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Sample records for high risk area

  1. Flood Hazard Areas - High Risk

    Data.gov (United States)

    Department of Homeland Security — The S_Fld_Haz_Ar table contains information about the flood hazards within the study area. A spatial file with locational information also corresponds with this data...

  2. High-fire-risk behavior in critical fire areas

    Science.gov (United States)

    William S. Folkman

    1977-01-01

    Observations of fire-related behavior of wildland visitors were made in three types of areas-wilderness, established campground, and built-up commercial and residential areas-within the San Bernardino National Forest, California. Interviews were conducted with all persons so observed. Types of fire-related behavior differed markedly from one area to another, as did the...

  3. Low risk of pulmonary tuberculosis of residents in high background radiation area, Yangjiang, China

    International Nuclear Information System (INIS)

    Li Xiaojuan; Sun Quanfu

    2006-01-01

    Objective: To examine the pulmonary tuberculosis mortality risk of the residents in high background radiation area (HBRA), Yangjiang, China. Methods: A cohort including 89 694 persons in HBRA and 35 385 persons in control area (CA) has been established since 1979. Person-year tables based on classified variables including sex, attained age, follow-up calendar year, and dose-rate group (high, intermediate, and low in HBRA, and control group) were tabulated using DATAB in EPICURE. Poisson regression analysis was used to estimate the relative risks (RR) of infectious and parasitic disease especially for pulmonary tuberculosis. Cumulative dose for each cohort member was obtained. Results: Two million person-years were accumulated by follow-up and 612 cases of pulmonary tuberculosis ascertained. Compared with risk in the control area, statistically significant lower risk of pulmonary tuberculosis was observed in HBRA among those who aged 60 years and over; markedly decreased risk occurred among males; no significant difference was found among the 6 follow-up stages, two subregions in the HBRA, or different diagnostic facilities. A statistically significantly negative dose-response was observed (P<0.001), the higher accumulative dose, the lower dose the pulmonary tuberculosis mortality risk. Its excess relative risk (ERR/Sv) was estimated to be -1.09 (95% CI: -1.34, -0.85). No established risk factors could explain this lower risk. Conclusions: The mortality of puhnonary tuberculosis among residents in HBRA who were chronically exposed to low-dose radiation was statistically significantly lower than that in the control area, and a significant dose-response relationship was observed, which probably resulted from the immunoenhancement of low dose radiation. (authors)

  4. High resolution tsunami modelling for the evaluation of potential risk areas in Setúbal (Portugal

    Directory of Open Access Journals (Sweden)

    J. Ribeiro

    2011-08-01

    Full Text Available The use of high resolution hydrodynamic modelling to simulate the potential effects of tsunami events can provide relevant information about the most probable inundation areas. Moreover, the consideration of complementary data such as the type of buildings, location of priority equipment, type of roads, enables mapping of the most vulnerable zones, computing of the expected damage on man-made structures, constrain of the definition of rescue areas and escape routes, adaptation of emergency plans and proper evaluation of the vulnerability associated with different areas and/or equipment.

    Such an approach was used to evaluate the specific risks associated with a potential occurrence of a tsunami event in the region of Setúbal (Portugal, which was one of the areas most seriously affected by the 1755 tsunami.

    In order to perform an evaluation of the hazard associated with the occurrence of a similar event, high resolution wave propagation simulations were performed considering different potential earthquake sources with different magnitudes. Based on these simulations, detailed inundation maps associated with the different events were produced. These results were combined with the available information on the vulnerability of the local infrastructures (building types, roads and streets characteristics, priority buildings in order to impose restrictions in the production of high-scale potential damage maps, escape routes and emergency routes maps.

  5. Knowledge and perceptions of polio and polio immunization in polio high-risk areas of Pakistan.

    Science.gov (United States)

    Habib, Muhammad Atif; Soofi, Sajid Bashir; Ali, Noshad; Hussain, Imtiaz; Tabassum, Farhana; Suhag, Zamir; Anwar, Saeed; Ahmed, Imran; Bhutta, Zulfiqar Ahmed

    2017-02-01

    Pakistan and Afghanistan remain the only countries where polio is endemic, and Pakistan reports the most cases in the world. Although the rate is lower than in previous years, the situation remains alarming. We conducted a mixed methods study in high-risk areas of Pakistan to identify knowledge, attitudes, and practices of target populations about polio vaccine and its eradication, and to estimate coverage of routine immunization and oral polio vaccine. We surveyed 10,685 households in Karachi, 2522 in Pishin, and 2005 in Bajaur. Some knowledge of polio is universal, but important misconceptions persist. The findings of this study carry strategic importance for program direction and implementation.

  6. High risk of lead contamination for scavengers in an area with high moose hunting success.

    Science.gov (United States)

    Legagneux, Pierre; Suffice, Pauline; Messier, Jean-Sébastien; Lelievre, Frédérick; Tremblay, Junior A; Maisonneuve, Charles; Saint-Louis, Richard; Bêty, Joël

    2014-01-01

    Top predators and scavengers are vulnerable to pollutants, particularly those accumulated along the food chain. Lead accumulation can induce severe disorders and alter survival both in mammals (including humans) and in birds. A potential source of lead poisoning in wild animals, and especially in scavengers, results from the consumption of ammunition residues in the tissues of big game killed by hunters. For two consecutive years we quantified the level lead exposure in individuals of a sentinel scavenger species, the common raven (Corvus corax), captured during the moose (Alces alces) hunting season in eastern Quebec, Canada. The source of the lead contamination was also determined using stable isotope analyses. Finally, we identified the different scavenger species that could potentially be exposed to lead by installing automatic cameras targeting moose gut piles. Blood lead concentration in ravens increased over time, indicating lead accumulation over the moose-hunting season. Using a contamination threshold of 100 µg x L(-1), more than 50% of individuals were lead-contaminated during the moose hunting period. Lead concentration was twice as high in one year compared to the other, matching the number of rifle-shot moose in the area. Non-contaminated birds exhibited no ammunition isotope signatures. The isotope signature of the lead detected in contaminated ravens tended towards the signature from lead ammunition. We also found that black bears (Ursus americanus), golden eagles and bald eagles (Aquila chrysaetos and Haliaeetus leucocephalus, two species of conservation concern) scavenged heavily on moose viscera left by hunters. Our unequivocal results agree with other studies and further motivate the use of non-toxic ammunition for big game hunting.

  7. High risk of lead contamination for scavengers in an area with high moose hunting success.

    Directory of Open Access Journals (Sweden)

    Pierre Legagneux

    Full Text Available Top predators and scavengers are vulnerable to pollutants, particularly those accumulated along the food chain. Lead accumulation can induce severe disorders and alter survival both in mammals (including humans and in birds. A potential source of lead poisoning in wild animals, and especially in scavengers, results from the consumption of ammunition residues in the tissues of big game killed by hunters. For two consecutive years we quantified the level lead exposure in individuals of a sentinel scavenger species, the common raven (Corvus corax, captured during the moose (Alces alces hunting season in eastern Quebec, Canada. The source of the lead contamination was also determined using stable isotope analyses. Finally, we identified the different scavenger species that could potentially be exposed to lead by installing automatic cameras targeting moose gut piles. Blood lead concentration in ravens increased over time, indicating lead accumulation over the moose-hunting season. Using a contamination threshold of 100 µg x L(-1, more than 50% of individuals were lead-contaminated during the moose hunting period. Lead concentration was twice as high in one year compared to the other, matching the number of rifle-shot moose in the area. Non-contaminated birds exhibited no ammunition isotope signatures. The isotope signature of the lead detected in contaminated ravens tended towards the signature from lead ammunition. We also found that black bears (Ursus americanus, golden eagles and bald eagles (Aquila chrysaetos and Haliaeetus leucocephalus, two species of conservation concern scavenged heavily on moose viscera left by hunters. Our unequivocal results agree with other studies and further motivate the use of non-toxic ammunition for big game hunting.

  8. Identification of high risk areas for avian influenza outbreaks in California using disease distribution models.

    Directory of Open Access Journals (Sweden)

    Jaber Belkhiria

    Full Text Available The coexistence of different types of poultry operations such as free range and backyard flocks, large commercial indoor farms and live bird markets, as well as the presence of many areas where wild and domestic birds co-exist, make California susceptible to avian influenza outbreaks. The 2014-2015 highly pathogenic Avian Influenza (HPAI outbreaks affecting California and other states in the United States have underscored the need for solutions to protect the US poultry industry against this devastating disease. We applied disease distribution models to predict where Avian influenza is likely to occur and the risk for HPAI outbreaks is highest. We used observations on the presence of Low Pathogenic Avian influenza virus (LPAI in waterfowl or water samples at 355 locations throughout the state and environmental variables relevant to the disease epidemiology. We used two algorithms, Random Forest and MaxEnt, and two data-sets Presence-Background and Presence-Absence data. The models performed well (AUCc > 0.7 for testing data, particularly those using Presence-Background data (AUCc > 0.85. Spatial predictions were similar between algorithms, but there were large differences between the predictions with Presence-Absence and Presence-Background data. Overall, predictors that contributed most to the models included land cover, distance to coast, and broiler farm density. Models successfully identified several counties as high-to-intermediate risk out of the 8 counties with observed outbreaks during the 2014-2015 HPAI epizootics. This study provides further insights into the spatial epidemiology of AI in California, and the high spatial resolution maps may be useful to guide risk-based surveillance and outreach efforts.

  9. REDUCING THE IMPACT OF RADIATION FACTORS IN AREAS WITH HIGH LEVEL OF RISK

    Directory of Open Access Journals (Sweden)

    D. A. Zaredinov

    2015-01-01

    Full Text Available The article is devoted to the modern problems of radioecology. The study reveals the problems of radioecological situation in some regions of the Republic of Uzbekistan. The main attention of the authors is paid to the ecologically hazardous objects in the uranium mining industry. The characteristics of wastes from uranium mining and stages of development of the mining industry are described. The historical background of the accumulation of the wastes in dumps, the ore-bearing rocks, and other off-balance ores is given. The practical experience and directions radio-ecological safety are generalized, achieving improvements of the environmental quality in areas with high risk. In conclusion, the authors recommend carrying out some measures to reduce an impact of the radiation factor on human health and to stabilize the radioecological situation at the studied regions.

  10. Two significant experiences related to radon in a high risk area in Spain

    International Nuclear Information System (INIS)

    Sainz, C.; Gutierrez-Villanueva, J.-L.; Fuente, I.; Quindos, L.; Soto, J.; Quindos-Poncela, L.S.; Arteche, J.-L.

    2010-01-01

    Radon is a natural radioactive gas and it is currently accepted as being responsible for lung cancer in some cases. One of the most important sources of indoor radon is from the soil. The RADON content of soil is also a very important factor to be taken into account. The natural radiation map of Spain (MARNA) classifies the country into three regions with different levels of natural gamma radiation. There are some areas in Spain with high levels of natural radiation one of those is the province of Salamanca. Western part of this province presents a population of 20 000 inhabitants and 7% of the houses have an indoor radon concentration above 400 Bq·m -3 . In this high risk area, the village of Villar de la Yegua is of special interest: 11% of the houses in this village have an indoor radon level below 400 Bq·m -3 , 89% have above 400 Bq·m -3 and 71% of the houses have a radon concentration above 1000 Bq·m -3 . An old uranium mine site close to this village has been selected for the construction of an experimental pilot house. It is a two story house located in the place with a very high 226 Ra concentration in soil. Radon in soil at 1 m depth has an average level of 250 kBq·m -3 . We present in this work the characteristics of the experimental unit located in this high risk area and we describe the zone where one of the Spanish villages with the highest radon concentration is located. This is a very interesting place for further research on indoor radon concentration and it is a unique opportunity of testing radon monitors, radon passive detectors and remedial actions for the mitigation of radon in real conditions. It is common to carry out intercomparison exercises under laboratory conditions. Nonetheless, it is not so common to develop these exercises in real conditions as we have in the experimental unit we present here. We offer in this work the possibility for other research groups of testing their equipment in this unit and we also show the evolution of

  11. Structural Impediments to Condom Access in a High HIV/STI-Risk Area

    Directory of Open Access Journals (Sweden)

    Christine Rizkalla

    2010-01-01

    Full Text Available As embarrassment is a known obstacle to condom acquisition, selling condoms from physically inaccessible places that require personnel assistance constitutes a barrier to access. This study investigates the extent of this barrier in the Bronx, a high HIV/STI prevalence county of New York. 75 of 320 listed Bronx pharmacies were sampled via computer randomization. Investigators coded condom placement and physical accessibility within these pharmacies and 140 surrounding stores. 91% of sites sold condoms. In 82%, condoms could not be accessed without assistance. Condoms were physically inaccessible in venues most encountered in the community: grocery stores versus pharmacies (OR=15; 95% CI, 5–48, independent versus chain pharmacies (OR=32; 95% CI, 6–235. They were physically inaccessible more in the lowest SES/highest HIV prevalence areas versus the highest SES/lowest HIV prevalence areas (OR = 4.3, 95% CI, 1.1–17. Findings can inform efforts to increase accessibility of condoms, distribute condoms in alternative settings, and prompt similar investigations in other high-risk communities.

  12. Differences in the distribution of risk factors for stroke among the high-risk population in urban and rural areas of Eastern China.

    Science.gov (United States)

    Mi, Te; Sun, Shangwen; Du, Yifeng; Guo, Shougang; Cong, Lin; Cao, Mingfeng; Sun, Qinjian; Sun, Yi; Qu, Chuanqiang

    2016-05-01

    Considering the program of screening for risk factors of stroke in Eastern China, the aim of this study was to compare the distribution differences in risk factors for stroke among the high-risk population living in urban and rural areas. A total of 231,289 residents were screened and basic information collected. Risk factors for stroke among the high-risk population were compared between the urban and rural groups. A total of 117,776 high-risk residents from urban areas and 113,513 from rural areas were included in the analysis. The prevalence of hypertension was much higher in rural areas (73.3%) than that in urban areas (64.1%). Dyslipidemia (48.9% vs. 26.9%), sport lack (46.6% vs. 31.6%), diabetes mellitus (21.3% vs. 16.5%), and atrial fibrillation (18.7% vs. 9.8%) were more prevalent in the urban group, while smoking (26.5% vs. 28.8%), previous stroke (10.1% vs. 16.9%), and transient ischemic attack (20.9% vs. 24.6%) were less prevalent. Among the population at high risk of stroke, there were significant differences in the distribution of the following risk factors between the urban and rural groups: hypertension, atrial fibrillation, dyslipidemia, lack of physical exercise, and a previous stroke.

  13. Risk factors associated with Chagas disease in pregnant women in Santander, a highly endemic Colombian area.

    Science.gov (United States)

    Castellanos-Domínguez, Yeny Z; Cucunubá, Zulma M; Orozco, Luis C; Valencia-Hernández, Carlos A; León, Cielo M; Florez, Astrid C; Muñoz, Lyda; Pavía, Paula; Montilla, Marleny; Uribe, Luz Marina; García, Carlos; Ardila, William; Nicholls, Rubén Santiago; Puerta, Concepción J

    2016-01-01

    To determine the prevalence and risk factors associated with Chagas disease in pregnant women in an endemic area of Santander, Colombia. Cross-sectional study included 23 municipalities of Santander, Colombia. Serological IFAT and ELISA tests were undertaken to detect IgG anti- Trypanosoma cruzi. A questionnaire was conducted for assessing the risk factors of each participant. Newborns were evaluated at birth and followed up to 1 year of age to determine congenital infection. An overall prevalence of 3.2% (95% CI 2.4-4.2) among 1518 pregnant women was detected. Prevalences by provinces were as follows: Guanentina: 6.0% (95% CI 4.1-8.5), García Rovira: 2.9% (95% CI: 1.5-4.8) and Comunera: 0.4% (0.4-2.3). The main risk factors identified were age >32 years old (OR: 2.1; 95% CI: 1.1-3.9); currently having a thatched roof (OR: 11.8; CI95% 2.2-63.2) and a thatched roof during childhood (OR: 3.0; 95% CI: 1.4-6.6); having below primary school education level (OR: 4.6; 95% CI: 2.2-9.5); and a history of a close contact with the vector (triatomine bugs) at least once during their lifetime (OR: 6.9; 95% CI: 3.7-12.9). No congenital cases were detected by parasitological or serological techniques. Prevalence of Chagas disease in pregnant women is a potential source of infection in this Colombian endemic area. The main risk factors associated with seropositivity were related to conditions favouring the contact with the vector. The results show that it is necessary to continue an active surveillance in order to offer diagnosis and treatment to mothers and their newborns in addition to screening to pregnant women from endemic areas. © 2015 John Wiley & Sons Ltd.

  14. Nested case-control study on the risk of nasopharyngeal carcinoma in the high background radiation areas of Yangjiang, China

    International Nuclear Information System (INIS)

    Zou Jianming; Sun Quanfu; Yuan Yongling

    2003-01-01

    Objective: To identify the major determinants of nasopharyngeal carcinoma (NPC) in the high-background radiation areas (HBRA) in Yangjiang, China. Methods: A nested case-control study was conducted based on 106517 subjects. 98 cases that died of NPC were detected during a follow-up program for 9 years. Univariate analysis and multivariate non-conditional logistic regression were used to analyze associations between the exposure factors and NPC. Results: Multivariate conditional logistic regression analysis revealed that education levels, salted fish intake, the history of chronic rhinitis and the family history of NPC were independent risk factors of NPC. Tobacco smoking and alcohol consumption were not significantly related to NPC risk. The ORs of NPC risk comparing HBRA and a nearby control area before and after adjustment for the major risk determinants identified in the present study was 0.86 and 0.87, respectively. Conclusion: Salted fish intake was a strong risk factor of NPC. Education, the history of chronic rhinitis and the family history of NPC were also related to NPC risk. The exposure to high background radiation in HBRA of Yangjiang was not related to NPC risk with or without the adjustment for those major risk determinants of NPC

  15. The Standard, Intervention Measures and Health Risk for High Water Iodine Areas

    Science.gov (United States)

    Liu, Peng; Liu, Lixiang; Shen, Hongmei; Jia, Qingzhen; Wang, Jinbiao; Zheng, Heming; Ma, Jing; Zhou, Dan; Liu, Shoujun; Su, Xiaohui

    2014-01-01

    Our study aims to clarify the population nutrient status in locations with different levels of iodine in the water in China; to choose effective measurements of water improvement(finding other drinking water source of iodine not excess) or non-iodised salt supply or combinations thereof; to classify the areas of elevated water iodine levels and the areas with endemic goiter; and to evaluate the risk factors of water iodine excess on pregnant women, lactating women and the overall population of women. From Henan, Hebei, Shandong and Shanxi province of China, for each of 50∼99 µg/L, 100∼149 µg/L, 150∼299 µg/L, and ≥300 µg/L water iodine level, three villages were selected respectively. Students of 6–12 years old and pregnant were sampled from villages of each water-iodine level of each province, excluded iodized salt consumer. Then the children's goiter volume, the children and pregnant's urinary iodine and water iodine were tested. In addition, blood samples were collected from pregnant women, lactating women and other women of reproductive age for each water iodine level in the Shanxi Province for thyroid function tests. These indicators should be matched for each person. When the water iodine exceeds 100 µg/L; the iodine nutrient of children are iodine excessive, and are adequate or more than adequate for the pregnant women. It is reasonable to define elevated water iodine areas as locations where the water iodine levels exceed 100 µg/L. The supply of non-iodised salt alone cannot ensure adequate iodine nutrition of the residents, and water improvement must be adopted, as well. Iodine excess increases the risk of certain thyroid diseases in women from one- to eightfold. PMID:24586909

  16. An epidemiological study of diabetes mellitus amongst high risk age group population in urban and Rural areas of kanpur

    Directory of Open Access Journals (Sweden)

    Nadeem Ahmad

    2003-12-01

    Full Text Available Research Question : - What is the magnitude of Diabetes mellitus in the urban and rural areas of Kanpur.Objectives:To study the prevalence of diabetes mellitus amongst high risk age group population in urban and rural areas of Kanpur.To compare the magnitude of problem of diabetes mellitus between urban and rural areas of Kanpur.To study the possible associates and socio-demographic variables related to diabetes mellitus.Study Design : Cross sectional study.Setting : The study was performed on three thousand population each in urban and rural areas of Kanpur.Participants : High risk age group population i.e. 45 years and above.Study variables : Age, Sex. impaired glucose tolerance. Body mass index, Education, Working status. Social class, family history of diabetes.Statistical analysis : Chi-square lest, percentagesResults From a total of 676 persons of high risk age group i.e. 45 years and above, the overall prevalence of diabetes mellitus in the study areas was observed lobe 7. l%with 9.94% in urban and 3.61% in rural areas, the maximum percetage of diabetes cases (41.66% was in the age group of 56-60 years. Higher prevalence of diabetes was observed in the obese (56.25% and sedentary (87.5% persons. The family history' of diabetes mellitus was present in (35.41% of diabetes mellitus cases.

  17. High Resolution Tsunami Modelling for the Evaluation of Potential Risk Areas in Setubal

    Science.gov (United States)

    Ribeiro, João.; Silva, Adélio; Leitão, Paulo

    2010-05-01

    Modeling has a relevant role in today's natural hazards mitigation planning as it can cover a wide range of natural phenomena. This is also the case for an event like a tsunami. In order to support the urban planning or prepare emergency response plans it is of major importance to be able to properly evaluate the vulnerability associated with different areas and/or equipments. The use of high resolution models can provide relevant information about the most probable inundation areas which complemented with other data such as the type of buildings, location of prioritary equipments, etc., may effectively contribute to better identify the most vulnerable zones, define rescue and escape routes and adequate the emergency plans to the constraints associated to these type of events. In the framework of FP6 SCHEMA project these concepts are being applied to different test sites and a detailed evaluation of the vulnerability of buildings and people to a tsunami event is being evaluated. One of the sites selected it is located in Portugal, in the Atlantic coast, and it refers to Setúbal area which is located about 40 km south of Lisbon. Within this site two specific locations are being evaluated: one is the city of Setúbal (in the Sado estuary right margin) and the other is the Tróia peninsula (in the Sado estuary left margin). Setúbal city is a medium size town with about 114,000 inhabitants while Tróia is a touristic resort located in a shallow area with a high seasonal occupation and has the river Sado as one of the main sources of income to the city. Setúbal was one of the Portuguese villages that was seriously damaged by the of 1755 earthquake event. The 1755 earthquake, also known as the Great Lisbon Earthquake, took place on 1 November 1755, the catholic holiday of All Saints, around 09:30 AM. The earthquake was followed by a tsunami and fires which caused a huge destruction of Lisboa and Setúbal In the framework of the present study, a detailed evaluation of

  18. High-Risk List

    Science.gov (United States)

    2017-01-01

    economy. The World Bank has said that “corruption creates an unfavorable business environment by undermining the operation efficiency of firms and... Bank Began as ‘Ponzi Scheme,’” 11/27/2012. 64 Independent Joint Anti-Corruption Monitoring and Evaluation Committee, Unfinished Business : The Follow...HIGH RISK AREA 7: Oversight 51 HIGH-RISK AREA 8: Strategy and Planning 55 CONCLUSION HIGH RISK LIST I JANUARY 11, 2017 2 EXECUTIVE SUMMARY

  19. Identification of high-risk areas for harbour porpoise Phocoena phocoena bycatch using remote electronic monitoring and satellite telemetry data

    DEFF Research Database (Denmark)

    Kindt-Larsen, Lotte; Berg, Casper Willestofte; Tougaard, J.

    2016-01-01

    grounds, quantify fishing effort and document harbour porpoise bycatch. Movement data from 66 harbour porpoises equipped with satellite transmitters from 1997 to 2012 were used to model population density. A simple model was constructed to investigate the relationship between the response (number...... telemetry or REM data allow for identification of areas of potential high and low bycatch risk, and better predictions are obtained when combining the 2 sources of data. The final model can thus be used as a tool to identify areas of bycatch risk...... and lower risk of porpoise bycatch. From May 2010 to April 2011, 4 commercial gillnet vessels were equipped with remote electronic monitoring (REM) systems. The REM system recorded time, GPS position and closed-circuit television (CCTV) footage of all gillnet hauls. REM data were used to identify fishing...

  20. Understanding high traffic injury risks for children in low socioeconomic areas: a qualitative study of parents' views.

    Science.gov (United States)

    Christie, N; Ward, H; Kimberlee, R; Towner, E; Sleney, J

    2007-12-01

    To gain an in-depth qualitative understanding of parents' views about their children's exposure to road traffic injury risk in low socioeconomic areas. Focus groups facilitated by a moderator with content analysis of data. Focus groups were conducted in 10 low socioeconomic English districts that also have high rates of child pedestrian injury. Research was conducted in community venues within each area. Parents of children aged 9-14 years living in low socioeconomic areas. Parents believe that children play in their local streets for the following reasons: they like playing out with friends near home; there are few safe, secure, and well-maintained public spaces for children; children are excluded from affordable leisure venues because of their costs; insufficient parental responsibility. For children that play in the street, the key sources of risk identified by parents were: illegal riding and driving around estates and on the pavements; the speed and volume of traffic; illegal parking; drivers being poorly informed about where children play; children's risk-taking behavior. Intervention programs need to take into account multiple reasons why children in low socioeconomic areas become exposed to hazardous environments thereby increasing their risk of injury. Multi-agency partnerships involving the community are increasingly needed to implement traditional road safety approaches, such as education, engineering, and enforcement, and provide safe and accessible public space, affordable activities for children, and greater support for parents.

  1. Identifying and evaluating high risk areas and challenges on marine drilling riser system in relation to deepwater problems

    OpenAIRE

    Iversen, Alexander

    2012-01-01

    Master's thesis in Offshore technology The main concerns during drilling operations are riser integrity and maintaining well control. This thesis has mainly been focusing on the problems and challenges faced with the marine riser system to illuminate high risk areas related to riser integrity. A marine riser system consists generally of four main elements; the upper marine riser package, riser joints, lower marine riser package, and the blowout preventer, each playing an important par...

  2. Identifying areas of high risk of human exposure to coccidioidomycosis in Texas using serology data from dogs.

    Science.gov (United States)

    Gautam, R; Srinath, I; Clavijo, A; Szonyi, B; Bani-Yaghoub, M; Park, S; Ivanek, R

    2013-03-01

    Coccidioidomycosis or Valley Fever (VF) is an emerging soil-borne fungal zoonosis affecting humans and animals. Most non-human cases of VF are found in dogs, which we hypothesize may serve as sentinels for estimating the human exposure risk. The objective of this study is to use the spatial and temporal distribution and clusters of dogs seropositive for VF to define the geographic area in Texas where VF is endemic, and thus presents a higher risk of exposure to humans. The included specimens were seropositive dogs tested at a major diagnostic laboratory between 1999 and 2009. Data were aggregated by zip code and smoothed by empirical Bayesian estimation to develop an isopleth map of VF seropositive rates using kriging. Clusters of seropositive dogs were identified using the spatial scan test. Both the isopleth map and the scan test identified an area with a high rate of VF-seropositive dogs in the western and southwestern parts of Texas (relative risk = 31). This location overlapped an area that was previously identified as a potential endemic region based on human surveys. Together, these data suggest that dogs may serve as sentinels for estimating the risk of human exposure to VF. © 2012 Blackwell Verlag GmbH.

  3. Oral Microbiota and Risk for Esophageal Squamous Cell Carcinoma in a High-Risk Area of China

    OpenAIRE

    Chen, Xingdong; Winckler, Bj?rn; Lu, Ming; Cheng, Hongwei; Yuan, Ziyu; Yang, Yajun; Jin, Li; Ye, Weimin

    2015-01-01

    Poor oral health has been linked with an increased risk of esophageal squamous cell carcinoma (ESCC). We investigated whether alteration of oral microbiota is associated with ESCC risk. Fasting saliva samples were collected from 87 incident and histopathologicallly diagnosed ESCC cases, 63 subjects with dysplasia and 85 healthy controls. All subjects were also interviewed with a questionnaire. V3-V4 region of 16S rRNA was amplified and sequenced by 454-pyrosequencing platform. Carriage of eac...

  4. Low vitamin C intake increases risk of pre-eclampsia in high pesticide exposure area

    Directory of Open Access Journals (Sweden)

    Rifatul Masrikhiyah

    2016-08-01

    Low vitamin C intake played the most important role toward pre-eclampsia. Greater caution is needed when issuing recommendations regarding the consumption of vitamin supplements in pregnancy, as high doses of some vitamins may be deleterious.

  5. Gallbladder cancer: incidence and survival in a high-risk area of Chile.

    Science.gov (United States)

    Bertran, Enriqueta; Heise, Katy; Andia, Marcelo E; Ferreccio, Catterina

    2010-11-15

    We assessed population incidence rates 1998-2002 and 5-year survival rates of 317 primary gallbladder cancer (GBC) entered in the population-based cancer registry in Valdivia. We analyzed GBC incidence (Poisson regression) and GBC survival (Cox regression). Cases were identified by histology (69.4%), clinical work-up (21.8%), or death certificate only (8.8%). Main symptoms were abdominal pain (82.8%), jaundice (53.6%) nausea (42.6%), and weight loss (38.2%); at diagnosis, 64% had Stage TNM IV. In the period, 4% of histopathological studies from presumptively benign cholecystectomies presented GBC. GBC cases were mainly females (76.0%), urban residents (70.3%), Hispanic (83.7%) of low schooling Mapuche 25.0, Hispanic 16.2 (p = 0.09). The highest SIRs were in Mapuche (269.2) and Hispanic women (199.6) with 8 years of schooling. Low schooling, female and urban residence were independent risk factors. By December 31, 2007, 6 (1.9%) cases were living, 280 (88.3%) died from GBC, 32 (10.1%) were lost of follow-up. Kaplan Meier Global 5-year survival was: 10.3%, 85% at stage I and 1.9% at stage IV; median survival: 3.4 months. Independent poor prognostic factors were TNM IV, jaundice and nonincidental diagnoses. Our results suggest that women of Mapuche ancestry with low schooling (>50 years) are at the highest risk of presenting and dying from GBC and should be the target for early detection programs.

  6. A statistical approach to rank multiple priorities in Environmental Epidemiology: an example from high-risk areas in Sardinia, Italy

    Directory of Open Access Journals (Sweden)

    Dolores Catelan

    2008-11-01

    Full Text Available In Environmental Epidemiology, long lists of relative risk estimates from exposed populations are compared to a reference to scrutinize the dataset for extremes. Here, inference on disease profiles for given areas, or for fixed disease population signatures, are of interest and summaries can be obtained averaging over areas or diseases. We have developed a multivariate hierarchical Bayesian approach to estimate posterior rank distributions and we show how to produce league tables of ranks with credibility intervals useful to address the above mentioned inferential problems. Applying the procedure to a real dataset from the report “Environment and Health in Sardinia (Italy” we selected 18 areas characterized by high environmental pressure for industrial, mining or military activities investigated for 29 causes of deaths among male residents. Ranking diseases highlighted the increased burdens of neoplastic (cancerous, and non-neoplastic respiratory diseases in the heavily polluted area of Portoscuso. The averaged ranks by disease over areas showed lung cancer among the three highest positions.

  7. Oral Microbiota and Risk for Esophageal Squamous Cell Carcinoma in a High-Risk Area of China.

    Science.gov (United States)

    Chen, Xingdong; Winckler, Björn; Lu, Ming; Cheng, Hongwei; Yuan, Ziyu; Yang, Yajun; Jin, Li; Ye, Weimin

    2015-01-01

    Poor oral health has been linked with an increased risk of esophageal squamous cell carcinoma (ESCC). We investigated whether alteration of oral microbiota is associated with ESCC risk. Fasting saliva samples were collected from 87 incident and histopathologicallly diagnosed ESCC cases, 63 subjects with dysplasia and 85 healthy controls. All subjects were also interviewed with a questionnaire. V3-V4 region of 16S rRNA was amplified and sequenced by 454-pyrosequencing platform. Carriage of each genus was compared by means of multivariate-adjusted odds ratios derived from logistic regression model. Relative abundance was compared using Metastats method. Beta diversity was estimated using Unifrac and weighted Unifrac distances. Principal coordinate analysis (PCoA) was applied to ordinate dissimilarity matrices. Multinomial logistic regression was used to compare the coordinates between different groups. ESCC subjects had an overall decreased microbial diversity compared to control and dysplasia subjects (PPCoA coordinates also revealed that ESCC subjects had significantly different levels for several coordinates compared to non-ESCC subjects. In conclusion, we observed a correlation between altered salivary bacterial microbiota and ESCC risk. The results of our study on the saliva microbiome are of particular interest as it reflects the shift in microbial communities. Further studies are warranted to verify this finding, and if being verified, to explore the underlying mechanisms.

  8. Cortical surface area reduction in identification of subjects at high risk for post-traumatic stress disorder: A pilot study.

    Science.gov (United States)

    Hu, Hao; Sun, Yawen; Su, Shanshan; Wang, Yao; Qiu, Yongming; Yang, Xi; Zhou, Yan; Xiao, Zeping; Wang, Zhen

    2018-01-01

    Victims of motor vehicle accidents often develop post-traumatic stress disorder, which causes significant social function loss. For the difficulty in treating post-traumatic stress disorder, identification of subjects at high risk for post-traumatic stress disorder is essential for providing possible intervention. This paper aims to examine the cortical structural traits related to susceptibility to post-traumatic stress disorder. To address this issue, we performed structural magnetic resonance imaging study in motor vehicle accident victims within 48 hours from the accidents. A total of 70 victims, available for both clinical and magnetic resonance imaging data, enrolled in our study. Upon completion of 6-month follow-up, 29 of them developed post-traumatic stress disorder, while 41 of them didn't. At baseline, voxelwise comparisons of cortical thickness, cortical area and cortical volume were conducted between post-traumatic stress disorder group and trauma control group. As expected, several reduced cortical volume within frontal-temporal loop were observed in post-traumatic stress disorder. For cortical thickness, no between-group differences were observed. There were three clusters in left hemisphere and one cluster in right hemisphere showing decreased cortical area in post-traumatic stress disorder patients, compared with trauma controls. Peak voxels of the three clusters in left hemisphere were separately located in superior parietal cortex, insula and rostral anterior cingulate cortex. The finding of reduced surface area of left insula and left rostral anterior cingulate cortex suggests that shrinked surface area in motor vehicle accident victims could act as potential biomarker of subjects at high risk for post-traumatic stress disorder.

  9. Opium, tobacco, and alcohol use in relation to oesophageal squamous cell carcinoma in a high-risk area of Iran

    Science.gov (United States)

    Nasrollahzadeh, D; Kamangar, F; Aghcheli, K; Sotoudeh, M; Islami, F; Abnet, C C; Shakeri, R; Pourshams, A; Marjani, H A; Nouraie, M; Khatibian, M; Semnani, S; Ye, W; Boffetta, P; Dawsey, S M; Malekzadeh, R

    2008-01-01

    The very high incidence of oesophageal squamous cell carcinoma (ESCC) in Golestan Province in northeastern Iran was suggested by studies in the 1970s as partly due to opium use, which is not uncommon in this area, but based on limited numbers. From December 2003 to June 2007, we administered a validated structured questionnaire to 300 ESCC cases and 571 controls, matched on neighbourhood of residence, age (±2 years), and sex. We used conditional logistic regression models to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs) adjusted for potential confounders. Compared with those who used neither tobacco nor opium, risk of ESCC was increased in those who used tobacco only (OR, 95% CI: 1.70, 1.05–2.73), in those who used opium only (2.12, 1.21–3.74), and in those who used both tobacco and opium (2.35, 1.50–3.67). All forms of tobacco use (cigarettes, hookah, and nass) were associated with higher ESCC risk. Similarly, use of both crude opium and other forms of opium were associated with higher risk. Alcohol consumption was seen in only 2% of the cases and 2% of the controls, and was not associated with ESCC risk. PMID:18475303

  10. Oral Microbiota and Risk for Esophageal Squamous Cell Carcinoma in a High-Risk Area of China.

    Directory of Open Access Journals (Sweden)

    Xingdong Chen

    Full Text Available Poor oral health has been linked with an increased risk of esophageal squamous cell carcinoma (ESCC. We investigated whether alteration of oral microbiota is associated with ESCC risk. Fasting saliva samples were collected from 87 incident and histopathologicallly diagnosed ESCC cases, 63 subjects with dysplasia and 85 healthy controls. All subjects were also interviewed with a questionnaire. V3-V4 region of 16S rRNA was amplified and sequenced by 454-pyrosequencing platform. Carriage of each genus was compared by means of multivariate-adjusted odds ratios derived from logistic regression model. Relative abundance was compared using Metastats method. Beta diversity was estimated using Unifrac and weighted Unifrac distances. Principal coordinate analysis (PCoA was applied to ordinate dissimilarity matrices. Multinomial logistic regression was used to compare the coordinates between different groups. ESCC subjects had an overall decreased microbial diversity compared to control and dysplasia subjects (P<0.001. Decreased carriage of genera Lautropia, Bulleidia, Catonella, Corynebacterium, Moryella, Peptococcus and Cardiobacterium were found in ESCC subjects compared to non-ESCC subjects. Multinomial logistic regression analyses on PCoA coordinates also revealed that ESCC subjects had significantly different levels for several coordinates compared to non-ESCC subjects. In conclusion, we observed a correlation between altered salivary bacterial microbiota and ESCC risk. The results of our study on the saliva microbiome are of particular interest as it reflects the shift in microbial communities. Further studies are warranted to verify this finding, and if being verified, to explore the underlying mechanisms.

  11. Novel strategies lead to pre-elimination of malaria in previously high-risk areas in Suriname, South America

    Directory of Open Access Journals (Sweden)

    Hiwat Hélène

    2012-01-01

    Full Text Available Abstract Background Suriname was a high malaria risk country before the introduction of a new five-year malaria control program in 2005, the Medical Mission Malaria Programme (MM-MP. Malaria was endemic in the forested interior, where especially the stabile village communities were affected. Case description The interventions of the MM-MP included new strategies for prevention, vector control, case management, behavioral change communication (BCC/information, education and communication (IEC, and strengthening of the health system (surveillance, monitoring and evaluation and epidemic detection system. After a slow first year with non-satisfying scores for the performance indicators, the MM-MP truly engaged in its intervention activities in 2006 and kept its performance up until the end of 2009. A total of 69,994 long-lasting insecticide-treated nets were distributed and more than 15,000 nets re-impregnated. In high-risk areas, this was complemented with residual spraying of insecticides. Over 10,000 people were screened with active case detection in outbreak and high-risk areas. Additional notification points were established and the national health system was strengthened. Discussion and evaluation In the current paper, the MM-MP is evaluated both on account of the targets established within the programme and on account of its impact on the malaria situation in Suriname. Malaria vector populations, monitored in sentinel sites, collapsed after 2006 and concurrently the number of national malaria cases decreased from 8,618 in 2005 to 1,509 in 2009. Malaria transmission risk shifted from the stabile village communities to the mobile gold mining communities, especially those along the French Guiana border. Conclusions The novel strategies for malaria control introduced in Suriname within the MM-MP have led to a significant decrease in the national malaria burden. The challenge is to further reduce malaria using the available strategies as

  12. Novel strategies lead to pre-elimination of malaria in previously high-risk areas in Suriname, South America.

    Science.gov (United States)

    Hiwat, Hélène; Hardjopawiro, Loretta S; Takken, Willem; Villegas, Leopoldo

    2012-01-09

    Suriname was a high malaria risk country before the introduction of a new five-year malaria control program in 2005, the Medical Mission Malaria Programme (MM-MP). Malaria was endemic in the forested interior, where especially the stabile village communities were affected. The interventions of the MM-MP included new strategies for prevention, vector control, case management, behavioral change communication (BCC)/information, education and communication (IEC), and strengthening of the health system (surveillance, monitoring and evaluation and epidemic detection system). After a slow first year with non-satisfying scores for the performance indicators, the MM-MP truly engaged in its intervention activities in 2006 and kept its performance up until the end of 2009. A total of 69,994 long-lasting insecticide-treated nets were distributed and more than 15,000 nets re-impregnated. In high-risk areas, this was complemented with residual spraying of insecticides. Over 10,000 people were screened with active case detection in outbreak and high-risk areas. Additional notification points were established and the national health system was strengthened. In the current paper, the MM-MP is evaluated both on account of the targets established within the programme and on account of its impact on the malaria situation in Suriname. Malaria vector populations, monitored in sentinel sites, collapsed after 2006 and concurrently the number of national malaria cases decreased from 8,618 in 2005 to 1,509 in 2009. Malaria transmission risk shifted from the stabile village communities to the mobile gold mining communities, especially those along the French Guiana border. The novel strategies for malaria control introduced in Suriname within the MM-MP have led to a significant decrease in the national malaria burden. The challenge is to further reduce malaria using the available strategies as appropriate in the affected areas and populations. Elimination of malaria in the country will

  13. Simulating high spatial resolution high severity burned area in Sierra Nevada forests for California Spotted Owl habitat climate change risk assessment and management.

    Science.gov (United States)

    Keyser, A.; Westerling, A. L.; Jones, G.; Peery, M. Z.

    2017-12-01

    Sierra Nevada forests have experienced an increase in very large fires with significant areas of high burn severity, such as the Rim (2013) and King (2014) fires, that have impacted habitat of endangered species such as the California spotted owl. In order to support land manager forest management planning and risk assessment activities, we used historical wildfire histories from the Monitoring Trends in Burn Severity project and gridded hydroclimate and land surface characteristics data to develope statistical models to simulate the frequency, location and extent of high severity burned area in Sierra Nevada forest wildfires as functions of climate and land surface characteristics. We define high severity here as BA90 area: the area comprising patches with ninety percent or more basal area killed within a larger fire. We developed a system of statistical models to characterize the probability of large fire occurrence, the probability of significant BA90 area present given a large fire, and the total extent of BA90 area in a fire on a 1/16 degree lat/lon grid over the Sierra Nevada. Repeated draws from binomial and generalized pareto distributions using these probabilities generated a library of simulated histories of high severity fire for a range of near (50 yr) future climate and fuels management scenarios. Fuels management scenarios were provided by USFS Region 5. Simulated BA90 area was then downscaled to 30 m resolution using a statistical model we developed using Random Forest techniques to estimate the probability of adjacent 30m pixels burning with ninety percent basal kill as a function of fire size and vegetation and topographic features. The result is a library of simulated high resolution maps of BA90 burned areas for a range of climate and fuels management scenarios with which we estimated conditional probabilities of owl nesting sites being impacted by high severity wildfire.

  14. Managing Risk Areas in Software Development Offshoring

    DEFF Research Database (Denmark)

    Persson, John Stouby; Schlichter, Bjarne Rerup

    2015-01-01

    Software companies are increasingly offshoring development to countries with high expertise at lower cost. Offshoring involves particular risk areas that if ignored increase the likelihood of failure. However, the offshoring client’s maturity level may influence the management of these risk areas...

  15. Generating local scale land use/cover change scenarios: case studies of high-risk mountain areas

    Science.gov (United States)

    Malek, Žiga; Glade, Thomas; Boerboom, Luc

    2014-05-01

    The relationship between land use/cover changes and consequences to human well-being is well acknowledged and has led to higher interest of both researchers and decision makers in driving forces and consequences of such changes. For example, removal of natural vegetation cover or urban expansion resulting in new elements at risk can increase hydro-meteorological risk. This is why it is necessary to study how the land use/cover could evolve in the future. Emphasis should especially be given to areas experiencing, or expecting, high rates of socio-economic change. A suitable approach to address these changes is scenario development; it offers exploring possible futures and the corresponding environmental consequences, and aids decision-making, as it enables to analyse possible options. Scenarios provide a creative methodology to depict possible futures, resulting from existing decisions, based on different assumptions of future socio-economic development. They have been used in various disciplines and on various scales, such as flood risk and soil erosion. Several studies have simulated future scenarios of land use/cover changes at a very high success rate, however usually these approaches are tailor made for specific case study areas and fit to available data. This study presents a multi-step scenario generation framework, which can be transferable to other local scale case study areas, taking into account the case study specific consequences of land use/cover changes. Through the use of experts' and decision-makers' knowledge, we aimed to develop a framework with the following characteristics: (1) it enables development of scenarios that are plausible, (2) it can overcome data inaccessibility, (3) it can address intangible and external driving forces of land use/cover change, and (4) it ensures transferability to other local scale case study areas with different land use/cover change processes and consequences. To achieve this, a set of different methods is applied

  16. Perceptions of Community HIV/STI Risk Among U.S Women Living in Areas with High Poverty and HIV Prevalence Rates.

    Science.gov (United States)

    Blackstock, Oni J; Frew, Paula; Bota, Dorothy; Vo-Green, Linda; Parker, Kim; Franks, Julie; Hodder, Sally L; Justman, Jessica; Golin, Carol E; Haley, Danielle F; Kuo, Irene; Adimora, Adaora A; Rompalo, Anne; Soto-Torres, Lydia; Wang, Jing; Mannheimer, Sharon B

    2015-08-01

    Although studies have consistently demonstrated that women at high risk for HIV and non-HIV sexually transmitted infections (STIs) tend to underestimate their individual risk, little is known about how women at risk perceive their community's HIV/STI risk. We explored perceptions of community HIV/STI risk among U.S. women living in areas with high poverty and HIV prevalence rates as part of a qualitative substudy of the Women's HIV SeroIncidence Study. Semi-structured focus groups were conducted. Data were coded and analyzed using the constant comparative method. Participants expressed the perception that their communities were at elevated HIV/STI risk, mostly due to contextual and structural factors such as lack of access to health care and education. Findings suggest that HIV prevention messages that target U.S. women at high risk for HIV may be strengthened by addressing the high perceived community HIV/STI risk driven by structural factors.

  17. Perceptions of Community HIV/ STI Risk Among U.S Women Living in Areas with High Poverty and HIV Prevalence Rates

    OpenAIRE

    Blackstock, Oni J.; Frew, Paula; Bota, Dorothy; Vo-Green, Linda; Parker, Kim; Franks, Julie; Hodder, Sally L.; Justman, Jessica; Golin, Carol E.; Haley, Danielle F.; Kuo, Irene; Adimora, Adaora A.; Rompalo, Anne; Soto-Torres, Lydia; Wang, Jing

    2015-01-01

    Although studies have consistently demonstrated that women at high risk for HIV and non-HIV sexually transmitted infections (STIs) tend to underestimate their individual risk, little is known about how women at risk perceive their community’s HIV/STI risk. We explored perceptions of community HIV/ STI risk among U.S. women living in areas with high poverty and HIV prevalence rates as part of a qualitative substudy of the Women’s HIV SeroIncidence Study. Semi-structured focus groups were condu...

  18. Everyday life innovation potential: when technology has to make sense. Citizens living in high-risk areas for health, using health-promoting technologies

    DEFF Research Database (Denmark)

    Madsen, Jacob Østergaard

    2014-01-01

    ) to contribute, along with other health professionals, in dealing with the problem of inequality in health. In this study health promoting technologies for adult citizens living in high risk areas of health, is chosen as one particular area of interest for occupational therapists within the field of health...

  19. [Determination of serologic markers of hepatitis B virus in high risk areas at the Central Air Force Hospital of Peru].

    Science.gov (United States)

    Valladares Alvarez, G; Galarza, J; Espinoza, J; Nieri, A; Makino, R; Berrocal, A; Grados, N

    1989-01-01

    In the present paper, the serologic markers of Hepatitis B virus were studied in 123 people belonging to the Hospital Central de la Fuerza Aérea del Perú that had been working in areas of high risk to get contact with this virus. The determination was done with the enzimo inmuno assay (EIA Abbot) and the results were the following: In 15 individuals (12.1%), at least one positive marker was found, evidence which proved to have been in contact with the virus in some moment of his life. Only one carrier (0.8%) was found, in 6 (4.8%) the presence of anti-HBc as only marker was found and in 8 (6.5%) the presence of Anti-HBc and Anti-HBs was observed which means post infection immunity. The great number of the individuals in which the markers were found, were male: 13 (16.0%) against only 2 (4.7%) female. There wasn't great difference with relation to the prevalency of markers according to the years of work like there has been observed in other greater series. It can be concluded that in this group the incidence of infection due to VHB was no greater than that of general population, which indicates us the little contact that they have had with the contaminating material during their professional life.

  20. Frequency of CDH1 germline mutations in gastric carcinoma coming from high- and low-risk areas: metanalysis and systematic review of the literature

    International Nuclear Information System (INIS)

    Corso, Giovanni; Marrelli, Daniele; Pascale, Valeria; Vindigni, Carla; Roviello, Franco

    2012-01-01

    The frequency of E-cadherin germline mutations in countries with different incidence rates for gastric carcinoma has not been well established. The goal of this study was to assess the worldwide frequency of CDH1 germline mutations in gastric cancers coming from low- and high-risk areas. English articles using MEDLINE access (from 1998 to 2011). Search terms included CDH1, E-cadherin, germline mutation, gastric cancer, hereditary, familial and diffuse histotype. The study included all E-cadherin germline mutations identified in gastric cancer patients; somatic mutations and germline mutations reported in other tumors were excluded. The method of this study was scheduled in accordance with the 'PRISMA statement for reporting systematic reviews and meta-analyses'. Countries were classified as low- or middle/high risk-areas for gastric carcinoma incidence. Statistical analysis was performed to correlate the CDH1 mutation frequency with gastric cancer incidence areas. A total of 122 E-cadherin germline mutations have been identified; the majority (87.5%) occurred in gastric cancers coming from low-risk areas. In high-risk areas, we identified 16 mutations in which missense mutations were predominant. (68.8%). We verified a significant association between the mutation frequency and the gastric cancer risk area (p < 0.001: overall identified mutations in low- vs. middle/high-risk areas). E-cadherin genetic screenings performed in low-risk areas for gastric cancer identified a higher frequency of CDH1 germline mutations. This data could open new approaches in the gastric cancer prevention test; before proposing a proband candidate for the CDH1 genetic screening, geographic variability, alongside the family history should be considered

  1. Detection of high endemic and zoonotic risk areas regarding the infestation with Taenia solium larvae in pigs in Romania

    Directory of Open Access Journals (Sweden)

    Ana Maria Oleleu

    2016-11-01

    Full Text Available In Romania, it is necessary to collect recent data on the prevalence of swine cysticercosis, to detect areas of high endemicity and zoonotic risk, to prevent economic losses through proper implementation of control programs. A retrospective epidemiological study was performed during the period 2009-2013, by accessing report/surveillance systems and management of infected animals by analyzing the temporal and spatial distribution of swine cysticercosis in Romania. The study was conducted on the reporting of cases confirmed after the macroscopic exam in slaughterhouses after slaughtering the animals, in accordance to the national epidemio-surveillance strategic program for swine cysticercosis.In term of spatial spread, outbreaks were discovered in 7 countries (16.66% of the 42 existing in Romania. During the studied period there were a total of 10 disease outbreaks. In term of temporal spread, cases of disease had been recorded every year taken under study. Links between the same different outbreaks, exist in the same year or in successive years, so we can see evolution trend of infection in the north-west of Romania, where there were discovered five of seven outbreaks.Analyzing the maintaining/recurrence of infection in outbreaks, we can mention Alba country, located in the north-west of the country, where the infestation was maintained 4 years (2009, 2010, 2012, 2013. In Cluj, the results obtained were correlated with T. solium infestation in humans by eating pork. The obtained results demonstrated that the control programs currently applied are not sufficient to diminuate and/or eradicate these diseases in Romania. Serological surveillance and molecular diagnostic tests are mandatory to be introduced, besides the slaughterhouse basic exams.

  2. Novel strategies lead to pre-elimination of malaria in previously high-risk areas in Suriname, South America

    NARCIS (Netherlands)

    Hiwat, H.; Hardjopawiro, L.S.; Takken, W.; Villegas, L.

    2012-01-01

    Background Suriname was a high malaria risk country before the introduction of a new five-year malaria control program in 2005, the Medical Mission Malaria Programme (MM-MP). Malaria was endemic in the forested interior, where especially the stabile village communities were affected. Case

  3. Epidemiological studies in high-background radiation areas its potential contribution to evaluating risk of low-level radiation

    International Nuclear Information System (INIS)

    Akiba, Suminori; Nair, R.K.; Nakamura, Seiichi; Mizuno, Shoich

    2008-01-01

    The health effect of low-level ionizing radiation is yet unclear. As pointed out by Upton in his review (Upton, 1989), low-level ionizing radiation seems to have different biological effects from what high-level radiation has. Its evaluation requires epidemiological studies of scale-large cohorts (ICRP 99, 2005) such of atomic bomb survivors and nuclear workers. Epidemiological studies in high-background radiation (HBR) areas are also expected to make a significant contribution toward this end. Among several HBR areas in the world, Yangjiang, Guangdong Province in China, Karunagappally in Kerala State of India, Manawalakurichi and Koodankulam in Tamil Nadu of India, and Ramsar in Iran are important areas where epidemiological studies are possible, because of their relatively high background radiation levels and large population sizes. (author)

  4. Perceived Risk of Dengue in Ones' Living Environment as a Determinant of Behavior Change through Social Mobilization and Communication: Evidence from a High Risk Area in Sri Lanka.

    Science.gov (United States)

    Banneheke, Hasini; Paranavitane, Sarath; Jayasuriya, Vathsala; Banneheka, Sarath

    2016-09-01

    The aim of this study was to assess community knowledge and behavioral impact of the social mobilization and communication strategy applied in a dengue high-risk area in Sri Lanka. A group of adults visiting selected primary care facilities in Colombo district were interviewed to collect socio-demographic data, attributes of knowledge regarding dengue and the responsive behaviors adopted by them following the dengue control program though the media and social marketing campaigns. These attributes were classified as 'good', 'fair,' or 'poor' by developing a composite scale for analysis and interpretation of data. The primary source of information was television in the majority. The overall knowledge of the disease, vector and control methods was poor. The overall level of contribution to dengue control activities was good. Awareness of the disease and its complications had not contributed to favorable behavior changes. While the social mobilization and behavior change campaign in Sri Lanka had low impact on knowledge and behaviors, a better understating of community perceptions of DF and how these perceptions are formulated within the social and cultural context; would be useful to improve uptake. This knowledge would be valuable for program planners to strengthen dengue control activities in SL and other similar settings across the region.

  5. Perceived Risk of Dengue in Ones’ Living Environment as a Determinant of Behavior Change through Social Mobilization and Communication: Evidence from a High Risk area in Sri Lanka

    Directory of Open Access Journals (Sweden)

    Hasini Banneheke

    2016-01-01

    Full Text Available Background: The aim of this study was to assess community knowledge and behavioral impact of the social mobili­zation and communication strategy applied in a dengue high-risk area in Sri Lanka.Methods: A group of adults visiting selected primary care facilities in Colombo district were interviewed to collect socio-demographicdata, attributes of knowledge regarding dengue and the responsive behaviors adopted by them following the dengue control program though the media and social marketing campaigns. These attributes were clas­sified as `good ', `fair,' or `poor' by developing a composite scale for analysis and interpretation of data.Results: The primary source of information was television in the majority. The overall knowledge of the disease, vector and control methods was poor. The overall level of contribution to dengue control activities was good.Conclusion: Awareness of the disease and its complications had not contributed to favorable behavior changes.  While the social mobilization and behavior change campaign in Sri Lanka had low impact on knowledge and be­haviors, a better understating of community perceptions of DF and how these perceptions are formulated within the social and cultural context; would be useful to improve uptake. This knowledge would be valuable for program plan­ners to strengthen dengue control activities in SL and other similar settings across the region.

  6. A Probability Co-Kriging Model to Account for Reporting Bias and Recognize Areas at High Risk for Zebra Mussels and Eurasian Watermilfoil Invasions in Minnesota

    Directory of Open Access Journals (Sweden)

    Kaushi S. T. Kanankege

    2018-01-01

    Full Text Available Zebra mussels (ZMs (Dreissena polymorpha and Eurasian watermilfoil (EWM (Myriophyllum spicatum are aggressive aquatic invasive species posing a conservation burden on Minnesota. Recognizing areas at high risk for invasion is a prerequisite for the implementation of risk-based prevention and mitigation management strategies. The early detection of invasion has been challenging, due in part to the imperfect observation process of invasions including the absence of a surveillance program, reliance on public reporting, and limited resource availability, which results in reporting bias. To predict the areas at high risk for invasions, while accounting for underreporting, we combined network analysis and probability co-kriging to estimate the risk of ZM and EWM invasions. We used network analysis to generate a waterbody-specific variable representing boater traffic, a known high risk activity for human-mediated transportation of invasive species. In addition, co-kriging was used to estimate the probability of species introduction, using waterbody-specific variables. A co-kriging model containing distance to the nearest ZM infested location, boater traffic, and road access was used to recognize the areas at high risk for ZM invasions (AUC = 0.78. The EWM co-kriging model included distance to the nearest EWM infested location, boater traffic, and connectivity to infested waterbodies (AUC = 0.76. Results suggested that, by 2015, nearly 20% of the waterbodies in Minnesota were at high risk of ZM (12.45% or EWM (12.43% invasions, whereas only 125/18,411 (0.67% and 304/18,411 (1.65% are currently infested, respectively. Prediction methods presented here can support decisions related to solving the problems of imperfect detection, which subsequently improve the early detection of biological invasions.

  7. A Probability Co-Kriging Model to Account for Reporting Bias and Recognize Areas at High Risk for Zebra Mussels and Eurasian Watermilfoil Invasions in Minnesota.

    Science.gov (United States)

    Kanankege, Kaushi S T; Alkhamis, Moh A; Phelps, Nicholas B D; Perez, Andres M

    2017-01-01

    Zebra mussels (ZMs) ( Dreissena polymorpha ) and Eurasian watermilfoil (EWM) ( Myriophyllum spicatum ) are aggressive aquatic invasive species posing a conservation burden on Minnesota. Recognizing areas at high risk for invasion is a prerequisite for the implementation of risk-based prevention and mitigation management strategies. The early detection of invasion has been challenging, due in part to the imperfect observation process of invasions including the absence of a surveillance program, reliance on public reporting, and limited resource availability, which results in reporting bias. To predict the areas at high risk for invasions, while accounting for underreporting, we combined network analysis and probability co-kriging to estimate the risk of ZM and EWM invasions. We used network analysis to generate a waterbody-specific variable representing boater traffic, a known high risk activity for human-mediated transportation of invasive species. In addition, co-kriging was used to estimate the probability of species introduction, using waterbody-specific variables. A co-kriging model containing distance to the nearest ZM infested location, boater traffic, and road access was used to recognize the areas at high risk for ZM invasions (AUC = 0.78). The EWM co-kriging model included distance to the nearest EWM infested location, boater traffic, and connectivity to infested waterbodies (AUC = 0.76). Results suggested that, by 2015, nearly 20% of the waterbodies in Minnesota were at high risk of ZM (12.45%) or EWM (12.43%) invasions, whereas only 125/18,411 (0.67%) and 304/18,411 (1.65%) are currently infested, respectively. Prediction methods presented here can support decisions related to solving the problems of imperfect detection, which subsequently improve the early detection of biological invasions.

  8. The Very High Background Radiation Area in Ramsar, Iran: Public Health Risk or Signal for a Regulatory Paradigm Shift?

    Energy Technology Data Exchange (ETDEWEB)

    Karam, P. Andrew [Univ. of Rochester, Rochester, NY (United States); Mortazavi, S.M. Javad [Rafsanjan Univ. of Medical Sciences (Iran, Islamic Republic of). Medical Physics Dept.

    2001-07-01

    Ramsar, a city on the Caspian Sea in northern Iran hosts the highest measured natural background radiation levels in the world. These are due to the local geology and hydrogeology and, in some places, deliver radiation doses far in excess of those recommended for radiation workers. A population of about 2000 is exposed to average annual radiation levels of 10.2 mGy/yr and the highest recorded doses are about 260 mGy/yr. These high radiation levels are due to the deposition of {sup 226}Ra in local rocks and, because these rocks are used in the construction of many local houses, interior radiation levels are often similar to those found outside. The presence of areas such as Ramsar raises an interesting public health policy question: Is it necessary to relocate the inhabitants to areas of lower natural background radiation levels in the interests of public health? According to the linear, no-threshold (LNT) hypothesis, there is no doubt that relocating the population of Ramsar will result in a reduction in cancer incidence. Therefore, under any reasonable policy based on the LNT hypothesis, the public health is best served by relocating many of Ramsar's inhabitants to other areas along the Caspian Sea. At present, there is no reliable epidemiological data on cancer incidence among the inhabitants of Ramsar's high background radiation areas (HBRAs), but local physicians feel that local cancer incidence rates are lower than in neighboring cities. Furthermore, preliminary results indicate that there is a statistically significant radio adaptation in the inhabitants of Ramsar. Interestingly, it seems that the frequency of chromosome aberrations in the lymphocytes of the inhabitants of Ramsar is no higher than the control areas. This important finding suggests that the cancer rate in Ramsar should be no higher than in other comparable parts of Iran. In other HBRAs such as Yangjiang, China it has been reported that mortality from all cancers and those from

  9. The Very High Background Radiation Area in Ramsar, Iran: Public Health Risk or Signal for a Regulatory Paradigm Shift?

    International Nuclear Information System (INIS)

    Karam, P. Andrew; Mortazavi, S.M. Javad

    2001-01-01

    Ramsar, a city on the Caspian Sea in northern Iran hosts the highest measured natural background radiation levels in the world. These are due to the local geology and hydrogeology and, in some places, deliver radiation doses far in excess of those recommended for radiation workers. A population of about 2000 is exposed to average annual radiation levels of 10.2 mGy/yr and the highest recorded doses are about 260 mGy/yr. These high radiation levels are due to the deposition of 226 Ra in local rocks and, because these rocks are used in the construction of many local houses, interior radiation levels are often similar to those found outside. The presence of areas such as Ramsar raises an interesting public health policy question: Is it necessary to relocate the inhabitants to areas of lower natural background radiation levels in the interests of public health? According to the linear, no-threshold (LNT) hypothesis, there is no doubt that relocating the population of Ramsar will result in a reduction in cancer incidence. Therefore, under any reasonable policy based on the LNT hypothesis, the public health is best served by relocating many of Ramsar's inhabitants to other areas along the Caspian Sea. At present, there is no reliable epidemiological data on cancer incidence among the inhabitants of Ramsar's high background radiation areas (HBRAs), but local physicians feel that local cancer incidence rates are lower than in neighboring cities. Furthermore, preliminary results indicate that there is a statistically significant radio adaptation in the inhabitants of Ramsar. Interestingly, it seems that the frequency of chromosome aberrations in the lymphocytes of the inhabitants of Ramsar is no higher than the control areas. This important finding suggests that the cancer rate in Ramsar should be no higher than in other comparable parts of Iran. In other HBRAs such as Yangjiang, China it has been reported that mortality from all cancers and those from leukemia, breast and

  10. Early warning signal for dengue outbreaks and identification of high risk areas for dengue fever in Colombia using climate and non-climate datasets.

    Science.gov (United States)

    Lee, Jung-Seok; Carabali, Mabel; Lim, Jacqueline K; Herrera, Victor M; Park, Il-Yeon; Villar, Luis; Farlow, Andrew

    2017-07-10

    Dengue has been prevalent in Colombia with high risk of outbreaks in various locations. While the prediction of dengue epidemics will bring significant benefits to the society, accurate forecasts have been a challenge. Given competing health demands in Colombia, it is critical to consider the effective use of the limited healthcare resources by identifying high risk areas for dengue fever. The Climate Risk Factor (CRF) index was constructed based upon temperature, precipitation, and humidity. Considering the conditions necessary for vector survival and transmission behavior, elevation and population density were taken into account. An Early Warning Signal (EWS) model was developed by estimating the elasticity of the climate risk factor function to detect dengue epidemics. The climate risk factor index was further estimated at the smaller geographical unit (5 km by 5 km resolution) to identify populations at high risk. From January 2007 to December 2015, the Early Warning Signal model successfully detected 75% of the total number of outbreaks 1 ~ 5 months ahead of time, 12.5% in the same month, and missed 12.5% of all outbreaks. The climate risk factors showed that populations at high risk are concentrated in the Western part of Colombia where more suitable climate conditions for vector mosquitoes and the high population level were observed compared to the East. This study concludes that it is possible to detect dengue outbreaks ahead of time and identify populations at high risk for various disease prevention activities based upon observed climate and non-climate information. The study outcomes can be used to minimize potential societal losses by prioritizing limited healthcare services and resources, as well as by conducting vector control activities prior to experiencing epidemics.

  11. Risk behaviors of 15–21 year olds in Mexico lead to a high prevalence of sexually transmitted infections: results of a survey in disadvantaged urban areas

    Directory of Open Access Journals (Sweden)

    Conde-Glez Carlos J

    2006-02-01

    Full Text Available Abstract Background Due to the fact that adolescents are more likely to participate in high-risk behaviors, this sector of the population is particularly vulnerable to contracting sexually transmitted infections (STIs and resultant health problems. Methods A survey was carried out among adolescents from poor homes in 204 small-urban areas of Mexico. Information was collected in relation to risk behaviors and socio-economic environment. A sub-group of the participants also provided blood and urine samples which were analyzed to detect sexually transmitted infections. Results The presence of Chlamydia was detected in nearly 8% of participants who had stated that they were sexually active (18% and approximately 12% were positive for herpes type 2-specific antibodies. For both, a greater proportion of girls resulted positive compared to boys. The presence of these biological outcomes of sexual risk behavior was associated with other risk behaviors (smoking, but not with self-reported indicators of protected sex (reported use of condom during most recent sexual activity. Conclusion The results presented in this study show a startlingly high prevalence of HSV-2 among sexually active Mexican adolescents in poor urban areas, suggesting that this group has participated to a great extent in risky sexual practices. The relationships between socioeconomic environment and adolescent risk behavior need to be better understood if we are to design preventive interventions that modify the determinants of risk behaviors.

  12. Prevalence of metabolic syndrome in Murcia Region, a southern European Mediterranean area with low cardiovascular risk and high obesity

    Directory of Open Access Journals (Sweden)

    Huerta José M

    2011-07-01

    Full Text Available Abstract Background Metabolic syndrome (MS is associated with subsequent appearance of diabetes and cardiovascular disease. As compared to other Spanish regions, Murcia (southern Spain registers increased obesity as well as cardiovascular morbidity and mortality. The aim of this study was to assess the prevalence of MS and its components, awareness of obesity as a health risk and associated lifestyles. Methods A population-based, cross-sectional study was conducted in 2003, covering a sample of 1555 individuals 20 years and over. MS was defined according to the Revised National Cholesterol Education Program Adult Treatment Panel III (R-ATPIII, International Diabetes Federation (IDF and Joint Interim Statement (JIS criteria. Both low (94/80 and high (102/88 waist circumference (WC thresholds were considered. Results Prevalence of MS was 27.2% (95%CI: 25.2-29.2, 32.2% (95%CI: 30.1-34.3 and 33.2% (95%CI: 31.2-35.3 according to the R-ATPIII, IDF and JIS94/80 respectively. It increased with age until reaching 52.6% (R-ATPIII or 60.3% (JIS94/80 among persons aged 70 years and over, and was higher in persons with little or no formal education (51.7% R-ATPIII, 57.3% JIS94/80. The most common risk factors were hypertension (46.6% and central obesity (40.7% and 66.1% according to high and low WC cut-off points respectively. Although most persons were aware that obesity increased health risks, regular exercise was very unusual (13.0% centrally obese, 27.2% non-centrally obese. Adherence to dietary recommendations was similar among centrally obese and non-centrally obese subjects. Conclusions Prevalence of MS is high in our population, is comparable to that found in northern Europe and varies with the definition used. Adherence to preventive recommendations and to adequate weight promotion is very low. In the absence of a specific treatment for MS, integrated intervention based on a sustained increase in physical activity and changes in diet should be

  13. Risk factors for fatal outcome from rocky mountain spotted Fever in a highly endemic area-Arizona, 2002-2011.

    Science.gov (United States)

    Regan, Joanna J; Traeger, Marc S; Humpherys, Dwight; Mahoney, Dianna L; Martinez, Michelle; Emerson, Ginny L; Tack, Danielle M; Geissler, Aimee; Yasmin, Seema; Lawson, Regina; Williams, Velda; Hamilton, Charlene; Levy, Craig; Komatsu, Ken; Yost, David A; McQuiston, Jennifer H

    2015-06-01

    Rocky Mountain spotted fever (RMSF) is a disease that now causes significant morbidity and mortality on several American Indian reservations in Arizona. Although the disease is treatable, reported RMSF case fatality rates from this region are high (7%) compared to the rest of the nation (<1%), suggesting a need to identify clinical points for intervention. The first 205 cases from this region were reviewed and fatal RMSF cases were compared to nonfatal cases to determine clinical risk factors for fatal outcome. Doxycycline was initiated significantly later in fatal cases (median, day 7) than nonfatal cases (median, day 3), although both groups of case patients presented for care early (median, day 2). Multiple factors increased the risk of doxycycline delay and fatal outcome, such as early symptoms of nausea and diarrhea, history of alcoholism or chronic lung disease, and abnormal laboratory results such as elevated liver aminotransferases. Rash, history of tick bite, thrombocytopenia, and hyponatremia were often absent at initial presentation. Earlier treatment with doxycycline can decrease morbidity and mortality from RMSF in this region. Recognition of risk factors associated with doxycycline delay and fatal outcome, such as early gastrointestinal symptoms and a history of alcoholism or chronic lung disease, may be useful in guiding early treatment decisions. Healthcare providers should have a low threshold for initiating doxycycline whenever treating febrile or potentially septic patients from tribal lands in Arizona, even if an alternative diagnosis seems more likely and classic findings of RMSF are absent. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2015. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  14. Geographical Analysis for Detecting High-Risk Areas for Bovine/Human Rabies Transmitted by the Common Hematophagous Bat in the Amazon Region, Brazil.

