or NDVI.

Australia's national men's health policy: masculinity matters.

Science.gov (United States)

Saunders, Margo; Peerson, Anita

2009-08-01

The development of Australia's first national men's health policy provides an important opportunity for informed discussions of health and gender. It is therefore a concern that the stated policy appears to deliberately exclude hegemonic masculinity and other masculinities, despite evidence of their major influence on men's health-related values, beliefs, perspectives, attitudes, motivations and behaviour. We provide an evidence-based critique of the proposed approach to a national men's health policy which raises important questions about whether the new policy can achieve its aims if it fails to acknowledge 'masculinity' as a key factor in Australian men's health. The national men's health policy should be a means to encourage gender analysis in health. This will require recognition of the influence of hegemonic masculinity, and other masculinities, on men's health. Recognising the influence of 'masculinity' on men's health is not about 'blaming' men for 'behaving badly', but is crucial to the development of a robust, meaningful and comprehensive national men's health policy.

Antiprotons are another matter

International Nuclear Information System (INIS)

Hynes, M.V.

1987-01-01

Theories of gravity abound, whereas experiments in gravity are few in number. An important experiment in gravity that has not been performed is the measurement of the gravitational acceleration of antimatter. Although there have been attempts to infer these properties from those of normal matter, none of these theoretical arguments are compelling. Modern theories of gravity that attempt to unify gravity with the other forces of nature predict that in principle antimatter can fall differently than normal matter in the Earth's field. Some of these supergravity theories predict that antimatter will fall faster, and that normal matter will fall with a small Baryon-number dependance in the earth's field. All of these predictions violate the Weak Equivalence Principle, a cornerstone of General Relativity, but are consistent with CPT conservation. In our approved experiment at LEAR (PS-200) we will test the Weak Equivalence Principle for antimatter by measuring the gravitational acceleration of the antiproton. Through a series of deceleration stages, antiprotons from LEAR will be lowered in energy to ∼4 Kelvin at which energy the gravitational effect will be measureable. The measurement will employ the time-of-flight technique wherein the antiprotons are released vertically in a drift tube. The spectrum of time-of-flight measurements can be used to extract the gravitational acceleration experienced by the particles. The system will be calibrated using H - ions which simulates the electromagnetic behavior of the antiproton, yet is a baryon to ∼0.1%. To extract the gravitational acceleration of the antiproton relative to the H - ion with a statistical precision of 1% will require the release of ∼10 6 to 10 7 particles

Antiprotons are another matter

International Nuclear Information System (INIS)

Hynes, M.V.

1988-01-01

Theories of gravity abound whereas experiments in gravity are few in number. An important experiment in gravity that has not been performed is the measurement of the gravitational acceleration of antimatter. Although there have been attempts to infer this property from those of normal matter, none of these theoretical arguments are compelling. Modern theories of gravity that attempt to unify gravity with the other forces of nature predict that in principle antimatter can fall differently than normal matter in the Earth's field. Some of these supergravity theories predict that antimatter will fall faster and that normal matter will fall with a small Baryon-number dependence in the Earth's field. All of these predictions violate the Weak Equivalence Principle, a cornerstone of General Relativity, but are consistent with CPT conservation. In our approved experiment at LEAR (PS-200) we will test the Weak Equivalence Principle for antimatter by measuring the gravitational acceleration of the antiproton. Through a series of deceleration stages, antiprotons from LEAR will be lowered in energy to ≅ 4 Kelvin at which energy the gravitational effect will be measureable. The measurement will employ the time-of-flight technique wherein the antiprotons are released vertically in a drift tube. The spectrum of time-of-flight measurements can be used to extract the gravitational acceleration experienced by the particles. The system will be calibrated using H - ions which simulate the electromagnetic behavior of the antiproton yet are baryons to ≅ 0.1%. To extract the gravitational acceleration of the antiproton relative to the H - ion with a statistical precision of 1% will require the release of ≅ 10 6 -10 7 particles. (orig.)

How to Measure Critical Health Competences: Development and Validation of the Critical Health Competence Test (CHC Test)

Science.gov (United States)

Steckelberg, Anke; Hulfenhaus, Christian; Kasper, Jurgen; Rost, Jurgen; Muhlhauser, Ingrid

2009-01-01

Consumers' autonomy regarding health increasingly requires competences to critically appraise health information. Critical health literacy refers to the concept of evidence-based medicine. Instruments to measure these competences in curriculum evaluation and surveys are lacking. We aimed to develop and validate an instrument to measure critical…

The Cryogenic Dark Matter Search (CDMS)

Energy Technology Data Exchange (ETDEWEB)

Barnes, P.D., Jr. [UC, Berkeley

1996-01-01

A substantial body of observational evidence indicates that the universe contains much more material than we observe directly via photons of any wavelength. The existence of this "missing" mass or "dark" matter is inferred by its gravitational effects on the luminous material. Accepting the existence of dark matter has profoundly shaken our understanding in most areas of cosmology. If it exists at the lowest densities measured it is hard to understand in detail the creation of the elements in the early universe. If moderate density values are correct, then we have trouble understanding how the universe came to have so much structure on large scales. If the largest densities are correct, then dark matter is not ordinary matter, but must be something exotic like a new fundamental particle. We would like to measure the properties of the dark matter directly. Supposing that the dark matter consists of a WIMP, that was in thermal equilibrium in the early universe, we have built an experiment to detect dark matter directly by elastic scattering with germanium or silicon nuclei. Our detectors are large (~ 200 g) calorimeters that can discriminate between interactions with the electrons, due to background photons and beta particles, and interactions with the nuclei, due to WIMPs and background neutrons. The detectors operate at low temperatures (~ 20 mK) in a specially constructed cryostat. To reduce the rate of background events to a manageable level, the detectors and cryostat have been constructed out of selected materials and properly shielded. This dissertation discusses the properties of the hypothetical WIMPs, the detectors, cryostat, and shielding system, and finally, the analysis methods.new fundamental particle, a

Understanding and Measuring LGBTQ Pathways to Health: A Scoping Review of Strengths-Based Health Promotion Approaches in LGBTQ Health Research.

Science.gov (United States)

Gahagan, Jacqueline; Colpitts, Emily

2017-01-01

Health research traditionally has focused on the health risks and deficits of lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations, obscuring the determinants that can promote health across the life course. Recognizing, appropriately measuring, and rendering visible these determinants of health is paramount to informing appropriate and engaging health policies, services, and systems for LGBTQ populations. The overarching purpose of this article is to provide an overview of the findings of a scoping review aimed at exploring strengths-based health promotion approaches to understanding and measuring LGBTQ health. Specifically, this scoping review examined peer-reviewed, published academic literature to determine (a) existing methodological frameworks for studying LGBTQ health from a strengths-based health promotion approach, and (b) suggestions for future methodological approaches for studying LGBTQ health from a strengths-based health promotion approach. The findings of this scoping review will be used to inform the development of a study aimed at assessing the health of and improving pathways to health services among LGBTQ populations in Nova Scotia, Canada.

Why do health labour market forces matter?

Science.gov (United States)

McPake, Barbara; Araújo, Edson Correia; Lemiere, Christophe; El Maghraby, Atef; Cometto, Giorgio

2013-01-01

Abstract Human resources for health have been recognized as essential to the development of responsive and effective health systems. Low- and middle-income countries seeking to achieve universal health coverage face human resource constraints – whether in the form of health worker shortages, maldistribution of workers or poor worker performance – that seriously undermine their ability to achieve well-functioning health systems. Although much has been written about the human resource crisis in the health sector, labour economic frameworks have seldom been applied to analyse the situation and little is known or understood about the operation of labour markets in low- and middle-income countries. Traditional approaches to addressing human resource constraints have focused on workforce planning: estimating health workforce requirements based on a country’s epidemiological and demographic profile and scaling up education and training capacities to narrow the gap between the “needed” number of health workers and the existing number. However, this approach neglects other important factors that influence human resource capacity, including labour market dynamics and the behavioural responses and preferences of the health workers themselves. This paper describes how labour market analysis can contribute to a better understanding of the factors behind human resource constraints in the health sector and to a more effective design of policies and interventions to address them. The premise is that a better understanding of the impact of health policies on health labour markets, and subsequently on the employment conditions of health workers, would be helpful in identifying an effective strategy towards the progressive attainment of universal health coverage. PMID:24347708

Going Smokefree Matters - Bars and Restaurants Infographic

Data.gov (United States)

U.S. Department of Health & Human Services — Explore the Going Smokefree Matters – Bars and Restaurants Infographic which outlines key facts related to the effects of secondhand smoke exposure in bars and...

Going Smokefree Matters - In Your Home Infographic

Data.gov (United States)

U.S. Department of Health & Human Services — Explore the Going Smokefree Matters – In Your Home Infographic which outlines key facts related to the effects of secondhand smoke exposure in the home.

Do places matter? A multi-level analysis of regional variations in health-related behaviour in Britain.

Science.gov (United States)

Duncan, C; Jones, K; Moon, G

1993-09-01

A number of commentators have argued that there is a distinctive geography of health-related behaviour. Behaviour has to be understood not only in terms of individual characteristics, but also in relation to local cultures. Places matter, and the context in which behaviour takes place is crucial for understanding and policy. Previous empirical research has been unable to operationalize these ideas and take simultaneous account of both individual compositional and aggregate contextual factors. The present paper addresses this shortcoming through a multi-level analysis of smoking and drinking behaviours recorded in a large-scale national survey. It suggests that place, expressed as regional differences, may be less important than previously implied.

Consideration on the health risk reduction related to attainment of the new particulate matter standards in Poland: A top-down policy risk assessment approach.

Science.gov (United States)

Kobza, Joanna; Pastuszka, Józef S; Gulis, Gabriel

2016-01-01

Policies can influence health of a population in various ways. Numerous epidemiological studies supported by toxicological investigations demonstrate a positive association between ambient concentrations of airborne particulate matter and increased adverse cardio-respiratory events, including morbidity and mortality. The aim of this paper was to present the concept of the top-down health policy risk assessment approach model developed to estimate the expected health risk reduction associated with policy aiming at attaining the new particulate matter ≤ 10 μm in diameter (PM10) standards in Poland. The top-down approach guides the analysis of causal chains from the policy to health outcomes. In this case study we tried to estimate the predicted health effects of the policy change over the past 20 years. Since Polish annual standard for PM10 changed from 50 μg/m³ in 1990 to 40 μg/m³ in 2010, we calculated the relative risk associated with decreasing PM10 in diameter to 10 μg/m3 in the annual level of PM10 for 6 adverse health effects. The relative risk slightly decreased for almost all adverse health effects, which means that the relative decrease in the incidence of health effects from the baseline incidence should range from about 0.5-0.6% for heart disease admissions to > 1% for respiratory admissions. The obtained results indicate that implementation of the new ambient air standards could influence improvement of the health status of Polish population. A top-down policy health risk assessment model can be one of the main tools in this process, providing harmonized guidance how to seek evidence-based information, which could serve policy-makers. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

Interacting dark matter disguised as warm dark matter

International Nuclear Information System (INIS)

Boehm, Celine; Riazuelo, Alain; Hansen, Steen H.; Schaeffer, Richard

2002-01-01

We explore some of the consequences of dark-matter-photon interactions on structure formation, focusing on the evolution of cosmological perturbations and performing both an analytical and a numerical study. We compute the cosmic microwave background anisotropies and matter power spectrum in this class of models. We find, as the main result, that when dark matter and photons are coupled, dark matter perturbations can experience a new damping regime in addition to the usual collisional Silk damping effect. Such dark matter particles (having quite large photon interactions) behave like cold dark matter or warm dark matter as far as the cosmic microwave background anisotropies or matter power spectrum are concerned, respectively. These dark-matter-photon interactions leave specific imprints at sufficiently small scales on both of these two spectra, which may allow us to put new constraints on the acceptable photon-dark-matter interactions. Under the conservative assumption that the abundance of 10 12 M · galaxies is correctly given by the cold dark matter, and without any knowledge of the abundance of smaller objects, we obtain the limit on the ratio of the dark-matter-photon cross section to the dark matter mass σ γ-DM /m DM -6 σ Th /(100 GeV)≅6x10 -33 cm 2 GeV -1

Assessment of levels and 'health-effects' of airborne particulate matter in mining, metal refining and metal working industries using nuclear and related analytical techniques

International Nuclear Information System (INIS)

2008-01-01

The International Atomic Energy Agency (IAEA) has been supporting, over the years, several coordinated research programmes (CRPs) on various research topics related to environmental issues impacting human health. The primary aim of these CRPs has been to help enhance the research and development capabilities in the Member States, particularly among developing countries; to identify the sources of various environmental contaminants and evaluate their fate; and to provide for the basis of improved health among human populations by the use of nuclear and related analytical techniques. The CRP on Assessment of Levels and Health-Effects of Airborne Particulate Matter in Mining, Metal Refining and Metal Working Industries using nuclear and related analytical techniques focused on improving the competence for research on workplace monitoring in a variety of industrial environments. The personal monitoring of the APM (airborne particulate matter) of the exposed workforce was carried out for the first time by many participants. Nuclear and related analytical techniques, including the application of proton micro-beam, were used to generate the trace element concentration profiles in various biomarkers tissues of the exposed workers. The quality assurance/quality control (QA/QC) aspects related to the CRP were addressed through intercomparison analyses of APM on filter paper samples and freeze dried human urine samples to generate validated data. These data have helped to generate correlations between the occupational exposure measured and the magnitude of the biological response. Such new information is essential to evolve procedures to considerably reduce/eliminate the pollutants in the workplace environment and to make informed decisions on the evolution of standards in working environments aimed at preserving the health of workers. The purpose of this TECDOC is to provide an overview of the activities performed under the CRP by the participants. The overall achievements

On the measurement of the (multidimensional) inequality of health distributions

DEFF Research Database (Denmark)

Hougaard, Jens Leth; Moreno-Ternero, Juan D.; Østerdal, Lars Peter Raahave

2013-01-01

a standard mathematical structure. We single out two families of (absolute and relative) multidimensional health inequality indices, inspired by the classical normative approach to income inequality measurement. We also discuss how to extend the analysis to deal with the related problem of health deprivation......Health outcomes are often described according to two dimensions: quality of life and quantity of life. We analyze the measurement of inequality of health distributions referring to these two dimensions. Our analysis relies on a novel treatment of the quality-of-life dimension, which might not have...

