WorldWideScience

Sample records for rangeland health standards

  1. Using rangeland health assessment to inform successional management

    Science.gov (United States)

    Rangeland health assessment provides qualitative information on ecosystem attributes. Successional management is a conceptual framework that allows managers to link information gathered in rangeland health assessment to ecological processes that need to be repaired to allow vegetation to change in ...

  2. Rangeland health assessment - The key to understanding and assessing rangeland soil health in the Northern Great Plains

    Science.gov (United States)

    As the science related to soil and rangeland health evolves, so do their protocols and assessment methodologies. Rangeland health assessments consist of evaluating how well ecological processes such as the water cycle, energy flow and nutrient cycling are functioning at a site. Soil health is the ca...

  3. Application of rangeland health indicators on forested plots on the Fishlake National Forest, Utah

    Science.gov (United States)

    Maggie G. Toone; Sara Goeking

    2017-01-01

    Typical indicators of rangeland health are used to describe health and functionality of a variety of rangeland ecosystems. Similar indicators may be applied to forested locations to examine ecological health at a local forest level. Four rangeland health indicators were adapted and applied to data compiled by the U.S. Department of Agriculture, Forest Service, Rocky...

  4. Integrating a rangeland health assessment with successional management: A synergistic approach to EBIPM

    Science.gov (United States)

    Qualitative Rangeland Health Assessments are extremely useful because they provide a relative indication of resource problems on rangelands. Additionally, theSuccessional Management framework identifies three primary causes of plantcommunity change, ecological processes, and factors that modify thes...

  5. The rangeland management and soil health connection

    Science.gov (United States)

    Soil health is defined as the capacity of soil to function and provide ecosystem services to society. The importance of managing for the improvement and maintenance of soil health transcends political boundaries, generations, societies and languages. The challenge of communicating soil health conc...

  6. Indicators of rangeland health and functionality in the Intermountain West

    Science.gov (United States)

    Renee A. O' Brien; Curtis M. Johnson; Andrea M. Wilson; Van C. Elsbernd

    2003-01-01

    Rangelands comprise about 42 percent of the land area of the United States and provide vital land functions such as watershed, multiple-use, recreation, and other amenities. Currently, we do not know the status and trends of many of our nation's rangelands, and consistent protocols for describing rangeland system dynamics across land management agencies are...

  7. Simplifying ecological site verification, rangeland health assessments, and monitoring

    Science.gov (United States)

    During the past several decades, scientists and land managers in North America have increasingly recognized the importance of rangeland assessment relative to ecological potential based on soil and climate. The adoption of the site potential based “ecological site” system was recently formalized in ...

  8. Field soil aggregate stability kit for soil quality and rangeland health evaluations

    Science.gov (United States)

    Herrick, J.E.; Whitford, W.G.; de Soyza, A. G.; Van Zee, J. W.; Havstad, K.M.; Seybold, C.A.; Walton, M.

    2001-01-01

    Soil aggregate stability is widely recognized as a key indicator of soil quality and rangeland health. However, few standard methods exist for quantifying soil stability in the field. A stability kit is described which can be inexpensively and easily assembled with minimal tools. It permits up to 18 samples to be evaluated in less than 10 min and eliminates the need for transportation, minimizing damage to soil structure. The kit consists of two 21??10.5??3.5 cm plastic boxes divided into eighteen 3.5??3.5 cm sections, eighteen 2.5-cm diameter sieves with 1.5-mm distance openings and a small spatula used for soil sampling. Soil samples are rated on a scale from one to six based on a combination of ocular observations of slaking during the first 5 min following immersion in distilled water, and the percent remaining on a 1.5-mm sieve after five dipping cycles at the end of the 5-min period. A laboratory comparison yielded a correlation between the stability class and percent aggregate stability based on oven dry weight remaining after treatment using a mechanical sieve. We have applied the method in a wide variety of agricultural and natural ecosystems throughout western North America, including northern Mexico, and have found that it is highly sensitive to differences in management and plant community composition. Although the field kit cannot replace the careful laboratory-based measurements of soil aggregate stability, it can clearly provide valuable information when these more intensive procedures are not possible.