    Directory of Open Access Journals (Sweden)

    Fernanda A G de Andrade

    Full Text Available The common hematophagous bat, Desmodus rotundus, is one of the main wild reservoirs of rabies virus in several regions in Latin America. New production practices and changed land use have provided environmental features that have been very favorable for D. rotundus bat populations, making this species the main transmitter of rabies in the cycle that involves humans and herbivores. In the Amazon region, these features include a mosaic of environmental, social, and economic components, which together creates areas with different levels of risk for human and bovine infections, as presented in this work in the eastern Brazilian Amazon.We geo-referenced a total of 175 cases of rabies, of which 88% occurred in bovines and 12% in humans, respectively, and related these cases to a number of different geographical and biological variables. The spatial distribution was analyzed using the Kernel function, while the association with independent variables was assessed using a multi-criterion Analytical Hierarchy Process (AHP technique.The spatiotemporal analysis of the occurrence of rabies in bovines and humans found reduction in the number of cases in the eastern state of Pará, where no more cases were recorded in humans, whereas high infection rates were recorded in bovines in the northeastern part of the state, and low rates in the southeast. The areas of highest risk for bovine rabies are found in the proximity of rivers and highways. In the case of human rabies, the highest concentration of high-risk areas was found where the highway network coincides with high densities of rural and indigenous populations.The high-risk areas for human and bovine rabies are patchily distributed, and related to extensive deforested areas, large herds of cattle, and the presence of highways. These findings provide an important database for the generation of epidemiological models that could support the development of effective prevention measures and controls.

  15. Effectiveness of early preventive intervention with semiannual fluoride varnish application in toddlers living in high-risk areas

    DEFF Research Database (Denmark)

    Anderson, Maria; Dahllöf, Göran; Twetman, Svante

    2016-01-01

    This study evaluated whether toddlers in an extended preventive program of semiannual fluoride varnish applications from 1 year of age had a lower incidence of caries than those undergoing a standard program. A cohort of 1-year-old children (n = 3,403) living in multicultural areas of low...... a standardized oral health program once yearly between 1 and 3 years of age. The children in the test group received the same standard program supplemented with topical applications of fluoride varnish every 6 months. We compared the test group and the reference group for the prevalence and increment of caries...... lesions (ICDAS II 3-6), with a mean increment of 0.5 (SD 2.4) in the test group and 0.6 (SD 2.2) in the reference group. In conclusion, semiannual professional applications of fluoride varnish, as a supplement to a standard oral health program, failed to reduce caries development in toddlers from high...

  16. Cross-sectional serologic assessment of immunity to poliovirus infection in high-risk areas of northern India.

    Science.gov (United States)

    Bahl, Sunil; Estívariz, Concepción F; Sutter, Roland W; Sarkar, Bidyut K; Verma, Harish; Jain, Vibhor; Agrawal, Ashutosh; Rathee, Mandeep; Shukla, Hemant; Pathyarch, Surendra K; Sethi, Raman; Wannemuehler, Kathleen A; Jafari, Hamid; Deshpande, Jagadish M

    2014-11-01

    The objectives of this survey were to assess the seroprevalence of antibodies to poliovirus types 1 and 3 and the impact of bivalent (types 1 and 3) oral poliovirus vaccine (bOPV) use in immunization campaigns in northern India. In August 2010, a 2-stage stratified cluster sampling method identified infants aged 6-7 months in high-risk blocks for wild poliovirus infection. Vaccination history, weight and length, and serum were collected to test for neutralizing antibodies to poliovirus types 1, 2, and 3. Seroprevalences of antibodies to poliovirus types 1, 2, and 3 were 98% (95% confidence interval [CI], 97%-99%), 66% (95% CI, 62%-69%), and 77% (95% CI, 75%-79%), respectively, among 664 infants from Bihar and 616 infants from Uttar Pradesh. Infants had received a median of 3 bOPV doses and 2 monovalent type 1 OPV (mOPV1) doses through campaigns and 3 trivalent OPV (tOPV) doses through routine immunization. Among subjects with 0 tOPV doses, the seroprevalences of antibodies to type 3 were 50%, 77%, and 82% after 2, 3, and 4 bOPV doses, respectively. In multivariable analysis, malnutrition was associated with a lower seroprevalence of type 3 antibodies. This study confirmed that replacing mOPV1 with bOPV in campaigns was successful in maintaining very high population immunity to type 1 poliovirus and substantially decreasing the immunity gap to type 3 poliovirus. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  17. Residents in a high radon potential geographic area: Their risk perception and attitude toward testing and mitigation

    International Nuclear Information System (INIS)

    Ferng, S.F.; Lawson, J.K.

    1996-01-01

    Boone County, Indiana was identified by the EPA as one of the high radon potential geographic areas. Health education campaigns are needed to prevent resident's unnecessary radon exposure. In order to design suitable programs, a questionnaire mail survey was conducted to measure socio-demographic characteristics of County resident's knowledge about radon, attitude toward radon testing and mitigation, support of education campaigns, and the best media to deliver radon education campaigns. A stratified random sampling method was applied for a total of 400 samples. The number of samples from each township/city was a proportion of their taxable parcels. The survey return rate was 39.8%. The data were analyzed by Epi Info and SPSS. The statistical significant level was set at α = 0.05. The results showed that resident's knowledge about radon was at a relatively superficial level. There was no association identified between the knowledge of radon and gender, age, family income, or education, except that females more frequently believed in false effects caused by radon. A significant correlation between radon knowledge and home radon tests was observed. Also found in this study was that respondents with better knowledge about diseases caused by radon had more confidence in radon mitigation actions. Newspaper was chosen by respondents as the most favorite media to deliver radon health education campaigns. Health education campaigns for the residents of Boone County might be conducted by local governments and/or other organizations

  18. Qidong hepatitis B virus infection cohort: a 25-year prospective study in high risk area of primary liver cancer.

    Science.gov (United States)

    Chen, Taoyang; Qian, Gengsun; Fan, Chunsun; Sun, Yan; Wang, Jinbing; Lu, Peixin; Xue, Xuefeng; Wu, Yan; Zhang, Qinan; Jin, Yan; Wu, Yiqian; Gan, Yu; Lu, Jianquan; Kensler, Thomas W; Groopman, John D; Tu, Hong

    2018-01-01

    Qidong hepatitis B virus (HBV) infection cohort (QBC) is a prospective community-based study designed to investigate causative factors of primary liver cancer (PLC) in Qidong, China, where both PLC and HBV infection are highly endemic. Residents aged 20-65 years, living in seven townships of Qidong, were surveyed using hepatitis B surface antigen (HBsAg) serum test and invited to participate in QBC from June 1991 to December 1991. A total of 852 and 786 participants were enrolled in HBsAg-positive and HBsAg-negative sub-cohorts in May 1992, respectively. All participants were actively followed up in person, received HBsAg, alanine aminotransferase (ALT), alpha-fetoprotein (AFP) tests and upper abdominal ultrasonic examination, and donated blood and urine samples once or twice a year. The total response rate was 99.6%, and the number of incident PLC was 201 till the end of February 2017. The ratio of incidence rates was 12.32 (95% confidence interval[CI]=7.16-21.21, P PLC was 13.25 (95% CI=6.67-26.33, P PLC-related mutations including A2159G, A2189C and G2203W at the C gene, A799G, A987G and T1055A at the P gene of HBV genome were identified by using samples from the cohort. The mutation in hepatitis B virus (HBV) basal core promoter region of HBV genome has an accumulative effect on the occurrence of PLC. In addition, the tripartite relationship of aflatoxin exposure, P53 mutation and PLC was also investigated. Dynamic prediction model for PLC risk by using its long-term follow-up information and serial blood samples for QBC was developed. This model is expected to improve the efficiency of PLC screening in HBV infection individuals.

  19. Elucidating the underlying causes of oral cancer through spatial clustering in high-risk areas of Taiwan with a distinct gender ratio of incidence

    Directory of Open Access Journals (Sweden)

    Chi-Ting Chiang

    2010-05-01

    Full Text Available This study aimed to elucidate whether or not high-risk clusters of oral cancer (OC incidence spatially correlate with the prevalence rates of betel quid chewing (BQC and cigarette smoking (CS in Taiwan. The spatial autocorrelation and potential clusters of OC incidence among the 307 townships and heavy metal content of soil throughout Taiwan were identified using the Anselin’s local Moran test. Additionally, the spatial correlations among the incidence of OC, the prevalence of BQC and CS and heavy metal content of soil were determined based on a comparison of spatial clusters. High-risk OC (Moran’s I = 0.638, P <0.001 clusters were located in central and eastern Taiwan, while “hot spots” of BQC and CS prevalence were located mainly in eastern Taiwan. The distributions of BQC and CS lifestyle factors (P <0.001 were spatially autocorrelated. The “hot spots” of OC largely coincided with the “hot spots” of BQC, except for the Changhua and Yunlin counties, which are located in central Taiwan. However, high soil contents of nickel and chromium (P <0.001 in central Taiwan also coincided with the high-risk areas of OC incidence. In particular, Changhua county has incurred several decades of serious heavy-metal pollution, with inhabitants living in polluted areas having high-risk exposure to these metals. Results of this study suggest that, in addition to BQC and CS, anthropogenic pollution may profoundly impact the complexity of OC aetiology in central Taiwan.

  20. Life-Style Habits in a High-Risk Area for Upper Gastrointestinal Cancers: a Population-Based Study from Shanxi, China.

    Science.gov (United States)

    Cheng, Yi-Kun; Yao, Shang-Man; Xu, Yi-Ran; Niu, Run-Gui

    2016-01-01

    Cancer is a burden on humanity and ranks as a leading cause of morbidity and mortality in China. Shanxi province has its unique cancer patterns and the burden is increasing. In this study, we aimed to assess the pattern of dietary habits and life-style in Shanxi, a high-risk area for upper gastrointestinal cancers in China and further evaluate the trends in cancer incidence and mortality based on registered data. Data on lifestyle, diet, physical activity were obtained from the household health survey at Zhongyang from 2013 to 2015. Cancer diagnoses were reported to Shanxi Center for Disease Control and Prevention (SCDCP). Population-based cancer incidence data and mortality data of 2012 were collected from the SCDCP. All incidence and death rates were expressed per 100,000 populations. Univariate analysis was performed using the Chi-squared test or Fisherandapos;s exact test. Overall, deficiencies in fresh fruits and vegetable food, and intake of hot food, salted food, or pickled food are serious problems in Shanxi, especially in rural areas. Upper gastrointestinal cancers were the most commonly diagnosed cancers, and the incidence in rural areas is higher than those in urban areas. Cervical cancer is the most common cancer for females. Moreover, the agespecific incidence exhibited an increased trend before 40 years old. Consistent with the previous literature, our epidemiological investigation results suggest that lifestyle, nutrition deficient, and infections were major risk factors for upper gastrointestinal cancers or cervical cancer in Shanxi. Facing a serious situation, we further explored defensible recommendations for the general public in order to promote changes in environments that support healthful eating and physical activity habits, to reduce cancer risk. Our results present the current cancer trends in Shanxi and its related etiologic risk factors and provide a theoretical basis to guide public health efforts to prevent and control cancers in the

  1. Seroprevalence and risk factors of human cysticercosis and taeniasis prevalence in a highly endemic area of epilepsy in Bangoua, west Cameroon.

    Science.gov (United States)

    Nkouawa, Agathe; Dschanou, Armel Romeo; Moyou-Somo, Roger; Sako, Yasuhito; Ito, Akira

    2017-01-01

    Cysticercosis caused by the larvae of Taenia solium is a serious and emerging threat to public health in the endemic areas as well as in the non-endemic areas. Neurocysticercosis, an affection of the central nervous system is a leading cause of epilepsy in endemic areas. This study was carried out to investigate human cysticercosis, taeniasis and risk factors, and also their association with epilepsy in Bangoua, west Cameroon where epilepsy is highly prevalent. Out of 384 people investigated, 12 (3.1%) exhibited antibody response against low molecular weight antigens of T. solium by ELISA. Immunoblot revealed that six persons (1.6%) were seropositive with the same antigens. Among 61 epileptic patients, only one was seropositive by immunoblot and the study did not find any statistically significant difference (P>0.05) in seropositivity to T. solium between epileptic persons (1/61, 1.6%) and non-epileptic group (5/323, 1.5%). In addition, cysticercosis was associated with households eating pork meat from pigs slaughtered at home, but not with other factors. The risk factors including pig farming, the consumption of pork meat, vegetables, and non-drinkable water were attenuated by the relatively good hygiene and pig husbandry practices of the population. No egg of Taenia was found in stool by microscopic examination. All data obtained in this study suggested that cysticercosis might not be the principal causative agent of epilepsy in this area. Copyright © 2015 Elsevier B.V. All rights reserved.

  2. Opportunities for Skin Cancer Prevention Education among Individuals Attending a Community Skin Cancer Screening in a High-Risk Catchment Area.

    Science.gov (United States)

    Parsons, Bridget Grahmann; Gren, Lisa H; Simonsen, Sara E; Harding, Garrett; Grossman, Douglas; Wu, Yelena P

    2018-04-01

    Despite the highly preventable nature of skin cancer, it remains the most commonly diagnosed form of cancer in the United States. Recommendations for a complete skin cancer prevention regimen include engaging in photoprotection (e.g., sunscreen use), avoiding skin cancer risk behaviors (e.g., tanning), and receiving total body skin exams from a health care provider. The current study examined reported engagement in these behaviors among participants attending a community skin cancer screening (N = 319) in a high-risk catchment area to assess the need for increased health education on skin cancer prevention. Participants' responses indicate a history of suboptimal avoidance of skin cancer risk behaviors. Over half of participants (52%) reported four or more blistering sunburns before age 20, and 46% reported indoor tanning at least one during their lifetime. There is a need among this population for education regarding a complete skin cancer prevention regimen, which could improve adherence to photoprotection and avoidance of skin cancer risk behaviors, thereby reducing morbidity and mortality due to skin cancer.

  3. Cost of illness for cholera in a high risk urban area in Bangladesh: an analysis from household perspective

    Science.gov (United States)

    2013-01-01

    Background Cholera poses a substantial health burden to developing countries such as Bangladesh. In this study, the objective is to estimate the economic burden of cholera treatments incurred by households. The study was carried out in the context of a large vaccine trial in an urban area of Bangladesh. Methods The study used a combination of prospective and retrospective incidence-based cost analyses of cholera illness per episode per household. A total of 394 confirmed cholera hospitalized cases were identified and treated in the study area during June–October 2011. Households with cholera patients were interviewed within 15 days after discharge from hospitals or clinics. To estimate the total cost of cholera illness a structured questionnaire was used, which included questions on direct medical costs, non-medical costs, and the indirect costs of patients and caregivers. Results The average total household cost of treatment for an episode of cholera was US$30.40. Total direct and indirect costs constituted 24.6% (US$7.40) and 75.4% (US$23.00) of the average total cost, respectively. The cost for children under 5 years of age (US$21.50) was higher than that of children aged 5–14 years (US$17.50). The direct cost of treatment was similar for male and female patients, but the indirect cost was higher for males. Conclusion Our study suggests that by preventing one cholera episode (3 days on an average), we can avert a total cost of 2,278.50 BDT (US$30.40) per household. Among medical components, medicines are the largest cost driver. No clear socioeconomic gradient emerged from our study, but limited demographic patterns were observed in the cost of illness. By preventing cholera cases, large production losses can be reduced. PMID:24188717

  4. Rivers and flooded areas identified by medium-resolution remote sensing improve risk prediction of the highly pathogenic avian influenza H5N1 in Thailand

    Directory of Open Access Journals (Sweden)

    Weerapong Thanapongtharm

    2013-11-01

    Full Text Available Thailand experienced several epidemic waves of the highly pathogenic avian influenza (HPAI H5N1 between 2004 and 2005. This study investigated the role of water in the landscape, which has not been previously assessed because of a lack of high-resolution information on the distribution of flooded land at the time of the epidemic. Nine Landsat 7- Enhanced Thematic Mapper Plus scenes covering 174,610 km2 were processed using k-means unsupervised classification to map the distribution of flooded areas as well as permanent lakes and reservoirs at the time of the main epidemic HPAI H5N1 wave of October 2004. These variables, together with other factors previously identified as significantly associated with risk, were entered into an autologistic regression model in order to quantify the gain in risk explanation over previously published models. We found that, in addition to other factors previously identified as associated with risk, the proportion of land covered by flooding along with expansion of rivers and streams, derived from an existing, sub-district level (administrative level no. 3 geographical information system database, was a highly significant risk factor in this 2004 HPAI epidemic. These results suggest that water-borne transmission could have partly contributed to the spread of HPAI H5N1 during the epidemic. Future work stemming from these results should involve studies where the actual distribution of small canals, rivers, ponds, rice paddy fields and farms are mapped and tested against farm-level data with respect to HPAI H5N1.

  5. Are we safe? A tool to improve the knowledge of the risk areas: high-resolution floods database (MEDIFLOOD) for Spanish Mediterranean coast (1960 -2014)

    Science.gov (United States)

    Gil-Guirado, Salvador; Perez-Morales, Alfredo; Lopez-Martinez, Francisco; Barriendos-Vallve, Mariano

    2016-04-01

    The Mediterranean coast of the Iberian Peninsula concentrates an important part of the population and economic activities in Spain. Intensive agriculture, industry in the major urban centers, trade and tourism make this region the main center of economic dynamism and one of the highest rates of population and economic growth of southern Europe. This process accelerated after Franco regime started to be more open to the outside in the early sixties of the last century. The main responsible factor for this process is the climate because of warmer temperatures and a large number of sunny days, which has become in the economic slogan of the area. However, this growth process has happened without proper planning to reduce the impact of other climatic feature of the area, floods. Floods are the natural hazard that generates greater impacts in the area.One of the factors that facilitate the lack of strategic planning is the absence of a correct chronology of flood episodes. In this situation, land use plans, are based on inadequate chronologies that do not report the real risk of the population of this area. To reduce this deficit and contribute to a more efficient zoning of the Mediterranean coast according to their floods risk, we have prepared a high-resolution floods database (MEDIFLOOD) for all the municipalities of the Spanish Mediterranean coast since 1960 until 2013. The methodology consists on exploring the newspaper archives of all newspapers with a presence in the area. The searches have been made by typing the name of each of the 180 municipalities of the Spanish coast followed by 5 key terms. Each identified flood has been classified by dates and according to their level of intensity and type of damage. Additionally, we have consulted the specific bibliography to rule out any data gaps. The results are surprising and worrying. We have identified more than 3,600 cases where a municipality has been affected by floods. These cases are grouped into more than 700

  6. Bioavailability and risk assessment of potentially toxic elements in garden edible vegetables and soils around a highly contaminated former mining area in Germany.

    Science.gov (United States)

    Antoniadis, Vasileios; Shaheen, Sabry M; Boersch, Judith; Frohne, Tina; Du Laing, Gijs; Rinklebe, Jörg

    2017-01-15

    Although soil contamination by potentially toxic elements (PTEs) in Europe has a history of many centuries, related problems are often considered as having been dealt with due to the enforcement of tight legislations. However, there are many unsolved issues. We aimed to assess PTE levels in highly contaminated soils and in garden edible vegetables using human health risk indices in order to evaluate the availability and mobilization of arsenic (As), copper (Cu), manganese (Mn), mercury (Hg), lead (Pb), and zinc (Zn). In four gardens in Germany, situated on, or in the vicinity of, a mine dump area, we planted beans (Phaseolus vulgaris ssp. nanus), carrots (Daucus sativus) and lettuce (Lactuca sativa ssp. capitata). We examined soil-to-plant mobilization of elements using transfer coefficient (TC), as well as soil contamination using contamination factor (CF), enrichment factor (EF), and bioaccumulation index (I geo ). In addition, we tested two human health risk assessment indices: Soil-induced hazard quotient (HQ S ) (representing the "direct soil ingestion" pathway), and vegetable-induced hazard quotient (HQ V ) (representing the "vegetable intake" pathway). The studied elements were highly elevated in the soils. The values in garden 2 were especially high (e.g., Pb: 13789.0 and Hg: 36.8 mg kg -1 ) and largely exceeded the reported regulation limits of 50 (for As), 40 (Cu), 400 (Pb), 150 (Zn), and 5 (Hg) mg kg -1 . Similarly, element concentrations were very high in the grown vegetables. The indices of CF, EF and I geo were enhanced even to levels that are rarely reported in the literature. Specifically, garden 2 indicated severe contamination due to multi-element deposition. The contribution of each PTE to the total of measured HQ S revealed that Pb was the single most important element causing health risk (contributing up to 77% to total HQ S ). Lead also posed the highest risk concerning vegetable consumption, contributing up to 77% to total HQ V . The

  7. A Bayesian kriging model for estimating residential exposure to air pollution of children living in a high-risk area in Italy

    Directory of Open Access Journals (Sweden)

    Ana M. Vicedo-Cabrera

    2013-11-01

    Full Text Available A core challenge in epidemiological analysis of the impact of exposure to air pollution on health is assessment of the individual exposure for subjects at risk. Geographical information systems (GIS-based pollution mapping, such as kriging, has become one of the main tools for evaluating individual exposure to ambient pollutants. We applied universal Bayesian kriging to estimate the residential exposure to gaseous air pollutants for children living in a high-risk area (Milazzo- Valle del Mela in Sicily, Italy. Ad hoc air quality monitoring campaigns were carried out: 12 weekly measurements for sulphur dioxide (SO2 and nitrogen dioxide (NO2 were obtained from 21 passive dosimeters located at each school yard of the study area from November 2007 to April 2008. Universal Bayesian kriging was performed to predict individual exposure levels at each residential address for all 6- to 12-years-old children attending primary school at various locations in the study area. Land use, altitude, distance to main roads and population density were included as covariates in the models. A large geographical heterogeneity in air quality was recorded suggesting complex exposure patterns. We obtained a predicted mean level of 25.78 (±10.61 μg/m3 of NO2 and 4.10 (±2.71 μg/m3 of SO2 at 1,682 children’s residential addresses, with a normalised root mean squared error of 28% and 25%, respectively. We conclude that universal Bayesian kriging approach is a useful tool for the assessment of realistic exposure estimates with regard to ambient pollutants at home addresses. Its prediction uncertainty is highly informative and can be used for both designing subsequent campaigns and for improved modelling of epidemiological associations.

  8. An Overview. High Risk Series.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    This report provides an overview of efforts undertaken by the U.S. General Accounting Office (GAO) in 1990 to review and report on federal program areas its work identified as high risk because of vulnerabilities to waste, fraud, abuse, and mismanagement. It reviews the current status of efforts to address these concerns. The six categories of…

  9. Combinations of Quality and Frequency of Immunization Activities to Stop and Prevent Poliovirus Transmission in the High-Risk Area of Northwest Nigeria.

    Directory of Open Access Journals (Sweden)

    Radboud J Duintjer Tebbens

    Full Text Available Frequent supplemental immunization activities (SIAs with the oral poliovirus vaccine (OPV represent the primary strategy to interrupt poliovirus transmission in the last endemic areas.Using a differential-equation based poliovirus transmission model tailored to high-risk areas in Nigeria, we perform one-way and multi-way sensitivity analyses to demonstrate the impact of different assumptions about routine immunization (RI and the frequency and quality of SIAs on population immunity to transmission and persistence or emergence of circulating vaccine-derived polioviruses (cVDPVs after OPV cessation.More trivalent OPV use remains critical to avoid serotype 2 cVDPVs. RI schedules with or without inactivated polio vaccine (IPV could significantly improve population immunity if coverage increases well above current levels in under-vaccinated subpopulations. Similarly, the impact of SIAs on overall population immunity and cVDPV risks depends on their ability to reach under-vaccinated groups (i.e., SIA quality. Lower SIA coverage in the under-vaccinated subpopulation results in a higher frequency of SIAs needed to maintain high enough population immunity to avoid cVDPVs after OPV cessation.National immunization program managers in northwest Nigeria should recognize the benefits of increasing RI and SIA quality. Sufficiently improving RI coverage and improving SIA quality will reduce the frequency of SIAs required to stop and prevent future poliovirus transmission. Better information about the incremental costs to identify and reach under-vaccinated children would help determine the optimal balance between spending to increase SIA and RI quality and spending to increase SIA frequency.

  10. Combinations of Quality and Frequency of Immunization Activities to Stop and Prevent Poliovirus Transmission in the High-Risk Area of Northwest Nigeria.

    Science.gov (United States)

    Duintjer Tebbens, Radboud J; Pallansch, Mark A; Wassilak, Steven G F; Cochi, Stephen L; Thompson, Kimberly M

    2015-01-01

    Frequent supplemental immunization activities (SIAs) with the oral poliovirus vaccine (OPV) represent the primary strategy to interrupt poliovirus transmission in the last endemic areas. Using a differential-equation based poliovirus transmission model tailored to high-risk areas in Nigeria, we perform one-way and multi-way sensitivity analyses to demonstrate the impact of different assumptions about routine immunization (RI) and the frequency and quality of SIAs on population immunity to transmission and persistence or emergence of circulating vaccine-derived polioviruses (cVDPVs) after OPV cessation. More trivalent OPV use remains critical to avoid serotype 2 cVDPVs. RI schedules with or without inactivated polio vaccine (IPV) could significantly improve population immunity if coverage increases well above current levels in under-vaccinated subpopulations. Similarly, the impact of SIAs on overall population immunity and cVDPV risks depends on their ability to reach under-vaccinated groups (i.e., SIA quality). Lower SIA coverage in the under-vaccinated subpopulation results in a higher frequency of SIAs needed to maintain high enough population immunity to avoid cVDPVs after OPV cessation. National immunization program managers in northwest Nigeria should recognize the benefits of increasing RI and SIA quality. Sufficiently improving RI coverage and improving SIA quality will reduce the frequency of SIAs required to stop and prevent future poliovirus transmission. Better information about the incremental costs to identify and reach under-vaccinated children would help determine the optimal balance between spending to increase SIA and RI quality and spending to increase SIA frequency.

  11. [Population-based study on infection and genotype distribution of high-risk human among women in rural areas of China, 2014].

    Science.gov (United States)

    Di, J L; Luo, X M; Wu, J L; Song, B; Ma, L

    2017-04-06

    Objective: To explore the epidemiologic characterization of high-risk human papillomavirus (HR-HPV) infection and genotype distribution of HR-HPV among women in rural areas of China. Methods: This study used multiple layers of stratified cluster random sampling method. During January to December in 2014, 117 counties of 27 provinces were selected as the HPV test screening pilot project counties. The women aged 35-64 years with rural areas Hukou in these project counties were selected as the study subjects. A total 457 799 women received HPV DNA test. Among them, 118 237 women from 32 counties in 11 provinces received qualified HPV DNA test by fluorescent PCR to detect HPV genotypes. Results: Among 118 237 rural women, the overall HR-HPV positive infection rate was 7.8% (9 249/118 237). The infection rate increased with age and reached an infection peak at the 60-64 age groups (9.9%, 831/8 394). The HR-HPV positive infection rate in western regions (6.9%, 2 144/31 130) was statistical significantly lower than in central regions (8.2%, 1 894/23 023) and eastern regions (8.1%, 5 211/64 084) (χ(2)=51.46, PChina. The single infection rates were 20.9% (1 355/6 496), 18.7% (1 215/6 496), and 11.2% (725/6 496), respectively. The multiple infection rates were 47.2% (77/163), 17.8% (29/163), and 18.4% (30/163), respectively. Conclusion: The HR-HPV positive infection rate in rural areas of Chinese woman was 7.8%, western region has lower infection rate compared with central and eastern regions. HPV 52 was first of the most common genotypes in rural areas of China.

  12. Excess relative risk for solid cancer mortality during prolonged exposure to high-background natural radiation in Yangjiang area of China

    International Nuclear Information System (INIS)

    Sun Quanfu; Tao Zufan; Yuan Yongling; Zou Jianming; Cha Yongru; Jian Yuannu; Wei Luxin; Akiba, S.

    2002-01-01

    Objective: To estimate the excess relative risk for solid cancer associated with chronically exposure to high-background natural radiation in Yangjiang area of China. Methods: Based on hamlet-specific environmental doses and sex-and age-specific occupancy factors, the authors calculated cumulative doses for each cohort member. Assuming a linear dose response relationship and using cancer mortality data for the period 1979-1995 and Poisson model, the authors estimated the excess relative risk (ERR) for solid cancer. Results: The ERR per Sv of all solid cancer is estimated to be -0.11 (95% CI, -0.67, 0.69 to 95%). The corresponding figures for cancers of liver, nasopharynx, lungs and stomach are -0.99 (-1.60, 0.10), 0.10 (-1.21, 3.28), -0.68 (-1.58, 1.66) and -0.27 (-1.37, 2.69) respectively. Conclusion: The association between ERR of solid cancer and dose can not be found

  13. The long-term spatial-temporal trends and burden of esophageal cancer in one high-risk area: A population-registered study in Feicheng, China.

    Directory of Open Access Journals (Sweden)

    Xiubin Sun

    Full Text Available Feicheng County is a high-risk area for esophageal cancer in Shandong province, China. It is important to determine the long-term spatio-temporal trends in epidemiological characteristics and the burden of esophageal cancer, especially since the implementation of the national esophageal cancer screening program for early detection and treatment in 2005.The data collected in Feicheng County from 2001 to 2012 was extracted from the whole-population cancer registry system. The incidence, mortality, disability-adjusted life years (DALY and changing trends in esophageal cancer according to age and sex were calculated and described.The incidence rate of esophageal cancer in Feicheng was consistently high, and increased significantly for male, but not for female from 2001 to 2012, according to the joinpoint regression analysis. The highest and lowest yearly crude incidence rates were 160.78 and 95.97 per 100000 for males, and 81.36 and 52.17 per 100000 for females. The highest and lowest crude yearly mortality rates were 122.26 and 94.40 per 100000 for males, and 60.75 and 49.35 per 100000for females. Esophageal squamous cell carcinoma was the main pathology type and the tumor location changed significantly from 2001 to 2012. Overall, the DALY remained roughly stable and was estimated as 11.50 for males and 4.90 for females per 1000 people. The burden was mainly caused by premature death. There is an obvious spatial pattern in the distribution of incidence density and burden.Esophageal cancer remains a public health issue in Feicheng County with a high incidence, mortality and disease burden. The incidence and burden have obvious spatial heterogeneity, and further studies should be conducted to identify geographical risk factors for precise local prevention and control measures.

  14. [Detecting high risk pregnancy].

    Science.gov (United States)

    Doret, Muriel; Gaucherand, Pascal

    2009-12-20

    Antenatal care is aiming to reduce maternal land foetal mortality and morbidity. Maternal and foetal mortality can be due to different causes. Their knowledge allows identifying pregnancy (high risk pregnancy) with factors associated with an increased risk for maternal and/or foetal mortality and serious morbidity. Identification of high risk pregnancies and initiation of appropriate treatment and/or surveillance should improve maternal and/or foetal outcome. New risk factors are continuously described thanks to improvement in antenatal care and development in biology and cytopathology, increasing complexity in identifying high risk pregnancies. Level of risk can change all over the pregnancy. Ideally, it should be evaluated prior to the pregnancy and at each antenatal visit. Clinical examination is able to screen for intra-uterin growth restriction, pre-eclampsia, threatened for preterm labour; ultrasounds help in the diagnosis of foetal morphological anomalies, foetal chromosomal anomalies, placenta praevia and abnormal foetal growth; biological exams are used to screen for pre-eclampsia, gestational diabetes, trisomy 21 (for which screening method just changed), rhesus immunisation, seroconversion for toxoplasmosis or rubeola, unknown infectious disease (syphilis, hepatitis B, VIH). During pregnancy, most of the preventive strategies have to be initiated during the first trimester or even before conception. Prevention for neural-tube defects, neonatal hypocalcemia and listeriosis should be performed for all women. On the opposite, some measures are concerning only women with risk factors such as prevention for toxoplasmosis, rhesus immunization (which recently changed), tobacco complications and pre-eclampsia and intra-uterine growth factor restriction.

  15. Survey of motivation for use of voluntary counseling and testing services for HIV in a high risk area of Shenyang, China

    Directory of Open Access Journals (Sweden)

    Tian Jing

    2009-02-01

    Full Text Available Abstract Background HIV voluntary counseling and testing (VCT is considered an effective prevention method of HIV infection. In order to understand the VCT environment and enhance the effective delivery of VCT services in a country, an accurate assessment of the current status of VCT services is very important. Methods From July 2006 to June 2007, we conducted a cross-sectional survey using a face to face interview among 2676 VCT clients from a high risk area in Shenyang city, China. Results The major demographic characteristics among 2,676 VCT clients were: 41.1% were in the age range 20 to 30 years; 73.1% were males; and 67.1% had attained the level of junior high school education. The primary information source for VCT services was mass media like television (TV and newspaper in 88.9%. 34.3% were afraid of the result of infection which was the main barrier to accept VCT services among 540 participants answering the question. 75.2% were motivated by recently acquired knowledge about HIV. 47.9% had 3 or more male sex partners, 62.3% had used condoms sometimes, and 14.5% had been infected with a STD. 2.8% of the participants identified themselves as men who have sex with men (MSM. The main demographic characteristics of MSM did not differ from the total group of participants except with respect to age: 63.5% reported having one male sex partner in the preceding 12 months, 44.6% reported never using condoms in the preceding 12 months, and only 2.7% reported a history of sexually transmitted disease. Conclusion Public education offered by health workers in hospitals, private clinics and other medical institutions needs to be strengthened. Given the results from this study, we recommend: (1 making VCT a routine part of health services, especially in areas where many high-risk individuals live; (2 improving the information sources and increasing the understanding of HIV and HIV-infected individuals; (3 enhancing international collaboration in

  16. Diagnostic values of serum levels of pepsinogens and gastrin-17 for screening gastritis and gastric cancer in a high risk area in northern Iran.

    Science.gov (United States)

    Nejadi-Kelarijani, Fatemeh; Roshandel, Gholamreza; Semnani, Shahryar; Ahmadi, Ali; Faghani, Behzad; Besharat, Sima; Akhavan-Tabib, Atefeh; Amiriani, Taghi

    2014-01-01

    Gastric cancer (GC) is the second cause of cancer related death in the world. It may develop by progression from its precancerous condition, called gastric atrophy (GA) due to gastritis. The aim of this study was to evaluate the accuracy of serum levels of pepsinogens (Pg) and gastrin-17 (G17) as non-invasive methods to discriminate GA or GC (GA/GC) patients. Subjects referred to gastrointestinal clinics of Golestan province of Iran during 2010 and 2011 were invited to participate. Serum levels of PgI, PgII and G17 were measured using a GastroPanel kit. Based on the pathological examination of endoscopic biopsy samples, subjects were classified into four groups: normal, non-atrophic gastritis, GA, and GC. Receiver operating curve (ROC) analysis was used to determine cut-off values. Indices of validity were calculated for serum markers. Study groups were normal individuals (n=74), non-atrophic gastritis (n=90), GA (n=31) and GC patients (n=30). The best cut-off points for PgI, PgI/II ratio, G17 and HP were 80 μg/L, 10, 6 pmol/L, and 20 EIU, respectively. PgI could differentiate GA/GC with high accuracy (AUC=0.83; 95%CI: 0.76-0.89). The accuracy of a combination of PgI and PgI/II ratio for detecting GA/GC was also relatively high (AUC=0.78; 95%CI: 0.70-0.86). Our findings suggested PgI alone as well as a combination of PgI and PgI/II ratio are valid markers to differentiate GA/GC. Therefore, Pgs may be considered in conducting GC screening programs in high-risk areas.

  17. Green tea drinking, high tea temperature and esophageal cancer in high- and low-risk areas of Jiangsu Province, China: a population-based case-control study.

    NARCIS (Netherlands)

    Wu, M.; Liu, A.M.; Kampman, E.; Zhang, Z.F.; Veer, P. van 't; Wu, D.L.; Wang, P.H.; Yang, J.; Qin, Y.; Mu, L.N.; Kok, F.J.; Zhao, J.K.

    2009-01-01

    Epidemiological studies suggested drinking green tea is inversely associated with esophageal cancer but results remain inconclusive. Moreover, inconsistent observations found high temperature drinks are associated with esophageal cancer. A population-based case-control study was conducted in a

  18. Green tea drinking, high tea temperature and esophageal cancer in high and low risk areas of Jiangsu Province, China: a population-based case-control study

    NARCIS (Netherlands)

    Wu, M.; Liu, A.; Kampman, E.; Zhang, Zuo-Feng; Veer, van 't P.; Wu, P.; Wang, P.; Kok, F.J.; Zhao, J.

    2009-01-01

    Epidemiological studies suggested drinking green tea is inversely associated with esophageal cancer but results remain inconclusive. Moreover, inconsistent observations found high temperature drinks are associated with esophageal cancer. A population-based case-control study was conducted in a

  19. [The determination of serological markers of the hepatitis B virus in high-risk areas of the Central Air Force Hospital of Peru].

    Science.gov (United States)

    Valladares, G; Galarza, J; Espinoza, J; Nieri, A; Makino, R; Berrocal, A; Grados, N

    1989-01-01

    In the present paper, the serologic markers of Hepatitis B virus were studied in 123 people belonging to the Hospital Central de la Fuerza Aérea del Perú that had been working in areas of high risk to get contact with this virus. The determination was done with the enzyme immunoassay (EIA Abbot) and the results were the following: In 15 individuals (12.1%), at least one positive marker was found, evidence which proved to have been in contact with the virus in some moment of his life. Only one carrier (0.8%) was found, in 6 (4.8%) the presence of anti-HBc as only marker was found and in 8 (6.5%) the presence of anti-HBc and anti-HBs was observed which means post infection immunity. The great number of the individuals in which the markers were found, were male: 13 (16.0%) against only 2 (4.7%) female. There wasn't great difference with relation to the prevalence of markers according to the years of work like there has been observed in other greater series. It can be concluded that in this group the incidence of infection due to VHB was no greater than that of general population, which indicates us the little contact that they have had with the contaminating material during their professional life.

  20. National assessment of Canadian pandemic preparedness: Employing InFluNet to identify high-risk areas for inter-wave vaccine distribution

    Directory of Open Access Journals (Sweden)

    Patrick Saunders-Hastings

    2017-08-01

    Full Text Available Background: Influenza pandemics emerge at irregular and unpredictable intervals to cause substantial health, economic and social burdens. Optimizing health-system response is vital to mitigating the consequences of future pandemics. Methods: We developed a mathematical model to assess the preparedness of Canadian health systems to accommodate pandemic-related increases in patient demand. We identify vulnerable areas, assess the potential of inter-wave vaccination to mitigate impacts and evaluate the association between demographic and health-system characteristics in order to identify predictors of pandemic consequences. Results: Modelled average attack rates were 23.7–37.2% with no intervention and 2.5–6.4% with pre-vaccination. Peak acute-care demand was 7.5–19.5% of capacity with no intervention and 0.6–2.6% with pre-vaccination. The peak ICU demand was 39.3–101.8% with no intervention and 2.9–13.3% with pre-vaccination. Total mortality was 2258–7944 with no intervention and 88–472 with pre-vaccination. Regions of Southern Ontario were identified as most vulnerable to surges in patient demand. The strongest predictors of peak acute-care demand and ICU demand were acute-care bed capacity (R = −0.8697; r2 = 0.7564 and ICU bed capacity (R = −0.8151; r2 = 0.6644, respectively. Demographic characteristics had mild associations with predicted pandemic consequences. Conclusion: Inter-wave vaccination provided adequate acute-care resource protection under all scenarios; ICU resource adequacy was protected under mild disease assumptions, but moderate and severe diseases caused demand to exceed expected availability in 21% and 49% of study areas, respectively. Our study informs priority vaccine distribution strategies for pandemic planning, emphasizing the need for targeted early vaccine distribution to high-risk individuals and areas. Keywords: Pandemic influenza, Vaccination

  1. Epidemiological studies in high background radiation areas

    International Nuclear Information System (INIS)

    Akiba, Suminori

    2012-01-01

    Below the doses of 100-200 mSv of radiation exposure, no acute health effect is observed, and the late health effects such as cancer are yet unclear. The problems making the risk evaluation of low dose radiation exposure difficult are the fact that the magnitude of expected health effects are small even if the risk is assumed to increase in proportion to radiation doses. As a result, studies need to be large particular when dealing with rare disease such as cancer. In addition, the expected health effects are so small that they can easily be masked by lifestyles and environmental factors including smoking. This paper will discuss cancer risk possibly associated with low-dose and low-dose rate radiation exposure, describing epidemiological studies on the residents in the high-background radiation areas. (author)

  2. Definition of price in circular raw materials from the process of incineration of hazardous industrial waste in sicilian a high risk area

    Science.gov (United States)

    Matarazzo, Agata; Baglio, Lorenzo; Bonanno, Sandro; Fichera, Andrea; Leanza, Andrea; Russo, Gabriele; Amara, Giovanni; Amara, Giuseppe; Gigli, Carlo; Lombardo, Enrico

    2018-05-01

    Waste is classified (art.184, sub. 1, L.D. n.152/2006) as urban or special depending on its origin and whether it is dangerous or not, as well as the degree of danger. The reuse and recycling of materials are two of the main features that characterize the concept of the circular economy. Every firm operating in the field of the circular economy should adopt an industrial approach based on resource efficiency and the use and supply of sustainable raw materials, which can be achieved through innovative technologies, innovative methodologies and new business models. GE.S.P.I, has become a leading firm in the sector of hazardous industrial waste disposal, adding value to waste through a groundbreaking technology. The result of the process is the production of energy, as well as the creation of ash; this ash is then treated in order to separate dangerous heavy metals from the ash through the technique of eddy currents. Metals and purified ash are then put on the market. The aim of this paper is the price definition of this special waste thanks to the analysis of the specific second raw materials market. In this firm, incineration is a process where emissions are strongly controlled by innovative instruments in order to excel in the social and environmental respect. Through SWOT analysis we moreover describe how a company can turn the weaknesses of a high risk area into opportunities and value becomes a useful problem solving instrument to analyze logistic, marketing, and social responsibility, in the perspective of the optimization of eco-management material flows.

  3. Classification of gastritis in first-degree relatives of patients with gastric cancer in a high cancer-risk area in Italy.

    Science.gov (United States)

    Saieva, Calogero; Rubio, Carlos A; Nesi, Gabriella; Zini, Enzo; Filomena, Alessandro

    2012-05-01

    Screening gastroscopic examinations were performed in a cohort of individuals at high risk for developing gastric carcinoma (GC). Five gastric biopsies were obtained following the Houston schema. Five histological parameters of gastritis were investigated: acute gastritis, chronic gastritis, and its sequelae; mucosal atrophy, intestinal metaplasia and pseudopyloric metaplasia. Out of 134 patients, 50% (n=67) had Helicobacter pylori (HP) infection. The sum of scores for the first four parameters was significantly higher in HP-positive cases than in HP-negative ones (pgastritis explain the high GC risk in this borough of Florence, considering that the incidence rate of GC is higher in Central than in Northern Italy. Similarities in the frequency of chronic gastritis and sequelae in Northern and Central Italy substantiate the conviction that the difference in GC risk in these regions might be the result of local environmental or lifestyle factors, rather than HP infection. This knowledge is crucial, considering that environmentally related diseases are theoretically preventable.

  4. An assessment of high risk sexual behaviour and HIV transmission among migrant oil workers in the Niger Delta area of Nigeria.

    Science.gov (United States)

    Nwauche, C A; Akani, C I

    2006-06-01

    A cross--sectional behavioural survey undertaken amongst migrant oil-workers of an oil exploration outfit operating in the Niger-Delta of Nigeria with the aim of assessing the interplay of migrancy, high-risk sexual behaviour and HIV transmission. A total of 300 randomly selected migrant oil workers were assessed using structured questionnaires to evaluate key high - risk sexual behavioral parameters such as multiplicity of sexual partners, bisexuality (closet homosexuality), high grade sexual behaviour and lesbianism. Sampling period was two months with a control cohort of 200. The prevalence of high risk sexual behaviour (HRSB) amongst the migrant oil workers was found to be 7.7% while low-risk sexual behaviour (LRSB) was 92.3%. There was no record of HRSB in the control group. We did not also encounter any lesbian sexual orientation in this study. The distribution of HRSB amongst the migrant oil workers showed that the commonest variety was bisexuality (closet homosexuality) with 10(43.5%) followed by high-risk sexual behaviour 7(30.4%), while the least common was multiplicity of sexual partners with 6 (26.1%). Furthermore, majority of these individuals 19 (82.6%) were above the age of 35 years. The index of condom-use and acceptance was high. Here 14 (60.9%) found condom-use convenient while 13 (56.5%) regularly used the condom. This study confirms the existence of HRSB among migrant oil workers in the Niger delta. It is therefore advisable to focus interventionist and prevention programmes on this group which appear to be pivotal in the transmission and spread of HIV/AIDS in this environment.

  5. The "Learning Through Play" project. Importance of interdisciplinary work among children born prematurely and their family groups in an area of high socio-environmental risk.

    Science.gov (United States)

    Tobar, Flor L; Lencina, Manuel J

    2017-12-01

    Several socio-environmental risk factors causea large number of children born prematurely, and without neurological disorders, to have low scores in their development, particularly in the cognitive and socio-emotional skills areas, thus evidencing a potential future risk. Strengthening bonds with the family and caregivers is critical for their adequate development. This article reports on the experience of an interdisciplinary team from Hospital Eva Perón de Tucumán, who designed a program called "Learning Through Play"for the promotion of child development and aimed at parents of preterm infants seen at the Follow-up Outpatient Clinic and the Department of Social Services, with the collaboration of the Department of Nutrition. Sociedad Argentina de Pediatría.

  6. Area-based assessment of extinction risk.

    Science.gov (United States)

    Hei, Fangliang

    2012-05-01

    Underpinning the International Union for Conservation of Nature (IUCN) Red List is the assessment of extinction risk as determined by the size and degree of loss of populations. The IUCN system lists a species as Critically Endangered, Endangered, or Vulnerable if its population size declines 80%, 50%, or 30% within a given time frame. However, effective implementation of the system faces substantial challenges and uncertainty because geographic scale data on population size and long-term dynamics are scarce. I develop a model to quantify extinction risk using a measure based on a species' distribution, a much more readily obtained quantity. The model calculates the loss of the area of occupancy that is equivalent to the loss of a given proportion of a population. It is a very simple yet general model that has no free parameters and is independent of scale. The model predicted well the distributions of 302 tree species at a local scale and the distributions of 348 species of North American land birds. This area-based model provides a solution to the long-standing problem for IUCN assessments of lack of data on population sizes, and thus it will contribute to facilitating the quantification of extinction risk worldwide.

  7. Assessment of flood risk in Tokyo metropolitan area

    Science.gov (United States)

    Hirano, J.; Dairaku, K.

    2013-12-01

    Flood is one of the most significant natural hazards in Japan. The Tokyo metropolitan area has been affected by several large flood disasters. Therefore, investigating potential flood risk in Tokyo metropolitan area is important for development of adaptation strategy for future climate change. We aim to develop a method for evaluating flood risk in Tokyo Metropolitan area by considering effect of historical land use and land cover change, socio-economic change, and climatic change. Ministry of land, infrastructure, transport and tourism in Japan published 'Statistics of flood', which contains data for flood causes, number of damaged houses, area of wetted surface, and total amount of damage for each flood at small municipal level. By using these flood data, we estimated damage by inundation inside a levee for each prefecture based on a statistical method. On the basis of estimated damage, we developed flood risk curves in the Tokyo metropolitan area, representing relationship between damage and exceedance probability of flood for the period 1976-2008 for each prefecture. Based on the flood risk curve, we attempted evaluate potential flood risk in the Tokyo metropolitan area and clarify the cause for regional difference of flood risk. By analyzing flood risk curves, we found out regional differences of flood risk. We identified high flood risk in Tokyo and Saitama prefecture. On the other hand, flood risk was relatively low in Ibaraki and Chiba prefecture. We found that these regional differences of flood risk can be attributed to spatial distribution of entire property value and ratio of damaged housing units in each prefecture.We also attempted to evaluate influence of climate change on potential flood risk by considering variation of precipitation amount and precipitation intensity in the Tokyo metropolitan area. Results shows that we can evaluate potential impact of precipitation change on flood risk with high accuracy by using our methodology. Acknowledgments

  8. Previous exposure in a high-risk area for travellers' diarrhoea within the past year is associated with a significant protective effect for travellers' diarrhoea: a prospective observational cohort study in travellers to South Asia.

    Science.gov (United States)

    Kuenzli, Esther; Juergensen, David; Kling, Kerstin; Jaeger, Veronika K; DeCrom, Susan; Steffen, Robert; Widmer, Andreas F; Battegay, Manuel; Hatz, Christoph; Neumayr, Andreas

    2017-09-01

    Travellers' diarrhoea is the most common health problem in travellers. Depending on the region visited, up to 40% of travellers develop diarrhoea during a 2-week trip. The aim of this study was to assess risk factors for TD among travellers to the Indian subcontinent. An observational prospective multicentre cohort study investigated travellers to the Indian subcontinent. Participants completed questionnaires assessing the incidence of travellers' diarrhoea and identifying potential risk factors. Covariates were assessed univariately, followed by a multivariate regression. Two-hundred and twenty-six travellers were enrolled into the study, 178 filled in both pre- and post-travel questionnaires. Overall, the attack rate of travellers' diarrhoea was 38.2%. Travel destination is a key risk factor for the occurrence of TD. Travelling to India or Nepal vs Bhutan is associated with an increased risk for TD (OR 6.68 and 6.62, respectively). A length of stay of more than 3 weeks compared to less than 2 weeks is also associated with a significantly increased risk (OR 5.45). Having stayed in a high-risk area for travellers' diarrhoea within the past year before the current trip is associated with a significantly decreased risk (OR 0.19). No association was found between consumption of high risk food (i.e. tap water, ice cream, raw meat and hamburgers) and travellers' diarrhoea. Travellers' diarrhoea is a frequent problem in travellers to the Indian subcontinent. Previous exposure in a high-risk area for travellers' diarrhoea within the past year appears to have a significant protective effect. Furthermore, an association between the occurrence of travellers' diarrhoea and travel destination and length of stay, respectively, was observed. Consumption of risk food did not confer a TD risk in our study. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

  9. Food preparation methods, drinking water source, and esophageal squamous cell carcinoma in the high-risk area of Golestan, Northeast Iran.

    Science.gov (United States)

    Golozar, Asieh; Etemadi, Arash; Kamangar, Farin; Fazeltabar Malekshah, Akbar; Islami, Farhad; Nasrollahzadeh, Dariush; Abedi-Ardekani, Behnoosh; Khoshnia, Masoud; Pourshams, Akram; Semnani, Shahriar; Marjani, Haji Amin; Shakeri, Ramin; Sotoudeh, Masoud; Brennan, Paul; Taylor, Philip; Boffetta, Paolo; Abnet, Christian; Dawsey, Sanford; Malekzadeh, Reza

    2016-03-01

    Cooking practices and water sources have been associated with an increased risk of cancer, mainly through exposure to carcinogens such as heterocyclic amines, polycyclic aromatic hydrocarbons, and nitrates. Using data from the Golestan case-control study, carried out between 2003 and 2007 in a high-risk region for esophageal squamous cell carcinoma (ESCC), we sought to investigate the association between food preparation and drinking water sources and ESCC. Information on food preparation methods, sources of drinking water, and dietary habits was gathered from 300 cases and 571 controls matched individually for age, sex, and neighborhood using a structured questionnaire and a semiquantitative food frequency questionnaire. Multivariate conditional logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI) adjusted for potential confounders and other known risk factors including socioeconomic status and smoking. More than 95% of the participants reported eating meat, mostly red meat. Red meat consumption above the 75th percentile increased the odds of ESCC by 2.82-fold (95% CI: 1.21-6.57). Fish intake was associated with a significant 68% decrease in ESCC odds (26%, 86%). Among meat eaters, ORs (95% CI) for frying meat (red or white) and fish were 3.34 (1.32-8.45) and 2.62 (1.24-5.5). Drinking unpiped water increased ESCC odds by 4.25 times (2.23-8.11). The OR for each 10-year increase in the duration of drinking unpiped water was 1.47 (1.22-1.78). Our results suggest roles for red meat intake, drinking water source, and food preparation methods in ESCC, even after adjusting for a large number of potential confounders.

  10. Community perceptions of the socio-economic structural context influencing HIV and TB risk, prevention and treatment in a high prevalence area in the era of antiretroviral therapy.

    Science.gov (United States)

    Ngwenya, Nothando; Gumede, Dumile; Shahmanesh, Maryam; McGrath, Nuala; Grant, Alison; Seeley, Janet

    2018-03-01

    Following calls for targeted HIV prevention interventions in so-called "hotspots", we explored subjective perceptions of community members in places considered to be high HIV and tuberculosis (TB) transmission areas and those with low prevalence. Although more people now have access to antiretroviral therapy (ART), some areas are still experiencing high HIV transmission rates, presenting a barrier to the elimination of HIV. A rapid qualitative assessment approach was used to access a sample of 230 people who contributed narratives of their experiences and perceptions of transmission, treatment and prevention of HIV and TB in their communities. Theoretical propositions case study strategy was used to inform and guide the thematic analysis of the data with Research Department of Epidemiology & Public Health, University College London, London, UK. Our results support the concept of linking perceived control to health through the identification of structural factors that increase communities' sense of agency. People in these communities did not feel they had the efficacy to effect change in their milieu. The few socio-economic opportunities promote social mobility in search of better prospects which may have a negative impact on community cohesion and prevention strategies. Communities were more concerned with improving their immediate social and economic situations and prioritised this above the prevention messages. Therefore approaches that focus on changing the structural and environmental barriers to prevention may increase people's perceived control. Multifaceted strategies that address the identified constructs of perceived control may influence the social change necessary to make structural interventions successful.

  11. Truck transport of RAM: Risk effects of avoiding metropolitan areas

    International Nuclear Information System (INIS)

    Mills, G.S.; Neuhauser, K.S.

    1997-11-01

    In the transport of radioactive material (RAM), e.g., spent nuclear fuel (SNF), stakeholders are generally most concerned about risks in high population density areas along transportation routes because of the perceived high consequences of potential accidents. The most significant portions of a transcontinental route and an alternative examined previously were evaluated again using population density data derived from US Census Block data. This method of characterizing population that adjoins route segments offers improved resolution of population density variations, especially in high population density areas along typical transport routes. Calculated incident free doses and accident dose risks for these routes, and the rural, suburban and urban segments are presented for comparison of their relative magnitudes. The results indicate that modification of this route to avoid major metropolitan areas through use of non-Interstate highways increases total risk yet does not eliminate a relatively small urban component of the accident dose risk. This conclusion is not altered by improved resolution of route segments adjoining high density populations

  12. A Follow-Up Study on the Efficacy of the Homeopathic Remedy Arsenicum album in Volunteers Living in High Risk Arsenic Contaminated Areas

    Directory of Open Access Journals (Sweden)

    Anisur Rahman Khuda-Bukhsh

    2011-01-01

    Full Text Available In continuation of our short-term pilot studies reported earlier, results on certain toxicity biomarkers in volunteers who continued to take the potentized Arsenicum album 200C till 2 years are presented. Out of some 130 “verum”-fed volunteers of pilot study, 96 continued to take the remedy till 6 months, 65 till 1 year and 15 among them continued till 2 years. They provided samples of their urine and blood at 6 months, 1 year and finally at 2 years. None out of 17 who received “placebo” turned up for providing blood or urine at these longer intervals. Standard methodologies were used for determination of arsenic content in blood and urine, and for measurement of toxicity biomarkers like acid and alkaline phosphatases, alanine and aspartate amino transferases, lipid peroxidation and reduced glutathione and anti-nuclear antibody titers. Most of the volunteers reported status quo maintained after the improvement they achieved within the first 3 months of homeopathic treatment, in respect of their general health and spirit, and appetite and sleep. A few with skin symptoms and burning sensation, however, improved further. This was supported by the data of toxicity biomarkers, levels of all of which remained fairly within normal range. Therefore, administration of Arsenicum album 200C considerably ameliorates symptoms of arsenic toxicity on a long-term basis, and can be recommended for interim use, particularly in high risk remote villages lacking modern medical and arsenic free drinking water facilities. Similar studies by others are encouraged.

  13. Earthquake Hazard for Aswan High Dam Area

    Science.gov (United States)

    Ismail, Awad

    2016-04-01

    Earthquake activity and seismic hazard analysis are important components of the seismic aspects for very essential structures such as major dams. The Aswan High Dam (AHD) created the second man-made reservoir in the world (Lake Nasser) and is constructed near urban areas pose a high-risk potential for downstream life and property. The Dam area is one of the seismically active regions in Egypt and is occupied with several cross faults, which are dominant in the east-west and north-south. Epicenters were found to cluster around active faults in the northern part of Lake and AHD location. The space-time distribution and the relation of the seismicity with the lake water level fluctuations were studied. The Aswan seismicity separates into shallow and deep seismic zones, between 0 and 14 and 14 and 30 km, respectively. These two seismic zones behave differently over time, as indicated by the seismicity rate, lateral extent, b-value, and spatial clustering. It is characterized by earthquake swarm sequences showing activation of the clustering-events over time and space. The effect of the North African drought (1982 to present) is clearly seen in the reservoir water level. As it decreased and left the most active fault segments uncovered, the shallow activity was found to be more sensitive to rapid discharging than to the filling. This study indicates that geology, topography, lineations in seismicity, offsets in the faults, changes in fault trends and focal mechanisms are closely related. No relation was found between earthquake activity and both-ground water table fluctuations and water temperatures measured in wells located around the Kalabsha area. The peak ground acceleration is estimated in the dam site based on strong ground motion simulation. This seismic hazard analyses have indicated that AHD is stable with the present seismicity. The earthquake epicenters have recently took place approximately 5 km west of the AHD structure. This suggests that AHD dam must be

  14. Method for Assessing the Integrated Risk of Soil Pollution in Industrial and Mining Gathering Areas

    Science.gov (United States)

    Guan, Yang; Shao, Chaofeng; Gu, Qingbao; Ju, Meiting; Zhang, Qian

    2015-01-01

    Industrial and mining activities are recognized as major sources of soil pollution. This study proposes an index system for evaluating the inherent risk level of polluting factories and introduces an integrated risk assessment method based on human health risk. As a case study, the health risk, polluting factories and integrated risks were analyzed in a typical industrial and mining gathering area in China, namely, Binhai New Area. The spatial distribution of the risk level was determined using a Geographic Information System. The results confirmed the following: (1) Human health risk in the study area is moderate to extreme, with heavy metals posing the greatest threat; (2) Polluting factories pose a moderate to extreme inherent risk in the study area. Such factories are concentrated in industrial and urban areas, but are irregularly distributed and also occupy agricultural land, showing a lack of proper planning and management; (3) The integrated risks of soil are moderate to high in the study area. PMID:26580644

  15. Method for Assessing the Integrated Risk of Soil Pollution in Industrial and Mining Gathering Areas.

    Science.gov (United States)

    Guan, Yang; Shao, Chaofeng; Gu, Qingbao; Ju, Meiting; Zhang, Qian

    2015-11-13

    Industrial and mining activities are recognized as major sources of soil pollution. This study proposes an index system for evaluating the inherent risk level of polluting factories and introduces an integrated risk assessment method based on human health risk. As a case study, the health risk, polluting factories and integrated risks were analyzed in a typical industrial and mining gathering area in China, namely, Binhai New Area. The spatial distribution of the risk level was determined using a Geographic Information System. The results confirmed the following: (1) Human health risk in the study area is moderate to extreme, with heavy metals posing the greatest threat; (2) Polluting factories pose a moderate to extreme inherent risk in the study area. Such factories are concentrated in industrial and urban areas, but are irregularly distributed and also occupy agricultural land, showing a lack of proper planning and management; (3) The integrated risks of soil are moderate to high in the study area.

  16. Validation and Assessment of Three Methods to Estimate 24-h Urinary Sodium Excretion from Spot Urine Samples in High-Risk Elder Patients of Stroke from the Rural Areas of Shaanxi Province.

    Science.gov (United States)

    Ma, Wenxia; Yin, Xuejun; Zhang, Ruijuan; Liu, Furong; Yang, Danrong; Fan, Yameng; Rong, Jie; Tian, Maoyi; Yu, Yan

    2017-10-11

    Background : 24-h urine collection is regarded as the "gold standard" for monitoring sodium intake at the population level, but ensuring high quality urine samples is difficult to achieve. The Kawasaki, International Study of Sodium, Potassium, and Blood Pressure (INTERSALT) and Tanaka methods have been used to estimate 24-h urinary sodium excretion from spot urine samples in some countries, but few studies have been performed to compare and validate these methods in the Chinese population. Objective : To compare and validate the Kawasaki, INTERSALT and Tanaka formulas in predicting 24-h urinary sodium excretion using spot urine samples in 365 high-risk elder patients of strokefrom the rural areas of Shaanxi province. Methods : Data were collected from a sub-sample of theSalt Substitute and Stroke Study. 365 high-risk elder patients of stroke from the rural areas of Shaanxi province participated and their spot and 24-h urine specimens were collected. The concentrations of sodium, potassium and creatinine in spot and 24-h urine samples wereanalysed. Estimated 24-h sodium excretion was predicted from spot urine concentration using the Kawasaki, INTERSALT, and Tanaka formulas. Pearson correlation coefficients and agreement by Bland-Altman method were computed for estimated and measured 24-h urinary sodium excretion. Results : The average 24-h urinary sodium excretion was 162.0 mmol/day, which representing a salt intake of 9.5 g/day. Three predictive equations had low correlation with the measured 24-h sodium excretion (r = 0.38, p h sodium excretion were observed (all p h sodium excretion. Conclusion : The Kawasaki, INTERSALT and Tanaka methods for estimation of 24-h urinary sodium excretion from spot urine specimens were inadequate for the assessment of sodium intake at the population level in high-risk elder patients of stroke from the rural areas of Shaanxi province, although the Kawasaki method was the least biased compared with the other two methods.

  17. Rethinking risk and disasters in mountain areas

    Directory of Open Access Journals (Sweden)

    Kenneth Hewitt

    2012-05-01

    Full Text Available This chapter presents a view of risk and disaster in the mountains that finds them fully a part of public safety issues in modern states and developments, rather than separated from them. This contrasts with prevailing approaches to disaster focused on natural hazards, “unscheduled” or extreme events, and emergency preparedness; approaches strongly reinforced by mountain stereotypes. Rather, we find the legacies of social and economic histories, especially relations to down-country or metropolitan actors, are decisive in shaping contemporary “mountain realities”. Developments in transportation, resource extraction and tourism that serve state and international agendas can increase rather than reduce risks for mountain populations, and undermine pre-existing strategies to minimise environmental dangers. Above all, we see rapid urbanisation in mountains generally and the Himalaya in particular as highly implicated in exacerbating risks and creating new types of vulnerabilities. Enforced displacement, and concentration of people in urban agglomerations, is a major part of the modern history of mountain lands that invites more careful exploration. Rapid expansion of built environments and infrastructure, without due regard to hazards and structural safety, introduce new and complex risks, while altering older equations with and to the land and sapping people’s resilience. In the lives of mountain people, environmental hazards are mostly subordinate to other, societal sources of risk and vulnerability, and to the insecurities these involve. Basically we conclude that “marginalisation” of mountain lands is primarily an outcome of socio-economic developments in which their condition is subordinated to strategic planning by state, metropolitan and global actors.Cet article aborde la question des risques et des catastrophes en montagne. Il vise non pas à dissocier mais plutôt à replacer ces concepts au cœur des questions de s

  18. Collaborative risk governance in informal urban areas: The case of Wallacedene temporary relocation area

    Directory of Open Access Journals (Sweden)

    Patricia J. Zweig

    2017-04-01

    Full Text Available Community-based disaster risk management (CBDRM is an emancipatory approach that aims to empower local communities in reducing their own risks. A community risk assessment (CRA is an essential element of CBDRM, incorporating highly participatory processes of hazard identification and vulnerability analysis. By incorporating local knowledge and insights, together with those contributed by other external role players, the nature of local risks can be more accurately identified, giving consideration to their causal factors, the nature of their realised impacts or potential effects on a local community and the challenges posed in addressing them. Reflecting on the process and outcomes of a CRA conducted in an informal settlement in the Cape Town metropolitan area, this article describes how one such risk assessment contributed to building local agency through a process of collaborative engagement. Offered as an example of possible best practice, it illustrates both the immediate and potentially longer term benefits to be derived from such a collaborative process, suggesting that a community-based risk assessment may contribute significantly to building more resilient communities. It concludes with a consideration of the challenges of sustaining longer term risk reduction efforts.

  19. Identifying areas at risk of low birth weight using spatial epidemiology: A small area surveillance study.

    Science.gov (United States)

    Insaf, Tabassum Z; Talbot, Thomas

    2016-07-01

    To assess the geographic distribution of Low Birth Weight (LBW) in New York State among singleton births using a spatial regression approach in order to identify priority areas for public health actions. LBW was defined as birth weight less than 2500g. Geocoded data from 562,586 birth certificates in New York State (years 2008-2012) were merged with 2010 census data at the tract level. To provide stable estimates and maintain confidentiality, data were aggregated to yield 1268 areas of analysis. LBW prevalence among singleton births was related with area-level behavioral, socioeconomic and demographic characteristics using a Poisson mixed effects spatial error regression model. Observed low birth weight showed statistically significant auto-correlation in our study area (Moran's I 0.16 p value 0.0005). After over-dispersion correction and accounting for fixed effects for selected social determinants, spatial autocorrelation was fully accounted for (Moran's I-0.007 p value 0.241). The proportion of LBW was higher in areas with larger Hispanic or Black populations and high smoking prevalence. Smoothed maps with predicted prevalence were developed to identify areas at high risk of LBW. Spatial patterns of residual variation were analyzed to identify unique risk factors. Neighborhood racial composition contributes to disparities in LBW prevalence beyond differences in behavioral and socioeconomic factors. Small-area analyses of LBW can identify areas for targeted interventions and display unique local patterns that should be accounted for in prevention strategies. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  20. Risk factors for malaria and adverse birth outcomes in a prospective cohort of pregnant women resident in a high malaria transmission area of Papua New Guinea.

    Science.gov (United States)

    Stanisic, Danielle I; Moore, Kerryn A; Baiwog, Francesca; Ura, Alice; Clapham, Caroline; King, Christopher L; Siba, Peter M; Beeson, James G; Mueller, Ivo; Fowkes, Freya J; Rogerson, Stephen J

    2015-05-01

    Low birth weight (LBW), anaemia and malaria are common in Papua New Guinean women. To identify risk factors for LBW, anaemia and preterm delivery (PTD), pregnant women recruited into a cohort study in Madang, Papua New Guinea, were followed to delivery. Of 470 women enrolled, delivery data were available for 328 (69.7%). By microscopy, 34.4% (113/328) of women had malaria parasitaemia at enrolment and 12.5% (41/328) at delivery; at each time point, PCR detected sub-microscopic parasitaemia in substantially more. Most infections were with Plasmodium falciparum; the remainder being predominantly P. vivax. Anaemia and smoking were associated with lower birth weight, and LBW (16.7%; 51/305) and PTD (21.8%; 63/290) were common. Histopathologically diagnosed chronic placental malaria was associated with LBW (adjusted odds ratio [aOR] 3.3; p=0.048) and PTD (aOR 4.2; p=0.01). Lack of maternal education predisposed to PTD. Sub-microscopic parasitaemia at delivery appeared to increase the risk of LBW. Of the genetic polymorphisms, Southeast Asian ovalocytosis, α(+)-thalassaemia and complement receptor 1 (CR1) deficiency, a CR1 heterozygous genotype was associated with decreased risk of anaemia and substantial but non-significant effects were noted in other comparisons. In coastal Papua New Guinea, malaria and anaemia are important causes of adverse pregnancy outcomes. © The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. Earthquake Risk Mitigation in the Tokyo Metropolitan area

    Science.gov (United States)

    Hirata, N.; Sakai, S.; Kasahara, K.; Nakagawa, S.; Nanjo, K.; Panayotopoulos, Y.; Tsuruoka, H.