Indoor particulate matter measurement as a tool in the process of the implementation of smoke-free hospitals.

Science.gov (United States)

Nardini, S; Cagnin, R; Invernizzi, G; Ruprecht, A; Boffi, R; Formentini, S

2004-01-01

There are International and National standards that requires hospitals and health premises to be smoke-free. According to recent data from Italy and other European Countries, smoking is a widespread habit in hospitals. To get smoke-free hospitals in an Italian region, we have adopted the European Code for smoke-free hospitals, which sets standards and provides instruments for its implementation. According to the Code, whenever possible, each step towards a smoke-free hospital, should be shared by all staff. As a mean for achieving this goal, in our region the certification of single units as smoke-free units has been chosen. For getting the certification, besides implementing the Code, we planned to use ETS (Environmental Tobacco Smoke) monitoring, as ETS should not be present in hospitals. As a marker of ETS we have chosen Particulate Matter (PM), as it can easily be measured in real-time with a portable instrument and, when other even outdoor--sources of combustion can be ruled out, it is an accurate detector of cigarette smoke. Here the first experience of measuring PM in hospitals for monitoring ETS and certificating smoke-free health premises, is described. PM measurements were carried out without any previous notification in different areas of two Network hospitals of the Veneto Region, during a single working day. A real time laser-operated aerosol mass analyser was used. Several classes of PM (PM1, PM2.5, PM7, PM10, TSP Total Suspended Particles) were measured. Outdoor PM levels were found to be repeatedly lower than the annual official limits of 65 mcg/m3 and around the 24 hour official limits of 15 mcg/m3 [15 to 20 mcg/m3, with an overall mean (+/-SD) of 17.8 (1.9)] throughout the whole day. Very good indoor air quality was found in the operating theaters and isolation department, where PM2.5 concentrations were much lower than outdoor levels [1.6 (0.9) and 5.9 (0.6) mcg/m3, respectively]. No increase in PM pollution was found in the surveyed medical

Measuring general animal health status: Development of an animal health barometer.

Science.gov (United States)

Depoorter, Pieter; Van Huffel, Xavier; Diricks, Herman; Imberechts, Hein; Dewulf, Jeroen; Berkvens, Dirk; Uyttendaele, Mieke

2015-03-01

The development of an animal health barometer, an instrument to measure the general health of the Belgian livestock population on a yearly basis and to monitor its evolution over time, is described. The elaboration of a set of 13 animal health indicators (AHIs) as the basis for the animal health barometer is discussed. These indicators were weighted by experts - including scientists, policy makers and agro-industrial representatives - to determine their relative weight in the barometer. The result of the barometer is expressed as a comparison with a previous year. Based on the results of the 13 AHIs, it is concluded that general animal health in Belgium shows a positive evolution since 2008. The animal health barometer provides a composite view of the status of livestock health in Belgium and is a tool to communicate in an intelligible, comprehensible manner on aspects of animal health to consumers and professional stakeholders in the animal production and food chain. Together with the food safety barometer (Baert et al., 2011. Food Res. Int. 44, 940) and the plant health barometer (Wilmart et al., 2014. Eur. J. Plant Pathol. doi: 10.1007/s10658-014-0547-x), the animal health barometer is one of the three instruments to provide a holistic view on the overall status of the safety of the food chain in Belgium. Copyright © 2014 Elsevier B.V. All rights reserved.

Exploring models for the roles of health systems’ responsiveness and social determinants in explaining universal health coverage and health outcomes

Directory of Open Access Journals (Sweden)

Nicole Britt Valentine

2016-03-01

Full Text Available Background: Intersectoral perspectives of health are present in the rhetoric of the sustainable development goals. Yet its descriptions of systematic approaches for an intersectoral monitoring vision, joining determinants of health, and barriers or facilitators to accessing healthcare services are lacking. Objective: To explore models of associations between health outcomes and health service coverage, and health determinants and health systems responsiveness, and thereby to contribute to monitoring, analysis, and assessment approaches informed by an intersectoral vision of health. Design: The study is designed as a series of ecological, cross-country regression analyses, covering between 23 and 57 countries with dependent health variables concentrated on the years 2002–2003. Countries cover a range of development contexts. Health outcome and health service coverage dependent variables were derived from World Health Organization (WHO information sources. Predictor variables representing determinants are derived from the WHO and World Bank databases; variables used for health systems’ responsiveness are derived from the WHO World Health Survey. Responsiveness is a measure of acceptability of health services to the population, complementing financial health protection. Results: Health determinants’ indicators – access to improved drinking sources, accountability, and average years of schooling – were statistically significant in particular health outcome regressions. Statistically significant coefficients were more common for mortality rate regressions than for coverage rate regressions. Responsiveness was systematically associated with poorer health and health service coverage. With respect to levels of inequality in health, the indicator of responsiveness problems experienced by the unhealthy poor groups in the population was statistically significant for regressions on measles vaccination inequalities between rich and poor. For the

Exploring models for the roles of health systems' responsiveness and social determinants in explaining universal health coverage and health outcomes.

Science.gov (United States)

Valentine, Nicole Britt; Bonsel, Gouke J

2016-01-01

Intersectoral perspectives of health are present in the rhetoric of the sustainable development goals. Yet its descriptions of systematic approaches for an intersectoral monitoring vision, joining determinants of health, and barriers or facilitators to accessing healthcare services are lacking. To explore models of associations between health outcomes and health service coverage, and health determinants and health systems responsiveness, and thereby to contribute to monitoring, analysis, and assessment approaches informed by an intersectoral vision of health. The study is designed as a series of ecological, cross-country regression analyses, covering between 23 and 57 countries with dependent health variables concentrated on the years 2002-2003. Countries cover a range of development contexts. Health outcome and health service coverage dependent variables were derived from World Health Organization (WHO) information sources. Predictor variables representing determinants are derived from the WHO and World Bank databases; variables used for health systems' responsiveness are derived from the WHO World Health Survey. Responsiveness is a measure of acceptability of health services to the population, complementing financial health protection. Health determinants' indicators - access to improved drinking sources, accountability, and average years of schooling - were statistically significant in particular health outcome regressions. Statistically significant coefficients were more common for mortality rate regressions than for coverage rate regressions. Responsiveness was systematically associated with poorer health and health service coverage. With respect to levels of inequality in health, the indicator of responsiveness problems experienced by the unhealthy poor groups in the population was statistically significant for regressions on measles vaccination inequalities between rich and poor. For the broader determinants, the Gini mattered most for inequalities in child

Going Smokefree Matters - Bars and Restaurants Infographic

Data.gov (United States)

U.S. Department of Health & Human Services — Explore the Going Smokefree Matters – Bars and Restaurants Infographic which outlines key facts related to the effects of secondhand smoke exposure in bars and...

Measuring the health effects of gender.

Science.gov (United States)

Phillips, S P

2008-04-01

The health effects of gender are mediated via group-level constraints of sex roles and norms, discrimination and marginalisation of individuals, and internalisation of the stresses of role discordance. Although gender is frequently a lens through which data are interpreted there are few composite measures that insert gender as an independent variable into research design. Instead, sex disaggregation of data is often conflated with gender, identifying statistically significant but sometimes clinically insignificant sex differences. To directly assess the impact of gender on wellbeing requires development of group and individual-level derived variables. At the ecological level such a summative variable could be composed of a selection of group-level measures of equality between sexes. This gender index could be used in ecological and individual-level studies of health outcomes. A quantitative indicator of gender role acceptance and of the personal effects of gender inequities could insert the often hidden variable of gender into individual-level clinical research.

Health Status Measurement Instruments in Chronic Obstructive Pulmonary Disease

Directory of Open Access Journals (Sweden)

Yves Lacasse

1997-01-01

Full Text Available Chronic obstructive pulmonary disease (COPD is associated with primary respiratory impairment, disability and handicap, as well as with secondary impairments not necessarily confined to the respiratory system. Because the primary goals of managing patients with COPD include relief of dyspnea and the improvement of health-related quality of life (HRQL, a direct measurement of HRQL is important. Fourteen disease-specific and nine generic questionnaires (four health profiles and five utility measures most commonly used to measure health status in patients with COPD were reviewed. The measures were classified according to their domain of interest, and their measurement properties - specifications, validity, reliability, responsiveness and interpretability - were described. This review suggests several findings. Currently used health status instruments usually refer to the patients’ perception of performance in three major domains of HRQL - somatic sensation, physical and occupational function, and psychological state. The choice of a questionnaire must be related to its purpose, with a clear distinction being made between its evaluative and discriminative function. In their evaluative function, only a few instruments fulfilled the criteria of responsiveness, and the interpretability of most questionnaires is limited. Generic questionnaires should not be used alone in clinical trials as evaluative instruments because of their inability to detect change over time. Further validation and improved interpretability of existing instruments would be of greater benefit to clinicians and scientists than the development of new questionnaires.

Warm dense matter and Thomson scattering at FLASH

International Nuclear Information System (INIS)

Faeustlin, Roland Rainer

2010-05-01

X-ray free electron lasers are powerful tools to investigate moderately to strongly correlated solid density low temperature plasmas, named warm dense matter. These plasmas are of most interest for astrophysics and laser plasma interaction, particularly inertial confinement fusion. This work utilizes the ultrashort soft x-ray pulse duration and high brilliance of the free electron laser in Hamburg, FLASH, to generate warm dense matter and to study its ultrafast processes. The techniques applied are absorption measurement, emission spectroscopy and Thomson scattering. Radiative hydrodynamics and Thomson scattering simulations are used to investigate the impact of temperature and density gradients in the sample and to fit the experimental data. The measurements result in a comprehensive picture of soft x-ray matter interaction related to warm dense matter and yield insight into ultrafast equilibration and relaxation mechanisms, in particular impact ionization and radiative recombination. (orig.)

Warm dense matter and Thomson scattering at FLASH

Energy Technology Data Exchange (ETDEWEB)

Faeustlin, Roland Rainer

2010-05-15

X-ray free electron lasers are powerful tools to investigate moderately to strongly correlated solid density low temperature plasmas, named warm dense matter. These plasmas are of most interest for astrophysics and laser plasma interaction, particularly inertial confinement fusion. This work utilizes the ultrashort soft x-ray pulse duration and high brilliance of the free electron laser in Hamburg, FLASH, to generate warm dense matter and to study its ultrafast processes. The techniques applied are absorption measurement, emission spectroscopy and Thomson scattering. Radiative hydrodynamics and Thomson scattering simulations are used to investigate the impact of temperature and density gradients in the sample and to fit the experimental data. The measurements result in a comprehensive picture of soft x-ray matter interaction related to warm dense matter and yield insight into ultrafast equilibration and relaxation mechanisms, in particular impact ionization and radiative recombination. (orig.)

Design and Construction of Prototype Dark Matter Detectors

Energy Technology Data Exchange (ETDEWEB)

Peter Fisher

2012-03-23

The Lepton Quark Studies (LQS) group is engaged in searching for dark matter using the Dark Matter Time Projection Chamber (DMTPC) at the Waste Isolation Pilot Plant (WIPP) (Carlsbad, NM). DMTPC is a direction-sensitive dark matter detector designed to measure the recoil direction and energy deposited by fluorine nuclei recoiling from the interaction with incident WIMPs. In the past year, the major areas of progress have been: to publish the first dark matter search results from a surface run of the DMTPC prototype detector, to build and install the 10L prototype in the underground laboratory at WIPP which will house the 1 m{sup 3} detector, and to demonstrate charge and PMT readout of the TPC using prototype detectors, which allow triggering and {Delta}z measurement to be used in the 1 m{sup 3} detector under development.

Aerobic fitness and metabolic health in children: A clinical validation of directly measured maximal oxygen consumption versus performance measures as markers of health.