  9. Power and limitation of soil properties as predictors of rangeland health and ecosystem functioning in a Northern mixed-grass prairie[Abstract

    Science.gov (United States)

    Soil properties are thought to affect rangeland ecosystem functioning (e.g. primary productivity, hydrology), and thus soil variables that are consistently correlated with key ecosystem functions may be general indicators of rangeland health. We summarize results from several studies in mixed-grass...

  10. Rangeland Hydrology and Erosion Model

    Science.gov (United States)

    Nearing, Mark; Pierson, Fred; Hernandez, Mariano; Al-Hamdan, Osama; Weltz, Mark; Spaeth, Ken; Wei, Haiyan; Stone, Jeff

    2013-04-01

    Soil loss rates on rangelands are considered one of the few quantitative indicators for assessing rangeland health and conservation practice effectiveness. An erosion model to predict soil loss specific for rangeland applications has been needed for many years. Most erosion models were developed from croplands where the hydrologic and erosion processes are different, largely due to much higher levels of heterogeneity in soil and plant properties at the plot scale and the consolidated nature of the soils. The Rangeland Hydrology and Erosion Model (RHEM) was designed to fill that need. RHEM is an event-based model that estimates runoff, erosion, and sediment delivery rates and volumes at the spatial scale of the hillslope and the temporal scale of a single rainfall event. It represents erosion processes under normal and fire-impacted rangeland conditions, it adopts a new splash erosion and thin sheet-flow transport equation developed from rangeland data, and it links the model hydrologic and erosion parameters with rangeland plant communities by providing a new system of parameter estimation equations based on 204 plots at 49 rangeland sites distributed across 15 western U.S. states. Recent work on the model is focused on representing intra-storm dynamics, using stream-power as the driver for detachment by flow, and deriving parameters for after-fire conditions.

  11. An Integrated Social, Economic, and Ecologic Conceptual (ISEEC) framework for considering rangeland sustainability

    Science.gov (United States)

    William E. Fox; Daniel W. McCollum; John E. Mitchell; Louis E. Swanson; Urs P. Kreuter; John A. Tanaka; Gary R. Evans; H. Theodore Heintz; Robert P. Breckenridge; Paul H. Geissler

    2009-01-01

    Currently, there is no standard method to assess the complex systems in rangeland ecosystems. Decision makers need baselines to create a common language of current rangeland conditions and standards for continued rangeland assessment. The Sustainable Rangeland Roundtable (SRR), a group of private and public organizations and agencies, has created a forum to discuss...

  12. Deriving empirical benchmarks from existing monitoring datasets for rangeland adaptive management

    Science.gov (United States)

    Under adaptive management, goals and decisions for managing rangeland resources are shaped by requirements like the Bureau of Land Management’s (BLM’s) Land Health Standards, which specify desired conditions. Without formalized, quantitative benchmarks for triggering management actions, adaptive man...

  13. An Integrated Social, Economic, and Ecologic Conceptual (ISEEC) framework for considering rangeland sustainability

    Science.gov (United States)

    Fox, W.E.; McCollum, D.W.; Mitchell, J.E.; Swanson, L.E.; Kreuter, U.P.; Tanaka, J.A.; Evans, G.R.; Theodore, Heintz H.; Breckenridge, R.P.; Geissler, P.H.

    2009-01-01

    Currently, there is no standard method to assess the complex systems in rangeland ecosystems. Decision makers need baselines to create a common language of current rangeland conditions and standards for continued rangeland assessment. The Sustainable Rangeland Roundtable (SRR), a group of private and public organizations and agencies, has created a forum to discuss rangeland sustainability and assessment. The SRR has worked to integrate social, economic, and ecological disciplines related to rangelands and has identified a standard set of indicators that can be used to assess rangeland sustainability. As part of this process, SRR has developed a two-tiered conceptual framework from a systems perspective to study the validity of indicators and the relationships among them. The first tier categorizes rangeland characteristics into four states. The second tier defines processes affecting these states through time and space. The framework clearly shows that the processes affect and are affected by each other. ?? 2009 Taylor & Francis Group, LLC.