    2010-12-01

    Seismic disaster risk mitigation in urban areas constitutes a challenge through collaboration of scientific, engineering, and social-science fields. Examples of collaborative efforts include research on detailed plate structure with identification of all significant faults, developing dense seismic networks; strong ground motion prediction, which uses information on near-surface seismic site effects and fault models; earthquake resistant and proof structures; and cross-discipline infrastructure for effective risk mitigation just after catastrophic events. Risk mitigation strategy for the next greater earthquake caused by the Philippine Sea plate (PSP) subducting beneath the Tokyo metropolitan area is of major concern because it caused past mega-thrust earthquakes, such as the 1703 Genroku earthquake (magnitude M8.0) and the 1923 Kanto earthquake (M7.9) which had 105,000 fatalities. A M7 or greater (M7+) earthquake in this area at present has high potential to produce devastating loss of life and property with even greater global economic repercussions. The Central Disaster Management Council of Japan estimates that the M7+ earthquake will cause 11,000 fatalities and 112 trillion yen (about 1 trillion US$) economic loss. This earthquake is evaluated to occur with a probability of 70% in 30 years by the Earthquake Research Committee of Japan. In order to mitigate disaster for greater Tokyo, the Special Project for Earthquake Disaster Mitigation in the Tokyo Metropolitan Area (2007-2011) was launched in collaboration with scientists, engineers, and social-scientists in nationwide institutions. The results that are obtained in the respective fields will be integrated until project termination to improve information on the strategy assessment for seismic risk mitigation in the Tokyo metropolitan area. In this talk, we give an outline of our project as an example of collaborative research on earthquake risk mitigation. Discussion is extended to our effort in progress and

  2. The impact of land use and spatial changes on desertification risk in degraded areas in Thailand

    Directory of Open Access Journals (Sweden)

    Saowanee Wijitkosum

    2016-03-01

    Full Text Available Land use, which relates to land cover, is one of the influential factors associated with desertification risk. A study was conducted on the impact of land use and spatial changes on desertification risk in Huay Sai Royal Development Study Centre in southern Thailand. The study used spatial analysis and the MEDALUS model to investigate the extent of land degradation, land use changes and desertification risk in the study area from 1990 to 2010. The Study examined three groups of factors: soils, climate and human activity to classify the severity of desertification risk. The study findings indicate that most areas (74.4% in the Huay Sai area were at high risk of desertification, and the risk remained high (77.2% in 2010. However, the areas classified as at severe risk of desertification decreased at 4.2% per annum. The study finds that land use changes influenced desertification risk.

  3. Rethinking risk and disasters in mountain areas

    OpenAIRE

    Hewitt, Kenneth; Mehta, Manjari

    2012-01-01

    This chapter presents a view of risk and disaster in the mountains that finds them fully a part of public safety issues in modern states and developments, rather than separated from them. This contrasts with prevailing approaches to disaster focused on natural hazards, “unscheduled” or extreme events, and emergency preparedness; approaches strongly reinforced by mountain stereotypes. Rather, we find the legacies of social and economic histories, especially relations to down-country or metropo...

  4. Deflation Risk in the Euro Area and Central Bank Credibility

    NARCIS (Netherlands)

    G. Galati (Gabriele); Z. Gorgi (Zion); R. Moessner (Richhild); C. Zhou (Chen)

    2016-01-01

    textabstractThis paper investigates how the perceived risk that the euro area will experience deflation has evolved over time, and what this risk implies for the credibility of the ECB. We use a novel data set on market participants’ perceptions of short- to long-term deflation risk implied by

  5. Validation and Assessment of Three Methods to Estimate 24-h Urinary Sodium Excretion from Spot Urine Samples in High-Risk Elder Patients of Stroke from the Rural Areas of Shaanxi Province

    Directory of Open Access Journals (Sweden)

    Wenxia Ma

    2017-10-01

    Full Text Available Background: 24-h urine collection is regarded as the “gold standard” for monitoring sodium intake at the population level, but ensuring high quality urine samples is difficult to achieve. The Kawasaki, International Study of Sodium, Potassium, and Blood Pressure (INTERSALT and Tanaka methods have been used to estimate 24-h urinary sodium excretion from spot urine samples in some countries, but few studies have been performed to compare and validate these methods in the Chinese population. Objective: To compare and validate the Kawasaki, INTERSALT and Tanaka formulas in predicting 24-h urinary sodium excretion using spot urine samples in 365 high-risk elder patients of strokefrom the rural areas of Shaanxi province. Methods: Data were collected from a sub-sample of theSalt Substitute and Stroke Study. 365 high-risk elder patients of stroke from the rural areas of Shaanxi province participated and their spot and 24-h urine specimens were collected. The concentrations of sodium, potassium and creatinine in spot and 24-h urine samples wereanalysed. Estimated 24-h sodium excretion was predicted from spot urine concentration using the Kawasaki, INTERSALT, and Tanaka formulas. Pearson correlation coefficients and agreement by Bland-Altman method were computed for estimated and measured 24-h urinary sodium excretion. Results: The average 24-h urinary sodium excretion was 162.0 mmol/day, which representing a salt intake of 9.5 g/day. Three predictive equations had low correlation with the measured 24-h sodium excretion (r = 0.38, p < 0.01; ICC = 0.38, p < 0.01 for the Kawasaki; r = 0.35, p < 0.01; ICC = 0.31, p < 0.01 for the INTERSALT; r = 0.37, p < 0.01; ICC = 0.34, p < 0.01 for the Tanaka. Significant biases between estimated and measured 24-h sodium excretion were observed (all p < 0.01 for three methods. Among the three methods, the Kawasaki method was the least biased compared with the other two methods (mean bias: 31.90, 95% Cl: 23.84, 39

  6. Effective anthelmintic therapy of residents living in endemic area of high prevalence for Hookworm and Schistosoma mansoni infections enhances the levels of allergy risk factor anti-Der p1 IgE

    Directory of Open Access Journals (Sweden)

    Sabrina S. Campolina

    2015-01-01

    Full Text Available In this work were investigated the relationship between Hookworm/Schistosoma mansoni infections and allergy related risk factors in two endemic areas with distinct prevalence of infections and co-infection. The intensity of infections, eosinophilia, allergy risk factors, infections status and anti-Der p1 IgE levels before and 2 years (population 1 and 3 years (population 2 after anthelmintic treatment, were evaluated. It was observed that the population with lower prevalence and intensity of infection (population 2 had lower eosinophils counts (>600/mm3 and higher animal contact than the population with higher parasites intensity (population 1. After anthelmintic treatment the intensity of S. mansoni single infection decreased, but no changes were observed in Hookworm and co-infected individuals. The anthelmintic treatment also enhanced anti-Der p1 IgE optical density in ELISA on the subgroups that became negative for helminth infection regardless of their previous infection condition in population 1. Facing that, we evaluated the anti-Der p1 IgE reactivity index, and the ratio (after/before treatment was significantly higher in patients co-infected before treatment. On the other hand, no association between anti-Der p1 IgE reactivity index and the intensity of infections were observed. In conclusion, effective anthelmintic therapy of subjects from endemic areas with high prevalence of Hookworm and S. mansoni infections enhances anti-Der p1 IgE levels.

  7. Clinical high risk for psychosis

    DEFF Research Database (Denmark)

    van der Steen, Y; Gimpel-Drees, J; Lataster, T

    2017-01-01

    OBJECTIVE: The aim of this study was to assess associations between momentary stress and both affective and psychotic symptoms in everyday life of individuals at clinical high risk (CHR), compared to chronic psychotic patients and healthy controls, in search for evidence of early stress...... and 26 healthy controls. RESULTS: Multilevel models showed significantly larger associations between negative affect (NA) and activity-related stress for CHR patients than for psychotic patients (P = 0.008) and for CHR compared to controls (P

  8. Peculiarities of territorial governing in the area of increased risk

    International Nuclear Information System (INIS)

    Marchinskas, A.

    1998-01-01

    The area of Ignalina NPP can be evaluated from the standpoint of governing as the area of increased risk territory (zone), so the local administration should acquire a specific status. The results of expert examination show insufficient efficiency of the administration's activity, it's orientation to quantitative results. An objective fund is necessary for the supporting the local administration and population of this area. (author)

  9. Simulation of high consequence areas for gas pipelines

    Directory of Open Access Journals (Sweden)

    Orlando Díaz-Parra

    2018-01-01

    Full Text Available The gas pipeline is used for the transport of natural gas at a great distance. Risks derived from the handling of a combustible material transported under high pressure, by pipelines that pass close to where people live, makes it necessary to adopt prevention, mitigation and control measures to reduce the effect in case of ignition of a gas leak. This work shows the development of a new mathematical model to determine areas of high consequence and their application, using widely available and easy to use software, such as Google Earth and Excel, to determine and visualize the area up to which the level of radiation can affect the integrity of people and buildings. The model takes into account the pressure drop into the gas pipeline from the compression station, the gas leakage rate and possible forms of gas ignition. This development is an alternative to the use of specialized software and highly trained personnel. The simulation is applied to a traced of the Miraflores-Tunja gas pipeline, using a macro developed in Excel to determine the impact area and compare it with the coordinates of the vulnerable areas. The zones where these areas intersect are constituted in high consequence areas and are identified along with the sections of the pipeline that affect them, to provide the operator with a risk analysis tool for the determination and visualization of the gas pipeline and its environment.

  10. Simulation of high consequence areas for gas pipelines

    OpenAIRE

    Orlando Díaz-Parra; Enrique Vera-López

    2018-01-01

    The gas pipeline is used for the transport of natural gas at a great distance. Risks derived from the handling of a combustible material transported under high pressure, by pipelines that pass close to where people live, makes it necessary to adopt prevention, mitigation and control measures to reduce the effect in case of ignition of a gas leak. This work shows the development of a new mathematical model to determine areas of high consequence and their application, using widely available and...

  11. High Surface Area Tunnels in Hexagonal WO₃.

    Science.gov (United States)

    Sun, Wanmei; Yeung, Michael T; Lech, Andrew T; Lin, Cheng-Wei; Lee, Chain; Li, Tianqi; Duan, Xiangfeng; Zhou, Jun; Kaner, Richard B

    2015-07-08

    High surface area in h-WO3 has been verified from the intracrystalline tunnels. This bottom-up approach differs from conventional templating-type methods. The 3.67 Å diameter tunnels are characterized by low-pressure CO2 adsorption isotherms with nonlocal density functional theory fitting, transmission electron microscopy, and thermal gravimetric analysis. These open and rigid tunnels absorb H(+) and Li(+), but not Na(+) in aqueous electrolytes without inducing a phase transformation, accessing both internal and external active sites. Moreover, these tunnel structures demonstrate high specific pseudocapacitance and good stability in an H2SO4 aqueous electrolyte. Thus, the high surface area created from 3.67 Å diameter tunnels in h-WO3 shows potential applications in electrochemical energy storage, selective ion transfer, and selective gas adsorption.

  12. An assessment of high risk sexual behaviour and HIV transmission ...

    African Journals Online (AJOL)

    An assessment of high risk sexual behaviour and HIV transmission among migrant oil workers in the Niger Delta area of Nigeria. ... questionnaires to evaluate key highrisk sexual behavioral parameters such as multiplicity of sexual partners, bisexuality (closet homosexuality), high grade sexual behaviour and lesbianism.

  13. Factoring attitudes towards armed conflict risk into selection of protected areas for conservation

    DEFF Research Database (Denmark)

    Hammill, E.; Tulloch, A.I.T.; Possingham, H.P.

    2016-01-01

    The high incidence of armed conflicts in biodiverse regions poses significant challenges in achieving international conservation targets. Because attitudes towards risk vary, we assessed different strategies for protected area planning that reflected alternative attitudes towards the risk of arme...... that achieving biodiversity targets in volatile regions will require greater initial investment and benefit from fine-resolution estimates of conflict risk.......The high incidence of armed conflicts in biodiverse regions poses significant challenges in achieving international conservation targets. Because attitudes towards risk vary, we assessed different strategies for protected area planning that reflected alternative attitudes towards the risk of armed...... conflicts. We find that ignoring conflict risk will deliver the lowest return on investment. Opting to completely avoid conflict-prone areas offers limited improvements and could lead to species receiving no protection. Accounting for conflict by protecting additional areas to offset the impacts of armed...

  14. Factoring attitudes towards armed conflict risk into selection of protected areas for conservation.

    Science.gov (United States)

    Hammill, E; Tulloch, A I T; Possingham, H P; Strange, N; Wilson, K A

    2016-03-30

    The high incidence of armed conflicts in biodiverse regions poses significant challenges in achieving international conservation targets. Because attitudes towards risk vary, we assessed different strategies for protected area planning that reflected alternative attitudes towards the risk of armed conflicts. We find that ignoring conflict risk will deliver the lowest return on investment. Opting to completely avoid conflict-prone areas offers limited improvements and could lead to species receiving no protection. Accounting for conflict by protecting additional areas to offset the impacts of armed conflicts would not only increase the return on investment (an effect that is enhanced when high-risk areas are excluded) but also increase upfront conservation costs. Our results also demonstrate that fine-scale estimations of conflict risk could enhance the cost-effectiveness of investments. We conclude that achieving biodiversity targets in volatile regions will require greater initial investment and benefit from fine-resolution estimates of conflict risk.

  15. Modelling of Malaria Risk Areas in Ghana by using Environmental ...

    African Journals Online (AJOL)

    Michael

    2015-12-02

    Dec 2, 2015 ... control in time and space to be prepared for outbreaks, which ... developing dynamic and area-specific risk maps to ... disease outbreaks including vaccination (Haydon et ... analyse malaria data against certain environmental.

  16. Flood Hazard and Risk Analysis in Urban Area

    Science.gov (United States)

    Huang, Chen-Jia; Hsu, Ming-hsi; Teng, Wei-Hsien; Lin, Tsung-Hsien

    2017-04-01

    Typhoons always induce heavy rainfall during summer and autumn seasons in Taiwan. Extreme weather in recent years often causes severe flooding which result in serious losses of life and property. With the rapid industrial and commercial development, people care about not only the quality of life, but also the safety of life and property. So the impact of life and property due to disaster is the most serious problem concerned by the residents. For the mitigation of the disaster impact, the flood hazard and risk analysis play an important role for the disaster prevention and mitigation. In this study, the vulnerability of Kaohsiung city was evaluated by statistics of social development factor. The hazard factors of Kaohsiung city was calculated by simulated flood depth of six different return periods and four typhoon events which result in serious flooding in Kaohsiung city. The flood risk can be obtained by means of the flood hazard and social vulnerability. The analysis results provide authority to strengthen disaster preparedness and to set up more resources in high risk areas.

  17. High resolution fire risk mapping in Italy

    Science.gov (United States)

    Fiorucci, Paolo; Biondi, Guido; Campo, Lorenzo; D'Andrea, Mirko

    2014-05-01

    The high topographic and vegetation heterogeneity makes Italy vulnerable to forest fires both in the summer and in winter. In particular, northern regions are predominantly characterized by a winter fire regime, mainly due to frequent extremely dry winds from the north, while southern and central regions and the large islands are characterized by a severe summer fire regime, because of the higher temperatures and prolonged lack of precipitation. The threat of wildfires in Italy is not confined to wooded areas as they extend to agricultural areas and urban-forest interface areas. The agricultural and rural areas, in the last century, have been gradually abandoned, especially in areas with complex topography. Many of these areas were subject to reforestation, leading to the spread of pioneer species mainly represented by Mediterranean conifer, which are highly vulnerable to fire. Because of the frequent spread of fire, these areas are limited to the early successional stages, consisting mainly of shrub vegetation; its survival in the competition with the climax species being ensured by the spread of fire itself. Due to the frequency of fire ignition — almost entirely man caused — the time between fires on the same area is at least an order of magnitude less than the time that would allow the establishment of forest climax species far less vulnerable to fire. In view of the limited availability of fire risk management resources, most of which are used in the management of national and regional air services, it is necessary to precisely identify the areas most vulnerable to fire risk. The few resources available can thus be used on a yearly basis to mitigate problems in the areas at highest risk by defining a program of forest management interventions, which is expected to make a significant contribution to the problem in a few years' time. The goal of such detailed planning is to dramatically reduce the costs associated with water bombers fleet management and fire

  18. High surface area fibrous silica nanoparticles

    KAUST Repository

    Polshettiwar, Vivek; Basset, Jean-Marie

    2014-01-01

    Disclosed are high surface area nanoparticles that have a fibrous morphology. The nanoparticles have a plurality of fibers, wherein each fiber is in contact with one other fiber and each fiber has a length of between about 1 nm and about 5000 nm. Also disclosed are applications of the nanoparticles of the present invention, and methods of fabrication of the nanoparticles of the present invention.

  19. High surface area fibrous silica nanoparticles

    KAUST Repository

    Polshettiwar, Vivek

    2014-11-11

    Disclosed are high surface area nanoparticles that have a fibrous morphology. The nanoparticles have a plurality of fibers, wherein each fiber is in contact with one other fiber and each fiber has a length of between about 1 nm and about 5000 nm. Also disclosed are applications of the nanoparticles of the present invention, and methods of fabrication of the nanoparticles of the present invention.

  20. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) MMSA Prevalence Data (2010 and Prior)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2002-2010. BRFSS SMART MMSA Prevalence land line only data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral Risk Factor Surveillance...

  1. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) County Prevalence Data (2010 and prior)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2002-2010. BRFSS SMART County Prevalence land line only data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral Risk Factor Surveillance...

  2. Risk Perception and Vulnerability of Wetlands Areas on South ...

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

    Canadian specialists are contributing to research examining the risks to and vulnerability of wetland areas along the Atlantic coast of South America. These areas along the coastline protect ecosystems provide flood control, stabilize shorelines, replenish groundwater, and purify water. They also act as reservoirs of ...

  3. Risk factors for fetal anaemia in a malarious area of Malawi

    NARCIS (Netherlands)

    Brabin, B. J.; Kalanda, B. F.; Verhoeff, F. H.; Chimsuku, L. H.; Broadhead, R. L.

    2004-01-01

    The prevalence of infants born with low cord haemoglobin (fetal anaemia) is high in areas where malaria and iron deficiency anaemia in pregnancy are common. The objective of the present study was to determine risk factors for fetal anaemia in an area of high malaria transmission in southern Malawi.

  4. Volcanic risk perception in the Campi Flegrei area

    Science.gov (United States)

    Ricci, T.; Barberi, F.; Davis, M. S.; Isaia, R.; Nave, R.

    2013-03-01

    The Campi Flegrei which includes part of the city of Naples, is an active volcanic system; its last eruption occurred in 1538 AD. More recently two significant crises occurred between 1969 and 72 and 1982-84 and were accompanied by ground movements (bradyseism) and seismic activity, forcing people of the town of Pozzuoli to be evacuated. Since 1984 development of a volcanic emergency plan has been underway. In 2000 Civil Protection published a risk map which defined the Red Zone, an area highly at risk from pyroclastic flows, which would need to be evacuated before an eruption. The first study to evaluate the volcanic risk perceptions of the people living within the Campi Flegrei area was completed in spring 2006, resulting in the largest sample ever studied on this topic except for one on Vesuvio area residents by Barberi et al. (2008). A 46 item questionnaire was distributed to 2000 of the approximately 300,000 residents of the Campi Flegrei Red Zone, which includes three towns and four neighborhoods within the city of Naples. A total of 1161 questionnaires were returned, for an overall response rate of 58%. Surveys were distributed to junior high and high school students, as well as to adult members of the general population. Results indicated that unlike issues such as crime, traffic, trash, and unemployment, volcanic hazards are not spontaneously mentioned as a major problem facing their community. However, when asked specific questions about volcanic risks, respondents believe that an eruption is likely and could have serious consequences for themselves and their communities and they are quite worried about the threat. Considering the events of 1969-72 and 1982-84, it was not surprising that respondents indicated earthquakes and ground deformations as more serious threats than eruptive phenomena. Of significant importance is that only 17% of the sample knows about the existence of the Emergency Plan, announced in 2001, and 65% said that they have not received

  5. High-surface-area active carbon

    International Nuclear Information System (INIS)

    O'Grady, T.M.; Wennerberg, A.N.

    1986-01-01

    This paper describes the preparation and properties of a unique active carbon having exceptionally high surface areas, over 2500 m 2 /gm, and extraordinary adsorptive capacities. The carbon is made by a direct chemical activation route in which petroleum coke or other carbonaceous sources are reacted with excess potassium hydroxide at 400 0 to 500 0 C to an intermediate product that is subsequently pyrolyzed at 800 0 to 900 0 C to active carbon containing potassium salts. These are removed by water washing and the carbon is dried to produce a powdered product. A granular carbon can also be made by further processing the powdered carbon by using specialized granulation techniques. Typical properties of the carbon include Iodine Numbers of 3000 to 3600, methylene blue adsorption of 650 to 750 mg/gm, pore volumes of 2.0 to 2.6 cc/gm and less than 3.0% ash. This carbon's high adsorption capacities make it uniquely suited for numerous demanding applications in the medical area, purifications, removal of toxic substances, as catalyst carriers, etc

  6. Petroleum business of high risk

    International Nuclear Information System (INIS)

    Carta Petrolera

    2001-01-01

    The paper is about the economic risk and of the geologic risk that assist the industry of the petroleum; an analysis of these types of risk, possibilities of success and investments to carry out in the search of hydrocarbons are made

  7. Analysis of field survey results for iodine deficiency disorders in high-risk areas of China%我国碘缺乏病高危地区重点调查结果分析

    Institute of Scientific and Technical Information of China (English)

    李全乐; 苏晓辉; 于钧; 张树彬; 刘鹏; 纪晓红; 刘守军; 孙殿军

    2009-01-01

    Objective To investigate the occurrence of new cretinism cases and the prevalence of endemic goiter, and the reason of lower coverage rate of iodized salt in the iodine deficiency disorders(IDD) high-risk areas of China, so as to put forward target prevention measures for these areas. Methods A hundred and one counties from 11 provinces(autonomous regions, municipality), such as Tibet, Qinghai, Xinjiang, Gansu, Ningxia, Sichuan, Hainan, Chongqing, Yunnan, Guangxi, Inner Mongolia, were chosen into the survey by simple random sampling. In the counties of high risk, typical sampling principle was used. In the selected townships, searching for new cretinism cases were carried out in the children under 10 years old, the thyroid volume of children aged 8-10 years old were determined by B-ultrasonography methods and their urinary iodine (UI) were determined by As3-Ce catalytic spectrophotometry, the intelligence quotient(IQ) values of children aged 8-10 years old were measured by the combined Raven Test in China. In the household survey, the housewives were asked to fill in the questionnaire, the iodized salt coverage rates and the UI levels of child-bearing age women were investigated, the salt iodine content was determined using self-quantitative kit. Epi Info software was used to analyze the determination results. Results In the 101 high-risk counties, 249 were diagnosed as new cretinism cases from 4122 suspected cases searched. The goiter rate of children aged 8-10 years old by B-ultrasound was 8.28% (4434/53 541), 44 counties had goiter rates in the range of 5%-20%, 5 counties had goiter rates in the range of 20%-30%, and 3 counties had goiter rates of 30%. The mean IQ of children was 85.44, and the percentage of IQ value less than 70 was 16.52%(8713/52 745). The median urinary iodine(MUI) of children was 154.69 μg/L, the percentage of UI less than 50 μg/L was 17.26% (9069/52 558). Twenty-five counties had a MUI of children less than 100 μg/L. The MUI of

  8. Managing Risk Areas in Software Development Offshoring: A CMMI Level 5 Case

    DEFF Research Database (Denmark)

    Persson, John Stouby; Schlichter, Bjarne Rerup

    2015-01-01

    Software companies are increasingly offshoring development to countries with high expertise at lower cost. Offshoring involves particular risk areas that if ignored increase the likelihood of failure. However, the offshoring client’s maturity level may influence the management of these risk areas....... Against this backdrop, we present an interpretive case study of how managers perceive and mitigate the risk areas in software development offshoring with a mature CMMI level 5 (Capability Maturity Model, Integrated) software company as the client. We find that managers perceive and mitigate most...

  9. Space-Time Analysis to Identify Areas at Risk of Mortality from Cardiovascular Disease

    Directory of Open Access Journals (Sweden)

    Poliany C. O. Rodrigues

    2015-01-01

    Full Text Available This study aimed at identifying areas that were at risk of mortality due to cardiovascular disease in residents aged 45 years or older of the cities of Cuiabá and Várzea Grande between 2009 and 2011. We conducted an ecological study of mortality rates related to cardiovascular disease. Mortality rates were calculated for each census tract by the Local Empirical Bayes estimator. High- and low-risk clusters were identified by retrospective space-time scans for each year using the Poisson probability model. We defined the year and month as the temporal analysis unit and the census tracts as the spatial analysis units adjusted by age and sex. The Mann-Whitney U test was used to compare the socioeconomic and environmental variables by risk classification. High-risk clusters showed higher income ratios than low-risk clusters, as did temperature range and atmospheric particulate matter. Low-risk clusters showed higher humidity than high-risk clusters. The Eastern region of Várzea Grande and the central region of Cuiabá were identified as areas at risk of mortality due to cardiovascular disease in individuals aged 45 years or older. High mortality risk was associated with socioeconomic and environmental factors. More high-risk clusters were observed at the end of the dry season.

  10. Urban users of wildland areas as forest fire risks

    Science.gov (United States)

    William S. Folkman

    1979-01-01

    A telephone survey of 1500 households in metropolitan Los Angeles and San Francisco was made to (1) determine extent of wildland use by residents of the two metropolitan areas, reasons for non-use, and the characteristics of users; (2) describe and analyze activities, knowledge, and attitudes of users which may contribute to their fire risk; and (3) assess selected...

  11. Risk perception in women with high-risk pregnancies

    OpenAIRE

    Lee, S.

    2014-01-01

    Risk perception in women with high risk pregnancies affects the decisions they make about antenatal care and so may therefore influence the wellbeing of mother and baby. This article addresses the factors which influence women when making risk assessments and how these assessments may differ from those of healthcare professionals.\\ud \\ud Women use multiple sources of information to determine their risk status including advice from professionals, from other trusted sources, and their own intui...

  12. Risk analysis of underground infrastructures in urban areas

    International Nuclear Information System (INIS)

    Cagno, Enrico; De Ambroggi, Massimiliano; Grande, Ottavio; Trucco, Paolo

    2011-01-01

    The paper presents an integrated approach for vulnerability and resilience analysis for underground infrastructures, i.e. a societal risk analysis of the failures of underground services for an urban area. The approach is based on the detailed study of (1) domino-effects for the components of a single infrastructure and for a given set of infrastructures interoperated and/or belonging to the same area; (2) risk and vulnerability analysis of a given area; (3) identification of a set of intervention guidelines, in order to improve the overall system resilience. The use of an integrated (interoperability and area) approach, breaking down the analysis area extent into sub-areas and assessing the dependencies among sub-areas both in terms of interoperability and damage propagation of critical infrastructures, demonstrates a useful advantage in terms of resilience analysis, more consistent with the 'zoned' nature of failures of the underground infrastructures. An applied case, describing the interoperability and damage propagation analysis with the evaluation of time-dependency for the infrastructures and targets and of different kinds of interventions of the underground infrastructures of a town, is presented for this purpose.

  13. High Radon Areas and lung cancer prevalence: Evidence from Ireland.

    Science.gov (United States)

    Dempsey, Seraphim; Lyons, Seán; Nolan, Anne

    2018-02-01

    This paper examined the relationship between radon risk and lung cancer prevalence using a novel dataset combining spatially-coded survey data with a radon risk map. A logit model was employed to test for significant associations between a high risk of indoor radon and lung cancer prevalence using data on 5590 people aged 50+ from The Irish Longitudinal Study on Ageing (TILDA) and radon risk data from Ireland's Environmental Protection Agency (EPA). The use of data at the individual level allowed a wide range of potentially confounding factors (such as smoking) to be included. Results indicate that those who lived in an area in which 10%-20% of households were above the national reference level (200 Bq/m 3 ) were 2.9-3.1 times more likely to report a lung cancer diagnosis relative to those who lived in areas in which less than 1% of households were above the national reference level. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. A Simple Model to Rank Shellfish Farming Areas Based on the Risk of Disease Introduction and Spread.

    Science.gov (United States)

    Thrush, M A; Pearce, F M; Gubbins, M J; Oidtmann, B C; Peeler, E J

    2017-08-01

    The European Union Council Directive 2006/88/EC requires that risk-based surveillance (RBS) for listed aquatic animal diseases is applied to all aquaculture production businesses. The principle behind this is the efficient use of resources directed towards high-risk farm categories, animal types and geographic areas. To achieve this requirement, fish and shellfish farms must be ranked according to their risk of disease introduction and spread. We present a method to risk rank shellfish farming areas based on the risk of disease introduction and spread and demonstrate how the approach was applied in 45 shellfish farming areas in England and Wales. Ten parameters were used to inform the risk model, which were grouped into four risk themes based on related pathways for transmission of pathogens: (i) live animal movement, (ii) transmission via water, (iii) short distance mechanical spread (birds) and (iv) long distance mechanical spread (vessels). Weights (informed by expert knowledge) were applied both to individual parameters and to risk themes for introduction and spread to reflect their relative importance. A spreadsheet model was developed to determine quantitative scores for the risk of pathogen introduction and risk of pathogen spread for each shellfish farming area. These scores were used to independently rank areas for risk of introduction and for risk of spread. Thresholds were set to establish risk categories (low, medium and high) for introduction and spread based on risk scores. Risk categories for introduction and spread for each area were combined to provide overall risk categories to inform a risk-based surveillance programme directed at the area level. Applying the combined risk category designation framework for risk of introduction and spread suggested by European Commission guidance for risk-based surveillance, 4, 10 and 31 areas were classified as high, medium and low risk, respectively. © 2016 Crown copyright.

  15. High level natural radiation areas with special regard to Ramsar

    International Nuclear Information System (INIS)

    Sohrabi, M.

    1993-01-01

    The studies of high level natural radiation areas (HLNRAs) around the world are of great importance for determination of risks due to long-term low-level whole body exposures of public. Many areas of the world possess HLNRAs the number of which depends on the criteria defined. Detailed radiological studies have been carried out in some HLNRAs the results of which have been reported at least in three international conferences. Among the HLNRAs, Ramsar has so far the highest level of natural radiation in some areas where radiological studies have been of concern. A program was established for Ramsar and its HLNRAs to study indoor and outdoor gamma exposures and external and internal doses of the inhabitants, 226 Ra content of public water supplies and hot springs, of food stuffs, etc., 222 Rn levels measured in 473 rooms of near 350 houses, 16 schools and 89 rooms and many locations of old and new Ramsar Hotels in different seasons, cytogenetic effects on inhabitants of Talesh Mahalleh, the highest radiation area, compared to that of a control area and radiological parameters of a house with a high potential for internal and external exposures of the inhabitants. It was concluded that the epidemiological studies in a number of countries did not show any evidence of increased health detriment in HLNRAs compared to control groups. In this paper, the conclusions drawn from studies in some HLNRAs around the world in particular Ramsar are discussed. (author). 20 refs, 2 figs, 1 tab

  16. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) MMSA Prevalence Data (2011 to Present)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2011 to present. BRFSS SMART MMSA Prevalence combined land line and cell phone data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral...

  17. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) County Prevalence Data (2011 to 2012)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2011 to 2012. BRFSS SMART County Prevalence combined land line and cell phone data. The Selected Metropolitan Area Risk Trends (SMART) project uses the Behavioral...

  18. Environmental Health Risk Assesement in Flood-prone Area in Tamangapa Sub-District Makassar

    Science.gov (United States)

    Haris, Ibrahim Abdul; Basir, Basir

    2018-05-01

    Environmental health in Indonesia is still caution to concern, poor sanitation in Indonesia is characterized by the high incidence of infectious diseases in society. The society in flood-prone area has a high-risk exposure on the disease based on the environment because they live in disaster-prone area. This research aimed to describe the condition of sanitary facilities and risky behavior on public health in flood-prone areas in Manggala district particularly in Tamangapa sub-district of Makassar. This reserach uses an observation method with a descriptive approach. The data is processed by using SPSS and Arc View GIS applications. Environmental risk category is determined by the approach of Environmental Health Risk Assessment (EHRA). The results showed that the flood-prone area in RT 04 RW 06 was included in very high-risk category at 229 with an index value of environmental health risks 212-229. Meanwhile, RT 04 RW 05 was in the category of low risk in the amount of 155 with an index of 155-173. Environmental health hazards identified in Tamangapa flood-prone areas sub-district includes domestic sources of clean water, domestic wastewater, and household garbage.

  19. List of High risk countries

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

    Francine Sinzinkayo

    2013-07-26

    Higher Risk Countries and Territories. Reviewed regularly. Last update: July 26, 2013. Country/Territory. Note (1). Sources of Concern. Canadian. Law or. Policy. Knowledge of research setting. Ability to monitor research activities. (Note 2). Operational. Issues. (Note 3). Banking. Restrictions. (Note 4). Afghanistan. X. X.

  20. Flood Risk Assessment in Urban Areas Based on Spatial Analytics and Social Factors

    Directory of Open Access Journals (Sweden)

    Costas Armenakis

    2017-11-01

    Full Text Available Flood maps alone are not sufficient to determine and assess the risks to people, property, infrastructure, and services due to a flood event. Simply put, the risk is almost zero to minimum if the flooded region is “empty” (i.e., unpopulated, has not properties, no industry, no infrastructure, and no socio-economic activity. High spatial resolution Earth Observation (EO data can contribute to the generation and updating of flood risk maps based on several aspects including population, economic development, and critical infrastructure, which can enhance a city’s flood mitigation and preparedness planning. In this case study for the Don River watershed, Toronto, the flood risk is determined and flood risk index maps are generated by implementing a methodology for estimating risk based on the geographic coverage of the flood hazard, vulnerability of people, and the exposure of large building structures to flood water. Specifically, the spatial flood risk index maps have been generated through analytical spatial modeling which takes into account the areas in which a flood hazard is expected to occur, the terrain’s morphological characteristics, socio-economic parameters based on demographic data, and the density of large building complexes. Generated flood risk maps are verified through visual inspection with 3D city flood maps. Findings illustrate that areas of higher flood risk coincide with areas of high flood hazard and social and building exposure vulnerability.

  1. Improving risk estimates of runoff producing areas: formulating variable source areas as a bivariate process.

    Science.gov (United States)

    Cheng, Xiaoya; Shaw, Stephen B; Marjerison, Rebecca D; Yearick, Christopher D; DeGloria, Stephen D; Walter, M Todd

    2014-05-01

    Predicting runoff producing areas and their corresponding risks of generating storm runoff is important for developing watershed management strategies to mitigate non-point source pollution. However, few methods for making these predictions have been proposed, especially operational approaches that would be useful in areas where variable source area (VSA) hydrology dominates storm runoff. The objective of this study is to develop a simple approach to estimate spatially-distributed risks of runoff production. By considering the development of overland flow as a bivariate process, we incorporated both rainfall and antecedent soil moisture conditions into a method for predicting VSAs based on the Natural Resource Conservation Service-Curve Number equation. We used base-flow immediately preceding storm events as an index of antecedent soil wetness status. Using nine sub-basins of the Upper Susquehanna River Basin, we demonstrated that our estimated runoff volumes and extent of VSAs agreed with observations. We further demonstrated a method for mapping these areas in a Geographic Information System using a Soil Topographic Index. The proposed methodology provides a new tool for watershed planners for quantifying runoff risks across watersheds, which can be used to target water quality protection strategies. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. [A model list of high risk drugs].

    Science.gov (United States)

    Cotrina Luque, J; Guerrero Aznar, M D; Alvarez del Vayo Benito, C; Jimenez Mesa, E; Guzman Laura, K P; Fernández Fernández, L

    2013-12-01

    «High-risk drugs» are those that have a very high «risk» of causing death or serious injury if an error occurs during its use. The Institute for Safe Medication Practices (ISMP) has prepared a high-risk drugs list applicable to the general population (with no differences between the pediatric and adult population). Thus, there is a lack of information for the pediatric population. The main objective of this work is to develop a high-risk drug list adapted to the neonatal or pediatric population as a reference model for the pediatric hospital health workforce. We made a literature search in May 2012 to identify any published lists or references in relation to pediatric and/or neonatal high-risk drugs. A total of 15 studies were found, from which 9 were selected. A model list was developed mainly based on the ISMP one, adding strongly perceived pediatric risk drugs and removing those where the pediatric use was anecdotal. There is no published list that suits pediatric risk management. The list of pediatric and neonatal high-risk drugs presented here could be a «reference list of high-risk drugs » for pediatric hospitals. Using this list and training will help to prevent medication errors in each drug supply chain (prescribing, transcribing, dispensing and administration). Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  3. Resuscitation of newborn in high risk deliveries

    International Nuclear Information System (INIS)

    Yousaf, U.F.; Hayat, S.

    2015-01-01

    High risk deliveries are usually associated with increased neonatal mortality and morbidity. Neonatal resuscitation can appreciably affect the outcome in these types of deliveries. Presence of personnel trained in basic neonatal resuscitation at the time of delivery can play an important role in reducing perinatal complications in neonates at risk. The study was carried out to evaluate the effects of newborn resuscitation on neonatal outcome in high risk deliveries. Methods: This descriptive case series was carried out at the Department of Obstetrics and Gynecology, Jinnah Hospital, Lahore. Ninety consecutive high risk deliveries were included and attended by paediatricians trained in newborn resuscitation. Babies delivered by elective Caesarean section, normal spontaneous vaginal deliveries and still births were excluded. Neonatal resuscitation was performed in babies who failed to initiate breathing in the first minute after birth. Data was analyzed using SPSS-16.0. Results: A total of 90 high risk deliveries were included in the study. Emergency caesarean section was the mode of delivery in 94.4% (n=85) cases and spontaneous vaginal delivery in 5.6% (n=5). Preterm pregnancy was the major high risk factor. Newborn resuscitation was required in 37.8% (n=34) of all high risk deliveries (p=0.013). All the new-borns who required resuscitation survived. Conclusion: New-born resuscitation is required in high risk pregnancies and personnel trained in newborn resuscitation should be available at the time of delivery. (author)

  4. Studies of some risk factors for re-introduction and spread of highly ...

    African Journals Online (AJOL)

    High risk based poultry management and marketing procedures, inadequate poultry housing were areas of major concern in these states. Future high ... Key words: Risk factors, avian influenza, spread, Nigeria ... AJOL African Journals Online.

  5. Mining highly stressed areas, part 1.

    CSIR Research Space (South Africa)

    Johnson, R

    1995-12-01

    Full Text Available The aim of this long-term project has been to focus on the extreme high-stress end of the mining spectrum. Such high stress conditions will prevail in certain ultra-deep mining operation of the near future, and are already being experienced...

  6. Identification of active erosion areas and areas at risk by remote sensing: an example in the Esera Isabena watershed, Central Spanish Pyrenees

    International Nuclear Information System (INIS)

    Alatorre, L. C.; Begueria, S.; Vicente Serrano, S. M.

    2009-01-01

    The identification of eroded areas at basin scale can be very useful for environmental planning and can help to reduce land degradation and sediments yield. In this paper remote sensing technique are used to discriminate eroded areas and areas at risk in a badlands landscape developed on Eocene marls. In the Esera Isabena watershed (Spanish Pyrenees). The spatial distribution, the scarce vegetal cover and the high level of erosion let a good visual and digital discrimination of badlands, as opposed to other land covers and surfaces. A maximum likelihood supervised method was used to discriminate heavily eroded areas (badlands) from scarce or densely vegetated lands. the classification distance was used to obtain thresholds for eroded areas and areas at risk. Two error statistics (sensitivity and specificity), where used to determine the most adequate threshold values. The resulting map shows that most areas at risk are located surrounding the badlands areas. (Author) 8 refs.

  7. Identification of active erosion areas and areas at risk by remote sensing: an example in the Esera Isabena watershed, Central Spanish Pyrenees

    Energy Technology Data Exchange (ETDEWEB)

    Alatorre, L. C.; Begueria, S.; Vicente Serrano, S. M.

    2009-07-01

    The identification of eroded areas at basin scale can be very useful for environmental planning and can help to reduce land degradation and sediments yield. In this paper remote sensing technique are used to discriminate eroded areas and areas at risk in a badlands landscape developed on Eocene marls. In the Esera Isabena watershed (Spanish Pyrenees). The spatial distribution, the scarce vegetal cover and the high level of erosion let a good visual and digital discrimination of badlands, as opposed to other land covers and surfaces. A maximum likelihood supervised method was used to discriminate heavily eroded areas (badlands) from scarce or densely vegetated lands. the classification distance was used to obtain thresholds for eroded areas and areas at risk. Two error statistics (sensitivity and specificity), where used to determine the most adequate threshold values. The resulting map shows that most areas at risk are located surrounding the badlands areas. (Author) 8 refs.

  8. Socio-economic, Knowledge Attitude Practices (KAP), household related and demographic based appearance of non-dengue infected individuals in high dengue risk areas of Kandy District, Sri Lanka.

    Science.gov (United States)

    Udayanga, Lahiru; Gunathilaka, Nayana; Iqbal, M C M; Pahalagedara, Kusumawathie; Amarasinghe, Upali S; Abeyewickreme, Wimaladharma

    2018-02-21

    Socio-economic, demographic factors and Knowledge Attitude Practices (KAPs) have been recognized as critical factors that influence the incidence and transmission of dengue epidemics. However, studies that characterize above features of a risk free or low risk population are rare. Therefore, the present study was conducted to characterize the household related, demographic, socio-economic factors and KAPs status of five selected dengue free communities. An analytical cross-sectional survey was conducted on selected demographic, socio-economic, household related and KAPs in five selected dengue free communities living in dengue risk areas within Kandy District, Central Province, Sri Lanka. Household heads of 1000 randomly selected houses were interviewed in this study. Chi-square test for independence, cluster analysis and Principal Coordinates (PCO) analysis were used for data analysis. Knowledge and awareness regarding dengue, (prevention of the vector breeding, bites of mosquitoes, disease symptoms and waste management) and attitudes of the community (towards home gardening, composting, waste management and maintenance of a clean and dengue free environment) are associated with the dengue free status of the study populations. The vector controlling authorities should focus on socio-economic, demographic and KAPs in stimulating the community to cooperate in the integrated vector management strategies to improve vector control and reduce transmission of dengue within Kandy District.

  9. TA-54 (Area G) Risk Assessment from Extreme Wildfire Scenarios

    Energy Technology Data Exchange (ETDEWEB)

    Linn, Rodman Ray [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Koo, Eunmo [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Honig, Kristen Ann [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); White, Judith [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Funk, David John [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-08-10

    Los Alamos National Laboratory (LANL) and surrounding areas have been exposed to at least four significant wildfires since 1977 and there have been numerous others within 50 miles of LANL. Based on this history, wildfires are considered a risk to LANL facilities and their contents. While many LANL facilities are at risk to wildfire to some degree, they are found in a wide variety of conditions, thus they have varying sensitivities to wildfires. Additionally, LANL facilities have various functions and different assets, so they have a wide range of values or consequences if compromised. Therefore, determining the risks and precautions that are warranted to mitigate these risks must be done on a case-by-case basis. In an effort to assess possible wildfire risks to sensitive materials stored in a Perma-Con® in dome TA-54-0375, a conventional fire risk analysis was performed. This conventional risk analysis is documented in Engineering Evaluation Form AP-FIRE-001-FM1, which is dated 9/28/2015 and was titled ‘Wildland Fire Exposure Evaluation for Building TA-54-0375’ (Hall 2015). This analysis acknowledged that there was significant chance of wildfire in the vicinity of TA-54-0375, but the amount of combustible material surrounding the building was deemed low. The wildland fuels that were closest to the building were largely fine fuels and were not expected to have significant duration of heat release. The prevailing winds at this location are from the south and southwest and the nearest significant upwind fuels (tree crowns or unmown grasses) are at least 300 feet away. Based on these factors the conventional wildland fire risk to TA-54-0375 was deemed minimal, “Acceptable As Is, No Action Required.” This risk evaluation was based on a combined assessment of low probability of wildfires arriving at the site from other directions (where higher fuel loadings might be present) as well as the effective setback of fuels in the direction that fire is

  10. Geological risk assessment for the rapid development area of the Erhai Basin

    Science.gov (United States)

    Yang, Liu; Wang, Zhanqi; Jin, Gui; Chen, Dongdong; Wang, Zhan

    For low-slope hilly land development to have more new land space in a watershed, it is particularly important that to coordinate the sharply increasing conflicts between mountainous and urban land utilization in the city. However, development of low-slope hilly land easily induce potential risks of geologic hazards such as landslide and landslip. It may lead to further environmental losses in a watershed. Hence, it is necessary to study potential risks of geo-hazards in low-slope hilly land development in urban area. Based on GIS spatial analysis technique, we select a study area, Dali City in the Erhai Basin located in watershed belt of Jinsha River, Lancang River and Red River in Yunnan Province of China. Through studying some relevant key indexes and parameters for monitoring potential risks of geo-hazards, we establish a composite index model for zoning the area with potential risks of geo-hazards in development of low-slope hilly land in the study area. Our research findings indicate that the potential risks of geo-hazards in eastern Dali City is relatively low while of that on slow hills with gentle slopes in the western area are relatively high. By using a zoning research method, generated maps show geological information of potential risks of geo-hazards on low-slope hilly land which provide important messages for guarding against natural geo-hazards and potential environmental losses in a watershed.

  11. Cd pollution and ecological risk assessment for mining activity zone in Karst Area

    Science.gov (United States)

    Yang, B.; He, J. L.; Wen, X. M.; Tan, H.

    2017-08-01

    The monitored soil samples were collected from farmland in the area with mining activity in Karst area in Liupanshui. In this article, moss bag technology and TSP were used simultaneously for Cd transportation and deposition in the study area. Geostatistics and GIS were then used for the spatial distribution of Cd in the soil. Afterwards, Cd pollution to the soil environment and human health was studied by using the geo-accumulation index and potential ecological risk index methods. The results indicated that atmospheric deposition is the major route of Cd pollution. A moderate to strong pollution of Cd in the area and the degree of potential ecological risk was in a high level in the study area. Furthermore, Cd pollution in Liupanshui may originate from mining activity and atmospheric deposition.

  12. Mining highly stressed areas, part 2.

    CSIR Research Space (South Africa)

    Johnson, R

    1995-12-01

    Full Text Available A questionnaire related to mining at great depth and in very high stress conditions has been completed with the assistance of mine rock mechanics personnel on over twenty mines in all mining districts, and covering all deep level mines...

  13. Influence of risk area size and location on native collateral resistance and ischemic zone perfusion

    International Nuclear Information System (INIS)

    Gumm, D.C.; Cooper, S.M.; Thompson, S.B.; Marcus, M.L.; Harrison, D.C.

    1988-01-01

    To examine the effect of risk area size on collateral resistance and ichemic region perfusion, the authors produced different sized risk areas by occluding either the left anterior descending (LAD) or the circumflex (Cx) coronary artery at different sites. The most proximal occlusion of the LAD and Cx produced risk areas of 43 ± 5 and 36 ± 2% of left ventricular (LV) mass, respectively, whereas distal LAD and Cx occlusions produced risk areas of 13 ± 2 and 17 ± 2% of LV weight, respectively. Although total collateral flow was highest to the largest risk areas, collateral flow per 100 g of ischemic myocardium was 80% higher to the small LAD risk area compared with the large LAD risk area and 43% higher to the small Cx risk area compared with the large Cx risk area. Collateral resistance, calculated from the transcollateral pressure and perfusion per 100 g of myocardium was significantly lower in the small risk areas than in the large ones. They examined the effect of risk area location on collateral perfusion and resistance. These experiments show that collateral resistance is influenced both by ischemic region size and location. Small risk areas receive more collateral flow per mass of tissue than large risk areas, and apical risk areas receive greater quantities of collateral flow than those located at the base. These data may explain why small risk areas often do not develop infarction after coronary occlusion

  14. Improving antenatal risk assessment in women exposed to high risks.

    Science.gov (United States)

    Perry, Natasha; Newman, Louise K; Hunter, Mick; Dunlop, Adrian

    2015-01-01

    Antenatal substance use and related psychosocial risk factors are known to increase the likelihood of child protection involvement; less is known about the predictive nature of maternal reflective functioning (RF) in this population. This preliminary study assessed psychosocial and psychological risk factors for a group of substance dependent women exposed to high risks in pregnancy, and their impact on child protection involvement. Pregnant women on opiate substitution treatment (n = 11) and a comparison group (n = 15) were recruited during their third trimester to complete measures of RF (Pregnancy Interview), childhood trauma, mental health and psychosocial assessments. At postnatal follow-up, RF was reassessed (Parent Development Interview - Revised Short Version) and mother-infant dyads were videotaped to assess emotional availability (EA). Child protection services were contacted to determine if any concerns had been raised for infant safety. Significant between-group differences were observed for demographics, psychosocial factors, trauma and mental health symptoms. Unexpectedly, no significant differences were found for RF or EA between groups. Eight women in the 'exposed to high risks' group became involved with child protection services. Reflective functioning was not significantly associated with psychosocial risk factors, and therefore did not mediate the outcome of child protection involvement. Women 'exposed to high risks' were equally able to generate a model of their own and their infants' mental states and should not be seen within a deficit perspective. Further research is required to better understand the range of risk factors that predict child protection involvement in high risk groups. © The Author(s) 2013.

  15. Analysis of Risk Optimization on the Industrial Area Around

    International Nuclear Information System (INIS)

    Sony, DT; Demon-Handoyo

    2000-01-01

    Indonesia as an industrial country, there are large industrial area whichis directly or indirectly have an effect to human health by routine dischargeof waste from industrial installations. So, the criteria limit must bedetermined to regulate industrial area. The PRA method (Probabilistic RiskAssessment) is used in the nuclear technology especially reactor safetytechnology could be applied to accommodate those problems. The principles ofPRA method is to determine probability and consequences for accident ofindustrial plant or transportation of product. The analysis procedureincludes classification of industry activity type and inventories, estimationof external consequences, estimation of probability for installation andtransportation accident, determination of social risk and prioritization ofrisks. Calculation of consequence is based on the lost of life which isaffected by fire, toxic and explosive. The calculation for one industrialarea simple model as case study was done. From the calculation result, theconsequences value of 0 - 25 persons/event; 26 - 50 persons/event; 51 - 75persons/event, 625 - 650 persons/event and the event probability value of1.10 -2 to 3.10 -8 are obtained. The optimization value of industrial areaaround can be determined by using combination of probability value andconsequences value. (author)

  16. Risk and Geodynamically active areas of Carpathian lithosphere

    Directory of Open Access Journals (Sweden)

    Lubomil Pospíšil

    2007-01-01

    Full Text Available This paper illustrates an application of multidisciplinary data analysis to the Carpathian–Pannonian region and presents a verification of a Complex model of the Carpathian - Pannonian lithosphere by recent data sets and geophysical data analyses and its utilization for the determination of risk and active geodynamic and tectonic zones of Ist order . This model can be used for the analysing any Carpathian area from the point of view of the seismic risk, hazards and geodynamic activity, which is important to know for the building of a repository for the radioactive wasted material. Besides the traditionally used geological (sedimentological and volcanological data and geomorphological data (Remote Sensing, an emphasis was laid on geodetic, grav/mag data, seismic, seismological and other geophysical data (magnetotelluric, heat flow, paleomagnetic etc.. All available geonomic (geologic, geodetic, geophysical, geomorphological data were verified and unified on the basis of the same scale and in the Western Carpathians on the Remote Sensing data. The paper concentrates on two problematic areas – the so call “rebounding area” in the Eastern Carpathians and the Raba – Muran - Malcov tectonic systems.

  17. Early Gadolinium Enhancement for Determination of Area at Risk

    DEFF Research Database (Denmark)

    Hammer-Hansen, Sophia; Leung, Steve W; Hsu, Li-Yueh

    2017-01-01

    OBJECTIVES: The aim of this study was to determine whether early gadolinium enhancement (EGE) by cardiac magnetic resonance (CMR) in a canine model of reperfused myocardial infarction depicts the area at risk (AAR) as determined by microsphere blood flow analysis. BACKGROUND: It remains controver......OBJECTIVES: The aim of this study was to determine whether early gadolinium enhancement (EGE) by cardiac magnetic resonance (CMR) in a canine model of reperfused myocardial infarction depicts the area at risk (AAR) as determined by microsphere blood flow analysis. BACKGROUND: It remains...... requires pathological validation. METHODS: Eleven dogs underwent 2 h of coronary artery occlusion and 48 h of reperfusion before imaging at 1.5-T. EGE imaging was performed 3 min after contrast administration with coverage of the entire left ventricle. Late gadolinium enhancement imaging was performed...... on native T1 and T2 maps. The size of EGE was significantly greater than the infarct by triphenyltetrazolium chloride (44.1 ± 15.8% vs. 20.7 ± 14.4%; p gadolinium enhancement (44.1 ± 15.8% vs. 23.5 ± 12.7%; p

  18. InSAR deformation monitoring of high risk landslides

    Science.gov (United States)

    Singhroy, V.; Li, J.

    2013-05-01

    During the past year there were at least twenty five media reports of landslides and seismic activities some fatal, occurring in various areas in Canada. These high risk geohazards sites requires high resolution monitoring both spatially and temporally for mitigation purposes, since they are near populated areas and energy, transportation and communication corridors. High resolution air photos, lidar and satellite images are quite common in areas where the landslides can be fatal. Radar interferometry (InSAR) techniques using images from several radar satellites are increasingly being used in slope stability assessment. This presentation provides examples of using high-resolution (1-3m) frequent revisits InSAR techniques from RADARSAT 2 and TerraSAR X to monitor several types of high-risk landslides affecting transportation and energy corridors and populated areas. We have analyses over 200 high resolution InSAR images over a three year period on geologically different landslides. The high-resolution InSAR images are effective in characterizing differential motion within these low velocity landslides. The low velocity landslides become high risk during the active wet spring periods. The wet soils are poor coherent targets and corner reflectors provide an effective means of InSAR monitoring the slope activities.

  19. 海南省碘缺乏病高危地区重点人群调查结果%Iodine deficiency disorders in high-risk areas of Hainan province from 2007 to 2009: an analysis of survey results

    Institute of Scientific and Technical Information of China (English)

    王红美; 苏英迪; 黄曼; 江苏娟; 吴柳坚; 王善青

    2010-01-01

    目的 了解海南省缺碘高危地区碘缺乏病防治现状和防治措施落实效果.方法 2007-2009年,采用典型抽样方法,在海南省碘盐覆盖率低的8个市(县),以乡为单位搜索10岁以下新发地方性克汀病(地克病)患儿;在乡小学校,抽取8~10岁儿童,采用触诊、B超法检查儿童甲状腺;收集儿童尿样;测定儿童智商(IQ);对五年级学生进行健康教育问卷调查.入户采集育龄妇女尿样和家中食用盐样,同时对妇女进行健康教育问卷调查.尿碘测定采用砷铈催化分光光度法,盐碘测定采用半定量法,IQ测定采用中国联合型瑞文测验(CRT-C2).结果 共调查72个乡(镇),其中8~10儿童7937名、育龄妇女1797名、5年级学生4128名,线索调查发现疑似新发地克病患儿1例.居民碘盐覆盖率由2007年的44.6%(629/1411)提高到2009年的92.1%(1688/1832).儿童甲状腺肿大(甲肿)率触诊法、B超法由2007年的5.9%(269/4548)、6.0%(274/4548)下降到2009年的1.6%(24/1461)、0.1%(2/1461);尿碘中位数由2007年的97.4μg/L上升2009年165.0μg/L;尿碘<50.0μg/L和<100.0μg/L的比例由2007年的21.4%(973/4548)、51.2%(2329/4548)下降到2009年的75%(110/1461)、23.4%(342/1461);育龄妇女尿碘中位数由2007年的73.7μg/L上升到2009年的126.1μg/L,其中孕妇的尿碘中位数由2007年的55.7μg/L上升到2008年117.9μg/L、2009年的121.5 μg/L,但仍<150.0μg/L.五年级学生、育龄妇女碘缺乏病的健康教育问卷调查及格率分别由2007年29.8%(446/1495)、24.1%(179/742)提高到2009年65.8%(732/1112)、72.1%(264/366).儿童IQ值为90.4±16.0,IQ低下(≤69)的比例为12.6%(1000/7937).结论 海南省高危地区碘缺乏病病情逐年改善,但孕妇碘营养水平仍较低,今后应加强对孕妇的补碘.%Objective To know the prevalence of iodine deficiency disorders(IDD) and the implementation of control measures against the disorders in high-risk areas of Hainan province. Methods Typical

  20. Highly Enhanced Risk Management Emergency Satellite

    DEFF Research Database (Denmark)

    Dalmeir, Michael; Gataullin, Yunir; Indrajit, Agung

    HERMES (Highly Enhanced Risk Management Emergency Satellite) is potential European satellite mission for global flood management, being implemented by Technical University Munich and European Space Agency. With its main instrument - a reliable and precise Synthetic Aperture Radar (SAR) antenna...

  1. The high-risk plaque initiative

    DEFF Research Database (Denmark)

    Falk, Erling; Sillesen, Henrik; Muntendam, Pieter

    2011-01-01

    The High-Risk Plaque (HRP) Initiative is a research and development effort to advance the understanding, recognition, and management of asymptomatic individuals at risk for a near-term atherothrombotic event such as myocardial infarction or stroke. Clinical studies using the newest technologies...... have been initiated, including the BioImage Study in which novel approaches are tested in a typical health plan population. Asymptomatic at-risk individuals were enrolled, including a survey-only group (n = 865), a group undergoing traditional risk factor scoring (n = 718), and a group in which all...

  2. Diabetes prevalence and its risk factors in rural area of Tamil Nadu

    Directory of Open Access Journals (Sweden)

    Gupta Sanjay

    2010-01-01

    Full Text Available Objectives: To estimate the usefulness of the Indian diabetes risk score for detecting undiagnosed diabetes in the rural area of Tamil Nadu. Materials and Methods: The present study was conducted in the field practice area of rural health centers (Chunampett and Annechikuppam, Tamil Nadu, covering a population of 35000 from February to March 2008 by using a predesigned and pretested protocol to find out the prevalence and the risk of diabetes mellitus in general population by using Indian diabetes risk score. Results: 1936 respondents comprising 1167 (60.27% females and 769 (39.73% males were studied. Majority 1203 (62.50% were Hindus. 1220 (63.% had studied up to higher secondary. 1200 (62% belonged to lower and lower-middle socio-economic class. A large number of the subjects 948 (50% were below 35 years of age. Most of the respondents 1411 (73% indulged in mild to moderate physical activity. 1715 (87.91% had no family history of diabetes mellitus. 750 (39.64% individuals were in the overweight category (>25 BMI. Out of these overweight persons, 64% had high diabetic risk score. It is observed that chances of high diabetic score increase with the increase in BMI. Prevalence of diabetes in studied population was 5.99%; out of these, 56% known cases of diabetes mellitus had high (>60 IDRS. Co-relation between BMI and IDRS shows that, if BMI increases from less than 18.50 to more than 30, chances of high risk for developing diabetes mellitus also significantly increase. Conclusion: This study estimates the usefulness of simplified Indian diabetes risk score for identifying undiagnosed high risk diabetic subjects in India. This simplified diabetes risk score has categorized the risk factors based on their severity. Use of the IDRS can make mass screening for undiagnosed diabetes in India more cost effective.

  3. Ecologic and Sociodemographic Risk Determinants for Dengue Transmission in Urban Areas in Thailand

    Directory of Open Access Journals (Sweden)

    Surachart Koyadun

    2012-01-01

    Full Text Available This study analyzed the association between household-level ecologic and individual-level sociodemographic determinants and dengue transmission in urban areas of Chachoengsao province, Thailand. The ecologic and sociodemographic variables were examined by univariate analysis and multivariate logistic regression. In the ecologic model, dengue risk was related to households situated in the ecotope of residential mixed with commercial and densely populated urban residential areas (RCDENPURA (aOR = 2.23, , high historical dengue risk area (aOR = 2.06, , and presence of household window screens (aOR = 1.62, . In the sociodemographic model, the dengue risk was related to householders aged >45 years (aOR = 3.24, , secondary and higher educational degrees (aOR = 2.33, , household members >4 persons (aOR = 2.01, , and community effort in environmental management by clean-up campaign (aOR = 1.91, . It is possible that the preventive measures were positively correlated with dengue risk because these activities were generally carried out in particular households or communities following dengue experiences or dengue outbreaks. Interestingly, the ecotope of RCDENPURA and high historical dengue risk area appeared to be very good predictors of dengue incidences.

  4. Herd-level risk factors for the seropositivity to Mycoplasma hyopneumoniae and the occurrence of enzootic pneumonia among fattening pigs in areas of endemic infection and high pig density.

    Science.gov (United States)

    Nathues, H; Chang, Y M; Wieland, B; Rechter, G; Spergser, J; Rosengarten, R; Kreienbrock, L; Grosse Beilage, E

    2014-08-01

    The aim of the present study was to identify potential risk factors for the occurrence of enzootic pneumonia (EP) in herds situated in a region of high pig density, where a majority of herds is endemically infected with Mycoplasma hyopneumoniae. Between 2006 and 2010, overall 100 herds were enrolled in a case-control study. Data were collected through personal interview with the farmers, clinical examination of pigs and their environments, and serological testing for M. hyopneumoniae, swine influenza virus and porcine reproductive and respiratory syndrome virus. There were 40 case herds (coughing index high, seroprevalence high) with a mean coughing index of 4.3 and a seroprevalence of 86.6%. There were two control groups. Control group I consisted of 25 herds (coughing index low, seroprevalence low) with mean values of 0.7 and 11.2%, and 35 herds were allocated to control group II (coughing index low, seroprevalence high) where the mean coughing index was 0.9 and seroprevalence 86.3%. Case herds and control II herds had an increased age of piglets at weaning compared to control I herds. Any contact between fattening pigs of different age during restocking of compartments increased the risk for the occurrence of EP in a herd. Finally, farms that use living animals for the exposure to gilts during the acclimatization and farms that had increased number of weaned piglets per sow and year were less likely to test positive for M. hyopneumoniae and less likely to develop clinical symptoms of EP in fattening pigs. © 2012 Blackwell Verlag GmbH.

  5. Staying Alive! Training High-Risk Teams for Self Correction

    Science.gov (United States)

    Slack, Kelley; Noe, Raymond; Weaver, Sallie

    2011-01-01

    Research examining teams working in high-risk operations has been lacking. The present symposium showcases research on team training that helps to optimize team performance in environments characterized by life or death situations arising spontaneously after long periods of mundane activity by pulling experts from diverse areas of industry: space flight, health care, and medical simulation.

  6. The determination of risk areas for muddy floods based on a worst-case erosion modelling

    Science.gov (United States)

    Saathoff, Ulfert; Schindewolf, Marcus; Annika Arévalo, Sarah

    2013-04-01

    Soil erosion and muddy floods are a frequently occurring hazard in the German state of Saxony, because of the topography and the high relief energy together with the high proportion of arable land. Still, the events are rather heterogeneously distributed and we do not know where damage is likely to occur. The goal of this study is to locate hot spots for the risk of muddy floods, with the objective to prevent high economic damage in future. We applied a soil erosion and deposition map of Saxony, calculated with the process based soil erosion model EROSION 3D. This map shows the potential soil erosion and transported sediment for worst case soil conditions and a 10 year rain storm event. Furthermore, a map of the current landuse in the state is used. From the landuse map, we extracted those areas that are especially vulnerable to muddy floods, like residential and industrial areas, infrastructural facilities (e.g. power plants, hospitals) and highways. In combination with the output of the soil erosion model, the amount of sediment, that enters each single landuse entity, is calculated. Based on this data, a state-wide map with classified risks is created. The results are furthermore used to identify the risk of muddy floods for each single municipality in Saxony. The results are evaluated with data of real occurred muddy flood events with documented locations during the period between 2000 and 2010. Additionally, plausibility tests are performed for selected areas (examination of landuse, topography and soil). The results prove to be plausible and most of the documented events can be explained by the modelled risk map. The created map can be used by different institutions like city and traffic planners, to estimate the risk of muddy flood occurrence at specific locations. Furthermore, the risk map can serve insurance companies to evaluate the insurance risk of a building. To make them easily accessible, the risk map will be published online via a web GIS

  7. Thermal extremes mortality risk assessment in urban areas

    Directory of Open Access Journals (Sweden)

    Paulo Canário

    2010-06-01

    Full Text Available The impact of heat waves on mortality has been the subject of numerous studies and the focus of attention of various national and international governmental bodies. In the summer of 2003 alone, which was exceptionally hot, the number of deaths in 12 European countries increased by 70,000. The overall trend of warming will lead to an increase in frequency, duration and intensity of heat waves and to an increase in heat related mortality. The need to assess the risk of death due to extreme heat, at a detailed spatial scale, has determined the implementation of a research project based on a general model of risk for potentially destructive natural phenomena; the model uses the relationship between hazard and vulnerability and was designed primarily for urban areas. The major hazardous meteorological variables are those that determine the thermal complex (air temperature, radiative temperature, wind and humidity and the variables related to air quality (mainly ozone and Particulate matter. Vulnerability takes into account the population sensitivity (at various spatial scales and their exposure to thermal extremes.

  8. Risk analysis and evaluation of agricultural drought disaster in the major grain-producing areas, China

    Directory of Open Access Journals (Sweden)

    Zongtang Xie

    2016-09-01

    Full Text Available The analysis and evaluation of agricultural drought risk can assist in reducing regional disasters and agricultural drought losses. Because of the uncertainties and incomplete agricultural drought information, this paper employed an information diffusion technology and information matrix to identify a drought disaster risk distribution and to quantify the relationship between the annual drought-affected rate and the grain production losses in China's major grain-producing areas. From the assessment results, provincial drought disaster risk spatial distribution maps for each major grain-producing area in China were obtained. These risk patterns showed that the probability of drought fell when the annual drought-covered rate and the annual drought-affected rate increased, and that the high risk areas were located primarily in China's northern and central provinces. These results can provide the basis for the development of effective drought mitigation strategies which would be able to inform possible drought situations and allow for easier decision-making on drought resistance strategies. The fuzzy relationship between the annual drought-affected rate and the drought-caused grain production losses provides vital information for the development of disaster compensation plans. Furthermore, the results of this study indicated that the proposed methods had superior detection stability and higher precision. We hope that by conducting such agricultural drought risk analysis, the results are able to provide the basis for the development of drought mitigation strategies to reduce future losses.

  9. Ecologic and Sociodemographic Risk Determinants for Dengue Transmission in Urban Areas in Thailand

    Science.gov (United States)

    Koyadun, Surachart; Butraporn, Piyarat; Kittayapong, Pattamaporn

    2012-01-01

    This study analyzed the association between household-level ecologic and individual-level sociodemographic determinants and dengue transmission in urban areas of Chachoengsao province, Thailand. The ecologic and sociodemographic variables were examined by univariate analysis and multivariate logistic regression. In the ecologic model, dengue risk was related to households situated in the ecotope of residential mixed with commercial and densely populated urban residential areas (RCDENPURA) (aOR = 2.23, P = 0.009), high historical dengue risk area (aOR = 2.06, P 45 years (aOR = 3.24, P = 0.003), secondary and higher educational degrees (aOR = 2.33, P = 0.013), household members >4 persons (aOR = 2.01, P = 0.02), and community effort in environmental management by clean-up campaign (aOR = 1.91, P = 0.035). It is possible that the preventive measures were positively correlated with dengue risk because these activities were generally carried out in particular households or communities following dengue experiences or dengue outbreaks. Interestingly, the ecotope of RCDENPURA and high historical dengue risk area appeared to be very good predictors of dengue incidences. PMID:23056042

  10. Antarctica’s Protected Areas Are Inadequate, Unrepresentative, and at Risk

    Science.gov (United States)

    Shaw, Justine D.; Terauds, Aleks; Riddle, Martin J.; Possingham, Hugh P.; Chown, Steven L.

    2014-01-01

    Antarctica is widely regarded as one of the planet's last true wildernesses, insulated from threat by its remoteness and declaration as a natural reserve dedicated to peace and science. However, rapidly growing human activity is accelerating threats to biodiversity. We determined how well the existing protected-area system represents terrestrial biodiversity and assessed the risk to protected areas from biological invasions, the region's most significant conservation threat. We found that Antarctica is one of the planet's least protected regions, with only 1.5% of its ice-free area formally designated as specially protected areas. Five of the distinct ice-free ecoregions have no specially designated areas for the protection of biodiversity. Every one of the 55 designated areas that protect Antarctica's biodiversity lies closer to sites of high human activity than expected by chance, and seven lie in high-risk areas for biological invasions. By any measure, including Aichi Target 11 under the Convention on Biological Diversity, Antarctic biodiversity is poorly protected by reserves, and those reserves are threatened. PMID:24936869

  11. Research in high speed fiber optics local area networks

    Science.gov (United States)

    Tobagi, F. A.

    1986-01-01

    The design of high speed local area networks (HSLAN) for communication among distributed devices requires solving problems in three areas: the network medium and its topology, the medium access control, and the network interface. Considerable progress was already made in the first two areas. Accomplishments are divided into two groups according to their theoretical or experimental nature. A brief summary is given.