Science.gov (United States)

Aadland, Eivind; Kvalheim, Olav Martin; Rajalahti, Tarja; Skrede, Turid; Resaland, Geir Kåre

2017-09-01

High aerobic fitness is consistently associated with a favorable metabolic health profile in children. However, measurement of oxygen uptake, regarded as the gold standard for evaluating aerobic fitness, is often not feasible. Thus, the aim of the present study was to perform a clinical validation of three measures of aerobic fitness (peak oxygen consumption [VO 2peak ] and time to exhaustion [TTE] determined from a graded treadmill protocol to exhaustion, and the Andersen intermittent running test) with clustered metabolic health in 10-year-old children. We included 93 children (55 boys and 38 girls) from Norway during 2012-2013 in the study. Associations between aerobic fitness and three different composite metabolic health scores (including lipoprotein subgroup particle concentrations, triglyceride, glucose, systolic blood pressure, and waist-to-height ratio) were determined by regression analyses adjusting for sex. The relationships among the measures of aerobic fitness were r  = 0.78 for VO 2peak vs. TTE, r  = 0.63 for VO 2peak vs. the Andersen test, and r  = 0.67 for TTE vs. the Andersen test. The Andersen test showed the strongest associations across all markers of metabolic health ( r  = - 0.45 to - 0.31, p  fitness do not stand back as markers of metabolic health status in children, compared to VO 2peak . This is of great importance as good field tests provide opportunities for measuring aerobic fitness in many settings where measuring VO 2peak are impossible.

Wanted! Nuclear Data for Dark Matter Astrophysics

International Nuclear Information System (INIS)

Gondolo, P.

2014-01-01

Astronomical observations from small galaxies to the largest scales in the universe can be consistently explained by the simple idea of dark matter. The nature of dark matter is however still unknown. Empirically it cannot be any of the known particles, and many theories postulate it as a new elementary particle. Searches for dark matter particles are under way: production at high-energy accelerators, direct detection through dark matter-nucleus scattering, indirect detection through cosmic rays, gamma rays, or effects on stars. Particle dark matter searches rely on observing an excess of events above background, and a lot of controversies have arisen over the origin of observed excesses. With the new high-quality cosmic ray measurements from the AMS-02 experiment, the major uncertainty in modeling cosmic ray fluxes is in the nuclear physics cross sections for spallation and fragmentation of cosmic rays off interstellar hydrogen and helium. The understanding of direct detection backgrounds is limited by poor knowledge of cosmic ray activation in detector materials, with order of magnitude differences between simulation codes. A scarcity of data on nucleon spin densities blurs the connection between dark matter theory and experiments. What is needed, ideally, are more and better measurements of spallation cross sections relevant to cosmic rays and cosmogenic activation, and data on the nucleon spin densities in nuclei

Respiratory dose analysis for components of ambient particulate matter#

Science.gov (United States)

Particulate matter (PM) in the atmosphere is a complex mixture of particles with different sizes and chemical compositions. Although PM is known to cause health hazard, specific attributes of PM that may cause health effects are somewhat ambiguous. The dose of each specific compo...

Physical activity measurement in older adults: relationships with mental health.

Science.gov (United States)

Parker, Sarah J; Strath, Scott J; Swartz, Ann M

2008-10-01

This study examined the relationship between physical activity (PA) and mental health among older adults as measured by objective and subjective PA-assessment instruments. Pedometers (PED), accelerometers (ACC), and the Physical Activity Scale for the Elderly (PASE) were administered to measure 1 week of PA among 84 adults age 55-87 (mean = 71) years. General mental health was measured using the Positive and Negative Affect Scale (PANAS) and the Satisfaction With Life Scale (SWL). Linear regressions revealed that PA estimated by PED significantly predicted 18.1%, 8.3%, and 12.3% of variance in SWL and positive and negative affect, respectively, whereas PA estimated by the PASE did not predict any mental health variables. Results from ACC data were mixed. Hotelling-William tests between correlation coefficients revealed that the relationship between PED and SWL was significantly stronger than the relationship between PASE and SWL. Relationships between PA and mental health might depend on the PA measure used.

Taking the hassle out of wellness: Do peers and health matter?

Science.gov (United States)

Danagoulian, Shooshan

2018-03-01

Despite substantial financial incentives provided by the Affordable Care Act and employers, employee enrollment in wellness programs is low. This paper studies enrollment in a wellness program offered along an employer-provided health insurance plan. Two factors are considered in the choice of health plan with wellness: the effect of peer choices and family health on plan choice. Using exclusively obtained data of health insurance plan choice and utilization, this paper compares similar plans and focuses on a subsample of new employees. Result show that peers affect own choice of health insurance: a 10 percentage point rise in the share of colleagues enrolled in Aetna Wellness increases the probability of own enrollment in the plan by up to 3.9 percentage points. This result suggests that lack of experience with a wellness program are key to employee reluctance to enroll. Health effect on probability of enrollment in Aetna Wellness ranges from a 3 percentage point decline to a 3 percentage point rise depending on the measure, suggesting that while wellness programs appeal to low- to medium-intensity users of medical services, they do not appeal to individuals with more severe medical conditions which might benefit most from better coordinated medical care.

Trends in measurement models and methods in understanding occupational health psychology.

Science.gov (United States)

Tetrick, Lois E

2017-07-01

Measurement of occupational health psychology constructs is the cornerstone to developing our understanding of occupational health and safety. It also is critical in the design, evaluation, and implementation of interventions to improve employees and organizations well-being. The purpose of this article is a brief review of the current state of measurement theory and practice in occupational health psychology. Also included are a discussion of development of newer measurement models and methods, which are in use in other disciplines of psychology, but have not been incorporated into the occupational health psychology. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Ambient Particulate Matter Air Pollution Exposure and Mortality in the NIH-AARP Diet and Health Cohort.

Science.gov (United States)

Thurston, George D; Ahn, Jiyoung; Cromar, Kevin R; Shao, Yongzhao; Reynolds, Harmony R; Jerrett, Michael; Lim, Chris C; Shanley, Ryan; Park, Yikyung; Hayes, Richard B

2016-04-01

Outdoor fine particulate matter (≤ 2.5 μm; PM2.5) has been identified as a global health threat, but the number of large U.S. prospective cohort studies with individual participant data remains limited, especially at lower recent exposures. We aimed to test the relationship between long-term exposure PM2.5 and death risk from all nonaccidental causes, cardiovascular (CVD), and respiratory diseases in 517,041 men and women enrolled in the National Institutes of Health-AARP cohort. Individual participant data were linked with residence PM2.5 exposure estimates across the continental United States for a 2000-2009 follow-up period when matching census tract-level PM2.5 exposure data were available. Participants enrolled ranged from 50 to 71 years of age, residing in six U.S. states and two cities. Cox proportional hazard models yielded hazard ratio (HR) estimates per 10 μg/m3 of PM2.5 exposure. PM2.5 exposure was significantly associated with total mortality (HR = 1.03; 95% CI: 1.00, 1.05) and CVD mortality (HR = 1.10; 95% CI: 1.05, 1.15), but the association with respiratory mortality was not statistically significant (HR = 1.05; 95% CI: 0.98, 1.13). A significant association was found with respiratory mortality only among never smokers (HR = 1.27; 95% CI: 1.03, 1.56). Associations with 10-μg/m3 PM2.5 exposures in yearly participant residential annual mean, or in metropolitan area-wide mean, were consistent with baseline exposure model results. Associations with PM2.5 were similar when adjusted for ozone exposures. Analyses of California residents alone also yielded statistically significant PM2.5 mortality HRs for total and CVD mortality. Long-term exposure to PM2.5 air pollution was associated with an increased risk of total and CVD mortality, providing an independent test of the PM2.5-mortality relationship in a new large U.S. prospective cohort experiencing lower post-2000 PM2.5 exposure levels. Thurston GD, Ahn J, Cromar KR, Shao Y, Reynolds HR, Jerrett M

The mini mental status exam as a surrogate measure of health literacy.

Science.gov (United States)

Dahlke, Allison R; Curtis, Laura M; Federman, Alex D; Wolf, Michael S

2014-04-01

Studies have documented strong associations between cognitive function, health literacy skills, and health outcomes, such that outcome performance may be partially explained by cognitive ability. Common cognitive assessments such as the Mini Mental Status Exam (MMSE) therefore may be measuring the same latent construct as existing health literacy tools. We evaluated the potential of the MMSE as a surrogate measure of health literacy by comparing its convergent and predictive validity to the three most commonly used health literacy assessments and education. 827 older adults recruited from an academic general internal medicine ambulatory care clinic or one of five federally qualified health centers in Chicago, IL. Non-English speakers and those with severe cognitive impairment were excluded. Pearson correlations were completed to test the convergent validity of the MMSE with assessments of health literacy and education. Receiver Operating Characteristic (ROC) curves and the d statistic were calculated to determine the optimal cut point on the MMSE for classifying participants with limited health literacy. Multivariate logistic regression models were completed to measure the predictive validity of the new MMSE cut point. The MMSE was found to have moderate to high convergent validity with the existing health literacy measures. The ROC and d statistic analyses suggested an optimal cut point of ≤ 27 on the MMSE. The new threshold score was found to predict health outcomes at least as well as, or better than, existing health literacy measures or education alone. The MMSE has considerable face validity as a health literacy measure that could be easily administered in the healthcare setting. Further research should aim to validate this cut point and examine the constructs being measured by the MMSE and other literacy assessments.

How best to measure implementation of school health curricula: a comparison of three measures.

Science.gov (United States)

Resnicow, K; Davis, M; Smith, M; Lazarus-Yaroch, A; Baranowski, T; Baranowski, J; Doyle, C; Wang, D T

1998-06-01

The impact of school health education programs is often attenuated by inadequate teacher implementation. Using data from a school-based nutrition education program delivered in a sample of fifth graders, this study examines the discriminant and predictive validity of three measures of curriculum implementation: class-room observation of fidelity, and two measures of completeness, teacher self-report questionnaire and post-implementation interview. A fourth measure, obtained during teacher observations, that assessed student and teacher interaction and student receptivity to the curriculum (labeled Rapport) was also obtained. Predictive validity was determined by examining the association of implementation measures with three study outcomes; health knowledge, asking behaviors related to fruit and vegetables, and fruit and vegetable intake, assessed by 7-day diary. Of the 37 teachers observed, 21 were observed for two sessions and 16 were observed once. Implementation measures were moderately correlated, an indication of discriminant validity. Predictive validity analyses indicated that the observed fidelity, Rapport and interview measures were significantly correlated with post-test student knowledge. The association between health knowledge and observed fidelity (based on dual observation only), Rapport and interview measures remained significant after adjustment for pre-test knowledge values. None of the implementation variables were significantly associated with student fruit and vegetable intake or asking behaviors controlling for pre-test values. These results indicate that the teacher self-report questionnaire was not a valid measure of implementation completeness in this study. Post-implementation completeness interviews and dual observations of fidelity and Rapport appear to be more valid, and largely independent methods of implementation assessment.

Constraints on hadronically decaying dark matter

Energy Technology Data Exchange (ETDEWEB)

Garny, Mathias [Technische Univ. Muenchen, Garching (Germany). Physik-Department; Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Ibarra, Alejandro [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Tran, David [Technische Univ. Muenchen, Garching (Germany). Physik-Department; Minnesota Univ., Minneapolis, MN (United States). School of Physics and Astronomy

2012-05-15

We present general constraints on dark matter stability in hadronic decay channels derived from measurements of cosmic-ray antiprotons.We analyze various hadronic decay modes in a model-independent manner by examining the lowest-order decays allowed by gauge and Lorentz invariance for scalar and fermionic dark matter particles and present the corresponding lower bounds on the partial decay lifetimes in those channels. We also investigate the complementarity between hadronic and gamma-ray constraints derived from searches for monochromatic lines in the sky, which can be produced at the quantum level if the dark matter decays into quark-antiquark pairs at leading order.

Constraints on hadronically decaying dark matter

International Nuclear Information System (INIS)

Garny, Mathias; Ibarra, Alejandro; Tran, David; Minnesota Univ., Minneapolis, MN

2012-05-01

We present general constraints on dark matter stability in hadronic decay channels derived from measurements of cosmic-ray antiprotons.We analyze various hadronic decay modes in a model-independent manner by examining the lowest-order decays allowed by gauge and Lorentz invariance for scalar and fermionic dark matter particles and present the corresponding lower bounds on the partial decay lifetimes in those channels. We also investigate the complementarity between hadronic and gamma-ray constraints derived from searches for monochromatic lines in the sky, which can be produced at the quantum level if the dark matter decays into quark-antiquark pairs at leading order.

Precautionary measures in determining volatile matter in natural coke washability fractions

Energy Technology Data Exchange (ETDEWEB)

Ashok K. Singh; N.K. Shukla; S.K. Srivastava; D.D. Haldar; B.N. Roy; Mamta Sharma [Central Institute of Mining and Fuel Research, Dhanbad (India)

2009-01-15

Industrial utilization of heat-altered coal, especially natural coke derived from coking coal, has become a challenge. As such approximately 3,500 million tones (Mt) reserves of baked coals are available in different coalfields of India. In the present investigation, a natural coke sample (03 tone) was collected from a huge dump of seam XIV of Burragarh colliery under leasehold of Bharat Coking Coal Ltd., a subsidiary of Coal India Ltd., situated in Dhanbad district of Jharkhand state. It was observed that the volatile matter in the washability fractions of different size ranges (50 to 0.5 mm) at specific gravity 1.40 to 1.80 showed erratic distribution with respect to ash. To check the abnormality, the subsamples were subjected to microscopic (petrographic) study and chemical analysis including CO{sub 2} determination. The high concentration of CO{sub 2} is related to high concentration of carbonate minerals generated due to igneous intrusions in coal seams. Based on above observations, it was concluded that the volatile matter can be corrected through determined CO{sub 2} content in each fraction. Since efforts are being made to use natural coke in different industries such as steel, power, cement, carbon artifacts, etc., a careful investigation of volatile matter distribution in natural coke washability fractions would be of immense help in planning its bulk use.