  14. Ecologic, Economic, and Social Considerations for Rangeland Sustainability: An Integrated Conceptual Framework

    Science.gov (United States)

    Daniel W. McCollum; H. Theodore Jr. Heintz; Aaron J. Harp; John A. Tanaka; Gary R. Evans; David Radloff; Louis E. Swanson; William E. III Fox; Michael G. Sherm Karl; John E. Mitchell

    2006-01-01

    Use and sustainability of rangelands are inherently linked to the health and sustainability of the land. They are also inherently linked to the social and economic infrastructures that complement and support those rangelands and rangeland uses. Ecological systems and processes provide the biological interactions underlying ecosystem health and viability. Social and...

  15. Criterion V: Legal, institutional, and economic framework for rangeland conservation and sustainable management [Chapter 6

    Science.gov (United States)

    Jonn E. Mitchell; Stan Hamiliton; Thomas Lustig; Kenneth Nelson; Tom Roberts; Brian Czech

    2010-01-01

    Laws, institutions, and economic policies play a large role in determining the sustainability of rangelands. They provide the basic framework from which many lasting decisions about rangeland management are made. The SRR has identified 10 primary indicators to assess how this framework influences the long-term health and productivity of rangeland in this country. The...

  16. RANGELAND SEQUESTRATION POTENTIAL ASSESSMENT

    Energy Technology Data Exchange (ETDEWEB)

    Lee Spangler; George F. Vance; Gerald E. Schuman; Justin D. Derner

    2012-03-31

    Rangelands occupy approximately half of the world's land area and store greater than 10% of the terrestrial biomass carbon and up to 30% of the global soil organic carbon. Although soil carbon sequestration rates are generally low on rangelands in comparison to croplands, increases in terrestrial carbon in rangelands resulting from management can account for significant carbon sequestration given the magnitude of this land resource. Despite the significance rangelands can play in carbon sequestration, our understanding remains limited. Researchers conducted a literature review to identify sustainably management practices that conserve existing rangeland carbon pools, as well as increase or restore carbon sequestration potentials for this type of ecosystem. The research team also reviewed the impact of grazing management on rangeland carbon dynamics, which are not well understood due to heterogeneity in grassland types. The literature review on the impact of grazing showed a wide variation of results, ranging from positive to negative to no response. On further review, the intensity of grazing appears to be a major factor in controlling rangeland soil organic carbon dynamics. In 2003, researchers conducted field sampling to assess the effect of several drought years during the period 1993-2002. Results suggested that drought can significantly impact rangeland soil organic carbon (SOC) levels, and therefore, carbon sequestration. Resampling was conducted in 2006; results again suggested that climatic conditions may have overridden management effects on SOC due to the ecological lag of the severe drought of 2002. Analysis of grazing practices during this research effort suggested that there are beneficial effects of light grazing compared to heavy grazing and non-grazing with respect to increased SOC and nitrogen contents. In general, carbon storage in rangelands also increases with increased precipitation, although researchers identified threshold levels of

  17. Assessment of LANDSAT for rangeland mapping, Rush Valley, Utah

    Science.gov (United States)

    Ridd, M. K.; Price, K. P.; Douglass, G. E.

    1984-01-01

    The feasibility of using LANDSAT MSS (multispectral scanner) data to identify and map cover types for rangeland, and to determine comparative condition of the ecotypes was assessed. A supporting objective is to assess the utility of various forms of aerial photography in the process. If rangelands can be efficiently mapped with Landsat data, as supported by appropriate aerial photography and field data, then uniform standards of cover classification and condition may be applied across the rangelands of the state. Further, a foundation may be established for long-term monitoring of range trend, using the same satellite system over time.

  18. Drought and rangelands.

    Science.gov (United States)

    Droughts are common and occur regularly in Oklahoma. They’re the most costly natural hazard to the United States, and estimates show a $6-$8 billion annual loss to the nation’s farmers and rancher. With the current drought impacting Oklahoma, people managing rangelands are concerned with the short...