  12. Risk analysis of the LHC underground area fire risk due to faulty electrical equipment

    CERN Document Server

    Harrison, A

    2007-01-01

    The European Organisation for Nuclear Research (CERN) in Geneva, Switzerland, is currently building the latest generation of particle accelerators, the LHC (Large Hadron Collider). The machine is housed in a circular tunnel of 27 km of circumference and is situated approximately 100 metres beneath the surface astride the Franco-Swiss border. Electrically induced fires in the LHC are a major concern, since an incident could present a threat to CERN personnel as well as the public. Moreover, the loss of equipment would result in significant costs and downtime. However, the amount of electrical equipment in the underground area required for operation, supervision and control of the machine is essential. Thus the present thesis is assessing the risk of fire due to faulty electrical equipment in both a qualitative as well as quantitative way. The recommendations following the qualitative analysis suggest the introduction of fire protection zones for the areas with the highest risk of fire due to a combination of p...

  13. Development of a relative risk model for evaluating ecological risk of water environment in the Haihe River Basin estuary area.

    Science.gov (United States)

    Chen, Qiuying; Liu, Jingling; Ho, Kin Chung; Yang, Zhifeng

    2012-03-15

    Ecological risk assessment for water environment is significant to water resource management of basin. Effective environmental management and systems restoration such as the Haihe River Basin require holistic understanding of the relative importance of various stressor-related impacts throughout the basin. As an effective technical tool for evaluating the ecological risk, relative risk model (RRM) was applied in regional scale successfully. In this study, the risk transfer from upstream of basin was considered and the RRM was developed through introducing the source-stressor-habitat exposure filter (SSH), the endpoint-habitat exposure filter (EH) and the stressor-endpoint effect filter (SE) to reflect the meaning of exposure and effect more explicit. Water environment which includes water quality, water quantity and aquatic ecosystems was selected as the assessment endpoints. We created a conceptual model which depicting potential and effect pathways from source to stressor to habitat to endpoint. The Haihe River Basin estuary (HRBE) was selected as the model case. The results showed that there were two low risk regions, one medium risk region and two high risk regions in the HRBE. The results also indicated that urbanization was the biggest source, the second was shipping and the third was industry, their risk scores are 5.65, 4.71 and 3.68 respectively. Furthermore, habitat destruction was the largest stressor with the risk scores (2.66), the second was oxygen consuming organic pollutants (1.75) and the third was pathogens (1.75). So these three stressors were the main influencing factors of the ecological pressure in the study area. For habitats, open waters (9.59) and intertidal mudflat were enduring the bigger pressure and should be taken considerable attention. Ecological service values damaged (30.54) and biodiversity decreased were facing the biggest risk pressure. Copyright © 2011 Elsevier B.V. All rights reserved.

  14. Renal transplantation in high cardiovascular risk patients.

    Science.gov (United States)

    Bittar, Julio; Arenas, Paula; Chiurchiu, Carlos; de la Fuente, Jorge; de Arteaga, Javier; Douthat, Walter; Massari, Pablo U

    2009-10-01

    Current transplant success allows recipients with previous contraindications to transplant to have access to this procedure with more frequency and safety. The concept of high-risk patient has changed since the first stages of transplantation. In the first studies, the high-risk concept was based on probability of early graft failure or on a patient's clinical condition to cope with high perioperatory morbimortality. Later on, this concept implied immunological factors that were crucial to ensure transplant success because hypersensitized or polytransfused patients experienced a higher risk of acute rejection and subsequent graft loss. Afterward, the presence of various comorbidities would redefine the high-risk concept for renal transplant mainly considering recipient's clinical aspects. Currently, the change in epidemiological characteristics of patients starting dialysis causes that we now deal with a greater increase of elderly patients, diabetic patients, and patients with history of cardiovascular disease. Today, high-risk patients are those with clinical features that predict an increase in the risk of perioperative morbimortality or death with functioning graft. In this review, we will attempted to analyze currents results of renal transplant outcomes in terms of patients and graft survival in elderly patients, diabetic patients, and patients with previous cardiovascular disease from the most recent experiences in the literature and from experiences in our center. In any of the groups previously analyzed, survival offered by renal transplant is significantly higher compared to dialysis. Besides, these patients are the recipient group that benefit the most with the transplant because their mortality while remaining on dialysis is extremely high. Hence, renal transplantation should be offered more frequently to older patients, diabetic patients, and patients with pretransplant cardiac and peripheral vascular disease. A positive attitude toward renal

  15. Migration and risk: net migration in marginal ecosystems and hazardous areas

    International Nuclear Information System (INIS)

    De Sherbinin, Alex; Levy, Marc; Adamo, Susana; MacManus, Kytt; Yetman, Greg; Mara, Valentina; Razafindrazay, Liana; Aichele, Cody; Pistolesi, Linda; Goodrich, Benjamin; Srebotnjak, Tanja

    2012-01-01

    The potential for altered ecosystems and extreme weather events in the context of climate change has raised questions concerning the role that migration plays in either increasing or reducing risks to society. Using modeled data on net migration over three decades from 1970 to 2000, we identify sensitive ecosystems and regions at high risk of climate hazards that have seen high levels of net in-migration and out-migration over the time period. This paper provides a literature review on migration related to ecosystems, briefly describes the methodology used to develop the estimates of net migration, then uses those data to describe the patterns of net migration for various ecosystems and high risk regions. The study finds that negative net migration generally occurs over large areas, reflecting its largely rural character, whereas areas of positive net migration are typically smaller, reflecting its largely urban character. The countries with largest population such as China and India tend to drive global results for all the ecosystems found in those countries. Results suggest that from 1970 to 2000, migrants in developing countries have tended to move out of marginal dryland and mountain ecosystems and out of drought-prone areas, and have moved towards coastal ecosystems and areas that are prone to floods and cyclones. For North America results are reversed for dryland and mountain ecosystems, which saw large net influxes of population in the period of record. Uncertainties and potential sources of error in these estimates are addressed. (letter)

  16. High risk process control system assessment methodology

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Venetia [Pontificia Universidade Catolica do Rio de Janeiro (PUC-Rio), RJ (Brazil); Zamberlan, Maria Cristina [National Institute of Tehnology (INT), Rio de Janeiro, RJ (Brazil). Human Reliability and Ergonomics Research Group for the Oil, Gas and Energy Sector

    2009-07-01

    The evolution of ergonomics methodology has become necessary due to the dynamics imposed by the work environment, by the increase of the need of human cooperation and by the high interaction between various sections within a company. In the last 25 years, as of studies made in the high risk process control, we have developed a methodology to evaluate these situations that focus on the assessment of activities and human cooperation, the assessment of context, the assessment of the impact of work of other sectors in the final activity of the operator, as well as the modeling of existing risks. (author)

  17. High-risk PCI: how to define it today?

    Science.gov (United States)

    DE Marzo, Vincenzo; D'Amario, Domenico; Galli, Mattia; Vergallo, Rocco; Porto, Italo

    2018-04-11

    Before the percutaneous spread, the mortality rate of patients with coronary heart disease not suitable for cardiac surgery was markedly high. This limit has been progressively exceeded with the advent of minimally invasive approaches, which, although was initially intended exclusively for low risk patients, was then employed in complex patients often too compromised to undergo cardiac surgery. Given to the rising of high-risk population, due to an increase of patients with multiple chronic conditions linked to the best care offered, we are witnessing an expansion of the high-risk percutaneous coronary interventions (PCI) population. Despite defining what high-risk is remains still unclear, all proposed definitions of high-risk PCI combine features related to three clinical areas: 1) patient risk factors and comorbidities (incorporating those which preclude surgical or percutaneous revascularization such as diabetes, COPD, CKD, lung disease, frailty, advanced age); 2) location of the disease and complexity of coronary anatomy (including multi-vessel disease, left main disease, CTO, bifurcations); 3) hemodynamic clinical status (ventricular dysfunction, concomitant valvular disease or unstable characteristics). Since cardiologists have ascertained the encouraging results in terms of efficacy and rewards compared to the low-risks patients, the important role of treating high-risk patients is becoming more and more relevant to the point that current guidelines have now changed the appropriateness of percutaneous interventions indications. Considering the complexity in managing higher-risk patients with coronary artery disease, the next step to ensure the best care for this type of patients is to create a team-based model of cooperation in order to properly establish the right treatment for the right patient.

  18. New information on high risk breast screening

    International Nuclear Information System (INIS)

    Riedl, C.C.; Ponhold, L.; Gruber, R.; Pinker, K.; Helbich, T.H.

    2010-01-01

    Women with an elevated risk for breast cancer require intensified screening beginning at an early age. Such high risk screening differs considerably from screening in the general population. After an expert has evaluated the exact risk a breast MRI examination should be offered at least once a year and beginning latest at the age of 30 depending on the patients risk category. Complementary mammograms should not be performed before the age of 35. An additional ultrasound examination is no longer recommended. To ensure a high sensitivity and specificity high risk screening should be performed only at a nationally or regionally approved and audited service. Adequate knowledge about the phenotypical characteristics of familial breast cancer is essential. Besides the common malignant phenotypes, benign morphologies (round or oval shape and smooth margins) as well as a low prevalence of calcifications have been described. Using MRI benign contrast media kinetics as well as non-solid lesions with focal, regional and segmental enhancement can often be visualized. (orig.) [de

  19. Not all risks are equal: the risk taking inventory for high-risk sports.

    Science.gov (United States)

    Woodman, Tim; Barlow, Matt; Bandura, Comille; Hill, Miles; Kupciw, Dominika; Macgregor, Alexandra

    2013-10-01

    Although high-risk sport participants are typically considered a homogenous risk-taking population, attitudes to risk within the high-risk domain can vary considerably. As no validated measure allows researchers to assess risk taking within this domain, we validated the Risk Taking Inventory (RTI) for high-risk sport across four studies. The RTI comprises seven items across two factors: deliberate risk taking and precautionary behaviors. In Study 1 (n = 341), the inventory was refined and tested via a confirmatory factor analysis used in an exploratory fashion. The subsequent three studies confirmed the RTI's good model-data fit via three further separate confirmatory factor analyses. In Study 2 (n = 518) and in Study 3 (n = 290), concurrent validity was also confirmed via associations with other related traits (sensation seeking, behavioral activation, behavioral inhibition, impulsivity, self-esteem, extraversion, and conscientiousness). In Study 4 (n = 365), predictive validity was confirmed via associations with mean accidents and mean close calls in the high-risk domain. Finally, in Study 4, the self-report version of the inventory was significantly associated with an informant version of the inventory. The measure will allow researchers and practitioners to investigate risk taking as a variable that is conceptually distinct from participation in a high-risk sport.

  20. Risk of suicide in high risk pregnancy: an exploratory study.

    Science.gov (United States)

    Benute, Gláucia Rosana Guerra; Nomura, Roseli Mieko Yamamoto; Jorge, Vanessa Marques Ferreira; Nonnenmacher, Daniele; Fráguas Junior, Renério; Lucia, Mara Cristina Souza de; Zugaib, Marcelo

    2011-01-01

    To identify the risk of suicidal behavior in high-risk pregnant women at a public hospital in São Paulo. We conducted a semi-structured interview with each of the participants (n = 268) through a previously prepared questionnaire. Risk of suicidal behavior was assessed by the Portuguese version of PRIME-MD. The mean age of patients was 29 years (SD = 0.507) and gestation period was 30 weeks (SD = 0.556). Of the total sample, specific risk of suicide was found in 5% (n = 14). Of these, 85% have a stable relationship (married or cohabitating), the pregnancy was planned in 50% of cases, and 71% have no religion or professional activities. The correlation of risk of suicide with data from marital status, planned birth, age, education, professional practice, risk of prematurity, and religion showed that having a religion is statistically significant (p = 0.012). There were no positive associations for any of the other selected variables when compared with the risk of suicide. By correlating the risk of suicide with other characteristic symptoms of major depression, there was statistical significance in the sample with regard to insomnia or hypersomnia (p = 0.003), fatigue or loss of energy (p = 0.001), decreased or increased appetite (p = 0.005), less interest in daily activities (p = 0.000), depressed mood (p = 0.000), feelings of worthlessness or guilt (p = 0.000), decreased concentration (p = 0.002), and agitation or psychomotor retardation (p = 0.002). We found that religion can be a protective factor against suicidal behavior. Besides providing a social support network needed by women during pregnancy, religion supports belief in life after death and in a loving God, giving purpose to life and self esteem and providing models for coping with crises. The results show the importance of prevention and early diagnosis of suicidal behavior, since suicide is an attempt to move from one sphere to another by force, seeking to solve what seems impossible.

  1. Radon in the Gulf Coast area: Potential problem or exaggerated risk?

    International Nuclear Information System (INIS)

    Duex, T.W.

    1994-01-01

    Indoor air pollution from radon has been identified by the EPA as a serious health problem; estimates indicate that radon is the second leading cause of lung cancer (after smoking) and that high levels of radon may cause as many as 20,000 to 40,000 lung cancer deaths per year in the United States. Studies of the potential risk in the Gulf Coast have been sparse. This report summarizes over 7000 previously unreported radon analyses and relates them to geological information to identify possible problem areas for the Gulf Coast region of Louisiana, Texas, Mississippi, Alabama, and Florida. High levels of indoor radon are generally associated with older open-quotes crystallineclose quotes igneous and metamorphic bedrock; thus, most areas of the Gulf Coast are of relatively low risk because they are underlain by Cenozoic sedimentary rocks and unconsolidated deposits. However, some types of sedimentary deposits, such as open-quotes black shaleclose quotes and phosphate-rich rocks, can underlie areas of high risk. According to EPA indoor radon survey results the percentage of houses with screening levels greater than 4 pCi/1 (picocuries per liter) for given states is as follows: Alabama = 0.6%, Louisiana = 0.8%, Mississippi = 2.0%, and Texas = 4.0% (no data available for Florida). The data presented here for the percentage of houses with greater than 4 pCi/1 for given states is as follows: Alabama = 6.1 %, Louisiana = 0.6%, Mississippi = 2.0%, Texas = 1.6%, and Florida = 4.5%. The areas that appear to have the greatest risk are parts of northern Alabama and Mississippi, central Texas, and some areas in Florida

  2. Laser prostatectomy in high-risk patients

    International Nuclear Information System (INIS)

    Tayib, Abdulmalik M.

    2008-01-01

    Objective was to evaluate the short-term tolerability and outcome of high power green light potassium titanyl phosphate laser prostatectomy in high-risk patients with symptomatic benign prostatic hyperplasia. Eleven high risk operative patients were included in this study at the International Medical Center, Jeddah, Kingdom of Saudi Arabia, between January and September 2007. Patients enrolled in this study underwent preoperative and postoperative, cardiac and anesthesia evaluation. Clinical presentations, ultrasound of urinary tract and preoperative laboratory investigation were recorded. All patients underwent high power green light laser prostatectomy using the green light photo vaporization system with setting of 120 watts. The intraoperative and postoperative complications and follow-up were recorded. The patient's age varied between 65-82 years with a mean age of 75.3+-8.6 years old. Seven patients presented with refractory acute urinary retention and 4 patients presented with severe lower urinary tract symptoms. The average prostate volume was 61.22 cc. All patients had uneventful intra- and postoperative course, without the intensive care. The average blood loss was insignificant and only one of the patients required blood transfusion. Foley catheters were removed one day after the procedure. All patients voided satisfactorily after removal of catheter and 8 patients complained of urgency. High power green light laser prostatectomy is a safe and effective method of treating symptomatic benign prostatic hyperplasia in patients with high operative risk. (author)

  3. Malaria prevalence, risk factors and spatial distribution in a hilly forest area of Bangladesh.

    Directory of Open Access Journals (Sweden)

    Ubydul Haque

    Full Text Available BACKGROUND: Malaria is a major public health concern in Bangladesh and it is highly endemic in the Chittagong Hill Tracts where prevalence was 11.7% in 2007. One sub-district, Rajasthali, had a prevalence of 36%. Several interventions were introduced in early 2007 to control malaria. This study was undertaken to evaluate the impacts of these intensive early stage interventions on malaria in Bangladesh. This prevalence study assesses whether or not high malaria prevalence remains, and if so, which areas and individuals remain at high risk of infection. METHODS AND PRINCIPAL FINDINGS: A 2-stage cluster sampling technique was used to sample 1,400 of 5,322 (26.3% households in Rajasthali, and screened using a rapid diagnostic test (Falci-vax. Overall malaria prevalence was 11.5%. The proportions of Plasmodium falciparum, Plasmodium vivax and infection with both species were 93.2%, 1.9% and 5.0%, respectively. Univariate, multivariate logistic regression, and spatial cluster analyses were performed separately. Sex, age, number of bed nets, forest cover, altitude and household density were potential risk factors. A statistically significant malaria cluster was identified. Significant differences among risk factors were observed between cluster and non-cluster areas. CONCLUSION AND SIGNIFICANCE: Malaria has significantly decreased within 2 years after onset of intervention program. Both aspects of the physical and social environment, as well as demographic characteristics are associated with spatial heterogeneity of risk. The ability to identify and locate these areas provides a strategy for targeting interventions during initial stages of intervention programs. However, in high risk clusters of transmission, even extensive coverage by current programs leaves transmission ongoing at reduced levels. This indicates the need for continued development of new strategies for identification and treatment as well as improved understanding of the patterns and

  4. A multi-attribute Systemic Risk Index for comparing and prioritizing chemical industrial areas

    International Nuclear Information System (INIS)

    Reniers, G.L.L.; Sörensen, K.; Dullaert, W.

    2012-01-01

    Measures taken to decrease interdependent risks within chemical industrial areas should be based on quantitative data from a holistic (cluster-based) point of view. Therefore, this paper examines the typology of networks representing industrial areas to formulate recommendations to more effectively protect a chemical cluster against existing systemic risks. Chemical industrial areas are modeled as two distinct complex networks and are prioritized by computing two sub-indices with respect to existing systemic safety and security risks (using Domino Danger Units) and supply chain risks (using units from an ordinal expert scale). Subsequently, a Systemic Risk Index for the industrial area is determined employing the Borda algorithm, whereby the systemic risk index considers both a safety and security network risk index and a supply chain network risk index. The developed method allows decreasing systemic risks within chemical industrial areas from a holistic (inter-organizational and/or inter-cluster) perspective. An illustrative example is given.

  5. [Integrated Management Area of Vascular Risk: A new organisational model for global control of risk factors].

    Science.gov (United States)

    Armario, P; Jericó, C; Vila, L; Freixa, R; Martin-Castillejos, C; Rotllan, M

    Cardiovascular disease (CVD), is a major cause of morbidity and mortality that increases the cost of care. Currently there is a low degree of control of the main cardiovascular risk factors, although we have a good therapeutic arsenal. To achieve the improvement of this reality, a good coordination and multidisciplinary participation are essential. The development of new organizational models such as the Integrated Management Area of Vascular Risk can facilitate the therapeutic harmonization and unification of the health messages offered by different levels of care, based on clinical practice guidelines, in order to provide patient-centred integrated care. Copyright © 2016 SEH-LELHA. Publicado por Elsevier España, S.L.U. All rights reserved.

  6. High body mass index and cancer risk

    DEFF Research Database (Denmark)

    Benn, Marianne; Tybjærg-Hansen, Anne; Smith, George Davey

    2016-01-01

    of follow-up (range 0-37), 8002 developed non-skin cancer, 3347 non-melanoma skin cancer, 1396 lung cancer, 637 other smoking related cancers, 1203 colon cancer, 159 kidney cancer, 1402 breast cancer, 1062 prostate cancer, and 2804 other cancers. Participants were genotyped for five genetic variants...... with a BMI ≥ 30 versus 18.5-24.9 kg/m(2). Corresponding risk of breast cancer was 20 % (0-44 %) higher in postmenopausal women. BMI was not associated with risk of colon, kidney, other smoking related cancers, prostate cancer, or other cancers. In genetic analyses, carrying 7-10 versus 0-4 BMI increasing......High body mass index (BMI) has been associated with increased risk of some cancer. Whether these reflect causal associations is unknown. We examined this issue. Using a Mendelian randomisation approach, we studied 108,812 individuals from the general population. During a median of 4.7 years...

  7. Tuberculosis Lymphadenitis, A Diagnostic Problem in Areas of High ...

    African Journals Online (AJOL)

    Introduction. Malawi has high human immunodeficiency virus (HIV) infection rates. In 1993, 32% of mothers visiting the antenatal cI inic in an urban area, and 12% in rural areas, were sero-positive for HIV (1). The HIV epidemic is associated with a marked increase in the number of cases of tuberculosis in general (2) and ...

  8. Measles vaccination coverage in high-incidence areas of the ...

    African Journals Online (AJOL)

    including cold-chain maintenance.[5] ... Methods. Households were consecutively sampled in high-incidence areas identified using measles epidemic surveillance data. ... ratio in under-5s was 6.9/1 000 (Department of Health, Provincial.

  9. Menaces and environmental risks in the Colombian coastal areas

    International Nuclear Information System (INIS)

    Alonso, David A; Vides, Martha P; Londono, Marelvis

    2002-01-01

    The paper includes topics like the vulnerability of the areas coastal Colombians, inventory and characteristics of the areas, identification of the excellent development factors and evaluation of physical and natural changes, among other topics

  10. Seismic Hazard and Risk Assessments for Beijing-Tianjin-Tangshan, China, Area

    Science.gov (United States)

    Xie, Furen; Wang, Zhenming; Liu, Jingwei

    2011-03-01

    Seismic hazard and risk in the Beijing-Tianjin-Tangshan, China, area were estimated from 500-year intensity observations. First, we digitized the intensity observations (maps) using ArcGIS with a cell size of 0.1 × 0.1°. Second, we performed a statistical analysis on the digitized intensity data, determined an average b value (0.39), and derived the intensity-frequency relationship (hazard curve) for each cell. Finally, based on a Poisson model for earthquake occurrence, we calculated seismic risk in terms of a probability of I ≥ 7, 8, or 9 in 50 years. We also calculated the corresponding 10 percent probability of exceedance of these intensities in 50 years. The advantages of assessing seismic hazard and risk from intensity records are that (1) fewer assumptions (i.e., earthquake source and ground motion attenuation) are made, and (2) site-effect is included. Our study shows that the area has high seismic hazard and risk. Our study also suggests that current design peak ground acceleration or intensity for the area may not be adequate.

  11. Factors Influencing Cancer Risk Perception in High Risk Populations: A Systematic Review

    Science.gov (United States)

    2011-01-01

    Background Patients at higher than average risk of heritable cancer may process risk information differently than the general population. However, little is known about clinical, demographic, or psychosocial predictors that may impact risk perception in these groups. The objective of this study was to characterize factors associated with perceived risk of developing cancer in groups at high risk for cancer based on genetics or family history. Methods We searched Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, and Scopus from inception through April 2009 for English-language, original investigations in humans using core concepts of "risk" and "cancer." We abstracted key information and then further restricted articles dealing with perceived risk of developing cancer due to inherited risk. Results Of 1028 titles identified, 53 articles met our criteria. Most (92%) used an observational design and focused on women (70%) with a family history of or contemplating genetic testing for breast cancer. Of the 53 studies, 36 focused on patients who had not had genetic testing for cancer risk, 17 included studies of patients who had undergone genetic testing for cancer risk. Family history of cancer, previous prophylactic tests and treatments, and younger age were associated with cancer risk perception. In addition, beliefs about the preventability and severity of cancer, personality factors such as "monitoring" personality, the ability to process numerical information, as well as distress/worry also were associated with cancer risk perception. Few studies addressed non-breast cancer or risk perception in specific demographic groups (e.g. elderly or minority groups) and few employed theory-driven analytic strategies to decipher interrelationships of factors. Conclusions Several factors influence cancer risk perception in patients at elevated risk for cancer. The science of characterizing and improving risk perception in cancer for high risk groups, although evolving, is still

  12. Factors Influencing Cancer Risk Perception in High Risk Populations: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Tilburt Jon C

    2011-05-01

    Full Text Available Abstract Background Patients at higher than average risk of heritable cancer may process risk information differently than the general population. However, little is known about clinical, demographic, or psychosocial predictors that may impact risk perception in these groups. The objective of this study was to characterize factors associated with perceived risk of developing cancer in groups at high risk for cancer based on genetics or family history. Methods We searched Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, and Scopus from inception through April 2009 for English-language, original investigations in humans using core concepts of "risk" and "cancer." We abstracted key information and then further restricted articles dealing with perceived risk of developing cancer due to inherited risk. Results Of 1028 titles identified, 53 articles met our criteria. Most (92% used an observational design and focused on women (70% with a family history of or contemplating genetic testing for breast cancer. Of the 53 studies, 36 focused on patients who had not had genetic testing for cancer risk, 17 included studies of patients who had undergone genetic testing for cancer risk. Family history of cancer, previous prophylactic tests and treatments, and younger age were associated with cancer risk perception. In addition, beliefs about the preventability and severity of cancer, personality factors such as "monitoring" personality, the ability to process numerical information, as well as distress/worry also were associated with cancer risk perception. Few studies addressed non-breast cancer or risk perception in specific demographic groups (e.g. elderly or minority groups and few employed theory-driven analytic strategies to decipher interrelationships of factors. Conclusions Several factors influence cancer risk perception in patients at elevated risk for cancer. The science of characterizing and improving risk perception in cancer for high risk groups, although

  13. Quality assurance system for sitting high risk facilities

    International Nuclear Information System (INIS)

    Rodriguez, Aymee; Peralta, Jose L.; Fernandez, Manuel

    1999-01-01

    The paper shows how we have conceived and designed the quality assurance system for the site selection process of an area for sitting the facility of high risk in correspondence with the approved methodology. The results obtained in the implementation of the system have permitted the satisfactory performance of each one the expected stage, defining the most favorable sectors in order to continue the studies of the repository site for the disposal of low and intermedium. (author)

  14. Methodology for the Model-based Small Area Estimates of Cancer Risk Factors and Screening Behaviors - Small Area Estimates

    Science.gov (United States)

    This model-based approach uses data from both the Behavioral Risk Factor Surveillance System (BRFSS) and the National Health Interview Survey (NHIS) to produce estimates of the prevalence rates of cancer risk factors and screening behaviors at the state, health service area, and county levels.

  15. Using Hospitalization and Mortality Data to Identify Areas at Risk for Adolescent Suicide.

    Science.gov (United States)

    Chen, Kun; Aseltine, Robert H

    2017-08-01

    The purpose of this study is to use statewide data on inpatient hospitalizations for suicide attempts and suicide mortality to identify communities and school districts at risk for adolescent suicide. Five years of data (2010-2014) from the Office of the Connecticut Medical Examiner and the Connecticut Hospital Inpatient Discharge Database were analyzed. A mixed-effects Poisson regression model was used to assess whether suicide attempt/mortality rates in the state's 119 school districts were significantly better or worse than expected after adjusting for 10 community-level characteristics. Ten districts were at significantly higher risk for suicidal behavior, with suicide mortality/hospitalization rates ranging from 154% to 241% of their expected rates, after accounting for their community characteristics. Four districts were identified as having significantly lower risk for suicide attempts than expected after accounting for community-level advantages and disadvantages. Data capturing hospitalization for suicide attempts and suicide deaths can inform prevention activities by identifying high-risk areas to which resources should be allocated, as well as low-risk areas that may provide insight into the best practices in suicide prevention. Copyright © 2017 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  16. High-Risk Series: An Update

    Science.gov (United States)

    2015-02-01

    the Medicare Trustees, the Office of the Actuary , and the Congressional Budget Office have raised concerns about whether some of the Medicare... actuarially sound. For more information, see the National Flood Insurance Program section of this High-Risk report. Among other things, the report...and mathematics (STEM) functional community. In addition to the efforts of the Working Group, the President’s Fiscal Year 2013 budget—released in

  17. Quantitative risk analysis of urban flooding in lowland areas

    NARCIS (Netherlands)

    Ten Veldhuis, J.A.E.

    2010-01-01

    Urban flood risk analyses suffer from a lack of quantitative historical data on flooding incidents. Data collection takes place on an ad hoc basis and is usually restricted to severe events. The resulting data deficiency renders quantitative assessment of urban flood risks uncertain. The study

  18. Home and away: Area socioeconomic disadvantage and obesity risk.

    Science.gov (United States)

    Kimbro, Rachel Tolbert; Sharp, Gregory; Denney, Justin T

    2017-03-01

    Although residential context is linked to obesity risk, less is known about how the additional places where we work, shop, play, and worship may influence that risk. We employ longitudinal data from the Los Angeles Family and Neighborhood Survey (LAFANS) to derive time-weighted measures of exposure to home and activity space contexts to ascertain the impacts of each on obesity risk for adults. Results show that increased exposure to socioeconomic disadvantage in the residential neighborhood significantly increases obesity risk, and although activity space disadvantage does not directly influence obesity, it reduces the association between residential disadvantage and obesity. We further explore the ways in which residential and activity space disadvantages may interact to influence obesity and discuss the value of integrating personal exposure and activity space contexts to better understand how places contribute to individual health risks. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Local scale multiple quantitative risk assessment and uncertainty evaluation in a densely urbanised area (Brescia, Italy

    Directory of Open Access Journals (Sweden)

    S. Lari

    2012-11-01

    Full Text Available The study of the interactions between natural and anthropogenic risks is necessary for quantitative risk assessment in areas affected by active natural processes, high population density and strong economic activities.

    We present a multiple quantitative risk assessment on a 420 km2 high risk area (Brescia and surroundings, Lombardy, Northern Italy, for flood, seismic and industrial accident scenarios. Expected economic annual losses are quantified for each scenario and annual exceedance probability-loss curves are calculated. Uncertainty on the input variables is propagated by means of three different methodologies: Monte-Carlo-Simulation, First Order Second Moment, and point estimate.

    Expected losses calculated by means of the three approaches show similar values for the whole study area, about 64 000 000 € for earthquakes, about 10 000 000 € for floods, and about 3000 € for industrial accidents. Locally, expected losses assume quite different values if calculated with the three different approaches, with differences up to 19%.

    The uncertainties on the expected losses and their propagation, performed with the three methods, are compared and discussed in the paper. In some cases, uncertainty reaches significant values (up to almost 50% of the expected loss. This underlines the necessity of including uncertainty in quantitative risk assessment, especially when it is used as a support for territorial planning and decision making. The method is developed thinking at a possible application at a regional-national scale, on the basis of data available in Italy over the national territory.

  20. Risk assessments for the disposal of high level radioactive wastes

    International Nuclear Information System (INIS)

    Smith, C.F.

    1975-01-01

    The risks associated with the disposal of high level wastes derive from the potential for release of radioactive materials into the environment. The assessment of these risks requires a methodology for risk analysis, an identification of the radioactive sources, and a method by which to express the relative hazard of the various radionuclides that comprise the high level waste. The development of a methodology for risk analysis is carried out after a review of previous work in the area of probabilistic risk assessment. The methodology suggested involves the probabilistic analysis of a general accident consequence distribution. In this analysis, the frequency aspect of the distribution is treated separately from the normalized probability function. At the final stage of the analysis, the frequency and probability characteristics of the distribution are recombined to provide an estimate of the risk. The characterization of the radioactive source term is accomplished using the ORIGEN computer code. Calculations are carried out for various reactor types and fuel cycles, and the overall waste hazard for a projected thirty-five year nuclear power program is determined

  1. Launch Area Toxic Risk Analysis Program (LATRA) Toxicology Review

    National Research Council Canada - National Science Library

    Prince, Joseph

    1996-01-01

    .... Therefore, a literature search of three species of rocket emissions was performed to identify health effects information useful to HQ Space Command for managing the risk from these toxic clouds...

  2. HIGH RISK ZONES ON FLOODS AND LANDSLIDES DISASTERS IN RWANDA

    Directory of Open Access Journals (Sweden)

    Nsengiyumva J.ean Baptiste

    2014-01-01

    Full Text Available Disaster risk management as an issue at stake worldwide shifts its emphases from post disaster to pre-disaster phases. Management activities required in pre-disaster phases, such as risk assessment, hazard identification, preparedness or preventive and mitigation measures needs detailed information about hazard characteristics, social, economic, structural vulnerability and capacity. That information is not usually available in many different countries, as it is the case in Rwanda. Based on the international experiences and practices, knowledge of disaster prone areas can be assumed as an alternative for detailed information acquisition, thus contributing to effective disaster risk management. Identification of disaster higher risk zones on floods and landslides, can lead to better understanding of disaster risk and putting in place measures for risk reduction. Consequently, as Rwanda is prone to natural hazards with lack of adequate information that is essential for effective disaster risk management, due to limited scientific researches; this study aims to address that gap. The results revealed that some areas of the North-Western parts of Rwanda are highly prone to floods and landslides, namely Burera, Musanze, Rulindo, Nyabihu, Ngororero and Rubavu Districts. This is aggravated by some triggering factors such as steep slopes, soil types, heavy rains, landuse Practices and others. Intensity and frequency of disaster events vary from district to district and this geographical dispersal confirms the non-spatial clustering (as confirmed by Moran’s I analysis of risks due to uneven level of Disaster vulnerabilities, coping capacities and available hazards whereby lack of normal distribution of hazards all over all Districts.

  3. Distribution and health risk assessment to heavy metals near smelting and mining areas of Hezhang, China.

    Science.gov (United States)

    Briki, Meryem; Zhu, Yi; Gao, Yang; Shao, Mengmeng; Ding, Huaijian; Ji, Hongbing

    2017-08-19

    Mining and smelting areas in Hezhang have generated a large amount of heavy metals into the environment. For that cause, an evaluative study on human exposure to heavy metals including Co, Ni, Cu, Zn, Cr, As, Cd, Pb, Sb, Bi, Be, and Hg in hair and urine was conducted for their concentrations and correlations. Daily exposure and non-carcinogenic and carcinogenic risk were estimated. Sixty-eight scalp hair and 66 urine samples were taken from participants of different ages (6-17, 18-40, 41-60, and ≥ 65 years) living in the vicinity of an agricultural soil near mine and smelting areas. The results compared to the earlier studies showed an elevated concentration of Pb, Be, Bi, Co, Cr, Ni, Sb, and Zn in hair and urine. These heavy metals were more elevated in mining than in smelting. Considering gender differences, females were likely to be more affected than male. By investigating age differences in this area, high heavy metal concentrations in male's hair and urine existed in age of 18-40 and ≥ 66, respectively. However, females did not present homogeneous age distribution. Hair and urine showed a different distribution of heavy metals in different age and gender. In some cases, significant correlation was found between heavy metals in hair and urine (P > 0.05 and P > 0.01) in mining area. The estimated average daily intake of heavy metals in vegetables showed a great contribution compared to the soil and water. Non-carcinogenic and carcinogenic risk values of total pathways in mining and smelting areas were higher than 1 and exceeded the acceptable levels. Thus, the obtained data might be useful for further studies. They can serve as a basis of comparison and assessing the effect of simultaneous exposure from heavy metals in mining and smelting areas, and potential health risks from exposure to heavy metals in vegetables need more consideration.

  4. Ownership of High-Risk ("Vicious") Dogs as a Marker for Deviant Behaviors: Implications for Risk Assessment

    Science.gov (United States)

    Barnes, Jaclyn E.; Boat, Barbara W.; Putnam, Frank W.; Dates, Harold F.; Mahlman, Andrew R.

    2006-01-01

    This study examined the association between ownership of high-risk ("vicious") dogs and the presence of deviant behaviors in the owners as indicated by court convictions. We also explored whether two characteristics of dog ownership (abiding licensing laws and choice of breed) could be useful areas of inquiry when assessing risk status…

  5. Wavy channel transistor for area efficient high performance operation

    KAUST Repository

    Fahad, Hossain M.

    2013-04-05

    We report a wavy channel FinFET like transistor where the channel is wavy to increase its width without any area penalty and thereby increasing its drive current. Through simulation and experiments, we show the effectiveness of such device architecture is capable of high performance operation compared to conventional FinFETs with comparatively higher area efficiency and lower chip latency as well as lower power consumption.

  6. P-West High Intensity Secondary Beam Area Design Report

    Energy Technology Data Exchange (ETDEWEB)

    Cox, A.; Currier, R.; Eartly, D.; Guthke, A.; Johnson, G.; Lee, D.; Dram, R.; Villegas, E.; Rest, J.; Tilles, E.; Vander Arend, P.

    1977-03-01

    This report gives the initial design parameters of a 1000 GeV High Intensity Superconducting Secondary Beam Laboratory to be situated in the Proton Area downstream of the existing Proton West experimental station. The area will provide Fermilab with a major capability for experimentation with pion and antiproton beams of intensities and of energies available at no other laboratory and with an electron beam with excellent spot size, intensity, and purity at energies far above that available at electron machines. Detailed beam design, area layouts, and cost estimates are presented, along with the design considerations.

  7. High speed fiber optics local area networks: Design and implementation

    Science.gov (United States)

    Tobagi, Fouad A.

    1988-01-01

    The design of high speed local area networks (HSLAN) for communication among distributed devices requires solving problems in three areas: (1) the network medium and its topology; (2) the medium access control; and (3) the network interface. Considerable progress has been made in all areas. Accomplishments are divided into two groups according to their theoretical or experimental nature. A brief summary is given in Section 2, including references to papers which appeared in the literature, as well as to Ph.D. dissertations and technical reports published at Stanford University.

  8. Geohelminth contamination of public areas and epidemiological risk factors in Curitiba, Brazil

    Directory of Open Access Journals (Sweden)

    Lew Kan Sprenger

    Full Text Available This study aimed to investigate the frequency of geohelminthic contamination of public parks and squares in Curitiba, state of Paraná, Brazil, between August and December 2010. A total of 345 samples were collected from 69 sandboxes in different areas and were tested using the Faust, Lutz and Baermann parasitological techniques. Potential risk factors associated with soil contamination were also analyzed. A total of 36% of the samples (124/345 were positive for helminths and 65.2% of the areas (45/69 were classified as contaminated in one or more samples. The most commonly identified parasite eggs were Ancylostoma sp. (14.5%; 50/345; followed by Toxocara sp. (9.6%; 33/345 and the Strongyloidea superfamily (excluding hookworms (2.3%; 8/345. The analysis on the epidemiological risk factors indicated that the presence of dogs and feces in the sandboxes increased the chances of contamination of the site. Use of fences had a protective positive impact that reduced soil contamination. Health education programs should be applied within the community to minimize the risk of human contact with dogs' feces. Use of fencing in these areas is highly recommended to prevent or reduce the users' contact with animal excrement.

  9. [Heavy Metals Pollution in Topsoil from Dagang Industry Area and Its Ecological Risk Assessment].

    Science.gov (United States)

    Zhang, Qian; Chen, Zong-juan; Peng, Chang-sheng; Li, Fa-sheng; Gu, Qing-bao

    2015-11-01

    Based on previous studies and field investigation of Dagang industry area in Tianjin, a total of 128 topsoil samples were collected, and contents of 10 heavy metals (As, Cd, Cr, Co, Cu, Pb, Ni, V, Zn and Hg) were determined. The geoaccumulation index and geostatistics were applied to examine the degree of contamination and spatial distribution of heavy metals in topsoil. The assessment on ecological risk of heavy metals was carried out using Hakanson's method, and the main resources of the heavy metals were analyzed as well. It was found that As, Cd and Co had the highest proportions exceeding Tianjin background value, which were 100%, 97.66% and 96.88%, respectively; the heavy-metal content increased to some extent comparing with that in 2004, and the pollutions of As and Cd were the worst, and other metals were at moderate pollution level or below. The ecological risks of heavy metals were different in topsoil with different land use types, the farmland soil in the southwest as well as soils adjacent to the industrial land were at relatively high potential ecological risk level, and the integrated ecological risk index reached up to 1 437.37. Analysis of correlation and principal component showed that traffic and transportation as well as agricultural activities might be the main resources of heavy metals in the area, besides, the industrial activities in the region might also affect the accumulation of heavy metals.

  10. Risk management of infrastructure development in border area Indonesia - Malaysia

    Science.gov (United States)

    Fitri, Suryani; Trikariastoto, Reinita, Ita

    2017-11-01

    Border area is geographically adjacent to neighboring countries with the primary function of maintaining state sovereignty and public welfare. Area in question is part of the provinces, districts or cities that directly intersect with national boundaries (or territory) and / or that have a functional relationship (linkage) and has a strategic value for the state. The border area is considered strategic because it involves the national lives of many people in terms of the interests of political, economic, social and cultural as well as defense and security (poleksosbudhankam) both located on land, sea or air. The border area is geographically adjacent to neighboring countries with the primary function of maintaining state sovereignty and public welfare. Area in question is part of the provinces, districts or cities that directly intersect with national boundaries (or territory) and / or that have a functional relationship (linkage) and has a strategic value for the state. To realize the necessary research on the development of the area, based on good practices from other countries some of the city that can meet all these challenges and at least can be applied with minor changes / adjustments. Furthermore, the application must be supported by the availability of funds. This study to discuss about any problems either obstacles or things that drive to develop function becomes an ideal border area with major support infrastructure for housing, transportation, energy availability, and distribution of clean water which will strengthen in its function which consists of five pillars, namely: central community service; trade and distribution center; financial center; tourism center; related to the field of community development. Articulation between key stakeholders such as government, private, and community is a major concern in this study, including in determining the appropriate financing schemes. The results of this study will be recommended to the government to improve

  11. Recruiting and retaining high-quality teachers in rural areas.

    Science.gov (United States)

    Monk, David H

    2007-01-01

    In examining recruitment and retention of teachers in rural areas, David Monk begins by noting the numerous possible characteristics of rural communities--small size, sparse settlement, distance from population concentrations, and an economic reliance on agricultural industries that are increasingly using seasonal and immigrant workers to minimize labor costs. Many, though not all, rural areas, he says, are seriously impoverished. Classes in rural schools are relatively small, and teachers tend to report satisfaction with their work environments and relatively few problems with discipline. But teacher turnover is often high, and hiring can be difficult. Monk observes that rural schools have a below-average share of highly trained teachers. Compensation in rural schools tends to be low, perhaps because of a lower fiscal capacity in rural areas, thus complicating efforts to attract and retain teachers. Several student characteristics, including relatively large shares of students with special needs and with limited English skills and lower shares of students attending college, can also make it difficult to recruit and retain high-quality teachers. Other challenges include meeting the needs of highly mobile children of low-income migrant farm workers. With respect to public policy, Monk asserts a need to focus on a subcategory of what might be called hard-to-staff rural schools rather than to develop a blanket set of policies for all rural schools. In particular, he recommends a focus on such indicators as low teacher qualifications, teaching in fields far removed from the area of training, difficulty in hiring, high turnover, a lack of diversity among teachers in the school, and the presence of migrant farm workers' children. Successful efforts to stimulate economic growth in these areas would be highly beneficial. He also calls attention to the potential for modern telecommunication and computing technologies to offset some of the drawbacks associated with teaching

  12. Guidelines for managing cardiovascular risk: an evolving area

    DEFF Research Database (Denmark)

    Currier, Judith S; Lundgren, Jens

    2008-01-01

    PURPOSE OF REVIEW: To reflect on the need for guidelines to assist clinicians in the management of cardiovascular risk in HIV-infected patients. RECENT FINDINGS: Over the past eight years guidelines for the management of dyslipidemia and metabolic complications of HIV infection have been developed...

  13. Radiation exposure map based on fuzzy logic for the representation of areas with high natural background

    International Nuclear Information System (INIS)

    Vasconcelos, Wagner Eustaquio de; Lira, Carlos Alberto Brayner de Oliveira

    2009-01-01

    The identification of areas with high concentrations of natural radionuclides is an important task in classifying these areas in relation to the health risk for residents in the region. The aim of this work is to identify areas of high exposure to nuclear radiation using a geographic representation based on the theory of fuzzy sets. Radiometric data obtained from previous works developed in a region of high concentrations in natural uranium were used to create a fuzzy map of the local radiation levels. During the image processing, a nonlinear filter was applied to eliminate noise i.e. to reduce isolated pixels that would eventually cause major uncertainties in the results. A resulting image was geographically positioned (WGS40) and obtained in gray scale. This image was fuzzified for membership functions that represent linguistic variables as low exposure, medium exposure and high exposure. After representing the membership grade in a RGB (red, green and blue) image it was possible to visualize the radiation level in the area of exposure. When compared to data from the region, results demonstrated the good efficiency of the technique here employed for the representation of areas with high radioactivity levels. The image obtained also provided important information about those areas where exposure to radiation is more pronounced. Hence, the fuzzy map can be applied in decision-making of experts when a risk situation is identified. (author)

  14. Area-level risk factors for adverse birth outcomes: trends in urban and rural settings.

    Science.gov (United States)

    Kent, Shia T; McClure, Leslie A; Zaitchik, Ben F; Gohlke, Julia M

    2013-06-10

    Significant and persistent racial and income disparities in birth outcomes exist in the US. The analyses in this manuscript examine whether adverse birth outcome time trends and associations between area-level variables and adverse birth outcomes differ by urban-rural status. Alabama births records were merged with ZIP code-level census measures of race, poverty, and rurality. B-splines were used to determine long-term preterm birth (PTB) and low birth weight (LBW) trends by rurality. Logistic regression models were used to examine differences in the relationships between ZIP code-level percent poverty or percent African-American with either PTB or LBW. Interactions with rurality were examined. Population dense areas had higher adverse birth outcome rates compared to other regions. For LBW, the disparity between population dense and other regions increased during the 1991-2005 time period, and the magnitude of the disparity was maintained through 2010. Overall PTB and LBW rates have decreased since 2006, except within isolated rural regions. The addition of individual-level socioeconomic or race risk factors greatly attenuated these geographical disparities, but isolated rural regions maintained increased odds of adverse birth outcomes. ZIP code-level percent poverty and percent African American both had significant relationships with adverse birth outcomes. Poverty associations remained significant in the most population-dense regions when models were adjusted for individual-level risk factors. Population dense urban areas have heightened rates of adverse birth outcomes. High-poverty African American areas have higher odds of adverse birth outcomes in urban versus rural regions. These results suggest there are urban-specific social or environmental factors increasing risk for adverse birth outcomes in underserved communities. On the other hand, trends in PTBs and LBWs suggest interventions that have decreased adverse birth outcomes elsewhere may not be reaching

  15. Model-based Small Area Estimates of Cancer Risk Factors and Screening Behaviors - Small Area Estimates

    Science.gov (United States)

    These model-based estimates use two surveys, the Behavioral Risk Factor Surveillance System (BRFSS) and the National Health Interview Survey (NHIS). The two surveys are combined using novel statistical methodology.

  16. Risk to a Changing Climate in the Mexico City Metropolitan Area

    Science.gov (United States)

    Vargas, N. D.

    2016-12-01

    The issue of climate change has dominated the atmospheric sciences agenda in recent decades. The concern about an increase in climate related disasters, mainly in large population centers, has led to ask whether they are mainly due to changes in climate or in vulnerability.The Mexico City Metropolitan Area (MCMA) is an example of megalopolis under high climate risk, where floods, landslides, health problems, high air pollution events, socioeconomic droughts are becoming important environmental and social problems. As urbanization spreads and population increases exposure to natural hazards increases, and so the magnitude of risk to a changing climate and the negative impacts. Since the late nineteenth century, in the MCMA an average maximum temperature could be around 22°C, whereas today it is about 24.5ºC. That is, the increase in the average temperature in Mexico City is around 3°C in a hundred years. But there are areas where an increase in the average temperature is similar in only thirty years. The heating rate of the city can vary depending on the change in land use. Areas that conserve forested regions in the process of urbanization tend to warm less than areas where the transformation into concrete and cement is almost complete. Thus, the climate of the MCMA shows important changes mainly in relation to land use changes. Global warming and natural climate variability were also analyzed as possible forcing factors of the observed warming by comparing low frequency variations in local temperature and indices for natural forcing. The hydrological cycle of the MCMA has also changed with urbanization. The "bubble of hot air" over the urban area has more capacity to hold moisture now than before the UHI. However, the increased risk to floods, heat or drought appears to be related not only to more frequent intense climatic hazards induced by the urbanization effect. This process also induces increased vulnerability to a changing climate. The establishment of

  17. Large area high-speed metrology SPM system

    International Nuclear Information System (INIS)

    Klapetek, P; Valtr, M; Martinek, J; Picco, L; Payton, O D; Miles, M; Yacoot, A

    2015-01-01

    We present a large area high-speed measuring system capable of rapidly generating nanometre resolution scanning probe microscopy data over mm 2 regions. The system combines a slow moving but accurate large area XYZ scanner with a very fast but less accurate small area XY scanner. This arrangement enables very large areas to be scanned by stitching together the small, rapidly acquired, images from the fast XY scanner while simultaneously moving the slow XYZ scanner across the region of interest. In order to successfully merge the image sequences together two software approaches for calibrating the data from the fast scanner are described. The first utilizes the low uncertainty interferometric sensors of the XYZ scanner while the second implements a genetic algorithm with multiple parameter fitting during the data merging step of the image stitching process. The basic uncertainty components related to these high-speed measurements are also discussed. Both techniques are shown to successfully enable high-resolution, large area images to be generated at least an order of magnitude faster than with a conventional atomic force microscope. (paper)

  18. Large area high-speed metrology SPM system

    Science.gov (United States)

    Klapetek, P.; Valtr, M.; Picco, L.; Payton, O. D.; Martinek, J.; Yacoot, A.; Miles, M.

    2015-02-01

    We present a large area high-speed measuring system capable of rapidly generating nanometre resolution scanning probe microscopy data over mm2 regions. The system combines a slow moving but accurate large area XYZ scanner with a very fast but less accurate small area XY scanner. This arrangement enables very large areas to be scanned by stitching together the small, rapidly acquired, images from the fast XY scanner while simultaneously moving the slow XYZ scanner across the region of interest. In order to successfully merge the image sequences together two software approaches for calibrating the data from the fast scanner are described. The first utilizes the low uncertainty interferometric sensors of the XYZ scanner while the second implements a genetic algorithm with multiple parameter fitting during the data merging step of the image stitching process. The basic uncertainty components related to these high-speed measurements are also discussed. Both techniques are shown to successfully enable high-resolution, large area images to be generated at least an order of magnitude faster than with a conventional atomic force microscope.

  19. Analysis of the potential contamination risk of groundwater resources circulating in areas with anthropogenic activities

    Directory of Open Access Journals (Sweden)

    M. Spizzico

    2005-01-01

    Full Text Available The area investigated is located in the province of Brindisi (Italy. It is a generally flat area separated from the nearby carbonatic plateau of the Murgia by quite indistinct and high fault scarps. As regards the geological features, carbonatic basement rocks and post-cretaceous terrains made up of calabrian calcarenites and middle-upper Pleistocenic marine terraced deposits can be distinguished. In the examined area there are two different hydrogeological environments. The first is represented by deep groundwater, the main groundwater resource in Apulia. The second hydrogeological environment, now of lesser importance than the deep aquifer in terms of size and use, is made up of some small shallow groundwater systems situated in post-calabrian sands and located in the eastern area. During some sampling cycles carried out in the studied area, water was withdrawn from both the deep aquifer and from the shallow groundwater. For every sample, the necessary parameters were determined for the physical and chemical characterisation of two different hydrogeological environments. Moreover, some chemical parameters indicating anthropogenic activities were determined. Analysis of the aerial distribution of the measured parameters has shown some main areas subject to different conditions of contamination risk, in accordance with the hydrogeological and geological features of the investigated area. In the south-eastern part of the investigated area, the important action performed by the surface aquifer for protecting the deep groundwater from contamination of anthropogenic origin is clear. On the other hand, in the shallow groundwater, areas of nitrate and nitrite contamination have been identified, which result from the extensive use of fertilizers.

  20. Management of risks in the chemical and nuclear areas

    International Nuclear Information System (INIS)

    Venuti, G.C.; Frullani, S.; Pocchiari, F.; Rogani, A.; Silano, V.; Tabet, E.; Zapponi, G.

    1984-01-01

    A comparative overview is provided of some major aspects concerning assessment and management of chemical and nuclear risks arising as a consequence of accidents. Statutory procedures for constructing and running nuclear and chemical plants in Italy are discussed in detail. Special attention is given to the major changes that are likely to occur after the adoption of the EEC Council Directive 82/501, designed to prevent major accidents which might result from certain industrial activities and to limit their consequences for humans and their environment. Present status and future trends of accident analysis and risk assessment are also dealt with, and special emphasis is placed on aspects common to both nuclear and chemical plants. Lastly, managerial aspects of contingency planning for, and response to, emergencies and accidents involving toxic chemical and/or ionizing radiations are examined with the aim of identifying more critical steps. (author)

  1. World high background natural radiation areas: Need to protect public from radiation exposure

    International Nuclear Information System (INIS)

    Sohrabi, Mehdi

    2013-01-01

    Highlights of findings on radiological measurements, radiobiological and epidemiological studies in some main world high background natural radiation (HBNR) areas such as in Brazil, China, India and Iran are presented and discussed with special regard to remediation of radiation exposure of inhabitants in such areas. The current radiation protection philosophy and recommendations applied to workers and public from operation of radiation and nuclear applications are based on the linear non-threshold (LNT) model. The inhabitants of HBNR and radon prone areas receive relatively high radiation doses. Therefore, according to the LNT concept, the inhabitants in HBNR areas and in particular those in Ramsar are considered at risk and their exposure should be regulated. The HBNR areas in the world have different conditions in terms of dose and population. In particular, the inhabitants in HBNR areas of Ramsar receive very high internal and external exposures. This author believes that the public in such areas should be protected and proposes a plan to remedy high exposure of the inhabitants of the HBNR areas of Ramsar, while maintaining these areas as they stand to establish a national environmental radioactivity park which can be provisionally called “Ramsar Research Natural Radioactivity Park” (RRNRP). The major HBNR areas, the public exposure and the need to remedy exposures of inhabitants are reviewed and discussed. - Highlights: ► Highlights of findings on studies in HBNR areas are reviewed and discussed. ► The need to protect HBNR area inhabitants and remedy public exposure is emphasized. ► A collective approach is proposed to remedy exposure of Ramsar HBNR area inhabitants. ► Relocation of HBNR area inhabitants and establishing a park at the location is proposed. ► The advantages and disadvantages of the methods are discussed and recommendations are made

  2. Chromosome Aberration on High Level Background Natural Radiation Areas

    International Nuclear Information System (INIS)

    Yanti-Lusiyanti; Zubaidah-Alatas

    2001-01-01

    When the body is irradiated, all cells can suffer cytogenetic damage that can be seen as structural damage of chromosome in the lymphocytes. People no matter where they live in world are exposed to background radiation from natural sources both internal and external such as cosmic radiation, terrestrial radiation, cosmogenic radiation radon and thoron. Level of area natural ionizing radiation is varies depending on the altitude, the soil or rock conditions, particular food chains and the building materials and construction features. Level of normal areas of background exposure is annual effective dose 2.4 mSv and the high level areas of background exposure 20 mSv. This paper discuses the frequency of aberration chromosome especially dysenteries in several countries having high level radiation background. It seems that frequency of chromosome aberrations increase, generally with the increase of age of the people and the accumulated dose received. (author)

  3. An exploration of spatial risk assessment for soil protection: estimating risk and establishing priority areas for soil protection.

    Science.gov (United States)

    Kibblewhite, M G; Bellamy, P H; Brewer, T R; Graves, A R; Dawson, C A; Rickson, R J; Truckell, I; Stuart, J

    2014-03-01

    Methods for the spatial estimation of risk of harm to soil by erosion by water and wind and by soil organic matter decline are explored. Rates of harm are estimated for combinations of soil type and land cover (as a proxy for hazard frequency) and used to estimate risk of soil erosion and loss of soil organic carbon (SOC) for 1 km(2)pixels. Scenarios are proposed for defining the acceptability of risk of harm to soil: the most precautionary one corresponds to no net harm after natural regeneration of soil (i.e. a 1 in 20 chance of exceeding an erosion rate of soils and a carbon stock decline of 0 tha(-1)y(-1) for organic soils). Areas at higher and lower than possible acceptable risk are mapped. The veracity of boundaries is compromised if areas of unacceptable risk are mapped to administrative boundaries. Errors in monitoring change in risk of harm to soil and inadequate information on risk reduction measures' efficacy, at landscape scales, make it impossible to use or monitor quantitative targets for risk reduction adequately. The consequences for priority area definition of expressing varying acceptable risk of harm to soil as a varying probability of exceeding a fixed level of harm, or, a varying level of harm being exceeded with a fixed probability, are discussed. Soil data and predictive models for rates of harm to soil would need considerable development and validation to implement a priority area approach robustly. Copyright © 2013 Elsevier B.V. All rights reserved.

  4. A decision-support scheme for mapping endangered areas in pest risk analysis

    NARCIS (Netherlands)

    Baker, R.H.A.; Benninga, J.; Bremmer, J.; Brunel, S.; Dupin, M.; Eyre, D.; Ilieva, Z.; Jarosik, V.; Kehlenbeck, H.; Kriticos, D.J.; Makowski, D.; Pergl, J.; Reynaud, P.; Robinet, C.; Soliman, T.; Werf, van der W.; Worner, S.

    2012-01-01

    This paper describes a decision-support scheme (DSS) for mapping the area where economically important loss is likely to occur (the endangered area). It has been designed by the PRATIQUE project to help pest risk analysts address the numerous risk mapping challenges and decide on the most suitable

  5. Behavioral Risk Factors: Selected Metropolitan Area Risk Trends (SMART) MMSA Age-adjusted Prevalence Data (2011 to Present)

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2011 to present. BRFSS SMART MMSA age-adjusted prevalence combined land line and cell phone data. The Selected Metropolitan Area Risk Trends (SMART) project uses the...

  6. Risk of malaria in British residents returning from malarious areas.

    Science.gov (United States)

    Phillips-Howard, P A; Radalowicz, A; Mitchell, J; Bradley, D J

    1990-01-01

    OBJECTIVES--To identify which British residents travelling abroad are at greatest risk of malaria infection, and to determine the efficacy of malaria chemoprophylaxis for preventing P falciparum infections in tropical Africa. DESIGN--Prospective cohort study (case-base linkage) with routine national surveillance systems. Denominators (base population) were obtained from monitoring a random sample of returning British travellers with the international passenger survey. Numerators (cases) were obtained from reports of malaria infections in British residents, through the Malaria Reference Laboratory network. SETTING--International passenger survey conducted at passport control of international airports in Britain. Malaria reports received nationally were collated centrally in London. SUBJECTS--2948 British residents (0.2%) returning to Britain in 1987 randomly selected and questioned and 1052 British residents with microscopically confirmed malaria infections in 1987, whose case reports were reviewed and on whom additional data were collected by postal survey. MAIN OUTCOME MEASURES--Annual incidence subdivided by categories of risk. Chemoprophylactic efficacy for east and west Africa by principal regimens and compliance. RESULTS--Annual rates of reported infection per 100,000 travellers to Oceania were 4100; to west and east Africa were 375 and 172 respectively; to Latin America, the Far East, and the Middle East were 12, 2, and 1 respectively. Immigrants visiting friends and relatives in Ghana and Nigeria were at greatest risk (1303 and 952 per 100,000 respectively) in west Africa. Business travellers to Kenya experienced the highest attack rates in east Africa (465 per 100,000). Age-sex specific attack rates varied by region. No prophylaxis was reported to have been used by 23% of British visitors to west Africa, 17% to east Africa, 46% to central or southern Africa, and 58% visiting south Asia. The efficacy of chloroquine plus proguanil against P falciparum

  7. Climate Influence on Emerging Risk Areas for Rift Valley Fever Epidemics in Tanzania.

    Science.gov (United States)

    Mweya, Clement N; Mboera, Leonard E G; Kimera, Sharadhuli I

    2017-07-01

    Rift Valley Fever (RVF) is a climate-related arboviral infection of animals and humans. Climate is thought to represent a threat toward emerging risk areas for RVF epidemics globally. The objective of this study was to evaluate influence of climate on distribution of suitable breeding habitats for Culex pipiens complex, potential mosquito vector responsible for transmission and distribution of disease epidemics risk areas in Tanzania. We used ecological niche models to estimate potential distribution of disease risk areas based on vectors and disease co-occurrence data approach. Climatic variables for the current and future scenarios were used as model inputs. Changes in mosquito vectors' habitat suitability in relation to disease risk areas were estimated. We used partial receiver operating characteristic and the area under the curves approach to evaluate model predictive performance and significance. Habitat suitability for Cx. pipiens complex indicated broad-scale potential for change and shift in the distribution of the vectors and disease for both 2020 and 2050 climatic scenarios. Risk areas indicated more intensification in the areas surrounding Lake Victoria and northeastern part of the country through 2050 climate scenario. Models show higher probability of emerging risk areas spreading toward the western parts of Tanzania from northeastern areas and decrease in the southern part of the country. Results presented here identified sites for consideration to guide surveillance and control interventions to reduce risk of RVF disease epidemics in Tanzania. A collaborative approach is recommended to develop and adapt climate-related disease control and prevention strategies.

  8. Social deprivation and population density are not associated with small area risk of amyotrophic lateral sclerosis.

    Science.gov (United States)

    Rooney, James P K; Tobin, Katy; Crampsie, Arlene; Vajda, Alice; Heverin, Mark; McLaughlin, Russell; Staines, Anthony; Hardiman, Orla

    2015-10-01

    Evidence of an association between areal ALS risk and population density has been previously reported. We aim to examine ALS spatial incidence in Ireland using small areas, to compare this analysis with our previous analysis of larger areas and to examine the associations between population density, social deprivation and ALS incidence. Residential area social deprivation has not been previously investigated as a risk factor for ALS. Using the Irish ALS register, we included all cases of ALS diagnosed in Ireland from 1995-2013. 2006 census data was used to calculate age and sex standardised expected cases per small area. Social deprivation was assessed using the pobalHP deprivation index. Bayesian smoothing was used to calculate small area relative risk for ALS, whilst cluster analysis was performed using SaTScan. The effects of population density and social deprivation were tested in two ways: (1) as covariates in the Bayesian spatial model; (2) via post-Bayesian regression. 1701 cases were included. Bayesian smoothed maps of relative risk at small area resolution matched closely to our previous analysis at a larger area resolution. Cluster analysis identified two areas of significant low risk. These areas did not correlate with population density or social deprivation indices. Two areas showing low frequency of ALS have been identified in the Republic of Ireland. These areas do not correlate with population density or residential area social deprivation, indicating that other reasons, such as genetic admixture may account for the observed findings. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. [Human rabies transmitted by dogs: risk areas in Minas Gerais, Brazil, 1991-1999].

    Science.gov (United States)

    de Miranda, Cristiana Ferreira Jardim; da Silva, José Ailton; Moreira, Elvio Carlos

    2003-01-01

    A retrospective study based on observation with the objective of identifying and characterizing the different risk areas for rabies transmission by dogs took place in Minas Gerais State, Brazil, from 1991 to 1999. Indicators confirmed occurrences of canine and feline rabies, notification of human rabies, and administration of appropriate vaccination. The Minas Gerais State Health System is divided into 25 Regional Health Centers, which are linked to the State Health Department (SES-MG). These Health Centers were utilized in the study. The results of 2,845 records of laboratory diagnosis for canine, feline, and human rabies were analyzed. Consolidated SES-MG reports from 1997 to 1999 for rabies vaccination and notification records for cases of human rabies from the National Health Foundation (FUNASA) were also used. In order to verify the local reality, a semi-structured interview with each regional program director was conducted. Minas Gerais presents four different risk modalities, classified as zero, low, medium, and high.

  10. Environmental risks associated to wind erosion in a metal mining area from SE Spain

    International Nuclear Information System (INIS)

    Garcia Fernandez, G.; Romero Diaz, A.

    2009-01-01

    Soils and mining wastes from the Mediterranean mining area placed in the Sierra Minera Mountains are highly enriched in heavy metals such as lead and zinc, but also other metals such as cadmium and arsenic. Wind erosion in this area could be considered extremely high and hazards associated to this eroded sediments seems to be high because the huge amount of metals present in this wastes. Therefore, combination of high erosion rates and high metal concentration in this mining waste, make those environmental risks can be considered high for the surrounding ecosystems, but also for public health of the nearby villages and towns. In order, to study these wind erosion processes over these mining materials, some experiments for the evaluation of the transportation of soil particles were carried out. Erosion rates in this realm is particularly important during spring months, when increased activity of the eastern winds brings intense soil dragging, with strong effects on the metals dispersion, including the massive removal of sediments. (Author) 16 refs.

  11. Environmental risks associated to wind erosion in a metal mining area from SE Spain

    Energy Technology Data Exchange (ETDEWEB)

    Garcia Fernandez, G.; Romero Diaz, A.

    2009-07-01

    Soils and mining wastes from the Mediterranean mining area placed in the Sierra Minera Mountains are highly enriched in heavy metals such as lead and zinc, but also other metals such as cadmium and arsenic. Wind erosion in this area could be considered extremely high and hazards associated to this eroded sediments seems to be high because the huge amount of metals present in this wastes. Therefore, combination of high erosion rates and high metal concentration in this mining waste, make those environmental risks can be considered high for the surrounding ecosystems, but also for public health of the nearby villages and towns. In order, to study these wind erosion processes over these mining materials, some experiments for the evaluation of the transportation of soil particles were carried out. Erosion rates in this realm is particularly important during spring months, when increased activity of the eastern winds brings intense soil dragging, with strong effects on the metals dispersion, including the massive removal of sediments. (Author) 16 refs.

  12. High surface area carbon and process for its production

    Energy Technology Data Exchange (ETDEWEB)

    Romanos, Jimmy; Burress, Jacob; Pfeifer, Peter; Rash, Tyler; Shah, Parag; Suppes, Galen

    2016-12-13

    Activated carbon materials and methods of producing and using activated carbon materials are provided. In particular, biomass-derived activated carbon materials and processes of producing the activated carbon materials with prespecified surface areas and pore size distributions are provided. Activated carbon materials with preselected high specific surface areas, porosities, sub-nm (<1 nm) pore volumes, and supra-nm (1-5 nm) pore volumes may be achieved by controlling the degree of carbon consumption and metallic potassium intercalation into the carbon lattice during the activation process.

  13. Groundwater vulnerability assessment for the Banyas Catchment of the Syrian coastal area using GIS and the RISKE method.

    Science.gov (United States)

    Kattaa, Bassam; Al-Fares, Walid; Al Charideh, Abdul Rahman

    2010-05-01

    Vulnerability assessment to delineate areas that are more susceptible to contamination from anthropogenic sources has become an important element for sensible resource management and landuse planning. This contribution aims at estimating aquifer vulnerability by applying the RISKE model in Banyas Catchment Area (BCA), Tartous Prefecture, west Syria. An additional objective is to demonstrate the combined use of the RISKE model and a geographical information system (GIS) as an effective method for groundwater pollution risk assessment. The RISKE model uses five environmental parameters (Rock of aquifer media, Infiltration, Soil media, Karst, and Epikarst) to characterize the hydro-geological setting and evaluate aquifer vulnerability. The elevated eastern and low western part of the study area was dominated by high vulnerability classes, while the middle part was characterized by moderate vulnerability classes. Based on the vulnerability analysis, it was found that 2% and 39% of BCA is under low and high vulnerability to groundwater contamination, respectively, while more than 52% and 5% of the area of BCA can be designated as an area of moderate and very high vulnerability to groundwater contamination, respectively. The GIS technique has provided an efficient environment for analyses and high capabilities of handling a large amount of spatial data. Copyright 2009 Elsevier Ltd. All rights reserved.

  14. A method for managing re-identification risk from small geographic areas in Canada

    Directory of Open Access Journals (Sweden)

    Neisa Angelica

    2010-04-01

    Full Text Available Abstract Background A common disclosure control practice for health datasets is to identify small geographic areas and either suppress records from these small areas or aggregate them into larger ones. A recent study provided a method for deciding when an area is too small based on the uniqueness criterion. The uniqueness criterion stipulates that an the area is no longer too small when the proportion of unique individuals on the relevant variables (the quasi-identifiers approaches zero. However, using a uniqueness value of zero is quite a stringent threshold, and is only suitable when the risks from data disclosure are quite high. Other uniqueness thresholds that have been proposed for health data are 5% and 20%. Methods We estimated uniqueness for urban Forward Sortation Areas (FSAs by using the 2001 long form Canadian census data representing 20% of the population. We then constructed two logistic regression models to predict when the uniqueness is greater than the 5% and 20% thresholds, and validated their predictive accuracy using 10-fold cross-validation. Predictor variables included the population size of the FSA and the maximum number of possible values on the quasi-identifiers (the number of equivalence classes. Results All model parameters were significant and the models had very high prediction accuracy, with specificity above 0.9, and sensitivity at 0.87 and 0.74 for the 5% and 20% threshold models respectively. The application of the models was illustrated with an analysis of the Ontario newborn registry and an emergency department dataset. At the higher thresholds considerably fewer records compared to the 0% threshold would be considered to be in small areas and therefore undergo disclosure control actions. We have also included concrete guidance for data custodians in deciding which one of the three uniqueness thresholds to use (0%, 5%, 20%, depending on the mitigating controls that the data recipients have in place, the

  15. Volcanic risk perception of young people in the urban areas of Vesuvius: Comparisons with other volcanic areas and implications for emergency management

    Science.gov (United States)

    Carlino, S.; Somma, R.; Mayberry, G.C.