Development of the Digital Health Literacy Instrument : Measuring a Broad Spectrum of Health 1.0 and Health 2.0 Skills

NARCIS (Netherlands)

van der Vaart, Rosalie; Drossaert, Constance

2017-01-01

Background: With the digitization of health care and the wide availability of Web-based applications, a broad set of skills is essential to properly use such facilities; these skills are called digital health literacy or eHealth literacy. Current instruments to measure digital health literacy focus

Estimating source-attributable health impacts of ambient fine particulate matter exposure: global premature mortality from surface transportation emissions in 2005

International Nuclear Information System (INIS)

Chambliss, S E; Zeinali, M; Minjares, R; Silva, R; West, J J

2014-01-01

Exposure to ambient fine particular matter (PM 2.5 ) was responsible for 3.2 million premature deaths in 2010 and is among the top ten leading risk factors for early death. Surface transportation is a significant global source of PM 2.5 emissions and a target for new actions. The objective of this study is to estimate the global and national health burden of ambient PM 2.5 exposure attributable to surface transportation emissions. This share of health burden is called the transportation attributable fraction (TAF), and is assumed equal to the proportional decrease in modeled ambient particulate matter concentrations when surface transportation emissions are removed. National population-weighted TAFs for 190 countries are modeled for 2005 using the MOZART-4 global chemical transport model. Changes in annual average concentration of PM 2.5 at 0.5 × 0.67 degree horizontal resolution are based on a global emissions inventory and removal of all surface transportation emissions. Global population-weighted average TAF was 8.5 percent or 1.75 μg m −3 in 2005. Approximately 242 000 annual premature deaths were attributable to surface transportation emissions, dominated by China, the United States, the European Union and India. This application of TAF allows future Global Burden of Disease studies to estimate the sector-specific burden of ambient PM 2.5 exposure. Additional research is needed to capture intraurban variations in emissions and exposure, and to broaden the range of health effects considered, including the effects of other pollutants. (letter)

Accounting for health and health care: approaches to measuring the sources and costs of their improvement

National Research Council Canada - National Science Library

Panel to Advance a Research Program on the Design of National Health Accounts

.... Accounting for Health and Health Care addresses both these issues. The government agencies responsible for measuring unit prices for medical services have taken steps in recent years that have greatly improved the accuracy of those measures. Nonetheless, this book has several recommendations aimed at further improving the price indices.

Weak gravitational lensing as a method to constrain unstable dark matter

International Nuclear Information System (INIS)

Wang Meiyu; Zentner, Andrew R.

2010-01-01

The nature of the dark matter remains a mystery. The possibility of an unstable dark matter particle decaying to invisible daughter particles has been explored many times in the past few decades. Meanwhile, weak gravitational lensing shear has gained a lot of attention as a probe of dark energy, though it was previously considered a dark matter probe. Weak lensing is a useful tool for constraining the stability of the dark matter. In the coming decade a number of large galaxy imaging surveys will be undertaken and will measure the statistics of cosmological weak lensing with unprecedented precision. Weak lensing statistics are sensitive to unstable dark matter in at least two ways. Dark matter decays alter the matter power spectrum and change the angular diameter distance-redshift relation. We show how measurements of weak lensing shear correlations may provide the most restrictive, model-independent constraints on the lifetime of unstable dark matter. Our results rely on assumptions regarding nonlinear evolution of density fluctuations in scenarios of unstable dark matter and one of our aims is to stimulate interest in theoretical work on nonlinear structure growth in unstable dark matter models.

Assessing the co-benefits of greenhouse gas reduction: Health benefits of particulate matter related inspection and maintenance programs in Bangkok, Thailand

International Nuclear Information System (INIS)

Li, Ying; Crawford-Brown, Douglas J.

2011-01-01

Since the 1990s, the capital city of Thailand, Bangkok has been suffering from severe ambient particulate matter (PM) pollution mainly attributable to its wide use of diesel-fueled vehicles and motorcycles with poor emission performance. While the Thai government strives to reduce emissions from transportation through enforcing policy measures, the link between specific control policies and associated health impacts is inadequately studied. This link is especially important in exploring the co-benefits of greenhouse gas emissions reductions, which often brings reduction in other pollutants such as PM. This paper quantifies the health benefits potentially achieved by the new PM-related I/M programs targeting all diesel vehicles and motorcycles in the Bangkok Metropolitan Area (BMA). The benefits are estimated by using a framework that integrates policy scenario development, exposure assessment, exposure-response assessment and economic valuation. The results indicate that the total health damage due to the year 2000 PM emissions from vehicles in the BMA was equivalent to 2.4% of Thailand's GDP. Under the business-as-usual (BAU) scenario, total vehicular PM emissions in the BMA will increase considerably over time due to the rapid growth in vehicle population, even if the fleet average emission rates are projected to decrease over time as the result of participation of Thailand in post-Copenhagen climate change strategies. By 2015, the total health damage is estimated to increase by 2.5 times relative to the year 2000. However, control policies targeting PM emissions from automobiles, such as the PM-oriented I/M programs, could yield substantial health benefits relative to the BAU scenario, and serve as co-benefits of greenhouse gas control strategies. Despite uncertainty associated with the key assumptions used to estimate benefits, we find that with a high level confidence, the I/M programs will produce health benefits whose economic impacts considerably outweigh

Matter, dark matter, and anti-matter in search of the hidden universe

CERN Document Server

Mazure, Alain

2012-01-01

For over ten years, the dark side of the universe has been headline news. Detailed studies of the rotation of spiral galaxies, and 'mirages' created by clusters of galaxies bending the light from very remote objects, have convinced astronomers of the presence of large quantities of dark (unseen) matter in the cosmos. Moreover, in the 1990s, it was discovered that some four to five billion years ago the expansion of the universe entered a phase of acceleration. This implies the existence of dark energy. The nature of these 'dark; ingredients remains a mystery, but they seem to comprise about 95 percent of the matter/energy content of the universe. As for ordinary matter, although we are immersed in a sea of dark particles, including primordial neutrinos and photons from 'fossil' cosmological radiation, both we and our environment are made of ordinary, baryonic matter. Strangely, even if 15-20 percent of matter is baryonic matter, this represents only 4-5 percent of the total matter/energy content of the cosmos...

Measuring physical and mental health using the SF-12: implications for community surveys of mental health.

Science.gov (United States)

Windsor, Timothy D; Rodgers, Bryan; Butterworth, Peter; Anstey, Kaarin J; Jorm, Anthony F

2006-09-01

The effects of using different approaches to scoring the SF-12 summary scales of physical and mental health were examined with a view to informing the design and interpretation of community-based survey research. Data from a population-based study of 7485 participants in three cohorts aged 20-24, 40-44 and 60-64 years were used to examine relationships among measures of physical and mental health calculated from the same items using the SF-12 and RAND-12 approaches to scoring, and other measures of chronic physical conditions and psychological distress. A measure of physical health constructed using the RAND-12 scoring showed a monotonic negative association with psychological distress as measured by the Goldberg depression and anxiety scales. However, a non-monotonic association was evident in the relationship between SF-12 physical health scores and distress, with very high SF-12 physical health scores corresponding with high levels of distress. These relationships highlight difficulties in interpretation that can arise when using the SF-12 summary scales in some analytical contexts. It is recommended that community surveys that measure physical and mental functioning using the SF-12 items generate summary scores using the RAND-12 protocol in addition to the SF-12 approach. In general, researchers should be wary of using factor scores based on orthogonal rotation, which assumes that measures are uncorrelated, to represent constructs that have an actual association.

Measurement of rumen dry matter and neutral detergent fiber degradability of feeds by Fourier-transform infrared spectroscopy

DEFF Research Database (Denmark)

Belanche, A.; Weisbjerg, Martin Riis; Allison, G.G.

2014-01-01

This study explored the potential of partial least squares (PLS) and Fourier-transform infrared spectroscopy (FTIR) to predict rumen dry matter (DM) and neutral detergent fiber (NDF) degradation parameters of a wide range of feeds for ruminants, as an alternative to the in situ method. In total...... components, such as cellulose, pectin, lignin, cutin, and suberin, but also with nonstructural carbohydrates and certain active compounds. In conclusion, FTIR spectroscopy could be considered a low-cost alternative to in situ measurements in feed evaluation....

Development of measures of organizational leadership for health promotion.

Science.gov (United States)

Barrett, Linda; Plotnikoff, Ronald C; Raine, Kim; Anderson, Donna

2005-04-01

This study describes the development and psychometric evaluation of four scales measuring leadership for health promotion at an organizational level in the baseline survey (n=144) of the Alberta Heart Health Project. Content validity was established through a series of focus groups and expert opinion appraisals, pilot testing of a draft based on capacity assessment instruments developed by other provinces involved in the Canadian Heart Health Initiative, and the literature. Psychometric analyses provided empirical evidence of the construct validity and reliability of the organizational leadership scales. Principal component analysis verified the unidimensionality of the leadership scales of (a) Practices for Organizational Learning, (b) Wellness Planning, (c) Workplace Climate, and (d) Organization Member Development. Scale alpha coefficients ranged between .79 and .91 thus establishing good to high scale internal consistencies. These measures can be used by both researchers and practitioners for the assessment of organizational leadership for health promotion and heart health promotion.

Search for transient ultralight dark matter signatures with networks of precision measurement devices using a Bayesian statistics method

Science.gov (United States)

Roberts, B. M.; Blewitt, G.; Dailey, C.; Derevianko, A.

2018-04-01

We analyze the prospects of employing a distributed global network of precision measurement devices as a dark matter and exotic physics observatory. In particular, we consider the atomic clocks of the global positioning system (GPS), consisting of a constellation of 32 medium-Earth orbit satellites equipped with either Cs or Rb microwave clocks and a number of Earth-based receiver stations, some of which employ highly-stable H-maser atomic clocks. High-accuracy timing data is available for almost two decades. By analyzing the satellite and terrestrial atomic clock data, it is possible to search for transient signatures of exotic physics, such as "clumpy" dark matter and dark energy, effectively transforming the GPS constellation into a 50 000 km aperture sensor array. Here we characterize the noise of the GPS satellite atomic clocks, describe the search method based on Bayesian statistics, and test the method using simulated clock data. We present the projected discovery reach using our method, and demonstrate that it can surpass the existing constrains by several order of magnitude for certain models. Our method is not limited in scope to GPS or atomic clock networks, and can also be applied to other networks of precision measurement devices.

Dark matter from decaying topological defects

International Nuclear Information System (INIS)

Hindmarsh, Mark; Kirk, Russell; West, Stephen M.

2014-01-01

We study dark matter production by decaying topological defects, in particular cosmic strings. In topological defect or ''top-down'' (TD) scenarios, the dark matter injection rate varies as a power law with time with exponent p−4. We find a formula in closed form for the yield for all p < 3/2, which accurately reproduces the solution of the Boltzmann equation. We investigate two scenarios (p = 1, p = 7/6) motivated by cosmic strings which decay into TeV-scale states with a high branching fraction into dark matter particles. For dark matter models annihilating either by s-wave or p-wave, we find the regions of parameter space where the TD model can account for the dark matter relic density as measured by Planck. We find that topological defects can be the principal source of dark matter, even when the standard freeze-out calculation under-predicts the relic density and hence can lead to potentially large ''boost factor'' enhancements in the dark matter annihilation rate. We examine dark matter model-independent limits on this scenario arising from unitarity and discuss example model-dependent limits coming from indirect dark matter search experiments. In the four cases studied, the upper bound on Gμ for strings with an appreciable channel into TeV-scale states is significantly more stringent than the current Cosmic Microwave Background limits

Dark Matter

Directory of Open Access Journals (Sweden)

Einasto J.

2011-06-01

Full Text Available I give a review of the development of the concept of dark matter. The dark matter story passed through several stages from a minor observational puzzle to a major challenge for theory of elementary particles. Modern data suggest that dark matter is the dominant matter component in the Universe, and that it consists of some unknown non-baryonic particles. Dark matter is the dominant matter component in the Universe, thus properties of dark matter particles determine the structure of the cosmic web.

Assessing the co-benefits of greenhouse gas reduction: health benefits of particulate matter related inspection and maintenance programs in Bangkok, Thailand.

Science.gov (United States)

Li, Ying; Crawford-Brown, Douglas J

2011-04-15

Since the 1990s, the capital city of Thailand, Bangkok has been suffering from severe ambient particulate matter (PM) pollution mainly attributable to its wide use of diesel-fueled vehicles and motorcycles with poor emission performance. While the Thai government strives to reduce emissions from transportation through enforcing policy measures, the link between specific control policies and associated health impacts is inadequately studied. This link is especially important in exploring the co-benefits of greenhouse gas emissions reductions, which often brings reduction in other pollutants such as PM. This paper quantifies the health benefits potentially achieved by the new PM-related I/M programs targeting all diesel vehicles and motorcycles in the Bangkok Metropolitan Area (BMA). The benefits are estimated by using a framework that integrates policy scenario development, exposure assessment, exposure-response assessment and economic valuation. The results indicate that the total health damage due to the year 2000 PM emissions from vehicles in the BMA was equivalent to 2.4% of Thailand's GDP. Under the business-as-usual (BAU) scenario, total vehicular PM emissions in the BMA will increase considerably over time due to the rapid growth in vehicle population, even if the fleet average emission rates are projected to decrease over time as the result of participation of Thailand in post-Copenhagen climate change strategies. By 2015, the total health damage is estimated to increase by 2.5 times relative to the year 2000. However, control policies targeting PM emissions from automobiles, such as the PM-oriented I/M programs, could yield substantial health benefits relative to the BAU scenario, and serve as co-benefits of greenhouse gas control strategies. Despite uncertainty associated with the key assumptions used to estimate benefits, we find that with a high level confidence, the I/M programs will produce health benefits whose economic impacts considerably outweigh

Measuring and understanding motivation among community health workers in rural health facilities in India-a mixed method study

OpenAIRE

Tripathy, Jaya Prasad; Goel, Sonu; Kumar, Ajay M. V.