  19. The value of milk in rangelands in Mandera County, Kenya

    Science.gov (United States)

    Ngugi, Keziah; Ertsen, Maurits

    2015-04-01

    routes are dynamic, just like pastoralism, far flung and use symbols to communicate with various handlers along the value chain. Consumers and producers don't meet, the need for any form of contact is eliminated through this mode of communication. Drawbacks were identified as lack of water and poor education standards that compromise on hygiene which affect public health. In addition, it takes several hours to move short distances in poor roads or using draught animals. This is further compounded by very hot temperatures that affect milk quality. Handling milk can be improved through vocational training on hygiene and proper handling of milk. On farm mobile cottage industries need to be considered to reach a broader market and boost the returns. Standard milk ferrying containers should be introduced as matter of urgency to improve milk safety. Further services and responsibilities for consumers to producers need to be identified and introduced to enhance the wellbeing of the pastoralists as current practices are in favour of the consumers.

  20. Whither the Rangeland?: Protection and conversion in California's Rangeland ecosystems.

    Directory of Open Access Journals (Sweden)

    D Richard Cameron

    Full Text Available Land use change in rangeland ecosystems is pervasive throughout the western United States with widespread ecological, social and economic implications. In California, rangeland habitats have high biodiversity value, provide significant habitat connectivity and form the foundation for a number of ecosystem services. To comprehensively assess the conservation status of these habitats, we analyzed the extent and drivers of habitat loss and the degree of protection against future loss across a 13.5 M ha study area in California. We analyzed rangeland conversion between 1984 and 2008 using time series GIS data and classified resulting land uses with aerial imagery. In total, over 195,000 hectares of rangeland habitats were converted during this period. The majority of conversions were to residential and associated commercial development (49% of the area converted, but agricultural intensification was surprisingly extensive and diverse (40% across six categories. Voluntary enrollment in an agricultural tax incentive program provided widespread protection from residential and commercial conversions across 37% of the remaining rangeland habitat extent (7.5 M ha, though this program did not protect rangeland from conversion to more intensive agricultural uses. Additionally, 24% of the remaining rangeland was protected by private conservation organizations or public agencies through land or easement ownership while 38% had no protection status at all. By developing a spatial method to analyze the drivers of loss and patterns of protection, this study demonstrates a novel approach to prioritize conservation strategies and implementation locations to avert habitat conversion. We propose that this approach can be used in other ecosystem types, and can serve as a regional conservation baseline assessment to focus strategies to effect widespread, cost-effective conservation solutions.

  1. Rangelands: Where anthromes meet their limits

    Science.gov (United States)

    Defining rangelands as anthromes enabled Ellis and Ramankutty (2008) to conclude that more than three-quarters of Earth’s land is anthropogenic; without rangelands, this figure would have been less than half. They classified all lands grazed by domestic livestock as rangelands, provided that human p...

  2. A systematic review of US rangeland science

    Science.gov (United States)

    Rangeland science aims to create knowledge to sustain rangeland social-ecological systems over the long term. Range science has made substantial progress on understanding ecological dynamics of rangeland systems and the management practices that sustain them, and these findings have been systematica...

  3. Sustainable rangelands ecosystem goods and services

    Science.gov (United States)

    Kristie Maczko; Lorie Hidinger

    2008-01-01

    The Sustainable Rangelands Roundtable (SRR) recognizes the unique contributions rangeland resources make to the nation's wellbeing. To communicate the importance of these commodity and amenity values, SRR participants developed this primer on rangeland ecosystem goods and services. It summarizes the history of the nation's relationship with and reliance upon...

  4. Enhancing wind erosion monitoring and assessment for US rangelands

    Science.gov (United States)

    Wind erosion is a major resource concern for rangeland managers because it can impact soil health, ecosystem structure and function, hydrologic processes, agricultural production and air quality. Despite its significance, little is known about which landscapes are eroding, by how much, and when. T...

  5. Standardization of health data – ICAR guidelines including health key

    Science.gov (United States)

    Systematic improvement of animal health requires knowledge about the status quo and reliable measures to characterize it. In dairy herds, health monitoring has gained importance to ensure sustainable and cost-efficient milk production in accordance with public expectations. In this context, standard...