    2008-01-01

    More than 600 000 people are exposed to volcanic risk in the urban areas near the volcano, Vesuvius, and may need to be evacuated if there is renewed volcanic activity. The success of a future evacuation will strongly depend on the level of risk perception and preparedness of the at-risk communities during the current period of quiescence. The volcanic risk perception and preparedness of young people is of particular importance because hazard education programs in schools have been shown to increase the clarity of risk perception and students often share their knowledge with their parents. In order to evaluate young people's risk perception and preparedness for a volcanic crisis, a multiple choice questionnaire was distributed to 400 high-school students in three municipalities located close to the volcano. The overall results suggest that despite a 60-year period of quiescence at Vesuvius, the interviewed students have an accurate perception of the level of volcanic risk. On the other hand, the respondents demonstrate a clear lack of understanding of volcanic processes and their related hazards. Also, the interviewed students show high levels of fear, poor perceived ability to protect themselves from the effects of a future eruption, and insufficient knowledge of the National Emergency Plan for Vesuvian Area (NEPVA). The latter result suggests that in comparison with volcanic crises in other regions, during a future eruption of Vesuvius, there may not be enough time to educate the large number of people living near the volcano about how to appropriately respond. The inadequate risk education and preparedness of respondents implies that a strong effort is needed to improve communication strategies in order to facilitate successful evacuations. Therefore, it is important to take advantage of the present period of quiescence at Vesuvius to improve the accuracy of risk perception of youth in local communities. ?? 2008.

  16. Risk assessment for sustainable food security in China according to integrated food security--taking Dongting Lake area for example.

    Science.gov (United States)

    Qi, Xiaoxing; Liu, Liming; Liu, Yabin; Yao, Lan

    2013-06-01

    Integrated food security covers three aspects: food quantity security, food quality security, and sustainable food security. Because sustainable food security requires that food security must be compatible with sustainable development, the risk assessment of sustainable food security is becoming one of the most important issues. This paper mainly focuses on the characteristics of sustainable food security problems in the major grain-producing areas in China. We establish an index system based on land resources and eco-environmental conditions and apply a dynamic assessment method based on status assessments and trend analysis models to overcome the shortcomings of the static evaluation method. Using fuzzy mathematics, the risks are categorized into four grades: negligible risk, low risk, medium risk, and high risk. A case study was conducted in one of China's major grain-producing areas: Dongting Lake area. The results predict that the status of the sustainable food security in the Dongting Lake area is unsatisfactory for the foreseeable future. The number of districts at the medium-risk range will increase from six to ten by 2015 due to increasing population pressure, a decrease in the cultivated area, and a decrease in the effective irrigation area. Therefore, appropriate policies and measures should be put forward to improve it. The results could also provide direct support for an early warning system-which could be used to monitor food security trends or nutritional status so to inform policy makers of impending food shortages-to prevent sustainable food security risk based on some classical systematic methods. This is the first research of sustainable food security in terms of risk assessment, from the perspective of resources and the environment, at the regional scale.

  17. High-capacity transport, floor area ratio and its relationship with urbanization of metropolitan areas

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho da Costa, B.L. de; Carvalho da Costa, F.B. de

    2016-07-01

    Most of the world’s population lives in urban areas (54%). Near 42% of the global urban population live in cities with more than 1 million inhabitants, where problems associated with urban sprawl such as informal settlement, social-economic changes, environmental degradation and deficient high-capacity transport (HCT) systems are common. Meanwhile, urbanization and its associated transportation infrastructure define the relationship between city and countryside, between the city’s inner core and the periphery, between the citizen and his right to move. This article discusses and presents an overview about the relationship between the planning and extension of HCT systems and urban planning, (in the figure of the floor-area ratio - FAR- prescribed in regulations). The methodological approach consists of drawing a conceptual framework and studying 33 different cities of metropolitan areas on five continents. It’s noticed that areas in cities with a high construction potential but with an insufficient HCT negatively influence in urban mobility and hence the right to the city. We consider right to the city the various social and fundamental rights that, among others, includes the right to public transportation. Therefore there’s a real need of an integrated approach of community participation, FAR distribution, urban planning and transportation planning and so that urbanization, inevitable these days, takes place in a fair and harmonious way. (Author)

  18. [Risk and features of occupational diseases in nonferrous metallurgy workers of Kolsky Transpolar area].

    Science.gov (United States)

    Siurin, S A; Chashchin, V P; Frolova, N M

    2015-01-01

    The study covered data on 977 cases of occupational diseases in 615 workers of nonferrous metallurgy in Kolsky Transpolar area. Findings are high risk of occupational diseases in workers engaged into electrolysis production of aluminium, all nickel reprocessing and pyrometallic copper reprocessing (GR 7.02-10.0). Electrolysis operators and anode operators of aluminium production are more prone to occupational diseases, with bone and muscular disorders (46.8%) prevalent in the morbidity structure. Respiratory diseases are more prevalent (68.2-100%) in the occupational morbidity structure of copper-nickelindustry workers. Conclusion is made on mandatory improvement of the work conditions and more effective individual protective means against occupational hazards in workers of nonferrous metallurgy in Kolsky Transpolar area.

  19. Prescription of the High Risk Narcotics and Trading or Illicit Purchasing of High Risk Narcotics

    Directory of Open Access Journals (Sweden)

    Nicoleta-Elena Buzatu

    2012-05-01

    Full Text Available The present essay will analyze the offence of prescribing high risk narcotics and trading or illicit purchasing of high risk narcotics, as it was regulated - together with other offences - by Law no 143 of July 26, 2000 on preventing and fighting against the traffic and illicit consumption of narcotics. The same law defines the meaning of such a phrase “substances which are under national control” by mentioning the fact that they are the narcotics and their precursors listed in Annexes I-IV of the law. The analysis of the offence of prescribing the high risk narcotics and trading or illicit purchasing of high risk narcotics is following the already known structure mentioned in the doctrine and which consists of: object and subjects of the offence, its constituent content: the objective side with its material element, the immediate consequence and causality connections; the subjective side of the offence, as well as forms and modalities of these offences, and the applicable sanctions, of course.

  20. [Physical process based risk assessment of groundwater pollution in the mining area].

    Science.gov (United States)

    Sun, Fa-Sheng; Cheng, Pin; Zhang, Bo

    2014-04-01

    Case studies of groundwater pollution risk assessment at home and abroad generally start from groundwater vulnerability, without considering the influence of characteristic pollutants on the consequences of pollution too much. Vulnerability is the natural sensitivity of the environment to pollutants. Risk assessment of groundwater pollution should reflect the movement and distribution of pollutants in groundwater. In order to improve the risk assessment theory and method of groundwater pollution, a physical process based risk assessment methodology for groundwater pollution was proposed in a mining area. According to the sensitivity of the economic and social conditions and the possible distribution of pollutants in the future, the spatial distribution of risk levels in aquifer was ranged before hand, and the pollutant source intensity corresponding to each risk level was deduced accordingly. By taking it as the criterion for the classification of groundwater pollution risk assessment, the groundwater pollution risk in the mining area was evaluated by simulating the migration of pollutants in the vadose zone and aquifer. The result show that the risk assessment method of groundwater pollution based on physical process can give the concentration distribution of pollutants and the risk level in the spatial and temporal. For single punctuate polluted area, it gives detailed risk characterization, which is better than the risk assessment method that based on aquifer intrinsic vulnerability index, and it is applicable to the risk assessment of existing polluted sites, optimizing the future sites and providing design parameters for the site construction.

  1. People at High Risk of Developing Flu-Related Complications

    Science.gov (United States)

    ... Influenza Types Seasonal Avian Swine Variant Pandemic Other People at High Risk of Developing Flu–Related Complications ... related complications if they get sick with influenza. People at High Risk for Developing Flu-Related Complications ...

  2. Social and environmental malaria risk factors in urban areas of Ouagadougou, Burkina Faso

    Directory of Open Access Journals (Sweden)

    Ouedraogo Herman

    2009-01-01

    Full Text Available Abstract Background Despite low endemicity, malaria remains a major health problem in urban areas where a high proportion of fevers are presumptively treated using anti-malarial drugs. Low acquired malaria immunity, behaviour of city-dwellers, access to health care and preventive interventions, and heterogenic suitability of urban ecosystems for malaria transmission contribute to the complexity of the malaria epidemiology in urban areas. Methods The study was designed to identify the determinants of malaria transmission estimated by the prevalence of anti-circumsporozoite (CSP antibodies, the prevalence and density of Plasmodium falciparum infection, and the prevalence of malarial disease in areas of Ouagadougou, Burkina-Faso. Thick blood smears, dried blood spots and clinical status have been collected from 3,354 randomly chosen children aged 6 months to 12 years using two cross-sectional surveys (during the dry and rainy seasons in eight areas from four ecological strata defined according to building density and land tenure (regular versus irregular. Demographic characteristics, socio-economic information, and sanitary and environmental data concerning the children or their households were simultaneously collected. Dependent variables were analysed using mixed multivariable models with random effects, taking into account the clustering of participants within compounds and areas. Results Overall prevalences of CSP-antibodies and P. falciparum infections were 7.7% and 16.6% during the dry season, and 12.4% and 26.1% during the rainy season, respectively, with significant differences according to ecological strata. Malaria risk was significantly higher among children who i lived in households with lower economic or education levels, iii near the hydrographic network, iv in sparsely built-up areas, v in irregularly built areas, vi who did not use a bed net, vii were sampled during the rainy season or ii had traveled outside of Ouagadougou

  3. Application of preliminary risk analysis at marble finishing plants in Recife's metropolitan area.

    Science.gov (United States)

    de Melo Neto, Rútilo P; Kohlman Rabbani, Emilia R

    2012-01-01

    The finishing of marble occurs in quarries all over Brazil, being the most significant dimension of the ornamental stone sector, with 7,000 businesses. Recife's Metropolitan Area (RMR) contains approximately 106 marble quarries, 25 of them unionized. The study focused on the application of Preliminary Risk Analysis, conducted at two unionized quarries: M1, a small business; and the second, M2, considered a micro enterprise. In this analysis both the administrative and the productive sectors were evaluated. The fieldwork was done in the month of December 2010. The study revealed that the two quarries carried moderate risks in the administrative sector, mainly due to ergonomic factors, and that in the productive sectors the risks were high, specifically because of excess noise, dust material, and precarious electrical installations. Using the results of the qualitative analysis as a base, the need for quantitative study presents itself in order to determine the most adequate modes of protection to be of assistance in the management of these risks, guaranteeing the safety and health of the worker and consequently the improvement in productivity in this sector.

  4. A simple method to identify areas of environmental risk due to manure application.

    Science.gov (United States)

    Flores, Héctor; Arumí, José Luis; Rivera, Diego; Lagos, L Octavio

    2012-06-01

    The management of swine manure is becoming an important environmental issue in Chile. One option for the final disposal of manure is to use it as a biofertilizer, but this practice could impact the surrounding environment. To assess the potential environmental impacts of the use of swine manure as a biofertilizer, we propose a method to identify zones of environmental risk through indices. The method considers two processes: nutrient runoff and solute leaching, and uses available information about soils, crops and management practices (irrigation, fertilization, and rotation). We applied the method to qualitatively assess the environmental risk associated with the use of swine manure as a biofertilizer in an 8,000-pig farm located in Central Chile. Results showed that the farm has a moderate environmental risk, but some specific locations have high environmental risks, especially those associated with impacts on areas surrounding water resources. This information could assist the definition of better farm-level management practices, as well as the preservation of riparian vegetation acting as buffer strips. The main advantage of our approach is that it combines qualitative and quantitative information, including particular situations or field features based on expert knowledge. The method is flexible, simple, and can be easily extended or adapted to other processes.

  5. Large-area high-efficiency flexible PHOLED lighting panels

    Science.gov (United States)

    Pang, Huiqing; Mandlik, Prashant; Levermore, Peter A.; Silvernail, Jeff; Ma, Ruiqing; Brown, Julie J.

    2012-09-01

    Organic Light Emitting Diodes (OLEDs) provide various attractive features for next generation illumination systems, including high efficiency, low power, thin and flexible form factor. In this work, we incorporated phosphorescent emitters and demonstrated highly efficient white phosphorescent OLED (PHOLED) devices on flexible plastic substrates. The 0.94 cm2 small-area device has total thickness of approximately 0.25 mm and achieved 63 lm/W at 1,000 cd/m2 with CRI = 85 and CCT = 2920 K. We further designed and fabricated a 15 cm x 15 cm large-area flexible white OLED lighting panels, finished with a hybrid single-layer ultra-low permeability single layer barrier (SLB) encapsulation film. The flexible panel has an active area of 116.4 cm2, and achieved a power efficacy of 47 lm/W at 1,000 cd/m2 with CRI = 83 and CCT = 3470 K. The efficacy of the panel at 3,000 cd/m2 is 43 lm/W. The large-area flexible PHOLED lighting panel is to bring out enormous possibilities to the future general lighting applications.

  6. Relative risk of visceral leishmaniasis in Brazil: a spatial analysis in urban area.

    Directory of Open Access Journals (Sweden)

    Valdelaine Etelvina Miranda de Araújo

    2013-11-01

    Full Text Available BACKGROUND: Visceral leishmaniasis (VL is a vector-borne disease whose factors involved in transmission are poorly understood, especially in more urban and densely populated counties. In Brazil, the VL urbanization is a challenge for the control program. The goals were to identify the greater risk areas for human VL and the risk factors involved in transmission. METHODOLOGY: This is an ecological study on the relative risk of human VL. Spatial units of analysis were the coverage areas of the Basic Health Units (146 small-areas of Belo Horizonte, Minas Gerais State, Brazil. Human VL cases, from 2007 to 2009 (n = 412, were obtained in the Brazilian Reportable Disease Information System. Bayesian approach was used to model the relative risk of VL including potential risk factors involved in transmission (canine infection, socioeconomic and environmental features and to identify the small-areas of greater risk to human VL. PRINCIPAL FINDINGS: The relative risk of VL was shown to be correlated with income, education, and the number of infected dogs per inhabitants. The estimates of relative risk of VL were higher than 1.0 in 54% of the areas (79/146. The spatial modeling highlighted 14 areas with the highest relative risk of VL and 12 of them are concentrated in the northern region of the city. CONCLUSIONS: The spatial analysis used in this study is useful for the identification of small-areas according to risk of human VL and presents operational applicability in control and surveillance program in an urban environment with an unequal spatial distribution of the disease. Thus the frequent monitoring of relative risk of human VL in small-areas is important to direct and prioritize the actions of the control program in urban environment, especially in big cities.

  7. Risk Factors for Death from Visceral Leishmaniasis in an Urban Area of Brazil.

    Directory of Open Access Journals (Sweden)

    Angelita F Druzian

    Full Text Available Over the last three decades, the epidemiological profile of visceral leishmaniasis (VL has changed with epidemics occurring in large urban centers of Brazil, an increase in HIV/AIDS co-infection, and a significant increase in mortality. The objective of this study was to identify the risk factors associated with death among adult patients with VL from an urban endemic area of Brazil.A prospective cohort study included 134 adult patients with VL admitted to the University Hospital of the Federal University of Mato Grosso do Sul between August 2011 and August 2013.Patients ranged from 18 to 93 years old, with a mean age of 43.6 (±15.7%. Of these patients, 36.6% were co-infected with HIV/AIDS, and the mortality rate was 21.6%. In a multivariate analysis, the risk factors associated with death were secondary bacterial infection (42.86, 5.05-363.85, relapse (12.17, 2.06-71.99, edema (7.74, 1.33-45.05 and HIV/AIDS co-infection (7.33, 1.22-43.98.VL has a high mortality rate in adults from endemic urban areas, especially when coinciding with high rates of HIV/AIDS co-infection.

  8. Heavy metal pollution and ecological risk assessment of the paddy soils near a zinc-lead mining area in Hunan.

    Science.gov (United States)

    Lu, Sijin; Wang, Yeyao; Teng, Yanguo; Yu, Xuan

    2015-10-01

    Soil pollution by Cd, Hg, As, Pb, Cr, Cu, and Zn was characterized in the area of the mining and smelting of metal ores at Guiyang, northeast of Hunan Province. A total of 150 topsoil (0-20 cm) samples were collected in May 2012 with a nominal density of one sample per 4 km(2). High concentrations of heavy metals especially, Cd, Zn, and Pb were found in many of the samples taken from surrounding paddy soil, indicating a certain extent of spreading of heavy metal pollution. Sequential extraction technique and risk assessment code (RAC) were used to study the mobility of chemical forms of heavy metals in the soils and their ecological risk. The results reveal that Cd represents a high ecological risk due to its highest percentage of the exchangeable and carbonate fractions. The metals of Zn and Cu pose a medium risk, and the rest of the metals represent a low environmental risk. The range of the potential ecological risk of soil calculated by risk index (RI) was 123.5~2791.2 and revealed a considerable-high ecological risk in study area especially in the neighboring and surrounding the mining activities area. Additionally, cluster analyses suggested that metals such as Pb, As, Hg, Zn, and Cd could be from the same sources probably related to the acidic drainage and wind transport of dust. Cluster analysis also clearly distinguishes the samples with similar characteristics according to their spatial distribution. The results could be used during the ecological risk screening stage, in conjunction with total concentrations and metal fractionation values to better estimate ecological risk.

  9. Deciphering priority areas for improving project risk management ...

    African Journals Online (AJOL)

    unethical practices contributing to poor project delivery in the ZCI,. Mukumbwa and Muya .... Egypt, Ghana, India, Indonesia, Jordan, Malaysia, Mozambique,. Nigeria, Pakistan ..... The analysis is based on the Pareto principle, also known as the 80/20 .... poor interpretation of contract; poor safety on site; disputes; high taxes;.

  10. The loss of species: mangrove extinction risk and geographic areas of global concern.

    Directory of Open Access Journals (Sweden)

    Beth A Polidoro

    2010-04-01

    Full Text Available Mangrove species are uniquely adapted to tropical and subtropical coasts, and although relatively low in number of species, mangrove forests provide at least US $1.6 billion each year in ecosystem services and support coastal livelihoods worldwide. Globally, mangrove areas are declining rapidly as they are cleared for coastal development and aquaculture and logged for timber and fuel production. Little is known about the effects of mangrove area loss on individual mangrove species and local or regional populations. To address this gap, species-specific information on global distribution, population status, life history traits, and major threats were compiled for each of the 70 known species of mangroves. Each species' probability of extinction was assessed under the Categories and Criteria of the IUCN Red List of Threatened Species. Eleven of the 70 mangrove species (16% are at elevated threat of extinction. Particular areas of geographical concern include the Atlantic and Pacific coasts of Central America, where as many as 40% of mangroves species present are threatened with extinction. Across the globe, mangrove species found primarily in the high intertidal and upstream estuarine zones, which often have specific freshwater requirements and patchy distributions, are the most threatened because they are often the first cleared for development of aquaculture and agriculture. The loss of mangrove species will have devastating economic and environmental consequences for coastal communities, especially in those areas with low mangrove diversity and high mangrove area or species loss. Several species at high risk of extinction may disappear well before the next decade if existing protective measures are not enforced.

  11. The loss of species: mangrove extinction risk and geographic areas of global concern.

    Science.gov (United States)

    Polidoro, Beth A; Carpenter, Kent E; Collins, Lorna; Duke, Norman C; Ellison, Aaron M; Ellison, Joanna C; Farnsworth, Elizabeth J; Fernando, Edwino S; Kathiresan, Kandasamy; Koedam, Nico E; Livingstone, Suzanne R; Miyagi, Toyohiko; Moore, Gregg E; Ngoc Nam, Vien; Ong, Jin Eong; Primavera, Jurgenne H; Salmo, Severino G; Sanciangco, Jonnell C; Sukardjo, Sukristijono; Wang, Yamin; Yong, Jean Wan Hong

    2010-04-08

    Mangrove species are uniquely adapted to tropical and subtropical coasts, and although relatively low in number of species, mangrove forests provide at least US $1.6 billion each year in ecosystem services and support coastal livelihoods worldwide. Globally, mangrove areas are declining rapidly as they are cleared for coastal development and aquaculture and logged for timber and fuel production. Little is known about the effects of mangrove area loss on individual mangrove species and local or regional populations. To address this gap, species-specific information on global distribution, population status, life history traits, and major threats were compiled for each of the 70 known species of mangroves. Each species' probability of extinction was assessed under the Categories and Criteria of the IUCN Red List of Threatened Species. Eleven of the 70 mangrove species (16%) are at elevated threat of extinction. Particular areas of geographical concern include the Atlantic and Pacific coasts of Central America, where as many as 40% of mangroves species present are threatened with extinction. Across the globe, mangrove species found primarily in the high intertidal and upstream estuarine zones, which often have specific freshwater requirements and patchy distributions, are the most threatened because they are often the first cleared for development of aquaculture and agriculture. The loss of mangrove species will have devastating economic and environmental consequences for coastal communities, especially in those areas with low mangrove diversity and high mangrove area or species loss. Several species at high risk of extinction may disappear well before the next decade if existing protective measures are not enforced.

  12. Geological survey by high resolution electrical survey on granite areas

    International Nuclear Information System (INIS)

    Sugimoto, Yoshihiro; Yamada, Naoyuki

    2002-03-01

    As an Integral part of the geological survey in 'The study of the regions ground water flow system' that we are carrying out with Tono Geoscience Center, we proved the relation between the uncontinuation structure such as lineament in the base rock and resistivity structure (resistivity distribution), for the purpose of that confirms the efficacy of the high resolution electrical survey as geological survey, we carried out high resolution electrical survey on granite area. We obtained the following result, by the comparison of resistivity distribution with established geological survey, lineament analysis and investigative drilling. 1. The resistivity structure of this survey area is almost able to classify it into the following four range. 1) the low resistivity range of 50-800 Ωm, 2) The resistivity range like the middle of 200-2000 Ωm, 3) The high resistivity range of 2000 Ωm over, 4) The low resistivity range of depth of the survey line 400-550 section. 2. The low resistivity range of 4) that correspond with the established geological data is not admitted. 3. It was confirmed that resistivity structure almost correspond to geological structure by the comparison with the established data. 4. The small-scale low resistivity area is admitted in the point equivalent to the lineament position of established. 5. We carried out it with the simulation method about the low resistivity range of 4). As a result, it understood that it has the possibility that the narrow ratio low resistivity area is shown as the wide ratio resistivity range in the analysis section. In the survey in this time, it is conceivable that the resistivity distribution with the possibility of the unhomogeneous and uncontinuation structure of the base rock is being shown conspicuously, the efficacy of the high resolution resistivity survey as geological survey on granite was shown. (author)

  13. Utility of sentinel node biopsy in patients with high-risk cutaneous squamous cell carcinoma

    DEFF Research Database (Denmark)

    Allen, J E; Stolle, L B

    2015-01-01

    BACKGROUND: Currently there is no consensual agreement on the standard use of Sentinel Lymph Node Biopsy (SLNB) in staging of high-risk patients. OBJECTIVE: The objective was to define the predictive value and role of SLNB combined with the different high-risk factors to determine which patients...... cm. Sensitivity, specificity and NPV for a tumor localized at a high-risk area were 72.63%, 100% and 96.74%, respectively. Specificity was 100% as was NPV for immunosuppression. CONCLUSION: SLNB has a high NPV and low false negative rate and carries a low risk of complications. SLNB may prove...

  14. Development of Triad approach based system for ecological risk assessment for contaminated areas of Kyrgyzstan

    Science.gov (United States)

    Kydralieva, Kamilia; Uzbekov, Beksultan; Khudaibergenova, Bermet; Terekhova, Vera; Jorobekova, Sharipa

    2014-05-01

    This research is aimed to develop a high-effective system of an ecological risk assessment and risk-based decision making for anthropogenic ecosystems, with particular focus on the soils of the Kyrgyz Republic. The study is focused on the integration of Triad data including chemical, biological and ecotoxicological soil markers to estimate the potential risk from soils of highly anthropized areas impacted by deposition of different pollutants from mining operation. We focus on technogenic areas of Kyrgyzstan, the former uranium-producing province. Triad-based ecological risk assessment for technogenic sites are not currently used in Kyrgyzstan. However, the vitality of such research is self-evident. There are about 50 tailing dumps and more than 80 tips of radioactive waste which are formed as a result of uranium and complex ores (mercury, antimony, lead, cadmium and etc) mining around the unfavorable aforementioned places. According to the Mining Wastes' Tailings and Fills Rehabilitation Centre established in 1999 by a special Government's Resolution, one of the most ecologically dangerous uranium tailings resides in Kadzhi-Say. Although uranium processing is no longer practiced in Kadzhi-Say, a large number of open landfills and uranium ore storages still remain abandoned at the vicinity of this settlement. These neglected sites have enormous problems associated with soil erosion known as "technogenic deserts". The upper soil horizons are deprived of humus and vegetation, which favor the formation of low-buffer landscapes in the zones of maximum contamination. As a result, most of these areas are not re-cultivated and remain in critical environmental condition (Bykovchenko, et al., 2005; Tukhvatshin, 2005; Suranova, 2006). Triad data for assessing environmental risk and biological vulnerability at contaminated sites will be integrated. The following Triad-based parameters will be employed: 1) chemical soil analyses (revealing the presence of potentially dangerous

  15. [Prevalence of metabolic syndrome and cardiovascular risk in an urban area of Murcia].

    Science.gov (United States)

    Fernández-Ruiz, Virginia E; Paniagua-Urbano, José A; Solé-Agustí, María; Ruiz-Sánchez, Alfonso; Gómez-Marín, José

    2014-11-01

    It is extensive scientific literature that has defined the metabolic syndrome as a precursor of cardiovascular disease. To estimate the prevalence of metabolic syndrome and cardiovascular risk in the population of a basic health area of Murcia. Cross sectional study population of the district health "The Esparragal" random sample of the population between 18 and 86 years living in the area. Personal history were collected and held a relevant clinical, anthropometric data and analytics for the estimation of Metabolic Syndrome and Cardiovascular Risk following criteria dictated by the current literature, adjusted for sex and age. The mean age of the study population was 59.34 ± 14.79 years, with 52.5% males. The overall prevalence of metabolic syndrome criteria World Health Organization is presented 36.8%, a figure increased under International Diabetes Ferderation recommendations to 58.2% and according to National Cholesterol Education Program, an estimated 53.5%. The presentation of this syndrome is slightly higher in men (54.1 versus 52.8 %), and in parallel with increasing age (p < 0.001). The prevalence of people at high risk of cardiovascular disease is 32.1 % (95 % CI 29.4 to 34.8), with 45.2 % (95% CI 41.2 to 49.2) in men and 17.6% (95% CI 14.4 to 20.8) in women. The prevalence of metabolic syndrome and cardiovascular risk in the study population is the highest found in Spain in population studies, indicating an invaluable population on which preventive measures. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  16. Radioactivity in food crops from high background radiation area in southwest area

    International Nuclear Information System (INIS)

    Shanthi, G.; Maniyan, C.G.; Allan Gnana Raj, G.; Thampi Thanka Kumaran, J.

    2009-01-01

    The study was carried out to evaluate radioactive concentration in food crops grown in naturally high-background radiation areas in southwest India. Seventeen varieties of food crops were collected from different parts of Kanyakumari district. The gross alpha and beta activities of the collected samples were measured using alpha scintillation counter and low beta counter respectively. The alpha activity was maximum in tapioca (497± 72 Bq kg -1 ) and the beta activity was maximum in paddy grain (10,946±583 Bq kg -1 ). The gamma activity of the food samples was studied by measuring the activity concentration of the radionuclides ( 226 Ra, 228 Th, 238 U, 40 K) in the food crops. The radioactivity content of the food crops from high-background radiation area was higher when compared to similar samples collected from low-background radiation area. The daily radionuclide intake from the food crops grown and consumed by the public was 127.696 Bq and daily internal dose resulting from ingestion of radionuclides in food was 2.34 μSv. (author)

  17. Client experiences with perinatal healthcare for high-risk and low-risk women

    NARCIS (Netherlands)

    van Stenus, Cherelle M.V.; Boere-Boonekamp, Magda M.; Kerkhof, Erna F.G.M.; Need, Ariana

    2018-01-01

    Problem: It is unknown if client experiences with perinatal healthcare differ between low-risk and high-risk women. Background: In the Netherlands, risk selection divides pregnant women into low- and high-risk groups. Receiving news that a pregnancy or childbirth has an increased likelihood of

  18. A highly attennuative zone beneath the Tokyo Metropolitan area.

    Science.gov (United States)

    Panayotopoulos, Y.; Hirata, N.; Sakai, S.; Nakagawa, S.; Kasahara, K.

    2014-12-01

    The intensities of seismic waves observed at the dense seismic array of the Tokyo Metropolitan Seismic Observation network (MeSO-net) inside the Kanto basin, display unusual distribution patterns. In several occasions, the highest intensities are not observed in the area above an earthquakes hypocenter but appear sifted more than 20 km away. In order to understand the source of this unusual intensity distribution pattern, it is crucial to understand how the waves attenuate before they reach the surface. The attenuation of seismic waves along their path is represented by the t∗ attenuation operator that can be obtained by fitting the observed seismic wave spectrum to a theoretical spectrum using an ω2 model. In order to create a high quality dataset, only 1449 earthquakes that are recorded with intensity greater than 0 in the Japan Meteorological Agency (JMA) intensity scale are selected from the JMA unified earthquake list from April 1st 2008 to October 2nd 2013. A grid search method is applied to determine the t∗ values by matching the observed and theoretical spectra. The t∗ data where then inverted to estimate a 3D Q structure with grid points set at a 10 km spacing. We implemented the 3D velocity model estimated by Nakagawa et al., 2012 and in addition we set the initial Q values at 100 for the 0 km grids and to 400 for the grids below them. The obtained model suggests average Q values of 50˜100 inside the Kanto basin. Furthermore, a low Q zone is observed in the area where the Philippine Sea plate meets the upper part of the Pacific sea plate. This area is located at approximately 40 km depth, beneath the north-east Tokyo and west Chiba prefectures and is represented by Q values Earthquakes occurring on the Pacific plate pass through this low Q area inside the Philippine sea plate and are attenuated significantly. The estimated attenuation distribution at the MeSO-net station for these earthquakes implementing our 3D Q model greatly coincides with the

  19. Prevalence and Risk Factors of High Risk Human Papillomavirus ...

    African Journals Online (AJOL)

    Cervical cancer is the most common female cancer in northern Nigeria, yet the pattern of infection with human papillomavirus, the principal aetiologic agent is unknown. This was a preliminary study conducted in two referral hospitals in order to establish base-line data on the prevalence and risk factors for the infection in ...

  20. Indigenisation of high risk learning areas: A case for accounting ...

    African Journals Online (AJOL)

    Indilinga: African Journal of Indigenous Knowledge Systems ... In extolling the virtues of indigenization, this article logically adopts an ontological paradigm (life reality) as against an epistemology (theory of knowledge) and, worse still, ... Keywords: Account, accounting, accounting equation, assets, equity, liabilities, riches.

  1. Real time avalanche detection for high risk areas.

    Science.gov (United States)

    2014-12-01

    Avalanches routinely occur on State Highway 21 (SH21) between Lowman and Stanley, Idaho each winter. The avalanches pose : a threat to the safety of maintenance workers and the traveling public. A real-time avalanche detection system will allow the :...

  2. Contamination and risk of heavy metals in soils and sediments from a typical plastic waste recycling area in North China.

    Science.gov (United States)

    Tang, Zhenwu; Zhang, Lianzhen; Huang, Qifei; Yang, Yufei; Nie, Zhiqiang; Cheng, Jiali; Yang, Jun; Wang, Yuwen; Chai, Miao

    2015-12-01

    Plastic wastes are increasingly being recycled in many countries. However, available information on the metals released into the environment during recycling processes is rare. In this study, the contamination features and risks of eight heavy metals in soils and sediments were investigated in Wen'an, a typical plastic recycling area in North China. The surface soils and sediments have suffered from moderate to high metal pollution and in particular, high Cd and Hg pollution. The mean concentrations of Cd and Hg were 0.355 and 0.408 mg kg(-1), respectively, in the soils and 1.53 and 2.10 mg kg(-1), respectively, in the sediments. The findings suggested that there is considerable to high potential ecological risks in more than half of the soils and high potential ecological risk in almost all sediments. Although the health risk levels from exposure to soil metals were acceptable for adults, the non-carcinogenic risks to local children exceeded the acceptable level. Source assessment indicated that heavy metals in soils and sediments were mainly derived from inputs from poorly controlled plastic waste recycling operations in this area. The results suggested that the risks associated with heavy metal pollution from plastic waste recycling should be of great concern. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Rapid assessment of risks to a mobile marine mammal in an ecosystem-scale marine protected area.

    Science.gov (United States)

    Grech, A; Marsh, H

    2008-06-01

    Ecosystem-scale networks of marine protected areas (MPAs) are important conservation tools, but their effectiveness is difficult to quantify in a time frame appropriate to species conservation because of uncertainties in the data available. The dugong (Dugong dugon) is a mobile marine species that occurs in shallow inshore waters of an ecosystem-scale network of MPAs (the Great Barrier Reef World Heritage Area [GBRWHA]). We developed a rapid approach to assess risk to dugongs in the region and evaluate options to ameliorate that risk. We used expert opinion and a Delphi technique to identify and rank 5 human factors with the potential to adversely affect dugongs and their sea grass habitats: netting, indigenous hunting, trawling, vessel traffic, and poor-quality terrestrial runoff. We then quantified and compared the distribution of these factors with a spatially explicit model of dugong distribution. We estimated that approximately 96% of habitat of high conservation value for dugongs in the GBRWHA is at low risk from human activities. Using a sensitivity analysis, we found that to decrease risk, commercial netting or indigenous hunting had to be reduced in remote areas and the effects of vessel traffic, terrestrial runoff, and commercial netting had to be reduced in urban areas. This approach enabled us to compare and rank risks so as to identify the most severe risks and locate specific sites that require further management attention.

  4. Area of hock hair loss in dairy cows: risk factors and correlation with a categorical scale.

    Science.gov (United States)

    Lim, P Y; Huxley, J N; Green, M J; Othman, A R; Potterton, S L; Brignell, C J; Kaler, J

    2015-02-01

    Data from 3691 dairy cows from 76 farms were used to investigate the risk factors associated with the area of hair loss over the lateral aspect of the hock and the correlation between the area of hair loss (as calculated using a hock map) and hock lesion scores determined using a pre-existing categorical scale. Six factors were associated with a greater area of hair loss, including cows with locomotion score 3, a cleanliness score (10/28 to 18/28), high daily milk yield (25.1-58.1 kg), poor body condition score (1-1.5), duration of winter housing (≥41 days) and some combinations of cubicle base and bedding materials. Compared with cows housed in cubicles with a concrete base and whole straw or rape straw bedding, cows housed in cubicles with concrete bases with sand or chopped straw bedding had smaller areas of hair loss and cows housed on a mattress base with whole straw or rape straw bedding had larger areas of hair loss. Area of hair loss, as measured on hock maps, was not significantly different between cows with score 1 (median 23.6 cm(2)) and score 2 (median 20.3 cm(2)) on the categorical scale for hock lesions. This suggests that the categorical scale was not reflecting the extent of hair loss and that hock maps are a good alternative for studying the dynamics of hock lesions over time. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Assessment of risk due to vehicle accident for the plutonium solution transfer from H-area to F-area

    International Nuclear Information System (INIS)

    Sarrack, A.G.

    1996-09-01

    Transporting radioactive material onsite (intrasite transfers) via truck or train must be performed in a safe manner. Adequate safety is assured for each transfer, as documented in the corresponding Onsite Safety Assessment (OSA). One aspect of the OSA is to show that the package to be used for the transfer meets onsite acceptance criteria. The activity being analyzed in this report is the movement of plutonium solution with greater than 20 curies, all reasonable mitigative controls will be implemented to minimize the likelihood of an accidental release, and a probabilistic analysis will be used to evaluate the risk associated with the move. The purpose of this report is to document the evaluation of risk due to vehicle accident associated with transporting plutonium solution from H-area to F-area. Included in the report is a list of the required mitigative controls which reduce the predicted accident and release frequencies to those reported in the summary

  6. Uncertainty Analysis of A Flood Risk Mapping Procedure Applied In Urban Areas

    Science.gov (United States)

    Krause, J.; Uhrich, S.; Bormann, H.; Diekkrüger, B.

    In the framework of IRMA-Sponge program the presented study was part of the joint research project FRHYMAP (flood risk and hydrological mapping). A simple con- ceptual flooding model (FLOODMAP) has been developed to simulate flooded areas besides rivers within cities. FLOODMAP requires a minimum of input data (digital el- evation model (DEM), river line, water level plain) and parameters and calculates the flood extent as well as the spatial distribution of flood depths. of course the simulated model results are affected by errors and uncertainties. Possible sources of uncertain- ties are the model structure, model parameters and input data. Thus after the model validation (comparison of simulated water to observed extent, taken from airborne pictures) the uncertainty of the essential input data set (digital elevation model) was analysed. Monte Carlo simulations were performed to assess the effect of uncertain- ties concerning the statistics of DEM quality and to derive flooding probabilities from the set of simulations. The questions concerning a minimum resolution of a DEM re- quired for flood simulation and concerning the best aggregation procedure of a given DEM was answered by comparing the results obtained using all available standard GIS aggregation procedures. Seven different aggregation procedures were applied to high resolution DEMs (1-2m) in three cities (Bonn, Cologne, Luxembourg). Basing on this analysis the effect of 'uncertain' DEM data was estimated and compared with other sources of uncertainties. Especially socio-economic information and monetary transfer functions required for a damage risk analysis show a high uncertainty. There- fore this study helps to analyse the weak points of the flood risk and damage risk assessment procedure.

  7. Determining the explosion risk level and the explosion hazard area for a group of natural gas wells

    Science.gov (United States)

    Gligor, A.; Petrescu, V.; Deac, C.; Bibu, M.

    2016-11-01

    Starting from the fact that the natural gas engineering profession is generally associated with a high occupational risk, the current paper aims to help increase the safety of natural gas wells and reduce the risk of work-related accidents, as well as the occurrence of professional illnesses, by applying an assessment method that has proven its efficiency in other industrial areas in combination with a computer-aided design software. More specifically, the paper focuses on two main research directions: assessing the explosion risk for employees working at natural gas wells and indicating areas with a higher explosion hazard by using a modern software that allows their presentation in 3D. The appropriate zoning of industrial areas allows to group the various functional areas function of the probability of the occurrence of a dangerous element, such as an explosive atmosphere and subsequently it allows also to correctly select the electrical and mechanical equipment that will be used in that area, since electrical apparatuses that are otherwise found in normal work environments cannot generally be used in areas with explosion hazard, because of the risk that an electric spark, an electrostatic discharge etc. ignites the explosive atmosphere.

  8. Human genetics studies in areas of high natural radiation. IV. Research in radioactive areas

    Energy Technology Data Exchange (ETDEWEB)

    Freire-Maia, A [Faculdade de Ciencias Medicas e Biologicas de Botucatu (Brazil). Departamento de Genetica

    1974-01-01

    A review is made on researches performed in areas with high levels of natural radioactivity. Some considerations are made on the importance and difficulties involved in projects of this kind. Although there is no doubt that natural radioactivity is one of the causes of the so-called spontaneous mutations, the practical demonstration of this assertion is extremely complex. Projects trying to correlate high levels of natural radioactivity with the occurrence of cancer (in general, or specific), leukemia, congenital malformations (in general or specific), neuro-vegetative disturbs, sex ratio, mortality, and physical development, as well as other characteristics. Some researches with animals are also mentioned, and references are given for plant studies. A critical analysis is made of some works relating to human populations.

  9. Human genetics studies in areas of high natural radiation.IV. Research in radioactive areas

    International Nuclear Information System (INIS)

    Freire-Maia, A.

    1974-01-01

    A review is made on researches performed in areas with high levels of natural radioactivity. Some considerations are made on the importance and difficulties involved in projects of this kind. Although there is no doubt that natural radioactivity is one of the causes of the so-called spontaneous mutations, the practical demonstration of this assertion is extremely complex. Projects trying to correlate high levels of natural radioactivity with the occurrence of cancer (in general, or specific), leukemia, congenital malformations (in general or specific), neuro-vegetative disturbs, sex ratio, mortality, and physical development, as well as other characteristics. Some researches with animals are also mentioned, and references are given for plant studies. A critical analysis is made of some works relating to human populations [pt

  10. Development of large area, high efficiency amorphous silicon solar cell

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, K.S.; Kim, S.; Kim, D.W. [Yu Kong Taedok Institute of Technology (Korea, Republic of)

    1996-02-01

    The objective of the research is to develop the mass-production technologies of high efficiency amorphous silicon solar cells in order to reduce the costs of solar cells and dissemination of solar cells. Amorphous silicon solar cell is the most promising option of thin film solar cells which are relatively easy to reduce the costs. The final goal of the research is to develop amorphous silicon solar cells having the efficiency of 10%, the ratio of light-induced degradation 15% in the area of 1200 cm{sup 2} and test the cells in the form of 2 Kw grid-connected photovoltaic system. (author) 35 refs., 8 tabs., 67 figs.

  11. L-045: EPR-First Responders: Evaluation of the risk and establishment of inner cordoned area

    International Nuclear Information System (INIS)

    2011-01-01

    This conference is about the risk evaluation knowledge by the first responders in a radiological emergency. They have to establish the inner cordoned area , identify dangerous symbols , devices, packages, radioactive source, material and equipment used

  12. Legionella spp. Risk Assessment in Recreational and Garden Areas of Hotels

    Directory of Open Access Journals (Sweden)

    Antonios Papadakis

    2018-03-01

    Full Text Available Several Travel-associated Legionnaires’ disease (TALD cases occur annually in Europe. Except from the most obvious sites (cooling towers and hot water systems, infections can also be associated with recreational, water feature, and garden areas of hotels. This argument is of great interest to better comprehend the colonization and to calculate the risk to human health of these sites. From July 2000–November 2017, the public health authorities of the Island of Crete (Greece inspected 119 hotels associated with TALD, as reported through the European Legionnaires’ Disease Surveillance Network. Five hundred and eighteen samples were collected from decorative fountain ponds, showers near pools and spas, swimming pools, spa pools, garden sprinklers, drip irrigation systems (reclaimed water and soil. Of those, 67 (12.93%, originating from 43 (35.83% hotels, tested positive for Legionella (Legionella pneumophila serogroups 1, 2, 3, 6, 7, 8, 13, 14, 15 and non-pneumophila species (L. anisa, L. erythra, L. taurinensis, L. birminghamensis, L. rubrilucens. A Relative Risk (R.R. > 1 (p < 0.0001 was calculated for chlorine concentrations of less than 0.2 mg/L (R.R.: 54.78, star classification (<4 (R.R.: 4.75 and absence of Water Safety Plan implementation (R.R.: 3.96. High risk (≥104 CFU/L was estimated for pool showers (16.42%, garden sprinklers (7.46% and pool water (5.97%.

  13. Legionella spp. Risk Assessment in Recreational and Garden Areas of Hotels.

    Science.gov (United States)

    Papadakis, Antonios; Chochlakis, Dimosthenis; Sandalakis, Vassilios; Keramarou, Maria; Tselentis, Yannis; Psaroulaki, Anna

    2018-03-26

    Several Travel-associated Legionnaires' disease (TALD) cases occur annually in Europe. Except from the most obvious sites (cooling towers and hot water systems), infections can also be associated with recreational, water feature, and garden areas of hotels. This argument is of great interest to better comprehend the colonization and to calculate the risk to human health of these sites. From July 2000-November 2017, the public health authorities of the Island of Crete (Greece) inspected 119 hotels associated with TALD, as reported through the European Legionnaires' Disease Surveillance Network. Five hundred and eighteen samples were collected from decorative fountain ponds, showers near pools and spas, swimming pools, spa pools, garden sprinklers, drip irrigation systems (reclaimed water) and soil. Of those, 67 (12.93%), originating from 43 (35.83%) hotels, tested positive for Legionella ( Legionella pneumophila serogroups 1, 2, 3, 6, 7, 8, 13, 14, 15 and non-pneumophila species ( L. anisa , L. erythra , L. taurinensis , L. birminghamensis , L. rubrilucens ). A Relative Risk (R.R.) > 1 ( p < 0.0001) was calculated for chlorine concentrations of less than 0.2 mg/L (R.R.: 54.78), star classification (<4) (R.R.: 4.75) and absence of Water Safety Plan implementation (R.R.: 3.96). High risk (≥10⁴ CFU/L) was estimated for pool showers (16.42%), garden sprinklers (7.46%) and pool water (5.97%).

  14. The Psychosis High-Risk State

    Science.gov (United States)

    Fusar-Poli, Paolo; Borgwardt, Stefan; Bechdolf, Andreas; Addington, Jean; Riecher-Rössler, Anita; Schultze-Lutter, Frauke; Keshavan, Matcheri; Wood, Stephen; Ruhrmann, Stephan; Seidman, Larry J.; Valmaggia, Lucia; Cannon, Tyrone; Velthorst, Eva; De Haan, Lieuwe; Cornblatt, Barbara; Bonoldi, Ilaria; Birchwood, Max; McGlashan, Thomas; Carpenter, William; McGorry, Patrick; Klosterkötter, Joachim; McGuire, Philip; Yung, Alison

    2014-01-01

    Context During the past 2 decades, a major transition in the clinical characterization of psychotic disorders has occurred. The construct of a clinical high-risk (HR) state for psychosis has evolved to capture the prepsychotic phase, describing people presenting with potentially prodromal symptoms. The importance of this HR state has been increasingly recognized to such an extent that a new syndrome is being considered as a diagnostic category in the DSM-5. Objective To reframe the HR state in a comprehensive state-of-the-art review on the progress that has been made while also recognizing the challenges that remain. Data Sources Available HR research of the past 20 years from PubMed, books, meetings, abstracts, and international conferences. Study Selection and Data Extraction Critical review of HR studies addressing historical development, inclusion criteria, epidemiologic research, transition criteria, outcomes, clinical and functional characteristics, neurocognition, neuroimaging, predictors of psychosis development, treatment trials, socioeconomic aspects, nosography, and future challenges in the field. Data Synthesis Relevant articles retrieved in the literature search were discussed by a large group of leading worldwide experts in the field. The core results are presented after consensus and are summarized in illustrative tables and figures. Conclusions The relatively new field of HR research in psychosis is exciting. It has the potential to shed light on the development of major psychotic disorders and to alter their course. It also provides a rationale for service provision to those in need of help who could not previously access it and the possibility of changing trajectories for those with vulnerability to psychotic illnesses. PMID:23165428

  15. [Targeting high-risk drugs to optimize clinical pharmacists' intervention].

    Science.gov (United States)

    Mouterde, Anne-Laure; Bourdelin, Magali; Maison, Ophélie; Coursier, Sandra; Bontemps, Hervé

    2016-12-01

    By the Order of 6 April 2011, the pharmacist must validate all the prescriptions containing "high-risk drugs" or those of "patients at risk". To optimize this clinical pharmacy activity, we identified high-risk drugs. A list of high-risk drugs has been established using literature, pharmacists' interventions (PI) performed in our hospital and a survey sent to hospital pharmacists. In a prospective study (analysis of 100 prescriptions for each high-risk drug selected), we have identified the most relevant to target. We obtained a statistically significant PI rate (P<0.05) for digoxin, oral anticoagulants direct, oral methotrexate and colchicine. This method of targeted pharmaceutical validation based on high-risk drugs is relevant to detect patients with high risk of medicine-related illness. Copyright © 2016 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  16. Integrated structural design of nuclear power plants for high seismic areas

    International Nuclear Information System (INIS)

    Rieck, P.J.

    1979-01-01

    A design approach which structurally interconnects NPP buildings to be located in high seismic areas is described. The design evolution of a typical 600 MWe steel cylindrical containment PWR is described as the plant is structurally upgraded for higher seismic requirements, while maintaining the original plant layout. The plant design is presented as having separate reactor building and auxiliary structures for a low seismic area (0.20 g) and is structurally combined at the foundation for location in a higher seismic area (0.30 g). The evolution is completed by a fully integrated design which structurally connects the reactor building and auxiliary structures at superstructure elevations as well as foundation levels for location in very severe seismic risk areas (0.50 g). (orig.)

  17. A Wide Area Risk Assessment Framework for Underwater Military Munitions Response

    Science.gov (United States)

    Holland, K. T.; Calantoni, J.

    2017-12-01

    Our objective was to develop a prototype statistical framework supporting Wide Area Assessment and Remedial Investigation decisions relating to the risk of unexploded ordnance and other military munitions concentrated in underwater environments. Decision making involving underwater munitions is inherently complex due to the high degree of uncertainty in the environmental conditions that force munitions responses (burial, decay, migration, etc.) and associated risks to the public. The prototype framework provides a consistent approach to accurately delineating contaminated areas at underwater munitions sites through the estimation of most probable concentrations. We adapted existing deterministic models and environmental data services for use within statistical modules that allowed the estimation of munition concentration given historic site information and environmental attributes. Ultimately this risk surface can be used to evaluate costs associated with various remediation approaches (e.g. removal, monitoring, etc.). Unfortunately, evaluation of the assessment framework was limited due to the lack of enduser data services from munition site managers. Of the 450 U.S. sites identified as having potential contamination with underwater munitions, assessment of available munitions information (including historic firing or disposal records, and recent ground-truth munitions samples) indicated very limited information in the databases. Example data types include the most probable munition types, approximate firing / disposal dates and locations, and any supportive munition survey or sampling results. However the overall technical goal to integrate trained statistical belief networks with detailed geophysical knowledge of sites, of sensors and of the underwater environment was demonstrated and should allow probabilistic estimates of the most likely outcomes and tradeoffs while managing uncertainty associated with military munitions response.

  18. Decision Model on Financing a Project Using Knowledge about Risk Areas

    OpenAIRE

    Ioana POPOVICI; Emil SCARLAT; Francesco RIZZO

    2011-01-01

    The research presents an alternative to the classical method of measuring financial risk in funding a project. The goal of the model described in the paper implies identifying "risky areas" within the financial balance of the project. The model analysis the financial risk behavior studied along four scenarios by varying only the cost of financing source used according to the specific type of funding. The model introduces the time factor into the analysis of financial risk due to the specific ...

  19. Assessing Landscape Scale Wildfire Exposure for Highly Valued Resources in a Mediterranean Area

    Science.gov (United States)

    Alcasena, Fermín J.; Salis, Michele; Ager, Alan A.; Arca, Bachisio; Molina, Domingo; Spano, Donatella

    2015-05-01

    We used a fire simulation modeling approach to assess landscape scale wildfire exposure for highly valued resources and assets (HVR) on a fire-prone area of 680 km2 located in central Sardinia, Italy. The study area was affected by several wildfires in the last half century: some large and intense fire events threatened wildland urban interfaces as well as other socioeconomic and cultural values. Historical wildfire and weather data were used to inform wildfire simulations, which were based on the minimum travel time algorithm as implemented in FlamMap. We simulated 90,000 fires that replicated recent large fire events in the area spreading under severe weather conditions to generate detailed maps of wildfire likelihood and intensity. Then, we linked fire modeling outputs to a geospatial risk assessment framework focusing on buffer areas around HVR. The results highlighted a large variation in burn probability and fire intensity in the vicinity of HVRs, and allowed us to identify the areas most exposed to wildfires and thus to a higher potential damage. Fire intensity in the HVR buffers was mainly related to fuel types, while wind direction, topographic features, and historically based ignition pattern were the key factors affecting fire likelihood. The methodology presented in this work can have numerous applications, in the study area and elsewhere, particularly to address and inform fire risk management, landscape planning and people safety on the vicinity of HVRs.

  20. Assessing landscape scale wildfire exposure for highly valued resources in a Mediterranean area.

    Science.gov (United States)

    Alcasena, Fermín J; Salis, Michele; Ager, Alan A; Arca, Bachisio; Molina, Domingo; Spano, Donatella

    2015-05-01

    We used a fire simulation modeling approach to assess landscape scale wildfire exposure for highly valued resources and assets (HVR) on a fire-prone area of 680 km(2) located in central Sardinia, Italy. The study area was affected by several wildfires in the last half century: some large and intense fire events threatened wildland urban interfaces as well as other socioeconomic and cultural values. Historical wildfire and weather data were used to inform wildfire simulations, which were based on the minimum travel time algorithm as implemented in FlamMap. We simulated 90,000 fires that replicated recent large fire events in the area spreading under severe weather conditions to generate detailed maps of wildfire likelihood and intensity. Then, we linked fire modeling outputs to a geospatial risk assessment framework focusing on buffer areas around HVR. The results highlighted a large variation in burn probability and fire intensity in the vicinity of HVRs, and allowed us to identify the areas most exposed to wildfires and thus to a higher potential damage. Fire intensity in the HVR buffers was mainly related to fuel types, while wind direction, topographic features, and historically based ignition pattern were the key factors affecting fire likelihood. The methodology presented in this work can have numerous applications, in the study area and elsewhere, particularly to address and inform fire risk management, landscape planning and people safety on the vicinity of HVRs.

  1. Health benefits of 'grow your own' food in urban areas: implications for contaminated land risk assessment and risk management?

    LENUS (Irish Health Repository)

    2009-12-21

    Abstract Compelling evidence of major health benefits of fruit and vegetable consumption, physical activity, and outdoor interaction with \\'greenspace\\' have emerged in the past decade - all of which combine to give major potential health benefits from \\'grow-your-own\\' (GYO) in urban areas. However, neither current risk assessment models nor risk management strategies for GYO in allotments and gardens give any consideration to these health benefits, despite their potential often to more than fully compensate the risks. Although urban environments are more contaminated by heavy metals, arsenic, polyaromatic hydrocarbons and dioxins than most rural agricultural areas, evidence is lacking for adverse health outcomes of GYO in UK urban areas. Rarely do pollutants in GYO food exceed statutory limits set for commercial food, and few people obtain the majority of their food from GYO. In the UK, soil contamination thresholds triggering closure or remediation of allotment and garden sites are based on precautionary principles, generating \\'scares\\' that may negatively impact public health disproportionately to the actual health risks of exposure to toxins through own-grown food. By contrast, the health benefits of GYO are a direct counterpoint to the escalating public health crisis of \\'obesity and sloth\\' caused by eating an excess of saturated fats, inadequate consumption of fresh fruit and vegetables combined with a lack of exercise. These are now amongst the most important preventable causes of illness and death. The health and wider societal benefits of \\'grow-your-own\\' thus reveal a major limitation in current risk assessment methodologies which, in only considering risks, are unable to predict whether GYO on particular sites will, overall, have positive, negative, or no net effects on human health. This highlights a more general need for a new generation of risk assessment tools that also predict overall consequences for health to more effectively guide

  2. Health benefits of 'grow your own' food in urban areas: implications for contaminated land risk assessment and risk management?

    Science.gov (United States)

    Leake, Jonathan R; Adam-Bradford, Andrew; Rigby, Janette E

    2009-12-21

    Compelling evidence of major health benefits of fruit and vegetable consumption, physical activity, and outdoor interaction with 'greenspace' have emerged in the past decade - all of which combine to give major potential health benefits from 'grow-your-own' (GYO) in urban areas. However, neither current risk assessment models nor risk management strategies for GYO in allotments and gardens give any consideration to these health benefits, despite their potential often to more than fully compensate the risks. Although urban environments are more contaminated by heavy metals, arsenic, polyaromatic hydrocarbons and dioxins than most rural agricultural areas, evidence is lacking for adverse health outcomes of GYO in UK urban areas. Rarely do pollutants in GYO food exceed statutory limits set for commercial food, and few people obtain the majority of their food from GYO. In the UK, soil contamination thresholds triggering closure or remediation of allotment and garden sites are based on precautionary principles, generating 'scares' that may negatively impact public health disproportionately to the actual health risks of exposure to toxins through own-grown food. By contrast, the health benefits of GYO are a direct counterpoint to the escalating public health crisis of 'obesity and sloth' caused by eating an excess of saturated fats, inadequate consumption of fresh fruit and vegetables combined with a lack of exercise. These are now amongst the most important preventable causes of illness and death. The health and wider societal benefits of 'grow-your-own' thus reveal a major limitation in current risk assessment methodologies which, in only considering risks, are unable to predict whether GYO on particular sites will, overall, have positive, negative, or no net effects on human health. This highlights a more general need for a new generation of risk assessment tools that also predict overall consequences for health to more effectively guide risk management in our

  3. Improving the interpretability of climate landscape metrics: An ecological risk analysis of Japan's Marine Protected Areas.

    Science.gov (United States)

    García Molinos, Jorge; Takao, Shintaro; Kumagai, Naoki H; Poloczanska, Elvira S; Burrows, Michael T; Fujii, Masahiko; Yamano, Hiroya

    2017-10-01

    Conservation efforts strive to protect significant swaths of terrestrial, freshwater and marine ecosystems from a range of threats. As climate change becomes an increasing concern, these efforts must take into account how resilient-protected spaces will be in the face of future drivers of change such as warming temperatures. Climate landscape metrics, which signal the spatial magnitude and direction of climate change, support a convenient initial assessment of potential threats to and opportunities within ecosystems to inform conservation and policy efforts where biological data are not available. However, inference of risk from purely physical climatic changes is difficult unless set in a meaningful ecological context. Here, we aim to establish this context using historical climatic variability, as a proxy for local adaptation by resident biota, to identify areas where current local climate conditions will remain extant and future regional climate analogues will emerge. This information is then related to the processes governing species' climate-driven range edge dynamics, differentiating changes in local climate conditions as promoters of species range contractions from those in neighbouring locations facilitating range expansions. We applied this approach to assess the future climatic stability and connectivity of Japanese waters and its network of marine protected areas (MPAs). We find 88% of Japanese waters transitioning to climates outside their historical variability bounds by 2035, resulting in large reductions in the amount of available climatic space potentially promoting widespread range contractions and expansions. Areas of high connectivity, where shifting climates converge, are present along sections of the coast facilitated by the strong latitudinal gradient of the Japanese archipelago and its ocean current system. While these areas overlap significantly with areas currently under significant anthropogenic pressures, they also include much of the MPA

  4. [Pollution characteristics and health risk assessment of atmospheric VOCs in the downtown area of Guangzhou, China].

    Science.gov (United States)

    Li, Lei; Li, Hong; Wang, Xue-Zhong; Zhang, Xin-Min; Wen, Chong

    2013-12-01

    The measurements of 31 kinds of VOCs in the ambient air of a site were carried out in the downtown of Guangzhou by online method from November 5, 2009 to November 9, 2009. The ambient level and composition characteristics, temporal variation characteristics, sources identification, and chemical reactivity of VOCs were studied, and the health risk of VOCs in the ambient air in the study area was assessed by using the international recognized health risk assessment method. Results showed that the mean and the range of the mass concentrations of 31 VOCs were 114.51 microg x m(-3) and 29.42-546.06 microg x m(-3), respectively. The mass concentrations of 31 VOCs, and those of alkanes, alkenes, and aromatics all showed a changing trend of higher in the morning and in the evening, and lower at noontime. Vehicular exhaust, gasoline and liquefied petroleum gas evaporates were the main sources of VOCs with the volatilization of paints and solvents being important emission sources. Toluene, trans-2-butene, m/p-xylene, i-butane, and 1,3,5-trimethylbenzene were the key reactive species among the 31 VOCs. Vehicular exhaust and gasoline evaporation were the main sources of VOCs leading to the formation of ozone. Health risk assessment showed that n-hexane, 1,3-butadiene, benzene, toluene, ethylbenzene, m/p-xylene and o-xylene had no appreciable risk of adverse non-cancer health effect on the exposed population, but 1, 3-butadiene and benzene had potential cancer risk. By comparing the corresponding data about health risk assessment of benzene compounds in some cities in China, it is concluded that benzene can impose relatively high cancer risk to the exposed populations in the ambient air of some cities in China. Therefore, strict countermeasures should be taken to further control the pollution of benzene in the ambient air of cities, and it is imperative to start the related studies and develop the atmospheric environmental health criteria and national ambient air quality

  5. Highly Flexible and High-Performance Complementary Inverters of Large-Area Transition Metal Dichalcogenide Monolayers

    KAUST Repository

    Pu, Jiang

    2016-03-23

    Complementary inverters constructed from large-area monolayers of WSe2 and MoS2 achieve excellent logic swings and yield an extremely high gain, large total noise margin, low power consumption, and good switching speed. Moreover, the WSe2 complementary-like inverters built on plastic substrates exhibit high mechanical stability. The results provide a path toward large-area flexible electronics. © 2016 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  6. Evaluation of Environmental Risks in the Use of Insecticide in Hashtgerd Area using EIQ

    Directory of Open Access Journals (Sweden)

    seyae jala yadollahi Nooshabadi

    2018-02-01

    Full Text Available Introduction Recently, there is an increasing concern about the effects of pesticides on non-target organisms. Residual of pesticides cause environmental pollution and put in danger the human health. The problem is always in contact with pesticides, there are numerous risks related to the environmental and human health threat at different levels of their cycle, including production, sale, use in the field and ultimately for residue in food occurs. This study consider the harmful effects of pesticides in Hashtgerd study area and their potential and environmental risks using EIQ index. Environmental Impact Quotient (EIQ is a model based on algebraic equations which by it can be classification chemical pesticides based on environmental hazards and risks to human health and toxins that cause minimal risk are selected. The ultimate purpose of this study was to determine 5 insecticide have been the highest consumption in the region Hashtgerd and then determine the potential environmental risks of them by EIQ index, so that eventually we can identify and eliminate hazardous insecticides. Materials and Methods Hashtgerd study area is one of 609 countries study area that is located in the Alborz province. This area with an extent of about 1170 square km because of the proximity to the metropolis of Tehran and focus a large number of agricultural, industrial and service units has an important economic and political position. The numerical value of the EIQ is average of the three main components include of the potential damage to the health of farm workers, the potential damage to consumers through the direct effect of toxic residues in food products or through ground water contamination and potential negative effects on the environment, including aquatic and terrestrial organisms show. The describes components of the EIQ are contains 11 variables. All input data for the impact of low, medium and high are judged to be harmful than, the one, three or five

  7. Epidemiological studies in the high and normal level radiation areas of Kerala

    International Nuclear Information System (INIS)

    Koya, P.K.M.

    2012-01-01

    High and normal level natural radiation areas of Kerala give unique opportunities to estimate the risk, if any, of chronic low dose exposure by direct epidemiological studies on human beings. Studies in the area are being carried out by Low Level Radiation Research Laboratory of Bhabha Atomic Research Centre in collaboration with Departments of Health and Family Welfare/Social Welfare of the Government of Kerala and local post graduate colleges. To assess the role of chronic low dose exposure in the induction/transmission of chromosomal alterations across generations, hospital based cytogenetic studies on newborns was carried out to estimate and compare the frequency of chromosomal aberrations and karyotypes anomalies in the high (areas with radiation dose of more than 1.50 mGy/year) and normal (areas with radiation dose of 1.50 mR/year or less) level radiation areas. A total of 1,267,788 metaphases from 27,295 (9,64,390 cells from 17,298 newborns of high and 3,03,398 cells from 9,997 newborns of normal level radiation areas) newborns was screened

  8. Identification and delineation of areas flood hazard using high accuracy of DEM data

    Science.gov (United States)

    Riadi, B.; Barus, B.; Widiatmaka; Yanuar, M. J. P.; Pramudya, B.

    2018-05-01

    Flood incidents that often occur in Karawang regency need to be mitigated. These expectations exist on technologies that can predict, anticipate and reduce disaster risks. Flood modeling techniques using Digital Elevation Model (DEM) data can be applied in mitigation activities. High accuracy DEM data used in modeling, will result in better flooding flood models. The result of high accuracy DEM data processing will yield information about surface morphology which can be used to identify indication of flood hazard area. The purpose of this study was to identify and describe flood hazard areas by identifying wetland areas using DEM data and Landsat-8 images. TerraSAR-X high-resolution data is used to detect wetlands from landscapes, while land cover is identified by Landsat image data. The Topography Wetness Index (TWI) method is used to detect and identify wetland areas with basic DEM data, while for land cover analysis using Tasseled Cap Transformation (TCT) method. The result of TWI modeling yields information about potential land of flood. Overlay TWI map with land cover map that produces information that in Karawang regency the most vulnerable areas occur flooding in rice fields. The spatial accuracy of the flood hazard area in this study was 87%.

  9. Proposed framework for the Western Area Power Administration Environmental Risk Management Program

    Energy Technology Data Exchange (ETDEWEB)

    Glantz, C.S.; DiMassa, F.V.; Pelto, P.J.; Brothers, A.J. [Pacific Northwest Lab., Richland, WA (United States); Roybal, A.L. [Western Area Power Administration, Golden, CO (United States)

    1994-12-01

    The Western Area Power Administration (Western) views environmental protection and compliance as a top priority as it manages the construction, operation, and maintenance of its vast network of transmission lines, substations, and other facilities. A recent Department of Energy audit of Western`s environmental management activities recommends that Western adopt a formal environmental risk program. To accomplish this goal, Western, in conjunction with Pacific Northwest Laboratory, is in the process of developing a centrally coordinated environmental risk program. This report presents the results of this design effort, and indicates the direction in which Western`s environmental risk program is heading. Western`s environmental risk program will consist of three main components: risk communication, risk assessment, and risk management/decision making. Risk communication is defined as an exchange of information on the potential for threats to human health, public safety, or the environment. This information exchange provides a mechanism for public involvement, and also for the participation in the risk assessment and management process by diverse groups or offices within Western. The objective of risk assessment is to evaluate and rank the relative magnitude of risks associated with specific environmental issues that are facing Western. The evaluation and ranking is based on the best available scientific information and judgment and serves as input to the risk management process. Risk management takes risk information and combines it with relevant non-risk factors (e.g., legal mandates, public opinion, costs) to generate risk management options. A risk management tool, such as decision analysis, can be used to help make risk management choices.

  10. Ecological risk assessment and carcinogen health risk assessment of arsenic in soils from part area of the Daye City, China

    Science.gov (United States)

    Li, F.; Wang, T.; Xiao, M. S.; Cai, Y.; Zhuang, Z. Y.

    2018-01-01

    Soils in four sampling sites from part area of the Daye City were collected. Concentrations of arsenic (As) in soils in sampling sites were detected by Atomic Fluorescence Spectrometry, ecological risk was calculated by potential ecological risk index (RI) and human health risk was measured by human health risk assessment model established by USEPA. The results showed that, the total content of As in soils in Daye was decreased in the order of S4 (66.58 mg/kg)>S2 (44.73 mg/kg)>S3 (34.86 mg/kg) >S1 (21.84 mg/kg), concentrations in all sampling sites were higher than background values of Hubei Province. The potential risk and human health risk were decreased in the order of S4>S2>S3>S1 and S4>S3>S2>S1, respectively. Specially, S1, S2 and S3 were at low potential ecological risk while S4 was at moderate ecological risk. But there was no carcinogenic risk for human exposure to As in soil in Daye.

  11. Quantitative risk assessment of the New York State operated West Valley Radioactive Waste Disposal Area.

    Science.gov (United States)

    Garrick, B John; Stetkar, John W; Bembia, Paul J

    2010-08-01

    This article is based on a quantitative risk assessment (QRA) that was performed on a radioactive waste disposal area within the Western New York Nuclear Service Center in western New York State. The QRA results were instrumental in the decision by the New York State Energy Research and Development Authority to support a strategy of in-place management of the disposal area for another decade. The QRA methodology adopted for this first of a kind application was a scenario-based approach in the framework of the triplet definition of risk (scenarios, likelihoods, consequences). The measure of risk is the frequency of occurrence of different levels of radiation dose to humans at prescribed locations. The risk from each scenario is determined by (1) the frequency of disruptive events or natural processes that cause a release of radioactive materials from the disposal area; (2) the physical form, quantity, and radionuclide content of the material that is released during each scenario; (3) distribution, dilution, and deposition of the released materials throughout the environment surrounding the disposal area; and (4) public exposure to the distributed material and the accumulated radiation dose from that exposure. The risks of the individual scenarios are assembled into a representation of the risk from the disposal area. In addition to quantifying the total risk to the public, the analysis ranks the importance of each contributing scenario, which facilitates taking corrective actions and implementing effective risk management. Perhaps most importantly, quantification of the uncertainties is an intrinsic part of the risk results. This approach to safety analysis has demonstrated many advantages of applying QRA principles to assessing the risk of facilities involving hazardous materials.