2016-01-01

Background Motivated human resource is the key to improve health system performance and retention of health workers. There is scanty literature on measuring motivation of health workers in India. Thus, the objective of this study was to measure and identify important aspects of health workers? motivation in North India. Methods A mixed method study design was adopted. Under the quantitative component, we interviewed randomly selected 62 community health workers (CHWs) in 18 sub-centres in two...

Xenon contrast CT-CBF measurements in patients with pre- and post-correction of platelet hyper-aggregability, and in the white matter lesions

International Nuclear Information System (INIS)

Fujita, Shigekiyo

2004-01-01

About 10 years ago, the author found that, patients with headache, vertigo, dizziness and dementia, had a high prevalence (about 70%) of platelet hyper-aggregability which was especially prevalent (up to 100%) in Binswanger's dementia. Correction of the platelet hyper-aggregability in those patients led to remarkable improvement of symptoms. Based on this effective result with treatment of platelet hyper-aggregability, the author hypothesized that patients may show improvement or recovery of cerebral blood flow from the decreased blood flow by the correction of the platelet hyper-aggregability. The present report consist of two parts: 1) comparison of regional cerebral blood flow (CBF) before and after correction of platelet hyper-aggregability, 2) measurements of CBF in patients with severe white matter lesions, and the CBF within white matter lesions. The results of 1) showed CBF was decreased by about 20 to 30% before treatment and marked increase to normal CBF after correction of platelet hyper-aggregability, particularly in the thalamus and cortex. The increase was statistically significant except in bilateral frontal cortex and bilateral anterior white matter and left posterior white matter. From these results, it is confirmed that platelet hyper-aggregability is associated with decreased CBF, and after correction of platelet hyper-aggregability, CBF increases markedly. The results of 2) showed moderate to severe decreases of blood flow in all areas of the brain, and marked decreases of CBF in white matter lesions, 12.8±2.7 m1/100 g/min on average, which corresponded approximately to 60% of normal white matter CBF. (author)

The Public Health and Air Pollution in Asia (PAPA) Project: Estimating the Mortality Effects of Particulate Matter in Bangkok, Thailand

OpenAIRE

Vichit-Vadakan, Nuntavarn; Vajanapoom, Nitaya; Ostro, Bart

2008-01-01

Background Air pollution data in Bangkok, Thailand, indicate that levels of particulate matter with aerodynamic diameter ≤10 μm (PM10) are significantly higher than in most cities in North America and Western Europe, where the health effects of PM10 are well documented. However, the pollution mix, seasonality, and demographics are different from those in developed Western countries. It is important, therefore, to determine whether the large metropolitan area of Bangkok is subject to similar e...

77 FR 42738 - Request for Information on Quality Measurement Enabled by Health IT

Science.gov (United States)

2012-07-20

... Information on Quality Measurement Enabled by Health IT AGENCY: Agency for Healthcare Research and Quality... diversified stakeholders (health information technology (IT) system developers, including vendors; payers... strategies and challenges regarding quality measurement enabled by health IT. Quality measurement--the...

Comprehensive asymmetric dark matter model

Science.gov (United States)

Lonsdale, Stephen J.; Volkas, Raymond R.

2018-05-01

Asymmetric dark matter (ADM) is motivated by the similar cosmological mass densities measured for ordinary and dark matter. We present a comprehensive theory for ADM that addresses the mass density similarity, going beyond the usual ADM explanations of similar number densities. It features an explicit matter-antimatter asymmetry generation mechanism, has one fully worked out thermal history and suggestions for other possibilities, and meets all phenomenological, cosmological and astrophysical constraints. Importantly, it incorporates a deep reason for why the dark matter mass scale is related to the proton mass, a key consideration in ADM models. Our starting point is the idea of mirror matter, which offers an explanation for dark matter by duplicating the standard model with a dark sector related by a Z2 parity symmetry. However, the dark sector need not manifest as a symmetric copy of the standard model in the present day. By utilizing the mechanism of "asymmetric symmetry breaking" with two Higgs doublets in each sector, we develop a model of ADM where the mirror symmetry is spontaneously broken, leading to an electroweak scale in the dark sector that is significantly larger than that of the visible sector. The weak sensitivity of the ordinary and dark QCD confinement scales to their respective electroweak scales leads to the necessary connection between the dark matter and proton masses. The dark matter is composed of either dark neutrons or a mixture of dark neutrons and metastable dark hydrogen atoms. Lepton asymmetries are generated by the C P -violating decays of heavy Majorana neutrinos in both sectors. These are then converted by sphaleron processes to produce the observed ratio of visible to dark matter in the universe. The dynamics responsible for the kinetic decoupling of the two sectors emerges as an important issue that we only partially solve.

Return Migration to Mexico: Does Health Matter?

Science.gov (United States)

Arenas, Erika; Goldman, Noreen; Pebley, Anne R; Teruel, Graciela

2015-12-01

We use data from three rounds of the Mexican Family Life Survey to examine whether migrants in the United States returning to Mexico in the period 2005-2012 have worse health than those remaining in the United States. Despite extensive interest by demographers in health-related selection, this has been a neglected area of study in the literature on U.S.-Mexico migration, and the few results to date have been contradictory and inconclusive. Using five self-reported health variables collected while migrants resided in the United States and subsequent migration history, we find direct evidence of higher probabilities of return migration for Mexican migrants in poor health as well as lower probabilities of return for migrants with improving health. These findings are robust to the inclusion of potential confounders reflecting the migrants' demographic characteristics, economic situation, family ties, and origin and destination characteristics. We anticipate that in the coming decade, health may become an even more salient issue in migrants' decisions about returning to Mexico, given the recent expansion in access to health insurance in Mexico.

Cold dark matter and the LHC

International Nuclear Information System (INIS)

Battaglia, Marco; Hinchliffe, Ian; Tovey, Daniel

2004-01-01

The recent determination of the dark matter density in the universe by the WMAP satellite has brought new attention to the interplay of results from particle physics experiments at accelerators and from cosmology. In this paper we discuss the prospects for finding direct evidence for a candidate dark matter particle at the LHC and the measurements which would be crucial for testing its compatibility with the cosmology data. (topical review)

Mirror matter as self-interacting dark matter

International Nuclear Information System (INIS)

Mohapatra, R.N.; Nussinov, S.; Teplitz, V.L.

2002-01-01

It has been argued that the observed core density profile of galaxies is inconsistent with having a dark matter particle that is collisionless and that alternative dark matter candidates which are self-interacting may explain observations better. One new class of self-interacting dark matter that has been proposed in the context of mirror universe models of particle physics is the mirror hydrogen atom, whose stability is guaranteed by the conservation of mirror baryon number. We show that the effective transport cross section for mirror hydrogen atoms has the right order of magnitude for solving the 'cuspy' halo problem. Furthermore, the suppression of dissipation effects for mirror atoms due to a higher mirror mass scale prevents the mirror halo matter from collapsing into a disk, strengthening the argument for mirror matter as galactic dark matter

Assessment of Contribution of Contemporary Carbon Sources to Size-Fractionated Particulate Matter and Time-Resolved Bulk Particulate Matter Using the Measurement of Radiocarbon

Energy Technology Data Exchange (ETDEWEB)

Hwang, H M; Young, T M; Buchholz, B A

2009-04-16

This study was motivated by a desire to improve understanding of the sources contributing to the carbon that is an important component of airborne particulate matter (PM). The ultimate goal of this project was to lay a ground work for future tools that might be easily implemented with archived or routinely collected samples. A key feature of this study was application of radiocarbon measurement that can be interpreted to indicate the relative contributions from fossil and non-fossil carbon sources of atmospheric PM. Size-resolved PM and time-resolved PM{sub 10} collected from a site in Sacramento, CA in November 2007 (Phase I) and March 2008 (Phase II) were analyzed for radiocarbon and source markers such as levoglucosan, cholesterol, and elemental carbon. Radiocarbon data indicates that the contributions of non-fossil carbon sources were much greater than that from fossil carbon sources in all samples. Radiocarbon and source marker measurements confirm that a greater contribution of non-fossil carbon sources in Phase I samples was highly likely due to residential wood combustion. The present study proves that measurement of radiocarbon and source markers can be readily applied to archived or routinely collected samples for better characterization of PM sources. More accurate source apportionment will support ARB in developing more efficient control strategies.

Handbook of laboratory health and safety measures

International Nuclear Information System (INIS)

Pal, S.B.

1985-01-01

The application of radioactive isotopes and various scientific instruments based on different ionizing and non-ionizing radiation have brought new safety problems to laboratory workers today. Therefore, there is a need to revise present knowledge of safety measures to deal with new hazards, thus broadening the outlook towards health and safety measures for contemporary laboratory staff. This handbook presents a series of articles on current knowledge regarding laboratory safety

Searches for Dark Matter in ATLAS

CERN Document Server

Alpigiani, Cristiano; The ATLAS collaboration

2017-01-01

Although the existence of Dark Matter (DM) is well established by many astronomical measurements, its nature still remains one of the unsolved puzzles of particles physics. The unprecedented energy reached by the Large Hadron Collider (LHC) at CERN has allowed exploration of previously unaccessible kinematic regimes in the search for new phenomena. An overview of most recent searches for dark matter with the ATLAS detector at LHC is presented and the interpretation of the results in terms of effective field theory and simplified models is discussed. The exclusion limits set by the ATLAS searches are compared to the constraints from direct dark matter detection experiments.

White matter volume mediates the relationship between self-efficacy and mobility in older women

Science.gov (United States)

Nagamatsu, Lindsay S.; Hsu, Chun Liang; Davis, Jennifer C.; Best, John R.; Liu-Ambrose, Teresa

2017-01-01

Background With our aging population, understanding determinants of healthy aging is a priority. One essential component of healthy aging is mobility. While self-efficacy can directly impact mobility in older adults, it is unknown what role brain health may play in this relationship. Methods We conducted a cross-sectional pilot analysis of community-dwelling women (n = 80, mean age = 69 years) to examine whether brain volume mediates the relationship between falls-related self-efficacy, as measured by the Activities-specific Balance Confidence (ABC) scale, and mobility, as measured by the Timed Up and Go (TUG) test. Age, depression, education, functional comorbidities, and Montreal Cognitive Assessment (MoCA) were included in the model as covariates. Results We report that total white matter volume, specifically, significantly mediates the relationship between self-efficacy and mobility, where higher self-efficacy was associated with greater white matter volume (r=0.28), which in turn, was associated with better mobility (r=−0.30). Conclusions Our pilot study extends our understanding of the psychosocial and neurological factors that contribute to mobility, and provides insight into effective strategies that may be used to improve functional independence among older adults. Future prospective and intervention studies are required to further elucidate the nature of the relationship between self-efficacy, mobility, and brain health. PMID:27749206

Systems Health Care: daily measurement and lifestyle change

Science.gov (United States)

Nakajima, Hiroshi; Tsuchiya, Naoki; Shiga, Toshikazu; Hata, Yutaka

2012-06-01

Health is quite important to be realized in our daily life. However, its idea covers wide area and has individual dependency. Activities in health care have been widely developed by medical, drag, insurance, food, and other types of industries mainly centering diseases. In this article, systems approach named Systems Health Care is introduced and discussed to generate new and precious values based on measurements in daily life to change lifestyle habits for realizing each health. Firstly, issues related to health such as its definitions are introduced and discussed by centering health rather than disease. In response to the discussions on health, Home and Medical Care is continuously introduced to point out the important role causality between life style and vital signal such as exercise and blood pressure based on detailed sampling time. Systems approaches of Systems Health Care are discussed from various points of views. Real applications of devices and services are used to make the studies and discussions deeper on the subjects of the article.

Measured moisture in buildings and adverse health effects: a review.

Science.gov (United States)

Mendell, Mark J; Macher, Janet M; Kumagai, Kazukiyo

2018-04-23

It has not yet been possible to quantify dose-related health risks attributable to indoor dampness or mold (D/M), to support the setting of health-related limits for D/M. An overlooked target for assessing D/M is moisture in building materials, the critical factor allowing microbial growth. A search for studies of quantified building moisture and occupant health effects identified three eligible studies. Two studies assessed associations between measured wall moisture content and respiratory health in the UK. Both reported dose-related increases in asthma exacerbation with higher measured moisture, with one study reporting an adjusted odds ratio (OR) of 7.0 for night-time asthma symptoms with higher bedroom moisture. The third study assessed relationships between infrared camera-determined wall moisture and atopic dermatitis in South Korea, reporting an adjusted OR of 14.5 for water-damaged homes and moderate or severe atopic dermatitis. Measuring building moisture has, despite extremely limited available findings, potential promise for detecting unhealthy D/M in homes and merits more research attention. Further research to validate these findings should include measured "water activity," which directly assesses moisture availability for microbial growth. Ultimately, evidence-based, health-related thresholds for building moisture, across specific materials and measurement devices, could better guide assessment and remediation of D/M in buildings. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Exchange of Information in Tax Matters

OpenAIRE

Szwajdler, Paweł

2017-01-01

Szwajdler Paweł. Exchange of Information in Tax Matters. Journal of Education, Health and Sport. 2017;7(1):556-570. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.893161 http://ojs.ukw.edu.pl/index.php/johs/article/view/4828 https://pbn.nauka.gov.pl/sedno-webapp/works/831606 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016). 754 Journal of Education, Health and Sport...