  6. RANGELAND DEGRADATION: EXTENT, IMPACTS, AND ALTERNATIVE RESTORATION TECHNIQUES IN THE RANGELANDS OF ETHIOPIA

    Directory of Open Access Journals (Sweden)

    Mohammed Mussa Abdulahi

    2016-12-01

    Full Text Available Rangeland degradation remains a serious impediment to improve pastoral livelihoods in the lowlands of Ethiopia. This review paper presents an overview of the extent of rangeland degradation, explores its drivers, discusses the potential impacts of rangeland degradation and also suggests alternative rangeland restoration techniques. It is intended to serve as an exploratory tool for ensuing more detailed quantitative analyses to support policy and investment programs to address rangeland degradation in Ethiopia. The extent of rangeland degradation increases with time, and the productivity of rangelands are losing if not given due attention. The major drivers leading to rangeland degradation includes climate change, overgrazing, bush encroachment, population pressure, drought, and government policy, encroachment of rain fed agriculture and decline of traditional resource management institution. Degradation of rangeland has resulted in substantial declines in rangeland condition, water potential, soil status, and animal performance, livestock holding at the household level and community become destitute. Another consequence of rangeland degradation is linked to food insecurity, poverty to the extent of food aid, expansion of aridity and the need for alternative livelihood and income diversification. Moreover, it has increasingly become a threat to the pastoral production systems, and has contributed towards increases in poverty and tribal conflicts over grazing land and water resources. In spite of these impacts, the adoption of alternative restoration techniques in the country is highly insufficient. To address rangeland degradation problems, there is a strong need to substantially increase the investments and strengthen the policy support for sustainable land management.

  7. Adaptive management of rangeland systems

    Science.gov (United States)

    Allen, Craig R.; Angeler, David G.; Fontaine, Joseph J.; Garmestani, Ahjond S.; Hart, Noelle M.; Pope, Kevin L.; Twidwell, Dirac

    2017-01-01

    Adaptive management is an approach to natural resource management that uses structured learning to reduce uncertainties for the improvement of management over time. The origins of adaptive management are linked to ideas of resilience theory and complex systems. Rangeland management is particularly well suited for the application of adaptive management, having sufficient controllability and reducible uncertainties. Adaptive management applies the tools of structured decision making and requires monitoring, evaluation, and adjustment of management. Adaptive governance, involving sharing of power and knowledge among relevant stakeholders, is often required to address conflict situations. Natural resource laws and regulations can present a barrier to adaptive management when requirements for legal certainty are met with environmental uncertainty. However, adaptive management is possible, as illustrated by two cases presented in this chapter. Despite challenges and limitations, when applied appropriately adaptive management leads to improved management through structured learning, and rangeland management is an area in which adaptive management shows promise and should be further explored.

  8. Earth observation for rangeland monitoring

    CSIR Research Space (South Africa)

    Ramoelo, Abel

    2012-10-01

    Full Text Available for the methodology is presented in Figure 1. Figure 1: Conceptual framework for the development of grass nutrient estimation models, using remote sensing at various scales Earth Observation for Rangeland Monitoring DR A RAMOELO, DR M CHO AND DR R MATHIEU CSIR... and canopy N conforms to the underlying geology (Figure 2). ACKNOWLEDGEMENT The authors would like to thank the Department of Science and Technology which contributed financially to this work through the grant ?Earth Observation Application Development...

  9. 45 CFR 162.406 - Standard unique health identifier for health care providers.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Standard unique health identifier for health care... for Health Care Providers § 162.406 Standard unique health identifier for health care providers. (a) Standard. The standard unique health identifier for health care providers is the National Provider...

  10. Criteria and indicators for sustainable rangeland management

    Science.gov (United States)

    John E. Mitchell

    2010-01-01

    The concept of sustainable management encompasses ecological, economic, and social criteria and indicators (C&I) for monitoring and assessing the association between maintaining a healthy rangeland base and sustaining the well-being of communities and economies. During a series of meetings from 2001 to 2003, the Sustainable Rangelands Roundtable (SRR) developed...