  12. Environmental risk of oil spills in Northern Areas[Pollution abatement in Norway

    Energy Technology Data Exchange (ETDEWEB)

    Hoell, Espen

    2006-07-01

    The presentation discusses consequences and risks for the environment of oil spills and other pollution factors in the northern areas particularly in the north of Norway and the Barents Sea. Various environmental risk analysis are also discussed. The main conclusions are: Environmental risk for Obelix: The environmental risk is very low. The environmental risk for Obelix is less than 21% of Hydro's acceptance criteria for minor damage. The environmental risk is acceptable. DNV: The contingency planned for Obelix (barrier 1 and 2) will reduce the environmental risk further by approx. 60%, date: 2006-01-13. Question: Hydro Oil and Energy. Does the oil industry reach other conclusions than the national research institutes does for the Management Plan of the Barents Sea. The underlying studies (of the management plan) mainly consider the consequences of worst case events. Full rate (3000 m3/d), long duration (60 days). Blowout occurring at the worst time and place. They assume that consequences experienced by shipwreck accidents in the coastal zone are relevant also for offshore discharges. They do not consider: The probability for the worst case blowout to occur. The probability for the worst case consequences to be realized. The probability for less serious impact. The probable impact distribution. Overall conclusion: Environmental Risk of oil and gas activities in Lofoten and the Barents Sea Based on: 1) 40 years of experience in the Norwegian sector. 2) World leading risk reduction technology. 3) Systematic and thorough methods for analysis of environmental risk. 4) Several environmental risk analyses for Barents Sea and Lofoten drilling operations, indicating acceptable risk levels. 5) Recent ERA for Goliath drilling indicating similar low risk levels. 6) Well functioning contingency systems. We conclude that the environmental risk of oil and gas activities in the northern areas is low and acceptable to the Norwegian society. The environmental risk due to oil

  13. Analyzing risks to protected areas using the human modification framework: a Colorado case study

    Science.gov (United States)

    David M. Theobald; Alisa Wade; Grant Wilcox; Nate. Peterson

    2010-01-01

    A framework that organizes natural and protected areas is often used to help understand the potential risks to natural areas and aspects of their ecological and human dimensions. The spatial (or landscape) context of these dynamics is also a critical, but, rarely considered, factor. Common classification systems include the U.S. Geological (USGS) Gap Analysis Program...

  14. A climate risk assessment of clean water supply in an urban area: A case study of South Tangerang city, Indonesia

    Science.gov (United States)

    Nastiti, S. I. W.; Kusnoputranto, H.; Boer, R.; Utomo, S. W.

    2018-03-01

    The demand for clean water in South Tangerang, Indonesia, is very high. At present, this demand is mostly met by groundwater that is much influenced by climate variability, land cover change, and human activities. The local company on water services (PDAM) provides clean water services for only about 9% of the population. The climate risk assessment conducted by South Tangerang Government in 2016 indicates that several areas are potentially exposed to a high risk of climate change. Survey and in-depth interview with communities and sectoral officers suggest that a risk to clean water supply in this city is increasing. This study aims to assess climate potential risks on clean water supply based on the 2016 study. We adopted the method of that study by modifying some of the vulnerability indicators that can represent clean water access and supply. The results of the study demonstrate that many wards in South Tangerang would be exposed to high climate risks of clean water supply. By 2021, about 54% of wards would be exposed from high to the very very high risk of clean water supply. These results signify the tangible need of adaptation actions, to prevent the worsening impacts of climate on clean water supply.

  15. Failure mode effects and criticality analysis: innovative risk assessment to identify critical areas for improvement in emergency department sepsis resuscitation.

    Science.gov (United States)

    Powell, Emilie S; O'Connor, Lanty M; Nannicelli, Anna P; Barker, Lisa T; Khare, Rahul K; Seivert, Nicholas P; Holl, Jane L; Vozenilek, John A

    2014-06-01

    Sepsis is an increasing problem in the practice of emergency medicine as the prevalence is increasing and optimal care to reduce mortality requires significant resources and time. Evidence-based septic shock resuscitation strategies exist, and rely on appropriate recognition and diagnosis, but variation in adherence to the recommendations and therefore outcomes remains. Our objective was to perform a multi-institutional prospective risk-assessment, using failure mode effects and criticality analysis (FMECA), to identify high-risk failures in ED sepsis resuscitation. We conducted a FMECA, which prospectively identifies critical areas for improvement in systems and processes of care, across three diverse hospitals. A multidisciplinary group of participants described the process of emergency department (ED) sepsis resuscitation to then create a comprehensive map and table listing all process steps and identified process failures. High-risk failures in sepsis resuscitation from each of the institutions were compiled to identify common high-risk failures. Common high-risk failures included limited availability of equipment to place the central venous catheter and conduct invasive monitoring, and cognitive overload leading to errors in decision-making. Additionally, we identified great variability in care processes across institutions. Several common high-risk failures in sepsis care exist: a disparity in resources available across hospitals, a lack of adherence to the invasive components of care, and cognitive barriers that affect expert clinicians' decision-making capabilities. Future work may concentrate on dissemination of non-invasive alternatives and overcoming cognitive barriers in diagnosis and knowledge translation.

  16. High Risk Scenarios and Extremes, A geometric approach

    NARCIS (Netherlands)

    Balkema, A.A.; Embrechts, P.A.L.

    2007-01-01

    Quantitative Risk Management (QRM) has become a field of research of considerable importance to numerous areas of application, including insurance, banking, energy, medicine, reliability. Mainly motivated by examples from insurance and finance, the authors develop a theory for handling multivariate

  17. Predicting disease risks from highly imbalanced data using random forest

    Directory of Open Access Journals (Sweden)

    Chakraborty Sounak

    2011-07-01

    Full Text Available Abstract Background We present a method utilizing Healthcare Cost and Utilization Project (HCUP dataset for predicting disease risk of individuals based on their medical diagnosis history. The presented methodology may be incorporated in a variety of applications such as risk management, tailored health communication and decision support systems in healthcare. Methods We employed the National Inpatient Sample (NIS data, which is publicly available through Healthcare Cost and Utilization Project (HCUP, to train random forest classifiers for disease prediction. Since the HCUP data is highly imbalanced, we employed an ensemble learning approach based on repeated random sub-sampling. This technique divides the training data into multiple sub-samples, while ensuring that each sub-sample is fully balanced. We compared the performance of support vector machine (SVM, bagging, boosting and RF to predict the risk of eight chronic diseases. Results We predicted eight disease categories. Overall, the RF ensemble learning method outperformed SVM, bagging and boosting in terms of the area under the receiver operating characteristic (ROC curve (AUC. In addition, RF has the advantage of computing the importance of each variable in the classification process. Conclusions In combining repeated random sub-sampling with RF, we were able to overcome the class imbalance problem and achieve promising results. Using the national HCUP data set, we predicted eight disease categories with an average AUC of 88.79%.

  18. Altered intraoperative cerebrovascular reactivity in brain areas of high-grade glioma recurrence.

    Science.gov (United States)

    Fierstra, Jorn; van Niftrik, Bas; Piccirelli, Marco; Burkhardt, Jan Karl; Pangalu, Athina; Kocian, Roman; Valavanis, Antonios; Weller, Michael; Regli, Luca; Bozinov, Oliver

    2016-07-01

    Current MRI sequences are limited in identifying brain areas at risk for high grade glioma recurrence. We employed intraoperative 3-Tesla functional MRI to assess cerebrovascular reactivity (CVR) after high-grade glioma resection and analyzed regional CVR responses in areas of tumor recurrence on clinical follow-up imaging. Five subjects with high-grade glioma that underwent an intraoperative Blood Oxygen-Level Dependent (BOLD) MRI CVR examination and had a clinical follow-up of at least 18months were selected from a prospective database. For this study, location of tumor recurrence was spatially matched to the intraoperative imaging to assess CVR response in that particular area. CVR is defined as the percent BOLD signal change during repeated cycles of apnea. Of the 5 subjects (mean age 44, 2 females), 4 were diagnosed with a WHO grade III and 1 subject with a WHO grade IV glioma. Three subjects exhibited a tumor recurrence on clinical follow-up MRI (mean: 15months). BOLD CVR measured in the spatially matched area of tumor recurrence was on average 94% increased (range-32% to 183%) as compared to contralateral hemisphere CVR response, 1.50±0.81 versus 1.03±0.46 respectively (p=0.31). For this first analysis in a small cohort, we found altered intraoperative CVR in brain areas exhibiting high grade glioma recurrence on clinical follow-up imaging. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Waste area Grouping 2 Phase I task data report: Human health risk assessment

    International Nuclear Information System (INIS)

    Purucker, S.T.; Douthat, D.M.

    1996-06-01

    This report is one of five reports issued in 1996 that provide follow- up information to the Phase 1 Remedial Investigation (RI) Report for Waste Area Grouping (WAG) 2 at Oak Ridge National Laboratory (ORNL). The five reports address areas of concern that could cause potential human health risk and ecological risk within WAG2 at ORNL. The purpose of this report is to present a summary of the human health risk assessment results based on the data collected for the WAG 2 Phase 1 RI. Estimates of risk are provided based on measured concentrations in the surface water, floodplain soil, and sediment of White Oak Creek, Melton Branch, and their tributaries. The human health risk assessment methodology used in this risk assessment is based on Risk Assessment Guidance for Superfund (RAGS). First, the data for the different media are elevated to determine usability for risk assessment. Second, through the process of selecting chemicals of potential concern (COPCs), contaminants to be considered in the risk assessment are identified for each assessment of exposure potential is performed, and exposure pathways are identified. Subsequently, exposure is estimated quantitatively, and the toxicity of each of the COPCs is determined. The results of these analyses are combined and summarized in a risk characterization

  20. A Study on the Estimation Method of Risk Based Area for Jetty Safety Monitoring

    Directory of Open Access Journals (Sweden)

    Byeong-Wook Nam

    2015-09-01

    Full Text Available Recently, the importance of safety-monitoring systems was highlighted by the unprecedented collision between a ship and a jetty in Yeosu. Accordingly, in this study, we introduce the concept of risk based area and develop a methodology for a jetty safety-monitoring system. By calculating the risk based areas for a ship and a jetty, the risk of collision was evaluated. To calculate the risk based areas, we employed an automatic identification system for the ship, stopping-distance equations, and the regulation velocity near the jetty. In this paper, we suggest a risk calculation method for jetty safety monitoring that can determine the collision probability in real time and predict collisions using the amount of overlap between the two calculated risk based areas. A test was conducted at a jetty control center at GS Caltex, and the effectiveness of the proposed risk calculation method was verified. The method is currently applied to the jetty-monitoring system at GS Caltex in Yeosu for the prevention of collisions.

  1. Identification of soil erosion risk areas for conservation planning in different states of India.

    Science.gov (United States)

    Sharda, V N; Mandal, Debashis; Ojasvi, P R

    2013-03-01

    Assessment of soil erosion risks, especially in the developing countries, is a challenging task mainly due to non-availability or insufficiency of relevant data. In this paper, the soil erosion risks have been estimated by integrating the spatial data on potential erosion rates and soil loss tolerance limits for conservation planning at state level in India. The erosion risk classes have been prioritized based upon the difference between the prevailing erosion rates and the permissible erosion limits. The analysis revealed that about 50% of total geographical area (TGA) of India, falling in five priority erosion risk classes, requires different intensity of conservation measures though about 91% area suffers from potential erosion rates varying from 40 t ha(-1) yr(-1). Statewise analysis indicated that Andhra Pradesh, Maharashtra and Rajasthan share about 75% of total area under priority Class 1 (6.4 M ha) though they account for only 19.4% of the total area (36.2 M ha) under very severe potential erosion rate category (> 40 t ha(-1)yr(-1)). It was observed that about 75% of total geographical area (TGA) in the states of Bihar, Gujarat, Haryana, Kerala and Punjab does not require any specific soil conservation measure as the potential erosion rates are well within the tolerance limits. The developed methodology can be successfully employed for prioritization of erosion risk areas at watershed, region or country level.

  2. Identifying the Risk Areas and Urban Growth by ArcGIS-Tools

    Directory of Open Access Journals (Sweden)

    Omar Hamdy

    2016-10-01

    Full Text Available Abouelreesh is one of the most at risk areas in Aswan, Egypt, which suffers from storms, poor drainage, and flash flooding. These phenomena affect the urban areas and cause a lot of damage to buildings and infrastructure. Moreover, the potential for the further realization of dangerous situations increased when the urban areas of Abouelreesh extended towards the risk areas. In an effort to ameliorate the danger, two key issues for urban growth management were studied, namely: (i estimations regarding the pace of urban sprawl, and (ii the identification of urban areas located in regions that would be affected by flash floods. Analyzing these phenomena require a lot of data in order to obtain good results, but in our case, the official data or field data was limited so we tried to obtain it by accessing two kinds of free sources of satellite data. First, we used Arc GIS tools to analyze (digital elevation model (DEM files in order to study the watershed and better identify the risk area. Second, we studied historical imagery in Google Earth to determine the age of each urban block. The urban growth rate in the risk areas had risen to 63.31% in 2001. Urban growth in the case study area had been influenced by house sizes, because most people were looking to live in bigger houses. The aforementioned problem can be observed by considering the increasing average house sizes from 2001 until 2013, where, especially in risky areas, the average of house sizes had grown from 223 m2 in 2001 to 318 m2 in 2013. The findings from this study would be useful to urban planners and government officials in helping them to make informed decisions on urban development to benefit the community, especially those living in areas at risk from flash flooding from heavy rain events.

  3. Assessing the landscape context and conversion risk of protected areas using satellite data products

    Science.gov (United States)

    Svancara, Leona K.; Scott, J.M.; Loveland, Thomas R.; Pidgorna, Anna

    2009-01-01

    Since the establishment of the first national park (Yellowstone National Park in 1872) and the first wildlife refuge (Pelican Island in 1903), dramatic changes have occurred in both ecological and cultural landscapes across the U.S. The ability of these protected areas to maintain current levels of biodiversity depend, at least in part, on the integrity of the surrounding landscape. Our objective was to quantify and compare the extent and pattern of natural land cover, risk of conversion, and relationships with demographic and economic variables in counties near National Park Service units and U.S. Fish and Wildlife Service refuges with those counties distant from either type of protected area in the coterminous United States. Our results indicate that landscapes in counties within 10 km of both parks and refuges and those within 10 km of just parks were more natural, more intact, and more protected than those in counties within 10 km of just refuges and counties greater than 10 km from either protected area system. However, they also had greater human population density and change in population, indicating potential conversion risk since the percent of landscape protected averaged  2) in 76% of counties near both parks and refuges, 81% of counties near just parks, 91% of counties near just refuges, and 93% of distant counties. Thirteen percent of counties in the coterminous U.S. had moderate to high amounts of natural land cover (> 60%), low protection ( 20%). Although these areas are not the most critically endangered, they represent the greatest conservation opportunity, need, and urgency. Our approach is based on national level metrics that are simple, general, informative, and can be understood by broad audiences and by policy makers and managers to assess the health of lands surrounding parks and refuges. Regular monitoring of these metrics with satellite data products in counties surrounding protected areas provides a consistent, national level

  4. Prenatal screening for psychosocial risks in a high risk-population in Peru using the KINDEX interview.

    Science.gov (United States)

    Spyridou, Andria; Schauer, Maggie; Ruf-Leuschner, Martina

    2016-01-22

    Prenatal stress and other prenatal risk factors (e.g. intimate partner violence) have a negative impact on mother's health, fetal development as well as enduring adverse effects on the neuro-cognitive, behavioral and physical health of the child. Mothers of low socio-economic status and especially those living in crime-ridden areas are even more exposed to a host of risk factors. Societies of extreme violence, poverty and inequalities, often present difficulties to provide adequate mental health care to the most needed populations. The KINDEX, a brief standardized instrument that assesses 11 different risk factors was used by midwives to identify pregnant women at-risk, in a suburban area with one of the highest levels of domestic violence in Lima. The instrument was designed to be used by medical staff to identify high-risk child-bearing women and, based on the results, to refer them to the adequate psychological or social support providers. The aim of this study is to assess the feasibility of psychosocial screening using the KINDEX in a Latin American Country for the first time, and to explore the relationship of the KINDEX with thee major risk areas, maternal psychopathology, perceived stress and traumatic experiences. The study was conducted in cooperation with the gynecological department of a general hospital in a suburban area of Lima. Nine midwives conducted interviews using the KINDEX of ninety-five pregnant women attending the gynecological unit of the hospital. From these, forty pregnant women were re-interviewed by a clinical psychologist using established instruments in order to assess the feasibility of the prenatal assessment in public health settings and the relationship of the KINDEX with maternal perceived stress, psychopathology symptoms and trauma load during pregnancy. We found high rates of risk factors in the examined pregnant women comparable with those found in the general population. Significant correlations were found between the KINDEX

  5. Radioactivity in the groundwater of a high background radiation area.

    Science.gov (United States)

    Shabana, E I; Kinsara, A A

    2014-11-01

    Natural radioactivity was measured in groundwater samples collected from 37 wells scattered in an inhabited area of high natural background radiation, in a purpose of radiation protection. The study area is adjacent to Aja heights of granitic composition in Hail province, Saudi Arabia. Initial screening for gross α and gross β activities showed levels exceeded the national regulation limits set out for gross α and gross β activities in drinking water. The gross α activity ranged from 0.17 to 5.41 Bq L(-)(1) with an average value of 2.15 Bq L(-)(1), whereas gross β activity ranged from 0.48 to 5.16 Bq L(-)(1), with an average value of 2.60 Bq L(-)(1). The detail analyses indicated that the groundwater of this province is contaminated with uranium and radium ((226)Ra and (228)Ra). The average activity concentrations of (238)U, (234)U, (226)Ra and (228)Ra were 0.40, 0.77, 0.29 and 0.46 Bq L(-)(1), respectively. The higher uranium content was found in the samples of granitic aquifers, whereas the higher radium content was found in the samples of sandstone aquifers. Based on the obtained results, mechanism of leaching of the predominant radionuclides has been discussed in detail. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Baseline risk assessment for groundwater operable units at the Chemical Plant Area and the Ordnance Works Area, Weldon Spring, Missouri

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-07-14

    The U.S. Department of Energy (DOE) and the U.S. Department of the Army (DA) are evaluating conditions in groundwater and springs at the DOE chemical plant area and the DA ordnance works area near Weldon Spring, Missouri. The two areas are located in St. Charles County, about 48 km (30 mi) west of St. Louis. The 88-ha (217-acre) chemical plant area is chemically and radioactively contaminated as a result of uranium-processing activities conducted by the U.S. Atomic Energy Commission in the 1950s and 1960s and explosives-production activities conducted by the U.S. Army (Army) in the 1940s. The 6,974-ha (17,232-acre) ordnance works area is primarily chemically contaminated as a result of trinitrotoluene (TNT) and dinitrotoluene (DNT) manufacturing activities during World War II. This baseline risk assessment (BRA) is being conducted as part of the remedial investigation/feasibility study (RUFS) required under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980, as amended. The purpose of the BRA is to evaluate potential human health and ecological impacts from contamination associated with the groundwater operable units (GWOUs) of the chemical plant area and ordnance works area. An RI/FS work plan issued jointly in 1995 by the DOE and DA (DOE 1995) analyzed existing conditions at the GWOUs. The work plan included a conceptual hydrogeological model based on data available when the report was prepared; this model indicated that the aquifer of concern is common to both areas. Hence, to optimize further data collection and interpretation efforts, the DOE and DA have decided to conduct a joint RI/BRA. Characterization data obtained from the chemical plant area wells indicate that uranium is present at levels slightly higher than background, with a few concentrations exceeding the proposed U.S. Environmental Protection Agency (EPA) maximum contaminant level (MCL) of 20 {micro}g/L (EPA 1996c). Concentrations of other radionuclides (e

  7. Ecological risk assessment and source identification for heavy metals in surface sediment from the Liaohe River protected area, China.

    Science.gov (United States)

    Ke, Xin; Gui, Shaofeng; Huang, Hao; Zhang, Haijun; Wang, Chunyong; Guo, Wei

    2017-05-01

    Surface sediment samples collected from 19 sites in the Liaohe River protected area were analysed for heavy metals to evaluate their potential ecological risk. The results demonstrated that the degree of pollution from seven heavy metals decreases in the following sequence: cadmium(Cd)>arsenic(As)>copper(Cu)>nickel(Ni)>lead(Pb)>chromium(Cr)>zinc(Zn). The metal speciation analysis indicated that Cd, Pb and Zn were dominated by non-residual fractions and have high mobility and bioavailability, indicating significant anthropogenic sources. Based on the potential ecological risk index (PERI), geo-accumulation index (I geo ) and risk assessment code (RAC), Cd made the most dominant contribution, with a high to very high potential ecological risk being determined in this studied area. Moreover, in reference to the results of multivariate statistical analyses, we deduced that Cd and Zn originated from agriculture sources within the Liaohe River protected area, whereas Cu, Cr and Ni primarily originated from natural sources. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Down syndrome and the high background radiation areas of Kerala

    International Nuclear Information System (INIS)

    Jaikrishan, G.; Ramachandran, E.N.; Karuppasamy, C.V.; Sudheer, K.R.; Andrews, V.J.; Soren, D.C.; Anil Kumar, V.; Koya, P.K.M.; Cheriyan, V.D.; Seshadri, M.

    2010-01-01

    Down syndrome (DS) or trisomy-21 is a complex human clinical entity compromising several functional, structural and developmental features with wide variation in expression levels. The diagnosis is confirmed in majority of the cases by an extra dose of chromosome 21 by cytogenetics and occasionally it may be due to either chromosomal translocation or mosaicism (different cell lines in the same individual). The extra chromosome 21 is usually formed by non-disjunction during meiosis and is the most common numerical chromosomal anomaly compatible with life, as chromosome 21 is one of the smallest with relatively fewer genes most of which are reckoned to be non lethal. Though exact causative factors and pathogenesis is not fully understood, a rise in maternal age at conception coupled with deleterious environmental influence on an ageing ovum is a recognized risk factor. The de novo nature of trisomy-21 and its relatively higher frequency makes it a reliable indicator to assess the role of chronic high background radiation in inducing germ line mutation and congenital malformation. Many other relatively common congenital malformations with multifactorial origin may not have this de novo property and associating its incidence with the prevailing natural background radiation become more complex. In vitro studies have shown association between high intensity radiation and genetics effects but such a relationship so far was not established between DS and radiation

  9. Availability of high school extracurricular sports programs and high-risk behaviors.

    Science.gov (United States)

    Cohen, Deborah A; Taylor, Stephanie L; Zonta, Michela; Vestal, Katherine D; Schuster, Mark A

    2007-02-01

    The Surgeon General has called for an expansion of school-based extracurricular sports programs to address the obesity epidemic. However, little is known about the availability of and participation in high school extracurricular sports and how participation in these sports is related to high-risk behaviors. We surveyed Los Angeles County public high schools in 2002 to determine the number of extracurricular sports programs offered and the percentage of students participating in those programs. We used community data on rates of arrests, births, and sexually transmitted diseases (STDs) among youth to examine associations between risk behaviors and participation in sports programs. The average school offered 14 sports programs, and the average participation rate was 39% for boys and 30% for girls. Smaller schools and schools with higher percentages of disadvantaged students offered fewer programs. The average school offering 13 or fewer programs had 14% of its students participating, while the average school offering 16 or more programs had 31% of its students participating in sports. Controlling for area-level demographics, juvenile arrest rates and teen birth rates, but not STD rates, were lower in areas where schools offered more extracurricular sports. Opportunities for participation in high school extracurricular sports are limited. Future studies should test whether increased opportunities will increase physical activity and impact the increasing overweight problem in youths.

  10. Fall prevention in high-risk patients.

    Science.gov (United States)

    Shuey, Kathleen M; Balch, Christine

    2014-12-01

    In the oncology population, disease process and treatment factors place patients at risk for falls. Fall bundles provide a framework for developing comprehensive fall programs in oncology. Small sample size of interventional studies and focus on ambulatory and geriatric populations limit the applicability of results. Additional research is needed. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. Systems reliability in high risk situations

    International Nuclear Information System (INIS)

    Hunns, D.M.

    1974-12-01

    A summary is given of five papers and the discussion of a seminar promoted by the newly-formed National Centre of Systems Reliability. The topics covered include hazard analysis, reliability assessment, and risk assessment in both nuclear and non-nuclear industries. (U.K.)

  12. Cross-sectional Serologic Assessment of Immunity to Poliovirus in Differential Risk Areas of India: India Seroprevalence Survey - 2014.

    Science.gov (United States)

    Ahmad, Mohammad; Bahl, Sunil; Kunwar, Abhishek

    2016-08-07

    To assess the seroprevalence against all three poliovirus serotypes in traditional high risk areas in Bihar, lowest routine immunization coverage areas in Madhya Pradesh and migrant population living in Mumbai urban slums. Cross-sectional Survey. Subjects selected by house to house visit (community based) and transported to government health facilities for further study procedures. 1137 randomly selected healthy infants 6-11 months of age residing in the selected high-risk areas. Serum samples from the study site were shipped to Enterovirus Research Centre (ERC), Mumbai to determine the neutralizing antibodies against all three poliovirus serotypes. Children with a reciprocal antibody titer ≥1:8 were considered seropositive to the specific poliovirus. Overall, seroprevalence in all the three study areas was 98%, 98% and 91% against poliovirus type-1, type-2 and type-3, respectively. Bihar had a seroprevalence of 99%, 99% and 92% against type-1, type-2 and type-3 respectively. Corresponding figures for Madhya Pradesh and Mumbai were 98%, 99% and 88% and 98%, 97% and 94%, respectively. The study found high seroprevalence against all three poliovirus types not only in the traditional high-risk areas for polio in India, but even in the areas known to have low routine immunization coverage and among the migratory clusters living in Mumbai urban slums. Type-2 seroprevalence was found to be high. These findings are reassuring against the threat of emergence of circulating vaccine derived polioviruses (cVDPVs) in the country subsequent to switch from trivalent oral polio vaccine to bivalent oral polio vaccine in the routine immunization schedule from April 2016.

  13. Evaluation of Risk Management Strategies for a Low-Cost, High-Risk Project

    Science.gov (United States)

    Shishko, Robert; Jorgensen, Edward J.

    1996-01-01

    This paper summarizes work in progress to define and implement a risk management process tailored to a low-cost, high-risk, NASA mission -the Microrover Flight Experiment (MFEX, commonly called the Mars microrover).

  14. Genotoxicity detected in wild mice living in a highly polluted wetland area in south western Spain

    Energy Technology Data Exchange (ETDEWEB)

    Mateos, Santiago; Daza, Paula; Dominguez, Inmaculada; Cardenas, Jose Antonio [University of Seville, Department of Cell Biology, Faculty of Biology, Avenida de la Reina Mercedes no 6, E-41012 Seville (Spain); Cortes, Felipe [University of Seville, Department of Cell Biology, Faculty of Biology, Avenida de la Reina Mercedes no 6, E-41012 Seville (Spain)], E-mail: cortes@us.es

    2008-06-15

    A field study was carried out in the south of the Iberian Peninsula in an industrial area in the neighbourhood of Huelva city, SW Spain, and in a natural area (Donana National Park) for comparison, to estimate the genetic risk induced by environmental pollution in wild mice. Genotoxic effects in a sentinel organism, the Algerian mice (Mus spretus) free living in the industrial area were compared with animals of the same species living in the natural protected area. The single cell gel electrophoresis, or Comet assay, was performed as a genotoxicity test in peripheral blood of mice. Our results clearly show that mice free living in the contaminated area bear a high burden of genetic damage as compared with control individuals. The results suggest that the assessing of genotoxicity levels by the Comet assay in wild mice can be used as a valuable test in pollution monitoring and environmental conservation. - We have found an increased genotoxic damage in wild mice in a highly polluted area from industry, mining and agriculture in SW Spain, as assessed by the Comet assay.

  15. A metasynthesis of risk perception in women with high risk pregnancies

    OpenAIRE

    Lee, S.; Ayers, S.; Holden, D.

    2014-01-01

    Introduction: Risk perception in women with high risk pregnancies affects their decisions about perinatal care and is of interest to anyone involved in the care of pregnant women. This paper provides a metasynthesis of qualitative studies of risk perception in women with high risk pregnancies.\\ud \\ud Methods: A systematic search of eight electronic databases was conducted. Additional papers were obtained through searching references of identified articles. Six studies were identified that rep...

  16. A small-area study of environmental risk assessment of outdoor falls.

    Science.gov (United States)

    Lai, Poh-Chin; Wong, Wing-Cheung; Low, Chien-Tat; Wong, Martin; Chan, Ming-Houng

    2011-12-01

    Falls in public places are an issue of great health concern especially for the elderly. Falls among the elderly is also a major health burden in many countries. This study describes a spatial approach to assess environmental causes of outdoor falls using a small urban community in Hong Kong as an example. The method involves collecting data on fall occurrences and mapping their geographic positions to examine circumstances and environmental evidence that contribute to falls. High risk locations or hot spots of falls are identified on the bases of spatial proximity and concentration of falls within a threshold distance by means of kernel smoothing and standard deviational ellipses. This method of geographic aggregation of individual fall incidents for a small-area study yields hot spots of manageable sizes. The spatial clustering approach is effective in two ways. Firstly, it allows visualisation and isolation of fall hot spots to draw focus. Secondly and especially under conditions of resource decline, policy makers are able to target specific locations to examine the underlying causal mechanisms and strategise effective response and preventive measures based on the types of environmental risk factors identified.

  17. Higher visceral fat area increases the risk of vitamin D insufficiency and deficiency in Chinese adults.

    Science.gov (United States)

    Zhang, Meilin; Li, Ping; Zhu, Yufeng; Chang, Hong; Wang, Xuan; Liu, Weiqiao; Zhang, Yuwen; Huang, Guowei

    2015-01-01

    Visceral fat area (VFA), a novel sex-specific index for visceral fat obesity (VFO) might play a major role in the development of vitamin D deficiency. However, the association between VFA and vitamin D insufficiency and deficiency in Chinese population is less clear. The aim of this study was to explore the population-level association between VFA and vitamin D insufficiency and deficiency among Chinese men and women. This cross-sectional study involved 1105 adults aged 20-70 years living in Tianjin who were randomly selected and medically examined. All subjects underwent the bioelectrical impedance analysis (BIA) method to estimate the VFA. Serum 25-hydroxyvitamin D3 (25(OH) D3) level was assayed by the high-performance liquid chromatography (HPLC) method and defined insufficiency and deficiency following recommended cutoffs. The association between VFA and vitamin D insufficiency and deficiency was estimated using binary regression analysis. The total prevalence of vitamin D insufficiency (25(OH) D3: 20-29 μg/L) and deficiency (25(OH) D3  0.05). Moreover, increased VFA was observed to be associated with higher vitamin D insufficiency or deficiency risk with a positive dose-response trend (P for trend convenience surrogate marker for visceral adipose measurement and could be used in identifying the risk of vitamin D insufficiency and deficiency in routine health examination.

  18. A quantitative flood risk analysis methodology for urban areas with integration of social research data

    Directory of Open Access Journals (Sweden)

    I. Escuder-Bueno

    2012-09-01

    Full Text Available Risk analysis has become a top priority for authorities and stakeholders in many European countries, with the aim of reducing flooding risk, considering the population's needs and improving risk awareness. Within this context, two methodological pieces have been developed in the period 2009–2011 within the SUFRI project (Sustainable Strategies of Urban Flood Risk Management with non-structural measures to cope with the residual risk, 2nd ERA-Net CRUE Funding Initiative. First, the "SUFRI Methodology for pluvial and river flooding risk assessment in urban areas to inform decision-making" provides a comprehensive and quantitative tool for flood risk analysis. Second, the "Methodology for investigation of risk awareness of the population concerned" presents the basis to estimate current risk from a social perspective and identify tendencies in the way floods are understood by citizens. Outcomes of both methods are integrated in this paper with the aim of informing decision making on non-structural protection measures. The results of two case studies are shown to illustrate practical applications of this developed approach. The main advantage of applying the methodology herein presented consists in providing a quantitative estimation of flooding risk before and after investing in non-structural risk mitigation measures. It can be of great interest for decision makers as it provides rational and solid information.

  19. A quantitative flood risk analysis methodology for urban areas with integration of social research data

    Science.gov (United States)

    Escuder-Bueno, I.; Castillo-Rodríguez, J. T.; Zechner, S.; Jöbstl, C.; Perales-Momparler, S.; Petaccia, G.

    2012-09-01

    Risk analysis has become a top priority for authorities and stakeholders in many European countries, with the aim of reducing flooding risk, considering the population's needs and improving risk awareness. Within this context, two methodological pieces have been developed in the period 2009-2011 within the SUFRI project (Sustainable Strategies of Urban Flood Risk Management with non-structural measures to cope with the residual risk, 2nd ERA-Net CRUE Funding Initiative). First, the "SUFRI Methodology for pluvial and river flooding risk assessment in urban areas to inform decision-making" provides a comprehensive and quantitative tool for flood risk analysis. Second, the "Methodology for investigation of risk awareness of the population concerned" presents the basis to estimate current risk from a social perspective and identify tendencies in the way floods are understood by citizens. Outcomes of both methods are integrated in this paper with the aim of informing decision making on non-structural protection measures. The results of two case studies are shown to illustrate practical applications of this developed approach. The main advantage of applying the methodology herein presented consists in providing a quantitative estimation of flooding risk before and after investing in non-structural risk mitigation measures. It can be of great interest for decision makers as it provides rational and solid information.

  20. Transforming a low value coastal area into a high value natural and recreational area

    NARCIS (Netherlands)

    Ritzen, M.J.

    2004-01-01

    The coastal zone in the Netherlands takes a very peculiar place in the discussion about sustainability in the Netherlands. Large areas are left unused and they remain low cost value areas due to the lack of progressive decision-making. These areas have a low value in economic, recreational and

  1. [Using sequential indicator simulation method to define risk areas of soil heavy metals in farmland.

    Science.gov (United States)

    Yang, Hao; Song, Ying Qiang; Hu, Yue Ming; Chen, Fei Xiang; Zhang, Rui

    2018-05-01

    The heavy metals in soil have serious impacts on safety, ecological environment and human health due to their toxicity and accumulation. It is necessary to efficiently identify the risk area of heavy metals in farmland soil, which is of important significance for environment protection, pollution warning and farmland risk control. We collected 204 samples and analyzed the contents of seven kinds of heavy metals (Cu, Zn, Pb, Cd, Cr, As, Hg) in Zengcheng District of Guangzhou, China. In order to overcame the problems of the data, including the limitation of abnormal values and skewness distribution and the smooth effect with the traditional kriging methods, we used sequential indicator simulation method (SISIM) to define the spatial distribution of heavy metals, and combined Hakanson index method to identify potential ecological risk area of heavy metals in farmland. The results showed that: (1) Based on the similar accuracy of spatial prediction of soil heavy metals, the SISIM had a better expression of detail rebuild than ordinary kriging in small scale area. Compared to indicator kriging, the SISIM had less error rate (4.9%-17.1%) in uncertainty evaluation of heavy-metal risk identification. The SISIM had less smooth effect and was more applicable to simulate the spatial uncertainty assessment of soil heavy metals and risk identification. (2) There was no pollution in Zengcheng's farmland. Moderate potential ecological risk was found in the southern part of study area due to enterprise production, human activities, and river sediments. This study combined the sequential indicator simulation with Hakanson risk index method, and effectively overcame the outlier information loss and smooth effect of traditional kriging method. It provided a new way to identify the soil heavy metal risk area of farmland in uneven sampling.

  2. Environmental risk factors and health outcomes in selected communities of the Niger delta area, Nigeria.

    Science.gov (United States)

    Ana, Godson; Sridhar, Mynepalli K C; Bamgboye, Elijah A

    2009-07-01

    The main aim of this study was to assess the prevalence of various health outcomes associated with exposure to environmental risk factors including industrial pollution in selected communities of Nigeria's oil-rich Niger delta area (NDA). The study involved both laboratory experiments and community health surveys using questionnaires and hospital records. A total of 14 air samples, 16 grab soil samples and 18 surface water samples were collected and analyzed for physicochemical parameters including heavy metals and polycyclic aromatic hydrocarbons (PAHs) using standard methods. A 77-item questionnaire was administered on randomly selected 349 subjects. A five-year record was collected from health facilities located in the two communities. The laboratory results indicated that the median PAH level at Eleme as compared to Ahoada East was higher than the guideline limit 50 ng/l for surface waters. The mean TSP level at Eleme was higher than the level at Ahoada East and the guideline limit 100 microg/m3. The median PAH level at Eleme was higher than the level at Ahoada East and the guideline limit problem (p = 0.044). At Ahoada East commonly consumed aquatic food was highly significantly associated with painful body outgrowth (p fuel types was also highly significantly associated with child deformities (p < 0.0001). Hospital records showed high proportions of respiratory disorder among males (3.85%) and females (4.39%) at Eleme as compared to the proportion of respiratory disorder among males (3.68%) and females (4.18%) at Ahoada East. The study shows that industrial communities such as Eleme, which are exposed to higher levels of air pollution, are more predisposed to respiratory morbidities, skin disorders and other related health risks.

  3. Relationship between areas of cognitive functioning on the Mini-Mental State Examination and crash risk.

    Science.gov (United States)

    Huisingh, Carrie; Wadley, Virginia G; McGwin, Gerald; Owsley, Cynthia

    2018-03-01

    Previous studies have suggested that the pattern of cognitive impairment in crash involved older drivers is different from non-crash involved older drivers. This study assessed the relationship between seven areas of cognitive functioning (orientation to time, orientation to place, registration, attention and calculation, recall, language, and visual construction) on the Mini-Mental State Examination (MMSE) collected at baseline and rates of future crash involvement in a prospective population-based sample of older drivers. Motor vehicle collision involvement was obtained from the Alabama Department of Public Safety. Poisson regression was used to calculate crude and adjusted rate ratios (RR). Older drivers having difficulties in place orientation were more than 6 times (95% CI 1.90-19.86) more likely to be involved in a future crash (adjusted RR = 6.14, 95% confidence interval (CI) 1.90-19.86) and at-fault crash (adjusted RR=6.39, 95% CI 1.51-27.10). Impairment in the other cognitive areas was not associated with higher rates of crash or at-fault crash involvement. The findings were validated in an independent sample of high-risk older drivers and a similar pattern of results was observed. Spatial orientation impairment can help identify older drivers who are more likely to crash in the future.

  4. Risk Assessment of Aluminum in Drinking Water between Two Residential Areas

    Directory of Open Access Journals (Sweden)

    Aizat I. Syazwan

    2011-09-01

    Full Text Available A cross-sectional study was conducted at Sungai Lembing (SL and Bukit Ubi (BU, Kuantan, Malaysia. The main objectives of this epidemiological study were to determine the aluminum concentration in drinking water, to compare with the government standard and to perform health risk assessment prediction among respondents from these two residential areas. A total of 100 respondents were selected from the study areas based on a few inclusive and exclusive criteria. Two duplicates of treated water samples were taken from each respondent's house using a 200 mL high-density polyethylene (HDPE bottle and 0.4 mL (69% pure concentrated nitric acid added as preservative. Aluminum concentrations were analyzed using Lambda 25 UV/V spectrophotometer. The result showed that the mean concentration of aluminum in drinking water from SL was 0.11 ± 0.0634 mg/L and 0.12 ± 0.0462 mg/L for BU. The mean value of Chronic Daily Intake (CDI in SL (0.0035 ± 0.0028 mg/kg/day was lower compared to BU (0.0037 ± 0.0021 mg/kg/day. The Hazard Index (HI calculation showed all respondents had HI less than 1. In conclusion, there was unlikely potential for adverse health effects from aluminum intake in drinking water. However, it was necessary for some action to be taken in order to reduce aluminum levels found in drinking water in both locations.

  5. Thyroid nodularity and chromosome aberrations among women in areas of high background radiation in China

    International Nuclear Information System (INIS)

    Wang, Z.Y.; Boice, J.D. Jr.; Wei, L.X.; Beebe, G.W.; Zha, Y.R.; Kaplan, M.M.; Tao, Z.F.; Maxon, H.R. III; Zhang, S.Z.; Schneider, A.B.

    1990-01-01

    Thyroid nodularity following continuous low-dose radiation exposure in China was determined in 1,001 women aged 50-65 years who resided in areas of high background radiation (330 mR/yr) their entire lives, and in 1,005 comparison subjects exposed to normal levels of radiation (114 mR/yr). Cumulative doses to the thyroid were estimated to be of the order of 14 cGy and 5 cGy, respectively. Personal interviews and physical examinations were conducted, and measurements were made of serum thyroid hormone levels, urinary iodine concentrations, and chromosome aberrations in circulating lymphocytes. For all nodular disease, the prevalences in the high background and control areas were 9.5% and 9.3%, respectively. For single nodules, the prevalences were 7.4% in the high background area and 6.6% in the control area (prevalence ratio = 1.13; 95% confidence interval = 0.82-1.55). There were no differences found in serum levels of thyroid hormones. Women in the high background region, however, had significantly lower concentrations of urinary iodine and significantly higher frequencies of stable and unstable chromosome aberrations. Increased intake of allium vegetables such as garlic and onions was associated with a decreased risk of nodular disease, which seems consistent with experimental studies suggesting that allium compounds can inhibit tumor growth and proliferation. The prevalence of mild diffuse goiter was higher in the high background radiation region, perhaps related to a low dietary intake of iodine. These data suggest that continuous exposure to low-level radiation throughout life is unlikely to appreciably increase the risk of thyroid cancer. However, such exposure may cause chromosomal damage

  6. Radical prostatectomy for high-risk prostate cancer.

    Science.gov (United States)

    Yossepowitch, Ofer; Eastham, James A

    2008-06-01

    Consensus recommendations for the identification and treatment of men whose apparent organ confined prostate cancer has high risk features are lacking. Despite ongoing refinements in surgical technique and improvements in morbidity and functional outcomes, the tradition of steering high-risk patients away from radical prostatectomy (RP) remains steadfast. We performed a medical literature search in English using MEDLINE/PubMed that addressed high risk prostate cancer. We analyzed the literature with respect to the historical evolution of this concept, current risk stratification schemes and treatment guidelines and related short and long term outcomes following RP. Contemporary evidence suggest that patients classified with high-risk prostate cancer by commonly used definitions do not have a uniformly poor prognosis after RP. Many cancers categorized clinically as high risk are actually pathologically confined to the prostate, and most men with such cancers who undergo RP are alive and free of additional therapy long after surgery. RP in the high-risk setting appears to be associated with a similar morbidity as in lower-risk patients. Men with clinically localized high-risk prostate cancer should not be categorically disqualified from local definitive therapy with RP. With careful attention to surgical technique, cancer control rates should improve further, and adverse effects on quality of life after RP should continue to decrease.

  7. Estimating micro area behavioural risk factor prevalence from large population-based surveys: a full Bayesian approach

    Directory of Open Access Journals (Sweden)

    L. Seliske

    2016-06-01

    Full Text Available Abstract Background An important public health goal is to decrease the prevalence of key behavioural risk factors, such as tobacco use and obesity. Survey information is often available at the regional level, but heterogeneity within large geographic regions cannot be assessed. Advanced spatial analysis techniques are demonstrated to produce sensible micro area estimates of behavioural risk factors that enable identification of areas with high prevalence. Methods A spatial Bayesian hierarchical model was used to estimate the micro area prevalence of current smoking and excess bodyweight for the Erie-St. Clair region in southwestern Ontario. Estimates were mapped for male and female respondents of five cycles of the Canadian Community Health Survey (CCHS. The micro areas were 2006 Census Dissemination Areas, with an average population of 400–700 people. Two individual-level models were specified: one controlled for survey cycle and age group (model 1, and one controlled for survey cycle, age group and micro area median household income (model 2. Post-stratification was used to derive micro area behavioural risk factor estimates weighted to the population structure. SaTScan analyses were conducted on the granular, postal-code level CCHS data to corroborate findings of elevated prevalence. Results Current smoking was elevated in two urban areas for both sexes (Sarnia and Windsor, and an additional small community (Chatham for males only. Areas of excess bodyweight were prevalent in an urban core (Windsor among males, but not females. Precision of the posterior post-stratified current smoking estimates was improved in model 2, as indicated by narrower credible intervals and a lower coefficient of variation. For excess bodyweight, both models had similar precision. Aggregation of the micro area estimates to CCHS design-based estimates validated the findings. Conclusions This is among the first studies to apply a full Bayesian model to complex

  8. A metasynthesis of risk perception in women with high risk pregnancies.

    Science.gov (United States)

    Lee, Suzanne; Ayers, Susan; Holden, Des

    2014-04-01

    risk perception in women with high risk pregnancies affects their decisions about perinatal care and is of interest to anyone involved in the care of pregnant women. This paper provides a metasynthesis of qualitative studies of risk perception in women with high risk pregnancies. a systematic search of eight electronic databases was conducted. Additional papers were obtained through searching references of identified articles. Six studies were identified that reported qualitative research into risk perception in relation to high risk pregnancy. A metasynthesis was developed to describe and interpret the studies. the synthesis resulted in the identification of five themes: determinants of risk perception; not seeing it the way others do; normality versus risk; if the infant is ok, I׳m ok; managing risk. this metasynthesis suggests women at high risk during pregnancy use multiple sources of information to determine their risk status. It shows women are aware of the risks posed by their pregnancies but do not perceive risk in the same way as healthcare professionals. They will take steps to ensure the health of themselves and their infants but these may not include following all medical recommendations. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. Enrichment, risk assessment, and statistical apportionment of heavy metals in tannery-affected areas

    International Nuclear Information System (INIS)

    Ali, Z.; Malik, R. N.; Shinwari, Z. K.; Qadir, A.

    2015-01-01

    Tannery-affected surface soils from 72 sampling sites from industrial area of Sialkot district, Pakistan, were collected and analyzed for nine physicochemical parameters, nine heavy metals, and four macro-nutrients. Most of the soils were poor in organic matter (0.11–2.98 %), basic in nature with p H (7.1–10.6) and electrical conductivity (1.2–17.9 mS/ cm). Mean concentration of total dissolved solids, Cl 1 -, alkalinity, NO 1 -N, salinity, and PO 4 3- was 3,093 mg/L, 6,587, 3,929, 301.3, 10.3, and 1.7 mg/kg. The results showed that concentration of macro-nutrients was in the order: Na[Mg[K[Ca whereas heavy metals followed the order: Cr>Fe>Ni>Mn>Cu>Zn>Co>Pb>Cd. Factor analysis based on principal component analysis, cluster analysis, and correlation analysis identified contribution of metals from tannery effluents, agrochemicals, automobiles exhaust, and natural weathering processes. Tannery-affected soils were enriched with Cd followed by Cr, Pb, Ni, Cu, Co, Zn, and Mn. Geo-accumulation index classified the soil samples in unpolluted tomoderately polluted categories. Metal pollution index provided better estimation of heavy metal pollution as compared to pollution load index. Ecological risk index showed high potential ecological risk associated with Cd and Cr with mean concentrations above respective average shale/ background values. The results are useful for heavy metals source identification, enrichment, risk assessment, and management of tannery-affected soils and can contribute to monitoring programs at regional levels.

  10. Risk Assessment of Canine Distemper in the Distribution Area of Giant Panda in Sichuan, Shaanxi and Gansu Provinces, China

    Directory of Open Access Journals (Sweden)

    Weigeng Shao

    2017-11-01

    Full Text Available Giant panda is the world-class precious endangered species, facing the canine distemper and other important infectious diseases on its wild and captive population of a serious threat. In this study, we used MaxEnt model and combined with ArcGIS analysis to predict the potential risk of canine distemper to giant panda habitat in Sichuan, Gansu and Shaanxi Provinces, China. The results showed that 35.05% and 19.47% of the distribution areas of the giant pandas were in the high risk and medium risk of canine distemper, respectively. The canine distemper pose a great risk to the healthy survival of giant pandas in China. In future, epidemic prevention, vaccine development and application of wild animals should be enhanced so as to effectively protect the giant panda.

  11. Probabilistic risk assessment for the Sandia National Laboratories Technical Area V Liquid Waste Disposal System surface impoundments

    International Nuclear Information System (INIS)

    Dawson, L.A.; Eidson, A.F.

    1996-01-01

    A probabilistic risk assessment was completed for a former radioactive waste disposal site. The site, two unlined surface impoundment, was designed as part of the Liquid Waste Disposal System (LWDS) to receive radioactive effluent from nuclear reactors in Technical Area-V (TA-V) at Sandia National Laboratories/New Mexico (SNL/NM). First, a statistical comparison of site sampling results to natural background, using EPA methods, and a spatial distribution analysis were performed. Risk assessment was conducted with SNL/NM's Probabilistic Risk Evaluation and Characterization Investigation System model. The risk assessment indicated that contamination from several constituents might have been high enough to require remediation. However, further analysis based on expected site closure activities and recent EPA guidance indicated that No Further Action was acceptable

  12. Hydrological Dynamics In High Mountain Catchment Areas of Central Norway

    Science.gov (United States)

    Löffler, Jörg; Rößler, Ole

    Large-scaled landscape structure is regarded as a mosaic of ecotopes where process dynamics of water and energy fluxes are analysed due to its effects on ecosystem functioning. The investigations have been carried out in the continental most Vågå/Oppland high mountains in central Norway since 1994 (LÖFFLER &WUNDRAM 1999, 2000, 2001). Additionally, comparable investigations started in 2000 dealing with the oceanic high mountain landscapes on same latitudes (LÖFFLER et al. 2001). The theoretical and methodological framework of the project is given by the Landscape-Ecological Complex Analysis (MOSIMANN 1984, 1985) and its variations due to technical and principle methodical challenges in this high mountain landscape (KÖHLER et al. 1994, LÖFFLER 1998). The aim of the project is to characterize high mountain ecosystem structure, functioning and dynamics within small catchment areas, that are chosen in two different altitudinal belts each in the eastern continental and the western oceanic region of central Norway. In the frame of this research project hydrological and meteorological measurements on ground water, percolation and soil moisture dynamics as well as on evaporation, air humidity and air-, surface- and soil-temperatures have been conducted. On the basis of large-scaled landscape-ecological mappings (LÖFFLER 1997) one basic meteorological station and several major data logger run stations have been installed in representative sites of each two catchment areas in the low and mid alpine belts of the investigation regions ( JUNGet al. 1997, LÖFFLER &WUNDRAM 1997). Moreover, spatial differentiations of groundwater level, soil moisture and temperature profiles have been investigated by means of hand held measurements at different times of the day, during different climatic situations and different seasons. Daily and annual air-, surface- and soil-temperature dynamics are demonstrated by means of thermoisopleth-diagrams for different types of ecotopes of the

  13. Human health risk assessment of mercury vapor around artisanal small-scale gold mining area, Palu city, Central Sulawesi, Indonesia.

    Science.gov (United States)

    Nakazawa, Koyomi; Nagafuchi, Osamu; Kawakami, Tomonori; Inoue, Takanobu; Yokota, Kuriko; Serikawa, Yuka; Cyio, Basir; Elvince, Rosana

    2016-02-01

    Emissions of elemental mercury, Hg(0), from artisanal small-scale gold mining activities accounted for 37% of total global Hg(0) emissions in 2010. People who live near gold-mining areas may be exposed to high concentrations of Hg(0). Here, we assessed the human health risk due to Hg(0) exposure among residents of Palu city (Central Sulawesi Province, Indonesia). The area around the city has more than 60t of gold reserves, and the nearby Poboya area is the most active gold-mining site in Indonesia. Owing to its geography, the city experiences alternating land and sea breezes. Sampling was done over a period of 3 years (from 2010 Aug. to 2012 Dec.) intermittently with a passive sampler for Hg(0), a portable handheld mercury analyzer, and a mercury analyzer in four areas of the city and in the Poboya gold-processing area, as well as wind speeds and directions in one area of the city. The 24-h average concentration, wind speed, and wind direction data show that the ambient air in both the gold-processing area and the city was always covered by high concentration of mercury vapor. The Hg(0) concentration in the city was higher at night than in the daytime, owing to the effect of land breezes. These results indicate that the inhabitants of the city were always exposed to high concentrations of Hg(0). The average daytime point-sample Hg(0) concentrations in the city, as measured with a handheld mercury analyzer over 3 days in July 2011, ranged from 2096 to 3299ngm(-3). In comparison, the average daytime Hg(0) concentration in the Poboya gold-processing area was 12,782ngm(-3). All of these concentrations are substantially higher than the World Health Organization air-quality guideline for annual average Hg exposure (1000ngm(-3)). We used the point-sample concentrations to calculate hazard quotient ratios by means of a probabilistic risk assessment method. The results indicated that 93% of the sample population overall was at risk (hazard quotient ratio ≥1 and cut off at

  14. High Blood Pressure, Afib and Your Risk of Stroke

    Science.gov (United States)

    ... Peripheral Artery Disease Venous Thromboembolism Aortic Aneurysm More High Blood Pressure, AFib and Your Risk of Stroke Updated:Aug ... have a stroke for the first time have high blood pressure . And an irregular atrial heart rhythm — a condition ...

  15. Crop area estimation using high and medium resolution satellite imagery in areas with complex topography

    Science.gov (United States)

    Husak, G. J.; Marshall, M. T.; Michaelsen, J.; Pedreros, D.; Funk, C.; Galu, G.

    2008-07-01

    Reliable estimates of cropped area (CA) in developing countries with chronic food shortages are essential for emergency relief and the design of appropriate market-based food security programs. Satellite interpretation of CA is an effective alternative to extensive and costly field surveys, which fail to represent the spatial heterogeneity at the country-level. Bias-corrected, texture based classifications show little deviation from actual crop inventories, when estimates derived from aerial photographs or field measurements are used to remove systematic errors in medium resolution estimates. In this paper, we demonstrate a hybrid high-medium resolution technique for Central Ethiopia that combines spatially limited unbiased estimates from IKONOS images, with spatially extensive Landsat ETM+ interpretations, land-cover, and SRTM-based topography. Logistic regression is used to derive the probability of a location being crop. These individual points are then aggregated to produce regional estimates of CA. District-level analysis of Landsat based estimates showed CA totals which supported the estimates of the Bureau of Agriculture and Rural Development. Continued work will evaluate the technique in other parts of Africa, while segmentation algorithms will be evaluated, in order to automate classification of medium resolution imagery for routine CA estimation in the future.

  16. Preliminary Assessment of Health Risks of Potentially Toxic Elements in Settled Dust over Beijing Urban Area

    Directory of Open Access Journals (Sweden)

    Dejun Wan

    2016-05-01

    Full Text Available To examine levels, health risks, sources, and spatial distributions of potentially toxic elements in settled dust over Beijing urban area, 62 samples were collected mostly from residential building outdoor surfaces, and their <63 μm fractions were measured for 12 potentially toxic elements. The results show that V, Cr, Mn, Co, Ni, and Ba in dust are from predominantly natural sources, whereas Cu, Zn, As, Cd, Sb, and Pb mostly originate from anthropogenic sources. Exposure to these elements in dust has significant non-cancer risks to children but insignificant to adults. Cancer risks of Cr, Co, Ni, As, and Cd via inhalation and dermal contact are below the threshold of 10−6–10−4 but As via dust ingestion shows a tolerable risk. The non-cancer risks to children are contributed mainly (75% by As, Pb, and Sb, and dominantly (92% via dust ingestion, with relatively higher risks mainly occurring in the eastern and northeastern Beijing urban areas. Although Cd, Zn, and Cu in dust are heavily affected by anthropogenic sources, their health risks are insignificant. Source appointments suggest that coal burning emissions, the dominant source of As, are likely the largest contributors to the health risk, and traffic-related and industrial emissions are also important because they contribute most of the Pb and Sb in dust.

  17. Environmental risk analysis of oil handling facilities in port areas. Application to Tarragona harbor (NE Spain).

    Science.gov (United States)

    Valdor, Paloma F; Gómez, Aina G; Puente, Araceli

    2015-01-15

    Diffuse pollution from oil spills is a widespread problem in port areas (as a result of fuel supply, navigation and loading/unloading activities). This article presents a method to assess the environmental risk of oil handling facilities in port areas. The method is based on (i) identification of environmental hazards, (ii) characterization of meteorological and oceanographic conditions, (iii) characterization of environmental risk scenarios, and (iv) assessment of environmental risk. The procedure has been tested by application to the Tarragona harbor. The results show that the method is capable of representing (i) specific local pollution cases (i.e., discriminating between products and quantities released by a discharge source), (ii) oceanographic and meteorological conditions (selecting a representative subset data), and (iii) potentially affected areas in probabilistic terms. Accordingly, it can inform the design of monitoring plans to study and control the environmental impact of these facilities, as well as the design of contingency plans. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. Railway Crossing Risk Area Detection Using Linear Regression and Terrain Drop Compensation Techniques

    Science.gov (United States)

    Chen, Wen-Yuan; Wang, Mei; Fu, Zhou-Xing

    2014-01-01

    Most railway accidents happen at railway crossings. Therefore, how to detect humans or objects present in the risk area of a railway crossing and thus prevent accidents are important tasks. In this paper, three strategies are used to detect the risk area of a railway crossing: (1) we use a terrain drop compensation (TDC) technique to solve the problem of the concavity of railway crossings; (2) we use a linear regression technique to predict the position and length of an object from image processing; (3) we have developed a novel strategy called calculating local maximum Y-coordinate object points (CLMYOP) to obtain the ground points of the object. In addition, image preprocessing is also applied to filter out the noise and successfully improve the object detection. From the experimental results, it is demonstrated that our scheme is an effective and corrective method for the detection of railway crossing risk areas. PMID:24936948

  19. Railway Crossing Risk Area Detection Using Linear Regression and Terrain Drop Compensation Techniques

    Directory of Open Access Journals (Sweden)

    Wen-Yuan Chen

    2014-06-01

    Full Text Available Most railway accidents happen at railway crossings. Therefore, how to detect humans or objects present in the risk area of a railway crossing and thus prevent accidents are important tasks. In this paper, three strategies are used to detect the risk area of a railway crossing: (1 we use a terrain drop compensation (TDC technique to solve the problem of the concavity of railway crossings; (2 we use a linear regression technique to predict the position and length of an object from image processing; (3 we have developed a novel strategy called calculating local maximum Y-coordinate object points (CLMYOP to obtain the ground points of the object. In addition, image preprocessing is also applied to filter out the noise and successfully improve the object detection. From the experimental results, it is demonstrated that our scheme is an effective and corrective method for the detection of railway crossing risk areas.

  20. Alcohol consumption and high risk sexual behaviour among female ...

    African Journals Online (AJOL)

    Alcohol consumption has been associated with high risk sexual behaviour among key populations such as female sex workers. We explored the drivers of alcohol consumption and its relationship to high risk sexual behaviour. Participants were drawn from a cohort of 1 027 women selected from 'hot spots' in the suburbs of ...

  1. Correlation between high-risk pregnancy and developmental delay ...

    African Journals Online (AJOL)

    Background: The future development of children is considered more than ever now due to the advances in medical knowledge and thus the increase in survival rates of high-risk infants. This study investigated the correlation between high-risk pregnancy and developmental delay in children aged 4- 60 months. Methods: ...

  2. Drug response prediction in high-risk multiple myeloma

    DEFF Research Database (Denmark)

    Vangsted, A J; Helm-Petersen, S; Cowland, J B

    2018-01-01

    from high-risk patients by GEP70 at diagnosis from Total Therapy 2 and 3A to predict the response by the DRP score of drugs used in the treatment of myeloma patients. The DRP score stratified patients further. High-risk myeloma with a predicted sensitivity to melphalan by the DRP score had a prolonged...

  3. Elevated level of serum triglyceride among high risk stress bank ...

    African Journals Online (AJOL)

    The objective of this study was to estimate lipid profile among high risk stress bank employees' correlated with heart disorders in Riyadh, Saudi Arabia. A total of 129 patients with high risk stress employees were involved in this study, which were divided into 69 males and 60 females between the age of 25 to 55 years.

  4. High resolution modelling of extreme precipitation events in urban areas

    Science.gov (United States)

    Siemerink, Martijn; Volp, Nicolette; Schuurmans, Wytze; Deckers, Dave

    2015-04-01

    The present day society needs to adjust to the effects of climate change. More extreme weather conditions are expected, which can lead to longer periods of drought, but also to more extreme precipitation events. Urban water systems are not designed for such extreme events. Most sewer systems are not able to drain the excessive storm water, causing urban flooding. This leads to high economic damage. In order to take appropriate measures against extreme urban storms, detailed knowledge about the behaviour of the urban water system above and below the streets is required. To investigate the behaviour of urban water systems during extreme precipitation events new assessment tools are necessary. These tools should provide a detailed and integral description of the flow in the full domain of overland runoff, sewer flow, surface water flow and groundwater flow. We developed a new assessment tool, called 3Di, which provides detailed insight in the urban water system. This tool is based on a new numerical methodology that can accurately deal with the interaction between overland runoff, sewer flow and surface water flow. A one-dimensional model for the sewer system and open channel flow is fully coupled to a two-dimensional depth-averaged model that simulates the overland flow. The tool uses a subgrid-based approach in order to take high resolution information of the sewer system and of the terrain into account [1, 2]. The combination of using the high resolution information and the subgrid based approach results in an accurate and efficient modelling tool. It is now possible to simulate entire urban water systems using extreme high resolution (0.5m x 0.5m) terrain data in combination with a detailed sewer and surface water network representation. The new tool has been tested in several Dutch cities, such as Rotterdam, Amsterdam and The Hague. We will present the results of an extreme precipitation event in the city of Schiedam (The Netherlands). This city deals with

  5. Risk analysis and evaluation of agricultural drought disaster in the major grain-producing areas, China

    OpenAIRE

    Zongtang Xie; Jiuping Xu; Yanfei Deng

    2016-01-01

    The analysis and evaluation of agricultural drought risk can assist in reducing regional disasters and agricultural drought losses. Because of the uncertainties and incomplete agricultural drought information, this paper employed an information diffusion technology and information matrix to identify a drought disaster risk distribution and to quantify the relationship between the annual drought-affected rate and the grain production losses in China's major grain-producing areas. From the asse...

  6. Highball: A high speed, reserved-access, wide area network

    Science.gov (United States)

    Mills, David L.; Boncelet, Charles G.; Elias, John G.; Schragger, Paul A.; Jackson, Alden W.

    1990-01-01

    A network architecture called Highball and a preliminary design for a prototype, wide-area data network designed to operate at speeds of 1 Gbps and beyond are described. It is intended for applications requiring high speed burst transmissions where some latency between requesting a transmission and granting the request can be anticipated and tolerated. Examples include real-time video and disk-disk transfers, national filestore access, remote sensing, and similar applications. The network nodes include an intelligent crossbar switch, but have no buffering capabilities; thus, data must be queued at the end nodes. There are no restrictions on the network topology, link speeds, or end-end protocols. The end system, nodes, and links can operate at any speed up to the limits imposed by the physical facilities. An overview of an initial design approach is presented and is intended as a benchmark upon which a detailed design can be developed. It describes the network architecture and proposed access protocols, as well as functional descriptions of the hardware and software components that could be used in a prototype implementation. It concludes with a discussion of additional issues to be resolved in continuing stages of this project.

  7. Characterizing and Reaching High-Risk Drinkers Using Audience Segmentation

    Science.gov (United States)

    Moss, Howard B.; Kirby, Susan D.; Donodeo, Fred

    2010-01-01

    Background Market or audience segmentation is widely used in social marketing efforts to help planners identify segments of a population to target for tailored program interventions. Market-based segments are typically defined by behaviors, attitudes, knowledge, opinions, or lifestyles. They are more helpful to health communication and marketing planning than epidemiologically-defined groups because market-based segments are similar in respect to how they behave or might react to marketing and communication efforts. However, market segmentation has rarely been used in alcohol research. As an illustration of its utility, we employed commercial data that describes the sociodemographic characteristics of high-risk drinkers as an audience segment; where they tend to live, lifestyles, interests, consumer behaviors, alcohol consumption behaviors, other health-related behaviors, and cultural values. Such information can be extremely valuable in targeting and planning public health campaigns, targeted mailings, prevention interventions and research efforts. Methods We describe the results of a segmentation analysis of those individuals who self-report consuming five or more drinks per drinking episode at least twice in the last 30-days. The study used the proprietary PRIZM™ audience segmentation database merged with Center for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS) database. The top ten of the 66 PRIZM™ audience segments for this risky drinking pattern are described. For five of these segments we provide additional in-depth details about consumer behavior and the estimates of the market areas where these risky drinkers reside. Results The top ten audience segments (PRIZM clusters) most likely to engage in high-risk drinking are described. The cluster with the highest concentration of binge drinking behavior is referred to as the “Cyber Millenials.” This cluster is characterized as “the nation's tech-savvy singles

  8. Characterizing and reaching high-risk drinkers using audience segmentation.

    Science.gov (United States)

    Moss, Howard B; Kirby, Susan D; Donodeo, Fred

    2009-08-01

    Market or audience segmentation is widely used in social marketing efforts to help planners identify segments of a population to target for tailored program interventions. Market-based segments are typically defined by behaviors, attitudes, knowledge, opinions, or lifestyles. They are more helpful to health communication and marketing planning than epidemiologically defined groups because market-based segments are similar in respect to how they behave or might react to marketing and communication efforts. However, market segmentation has rarely been used in alcohol research. As an illustration of its utility, we employed commercial data that describes the sociodemographic characteristics of high-risk drinkers as an audience segment, including where they tend to live, lifestyles, interests, consumer behaviors, alcohol consumption behaviors, other health-related behaviors, and cultural values. Such information can be extremely valuable in targeting and planning public health campaigns, targeted mailings, prevention interventions, and research efforts. We described the results of a segmentation analysis of those individuals who self-reported to consume 5 or more drinks per drinking episode at least twice in the last 30 days. The study used the proprietary PRIZM (Claritas, Inc., San Diego, CA) audience segmentation database merged with the Center for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS) database. The top 10 of the 66 PRIZM audience segments for this risky drinking pattern are described. For five of these segments we provided additional in-depth details about consumer behavior and the estimates of the market areas where these risky drinkers resided. The top 10 audience segments (PRIZM clusters) most likely to engage in high-risk drinking are described. The cluster with the highest concentration of binge-drinking behavior is referred to as the "Cyber Millenials." This cluster is characterized as "the nation's tech

  9. Effect of Area-Level Socioeconomic Deprivation on Risk of Cognitive Dysfunction in Older Adults.

    Science.gov (United States)

    McCann, Adrian; McNulty, Helene; Rigby, Jan; Hughes, Catherine F; Hoey, Leane; Molloy, Anne M; Cunningham, Conal J; Casey, Miriam C; Tracey, Fergal; O'Kane, Maurice J; McCarroll, Kevin; Ward, Mary; Moore, Katie; Strain, J J; Moore, Adrian

    2018-02-12

    To investigate the relationship between area-level deprivation and risk of cognitive dysfunction. Cross-sectional analysis. The Trinity, Ulster, and Department of Agriculture (TUDA) study from 2008 to 2012. Community-dwelling adults aged 74.0 ± 8.3 without dementia (N = 5,186; 67% female). Adopting a cross-jurisdictional approach, geo-referenced address-based information was used to map and link participants to official socioeconomic indicators of deprivation within the United Kingdom and the Republic of Ireland. Participants were assigned an individual deprivation score related to the smallest administrative area in which they lived. These scores were categorized into comparable quintiles, that were then used to integrate the datasets from both countries. Cognitive health was assessed using the Mini-Mental State Examination (MMSE); cognitive dysfunction was defined as a MMSE score of 24 or less. Approximately one-quarter of the cohort resided within the most-deprived districts in both countries. Greater area-level deprivation was associated with significantly lower MMSE scores; fewer years of formal education; greater anxiety, depression, smoking and alcohol use, and obesity; and more adverse outcomes, including higher blood pressure and diabetes risk. After adjustment for relevant covariates, area deprivation was associated with significantly higher risk of cognitive dysfunction (odds ratio =1.40, 95% confidence interval = 1.05-1.87, P = .02, for most vs least deprived). This analysis combining data from two health systems shows that area deprivation is an independent risk factor for cognitive dysfunction in older adults. Adults living in areas of greatest socioeconomic deprivation may benefit from targeted strategies aimed at improving modifiable risk factors for dementia. Further cross-national analysis investigating the impact of area-level deprivation is needed to address socioeconomic disparities and shape future policy to improve health outcomes in older

  10. Information support of monitoring of technical condition of buildings in construction risk area

    Science.gov (United States)

    Skachkova, M. E.; Lepihina, O. Y.; Ignatova, V. V.

    2018-05-01

    The paper presents the results of the research devoted to the development of a model of information support of monitoring buildings technical condition; these buildings are located in the construction risk area. As a result of the visual and instrumental survey, as well as the analysis of existing approaches and techniques, attributive and cartographic databases have been created. These databases allow monitoring defects and damages of buildings located in a 30-meter risk area from the object under construction. The classification of structures and defects of these buildings under survey is presented. The functional capabilities of the developed model and the field of it practical applications are determined.

  11. Underground Test Area Subproject Phase I Data Analysis Task. Volume VIII - Risk Assessment Documentation Package

    Energy Technology Data Exchange (ETDEWEB)

    None

    1996-12-01

    Volume VIII of the documentation for the Phase I Data Analysis Task performed in support of the current Regional Flow Model, Transport Model, and Risk Assessment for the Nevada Test Site Underground Test Area Subproject contains the risk assessment documentation. Because of the size and complexity of the model area, a considerable quantity of data was collected and analyzed in support of the modeling efforts. The data analysis task was consequently broken into eight subtasks, and descriptions of each subtask's activities are contained in one of the eight volumes that comprise the Phase I Data Analysis Documentation.