The destruction of organic matter

CERN Document Server

Gorsuch, T T

1970-01-01

International Series of Monographs in Analytical Chemistry, Volume 39: The Destruction of Organic Matter focuses on the identification of trace elements in organic compounds. The monograph first offers information on the processes involved in the determination of trace elements in organic matters, as well as the methods not involving complete destruction of these elements. The text surveys the sources of errors in the processes responsible in pinpointing elements in organic compounds. These processes include sampling, disruption of the samples, manipulation, and measurements. The book

Economic modeling of surgical disease: a measure of public health interventions.

Science.gov (United States)

Corlew, D Scott

2013-07-01

The measurement of the burden of disease and the interventions that address that burden can be done in various units. Reducing these measures to the common denominator of economic units (i.e., currency) enables comparison with other health entities, interventions, and even other fields. Economic assessment is complex, however, because of the multifactorial components of what constitutes health and what constitutes health interventions, as well as the coupling of those data to economic means. To perform economic modeling in a meaningful manner, it is necessary to: (1) define the health problem to be addressed; (2) define the intervention to be assessed; (3) define a measure of the effect of the health entity with and without the intervention (which includes defining the counterfactual); and (4) determine the appropriate method of converting the health effect to economics. This paper discusses technical aspects of how economic modeling can be done both of disease entities and of interventions. Two examples of economic modeling applied to surgical problems are then given.

Supersymmetry, Dark Matter and the LHC

International Nuclear Information System (INIS)

Tata, Xerxes

2010-01-01

The conceptually simplest scenario for dark matter (DM) is that it is a stable thermal relic from standard Big Bang cosmology, in many SUSY models the lightest neutralino. The relic density determination selects special regions in SUSY model parameter space with concomitant implications for collider physics, dark matter searches and low energy measurements. By studying various one-parameter extensions of the much-studied mSUGRA model (where we relax the untested universality assumptions) constructed to be in accord with the measured relic density, we show that these implications are in general model-dependent, so that LHC and DM measurements will provide clues to how sparticles acquire their masses. We point out some relatively robust implications for LHC and DM searches and conclude with an outlook for the future.

Organic speciation of size-segregated atmospheric particulate matter

Science.gov (United States)

Tremblay, Raphael

Particle size and composition are key factors controlling the impacts of particulate matter (PM) on human health and the environment. A comprehensive method to characterize size-segregated PM organic content was developed, and evaluated during two field campaigns. Size-segregated particles were collected using a cascade impactor (Micro-Orifice Uniform Deposit Impactor) and a PM2.5 large volume sampler. A series of alkanes and polycyclic aromatic hydrocarbons (PAHs) were solvent extracted and quantified using a gas chromatograph coupled with a mass spectrometer (GC/MS). Large volume injections were performed using a programmable temperature vaporization (PTV) inlet to lower detection limits. The developed analysis method was evaluated during the 2001 and 2002 Intercomparison Exercise Program on Organic Contaminants in PM2.5 Air Particulate Matter led by the US National Institute of Standards and Technology (NIST). Ambient samples were collected in May 2002 as part of the Tampa Bay Regional Atmospheric Chemistry Experiment (BRACE) in Florida, USA and in July and August 2004 as part of the New England Air Quality Study - Intercontinental Transport and Chemical Transformation (NEAQS - ITCT) in New Hampshire, USA. Morphology of the collected particles was studied using scanning electron microscopy (SEM). Smaller particles (one micrometer or less) appeared to consist of solid cores surrounded by a liquid layer which is consistent with combustion particles and also possibly with particles formed and/or coated by secondary material like sulfate, nitrate and secondary organic aerosols. Source apportionment studies demonstrated the importance of stationary sources on the organic particulate matter observed at these two rural sites. Coal burning and biomass burning were found to be responsible for a large part of the observed PAHs during the field campaigns. Most of the measured PAHs were concentrated in particles smaller than one micrometer and linked to combustion sources

PREFACE: SPECIAL SECTION OF THE JOURNAL OF AIR & WASTE MANAGEMENT ASSOCIATION FOR PARTICULATE MATTER: ATMOSPHERIC SCIENCES, EXPOSURE AND THE FOURTH COLLOQUIUM ON PM AND HUMAN HEALTH

Science.gov (United States)

This dedicated issue of the Journal of the Air & Waste Management Association contains 17 peer-reviewed scientific papers that were presented at the specialty conference, “Particulate Matter: Atmospheric Sciences, Exposure and the Fourth Colloquium on PM and Human Health,” that w...

Decoherence as a way to measure extremely soft collisions with dark matter

Science.gov (United States)

Riedel, C. Jess; Yavin, Itay

2017-07-01

A new frontier in the search for dark matter (DM) is based on the idea of detecting the decoherence caused by DM scattering against a mesoscopic superposition of normal matter. Such superpositions are uniquely sensitive to very small momentum transfers from new particles and forces, especially DM with a mass below 100 MeV. Here we investigate what sorts of dark sectors are inaccessible with existing methods but would induce noticeable decoherence in the next generation of matter interferometers. We show that very soft but medium range (0.1 nm - 1 μ m ) elastic interactions between nuclei and DM are particularly suitable. We construct toy models for such interactions, discuss existing constraints, and delineate the expected sensitivity of forthcoming experiments. The first hints of DM in these devices would appear as small variations in the anomalous decoherence rate with a period of one sidereal day. This is a generic signature of interstellar sources of decoherence, clearly distinguishing it from terrestrial backgrounds. The OTIMA experiment under development in Vienna will begin to probe Earth-thermalizing DM once sidereal variations in the background decoherence rate are pushed below one part in a hundred for superposed 5-nm gold nanoparticles. The proposals by Bateman et al. and Geraci et al. could be similarly sensitive although they would require at least a month of data taking. DM that is absorbed or elastically reflected by the Earth, and so avoids a greenhouse density enhancement, would not be detectable by those three experiments. On the other hand, the aggressive proposals of the MAQRO collaboration and Pino et al. would immediately open up many orders of magnitude in DM mass, interaction range, and coupling strength, regardless of how DM behaves in bulk matter.

Cold dark matter plus not-so-clumpy dark relics

International Nuclear Information System (INIS)

Diamanti, Roberta; Ando, Shin'ichiro; Weniger, Christoph; Gariazzo, Stefano; Mena, Olga

2017-01-01

Various particle physics models suggest that, besides the (nearly) cold dark matter that accounts for current observations, additional but sub-dominant dark relics might exist. These could be warm, hot, or even contribute as dark radiation. We present here a comprehensive study of two-component dark matter scenarios, where the first component is assumed to be cold, and the second is a non-cold thermal relic. Considering the cases where the non-cold dark matter species could be either a fermion or a boson, we derive consistent upper limits on the non-cold dark relic energy density for a very large range of velocity dispersions, covering the entire range from dark radiation to cold dark matter. To this end, we employ the latest Planck Cosmic Microwave Background data, the recent BOSS DR11 and other Baryon Acoustic Oscillation measurements, and also constraints on the number of Milky Way satellites, the latter of which provides a measure of the suppression of the matter power spectrum at the smallest scales due to the free-streaming of the non-cold dark matter component. We present the results on the fraction f ncdm of non-cold dark matter with respect to the total dark matter for different ranges of the non-cold dark matter masses. We find that the 2σ limits for non-cold dark matter particles with masses in the range 1–10 keV are f ncdm ≤0.29 (0.23) for fermions (bosons), and for masses in the 10–100 keV range they are f ncdm ≤0.43 (0.45), respectively.

Cold dark matter plus not-so-clumpy dark relics

Energy Technology Data Exchange (ETDEWEB)

Diamanti, Roberta; Ando, Shin' ichiro; Weniger, Christoph [GRAPPA, Institute of Physics, University of Amsterdam, Science Park 904, 1098 XH Amsterdam (Netherlands); Gariazzo, Stefano; Mena, Olga, E-mail: r.diamanti@uva.nl, E-mail: s.ando@uva.nl, E-mail: gariazzo@to.infn.it, E-mail: omena@ific.uv.es, E-mail: c.weniger@uva.nl [Instituto de Física Corpuscular (IFIC), CSIC-Universitat de Valencia, Apartado de Correos 22085, E-46071, Valencia (Spain)

2017-06-01

Various particle physics models suggest that, besides the (nearly) cold dark matter that accounts for current observations, additional but sub-dominant dark relics might exist. These could be warm, hot, or even contribute as dark radiation. We present here a comprehensive study of two-component dark matter scenarios, where the first component is assumed to be cold, and the second is a non-cold thermal relic. Considering the cases where the non-cold dark matter species could be either a fermion or a boson, we derive consistent upper limits on the non-cold dark relic energy density for a very large range of velocity dispersions, covering the entire range from dark radiation to cold dark matter. To this end, we employ the latest Planck Cosmic Microwave Background data, the recent BOSS DR11 and other Baryon Acoustic Oscillation measurements, and also constraints on the number of Milky Way satellites, the latter of which provides a measure of the suppression of the matter power spectrum at the smallest scales due to the free-streaming of the non-cold dark matter component. We present the results on the fraction f {sub ncdm} of non-cold dark matter with respect to the total dark matter for different ranges of the non-cold dark matter masses. We find that the 2σ limits for non-cold dark matter particles with masses in the range 1–10 keV are f {sub ncdm}≤0.29 (0.23) for fermions (bosons), and for masses in the 10–100 keV range they are f {sub ncdm}≤0.43 (0.45), respectively.

Measuring Religiousness in Health Research: Review and Critique

OpenAIRE

Hall, Daniel E.; Meador, Keith G.; Koenig, Harold G.

2008-01-01

Although existing measures of religiousness are sophisticated, no single approach has yet emerged as a standard. We review the measures of religiousness most commonly used in the religion and health literature with particular attention to their limitations, suggesting that vigilance is required to avoid over-generalization. After placing the development of these scales in historical context, we discuss measures of religious attendance, private religious practice, and intrinsic/extrinsic relig...

Solid Matter

CERN Document Server

Angelo, Joseph A

2011-01-01

Supported by a generous quantity of full-color illustrations and interesting sidebars, Solid Matter introduces the basic characteristics and properties of solid matter. It briefly describes the cosmic connection of the elements, leading readers through several key events in human pre-history that resulted in more advanced uses of matter in the solid state. Chapters include:. -Solid Matter: An Initial Perspective. -Physical Behavior of Matter. -The Gravity of Matter. -Fundamentals of Materials Science. -Rocks and Minerals. -Metals. -Building Materials. -Carbon Earth's Most Versatile Element. -S

Dark matter distribution and annihilation at the Galactic center

International Nuclear Information System (INIS)

Dokuchaev, V I; Eroshenko, Yu N

2016-01-01

We describe a promising method for measuring the total dark matter mass near a supermassive black hole at the Galactic center based on observations of nonrelativistic precession of the orbits of fast S0 stars. An analytical expression for the precession angle has been obtained under the assumption of a power-law profile of the dark matter density. The awaited weighing of the dark matter at the Galactic center provides the strong constraints on the annihilation signal from the neuralino dark matter particle candidate. The mass of the dark matter necessary for the explanation of the observed excess of gamma-radiation owing to the annihilation of the dark matter particles has been calculated with allowance for the Sommerfeld effect. (paper)

Particulate matter beyond mass: recent health evidence on the role of fractions, chemical constituents and sources of emission.

Science.gov (United States)

Cassee, Flemming R; Héroux, Marie-Eve; Gerlofs-Nijland, Miriam E; Kelly, Frank J

2013-12-01

Particulate matter (PM) is regulated in various parts of the world based on specific size cut offs, often expressed as 10 or 2.5 µm mass median aerodynamic diameter. This pollutant is deemed one of the most dangerous to health and moreover, problems persist with high ambient concentrations. Continuing pressure to re-evaluate ambient air quality standards stems from research that not only has identified effects at low levels of PM but which also has revealed that reductions in certain components, sources and size fractions may best protect public health. Considerable amount of published information have emerged from toxicological research in recent years. Accumulating evidence has identified additional air quality metrics (e.g. black carbon, secondary organic and inorganic aerosols) that may be valuable in evaluating the health risks of, for example, primary combustion particles from traffic emissions, which are not fully taken into account with PM2.5 mass. Most of the evidence accumulated so far is for an adverse effect on health of carbonaceous material from traffic. Traffic-generated dust, including road, brake and tire wear, also contribute to the adverse effects on health. Exposure durations from a few minutes up to a year have been linked with adverse effects. The new evidence collected supports the scientific conclusions of the World Health Organization Air Quality Guidelines and also provides scientific arguments for taking decisive actions to improve air quality and reduce the global burden of disease associated with air pollution.