  11. Remote sensing applications for monitoring rangeland vegetation ...

    African Journals Online (AJOL)

    Remote sensing techniques hold considerable promise for the inventory and monitoring of natural resources on rangelands. A significant lack of information concerning basic spectral characteristics of range vegetation and soils has resulted in a lack of rangeland applications. The parameters of interest for range condition ...

  12. Development of a computerised rangelands resource information ...

    African Journals Online (AJOL)

    Data on livestock inventory, rangelands resources, and status of land degradation were integrated to produce a computerised resource information system for Swaziland, which will assist in decision making for monitoring and management of rangelands resources; its application is demonstrated. The resource information ...

  13. The Vale rangeland rehabilitation program: an evaluation.

    Science.gov (United States)

    Harold F. Heady

    1988-01-01

    This manuscript discusses the initiation, execution, and outcome of an 11-year (1962-1972) rangeland rehabilitation program in southeastern Oregon. Res. Bull. PNW-RB-070 (1977) is updated with 1986 measurements and evaluations of vegetational conditions, wildlife, recreational use, livestock grazing, and management of public rangelands. The mix of multiple uses has...

  14. Current situation of rangelands in Mexico

    Science.gov (United States)

    Alicia Melgoza-Castillo

    2006-01-01

    Rangelands are natural areas with certain characteristics that make them unsuitable for agriculture. They include several types of vegetation such as deserts, grasslands, shrubs, forests, and riparian areas. Cattle ranching, along with the products and services it engenders, is a prime activity that rangelands have traditionally supported.

  15. Tackling 'the most avoided issue\\'*: communal rangeland ...

    African Journals Online (AJOL)

    Facilitator training for communal rangeland management should include social skills, the social context of communal rangelands and novice facilitators should be supported by mentors. There is a need for greater financial support and law enforcement from the state in the area of communal grazing management. Keywords: ...

  16. A Dynamic Model of California's Hardwood Rangelands

    Science.gov (United States)

    Richard B. Standiford; Richard E. Howitt

    1991-01-01

    Low profitability of hardwood rangeland management, and oak tree harvesting for firewood markets and forage enhancement has led to concern about the long-term sustainability of the oak resource on rangelands. New markets for recreational hunting may give value to oaks for the habitat they provide for game species, and broaden the economic base for managers. A ranch...

  17. Applying animal behavior to arid rangeland mangement

    Science.gov (United States)

    Livestock production is one of many demands placed on today’s arid rangelands. Therefore, understanding plant and animal biology and their effects on biotic and abiotic landscape components is fundamental if rangelands are to remain ecologically sustainable. One limiting factor to accomplishing posi...

  18. Criterion I: Soil and water conservation on rangelands [Chapter 2

    Science.gov (United States)

    Michael G. (Sherm) Karl; Paul T. Tueller; Gerald E. Schuman; Mark R. Vinson; James L. Fogg; Ronald W. Shafer; David A. Pyke; D. Terrance Booth; Steven J. Borchard; William G. Ypsilantis; Richard H. Barrett

    2010-01-01

    The Sustainable Rangelands Roundtable (SRR) has explicitly included conservation and maintenance of soil and water resources as a criterion of rangeland sustainability. Within the soil/water criterion, 10 indicators ­ five soil-based and five water-based - were developed through the expert opinions of rangeland scientists, rangeland management agency personnel, non-...

  19. Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement

    National Research Council Canada - National Science Library

    Husereau, Don; Drummond, Michael; Petrou, Stavros; Carswell, Chris; Moher, David; Greenberg, Dan; Augustovski, Federico; Briggs, Andrew H; Mauskopf, Josephine; Loder, Elizabeth

    2013-01-01

    .... The Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement is an attempt to consolidate and update previous health economic evaluation guidelines efforts into one current, useful reporting guidance...

  20. Valuation of rangeland ecosystem services

    Science.gov (United States)

    Gascoigne, W.R.