  12. Risk analysis related to dangerous materials transport and storage in urban areas

    International Nuclear Information System (INIS)

    Lombard, J.; Hubert, P.; Pages, P.

    1989-12-01

    Risk management in an urban areas not always an easy task and the selection of appropriate prevention measure is often difficult. Consequences of an accident can be multiple (mortality, destruction, pollution, interruption of supplies, economic losses, traffic difficulties), and preventive measures are difficult to compare. The objective of this report is to present different methods applicable for decision making emphasising the criteria for their intercomparison and their limitations. In any case a more sophisticated analysis is needed for risk management in urban areas. Principals of methods needed for decision making are presented. These methods are based on a single criteria (regular constraint), on a few criteria that can be measured (cost-benefit), or a number of criteria at choice. These rather general methods should be adaptable to be applied for specific domain. For risk management the following adaptation are presented: identifying the limit of maximum individual risk (generalisation of regular constraint); adoption of different values of human life as a function of nature of consequences (generalisation of cost-benefit method), application of risk avoidance factors. These different developments predict versions of tools for decision making which can be applicable to risk management in urban areas [fr

  13. Patients at High-Risk for Surgical Site Infection.

    Science.gov (United States)

    Mueck, Krislynn M; Kao, Lillian S

    Surgical site infections (SSIs) are a significant healthcare quality issue, resulting in increased morbidity, disability, length of stay, resource utilization, and costs. Identification of high-risk patients may improve pre-operative counseling, inform resource utilization, and allow modifications in peri-operative management to optimize outcomes. Review of the pertinent English-language literature. High-risk surgical patients may be identified on the basis of individual risk factors or combinations of factors. In particular, statistical models and risk calculators may be useful in predicting infectious risks, both in general and for SSIs. These models differ in the number of variables; inclusion of pre-operative, intra-operative, or post-operative variables; ease of calculation; and specificity for particular procedures. Furthermore, the models differ in their accuracy in stratifying risk. Biomarkers may be a promising way to identify patients at high risk of infectious complications. Although multiple strategies exist for identifying surgical patients at high risk for SSIs, no one strategy is superior for all patients. Further efforts are necessary to determine if risk stratification in combination with risk modification can reduce SSIs in these patient populations.

  14. High Center Volume Does Not Mitigate Risk Associated with Using High Donor Risk Organs in Liver Transplantation.

    Science.gov (United States)

    Beal, Eliza W; Black, Sylvester M; Mumtaz, Khalid; Hayes, Don; El-Hinnawi, Ashraf; Washburn, Kenneth; Tumin, Dmitry

    2017-09-01

    High-risk donor allografts increase access to liver transplant, but potentially reduce patient and graft survival. It is unclear whether the risk associated with using marginal donor livers is mitigated by increasing center experience. The United Network for Organ Sharing registry was queried for adult first-time liver transplant recipients between 2/2002 and 12/2015. High donor risk was defined as donor risk index >1.9, and 1-year patient and graft survival were compared according to donor risk index in small and large centers. Multivariable Cox regression estimated the hazard ratio (HR) associated with using high-risk donor organs, according to a continuous measure of annual center volume. The analysis included 51,770 patients. In 67 small and 67 large centers, high donor risk index predicted increased mortality (p = 0.001). In multivariable analysis, high-donor risk index allografts predicted greater mortality hazard at centers performing 20 liver transplants per year (HR 1.35; 95% CI 1.22, 1.49; p donor risk index and center volume was not statistically significant (p = 0.747), confirming that the risk associated with using marginal donor livers was comparable between smaller and larger centers. Results were consistent when examining graft loss. At both small and large centers, high-risk donor allografts were associated with reduced patient and graft survival after liver transplant. Specific strategies to mitigate the risk of liver transplant involving high-risk donors are needed, in addition to accumulation of center expertise.

  15. Finding Risk Groups by Optimizing Artificial Neural Networks on the Area under the Survival Curve Using Genetic Algorithms.

    Science.gov (United States)

    Kalderstam, Jonas; Edén, Patrik; Ohlsson, Mattias

    2015-01-01

    We investigate a new method to place patients into risk groups in censored survival data. Properties such as median survival time, and end survival rate, are implicitly improved by optimizing the area under the survival curve. Artificial neural networks (ANN) are trained to either maximize or minimize this area using a genetic algorithm, and combined into an ensemble to predict one of low, intermediate, or high risk groups. Estimated patient risk can influence treatment choices, and is important for study stratification. A common approach is to sort the patients according to a prognostic index and then group them along the quartile limits. The Cox proportional hazards model (Cox) is one example of this approach. Another method of doing risk grouping is recursive partitioning (Rpart), which constructs a decision tree where each branch point maximizes the statistical separation between the groups. ANN, Cox, and Rpart are compared on five publicly available data sets with varying properties. Cross-validation, as well as separate test sets, are used to validate the models. Results on the test sets show comparable performance, except for the smallest data set where Rpart's predicted risk groups turn out to be inverted, an example of crossing survival curves. Cross-validation shows that all three models exhibit crossing of some survival curves on this small data set but that the ANN model manages the best separation of groups in terms of median survival time before such crossings. The conclusion is that optimizing the area under the survival curve is a viable approach to identify risk groups. Training ANNs to optimize this area combines two key strengths from both prognostic indices and Rpart. First, a desired minimum group size can be specified, as for a prognostic index. Second, the ability to utilize non-linear effects among the covariates, which Rpart is also able to do.

  16. Electrochemical Properties of High Surface Area Vanadium Oxide Aerogels

    National Research Council Canada - National Science Library

    Dong, Winny

    2001-01-01

    .... Traditional composite electrode structures have prevented truly quantitative analysis of surface area effects in nanoscale battery materials, as well as a study of their innate electrochemical behavior...

  17. Marine pollution in the Libyan coastal area: Environmental and risk assessment.

    Science.gov (United States)

    Bonsignore, Maria; Salvagio Manta, Daniela; Al-Tayeb Sharif, Ehab A; D'Agostino, Fabio; Traina, Anna; Quinci, Enza Maria; Giaramita, Luigi; Monastero, Calogera; Benothman, Mohamed; Sprovieri, Mario

    2018-03-01

    A comprehensive assessment of the potential adverse effects on environment and human health generated by the inputs of chemicals from the most important Libyan petrochemical plant is presented. Ecotoxicological risk associated with the presence of As, Hg, Ni, Zn and PAHs in marine sediments is low or moderate, with a probability of toxicity for ecosystem <9% and <20% for heavy metals and PAHs respectively. However, surface sediments result strongly enriched in Hg and As of anthropogenic origin. Investigation of metals in fish allowed to assess potential risks for human populations via fish intake. Target hazard quotients values indicate potential risk associated to toxic metals exposure by fish consumption and lifetime cancer risk (TR) values highlight a potential carcinogen risk associated to As intake. Noteworthy, the presented results provide an unprecedented environmental dataset in an area where the availability of field data is very scant, for a better understanding of anthropogenic impacts at Mediterranean scale. Copyright © 2018 Elsevier Ltd. All rights reserved.

  18. Avian Monitoring and Risk Assessment at the San Gorgonio Wind Resource Area

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, R.; Tom, J.; Neumann, N.; Erickson, W. P.; Strickland, M. D.; Bourassa, M.; Bay, K. J.; Sernka, K. J.

    2005-08-01

    The primary objective of this study at the San Gorgonio Wind Resource Area was to estimate and compare bird utilization, fatality rates, and the risk index among factors including bird taxonomic groups, wind turbine and reference areas, wind turbine sizes and types, and geographic locations. The key questions addressed to meet this objective include: (1) Are there any differences in the level of bird activity, called ''utilization rate'' or ''use'', with the operating wind plant and within the surrounding undeveloped areas (reference area)?; (2) Are there any differences in the rate of bird fatalities (or avian fatality) within the operating wind plant or the surrounding undeveloped areas (reference area)?; (3) Does bird use, fatality rates, or bird risk index vary according to the geographic location, type and size of wind turbine, and/or type of bird within the operating wind plant and surrounding undeveloped areas (reference area)?; and (4) How do raptor fatality rates at San Gorgonio compare to other wind projects with comparable data?

  19. High resolution gamma spectrometry of size-separated soils from high background areas of Kerala

    International Nuclear Information System (INIS)

    Menon, M.R.; Sadasivan, S.; Nambi, K.S.V.

    1992-01-01

    Soil samples from a high background area of Kerala were analysed for their natural radionuclide content and distribution with particle size. The samples exhibited inhomogeneity in activity distribution. The smaller size particles had higher activity. The open air dose estimates are also presented. (author). 5 refs., 2 tabs

  20. Highly Flexible and High-Performance Complementary Inverters of Large-Area Transition Metal Dichalcogenide Monolayers

    KAUST Repository

    Pu, Jiang; Funahashi, Kazuma; Chen, Chang-Hsiao; Li, Ming-yang; Li, Lain-Jong; Takenobu, Taishi

    2016-01-01

    Complementary inverters constructed from large-area monolayers of WSe2 and MoS2 achieve excellent logic swings and yield an extremely high gain, large total noise margin, low power consumption, and good switching speed. Moreover, the WSe2

  1. Anaemia and associated risk factors among pregnant women in Gilgel Gibe dam area, Southwest Ethiopia

    Directory of Open Access Journals (Sweden)

    Getachew Million

    2012-12-01

    Full Text Available Abstract Background Anaemia is known to be one of the outcomes of parasitic infection and it may result in impaired cognitive development, reduced physical work capacity and in severe cases increased risk of mortality, particularly during the prenatal period. The aim of this study was to determine the prevalence and associated risk factors of anaemia among pregnant women in Gilgel-Gibe dam area, southwestern Ethiopia. Methods A cross-sectional community based study was conducted on 388 pregnant women living in three districts around Gilgel Gibe Dam area, southwestern Ethiopia. Socio-demographic and socio-economic data were collected from each participant. A single stool sample was also collected from each selected pregnant woman. Haemoglobin concentration was determined by the cyanmethemoglobin method. Plasmodium infection prevalence and intensity were assessed with thin and thick blood film examination. Results Of the total 388 study participants, 209 (53.9% were anaemic. Pregnant woman who were rural residents (Adjusted odds ratio (AOR = 1.62, 95% C.I: 1.02-2.62, P= 0.042, not using insecticide treated nets (ITNs during the study period (AOR = 2.84, 95% C.I: 1.33-6.05, p = 0.007, those who were Plasmodium malaria infected (AOR = 11.19, 95% C.I: 3.31-37.7, p= 0.01 and those with Soil Transmitted Helminth (STH infections (AOR=1.82, 95% C.I: 1.16-2.87, p=0.001 had higher odds of being anaemic than those who were urban residents, using ITNs, free of Plasmodium malaria and Soil transmitted helminth infection, respectively. There was a significant correlation between increasing hookworm parasite load (r = −.110, PAscaris lumbricoides (r = −.122, P Trichuris trichiura (r = −.025, P Conclusion The high prevalence of anaemia indicates it is currently a serious health problem of pregnant women living in Gilgel Gibe Dam area. Plasmodium malaria and soil transmitted helminth infections were significantly associated with anaemia. Antenatal care

  2. High frequency noise studies at the Hartousov mofette area (CZE)

    Science.gov (United States)

    Schmidt, Andreas; Flores-Estrella, Hortencia; Pommerencke, Julia; Umlauft, Josefine

    2014-05-01

    Ambient noise analysis has been used as a reliable tool to investigate sub-surface structures at seismological quiet regions with none or less specific seismic events. Here, we consider the acoustic signals from a single mofette at the Hartoušov area (CZE) as a noise-like high frequency source caused by multiple near surface degassing processes in a restricted location. From this assumption we have used different array geometries for recording at least one hour of continuous noise. We installed triangular arrays with 3 component geophones: the first deployment consisted on two co-centric triangles with side length of 30 and 50 m with the mofette in the center; the second deployment consisted on two triangular arrays, both with side length of 30 m, co-directional to the mofette. Furthermore, we also installed profiles with 24 channels and vertical geophones locating them in different positions with respect to the mofette. In this work, we present preliminary results from the data analysis dependent on the geometry, to show the characteristics of the noise wave-field referring to frequency content and propagation features, such as directionality and surface wave velocity. The spectral analysis shows that the energy is concentrated in a frequency band among 10 and 40 Hz. However, in this interval there is no evidence of any exclusive fundamental frequencies. From this, man-induced influences can be identified as intermittent signal peaks in narrow frequency bands and can be separated to receive the revised mofette wave-field record. The inversion of dispersive surface waves, that were detected by interferometric methods, provides a velocity model down to 12 m with an S-wave velocity between 160 and 180 m/s on the uppermost layer. Furthermore, the interferometric signal properties indicate that it is not possible to characterize the mofette as a punctual source, but rather as a conglomerate of multiple sources with time and location variations.

  3. High Framingham risk score decreases quality of life in adults

    Directory of Open Access Journals (Sweden)

    Christian Yosaputra

    2010-04-01

    Full Text Available Cardiovascular disease (CVD risk factors, such as diabetes, hypertension, hypercholesterolemia, smoking, and obesity tend to occur together in the general population. Increasing prevalence of multiple CVD risk factors has been related to increased risk of death from coronary heart disease and stroke. Studies have suggested that people with several risk factors of CVD may have impaired health-related quality of life. The objective of this study was to assess the association of CVD risk factors with quality of life (QOL among adults aged 40 to 65 years. A cross-sectional study was conducted involving 220 subjects 40 - 65 years of age at a health center. The CVD risk factors were assessed using the Framingham risk score that is the standard instrument for assessment of the risk of a first cardiac event. The risk factors assessed were age, smoking, blood pressure, total cholesterol and high density lipoprotein cholesterol concentrations. QOL was assessed by means of the WHOQOL-BREF instrument that had been prevalidated. The results of the study showed that 28.2% of subjects were smokers, 56.4% had stage 1 hypertension, 42.8% high total cholesterol and 13.6% low HDL cholesterol. The high risk group amounted to 45.5% and 42.3% constitued an intermediate risk group. High CVD risk scores were significantly associated with a low QOL for all domains (physical, psychological, social and environment (p=0.000. Preventing or reducing the multiple CVD risk factors to improve QOL is necessary among adults.

  4. Ecological risk assessment of deep geological disposal of high-level nuclear waste

    International Nuclear Information System (INIS)

    Hart, D.R.; Lush, D.L.; Acton, D.W.

    1993-01-01

    Contaminant fate and transport models, radiological dosimetry models, chemical dose-response models and population dynamic models were used to estimate ecological risks to moose and brook trout populations arising from a proposed high-level nuclear waste repository. Risks from potential contaminant releases were compared with risks from physical habitat alteration in constructing a repository and service community, and with risks from increased hunting and fish pressure in the area. For a reference environment typical of a proposed location somewhere in the Canadian Shield, preliminary results suggest that the population consequences of contaminant release will be minor relative to those of habitat alteration and natural resource use

  5. The Very High Risk Prostate Cancer – a Contemporary Update

    Science.gov (United States)

    Mano, Roy; Eastham, James; Yossepowitch, Ofer

    2017-01-01

    Background Treatment of high-risk prostate cancer has evolved considerably over the past two decades, yet patients with very high-risk features may still experience poor outcome despite aggressive therapy. We review the contemporary literature focusing on current definitions, role of modern imaging and treatment alternatives in very high-risk prostate cancer. Methods We searched the MEDLINE database for all clinical trials or practice guidelines published in English between 2000 – 2016 with the following search terms: ‘prostatic neoplasms’ (MeSH Terms) AND (‘high risk’ (keyword) OR ‘locally advanced’ (keyword) OR ‘node positive’ (keyword)). Abstracts pertaining to very high-risk prostate cancer were evaluated and 40 pertinent studies served as the basis for this review. Results The term ‘very’ high-risk prostate cancer remains ill defined. The EAU and NCCN guidelines provide the only available definitions, categorizing those with clinical stage T3-4 or minimal nodal involvement as very-high risk irrespective of PSA level or biopsy Gleason score. Modern imaging with mpMRI and PET-PSMA scans plays a role in pretreatment assessment. Local definitive therapy by external beam radiation combined with androgen deprivation is supported by several randomized clinical trials whereas the role of surgery in the very high-risk setting combined with adjuvant radiation/ androgen deprivation therapy is emerging. Growing evidence suggest neoadjuvant taxane based chemotherapy in the context of a multimodal approach may be beneficial. Conclusions Men with very high-risk tumors may benefit from local definitive treatment in the setting of a multimodal regimen, offering local control and possibly cure in well selected patients. Further studies are necessary to better characterize the ‘very’ high-risk category and determine the optimal therapy for the individual patient. PMID:27618950

  6. Risk assessment and management of brucellosis in the southern greater Yellowstone area (I): A citizen-science based risk model for bovine brucellosis transmission from elk to cattle.

    Science.gov (United States)

    Kauffman, Mandy; Peck, Dannele; Scurlock, Brandon; Logan, Jim; Robinson, Timothy; Cook, Walt; Boroff, Kari; Schumaker, Brant

    2016-09-15

    Livestock producers and state wildlife agencies have used multiple management strategies to control bovine brucellosis in the Greater Yellowstone Area (GYA). However, spillover from elk to domestic bison and cattle herds continues to occur. Although knowledge is increasing about the location and behavior of elk in the SGYA, predicting spatiotemporal overlap between elk and cattle requires locations of livestock operations and observations of elk contact by producers. We queried all producers in a three-county area using a questionnaire designed to determine location of cattle and whether producers saw elk comingle with their animals. This information was used to parameterize a spatially-explicit risk model to estimate the number of elk expected to overlap with cattle during the brucellosis transmission risk period. Elk-cattle overlap was predicted in areas further from roads and forest boundaries in areas with wolf activity, with higher slopes, lower hunter densities, and where the cost-distance to feedgrounds was very low or very high. The model was used to estimate the expected number of years until a cattle reactor will be detected, under alternative management strategies. The model predicted cattle cases every 4.28 years in the highest risk herd unit, a higher prediction than the one case in 26 years we have observed. This difference likely indicates that ongoing management strategies are at least somewhat effective in preventing potential elk-cattle brucellosis transmission in these areas. Using this model, we can infer the expected effectiveness of various management strategies for reducing the risk of brucellosis spillover from elk to cattle. Copyright © 2016 Elsevier B.V. All rights reserved.

  7. Development of a predictive methodology for identifying high radon exhalation potential areas

    International Nuclear Information System (INIS)

    Ielsch, G.

    2001-01-01

    Radon 222 is a radioactive natural gas originating from the decay of radium 226 which itself originates from the decay of uranium 23 8 naturally present in rocks and soil. Inhalation of radon gas and its decay products is a potential health risk for man. Radon can accumulate in confined environments such as buildings, and is responsible for one third of the total radiological exposure of the general public to radiation. The problem of how to manage this risk then arises. The main difficulty encountered is due to the large variability of exposure to radon across the country. A prediction needs to be made of areas with the highest density of buildings with high radon levels. Exposure to radon varies depending on the degree of confinement of the habitat, the lifestyle of the occupants and particularly emission of radon from the surface of the soil on which the building is built. The purpose of this thesis is to elaborate a methodology for determining areas presenting a high potential for radon exhalation at the surface of the soil. The methodology adopted is based on quantification of radon exhalation at the surface, starting from a precise characterization of the main local geological and pedological parameters that control the radon source and its transport to the ground/atmosphere interface. The methodology proposed is innovative in that it combines a cartographic analysis, parameters integrated into a Geographic Information system, and a simplified model for vertical transport of radon by diffusion through pores in the soil. This methodology has been validated on two typical areas, in different geological contexts, and gives forecasts that generally agree with field observations. This makes it possible to identify areas with a high exhalation potential within a range of a few square kilometers. (author)

  8. Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.

    Directory of Open Access Journals (Sweden)

    Deok Ryun Kim

    Full Text Available Hierarchical spatial models enable the geographic and ecological analysis of health data thereby providing useful information for designing effective health interventions. In this study, we used a Bayesian hierarchical spatial model to evaluate mortality data in Vietnam. The model enabled identification of socio-ecological risk factors and generation of risk maps to better understand the causes and geographic implications of prime-age (15 to less than 45 years adult death.The study was conducted in two sites: Nha Trang and Hue in Vietnam. The study areas were split into 500×500 meter cells to define neighborhoods. We first extracted socio-demographic data from population databases of the two sites, and then aggregated the data by neighborhood. We used spatial hierarchical model that borrows strength from neighbors for evaluating risk factors and for creating spatially smoothed risk map after adjusting for neighborhood level covariates. The Markov chain Monte Carlo procedure was used to estimate the parameters. Male mortality was more than twice the female mortality. The rates also varied by age and sex. The most frequent cause of mortality was traffic accidents and drowning for men and traffic accidents and suicide for women. Lower education of household heads in the neighborhood was an important risk factor for increased mortality. The mortality was highly variable in space and the socio-ecological risk factors are sensitive to study site and sex.Our study suggests that lower education of the household head is an important predictor for prime age adult mortality. Variability in socio-ecological risk factors and in risk areas by sex make it challenging to design appropriate intervention strategies aimed at decreasing prime-age adult deaths in Vietnam.

  9. Socio-ecological risk factors for prime-age adult death in two coastal areas of Vietnam.

    Science.gov (United States)

    Kim, Deok Ryun; Ali, Mohammad; Thiem, Vu Dinh; Wierzba, Thomas F

    2014-01-01

    Hierarchical spatial models enable the geographic and ecological analysis of health data thereby providing useful information for designing effective health interventions. In this study, we used a Bayesian hierarchical spatial model to evaluate mortality data in Vietnam. The model enabled identification of socio-ecological risk factors and generation of risk maps to better understand the causes and geographic implications of prime-age (15 to less than 45 years) adult death. The study was conducted in two sites: Nha Trang and Hue in Vietnam. The study areas were split into 500×500 meter cells to define neighborhoods. We first extracted socio-demographic data from population databases of the two sites, and then aggregated the data by neighborhood. We used spatial hierarchical model that borrows strength from neighbors for evaluating risk factors and for creating spatially smoothed risk map after adjusting for neighborhood level covariates. The Markov chain Monte Carlo procedure was used to estimate the parameters. Male mortality was more than twice the female mortality. The rates also varied by age and sex. The most frequent cause of mortality was traffic accidents and drowning for men and traffic accidents and suicide for women. Lower education of household heads in the neighborhood was an important risk factor for increased mortality. The mortality was highly variable in space and the socio-ecological risk factors are sensitive to study site and sex. Our study suggests that lower education of the household head is an important predictor for prime age adult mortality. Variability in socio-ecological risk factors and in risk areas by sex make it challenging to design appropriate intervention strategies aimed at decreasing prime-age adult deaths in Vietnam.

  10. Integrated approach of environmental impact and risk assessment of Rosia Montana Mining Area, Romania.

    Science.gov (United States)

    Stefănescu, Lucrina; Robu, Brînduşa Mihaela; Ozunu, Alexandru

    2013-11-01

    The environmental impact assessment of mining sites represents nowadays a large interest topic in Romania. Historical pollution in the Rosia Montana mining area of Romania caused extensive damage to environmental media. This paper has two goals: to investigate the environmental pollution induced by mining activities in the Rosia Montana area and to quantify the environmental impacts and associated risks by means of an integrated approach. Thus, a new method was developed and applied for quantifying the impact of mining activities, taking account of the quality of environmental media in the mining area, and used as case study in the present paper. The associated risks are a function of the environmental impacts and the probability of their occurrence. The results show that the environmental impacts and quantified risks, based on quality indicators to characterize the environmental quality, are of a higher order, and thus measures for pollution remediation and control need to be considered in the investigated area. The conclusion drawn is that an integrated approach for the assessment of environmental impact and associated risks is a valuable and more objective method, and is an important tool that can be applied in the decision-making process for national authorities in the prioritization of emergency action.

  11. Baseline Risk Assessment for the F-Area Burning/Rubble Pits and Rubble Pit

    Energy Technology Data Exchange (ETDEWEB)

    Palmer, E. [Westinghouse Savannah River Company, AIKEN, SC (United States)

    1996-03-01

    This document provides an overview of the Savannah River Site (SRS) and a description of the F-Area Burning/Rubble Pits (BRPs) and Rubble Pit (RP) unit. It also describes the objectives and scope of the baseline risk assessment (BRA).

  12. Mapping geological at risk areas in the city of São Paulo: issues and results from the largest risk survey in Brazil

    Science.gov (United States)

    Pascarelli, Luciana; Macedo, Eduardo

    2013-04-01

    (25%) occupy areas with some occurrence probability of mass-movement processes (landslides, erosion, and fall of stone blocks). Together, the assessed areas cover about 13.5 km², which corresponds to about 1% of the City's territory, although they all are located in the outskirts regions. 105,816 homes were analyzed and, currently, 8% of this total is located in the most critical areas, classified as very high risk, which require immediate actions in order to stabilize them; 19% were classified as high risk and the rest - 73% - show more stable situation. Currently, about 115,000 people live in landslide-risk areas in the capital. The results, now complete and current, have been making possible reassessment and adjustment of the low-income intervention projects by the government, prioritizing housing, social-educational infrastructure, and basic-sanitation actions in areas of greatest susceptibility. The program of slum upgrading, the relocation of 5.000 families to safe places and actions participatory monitoring with communities deserves mention and were only possible after the correct diagnosis of risk situations in the city that, despite the large population, has no record deaths from landslides for more than two years.

  13. Radiation risk assessment in professionals working in dental radiology area using buccal micronucleus cytome assay.

    Science.gov (United States)

    Sadatullah, Syed; Dawasaz, Ali Azhar; Luqman, Master; Assiry, Ali A; Almeshari, Ahmed A; Togoo, Rafi Ahmad

    2013-11-01

    The aim of this study was to assess the incidence of micronuclei (MN) in buccal mucosal cells of professionals working in radiology area to determine the risk of stochastic effects of radiation. All the professionals and students working in King Khalid University - College of Dentistry radiology area were included in the Risk Group (RG = 27). The Control Group (CG = 27) comprised of healthy individual matching the gender and age of the RG. Buccal mucosal scraping from all the 54 subjects of RG and CG were stained with Papanicolaou stain and observed under oil immersion lens (×100) for the presence of micronuclei (MN) in the exfoliated epithelial cells. There was no significant difference between the incidence of MN in RG and CG (p = >0.05) using t-test. Routine radiation protection protocol does minimize the risk of radiation induced cytotoxicity, however, screening of professionals should be carried out at regular intervals.

  14. A risk characterization of safety research areas for integral fast reactor program planning

    International Nuclear Information System (INIS)

    Mueller, C.J.; Cahalan, J.E.; Hill, D.J.; Kramer, J.M.; Marchaterre, J.F.; Pedersen, D.R.; Sevy, R.H.; Tibbrook, R.W.; Wei, T.Y.; Wright, A.E.

    1988-01-01

    This paper characterizes the areas of integral fast reactor (IFR) safety research in terms of their importance in addressing the risk of core disruption sequences for innovative designs. Such sequences have traditionally been determined to constitute the primary risk to public health and safety. All core disruption sequences are folded into four fault categories: classic unprotected (unscrammed) events; loss of decay heat; local fault propagation; and failure to critical reactor structures. Event trees are used to describe these sequences and the areas in the IFR safety and related base technology research programs are discussed with respect to their relevance in addressing the key issues in preventing or delimiting core disruptive sequences. Thus a measure of potential for risk reduction is obtained for guidance in establishing research priorities

  15. A risk characterization of safety research areas for Integral Fast Reactor program planning

    International Nuclear Information System (INIS)

    Mueller, C.J.; Cahalan, J.E.; Hill, D.J.

    1988-01-01

    This paper characterizes the areas of Integral Fast Reactor (IFR) safety research in terms of their importance in addressing the risk of core disruption sequences for innovative designs. Such sequences have traditionally been determined to constitute the primary risk to public health and safety. All core disruption sequences are folded into four fault categories: classic unprotected (unscrammed) events; loss of decay heat; local fault propagation; and failure of critical reactor structures. Event trees are used to describe these sequences and the areas in the IFR Safety and related Base Technology research programs are discussed with respect to their relevance in addressing the key issues in preventing or delimiting core disruptive sequences. Thus a measure of potential for risk reduction is obtained for guidance in establishing research priorites

  16. Patients at high risk of tuberculosis recurrence

    Directory of Open Access Journals (Sweden)

    Mehdi Mirsaeidi

    2018-01-01

    Full Text Available Recurrent tuberculosis (TB continues to be a significant problem and is an important indicator of the effectiveness of TB control. Recurrence can occur by relapse or exogenous reinfection. Recurrence of TB is still a major problem in high-burden countries, where there is lack of resources and no special attention is being given to this issue. The rate of recurrence is highly variable and has been estimated to range from 4.9% to 47%. This variability is related to differences in regional epidemiology of recurrence and differences in the definitions used by the TB control programs. In addition to treatment failure from noncompliance, there are several key host factors that are associated with high rates of recurrence. The widely recognized host factors independent of treatment program that predispose to TB recurrence include gender differences, malnutrition; comorbidities such as diabetes, renal failure, and systemic diseases, especially immunosuppressive states such as human immunodeficiency virus; substance abuse; and environmental exposures such as silicosis. With improved understanding of the human genome, proteome, and metabolome, additional host-specific factors that predispose to recurrence are being identified. Information on temporal and geographical trends of TB cases as well as studies with whole-genome sequencing might provide further information to enable us to fully understand TB recurrence and discriminate between reactivation and new infection. The recently launched World Health Organization End TB Strategy emphasizes the importance of integrated, patient-centered TB care. Continued improvement in diagnosis, treatment approaches, and an understanding of host-specific factors are needed to fully understand the clinical epidemiological and social determinants of TB recurrence.

  17. Patients at high risk of tuberculosis recurrence.

    Science.gov (United States)

    Mirsaeidi, Mehdi; Sadikot, Ruxana T

    2018-01-01

    Recurrent tuberculosis (TB) continues to be a significant problem and is an important indicator of the effectiveness of TB control. Recurrence can occur by relapse or exogenous reinfection. Recurrence of TB is still a major problem in high-burden countries, where there is lack of resources and no special attention is being given to this issue. The rate of recurrence is highly variable and has been estimated to range from 4.9% to 47%. This variability is related to differences in regional epidemiology of recurrence and differences in the definitions used by the TB control programs. In addition to treatment failure from noncompliance, there are several key host factors that are associated with high rates of recurrence. The widely recognized host factors independent of treatment program that predispose to TB recurrence include gender differences, malnutrition; comorbidities such as diabetes, renal failure, and systemic diseases, especially immunosuppressive states such as human immunodeficiency virus; substance abuse; and environmental exposures such as silicosis. With improved understanding of the human genome, proteome, and metabolome, additional host-specific factors that predispose to recurrence are being identified. Information on temporal and geographical trends of TB cases as well as studies with whole-genome sequencing might provide further information to enable us to fully understand TB recurrence and discriminate between reactivation and new infection. The recently launched World Health Organization End TB Strategy emphasizes the importance of integrated, patient-centered TB care. Continued improvement in diagnosis, treatment approaches, and an understanding of host-specific factors are needed to fully understand the clinical epidemiological and social determinants of TB recurrence.

  18. A risk score to predict type 2 diabetes mellitus in an elderly Spanish Mediterranean population at high cardiovascular risk.

    Directory of Open Access Journals (Sweden)

    Marta Guasch-Ferré

    Full Text Available INTRODUCTION: To develop and test a diabetes risk score to predict incident diabetes in an elderly Spanish Mediterranean population at high cardiovascular risk. MATERIALS AND METHODS: A diabetes risk score was derived from a subset of 1381 nondiabetic individuals from three centres of the PREDIMED study (derivation sample. Multivariate Cox regression model ß-coefficients were used to weigh each risk factor. PREDIMED-personal Score included body-mass-index, smoking status, family history of type 2 diabetes, alcohol consumption and hypertension as categorical variables; PREDIMED-clinical Score included also high blood glucose. We tested the predictive capability of these scores in the DE-PLAN-CAT cohort (validation sample. The discrimination of Finnish Diabetes Risk Score (FINDRISC, German Diabetes Risk Score (GDRS and our scores was assessed with the area under curve (AUC. RESULTS: The PREDIMED-clinical Score varied from 0 to 14 points. In the subset of the PREDIMED study, 155 individuals developed diabetes during the 4.75-years follow-up. The PREDIMED-clinical score at a cutoff of ≥6 had sensitivity of 72.2%, and specificity of 72.5%, whereas AUC was 0.78. The AUC of the PREDIMED-clinical Score was 0.66 in the validation sample (sensitivity = 85.4%; specificity = 26.6%, and was significantly higher than the FINDRISC and the GDRS in both the derivation and validation samples. DISCUSSION: We identified classical risk factors for diabetes and developed the PREDIMED-clinical Score to determine those individuals at high risk of developing diabetes in elderly individuals at high cardiovascular risk. The predictive capability of the PREDIMED-clinical Score was significantly higher than the FINDRISC and GDRS, and also used fewer items in the questionnaire.

  19. Wavy channel transistor for area efficient high performance operation

    KAUST Repository

    Fahad, Hossain M.; Hussain, Aftab M.; Hussain, Muhammad Mustafa; Sevilla, Galo T.

    2013-01-01

    We report a wavy channel FinFET like transistor where the channel is wavy to increase its width without any area penalty and thereby increasing its drive current. Through simulation and experiments, we show the effectiveness of such device

  20. Disaster risk management in prospect mining area Blitar district, East Java, using microtremor analysis and ANP (analytical network processing) approach

    Energy Technology Data Exchange (ETDEWEB)

    Parwatiningtyas, Diyan, E-mail: diane.tyas@gmail.com, E-mail: erlinunindra@gmail.com; Ambarsari, Erlin Windia, E-mail: diane.tyas@gmail.com, E-mail: erlinunindra@gmail.com; Marlina, Dwi, E-mail: diane.tyas@gmail.com, E-mail: erlinunindra@gmail.com; Wiratomo, Yogi, E-mail: diane.tyas@gmail.com, E-mail: erlinunindra@gmail.com [Department of Physics, Faculty of Engineering, Mathematics and Natural Sciences, Indraprasta PGRI University, Nangka Street No. 58C Tanjung Barat, South Jakarta (Indonesia)

    2014-03-24

    Indonesia has a wealth of natural assets is so large to be managed and utilized, either from its own local government and local communities, especially in the mining sector. However, mining activities can change the state of the surface layer of the earth that have a high impact disaster risk. This could threaten the safety and disrupt human life, environmental damage, loss of property, and the psychological impact, sulking to the rule of law no 24 of 2007. That's why we strive to manage and minimize the risk of mine disasters in the region, how to use the method of calculation of Amplification Factor (AF) from the analysis based microtremor sulking Kanai and Nakamura, and decision systems were tested by analysis of ANP. Based on the amplification factor and Analytical Network Processing (ANP) obtained, some points showed instability in the surface layer of a mining area include the site of the TP-7, TP-8, TP-9, TP-10, (Birowo2). If in terms of structure, location indicated unstable due to have a sloping surface layer, resulting in the occurrence of landslides and earthquake risk is high. In the meantime, other areas of the mine site can be said to be a stable area.

  1. Disaster risk management in prospect mining area Blitar district, East Java, using microtremor analysis and ANP (analytical network processing) approach

    International Nuclear Information System (INIS)

    Parwatiningtyas, Diyan; Ambarsari, Erlin Windia; Marlina, Dwi; Wiratomo, Yogi

    2014-01-01

    Indonesia has a wealth of natural assets is so large to be managed and utilized, either from its own local government and local communities, especially in the mining sector. However, mining activities can change the state of the surface layer of the earth that have a high impact disaster risk. This could threaten the safety and disrupt human life, environmental damage, loss of property, and the psychological impact, sulking to the rule of law no 24 of 2007. That's why we strive to manage and minimize the risk of mine disasters in the region, how to use the method of calculation of Amplification Factor (AF) from the analysis based microtremor sulking Kanai and Nakamura, and decision systems were tested by analysis of ANP. Based on the amplification factor and Analytical Network Processing (ANP) obtained, some points showed instability in the surface layer of a mining area include the site of the TP-7, TP-8, TP-9, TP-10, (Birowo2). If in terms of structure, location indicated unstable due to have a sloping surface layer, resulting in the occurrence of landslides and earthquake risk is high. In the meantime, other areas of the mine site can be said to be a stable area

  2. Use of probabilistic risk assessments to define areas of possible exemption from regulatory requirements

    International Nuclear Information System (INIS)

    Thompson, C.A.; Carlson, D.; Kolaczkowski, A.; LaChance, J.

    1988-01-01

    The Risk-Based Licensing Program (RBLP) was sponsored by the Department of Energy for the purpose of establishing and demonstrating an approach for identifying potential areas for exemption from current regulatory requirements in the licensing of nuclear power plants. Such an approach could assist in the improvement of the regulatory process for both current and future nuclear plant designs. Use of the methodology could result in streamlining the regulatory process by eliminating unnecessarily detailed reviews of portions of a plant design not important to risk. The RBLP methodology utilizes probabilistic risk assessments, (PRAs), which are required of all future applicants for nuclear power plant licenses. PRA results are used as a screening tool to determine the risk significance of various plant features which are correlated to the risk importance of regulations to identify potential areas for regulatory exemption. Additional consideration is then given to non-risk factors in the final determination of exemption candidates. The RBLP methodology was demonstrated using an existing PRA. The results of the demonstration are highlighted. 10 refs

  3. Radiological risk assessment for an urban area: Focusing on a drinking water contamination

    International Nuclear Information System (INIS)

    Jeong, Hyo-Joon; Hwang, Won-Tae; Kim, Eun-Han; Han, Moon-Hee

    2009-01-01

    This paper specifically discusses a water quality modeling and health risk assessment for cesium-137 to assess the potential and actual effects on human health from drinking water contaminated by a radiological terrorist attack in the Seoul metropolitan area, Korea. With respect to the source term caused by a terrorist attack, it was assumed that 50 TBq of cesium-137 was introduced into the Paldang Lake which is a single water resource for the Seoul metropolitan area. EFDC (Environmental Fluid Dynamics Code) model was used to calculate the hydrodynamic and water quality for the model domain, Paldang Lake. Mortality risk and morbid risk coefficients caused by the ingestion of tap water were used to assess a human health risk due to cesium-137. The transport of cesium-137 in the Paldang water system was mainly dependent on the flow streamlines and the effect of the dilution from the other branches. The mortality and morbidity risks due to the drinking water contamination by cesium-137 were 4.77 x 10 -7 and 6.92 x 10 -7 , respectively. Accordingly, it is very important to take appropriate countermeasures when radiological terrorist attacks have occurred at water resources to prevent radiological risks by radionuclides.

  4. High-Risk and Low-Risk Human Papillomavirus and the Absolute Risk of Cervical Intraepithelial Neoplasia or Cancer

    DEFF Research Database (Denmark)

    Thomsen, Louise T; Frederiksen, Kirsten; Munk, Christian

    2014-01-01

    OBJECTIVE: To determine the absolute risk of cervical intraepithelial neoplasia (CIN) grade 3 or cervical cancer (CIN 3 or worse) after detection of low-risk human papillomavirus (HPV) and after a negative high-risk HPV test. METHODS: In this prospective cohort study, consecutive liquid......-based cervical cytology samples were collected from women screened for cervical cancer in Copenhagen, Denmark, during 2002-2005. Samples were tested with a clinical test for 13 high-risk and five low-risk HPV types. The cohort (N=35,539; aged 14-90 years) was monitored in a nationwide pathology register for up...... cytology. Detection of low-risk HPV does not predict CIN 3 or worse. Cervical cancer screening should not include testing for low-risk HPV types. LEVEL OF EVIDENCE: II....

  5. Pollution and health risk assessment of industrial and residential area based on metal and metalloids contents in soil and sediment samples from and around the petrochemical industry, Serbia

    Science.gov (United States)

    Relic, Dubravka; Sakan, Sanja; Andjelkovic, Ivan; Djordjevic, Dragana

    2017-04-01

    Within this study the investigation of pollution state of metal and metalloids contamination in soils and sediments samples of the petrochemical and nearby residential area is present. The pseudo-total concentrations of Ba, Cd, Co, Cu, Cr, Mn, Ni, Pb, V, Zn, As, Hg, and Se were monitored with ICP/OES. The pollution indices applied in this work, such as the enrichment factor, the pollution load index, the total enrichment factor, and the ecological risk index showed that some of the soil and sediment samples were highly polluted by Hg, Ba, Pb, Cd, Cr Cu and Zn. The highest pollution indices were calculated for Hg in samples from the petrochemical area: chloralkali plant, electrolysis factory, mercury disposal area, and in samples from the waste channel. The pollution indices of the samples from the residential area indicated that this area is not polluted by investigated elements. Besides the pollution indices, the metal and metalloids concentrations were used in the equations for calculating the health risk criteria. We calculate no carcinogenic and carcinogenic risks for the composite worker and residential people by usage adequate equations. In analyzed samples, the no carcinogenic risks were lower than 1. The highest values of carcinogenic risk were obtained in sediment samples from the waste channel within the petrochemical industry and the metal that mostly contributes to the highest carcinogenic risk is Cr. Correlation analysis of pollution indices and carcinogenic risks calculated from the residential area samples showed good correlations while this is not the case for an industrial area.

  6. Identifying desertification risk areas using fuzzy membership and geospatial technique - A case study, Kota District, Rajasthan

    Science.gov (United States)

    Dasgupta, Arunima; Sastry, K. L. N.; Dhinwa, P. S.; Rathore, V. S.; Nathawat, M. S.

    2013-08-01

    Desertification risk assessment is important in order to take proper measures for its prevention. Present research intends to identify the areas under risk of desertification along with their severity in terms of degradation in natural parameters. An integrated model with fuzzy membership analysis, fuzzy rule-based inference system and geospatial techniques was adopted, including five specific natural parameters namely slope, soil pH, soil depth, soil texture and NDVI. Individual parameters were classified according to their deviation from mean. Membership of each individual values to be in a certain class was derived using the normal probability density function of that class. Thus if a single class of a single parameter is with mean μ and standard deviation σ, the values falling beyond μ + 2 σ and μ - 2 σ are not representing that class, but a transitional zone between two subsequent classes. These are the most important areas in terms of degradation, as they have the lowest probability to be in a certain class, hence highest probability to be extended or narrowed down in next or previous class respectively. Eventually, these are the values which can be easily altered, under extrogenic influences, hence are identified as risk areas. The overall desertification risk is derived by incorporating the different risk severity of each parameter using fuzzy rule-based interference system in GIS environment. Multicriteria based geo-statistics are applied to locate the areas under different severity of desertification risk. The study revealed that in Kota, various anthropogenic pressures are accelerating land deterioration, coupled with natural erosive forces. Four major sources of desertification in Kota are, namely Gully and Ravine erosion, inappropriate mining practices, growing urbanization and random deforestation.

  7. Acute effects of urban and industrial pollution in a government-designated "Environmental risk area": the case of Brindisi, Italy.

    Science.gov (United States)

    Gianicolo, Emilio Antonio Luca; Bruni, Antonella; Mangia, Cristina; Cervino, Marco; Vigotti, Maria Angela

    2013-01-01

    Exposure to air pollutants has been associated with increased hospital admissions (HAs) for respiratory and cardiovascular diseases. This work describes a short-term epidemiological study in Brindisi, a highly industrialized town in Southern Italy. The effects of daily exposure to PM10 and NO2 on daily HAs for cardiac, respiratory, and cerebrovascular diseases were investigated by means of a case-crossover design in the period 2001-2007. Results showed positive associations between PM10 and HAs for cardiac and respiratory diseases and between NO2 and HAs for all the categories of diseases considered, particularly among females. Although not statistically significant, increased risk was observed for wind blowing from the port and the industrial area. Findings confirm the health risks associated with ambient air pollution exposure, even though NO2 and PM10 concentrations were below the legal limits. This may be due to the complex scenario of emissions in the area, which should be better investigated.

  8. A social work study high-risk behavior among teenagers

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Iravani

    2012-01-01

    Full Text Available Teenagers are believed the people who are supposed to build the world's future. High-risk behaviors such as addiction to drugs, smoking cigarettes, sex, etc. could significantly hurts teenagers and there must be some supporting programs to reduce these issues as much as possible. This paper performs an empirical investigation to study the different factors influencing high- risk behavior among teenagers who live in a city of Esfahan, Iran. The proposed study designs a questionnaire and distribute between two groups of female and male teenagers. The results indicate that while there is a meaningful relationship between high-risk behaviors and average high school marks among male students there is no meaningful relationship between high-risk behaviors and high school grades among female students. The results also indicate that there is a meaningful difference between gender and high-risk behavior. The season of birth for female and male students is another important factor for having high-risk behaviors. While the order of birth plays an important role among male students, the order of birth is not an important factor among female teenagers. Finally, the results indicate that teenagers' parental financial affordability plays a vital role on both female and male teenagers.

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

    Science.gov (United States)

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

    2014-12-01

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

  10. Development of a cumulative risk assessment for the Idaho National Engineering Laboratory's waste area group 2

    International Nuclear Information System (INIS)

    Burns, D.E.

    1995-01-01

    In 1989, the Idaho National Engineering Laboratory (INEL) was added to the Environmental Protection Agency's (EPA) National Priorities List of Superfund sites. A Federal Facility Agreement and Consent Order (FFA/CO) for the INEL was signed by the Department of Energy, Idaho Operations Office (DOE-ID), EPA, and the State of Idaho in December 1991. The goal of this agreement is to ensure that potential or actual INEL releases of hazardous substances to the environment are thoroughly investigated in accordance with the National Contingency Plan (NCP) and that appropriate response actions are taken as necessary to protect human health and the environment. The Test Reactor Area (TRA) is included as Waste Area Group (WAG) 2 of ten INEL WAGs identified in the FFA/CO. WAG 2 consists of 13 operable units (OUs) which include pits, tanks, rubble piles, ponds, cooling towers, wells, french drains, perched water and spill areas. OU 2-13 is the Comprehensive Remedial Investigation/Feasibility Study (RI/FS) for WAG 2. The study presented here is a preliminary evaluation of the comprehensive risk for WAG-2. This investigation will be used as the basis of the WAG-2 comprehensive baseline risk assessment (BRA), and it will serve as a model for other INEL comprehensive risk assessments. The WAG-2 preliminary risk evaluation consisted of two broad phases. These phases were (1) a site and contaminant screening that was intended to support the identification of COPCs and risk assessment data gaps, and (2) an exposure pathway analysis that evaluated the comprehensive human health risks associated with WAG-2. The primary purposes of the investigation were to screen WAG-2 release sites and contaminants, and to identify risk assessment data gaps, so the investigation will be referred to as the WAG-2 Screening and Data Gap Analysis (SDGA) for the remainder of this report

  11. Flood risk in a changing world - a coupled transdisciplinary modelling framework for flood risk assessment in an Alpine study area

    Science.gov (United States)

    Huttenlau, Matthias; Schneeberger, Klaus; Winter, Benjamin; Pazur, Robert; Förster, Kristian; Achleitner, Stefan; Bolliger, Janine

    2017-04-01

    Devastating flood events have caused substantial economic damage across Europe during past decades. Flood risk management has therefore become a topic of crucial interest across state agencies, research communities and the public sector including insurances. There is consensus that mitigating flood risk relies on impact assessments which quantitatively account for a broad range of aspects in a (changing) environment. Flood risk assessments which take into account the interaction between the drivers climate change, land-use change and socio-economic change might bring new insights to the understanding of the magnitude and spatial characteristic of flood risks. Furthermore, the comparative assessment of different adaptation measures can give valuable information for decision-making. With this contribution we present an inter- and transdisciplinary research project aiming at developing and applying such an impact assessment relying on a coupled modelling framework for the Province of Vorarlberg in Austria. Stakeholder engagement ensures that the final outcomes of our study are accepted and successfully implemented in flood management practice. The study addresses three key questions: (i) What are scenarios of land- use and climate change for the study area? (ii) How will the magnitude and spatial characteristic of future flood risk change as a result of changes in climate and land use? (iii) Are there spatial planning and building-protection measures which effectively reduce future flood risk? The modelling framework has a modular structure comprising modules (i) climate change, (ii) land-use change, (iii) hydrologic modelling, (iv) flood risk analysis, and (v) adaptation measures. Meteorological time series are coupled with spatially explicit scenarios of land-use change to model runoff time series. The runoff time series are combined with impact indicators such as building damages and results are statistically assessed to analyse flood risk scenarios. Thus, the

  12. Risk-adaptive optimization: Selective boosting of high-risk tumor subvolumes

    International Nuclear Information System (INIS)

    Kim, Yusung; Tome, Wolfgang A.

    2006-01-01

    Background and Purpose: A tumor subvolume-based, risk-adaptive optimization strategy is presented. Methods and Materials: Risk-adaptive optimization employs a biologic objective function instead of an objective function based on physical dose constraints. Using this biologic objective function, tumor control probability (TCP) is maximized for different tumor risk regions while at the same time minimizing normal tissue complication probability (NTCP) for organs at risk. The feasibility of risk-adaptive optimization was investigated for a variety of tumor subvolume geometries, risk-levels, and slopes of the TCP curve. Furthermore, the impact of a correlation parameter, δ, between TCP and NTCP on risk-adaptive optimization was investigated. Results: Employing risk-adaptive optimization, it is possible in a prostate cancer model to increase the equivalent uniform dose (EUD) by up to 35.4 Gy in tumor subvolumes having the highest risk classification without increasing predicted normal tissue complications in organs at risk. For all tumor subvolume geometries investigated, we found that the EUD to high-risk tumor subvolumes could be increased significantly without increasing normal tissue complications above those expected from a treatment plan aiming for uniform dose coverage of the planning target volume. We furthermore found that the tumor subvolume with the highest risk classification had the largest influence on the design of the risk-adaptive dose distribution. The parameter δ had little effect on risk-adaptive optimization. However, the clinical parameters D 5 and γ 5 that represent the risk classification of tumor subvolumes had the largest impact on risk-adaptive optimization. Conclusions: On the whole, risk-adaptive optimization yields heterogeneous dose distributions that match the risk level distribution of different subvolumes within the tumor volume

  13. Remedial investigation of the High-Explosives (HE) Process Area, Lawrence Livermore National Laboratory Site 300

    Energy Technology Data Exchange (ETDEWEB)

    Crow, N.B.; Lamarre, A.L.

    1990-08-01

    This report presents the results of a Remedial Investigation (RI) to define the extent of high explosives (HE) compounds and volatile organic compounds (VOCs) found in the soil, rocks, and ground water of the HE Process Area of Lawrence Livermore National Laboratory's (LLNL) Site 300 Facility. The report evaluates potential public health environmental risks associated with these compounds. Hydrogeologic information available before February 15, 1990, is included; however, chemical analyses and water-level data are reported through March 1990. This report is intended to assist the California Regional Water Quality Control Board (RWQCB)--Central Valley Region and the US Environmental Protection Agency (EPA) in evaluating the extent of environmental contamination of the LLNL HE Process Area and ultimately in designing remedial actions. 90 refs., 20 figs., 7 tabs.

  14. Original Research Identifying patients at high risk for obstructive ...

    African Journals Online (AJOL)

    determine the factors associated with high risk for obstructive sleep apnoea and use it to identify patients at risk for the condition in ... mainstay of management is CPAP in addition to behavioral ..... the present study has some potential limitations which ... consequences of obstructive sleep apnea and short sleep duration.

  15. Awareness and prevalence of metabolic syndrome among high-risk ...

    African Journals Online (AJOL)

    MetS) in high-risk individuals attending 30 internal medicine clinics in Amman, Jordan, and also to evaluate the various factors associated with increased risk of MetS among them. Methods: This retrospective cross-sectional study was carried out ...

  16. Incidence of infective endocarditis among patients considered at high risk

    DEFF Research Database (Denmark)

    Østergaard, Lauge; Valeur, Nana; Ihlemann, Nikolaj

    2018-01-01

    Aims: Patients with prior infective endocarditis (IE), a prosthetic heart valve, or a cyanotic congenital heart disease (CHD) are considered to be at high risk of IE by guidelines. However, knowledge is sparse on the relative risk of IE between these three groups and compared controls. Methods...

  17. Through ARIPAR-GIS the quantified area risk analysis supports land-use planning activities.

    Science.gov (United States)

    Spadoni, G; Egidi, D; Contini, S

    2000-01-07

    The paper first summarises the main aspects of the ARIPAR methodology whose steps can be applied to quantify the impact on a territory of major accident risks due to processing, storing and transporting dangerous substances. Then the capabilities of the new decision support tool ARIPAR-GIS, implementing the mentioned procedure, are described, together with its main features and types of results. These are clearly shown through a short description of the updated ARIPAR study (reference year 1994), in which the impact of changes due to industrial and transportation dynamics on the Ravenna territory in Italy were evaluated. The brief explanation of how results have been used by local administrations offers the opportunity to discuss about advantages of the quantitative area risk analysis tool in supporting activities of risk management, risk control and land-use planning.

  18. Regional Risk Assessment for the analysis of the risks related to storm surge extreme events in the coastal area of the North Adriatic Sea.

    Science.gov (United States)

    Rizzi, Jonathan; Torresan, Silvia; Gallina, Valentina; Critto, Andrea; Marcomini, Antonio

    2013-04-01

    Europe's coast faces a variety of climate change threats from extreme high tides, storm surges and rising sea levels. In particular, it is very likely that mean sea level rise will contribute to upward trends in extreme coastal high water levels, thus posing higher risks to coastal locations currently experiencing coastal erosion and inundation processes. In 2007 the European Commission approved the Flood Directive (2007/60/EC), which has the main purpose to establish a framework for the assessment and management of flood risks for inland and coastal areas, thus reducing the adverse consequences for human health, the environment, cultural heritage and economic activities. Improvements in scientific understanding are thus needed to inform decision-making about the best strategies for mitigating and managing storm surge risks in coastal areas. The CLIMDAT project is aimed at improving the understanding of the risks related to extreme storm surge events in the coastal area of the North Adriatic Sea (Italy), considering potential climate change scenarios. The project implements a Regional Risk Assessment (RRA) methodology developed in the FP7 KULTURisk project for the assessment of physical/environmental impacts posed by flood hazards and employs the DEcision support SYstem for Coastal climate change impact assessment (DESYCO) for the application of the methodology to the case study area. The proposed RRA methodology is aimed at the identification and prioritization of targets and areas at risk from water-related natural hazards in the considered region at the meso-scale. To this aim, it integrates information about extreme storm surges with bio-geophysical and socio-economic information (e.g. vegetation cover, slope, soil type, population density) of the analyzed receptors (i.e. people, economic activities, cultural heritages, natural and semi-natural systems). Extreme storm surge hazard scenarios are defined using tide gauge time series coming from 28 tide gauge

  19. Infectious bursal disease: seroprevalence and associated risk factors in major poultry rearing areas of Ethiopia.

    Science.gov (United States)

    Jenbreie, Shiferaw; Ayelet, Gelagay; Gelaye, Esayas; Kebede, Fekadu; Lynch, Stacey E; Negussie, Haileleul

    2013-01-01

    The study was conducted in eight districts of Ethiopia with the objectives of determining the seroprevalence and associated risk factors of infectious bursal disease (IBD). From the total of 2,597 chicken serum samples examined using ELISA, 83.1 % were found positive. The highest seroprevalence was found at Mekele (90.3 %) while the lowest was recorded at Gondar district (69.8 %). These differences among the study areas were statistically significant (p 0.05). The seroprevalence of the disease was found high in young (≤ 8 weeks) age group (86.6 %) while the lowest prevalence was recorded in adults (>8 weeks) (72 %). This is also statistically significant (p < 0.05) between young and adult age groups. The prevalence of IBD in different production system indicated that higher seroprevalence was recorded in intensive production system (85.9 %) while the lowest was recorded in extensive production system (81.6 %). This difference is also statistically significant (p < 0.05).

  20. Risks of avian influenza transmission in areas of intensive free-ranging duck production with wild waterfowl

    Science.gov (United States)

    Cappelle, Julien; Zhao, Delong; Gilbert, Marius; Newman, Scott H.; Takekawa, John Y.; Gaidet, Nicolas; Prosser, Diann J.; Liu, Ying; Li, Peng; Shu, Yuelong; Xiao, Xiangming

    2014-01-01

    For decades, southern China has been considered to be an important source for emerging influenza viruses since key hosts live together in high densities in areas with intensive agriculture. However, the underlying conditions of emergence and spread of avian influenza viruses (AIV) have not been studied in detail, particularly the complex spatiotemporal interplay of viral transmission between wild and domestic ducks, two major actors of AIV epidemiology. In this synthesis, we examine the risks of avian influenza spread in Poyang Lake, an area of intensive free-ranging duck production and large numbers of wild waterfowl. Our synthesis shows that farming of free-grazing domestic ducks is intensive in this area and synchronized with wild duck migration. The presence of juvenile domestic ducks in harvested paddy fields prior to the arrival and departure of migrant ducks in the same fields may amplify the risk of AIV circulation and facilitate the transmission between wild and domestic populations. We provide evidence associating wild ducks migration with the spread of H5N1 in the spring of 2008 from southern China to South Korea, Russia, and Japan, supported by documented wild duck movements and phylogenetic analyses of highly pathogenic avian influenza H5N1 sequences. We suggest that prevention measures based on a modification of agricultural practices may be implemented in these areas to reduce the intensity of AIV transmission between wild and domestic ducks. This would require involving all local stakeholders to discuss feasible and acceptable solutions.

  1. Brachytherapy boost and cancer-specific mortality in favorable high-risk versus other high-risk prostate cancer

    Directory of Open Access Journals (Sweden)

    Vinayak Muralidhar

    2016-02-01

    Full Text Available Purpose : Recent retrospective data suggest that brachytherapy (BT boost may confer a cancer-specific survival benefit in radiation-managed high-risk prostate cancer. We sought to determine whether this survival benefit would extend to the recently defined favorable high-risk subgroup of prostate cancer patients (T1c, Gleason 4 + 4 = 8, PSA 20 ng/ml. Material and methods: We identified 45,078 patients in the Surveillance, Epidemiology, and End Results database with cT1c-T3aN0M0 intermediate- to high-risk prostate cancer diagnosed 2004-2011 treated with external beam radiation therapy (EBRT only or EBRT plus BT. We used multivariable competing risks regression to determine differences in the rate of prostate cancer-specific mortality (PCSM after EBRT + BT or EBRT alone in patients with intermediate-risk, favorable high-risk, or other high-risk disease after adjusting for demographic and clinical factors. Results : EBRT + BT was not associated with an improvement in 5-year PCSM compared to EBRT alone among patients with favorable high-risk disease (1.6% vs. 1.8%; adjusted hazard ratio [AHR]: 0.56; 95% confidence interval [CI]: 0.21-1.52, p = 0.258, and intermediate-risk disease (0.8% vs. 1.0%, AHR: 0.83, 95% CI: 0.59-1.16, p = 0.270. Others with high-risk disease had significantly lower 5-year PCSM when treated with EBRT + BT compared with EBRT alone (3.9% vs. 5.3%; AHR: 0.73; 95% CI: 0.55-0.95; p = 0.022. Conclusions : Brachytherapy boost is associated with a decreased rate of PCSM in some men with high-risk prostate cancer but not among patients with favorable high-risk disease. Our results suggest that the recently-defined “favorable high-risk” category may be used to personalize therapy for men with high-risk disease.

  2. Physical activity barriers and motivators among high-risk employees.

    Science.gov (United States)

    Paguntalan, John C; Gregoski, Mathew

    2016-11-22

    Worksite wellness programs offer an ideal setting to target high-risk sedentary workers to improve health status. Lack of physical activity is associated with increased risk for coronary heart disease and mortality. Despite the risks, the number of sedentary workers is increasing. This study examined the perceived barriers and motivators for physical activity among employees at high-risk for coronary heart disease. A purposive sample of 24 high-risk workers participating in a wellness program in rural South Carolina were enrolled in the study. Qualitative data was obtained through semi-structured face-to-face interviews. Grounded theory was used to analyze qualitative data, and identify overarching themes. Physical limitations due to pain and weakness, lack of motivation, and lack of time emerged as the main barriers to physical activity. Family relationships were reported as the strongest motivator along with social support and potential health benefits. Findings highlight the unique experience of high-risk workers with physical activity. The findingsunderscore the need to design and implement effective interventions specifically designed to meet the needs of high-risk employees.

  3. DASH - Youth Risk Behavior Surveillance System (YRBSS): High School

    Data.gov (United States)

    U.S. Department of Health & Human Services — 1991-2015. High School Dataset. The Youth Risk Behavior Surveillance System (YRBSS) monitors six categories of priority health behaviors among youth and young...

  4. Chemicals in Meat Cooked at High Temperatures and Cancer Risk

    Science.gov (United States)

    ... Services Directory Cancer Prevention Overview Research Chemicals in Meat Cooked at High Temperatures and Cancer Risk On ... hydrocarbons, and how are they formed in cooked meats? What factors influence the formation of HCA and ...

  5. Perception of teratogenic and foetotoxic risk by health professionals: a survey in Midi-Pyrenees area.

    Directory of Open Access Journals (Sweden)

    Damase-Michel C

    2008-03-01

    Full Text Available Counselling or prescribing drugs during pregnancy requires health professionals to assess risk/benefit ratio for women and their baby. A misperception of the risk may lead to inappropriate decisions for pregnancy outcomes. The aim of the present study was to assess teratogenic and/or foetotoxic risk perception of common medications by general practitioners (GPs and community pharmacists (CPs from the Midi-Pyrenees area.Methods: 103 GPs and 104 CPs were interviewed. For 21 given drugs, a visual-analogue scale was used to evaluate the risk to give birth to a malformed infant if the mother had taken the drug during first trimester of pregnancy. For 9 drugs, health professionals had to say if they thought there was a potential foetotoxic and/or neonatal risk when drugs were administered during late pregnancy.Results: 97% and 91% of GPs and CPs respectively thought that isotretinoin and thalidomide are teratogenic and more than 80% thought that amoxicillin and acetaminophen are safe in early pregnancy. However, 19% of the GPs and 33% of CPs answered there were no teratogenic risk for valproate. Around 11% of both GPs and CPs said that warfarin was safe during pregnancy. For 22% of GPs and for 13% and 27% of CPs respectively, ibuprofen and enalapril were safe on late pregnancy. For each drug, mean value of perceived teratogenic risk by health professionals was higher than values that can be found in scientific references. Concerning isotretinoin, thalidomide and metoclopramide, perceived teratogenic risk was higher for CPs.Conclusion: These data show that the potential teratogenic and foetotoxic risk of several commonly used drugs is unknown by health professionals. Conversely, GPs and CPs who think that a risk exists, overestimate it. This misperception can lead to inappropriate decisions for pregnancy outcomes.

  6. Danger zone: Men, masculinity and occupational health and safety in high risk occupations

    OpenAIRE

    Stergiou-Kita, Mary; Mansfield, Elizabeth; Bezo, Randy; Colantonio, Angela; Garritano, Enzo; Lafrance, Marc; Lewko, John; Mantis, Steve; Moody, Joel; Power, Nicole; Theberge, Nancy; Westwood, Eleanor; Travers, Krista

    2015-01-01

    The workplace is a key setting where gender issues and organizational structures may influence occupational health and safety practices. The enactment of dominant norms of masculinity in high risk occupations can be particularly problematic, as it exposes men to significant risks for injuries and fatalities. To encourage multi-disciplinary collaborations and advance knowledge in the intersecting areas of gender studies, men’s health, work and workplace health and safety, a national network of...

  7. 49 CFR 195.452 - Pipeline integrity management in high consequence areas.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Pipeline integrity management in high consequence... Management § 195.452 Pipeline integrity management in high consequence areas. (a) Which pipelines are covered... that could affect a high consequence area, including any pipeline located in a high consequence area...

  8. Sintering of uranium oxide of high specific surface area

    International Nuclear Information System (INIS)

    Bel, Alain; Francois, Bernard; Delmas, Roger; Caillat, Roger

    1959-01-01

    The extent to which a uranium oxide powder deriving from ammonium uranate or uranium peroxide lends itself to the sintering process depends largely on its specific surface area. When this is greater than 5 m 2 / g there is an optimum temperature for sintering in hydrogen. This temperature becomes less as the specific area of the powder is greater. Reprint of a paper published in Comptes rendus des seances de l'Academie des Sciences, t. 249, p. 1045-1047, sitting of 21 September 1959 [fr

  9. CADYRI, a dynamic mapping tool of human risk associated with flooding in urban areas

    Science.gov (United States)

    Tanguy, M.; Chokmani, K.; Bernier, M.; Poulin, J.

    2013-12-01

    When a flood affects an urban area, the managers and services responsible for public safety need precise and real time information on the localization of the flooded areas, on the submersion heights in those areas, but also on the vulnerability of people exposed to this hazard. Such information is essential for an effective crisis management. Despite a growing interest in this topic over the last 15 years, the development of flood risk assessment tools mainly focused on quantitative modeling of the monetary damages caused by floods to residential buildings or to critical infrastructures. Little attention was paid to the vulnerability of people exposed to flooding but also to the effects of the failure or destruction of critical infrastructures and residential building on people health and security during the disaster. Moreover, these models do not integrate the dynamic features of the flood (extent, submersion heights) and the evolution of human vulnerability in the same mapping tool. Thus, an accurate and precise evaluation of human risk induced by urban flooding is hardly feasible using such models. This study presents CADYRI, a dynamic mapping tool of human risk associated with flooding in urban areas, which fills the actual needs in terms of flood risk evaluation and management. This innovative tool integrates a methodology of flood hazard mapping that simulates, for a given discharge, the associated water level, and subsequently determines the extent of the flooded area and the submersion heights at each point of the flooded area, using a DEM. The dynamics of human vulnerability is then mapped at the household level, according to the characteristics of the flood hazard. Three key components of human vulnerability have been identified and are integrated to CADYRI: 1, the intrinsic vulnerability of the population, estimated by specific socio-economic indicators; 2, the vulnerability of buildings, assessed by their structural features; 3, the vulnerability of

  10. Risk assessment of major hazards: Hazardous materials transportation in urban areas

    Energy Technology Data Exchange (ETDEWEB)

    Hubert, Ph; Pages, P

    1988-02-01

    There is no doubt that, thanks to the pioneering studies of the late seventies and the early eighties, a methodology has been made available that allows risk management of hazardous transportation in urban areas. This approach can easily be extended to the management of other similar risks (storages and to some extent natural hazards). The methodology is both technically available and affordable. The insertion within the decision making processes deserves still some efforts. It has be seen that the applications are broad and numerous. They range from route selection to emergency preparedness, with some insights into acceptability considerations. One limit to the use of such studies, aiming to an objective assessment of the risk, is the complexity of the decision problems, where many factors are to be considered, the most subtle being the one linked to acceptability. However, as such studies develop, those factors start to be clarified, and decision makers learn how to use risk indices in this context. So at the present time it can be said that risk analyses are a valuable input into the decision making process in most cases. And, as more experience is acquired the uses are broader. As any technical innovation risk assessment modifies the approaches to the questions it is dealing with. It seems impossible now to treat those kinds of risks as was done ten years ago.

  11. Risk assessment of major hazards: Hazardous materials transportation in urban areas

    International Nuclear Information System (INIS)

    Hubert, Ph.; Pages, P.

    1988-02-01

    There is no doubt that, thanks to the pioneering studies of the late seventies and the early eighties, a methodology has been made available that allows risk management of hazardous transportation in urban areas. This approach can easily be extended to the management of other similar risks (storages and to some extent natural hazards). The methodology is both technically available and affordable. The insertion within the decision making processes deserves still some efforts. It has be seen that the applications are broad and numerous. They range from route selection to emergency preparedness, with some insights into acceptability considerations. One limit to the use of such studies, aiming to an objective assessment of the risk, is the complexity of the decision problems, where many factors are to be considered, the most subtle being the one linked to acceptability. However, as such studies develop, those factors start to be clarified, and decision makers learn how to use risk indices in this context. So at the present time it can be said that risk analyses are a valuable input into the decision making process in most cases. And, as more experience is acquired the uses are broader. As any technical innovation risk assessment modifies the approaches to the questions it is dealing with. It seems impossible now to treat those kinds of risks as was done ten years ago

  12. Illicit drug use and HIV risk in the Dominican Republic: tourism areas create drug use opportunities.

    Science.gov (United States)

    Guilamo-Ramos, Vincent; Lee, Jane J; Ruiz, Yumary; Hagan, Holly; Delva, Marlyn; Quiñones, Zahira; Kamler, Alexandra; Robles, Gabriel

    2015-01-01

    While the Caribbean has the second highest global human immunodeficiency virus (HIV) prevalence, insufficient attention has been paid to contributing factors of the region's elevated risk. Largely neglected is the potential role of drugs in shaping the Caribbean HIV/acquired immune deficiency syndrome epidemic. Caribbean studies have almost exclusively focused on drug transportation and seldom acknowledged local user economies and drug-related health and social welfare consequences. While tourism is consistently implicated within the Caribbean HIV epidemic, less is known about the intersection of drugs and tourism. Tourism areas represent distinct ecologies of risk often characterised by sex work, alcohol consumption and population mixing between lower and higher risk groups. Limited understanding of availability and usage of drugs in countries such as the Dominican Republic (DR), the Caribbean country with the greatest tourist rates, presents barriers to HIV prevention. This study addresses this gap by conducting in-depth interviews with 30 drug users in Sosúa, a major sex tourism destination of the DR. A two-step qualitative data analysis process was utilised and interview transcripts were systematically coded using a well-defined thematic codebook. Results suggest three themes: (1) local demand shifts drug routes to tourism areas, (2) drugs shape local economies and (3) drug use facilitates HIV risk behaviours in tourism areas.