Laboratory Validation of Four Black Carbon Measurement Methods for Determination of the Nonvolatile Particulate Matter (nvPM) Mass Emissions from Commercial Aircraft Engines

Science.gov (United States)

Four candidate black carbon (BC) measurement techniques have been identified by the SAE International E-31 Committee for possible use in determining nonvolatile particulate matter (nvPM) mass emissions during commercial aircraft engine certification. These techniques are carbon b...

Measures to reduce particulate matter and nitrogen dioxide; Massnahmen zur Reduzierung von Feinstaub und Stickstoffdioxid

Energy Technology Data Exchange (ETDEWEB)

Diegmann, Volker; Pfaefflin, Florian; Wiegand, Goetz; Wursthorn, Heike [IVU Umwelt GmbH, Freiburg (Germany)

2007-06-15

1. Clean Air Plans and Action Plans published in Germany up to October 2005 are comparatively analysed. In the synopsis, these plans outline an extensive representation of the current air pollution situation, the different methods of forecast and the measures discussed. A thematic map representing the data of the clean air plans is used as an important means to the comparative reporting. The comparison shows among other things the regional (specific to Federal States) distinctions in the methods used and described. 2. A scheme of measures is being developed and filled with data, in order to research and evaluate the measures for PM{sub 10} and NO{sub 2} reduction as described in the plans. Source groups, fields of action, types and target values serve to classify the measures. The PM{sub 10} reducing measures analysed within the framework of the project are focussing with 79 % on the source group of motor vehicle traffic. Analyses of publications in other European countries show a focus on motor vehicle traffic as well. 3. The reduction potential of measures concerning PM10 emissions of motor vehicle traffic is determined. Selected measures are being analysed in regard to their impact limit and the administrative executive level. The emission and concentration reduction potential is being calculated for different configurations. If procurable, a concluding estimation of the cost efficiency is carried out und implementation conditions and barriers are discussed. 4. The most important results in section 3 are summarized in the separate abridged report 'Traffic measures to reduce particulate matter - possibilities and reduction potentials'. (orig.)

The public health disaster trust scale: validation of a brief measure.

Science.gov (United States)

Eisenman, David P; Williams, Malcolm V; Glik, Deborah; Long, Anna; Plough, Alonzo L; Ong, Michael

2012-01-01

Trust contributes to community resilience by the critical influence it has on the community's responses to public health recommendations before, during, and after disasters. However, trust in public health is a multifactorial concept that has rarely been defined and measured empirically in public health jurisdictional risk assessment surveys. Measuring trust helps public health departments identify and ameliorate a threat to effective risk communications and increase resilience. Such a measure should be brief to be incorporated into assessments conducted by public health departments. We report on a brief scale of public health disaster-related trust, its psychometric properties, and its validity. On the basis of a literature review, our conceptual model of public health disaster-related trust and previously conducted focus groups, we postulated that public health disaster-related trust includes 4 major domains: competency, honesty, fairness, and confidentiality. A random-digit-dialed telephone survey of the Los Angeles county population, conducted in 2004-2005 in 6 languages. Two thousand five hundred eighty-eight adults aged 18 years and older including oversamples of African Americans and Asian Americans. Trust was measured by 4 items scored on a 4-point Likert scale. A summary score from 4 to 16 was constructed. Scores ranged from 4 to 16 and were normally distributed with a mean of 8.5 (SD 2.7). Cronbach α = 0.79. As hypothesized, scores were lower among racial/ethnic minority populations than whites. Also, trust was associated with lower likelihood of following public health recommendations in a hypothetical disaster and lower likelihood of household disaster preparedness. The Public Health Disaster Trust scale may facilitate identifying communities where trust is low and prioritizing them for inclusion in community partnership building efforts under Function 2 of the Centers for Disease Control and Prevention's Public Health Preparedness Capability 1. The

Invisible Higgs and Dark Matter

DEFF Research Database (Denmark)

Heikinheimo, Matti; Tuominen, Kimmo; Virkajärvi, Jussi Tuomas

2012-01-01

We investigate the possibility that a massive weakly interacting fermion simultaneously provides for a dominant component of the dark matter relic density and an invisible decay width of the Higgs boson at the LHC. As a concrete model realizing such dynamics we consider the minimal walking...... technicolor, although our results apply more generally. Taking into account the constraints from the electroweak precision measurements and current direct searches for dark matter particles, we find that such scenario is heavily constrained, and large portions of the parameter space are excluded....

Measuring social inclusion--a key outcome in global mental health.

Science.gov (United States)

Baumgartner, Joy Noel; Burns, Jonathan K

2014-04-01

Social inclusion is increasingly recognized as a key outcome for evaluating global mental health programmes and interventions. Whereas social inclusion as an outcome is not a new concept in the field of mental health, its measurement has been hampered by varying definitions, concepts and instruments. To move the field forward, this paper reviews the currently available instruments which measure social inclusion and are reported in the literature, realizing that no single measure will be appropriate for all studies or contexts. A systematic literature search of English language peer-reviewed articles published through February 2013 was undertaken to identify scales specifically developed to measure social inclusion or social/community integration among populations with mental disorders. Five instruments were identified through the search criteria. The scales are discussed in terms of their theoretical underpinnings, domains and/or key items and their potential for use in global settings. Whereas numerous reviewed abstracts discussed mental health and social inclusion or social integration, very few were concerned with direct measurement of the construct. All identified scales were developed in high-income countries with limited attention paid to how the scale could be adapted for cross-cultural use. Social inclusion is increasingly highlighted as a key outcome for global mental health policies and programmes, yet its measurement is underdeveloped. There is need for a global cross-cultural measure that has been developed and tested in diverse settings. However, until that need is met, some of the scales presented here may be amenable to adaptation.

Fine Particle Matter (PM2.5) Design Value

Data.gov (United States)

U.S. Environmental Protection Agency — Fine particulate matter or PM2.5 (total mass of particles below 2.5 micron is diameter) is known to cause adverse health effects in humans.See the following websites...

Measuring Health Literacy in Individuals with Diabetes: A Systematic Review and Evaluation of Available Measures

Science.gov (United States)

Al Sayah, Fatima; Williams, Beverly; Johnson, Jeffrey A.

2013-01-01

Objective: To identify instruments used to measure health literacy and numeracy in people with diabetes; evaluate their use, measurement scope, and properties; discuss their strengths and weaknesses; and propose the most useful, reliable, and applicable measure for use in research and practice settings. Methods" A systematic literature review…

Measuring Health-related Transportation Barriers in Urban Settings.

Science.gov (United States)

Locatelli, Sara M; Sharp, Lisa K; Syed, Saming T; Bhansari, Shikhi; Gerber, Ben S

Access to reliable transportation is important for people with chronic diseases considering the need for frequent medical visits and for medications from the pharmacy. Understanding of the extent to which transportation barriers, including lack of transportation, contribute to poor health outcomes has been hindered by a lack of consistency in measuring or operationally defining "transportation barriers." The current study uses the Rasch measurement model to examine the psychometric properties of a new measure designed to capture types of transportation and associated barriers within an urban context. Two hundred forty-four adults with type 2 diabetes were recruited from within an academic medical center in Chicago and completed the newly developed transportation questions as part of a larger National Institutes of Health funded study (ClinicalTrials.gov identifier: NCT01498159). Results suggested a two subscale structure that reflected 1) general transportation barriers and 2) public transportation barriers.

Equity in Irish health care financing: measurement issues.

Science.gov (United States)

Smith, Samantha

2010-04-01

This paper employs widely used analytic techniques for measuring equity in health care financing to update Irish results from previous analysis based on data from the late 1980s. Kakwani indices are calculated using household survey data from 1987/88 to 2004/05. Results indicate a marginally progressive financing system overall. However, interpretation of the results for the private sources of health financing is complicated. This problem is not unique to Ireland but it is argued that it may be relatively more important in the context of a complex health financing system, illustrated in this paper by the Irish system. Alternative options for improving the analysis of equity in health care financing are discussed.

Diurnal variability in riverine dissolved organic matter composition determined by in situ optical measurement in the San Joaquin River (California, USA)

Science.gov (United States)

Spencer, R.G.M.; Pellerin, B.A.; Bergamaschi, B.A.; Downing, B.D.; Kraus, T.E.C.; Smart, D.R.; Dahlgren, R.A.; Hernes, P.J.

2007-01-01

Dissolved organic matter (DOM) concentration and composition in riverine and stream systems are known to vary with hydrological and productivity cycles over the annual and interannual time scales. Rivers are commonly perceived as homogeneous with respect to DOM concentration and composition, particularly under steady flow conditions over short time periods. However, few studies have evaluated the impact of short term variability ( DOC) measurement alone. The in situ optical measurements described in this study clearly showed for the first time diurnal variations in DOM measurements, which have previously been related to both composition and concentration, even though diurnal changes were not well reflected in bulk DOC concentrations. An apparent asynchronous trend of DOM absorbance and chlorophyll-a in comparison to chromophoric dissolved organic matter (CDOM) fluorescence and spectral slope S290-350 suggests that no one specific CDOM spectrophotometric measurement explains absolutely DOM diurnal variation in this system; the measurement of multiple optical parameters is therefore recommended. The observed diurnal changes in DOM composition, measured by in situ optical instrumentation likely reflect both photochemical and biologically-mediated processes. The results of this study highlight that short-term variability in DOM composition may complicate trends for studies aiming to distinguish different DOM sources in riverine systems and emphasizes the importance of sampling specific study sites to be compared at the same time of day. The utilization of in situ optical technology allows short-term variability in DOM dynamics to be monitored and serves to increase our understanding of its processing and fundamental role in the aquatic environment. Copyright ?? 2007 John Wiley & Sons, Ltd.

Decaying dark matter and the PAMELA anomaly

International Nuclear Information System (INIS)

Ibarra, Alejandro; Tran, David

2009-01-01

Astrophysical and cosmological observations do not require the dark matter particles to be absolutely stable. If they are indeed unstable, their decay into positrons might occur at a sufficiently large rate to allow the indirect detection of dark matter through an anomalous contribution to the cosmic positron flux. In this paper we discuss the implications of the excess in the positron fraction recently reported by the PAMELA collaboration for the scenario of decaying dark matter. To this end, we have performed a model-independent analysis of possible signatures by studying various decay channels in the case of both a fermionic and a scalar dark matter particle. We find that the steep rise in the positron fraction measured by PAMELA at energies larger than 10 GeV can naturally be accommodated in several realizations of the decaying dark matter scenario. The data point toward a rather heavy dark matter particle, m DM ∼> 300 GeV, which preferentially decays directly into first or second generation charged leptons with a lifetime τ DM ∼ 10 26 s

Anisotropic diffusion within human white matter

International Nuclear Information System (INIS)

Chenevert, T.L.; Brunberg, J.A.; Pipe, J.G.

1990-01-01

This paper reports on measurements performed to assess the impact of fiber orientation on the apparent diffusion coefficient of human white matter in vivo. Orthogonal section selection pulses and strong motion sensitization gradient pulses were used for localized diffusion measurement along an anteroposteriorly oriented 1 x 1 cm tissue column in the left cerebral hemisphere. This region was selected since white matter fiber orientations are reasonably well defined. Independent acquisitions with motion sensitivity along anteroposterior and right-left directions allowed study of diffusion anisotropy. Motion artifacts were minimized by magnitude summation after one-dimensional Fourier transform of frequency-encoded echoes; consequently, cardiac gating was not required. Five normal volunteers were studied on a 1.5-T clinical MR system

Mental Health Nursing, Mechanical Restraint Measures and Patients’ Legal Rights

DEFF Research Database (Denmark)

Birkeland, Søren; Gildberg, Frederik Alkier

2016-01-01

Abstract: Coercive mechanical restraint (MR) in psychiatry constitute the perhaps most important exception from the common health law requirement for involving patients in health care decisions and achieving their informed consent prior to treatment. Coercive measures and particularly MR constitute...... a serious collision with patient autonomy principles, pose a particular challenge to psychiatric patients’ legal rights, and put intensified demands on health professional performance. Legal rights principles require rationale for coercive measure use be thoroughly considered and rigorously documented....... This article presents an in-principle Danish Psychiatric Complaint Board decision concerning MR use initiated by untrained staff. The case illustrates that, judicially, weight must be put on the patient perspective on course of happenings and especially when health professional documentation is scant, patients...

Adolescent sleep misalignment: a chronic jet lag and a matter of public health.

Science.gov (United States)

Touitou, Yvan

2013-09-01

Sleep is a key element, both physiologically and psychologically, in adolescent development. The prevalence of sleep disorders in western countries is important, as with age the sleep-wake cycle of adolescents becomes irregular and delayed in relation with later sleep onset and waking time resulting in rhythm desynchronization. A large number of adolescents sleep for 7-8h instead of 9-10h per night, which can lead to a cumulative sleep debt with fatigue, behavioral problems and poor academic achievement. The effect of electronic media use (such as television, mobile phone, computer, and electronic gaming) on sleep has been the object of several international studies, though pubertal changes may also impact adolescent sleep. Adolescents and their parents should be educated by professionals, including physicians and nurses, on the key role of sleep in adolescent well being and quality of life. A number of basic rules are proposed to improve sleep in adolescents. The permanent social jet lag experienced by a number of adolescents should be considered as a matter of public health. Copyright © 2013 Elsevier Ltd. All rights reserved.