    2011-01-01

    Economic valuation lends itself well to the anthropocentric orientation of ecosystem services. An economic perspective on ecosystems portrays them as natural assets providing a flow of goods and services valuable to individuals and society collectively. A few examples include the purification of drinking water, reduced risk from flooding and other extreme events, pollination of agricultural crops, climate regulation, and recreation opportunities from plant and animal habitat maintenance, among many others. Once these goods and services are identified and quantified, they can be monetized to complete the valuation process. The monetization of ecosystem goods and services (in the form of dollars) provides a common metric that allows for cross-comparison of attributes and evaluation of differing ecological scenarios. Complicating the monetization process is the fact that most of these goods and services are public and non-market in nature; meaning they are non-rival and non-exclusive and are typically not sold in a traditional market setting where monetary values are revealed. Instead, one must employ non-market valuation techniques, with primary valuation methods typically being very time and resource consuming, intimidating to non-economists, and often impractical. For these reasons, benefit transfer methods have gained popularity. This methodology harnesses the primary collection results of existing studies to make inferences about the economic values of non-market goods and services at an alternative policy site (in place and/or in time). For instance, if a primary valuation study on oak reestablishment on rangelands in southern California yielded a value of $30 per-acre associated with water regulation, this result can be transferred, with some adjustments, to say something about the value of an acre of oaks on rangelands in northern portions of the state. The economic valuation of rangeland ecosystem services has many roles. Economic values may be used as input

  1. Environmental Health Standards for Human Spacecraft

    Science.gov (United States)

    James John T.

    2010-01-01

    The discussion of air and water quality standards includes evidence-based standards, factors unique to spaceflight, effects from exposures to combinations of compounds, contingency versus nominal standards, tables of ISO standards for air quality (ppm) and water quality (mg/L), and updating of standards.

  2. Rehabilitation of degraded rangelands: lessons learned

    Science.gov (United States)

    The introduction and subsequent invasion of cheatgrass (Bromus tectorum) has had astronomical effects to Great Basin rangelands. Cheatgrass has truncated secondary succession by outcompeting native plant species for limited resources, thus building persistent seed banks that take advantage of condi...

  3. Rangeland Ecology Monitoring Data : 1967-2013

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The dataset describes rangeland monitoring results from the Hanksville, UT (USA) area. Monitoring results consist of canopy cover of plant species and functional...

  4. The Rangeland Hydrology and Erosion Model: A dynamic approach for predicting soil loss on rangelands

    Science.gov (United States)

    In this study we present the improved Rangeland Hydrology and Erosion Model (RHEM V2.3), a process-based erosion prediction tool specific for rangeland application. The article provides the mathematical formulation of the model and parameter estimation equations. Model performance is assessed agains...

  5. USDA internet tool to estimate runoff and soil loss on rangelands: rangelands hydrology and erosion model

    Science.gov (United States)

    Rangelands are the most dominant land cover type in the United States (770 million acres) with approximately 53% of the nation’s rangelands owned and managed by the private sector, while approximately 43% are managed by the federal government. Information on the type, extent, and spatial location of...

  6. Collaborative adaptive rangeland management fosters management-science partnerships

    Science.gov (United States)

    Rangelands of the western Great Plains of North America are complex social-ecological systems where management objectives for livestock production, grassland bird conservation and vegetation structure and composition converge. The Collaborative Adaptive Rangeland Management (CARM) experiment is a 10...

  7. Rangelands: Where Anthromes Meet Their Limits

    Directory of Open Access Journals (Sweden)