  13. NCRP Program Area Committee 7: Radiation Education, Risk Communication, Outreach, and Policy.

    Science.gov (United States)

    Becker, S M; Locke, P A

    2016-02-01

    Recognizing the central importance of effective communication, education, and policy across all of the domains of radiation safety and radiation protection, the National Council on Radiation Protection and Measurements (NCRP) established a new committee in 2013. Program Area Committee 7 (PAC 7) was created to develop projects and provide guidance on "Radiation Education, Risk Communication, Outreach, and Policy." After identifying individuals with relevant expertise who were willing to serve, the Committee held its inaugural meeting in 2014. In 2015, the Committee increased its membership and began carrying out an expanded program of activities. One area of activity has involved providing input and feedback on risk communication issues to NCRP and other agencies. Another area of work has involved liaising with other NCRP committees (e.g., Council Committee 1 and PAC 3) to help incorporate psychosocial and risk communication issues into projects. Future efforts of NCRP's newest PAC are expected to include the development of authoritative reports and commentaries dealing with critical issues and challenges in radiation risk communication, education, and policy.

  14. Sensation seeking in males involved in recreational high risk sports

    OpenAIRE

    M Guszkowska; A Bołdak

    2010-01-01

    The study examined sensation seeking intensity level in males involved in recreational high risk sports and investigated whether its level depends on type of sport practised. Additionally, in case of parachutists, sport experience of study participants were scrutinised with regard to its possible impact on the level of sensation seeking.The research involved 217 males aged 17 to 45, practising recreational high risk sports, namely: parachuting (n=98); wakeboarding (n=30); snowboarding (n=30);...

  15. Increased Cardiometabolic Risk and Worsening Hypoxemia at High Altitude

    OpenAIRE

    Miele, Catherine H.; Schwartz, Alan R.; Gilman, Robert H.; Pham, Luu; Wise, Robert A.; Davila-Roman, Victor G.; Jun, Jonathan C.; Polotsky, Vsevolod Y.; Miranda, J. Jaime; Leon-Velarde, Fabiola; Checkley, William

    2016-01-01

    Miele, Catherine H., Alan R. Schwartz, Robert H. Gilman, Luu Pham, Robert A. Wise, Victor G. Davila-Roman, Jonathan C. Jun, Vsevolod Y. Polotsky, J. Jaime Miranda, Fabiola Leon-Velarde, and William Checkley. Increased cardiometabolic risk and worsening hypoxemia at high altitude. High Alt Med Biol. 17:93���100, 2016.���Metabolic syndrome, insulin resistance, diabetes, and dyslipidemia are associated with an increased risk of cardiovascular disease. While excessive erythrocytosis is associated...

  16. Lifetime risk of urothelial carcinoma and lung cancer in the arseniasis-endemic area of Northeastern Taiwan

    Science.gov (United States)

    Yang, Tse-Yen; Hsu, Ling-I.; Chen, Hui-Chi; Chiou, Hung-Yi; Hsueh, Yu-Mei; Wu, Meei-Maan; Chen, Chi-Ling; Wang, Yuan-Hung; Liao, Ya-Tang; Chen, Chien-Jen

    2013-11-01

    Arsenic in drinking water has been shown to increase the risk of urothelial carcinoma and lung cancer. However, the lifetime risk of developing urothelial carcinoma and lung cancer caused by exposure to arsenic in drinking water has not been reported. This study aimed to assess the lifetime risk of urothelial carcinoma and lung cancer caused by arsenic exposure from drinking water and cigarette smoking habit for residents living in the arseniasis-endemic area in Northeastern Taiwan. We recruited 8086 residents in 1991-1994 and monitored them for their newly developed types of cancers, identified by computerized linkage with the national cancer registry profile. There were 37 newly diagnosed urothelial carcinoma cases and 223 new lung cancer cases during the follow-up period (until 2007). The lifetime (35-85 years old) cumulative risk of developing urothelial carcinoma from an arsenic concentration in the drinking water of smoking was associated with an increased risk of urothelial carcinoma and lung cancer, showing the hazard ratio (95% confidence interval) of 2.48 (1.27-4.82) and 3.44 (2.00-5.90) after adjusting for the arsenic concentration in drinking water. After adjusting for cigarette smoking, the hazard ratio (95% confidence interval) of developing urothelial carcinoma caused by the arsenic concentration in drinking water of smoking. It is suggested that people who have had a high exposure to arsenic in drinking water should stop smoking cigarettes to lower their lifetime risk of urothelial carcinoma and lung cancer.

  17. Identification of the high risk emergency surgical patient: Which risk prediction model should be used?

    Science.gov (United States)

    Stonelake, Stephen; Thomson, Peter; Suggett, Nigel

    2015-09-01

    National guidance states that all patients having emergency surgery should have a mortality risk assessment calculated on admission so that the 'high risk' patient can receive the appropriate seniority and level of care. We aimed to assess if peri-operative risk scoring tools could accurately calculate mortality and morbidity risk. Mortality risk scores for 86 consecutive emergency laparotomies, were calculated using pre-operative (ASA, Lee index) and post-operative (POSSUM, P-POSSUM and CR-POSSUM) risk calculation tools. Morbidity risk scores were calculated using the POSSUM predicted morbidity and compared against actual morbidity according to the Clavien-Dindo classification. The actual mortality was 10.5%. The average predicted risk scores for all laparotomies were: ASA 26.5%, Lee Index 2.5%, POSSUM 29.5%, P-POSSUM 18.5%, CR-POSSUM 10.5%. Complications occurred following 67 laparotomies (78%). The majority (51%) of complications were classified as Clavien-Dindo grade 2-3 (non-life-threatening). Patients having a POSSUM morbidity risk of greater than 50% developed significantly more life-threatening complications (CD 4-5) compared with those who predicted less than or equal to 50% morbidity risk (P = 0.01). Pre-operative risk stratification remains a challenge because the Lee Index under-predicts and ASA over-predicts mortality risk. Post-operative risk scoring using the CR-POSSUM is more accurate and we suggest can be used to identify patients who require intensive care post-operatively. In the absence of accurate risk scoring tools that can be used on admission to hospital it is not possible to reliably audit the achievement of national standards of care for the 'high-risk' patient.

  18. Evaluation of the Prostate Cancer Prevention Trial Risk Calculator in a High-Risk Screening Population

    Science.gov (United States)

    Kaplan, David J.; Boorjian, Stephen A.; Ruth, Karen; Egleston, Brian L.; Chen, David Y.T.; Viterbo, Rosalia; Uzzo, Robert G.; Buyyounouski, Mark K.; Raysor, Susan; Giri, Veda N.

    2009-01-01

    Introduction Clinical factors in addition to PSA have been evaluated to improve risk assessment for prostate cancer. The Prostate Cancer Prevention Trial (PCPT) risk calculator provides an assessment of prostate cancer risk based on age, PSA, race, prior biopsy, and family history. This study evaluated the risk calculator in a screening cohort of young, racially diverse, high-risk men with a low baseline PSA enrolled in the Prostate Cancer Risk Assessment Program. Patients and Methods Eligibility for PRAP include men ages 35-69 who are African-American, have a family history of prostate cancer, or have a known BRCA1/2 mutation. PCPT risk scores were determined for PRAP participants, and were compared to observed prostate cancer rates. Results 624 participants were evaluated, including 382 (61.2%) African-American men and 375 (60%) men with a family history of prostate cancer. Median age was 49.0 years (range 34.0-69.0), and median PSA was 0.9 (range 0.1-27.2). PCPT risk score correlated with prostate cancer diagnosis, as the median baseline risk score in patients diagnosed with prostate cancer was 31.3%, versus 14.2% in patients not diagnosed with prostate cancer (p<0.0001). The PCPT calculator similarly stratified the risk of diagnosis of Gleason score ≥7 disease, as the median risk score was 36.2% in patients diagnosed with Gleason ≥7 prostate cancer versus 15.2% in all other participants (p<0.0001). Conclusion PCPT risk calculator score was found to stratify prostate cancer risk in a cohort of young, primarily African-American men with a low baseline PSA. These results support further evaluation of this predictive tool for prostate cancer risk assessment in high-risk men. PMID:19709072

  19. Environmental risk assessment in an oil production station near a mangrove area

    Energy Technology Data Exchange (ETDEWEB)

    Z' Graggen, M.; Moraes, R.; Ferreira, H.; Thomas, C. [Golder Associates, Rio de Janeiro, RJ (Brazil); Linhares, M.; Vaqueiro, R.L.C.; Sauerbronn, J.L.B. [PETROBRAS, Rio de Janeiro, RJ (Brazil)

    2004-07-01

    Pedra Branca Station is an oil production area that pumps, stores and transfers crude oil from wells located near the station. It is located 2 km of the mouth of the Sao Paulo River, northeast Brazil, in a mangrove area of social, economical and environmental importance. During the past 30+ years of operation, the area has been contaminated with leaks and spills of crude oil from pipelines and storage tanks. The assessment aimed to verify if local conditions represent risk to maintenance workers at the Station, nearby residents that collect firewood and shellfish and that consume shellfish from the Site. Crab and oyster samples were collected and analyzed and a questionnaire concerning activities of workers and residents was administrated. Contaminants of potential concern included barium, polycyclic aromatic hydrocarbons and petroleum hydrocarbons. Potential risks associated with soil/sediment ingestion, dermal contact with soil/sediment and ingestion of shellfish were evaluated. The study indicated that risks to maintenance worker and nearby residents due to exposure to non-carcinogenic and carcinogenic substances present in soil, sediment, and shellfish were below limits considered acceptable to regulatory authorities. The evaluation provided scientific bases for decision making regarding the management of the contaminated area. (author)

  20. Informal e-waste recycling: environmental risk assessment of heavy metal contamination in Mandoli industrial area, Delhi, India.

    Science.gov (United States)

    Pradhan, Jatindra Kumar; Kumar, Sudhir

    2014-01-01

    Nowadays, e-waste is a major source of environmental problems and opportunities due to presence of hazardous elements and precious metals. This study was aimed to evaluate the pollution risk of heavy metal contamination by informal recycling of e-waste. Environmental risk assessment was determined using multivariate statistical analysis, index of geoaccumulation, enrichment factor, contamination factor, degree of contamination and pollution load index by analysing heavy metals in surface soils, plants and groundwater samples collected from and around informal recycling workshops in Mandoli industrial area, Delhi, India. Concentrations of heavy metals like As (17.08 mg/kg), Cd (1.29 mg/kg), Cu (115.50 mg/kg), Pb (2,645.31 mg/kg), Se (12.67 mg/kg) and Zn (776.84 mg/kg) were higher in surface soils of e-waste recycling areas compared to those in reference site. Level exceeded the values suggested by the US Environmental Protection Agency (EPA). High accumulations of heavy metals were also observed in the native plant samples (Cynodon dactylon) of e-waste recycling areas. The groundwater samples collected form recycling area had high heavy metal concentrations as compared to permissible limit of Indian Standards and maximum allowable limit of WHO guidelines for drinking water. Multivariate analysis and risk assessment studies based on total metal content explains the clear-cut differences among sampling sites and a strong evidence of heavy metal pollution because of informal recycling of e-waste. This study put forward that prolonged informal recycling of e-waste may accumulate high concentration of heavy metals in surface soils, plants and groundwater, which will be a matter of concern for both environmental and occupational hazards. This warrants an immediate need of remedial measures to reduce the heavy metal contamination of e-waste recycling sites.

  1. Screening for breast cancer in a high-risk series

    International Nuclear Information System (INIS)

    Woodard, E.D.; Hempelmann, L.H.; Janus, J.; Logan, W.; Dean, P.

    1982-01-01

    A unique cohort of women at increased risk of breast cancer because of prior X-ray treatment of acute mastitis and their selected high-risk siblings were offered periodic breast cancer screening including physical examination of the breasts, mammography, and thermography. Twelve breast cancers were detected when fewer than four would have been expected based on age-specific breast cancer detection rates from the National Cancer institute/American Cancer Society Breast Cancer Demonstration Detection Projects. Mammograpy was positive in all cases but physical examination was positive in only three cases. Thermography was an unreliable indicator of disease. Given the concern over radiation-induced risk, use of low-dose technique and of criteria for participation that select women at high risk of breast cancer will maximize the benefit/risk ratio for mammography screening

  2. Aloe vera Derived Activated High-Surface-Area Carbon for Flexible and High-Energy Supercapacitors.

    Science.gov (United States)

    Karnan, M; Subramani, K; Sudhan, N; Ilayaraja, N; Sathish, M

    2016-12-28

    Materials which possess high specific capacitance in device configuration with low cost are essential for viable application in supercapacitors. Herein, a flexible high-energy supercapacitor device was fabricated using porous activated high-surface-area carbon derived from aloe leaf (Aloe vera) as a precursor. The A. vera derived activated carbon showed mesoporous nature with high specific surface area of ∼1890 m 2 /g. A high specific capacitance of 410 and 306 F/g was achieved in three-electrode and symmetric two-electrode system configurations in aqueous electrolyte, respectively. The fabricated all-solid-state device showed a high specific capacitance of 244 F/g with an energy density of 8.6 Wh/kg. In an ionic liquid electrolyte, the fabricated device showed a high specific capacitance of 126 F/g and a wide potential window up to 3 V, which results in a high energy density of 40 Wh/kg. Furthermore, it was observed that the activation temperature has significant role in the electrochemical performance, as the activated sample at 700 °C showed best activity than the samples activated at 600 and 800 °C. The electron microscopic images (FE-SEM and HR-TEM) confirmed the formation of pores by the chemical activation. A fabricated supercapacitor device in ionic liquid with 3 V could power up a red LED for 30 min upon charging for 20s. Also, it is shown that the operation voltage and capacitance of flexible all-solid-state symmetric supercapacitors fabricated using aloe-derived activated carbon could be easily tuned by series and parallel combinations. The performance of fabricated supercapacitor devices using A. vera derived activated carbon in all-solid-state and ionic liquid indicates their viable applications in flexible devices and energy storage.

  3. Geo-environmental model for the prediction of potential transmission risk of Dirofilaria in an area with dry climate and extensive irrigated crops. The case of Spain.

    Science.gov (United States)

    Simón, Luis; Afonin, Alexandr; López-Díez, Lucía Isabel; González-Miguel, Javier; Morchón, Rodrigo; Carretón, Elena; Montoya-Alonso, José Alberto; Kartashev, Vladimir; Simón, Fernando

    2014-03-01

    Zoonotic filarioses caused by Dirofilaria immitis and Dirofilaria repens are transmitted by culicid mosquitoes. Therefore Dirofilaria transmission depends on climatic factors like temperature and humidity. In spite of the dry climate of most of the Spanish territory, there are extensive irrigated crops areas providing moist habitats favourable for mosquito breeding. A GIS model to predict the risk of Dirofilaria transmission in Spain, based on temperatures and rainfall data as well as in the distribution of irrigated crops areas, is constructed. The model predicts that potential risk of Dirofilaria transmission exists in all the Spanish territory. Highest transmission risk exists in several areas of Andalucía, Extremadura, Castilla-La Mancha, Murcia, Valencia, Aragón and Cataluña, where moderate/high temperatures coincide with extensive irrigated crops. High risk in Balearic Islands and in some points of Canary Islands, is also predicted. The lowest risk is predicted in Northern cold and scarcely or non-irrigated dry Southeastern areas. The existence of irrigations locally increases transmission risk in low rainfall areas of the Spanish territory. The model can contribute to implement rational preventive therapy guidelines in accordance with the transmission characteristics of each local area. Moreover, the use of humidity-related factors could be of interest in future predictions to be performed in countries with similar environmental characteristics. Copyright © 2014 Elsevier B.V. All rights reserved.

  4. Estimation of stochastic effects risk in children from areas affected by the Chernobyl accident

    International Nuclear Information System (INIS)

    Jova S, L.; Garcia L, O.; Valdes R, M.

    1996-01-01

    Radiation risk estimation of stochastic effect was evaluated in a group of children assisted in the Cuba Republic as part of the program for medical attention with children from areas affected by the Chernobyl accident . Doses, received from different sources, were estimated for risk evaluation. The study shows total detrimental effects between 0,02 - 0,01% for different groups; values lower than expected for developed country (17-20%). Fatal thyroid cancer increased up to 0,07% in one of the studied groups. (authors). 8 refs., 4 tabs

  5. Risk perception and access to environmental information in four areas in Italy affected by natural or anthropogenic pollution.

    Science.gov (United States)

    Coi, A; Minichilli, F; Bustaffa, E; Carone, S; Santoro, M; Bianchi, F; Cori, L

    2016-10-01

    A human biomonitoring (HBM) survey in four areas affected by natural or anthropogenic arsenic pollution was conducted in Italy within the framework of the SEpiAs project. A questionnaire, including the exploration of risk perception (RP) regarding environmental hazards and access to and trust in information, was administered to 282 subjects stratified by area, gender and age. The survey was designed to investigate how populations living in polluted areas could adopt prevention-oriented habits, fostered by the awareness of existing risks and, in addition, how increased knowledge of RP and information flows could support researchers in identifying recommendations, and presenting and disseminating HBM results. This study characterizes the four areas in terms of RP and access to and trust in environmental information, and provides insights into the influence of RP and environmental information on food consumption. For the data analysis, a combined random forest (RF) and logistic regression approach was carried out. RF was applied to the variables derived from the questionnaire in order to identify the most important in terms of the aims defined. Associations were then tested using Fisher's exact test and assessed with logistic regression in order to adjust for confounders. Results showed that the perception of and personal exposure to atmospheric and water pollution, hazardous industries and waste, hazardous material transportation and waste was higher in geographical areas characterized by anthropogenic pollution. Citizens living in industrial areas appeared to be aware of environmental risks and had more confidence in environmental non-governmental organizations (NGOs) than in public authorities. In addition, they reported an insufficient circulation of information. Concerning the influence of RP and environmental information on food consumption, a high perception of personal exposure to atmospheric pollution and hazardous industries was associated with a lower

  6. Possible emissions of POPs in plain and hilly areas of Nepal: Implications for source apportionment and health risk assessment.

    Science.gov (United States)

    Yadav, Ishwar Chandra; Devi, Ningombam Linthoingambi; Li, Jun; Zhang, Gan; Breivik, Knut

    2017-01-01

    Ambient air is a core media chosen for monitoring under the Stockholm Convention on POPs. While extensive monitoring of POPs in ambient air has been carried out in some parts of the globe, there are still regions with very limited information available, such as some developing countries as Nepal. This study therefore aims to target the occurrence of selected POPs in Nepal in suspected source areas/more densely populated regions. Four potential source regions in Nepal were furthermore targeted as it was hypothesized that urban areas at lower altitudes (Birgunj and Biratnagar located at approximately 86 and 80 m.a.s.l.) would be potentially more affected by OCPs because of more intensive agricultural activities in comparison to urban areas at higher altitudes (Kathmandu, Pokhara located 1400 and 1135 m.a.s.l). As some of these areas could also be impacted by LRAT, air mass back trajectories during the sampling period were additionally evaluated using HYSPLIT. The concentrations of overall POPs were twice as high in plain areas in comparison to hilly areas. DDTs and HCHs were most frequently detected in the air samples. The high p,p'-DDT/(pp'-DDE + pp'-DDD) ratio as well as the low o,p'-DDT/p,p'-DDT ratio observed in this study was inferred as continuing use of technical DDT. High levels of ∑ 26 PCBs were linked to proximity to highly urbanized and industrial areas, indicating the potential source of PCBs. The measured concentrations of legacy POPs in air from this study is assumed to represent a negligible health risk through inhalation of ambient air, however, other modes of human exposure could still be relevant in Nepal. The air mass backward trajectory analysis revealed that most of the air masses sampled originated from India and the Bay of Bengal. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. High prevalence of suicide risk in people living with HIV: who is at higher risk?

    Science.gov (United States)

    Passos, Susane Müller Klug; Souza, Luciano Dias de Mattos; Spessato, Bárbara Coiro

    2014-01-01

    A cross-sectional study was developed to evaluate suicide risk and associated factors in HIV/AIDS patients at a regional reference center for the treatment of HIV/AIDS in southern Brazil. We assessed 211 patients in regard to suicide risk, clinical and sociodemographic characteristics, drug use, depression, and anxiety. Suicide risk was assessed with Mini International Neuropsychiatric Interview, Module C. Multivariate analysis was performed using Poisson regression. Of the total sample, 34.1% were at risk of suicide. In the multivariate analysis, the following variables were independently associated with suicide risk: female gender; age up to 47 years; unemployment; indicative of anxiety; indicative of depression; and abuse or addiction on psychoactive substances. Suicide risk is high in this population. Psychosocial factors should be included in the physical and clinical evaluation, given their strong association with suicide risk.

  8. Communicating about risk: strategies for situations where public concern is high but the risk is low

    Directory of Open Access Journals (Sweden)

    Claire Hooker

    2017-02-01

    Full Text Available In this article, we summarise research that identifies best practice for communicating about hazards where the risk is low but public concern is high. We apply Peter Sandman’s ‘risk = hazard + outrage’ formulation to these risks, and review factors associated with the amplification of risk signals. We discuss the structures that determine the success of risk communication strategies, such as the capacity for early communication to ‘capture’ the dominant representation of risk issues, the importance of communicating uncertainty, and the usefulness of engaging with communities. We argue that, when facing trade-offs in probable outcomes from communication, it is always best to choose strategies that maintain or build trust, even at the cost of initial overreactions. We discuss these features of successful risk communication in relation to a range of specific examples, particularly opposition to community water fluoridation, Ebola, and routine childhood immunisation.

  9. [Assessment of dietary iodine intake of population in non-high-iodine areas in China].

    Science.gov (United States)

    Song, Xiaoyu; Li, Fengqin; Liu, Zhaoping; He, Yuna; Sui, Haixia; Mao, Weifeng; Liu, Sana; Yan, Weixing; Li, Ning; Chen, Junshi

    2011-03-01

    To assess the potential risk of dietary iodine insufficiency of population in non-high-iodine areas (water iodine China. The dietary iodine intake of 13 age-sex population groups were estimated by combining the data of iodine intake from food, table salt and drinking water. Two conditions were considered: consuming iodized salt or non-iodized salt. The data of food and table salt consumption were derived from the Chinese National Nutrition and Health Survey in 2002. Water consumption was calculated as the recommended water intake. Iodine contents of food, table salt and water were calculated from China Food Composition Table and iodine surveillance data. Under the condition of consuming iodized salt, the average iodine intake of all population groups was higher than the Recommended Nutrient Intake (RNI), while the iodine intakes of individuals above Upper Limits (UL) and below RNI were 5.8% and 13.4% respectively, and the iodine intake of individuals lower than the Estimated Average Requirement (EAR) was 9.4% in adults above 18 years of age (including pregnant and lactating women). If non-iodized salt was consumed, the average iodine intake of most sex-age population groups was higher than RNI, but the iodine intake of 97.6% of individuals would be lower than RNI, while the iodine intake of 97.4% of adults would be lower than EAR. The contribution of iodine from table salt was much higher than that from drinking water and food in the condition of consuming iodized salt, while food was the predominant contributor of dietary iodine in the condition of consuming non-iodized salt. The health risk of iodine deficiency was higher than that of iodine excess in areas where water iodine was China, and the risk of iodine insufficiency was much higher if non-iodized salt was consumed. Iodized salt should be the main sources of dietary iodine intake for population in areas where water iodine was China.

  10. Area-level poverty and preterm birth risk: A population-based multilevel analysis

    Directory of Open Access Journals (Sweden)

    Muglia Louis A

    2008-09-01

    Full Text Available Abstract Background Preterm birth is a complex disease with etiologic influences from a variety of social, environmental, hormonal, genetic, and other factors. The purpose of this study was to utilize a large population-based birth registry to estimate the independent effect of county-level poverty on preterm birth risk. To accomplish this, we used a multilevel logistic regression approach to account for multiple co-existent individual-level variables and county-level poverty rate. Methods Population-based study utilizing Missouri's birth certificate database (1989–1997. We conducted a multilevel logistic regression analysis to estimate the effect of county-level poverty on PTB risk. Of 634,994 births nested within 115 counties in Missouri, two levels were considered. Individual-level variables included demographics factors, prenatal care, health-related behavioral risk factors, and medical risk factors. The area-level variable included the percentage of the population within each county living below the poverty line (US census data, 1990. Counties were divided into quartiles of poverty; the first quartile (lowest rate of poverty was the reference group. Results PTB th quartile (4.9%, p adjOR 1.18 (95% CI 1.03, 1.35, with a similar effect at earlier gestational ages (adjOR 1.27 (95% CI 1.06, 1.52. Conclusion Women residing in socioeconomically deprived areas are at increased risk of preterm birth, above other underlying risk factors. Although the risk increase is modest, it affects a large number of pregnancies.

  11. Risk factors for low birth-weight in areas with varying malaria transmission in Korogwe, Tanzania: implications for malaria control

    DEFF Research Database (Denmark)

    Mmbando, Bruno Paul; Cole-Lewis, H; Sembuche, S

    2008-01-01

    Low birth weight (LBW) is a risk factor for infant mortality, morbidity, growth retardation, poor cognitive development, and chronic diseases. Maternal exposure to diseases such as malaria, HIV, and syphilis has been shown to have a significant impact on birth weight (BW). This study was aimed...... at determining whether there was a difference in rates of LBW in areas of varying malaria transmission intensity in Korogwe, Tanzania. Retrospective data for one year (June 2004-May 2005) in three maternal and child health (MCH) clinics in the district were analysed. Villages were stratified into three strata...... babies compared to first parity women (OR=0.44, 95% CI 0.19-0.98, P=0.045). Similarly, the risk of LBW was higher in women who had delayed MCH gestational booking and in women who conceived during high malaria transmission seasons. There was high degree of preference of digits ending with 0...

  12. Predicting reattendance at a high-risk breast cancer clinic.

    Science.gov (United States)

    Ormseth, Sarah R; Wellisch, David K; Aréchiga, Adam E; Draper, Taylor L

    2015-10-01

    The research about follow-up patterns of women attending high-risk breast-cancer clinics is sparse. This study sought to profile daughters of breast-cancer patients who are likely to return versus those unlikely to return for follow-up care in a high-risk clinic. Our investigation included 131 patients attending the UCLA Revlon Breast Center High Risk Clinic. Predictor variables included age, computed breast-cancer risk, participants' perceived personal risk, clinically significant depressive symptomatology (CES-D score ≥ 16), current level of anxiety (State-Trait Anxiety Inventory), and survival status of participants' mothers (survived or passed away from breast cancer). A greater likelihood of reattendance was associated with older age (adjusted odds ratio [AOR] = 1.07, p = 0.004), computed breast-cancer risk (AOR = 1.10, p = 0.017), absence of depressive symptomatology (AOR = 0.25, p = 0.009), past psychiatric diagnosis (AOR = 3.14, p = 0.029), and maternal loss to breast cancer (AOR = 2.59, p = 0.034). Also, an interaction was found between mother's survival and perceived risk (p = 0.019), such that reattendance was associated with higher perceived risk among participants whose mothers survived (AOR = 1.04, p = 0.002), but not those whose mothers died (AOR = 0.99, p = 0.685). Furthermore, a nonlinear inverted "U" relationship was observed between state anxiety and reattendance (p = 0.037); participants with moderate anxiety were more likely to reattend than those with low or high anxiety levels. Demographic, medical, and psychosocial factors were found to be independently associated with reattendance to a high-risk breast-cancer clinic. Explication of the profiles of women who may or may not reattend may serve to inform the development and implementation of interventions to increase the likelihood of follow-up care.

  13. Flood risk and climate change in the Rotterdam area, The Netherlands: Enhancing citizen's climate risk perceptions and prevention responses despite skepticism

    OpenAIRE

    de Boer, J.; Botzen, W.J.W.; Terpstra, T.

    2016-01-01

    Effective communication about climate change and related risks is complicated by the polarization between “climate alarmists” and “skeptics.” This paper provides insights for the design of climate risk communication strategies by examining how the interplay between climate change and flood risk communication affects citizens’ risk perceptions and responses. The study is situated in a delta area with substantial geographic variations in the occurrence and potential impact of flood risk, which ...

  14. The high-risk HPV infection and urinary system tumor

    Directory of Open Access Journals (Sweden)

    Yang Wenyan

    2018-04-01

    Full Text Available HPV is classified into high-risk and low-risk types depending on its probability of leading to tumorigenesis. Many studies have shown that HPV infection, especially the infection caused by the high-risk type, is always related to prostate cancer, bladder cancer, penile cancer, testicular cancer, and other urinary system tumors. However, previous studies differed in sexual openness and racial genetic susceptibility of the study object, sample size, and experimental methods. Hence, the correlation between high-risk HPV infection and urinary system tumors remains controversial. The early open reading frame of the HPV genome is composed of E1–E7, among which E6 and E7 are the key transfer proteins. The combination of these proteins with oncogene and anti-oncogene may be one of the mechanisms leading to tumorigenesis.

  15. High Energy Astrophysics with the Fermi Large Area Telescope

    Science.gov (United States)

    Hays, Elizabeth

    2009-01-01

    This slide presentation reviews some of the findings of the Large Area Telescope (LAT) aboard the Fermi Observatory. It includes information about the LAT, and the Gamma-Ray Burst Monitor (GBM), detection of the quiet sun and the moon in gamma rays, Pulsars observed by the observatory, Globular Star Clusters, Active Galactic Nucleus, and Gamma-Ray Bursts, with specific information about GRB 080916C.

  16. Diagnosis and Management of High Risk Group for Gastric Cancer

    Science.gov (United States)

    Yoon, Hyuk; Kim, Nayoung

    2015-01-01

    Gastric cancer is associated with high morbidity and mortality worldwide. To reduce the socioeconomic burden related to gastric cancer, it is very important to identify and manage high risk group for gastric cancer. In this review, we describe the general risk factors for gastric cancer and define high risk group for gastric cancer. We discuss strategies for the effective management of patients for the prevention and early detection of gastric cancer. Atrophic gastritis (AG) and intestinal metaplasia (IM) are the most significant risk factors for gastric cancer. Therefore, the accurate selection of individuals with AG and IM may be a key strategy for the prevention and/or early detection of gastric cancer. Although endoscopic evaluation using enhanced technologies such as narrow band imaging-magnification, the serum pepsinogen test, Helicobacter pylori serology, and trefoil factor 3 have been evaluated, a gold standard method to accurately select individuals with AG and IM has not emerged. In terms of managing patients at high risk of gastric cancer, it remains uncertain whether H. pylori eradication reverses and/or prevents the progression of AG and IM. Although endoscopic surveillance in high risk patients is expected to be beneficial, further prospective studies in large populations are needed to determine the optimal surveillance interval. PMID:25547086

  17. Chromosome translocation in residents of the high background radiation areas in southern China

    International Nuclear Information System (INIS)

    Hayata, Isamu; Minamihisamatsu, Masako; Wang Chunyan; Wei Zhang; Chen Deqing; Morishima, Hiroshige; Yuan Yongling; Wei Luxin; Sugahara, Tsutomu

    2000-01-01

    We performed a cytogenetical study using chromosome painting analysis on 9 residents of the naturally high background radiation areas (HBRA) and 8 residents of the control areas in southern China. The estimated dose (air kerma) of each resident measured by an electric pocket dosimeter showed 2.20-4.23 mGy/year in HBRA and 0.56-0.70 mGy/year in the control areas. A total of 14,096 cells (1,566 cells/case) in the former and 17,522 cells (2,190 cells/case) in the latter were analyzed. Children, both in HBRA and in the control areas, had translocations at low frequencies. The frequency of translocations among elder individuals varied widely and it was not possible to detect dose effect although it was detected in dicentrics. The effect of radiation on the induction of chromosome aberrations, which have a statistically potential risk of causing malignant or congenital diseases, seems to be less significant than those of metabolic factors and/or mutagenic agents (excluding radiation) even in HBRA in China. (author)

  18. The process and risk of the CPR1000 cold function test in the cold area

    International Nuclear Information System (INIS)

    Liu Tinghao; Zhang Jian; Ji Dapeng; Shi Quanjian; Tian Kuo

    2014-01-01

    Hong yanhe nuclear power station is the first CPR1000 reactor which is under construction in the cold area of north China. It is also the first time to carry out the cold functional test (CFT) in the winter of north China. The preparation and process of CFT are described in the paper. According to the experience feedback of CFT of Unit 1, the risk and solution which are significance for the CFT of the other NPS in the cold area are analysed. (authors)

  19. Assessment of the risk of introduction of Anoplophora glabripennis (Coleoptera: Cerambycidae) in municipal solid waste from the quarantine area of New York City to landfills outside of the quarantine area: a pathway analysis of the risk of spread and establishment.

    Science.gov (United States)

    Auclair, Allan N D; Fowler, G; Hennessey, M K; Hogue, A T; Keena, M; Lance, D R; McDowell, R M; Oryang, D O; Sawyer, A J

    2005-02-01

    The risk associated with spread of Asian longhorned beetle, Anoplophora glabripennis (Motschulsky), from infested areas in New York City to the wide array of landfills across the eastern United States contracted by the city since 1997 was unknown, but of great concern. Landfills, some as far as South Carolina, Virginia, and Ohio, occupied forest types and climates at high risk of Asian longhorned beetle establishment. The city proposed a separate waste wood collection known as the "311 System;" this was estimated to cost federal and state agencies $6.1 to $9.1 million per year, including the cost of processing and disposal of the wood. Pathway analysis was used to quantify the probability that Asian longhorned beetle present in wood waste collected at curbside would survive transport, compaction, and burial to form a mated pair. The study found that in seven alternate management scenarios, risks with most pathways are very low, especially given existing mitigations. Mitigations included chemical control, removal of infested trees, and burial of wood waste in managed landfills that involved multiple-layering, compaction, and capping of dumped waste with a 15-cm soil cover at the end of each day. Although the risk of business-as-usual collection and disposal practices was virtually nil, any changes of policy or practice such as illegal dumping or disposal at a single landfill increased the risk many thousandfold. By rigorously maintaining and monitoring existing mitigations, it was estimated that taxpayers would save $75 to $122 million dollars over the next decade.

  20. Management of Skin Cancer in the High-Risk Patient.

    Science.gov (United States)

    Behan, James W; Sutton, Adam; Wysong, Ashley

    2016-12-01

    Skin cancer is the most common of human cancers and outnumbers all other types of cancer combined in the USA by over threefold. The majority of non-melanoma skin cancers are easily treated with surgery or locally destructive techniques performed under local anesthesia in the cost-effective outpatient setting. However, there is a subset of "high-risk" cases that prove challenging in terms of morbidity, mortality, adjuvant treatment required, as well as overall cost to the health care system. In our opinion, the term "high risk" when applied to skin cancer can mean one of three things: a high-risk tumor with aggressive histologic and/or clinical features with an elevated risk for local recurrence or regional/distant metastasis, a high-risk patient with the ongoing development of multiple skin cancers, and a high-risk patient based on immunosuppression. We have recently proposed classifying NMSC as a chronic disease in a certain subset of patients. Although no consensus definition exists for a chronic disease in medicine, there are three components that are present in most definitions: duration of at least 1 year, need for ongoing medical care, and functional impairment and/or alteration of activities of daily living (ADLs) and quality of life (QOL). Immunosuppression can refer to exogenous (organ or stem cell transplant patients,) or endogenous (HIV, leukemia, lymphoma, genodermatoses with DNA mismatch repair problems or other immunosuppression) causes. These patients are at risk for high-risk tumors and/or the development of multiple tumors.

  1. Screening for Behavioral Risk: Identification of High Risk Cut Scores within the Social, Academic, and Emotional Behavior Risk Screener (SAEBRS)

    Science.gov (United States)

    Kilgus, Stephen P.; Taylor, Crystal N.; von der Embse, Nathaniel P.

    2018-01-01

    The purpose of this study was to support the identification of Social, Academic, and Emotional Behavior Risk Screener (SAEBRS) cut scores that could be used to detect high-risk students. Teachers rated students across two time points (Time 1 n = 1,242 students; Time 2 n = 704) using the SAEBRS and the Behavioral and Emotional Screening System…

  2. The risk ogf high-risk jobs : psychological health consequences in forensic physicians and ambulance workers

    NARCIS (Netherlands)

    Ploeg, E. van der

    2003-01-01

    The risk of high-risk jobs: Psychological health consequences in forensic doctors and ambulance workers This thesis has shown that forensic physicians and ambulance personnel frequently suffer from psychological complaints as a result of dramatic events and sources of chronic work stress. A

  3. On risk, leverage and banks: do highly leveraged banks take on excessive risk?

    NARCIS (Netherlands)

    Koudstaal, M.; van Wijnbergen, S.

    2012-01-01

    This paper deals with the relation between excessive risk taking and capital structure in banks. Examining a quarterly dataset of U.S. banks between 1993 and 2010, we find that equity is valued higher when more risky portfolios are chosen when leverage is high, and that more risk taking has a

  4. Who Takes Risks in High-Risk Sports? A Typological Personality Approach

    Science.gov (United States)

    Castanier, Carole; Le Scanff, Christine; Woodman, Tim

    2010-01-01

    We investigated the risk-taking behaviors of 302 men involved in high-risk sports (downhill skiing, mountaineering, rock climbing, paragliding, or skydiving). The sportsmen were classified using a typological approach to personality based on eight personality types, which were constructed from combinations of neuroticism, extraversion, and…

  5. Health risk assessment of drinking arsenic-containing groundwater in Hasilpur, Pakistan: effect of sampling area, depth, and source.

    Science.gov (United States)

    Tabassum, Riaz Ahmad; Shahid, Muhammad; Dumat, Camille; Niazi, Nabeel Khan; Khalid, Sana; Shah, Noor Samad; Imran, Muhammad; Khalid, Samina

    2018-02-10

    Currently, several news channels and research publications have highlighted the dilemma of arsenic (As)-contaminated groundwater in Pakistan. However, there is lack of data regarding groundwater As content of various areas in Pakistan. The present study evaluated As contamination and associated health risks in previously unexplored groundwater of Hasilpur-Pakistan. Total of 61 groundwater samples were collected from different areas (rural and urban), sources (electric pump, hand pump, and tubewell) and depths (35-430 ft or 11-131 m). The water samples were analyzed for As level and other parameters such as pH, electrical conductivity, total dissolved solids, cations, and anions. It was found that 41% (25 out of 61) water samples contained As (≥ 5 μg/L). Out of 25 As-contaminated water samples, 13 water samples exceeded the permissible level of WHO (10 μg/L). High As contents have been found in tubewell samples and at high sampling depths (> 300 ft). The major As-contaminated groundwater in Hasilpur is found in urban areas. Furthermore, health risk and cancer risk due to As contamination were also assessed with respect to average daily dose (ADD), hazard quotient (HQ), and carcinogenic risk (CR). The values of HQ and CR of As in Hasilpur were up to 58 and 0.00231, respectively. Multivariate analysis revealed a positive correlation between groundwater As contents, pH, and depth in Hasilpur. The current study proposed the proper monitoring and management of well water in Hasilpur to minimize the As-associated health hazards.

  6. Zonation of High Disaster Potential Communities for Remote Mountainous Areas in Southern Taiwan

    Science.gov (United States)

    Chen, Yie-Ruey; Tsai, Kuang-Jung; Chang, Chwen-Ming; Chen, Jing-Wen; Chiang, Jie-Lun; Lu, Yi-Ching; Tsai, Hui-Wen

    2017-04-01

    About three-quarters of Taiwan are covered by hillside areas. Most of the hillside regions in Taiwan are sedimentary and metamorphic rocks which are fragile and highly weathered. In recent years, human development coupled with the global impact of extreme weather, typhoons and heavy rains have caused the landslide disasters and leaded to human causalities and properties loss. The landslides also endanger the major public works and almost make the overall industrial economic development and transport path overshadowed by disasters. Therefore, this research assesses the exploration of landslide potential analysis and zonation of high disaster potential communities for remote mountainous areas in southern Taiwan. In this study, the time series of disaster records and land change of remote mountainous areas in southern Taiwan are collected using techniques of interpretation from satellite images corresponding to multi-year and multi-rainfall events. To quantify the slope hazards, we adopt statistical analysis model to analyze massive data of slope disasters and explore the variance, difference and trend of influence factors of hillside disaster; establish the disaster potential analysis model under the climate change and construct the threshold of disaster. Through analysis results of disaster potential assessment, the settlement distribution with high-risk hazard potential of study area is drawn with geographic information system. Results of image classification show that the values of coefficient of agreement for different time periods are at high level. Compared with the historical disaster records of research areas, the accuracy of predicted landslide potential is in reasonable confidence level. The spatial distribution of landslide depends on the interaction of rainfall patterns, slope and elevation of the research area. The results also show that the number and scale of secondary landslide sites are much larger than those of new landslide sites after rainfall

  7. A framework for widespread replication of a highly spatially resolved childhood lead exposure risk model.

    Science.gov (United States)

    Kim, Dohyeong; Galeano, M Alicia Overstreet; Hull, Andrew; Miranda, Marie Lynn

    2008-12-01

    Preventive approaches to childhood lead poisoning are critical for addressing this longstanding environmental health concern. Moreover, increasing evidence of cognitive effects of blood lead levels system-based childhood lead exposure risk models, especially if executed at highly resolved spatial scales, can help identify children most at risk of lead exposure, as well as prioritize and direct housing and health-protective intervention programs. However, developing highly resolved spatial data requires labor-and time-intensive geocoding and analytical processes. In this study we evaluated the benefit of increased effort spent geocoding in terms of improved performance of lead exposure risk models. We constructed three childhood lead exposure risk models based on established methods but using different levels of geocoded data from blood lead surveillance, county tax assessors, and the 2000 U.S. Census for 18 counties in North Carolina. We used the results to predict lead exposure risk levels mapped at the individual tax parcel unit. The models performed well enough to identify high-risk areas for targeted intervention, even with a relatively low level of effort on geocoding. This study demonstrates the feasibility of widespread replication of highly spatially resolved childhood lead exposure risk models. The models guide resource-constrained local health and housing departments and community-based organizations on how best to expend their efforts in preventing and mitigating lead exposure risk in their communities.

  8. Fire Risk Assessment: A Systematic Review of the Methodology and Functional Areas

    Directory of Open Access Journals (Sweden)

    Parisa Moshashaei

    2017-01-01

    Full Text Available Fire is a physical and social phenomenon that affects both individuals and the environment. Fire risk assessment is a critical part of a fire prevention program. In this process, the fire risk associated with the possibility of occurrence and severity of damage resulting from the fire is estimated and calculated. In this paper, a classification scheme and a systematic literature review are presented in order to classify and interpret the current researches on fire risk assessment methodologies and applications. Based on the scheme, 93 scholarly papers from 13 journals are categorized into application areas and other categories. The application areas include the papers on the topics of environmental impact, production and industry, transportation, buildings, power industry, oil and gas industry, urban fires and other topics. Scholarly papers are also classified by (1 year of publication, (2 journal of publication, (3 year of publication and application areas and (4 authors’ nationality. The survey results show that the largest number of papers was published during the period 2010-2012 with 31 (33.33%, the most of the studies have been carried out on environmental impact (47.31%, the journal of Forest Ecology and Management had the highest percentage of articles with 26.88%. It is hoped that the paper can meet the needs of researchers for easy references of fire risk assessment methodologies and applications. Therefore, this work would be able to provide useful insights into the anatomy of the fire-risk assessment methods, and suggest academic researchers and experts a framework for future attempts and researches.

  9. Pesticide residues in leafy vegetables and human health risk assessment in North Central agricultural areas of Chile.

    Science.gov (United States)

    Elgueta, Sebastian; Moyano, Stella; Sepúlveda, Paulina; Quiroz, Carlos; Correa, Arturo

    2017-06-01

    To investigate pesticide residue concentrations and potential human health risk, a study was conducted in 118 leafy vegetable samples collected in 2014-2015 from the North Central agricultural areas of Chile. The pesticide residues were determined using the multiresidue QuEChERS method by gas chromatography as well as high-performance liquid chromatography. The results indicated that 27% of the total samples contained pesticide residues above the maximum residue limits of each active ingredient. The maximum estimated daily intake obtained for carbon disulphide (CS 2 ), methamidophos, azoxystrobin and cypermethrin were 0.57, 0.07, 0.06 and 0.05 mg kg -1 , respectively, which was higher than their acceptable daily intake. It is concluded that inhabitants of the North Central agricultural area of Chile are not exposed to health risks through the consumption of leafy vegetables with the exception of methamidophos. Nevertheless, the high levels of methamidophos detected in leafy vegetables could be considered a potential chronic health risk.

  10. High Resolution Marine Magnetic Survey of Shallow Water Littoral Area

    OpenAIRE

    Jacob Sharvit; Nizan Salomonski; Roger Alimi; Hovav Zafrir; Tsuriel Ram Cohen; Boris Ginzburg; Eyal Weiss

    2007-01-01

    The purpose of this paper is to present a system developed for detection andaccurate mapping of ferro-metallic objects buried below the seabed in shallow waters. Thesystem comprises a precise magnetic gradiometer and navigation subsystem, both installedon a non-magnetic catamaran towed by a low-magnetic interfering boat. In addition wepresent the results of a marine survey of a near-shore area in the vicinity of Atlit, a townsituated on the Mediterranean coast of Israel, about 15 km south of ...

  11. High Resolution Marine Magnetic Survey of Shallow Water Littoral Area

    OpenAIRE

    Weiss, Eyal; Ginzburg, Boris; Cohen, Tsuriel Ram; Zafrir, Hovav; Alimi, Roger; Salomonski, Nizan; Sharvit, Jacob

    2007-01-01

    The purpose of this paper is to present a system developed for detection and accurate mapping of ferro-metallic objects buried below the seabed in shallow waters. The system comprises a precise magnetic gradiometer and navigation subsystem, both installed on a non-magnetic catamaran towed by a low-magnetic interfering boat. In addition we present the results of a marine survey of a near-shore area in the vicinity of Atlit, a town situated on the Mediterranean coast of Israel, about 15 km sout...

  12. Spatial Lead Pollution in Aquatic Habitats and the Potential Risks in Makassar Coastal Area of South Sulawesi, Indonesia

    Directory of Open Access Journals (Sweden)

    Anwar Mallongi

    2017-11-01

    Full Text Available Background: Lead can be a poison to the environment which may affects all body systems. Lead can also affect human health especially children, lead potentially lowering level of intelligence, growth, loss, causing anemia, and disorder among children as lead is neurotoxin and accumulative. In addition lead can cause a decrease in the ability of the brain, whereas in adults may cause interference of high blood pressure and other tissue toxicity. Any increase in the levels of lead in the blood of 10 ug / dl led to a decrease in IQ of 2.5 points or 0.975 IQ. The research aims to produce a special model of health risk among elementary school children due to lead exposure in the coastal city of Makassar. Methods: This study investigate the distribution of toxic lead in Makassar coastal area namely; sea water, sediments, shells  and crab. Then investigate lead toxins around the school such as lead in soil, dust, paint, snacks and air. After create distribution maps lead risks we create analysis of environmental health risks for children. Results: Result revealed that the analysis of spatial distribution of Lead in the sediment shows that the high distribution was in station 3 in Mariso districts then coastal Tallo area and the lowest was in Tamalate District. While the analysis of the spatial Pb distribution in mussels seen that the highest distribution Pb was in  station 4 of districts Mariso then coastal waters Tallo area and the lowest was in Tamalate District 5.00 to 7.20 mg / g. Conclusion: In conclusion, it revealed the concentration of Lead at all stations of those four districts have exceeded the level of allowed standard and may potentially lead to a hazard both to environment and human being who are living in the surround area.

  13. Are recreational areas a risk factor for tick paralysis in urban environments?

    Science.gov (United States)

    Gerasimova, Maria; Kelman, Mark; Ward, Michael P

    2018-04-30

    In Australia, tick paralysis in dogs (caused by a toxin in the saliva of Ixodes species during feeding) is a serious, distressing condition, and untreated it is often fatal. The aim of this study was to quantify the association between parkland (recreational or natural) in an urban area and the occurrence of canine tick paralysis. Brisbane, as a large urban centre located within the zone of paralysis tick habitat along the east coast of Australia, was selected as the study area. Postcodes selected for inclusion were those defined as being of an urban character (Australian Bureau of Statistics). The number of natural and recreational parkland polygons and total land area per postcode were derived. Tick paralysis case data for the selected postcodes were extracted from a national companion animal disease surveillance database. Between October 2010 and January 2017, 1650 cases of tick paralysis in dogs were reported and included in this study. Significant correlations were found between the number of reported cases per postcode and parklands: natural counts, 0.584 (P edges of the study area - either coastal or on the urban fringe; no clusters were identified within the core urban zone of the study area. Of the disease cases included in this study, strong seasonality was evidence: 68% of all cases were identified in spring. Within urban environments, areas of natural vegetation in particular appear to pose a risk for tick paralysis in dogs. This evidence can be used by veterinarians and dog owners to reduce the impact of tick paralysis by raising awareness of risk areas so as to enhance prevention via chemoprophylaxis and targeted searches of pet dogs for attached ticks. Copyright © 2018 Elsevier B.V. All rights reserved.

  14. Identification of the high risk emergency surgical patient: Which risk prediction model should be used?

    Directory of Open Access Journals (Sweden)

    Stephen Stonelake

    2015-09-01

    Conclusions: In the absence of accurate risk scoring tools that can be used on admission to hospital it is not possible to reliably audit the achievement of national standards of care for the ‘high-risk’ patient.

  15. Area-level poverty and preterm birth risk: A population-based multilevel analysis

    Science.gov (United States)

    DeFranco, Emily A; Lian, Min; Muglia, Louis A; Schootman, Mario

    2008-01-01

    Background Preterm birth is a complex disease with etiologic influences from a variety of social, environmental, hormonal, genetic, and other factors. The purpose of this study was to utilize a large population-based birth registry to estimate the independent effect of county-level poverty on preterm birth risk. To accomplish this, we used a multilevel logistic regression approach to account for multiple co-existent individual-level variables and county-level poverty rate. Methods Population-based study utilizing Missouri's birth certificate database (1989–1997). We conducted a multilevel logistic regression analysis to estimate the effect of county-level poverty on PTB risk. Of 634,994 births nested within 115 counties in Missouri, two levels were considered. Individual-level variables included demographics factors, prenatal care, health-related behavioral risk factors, and medical risk factors. The area-level variable included the percentage of the population within each county living below the poverty line (US census data, 1990). Counties were divided into quartiles of poverty; the first quartile (lowest rate of poverty) was the reference group. Results PTB rate of PTB poverty and increased through the 4th quartile (4.9%), p poverty was significantly associated with PTB risk. PTB risk (poverty, adjusted odds ratio (adjOR) 1.18 (95% CI 1.03, 1.35), with a similar effect at earlier gestational ages (birth, above other underlying risk factors. Although the risk increase is modest, it affects a large number of pregnancies. PMID:18793437

  16. Characteristics of high- and low-risk individuals in the PRIORITY study

    DEFF Research Database (Denmark)

    Tofte, N; Lindhardt, M; Adamova, K

    2018-01-01

    variable. In a logistic regression model including clinical variables known to be associated with diabetic kidney disease, estimated GFR, gender, log urinary albumin:creatinine ratio and use of renin-angiotensin system-blocking agents remained significant determinants of the CKD273 high-risk group: area......AIM: To compare clinical baseline data in individuals with Type 2 diabetes and normoalbuminuria, who are at high or low risk of diabetic kidney disease based on the urinary proteomics classifier CKD273. METHODS: We conducted a prospective, randomized, double-blind, placebo-controlled international...... multicentre clinical trial and observational study in participants with Type 2 diabetes and normoalbuminuria, stratified into high- or low-risk groups based on CKD273 score. Clinical baseline data for the whole cohort and stratified by risk groups are reported. The associations between CKD273 and traditional...

  17. Breast Density and Benign Breast Disease: Risk Assessment to Identify Women at High Risk of Breast Cancer.

    Science.gov (United States)

    Tice, Jeffrey A; Miglioretti, Diana L; Li, Chin-Shang; Vachon, Celine M; Gard, Charlotte C; Kerlikowske, Karla

    2015-10-01

    Women with proliferative breast lesions are candidates for primary prevention, but few risk models incorporate benign findings to assess breast cancer risk. We incorporated benign breast disease (BBD) diagnoses into the Breast Cancer Surveillance Consortium (BCSC) risk model, the only breast cancer risk assessment tool that uses breast density. We developed and validated a competing-risk model using 2000 to 2010 SEER data for breast cancer incidence and 2010 vital statistics to adjust for the competing risk of death. We used Cox proportional hazards regression to estimate the relative hazards for age, race/ethnicity, family history of breast cancer, history of breast biopsy, BBD diagnoses, and breast density in the BCSC. We included 1,135,977 women age 35 to 74 years undergoing mammography with no history of breast cancer; 17% of the women had a prior breast biopsy. During a mean follow-up of 6.9 years, 17,908 women were diagnosed with invasive breast cancer. The BCSC BBD model slightly overpredicted risk (expected-to-observed ratio, 1.04; 95% CI, 1.03 to 1.06) and had modest discriminatory accuracy (area under the receiver operator characteristic curve, 0.665). Among women with proliferative findings, adding BBD to the model increased the proportion of women with an estimated 5-year risk of 3% or higher from 9.3% to 27.8% (P<.001). The BCSC BBD model accurately estimates women's risk for breast cancer using breast density and BBD diagnoses. Greater numbers of high-risk women eligible for primary prevention after BBD diagnosis are identified using the BCSC BBD model. © 2015 by American Society of Clinical Oncology.

  18. Prevalence of bovine brucellosis and related risk behavior in the suburban area of Dakar, Senegal

    Directory of Open Access Journals (Sweden)

    D. Tialla

    2015-01-01

    Full Text Available The objective of this study was to evaluate the prevalence and the frequency of risk behaviors in the zoonotic transmission of bovine brucellosis in suburban Dakar. The individual serological status of 300 cattle distributed in thirty farms in this area was determined by the rose Bengal and complement fixation tests. The frequency of risk behaviors toward this zoonosis was determined using two epidemiological surveys that inventoried the known risk factors of brucellosis transmission between animals and humans. Taking into account the sensitivity and specificity of rose Bengal and complement fixation tests used in series, i.e. 85% and 98.75 %, respectively, the true prevalence was estimated to be 36.36%. At least one animal was infected in 96.6% of the herds. Positivity to the complement fixation test was significantly associated with age, breed, abortion and the presence of bursitis in cattle. The risk behaviors the most frequently observed in humans in this area were: assisting during calving and abortion, handling of aborted fetuses without gloves, and consuming unpasteurized raw or curd milk and fresh cheese. These results show that brucellosis is present in dairy cattle farms in suburban Dakar. Since the milk produced in these farms is used to supply the city of Dakar, measures must be developed to promote brucellosis prevention methods aimed at Dakar’s population.

  19. Unraveling Health Risk and Speciation of Arsenic from Groundwater in Rural Areas of Punjab, Pakistan.

    Science.gov (United States)

    Shakoor, Muhammad Bilal; Niazi, Nabeel Khan; Bibi, Irshad; Rahman, Mohammad Mahmudur; Naidu, Ravi; Dong, Zhaomin; Shahid, Muhammad; Arshad, Muhammad

    2015-10-05

    This study determined the total and speciated arsenic (As) concentrations and other health-related water quality parameters for unraveling the health risk of As from drinking water to humans. Groundwater samples (n = 62) were collected from three previously unexplored rural areas (Chichawatni, Vehari, Rahim Yar Khan) of Punjab in Pakistan. The mean and median As concentrations in groundwater were 37.9 and 12.7 µg·L(-1) (range = 1.5-201 µg·L(-1)). Fifty three percent groundwater samples showed higher As value than WHO safe limit of 10 µg·L(-1). Speciation of As in groundwater samples (n = 13) showed the presence of inorganic As only; arsenite (As(III)) constituted 13%-67% of total As and arsenate (As(V)) ranged from 33% to 100%. For As health risk assessment, the hazard quotient and cancer risk values were 11-18 and 46-600 times higher than the recommended values of US-EPA (i.e., 1.00 and 10(-6), respectively). In addition to As, various water quality parameters (e.g., electrical conductivity, Na, Ca, Cl(-), NO₃(-), SO₄(2-), Fe, Mn, Pb) also enhanced the health risk. The results show that consumption of As-contaminated groundwater poses an emerging health threat to the communities in the study area, and hence needs urgent remedial and management measures.

  20. Unraveling Health Risk and Speciation of Arsenic from Groundwater in Rural Areas of Punjab, Pakistan

    Directory of Open Access Journals (Sweden)

    Muhammad Bilal Shakoor

    2015-10-01

    Full Text Available This study determined the total and speciated arsenic (As concentrations and other health-related water quality parameters for unraveling the health risk of As from drinking water to humans. Groundwater samples (n = 62 were collected from three previously unexplored rural areas (Chichawatni, Vehari, Rahim Yar Khan of Punjab in Pakistan. The mean and median As concentrations in groundwater were 37.9 and 12.7 µg·L−1 (range = 1.5–201 µg·L−1. Fifty three percent groundwater samples showed higher As value than WHO safe limit of 10 µg·L−1. Speciation of As in groundwater samples (n = 13 showed the presence of inorganic As only; arsenite (As(III constituted 13%–67% of total As and arsenate (As(V ranged from 33% to 100%. For As health risk assessment, the hazard quotient and cancer risk values were 11–18 and 46–600 times higher than the recommended values of US-EPA (i.e., 1.00 and 10−6, respectively. In addition to As, various water quality parameters (e.g., electrical conductivity, Na, Ca, Cl−, NO3−, SO42−, Fe, Mn, Pb also enhanced the health risk. The results show that consumption of As-contaminated groundwater poses an emerging health threat to the communities in the study area, and hence needs urgent remedial and management measures.

  1. The clinical profile of high-risk mentally disordered offenders.

    Science.gov (United States)

    Yiend, Jenny; Freestone, Mark; Vazquez-Montes, Maria; Holland, Josephine; Burns, Tom

    2013-07-01

    High-risk mentally disordered offenders present a diverse array of clinical characteristics. To contain and effectively treat this heterogeneous population requires a full understanding of the group's clinical profile. This study aimed to identify and validate clusters of clinically coherent profiles within one high-risk mentally disordered population in the UK. Latent class analysis (a statistical technique to identify clustering of variance from a set of categorical variables) was applied to 174 cases using clinical diagnostic information to identify the most parsimonious model of best fit. Validity analyses were performed. Three identified classes were a 'delinquent' group (n = 119) characterised by poor educational history, strong criminal careers and high recidivism risk; a 'primary psychopathy' group (n = 38) characterised by good educational profiles and homicide offences and an 'expressive psychopathy' group (n = 17) presenting the lowest risk and characterised by more special educational needs and sexual offences. Individuals classed as high-risk mentally disordered offenders can be loosely segregated into three discrete subtypes: 'delinquent', 'psychopathic' or 'expressive psychopathic', respectively. These groups represent different levels of risk to society and reflect differing treatment needs.

  2. Large-area high-power VCSEL pump arrays optimized for high-energy lasers

    Science.gov (United States)

    Wang, Chad; Geske, Jonathan; Garrett, Henry; Cardellino, Terri; Talantov, Fedor; Berdin, Glen; Millenheft, David; Renner, Daniel; Klemer, Daniel

    2012-06-01

    Practical, large-area, high-power diode pumps for one micron (Nd, Yb) as well as eye-safer wavelengths (Er, Tm, Ho) are critical to the success of any high energy diode pumped solid state laser. Diode efficiency, brightness, availability and cost will determine how realizable a fielded high energy diode pumped solid state laser will be. 2-D Vertical-Cavity Surface-Emitting Laser (VCSEL) arrays are uniquely positioned to meet these requirements because of their unique properties, such as low divergence circular output beams, reduced wavelength drift with temperature, scalability to large 2-D arrays through low-cost and high-volume semiconductor photolithographic processes, high reliability, no catastrophic optical damage failure, and radiation and vacuum operation tolerance. Data will be presented on the status of FLIR-EOC's VCSEL pump arrays. Analysis of the key aspects of electrical, thermal and mechanical design that are critical to the design of a VCSEL pump array to achieve high power efficient array performance will be presented.

  3. High Yield Chemical Vapor Deposition Growth of High Quality Large-Area AB Stacked Bilayer Graphene

    Science.gov (United States)

    Liu, Lixin; Zhou, Hailong; Cheng, Rui; Yu, Woo Jong; Liu, Yuan; Chen, Yu; Shaw, Jonathan; Zhong, Xing; Huang, Yu; Duan, Xiangfeng

    2012-01-01

    Bernal stacked (AB stacked) bilayer graphene is of significant interest for functional electronic and photonic devices due to the feasibility to continuously tune its band gap with a vertical electrical field. Mechanical exfoliation can be used to produce AB stacked bilayer graphene flakes but typically with the sizes limited to a few micrometers. Chemical vapor deposition (CVD) has been recently explored for the synthesis of bilayer graphene but usually with limited coverage and a mixture of AB and randomly stacked structures. Herein we report a rational approach to produce large-area high quality AB stacked bilayer graphene. We show that the self-limiting effect of graphene growth on Cu foil can be broken by using a high H2/CH4 ratio in a low pressure CVD process to enable the continued growth of bilayer graphene. A high temperature and low pressure nucleation step is found to be critical for the formation of bilayer graphene nuclei with high AB stacking ratio. A rational design of a two-step CVD process is developed for the growth of bilayer graphene with high AB stacking ratio (up to 90 %) and high coverage (up to 99 %). The electrical transport studies demonstrated that devices made of the as-grown bilayer graphene exhibit typical characteristics of AB stacked bilayer graphene with the highest carrier mobility exceeding 4,000 cm2/V·s at room temperature, comparable to that of the exfoliated bilayer graphene. PMID:22906199

  4. The German clinical risk management survey for hospitals: Implementation levels and areas for improvement in 2015.

    Science.gov (United States)

    Manser, Tanja; Frings, Janina; Heuser, Gregory; Mc Dermott, Fiona

    2016-01-01

    Despite the growing recognition of the need to implement systematic approaches for managing the risks associated with healthcare, few studies have investigated the level of implementation for clinical risk management (CRM) at a national level. Therefore, this study aimed to assess the current level of CRM implementation in German hospitals and to explore differences across hospital types. From March to June 2015, persons responsible for CRM in 2,617 hospitals and rehabilitation clinics in Germany were invited to participate in a voluntary online survey assessing the level of implementation for various aspects of CRM: CRM strategy, structures and processes; risk assessment (risk identification, risk analysis, risk evaluation) with a focus on incident reporting systems; risk mitigation measures; and risk monitoring and reporting. 572 hospitals participated in the survey (response rate 22 %). Most of these hospitals had a formalised, binding CRM strategy (72 %). 66 % had a centralised and 34 % a decentralised CRM structure. We also found that, despite a broad range of risk assessment methods being applied, there was a lack of integration of risk information from different data sources. Hospitals also reported a high level of implementation of critical incident reporting systems with a strong preference for local (74 %) over transorganisational systems. This study provides relevant data to inform targeted interventions concerning CRM implementation at a national level and to consider the specific context of different types of hospitals more carefully in this process. The approach to CRM assessment illustrated in this article could be the basis of a system for monitoring CRM over time and, thus, for evaluating the impact of strategy decisions at the policy level on CRM development. Copyright © 2016. Published by Elsevier GmbH.

  5. Data sources on landscape structure in a highly industrialized area

    Directory of Open Access Journals (Sweden)

    Mazurek Kinga

    2015-03-01

    Full Text Available Landscape may be described as a part of space characterized by a certain physiognomy, which is a dynamic system subject to evolution. An important factor influencing the type and condition of the landscape is human activity which shapes or rebuilds its structure. Interesting results may be obtained on comparison of archival cartographic materials with contemporary studies and zoning plans. The Upper Silesian Coal Basin is a region with a clearly transformed landscape. The determinant of the geographical environment transformation here is the anthropogenic factor. The study area includes the upper part of the Kłodnica catchment (229.6 sq km. The study is a review, and its aim is to systematize data sources used in the research on the transformation of landscape structure of a heavily industrialized area. In the first half of the nineteenth century created the "Urmesstischblätter" in the scale of 1:25 000. Afterwards preparations began to take new topographic images of the country (the "Messtischblätter". In the 1990s initiated the development of a new topographic map (in the scale of 1:10 000. Recent data source is for example the project CORINE Land Cover 2006. There are many of various sources of data on land cover. An important aspect is the proper selection of documents and maps, and their proper interpretation.

  6. High Resolution Marine Magnetic Survey of Shallow Water Littoral Area

    Science.gov (United States)

    Ginzburg, Boris; Cohen, Tsuriel Ram; Zafrir, Hovav; Alimi, Roger; Salomonski, Nizan; Sharvit, Jacob

    2007-01-01

    The purpose of this paper is to present a system developed for detection and accurate mapping of ferro-metallic objects buried below the seabed in shallow waters. The system comprises a precise magnetic gradiometer and navigation subsystem, both installed on a non-magnetic catamaran towed by a low-magnetic interfering boat. In addition we present the results of a marine survey of a near-shore area in the vicinity of Atlit, a town situated on the Mediterranean coast of Israel, about 15 km south of Haifa. The primary purpose of the survey was to search for a Harvard airplane that crashed into the sea in 1960. A magnetic map of the survey area (3.5 km2 on a 0.5 m grid) was created revealing the anomalies at sub-meter accuracy. For each investigated target location a corresponding ferro-metallic item was dug out, one of which turned to be very similar to a part of the crashed airplane. The accuracy of location was confirmed by matching the position of the actual dug artifacts with the magnetic map within a range of ± 1 m, in a water depth of 9 m. PMID:28903191

  7. High Resolution Marine Magnetic Survey of Shallow Water Littoral Area

    Directory of Open Access Journals (Sweden)

    Jacob Sharvit

    2007-09-01

    Full Text Available The purpose of this paper is to present a system developed for detection andaccurate mapping of ferro-metallic objects buried below the seabed in shallow waters. Thesystem comprises a precise magnetic gradiometer and navigation subsystem, both installedon a non-magnetic catamaran towed by a low-magnetic interfering boat. In addition wepresent the results of a marine survey of a near-shore area in the vicinity of Atlit, a townsituated on the Mediterranean coast of Israel, about 15 km south of Haifa. The primarypurpose of the survey was to search for a Harvard airplane that crashed into the sea in 1960.A magnetic map of the survey area (3.5 km2 on a 0.5 m grid was created revealing theanomalies at sub-meter accuracy. For each investigated target location a correspondingferro-metallic item was dug out, one of which turned to be very similar to a part of thecrashed airplane. The accuracy of location was confirmed by matching the position of theactual dug artifacts with the magnetic map within a range of ± 1 m, in a water depth of 9 m.

  8. Coverage of violence in risk areas: case of the Ciudad Juárez´Journalist Association

    Directory of Open Access Journals (Sweden)

    José Luis González-Esteban

    2016-11-01

    Full Text Available This research analyzes the situation of journalism in a high risk area, Ciudad Juarez, Mexico. The analysis is based on the knowledge and analysis of the training activity, violence and corruption denounced by Juarez Journalists Association, founded and run by women journalists. A meeting with journalists of the association and in-depth interviews are the main methodological tools to understand the meaning and value of this group of juarenses journalists. In the same way this article analyzes, through a quantitative methodology, the strategy of activism and the international projection of the association through their social networks. In addition, research is completed with a content analysis about the prevalence and significance of the ‘red note’ in El Diario de Juárez, the main newspaper in this border area, which even has a delegation in the US city of El Paso. Coverage of violence in high risk areas gives a special value to journalism in newspapers like the aforementioned and corporate work of this group of juarenses journalists.

  9. Lead exposure is associated with risk of impaired coagulation in preschool children from an e-waste recycling area.

    Science.gov (United States)

    Zeng, Zhijun; Huo, Xia; Zhang, Yu; Xiao, Zhehong; Zhang, Yuling; Xu, Xijin

    2018-05-12

    Environmental lead exposure leads to various deleterious effects on multiple organs and systems, including the hematopoietic system. To explore the effects of lead exposure on platelet indices in preschool children from an informal, lead-contaminated electronic waste (e-waste) recycling area, we collected venous blood samples from 466 preschool children (331 from an e-waste area (Guiyu) and 135 from a non-e-waste