Competition in health insurance markets: limitations of current measures for policy analysis.

Science.gov (United States)

Scanlon, Dennis P; Chernew, Michael; Swaminathan, Shailender; Lee, Woolton

2006-12-01

Health care reform proposals often rely on increased competition in health insurance markets to drive improved performance in health care costs, access, and quality. We examine a range of data issues related to the measures of health insurance competition used in empirical studies published from 1994-2004. The literature relies exclusively on market structure and penetration variables to measure competition. While these measures are correlated, the degree of correlation is modest, suggesting that choice of measure could influence empirical results. Moreover, certain measurement issues such as the lack of data on PPO enrollment, the treatment of small firms, and omitted market characteristics also could affect the conclusions in empirical studies. Importantly, other types of measures related to competition (e.g., the availability of information on price and outcomes, degree of entry barriers, etc.) are important from both a theoretical and policy perspective, but their impact on market outcomes has not been widely studied.

Automatic energy expenditure measurement for health science

NARCIS (Netherlands)

Catal, Cagatay; Akbulut, Akhan

2018-01-01

Background and objective: It is crucial to predict the human energy expenditure in any sports activity and health science application accurately to investigate the impact of the activity. However, measurement of the real energy expenditure is not a trivial task and involves complex steps. The

Refining estimates of public health spending as measured in national health expenditure accounts: the Canadian experience.

Science.gov (United States)

Ballinger, Geoff

2007-01-01

The recent focus on public health stemming from, among other things, severe acute respiratory syndrome and avian flu has created an imperative to refine health-spending estimates in the Canadian Health Accounts. This article presents the Canadian experience in attempting to address the challenges associated with developing the needed taxonomies for systematically capturing, measuring, and analyzing the national investment in the Canadian public health system. The first phase of this process was completed in 2005, which was a 2-year project to estimate public health spending based on a more classic definition by removing the administration component of the previously combined public health and administration category. Comparing the refined public health estimate with recent data from the Organization for Economic Cooperation and Development still positions Canada with the highest share of total health expenditure devoted to public health than any other country reporting. The article also provides an analysis of the comparability of public health estimates across jurisdictions within Canada as well as a discussion of the recommendations for ongoing improvement of public health spending estimates. The Canadian Institute for Health Information is an independent, not-for-profit organization that provides Canadians with essential statistics and analysis on the performance of the Canadian health system, the delivery of healthcare, and the health status of Canadians. The Canadian Institute for Health Information administers more than 20 databases and registries, including Canada's Health Accounts, which tracks historically 40 categories of health spending by 5 sources of finance for 13 provincial and territorial jurisdictions. Until 2005, expenditure on public health services in the Canadian Health Accounts included measures to prevent the spread of communicable disease, food and drug safety, health inspections, health promotion, community mental health programs, public

Health protection measures after the Chernobyl accident

International Nuclear Information System (INIS)

Strand, P.; Reitan, J.B.; Harbitz, O.; Brynhildsen, L.

1990-01-01

The article describes the nutritional measures introduced to protect health after the Chernobyl accident, and the associated costs. The toal value of the reindeer meat, mutton, lamb and goat meat saved as a result of such measures in 1987 amounted to approx. NOK 250 million. The measures cost approx. NOK 60 million. The resulting reduction in the radiation dose level to which the population was exposed was 450 manSv. In 1988, mutton/lamb and goat meat valued at approx. NOK 310 million was saved from contamination by similar measures, which cost approx. NOK 50 million. The resulting dose level reduction was approx. 200 manSv. The relationship (cost/benefit ratio) between the overall cost of the measures taken to reduce radioactivity levels in food and the dose level reduction achieved was acceptable. 11 refs

Ambient particulate matter air pollution and cardiopulmonary diseases.

Science.gov (United States)

Thurston, George; Lippmann, Morton

2015-06-01

Population exposures to ambient outdoor particulate matter (PM) air pollution have been assessed to represent a major burden on global health. Ambient PM is a diverse class of air pollution, with characteristics and health implications that can vary depending on a host of factors, including a particle's original source of emission or formation. The penetration of inhaled particles into the thorax is dependent on their deposition in the upper respiratory tract during inspiration, which varies with particle size, flow rate and tidal volume, and in vivo airway dimensions. All of these factors can be quite variable from person to person, depending on age, transient illness, cigarette smoke and other short-term toxicant exposures that cause transient bronchoconstriction, and occupational history associated with loss of lung function or cumulative injury. The adverse effects of inhaled PM can result from both short-term (acute) and long-term (chronic) exposures to PM, and can range from relatively minor, such as increased symptoms, to very severe effects, including increased risk of premature mortality and decreased life expectancy from long-term exposure. Control of the most toxic PM components can therefore provide major health benefits, and can help guide the selection of the most human health optimal air quality control and climate change mitigation policy measures. As such, a continued improvement in our understanding of the nature and types of PM that are most dangerous to health, and the mechanism(s) of their respective health effects, is an important public health goal. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Organic matter dynamics and stable isotope signature as tracers of the sources of suspended sediment

Directory of Open Access Journals (Sweden)

Y. Schindler Wildhaber

2012-06-01

Full Text Available Suspended sediment (SS and organic matter in rivers can harm brown trout Salmo trutta by affecting the health and fitness of free swimming fish and by causing siltation of the riverbed. The temporal and spatial dynamics of sediment, carbon (C, and nitrogen (N during the brown trout spawning season in a small river of the Swiss Plateau were assessed and C isotopes as well as the C/N atomic ratio were used to distinguish autochthonous and allochthonous sources of organic matter in SS loads. The visual basic program IsoSource with ¹³C_tot and ¹⁵N as input isotopes was used to quantify the temporal and spatial sources of SS. Organic matter concentrations in the infiltrated and suspended sediment were highest during low flow periods with small sediment loads and lowest during high flow periods with high sediment loads. Peak values in nitrate and dissolved organic C were measured during high flow and high rainfall, probably due to leaching from pasture and arable land. The organic matter was of allochthonous sources as indicated by the C/N atomic ratio and δ¹³C_org. Organic matter in SS increased from up- to downstream due to an increase of pasture and arable land downstream of the river. The mean fraction of SS originating from upper watershed riverbed sediment decreased from up to downstream and increased during high flow at all measuring sites along the course of the river. During base flow conditions, the major sources of SS are pasture, forest and arable land. The latter increased during rainy and warmer winter periods, most likely because both triggered snow melt and thus erosion. The measured increase in DOC and nitrate concentrations during high flow support these modeling results. Enhanced soil erosion processes on pasture and arable land are expected with increasing heavy rain events and less snow during winter seasons due to climate change. Consequently, SS and organic

Experimental and Computational Techniques in Soft Condensed Matter Physics

Science.gov (United States)

Olafsen, Jeffrey

2010-09-01

1. Microscopy of soft materials Eric R. Weeks; 2. Computational methods to study jammed Systems Carl F. Schrek and Corey S. O'Hern; 3. Soft random solids: particulate gels, compressed emulsions and hybrid materials Anthony D. Dinsmore; 4. Langmuir monolayers Michael Dennin; 5. Computer modeling of granular rheology Leonardo E. Silbert; 6. Rheological and microrheological measurements of soft condensed matter John R. de Bruyn and Felix K. Oppong; 7. Particle-based measurement techniques for soft matter Nicholas T. Ouellette; 8. Cellular automata models of granular flow G. William Baxter; 9. Photoelastic materials Brian Utter; 10. Image acquisition and analysis in soft condensed matter Jeffrey S. Olafsen; 11. Structure and patterns in bacterial colonies Nicholas C. Darnton.

Development of the multi-attribute Adolescent Health Utility Measure (AHUM

Directory of Open Access Journals (Sweden)

Beusterien Kathleen M

2012-08-01

Full Text Available Abstract Objective Obtain utilities (preferences for a generalizable set of health states experienced by older children and adolescents who receive therapy for chronic health conditions. Methods A health state classification system, the Adolescent Health Utility Measure (AHUM, was developed based on generic health status measures and input from children with Hunter syndrome and their caregivers. The AHUM contains six dimensions with 4–7 severity levels: self-care, pain, mobility, strenuous activities, self-image, and health perceptions. Using the time trade off (TTO approach, a UK population sample provided utilities for 62 of 16,800 AHUM states. A mixed effects model was used to estimate utilities for the AHUM states. The AHUM was applied to trial NCT00069641 of idursulfase for Hunter syndrome and its extension (NCT00630747. Results Observations (i.e., utilities totaled 3,744 (12*312 participants, with between 43 to 60 for each health state except for the best and worst states which had 312 observations. The mean utilities for the best and worst AHUM states were 0.99 and 0.41, respectively. The random effects model was statistically significant (p  Discussion The AHUM health state classification system may be used in future research to enable calculation of quality-adjust life expectancy for applicable health conditions.

National Academy of Medicine Social and Behavioral Measures: Associations With Self-Reported Health.

Science.gov (United States)

Prather, Aric A; Gottlieb, Laura M; Giuse, Nunzia B; Koonce, Taneya Y; Kusnoor, Sheila V; Stead, William W; Adler, Nancy E

2017-10-01

Social and behavioral factors play important roles in physical and mental health; however, they are not routinely assessed in the healthcare system. A brief panel of measures of social and behavioral determinants of health (SBDs) were recommended in a National Academy of Medicine report for use in electronic health records. Initial testing of the panel established feasibility of use and robustness of the measures. This study evaluates their convergent and divergent validity in relation to self-reported physical and mental health and social desirability bias. Adults, aged ≥18 years, were recruited through Qualtrics online panel survey platform in 2015 (data analyzed in 2015-2016). Participants completed the (1) panel of SBD measures; (2) 12-Item Short Form Health Survey to assess associations with global physical and mental health; and (3) Marlowe-Crowne Social Desirability Scale short form to assess whether social desirability influenced associations between SBD measures and self-reported health. The sample included 513 participants (mean age, 47.9 [SD=14.2] years; 65.5% female). Several SBD domain measures were associated with physical and mental health. Adjusting for age, poorer physical and mental health were observed among participants reporting higher levels of financial resource strain, stress, depression, physical inactivity, current tobacco use, and a positive score for intimate partner violence. These associations remained significant after adjustment for social desirability bias. SBD domains were associated with global measures of physical and mental health and were not impacted by social desirability bias. The panel of SBD measures should now be tested in clinical settings. Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Local connectome phenotypes predict social, health, and cognitive factors

Directory of Open Access Journals (Sweden)

Michael A. Powell

2018-03-01

Full Text Available The unique architecture of the human connectome is defined initially by genetics and subsequently sculpted over time with experience. Thus, similarities in predisposition and experience that lead to similarities in social, biological, and cognitive attributes should also be reflected in the local architecture of white matter fascicles. Here we employ a method known as local connectome fingerprinting that uses diffusion MRI to measure the fiber-wise characteristics of macroscopic white matter pathways throughout the brain. This fingerprinting approach was applied to a large sample (N = 841 of subjects from the Human Connectome Project, revealing a reliable degree of between-subject correlation in the local connectome fingerprints, with a relatively complex, low-dimensional substructure. Using a cross-validated, high-dimensional regression analysis approach, we derived local connectome phenotype (LCP maps that could reliably predict a subset of subject attributes measured, including demographic, health, and cognitive measures. These LCP maps were highly specific to the attribute being predicted but also sensitive to correlations between attributes. Collectively, these results indicate that the local architecture of white matter fascicles reflects a meaningful portion of the variability shared between subjects along several dimensions. The local connectome is the pattern of fiber systems (i.e., number of fibers, orientation, and size within a voxel, and it reflects the proximal characteristics of white matter fascicles distributed throughout the brain. Here we show how variability in the local connectome is correlated in a principled way across individuals. This intersubject correlation is reliable enough that unique phenotype maps can be learned to predict between-subject variability in a range of social, health, and cognitive attributes. This work shows, for the first time, how the local connectome has both the sensitivity and the specificity to

Does oral health matter in people's daily life? Oral health-related quality of life in adults 35-47 years of age in Norway.

Science.gov (United States)

Dahl, K E; Wang, N J; Ohrn, K

2012-02-01

The aim of this study was to assess the effect of oral health on aspects of daily life measured by the Dental Impact Profile (DIP) in 35- to 47-year-old individuals in Norway, and to study associations between reported effects and demographic variables, subjectively assessed oral health, general health, oral health behaviour and clinical oral health. A stratified randomized sample of 249 individuals received a questionnaire regarding demographic questions, dental visits, oral hygiene behaviour, self-rated oral health and general health and satisfaction with oral health. The DIP measured the effects of oral health on daily life. Teeth present and caries experience were registered by clinical examination. Bi- and multivariate analyses and factor analysis were used. Items most frequently reported to be positively or negatively influenced by oral health were chewing and biting, eating, smiling and laughing, feeling comfortable and appearance. Only 1% reported no effects of oral health. Individuals with fewer than two decayed teeth, individuals who rated their oral health as good or practised good oral health habits reported more positive effects than others on oral quality of life (P ≤ 0.05). When the variables were included in multivariate analysis, none was statistically significant. The subscales of the DIP were somewhat different from the originally suggested subscales. This study showed that most adults reported oral health to be important for masticatory functions and confirmed that oral health also had impacts on other aspects of life. © 2011 John Wiley & Sons A/S.