    Nathan F. Sayre

    2017-05-01

    Full Text Available Defining rangelands as anthromes enabled Ellis and Ramankutty (2008 to conclude that more than three-quarters of Earth’s land is anthropogenic; without rangelands, this figure would have been less than half. They classified all lands grazed by domestic livestock as rangelands, provided that human population densities were low; similar areas without livestock were excluded and classified instead as ‘wildlands’. This paper examines the empirical basis and conceptual assumptions of defining and categorizing rangelands in this fashion. Empirically, we conclude that a large proportion of rangelands, although used to varying degrees by domesticated livestock, are not altered significantly by this use, especially in arid, highly variable environments and in settings with long evolutionary histories of herbivory by wild animals. Even where changes have occurred, the dynamics and components of many rangelands remain structurally and functionally equivalent to those that preceded domestic livestock grazing or would be found in its absence. In much of Africa and Asia, grazing is so longstanding as to be inextricable from ‘natural’ or reference conditions for those sites. Thus, the extent of anthropogenic biomes is significantly overstated. Conceptually, rangelands reveal the dependence of the anthromes thesis on outdated assumptions of ecological climax and equilibrium. Coming to terms with rangelands—how they can be classified, understood, and managed sustainably—thus offers important lessons for understanding anthromes and the Anthropocene as a whole. At the root of these lessons, we argue, is not the question of human impacts on ecosystems but property relations among humans.

  8. Enhancing wind erosion monitoring and assessment for U.S. rangelands

    Science.gov (United States)

    Webb, Nicholas P.; Van Zee, Justin W.; Karl, Jason W.; Herrick, Jeffrey E.; Courtright, Ericha M.; Billings, Benjamin J.; Boyd, Robert C.; Chappell, Adrian; Duniway, Michael C.; Derner, Justin D.; Hand, Jenny L.; Kachergis, Emily; McCord, Sarah E.; Newingham, Beth A.; Pierson, Frederick B.; Steiner, Jean L.; Tatarko, John; Tedela, Negussie H.; Toledo, David; Van Pelt, R. Scott

    2017-01-01

    On the GroundWind erosion is a major resource concern for rangeland managers because it can impact soil health, ecosystem structure and function, hydrologic processes, agricultural production, and air quality.Despite its significance, little is known about which landscapes are eroding, by how much, and when.The National Wind Erosion Research Network was established in 2014 to develop tools for monitoring and assessing wind erosion and dust emissions across the United States.The Network, currently consisting of 13 sites, creates opportunities to enhance existing rangeland soil, vegetation, and air quality monitoring programs.Decision-support tools developed by the Network will improve the prediction and management of wind erosion across rangeland ecosystems.

  9. A collaborative characterization of North American grasslands and rangelands: climate, ecohydrology and carbon sink-source dynamics

    Science.gov (United States)

    Petrie, M. D.; Brunsell, N. A.; Vargas, R.; Collins, S. L.

    2013-12-01

    Grassland and rangeland ecoregions extend across the North American continent and exhibit diversity in climate, ecosystem services, and biophysical processes. In many grasslands and rangelands, the potential for reductions in ecosystem services and for large-scale ecosystem state change may increase under future climate scenarios. Climate change projections for North America vary, however, and the way changing climate will influence specific ecoregions is largely unknown. To better understand the regional effects of climate change on grasslands and rangelands, it is important to better understand the biophysical characteristics of these systems locally, and to identify the sensitivity of these characteristics to observed climate variation. In our study, we propose to use eddy covariance, soil moisture and precipitation data to identify how the grasslands and rangelands of North America differ in their responses to climate variability through time, with specific focus on the active growing season. Our primary goal is to determine the sensitivity of ecosystem Net Primary Productivity [NPP] to variation in temperature and precipitation patterns, and classify North American grasslands and rangelands by these sensitivities in addition to more standard climate and productivity variables. Our preliminary analyses in mesic, semiarid and arid grasslands in Kansas, Colorado and New Mexico show significant (P photosynthesis in spring and of senescense in the fall, grassland and rangeland ecosystems in Kansas (top and bottom left panels) and New Mexico (bottom right panel) display differing patterns of activity throughout the year.

  10. Social and Economic Indicators of the Sustainable Rangelands Roundtable

    Science.gov (United States)

    John E. Mitchell; Daniel W. McCallum; Lewis E. Swanson; John Tanaka; Mark Brunson; Aaron Harp; L. Allen Torell; H. Theodore Heintz

    2006-01-01

    Social and economic systems provide a context and rationale for rangeland management. Sustaining rangeland ecosystems requires attention to the social and economic conditions that accompany the functioning of those systems. We present and discuss economic and social indicators for rangeland sustainability that have possible relevance in the United States. A brief...

  11. ACSM's Health/Fitness Facility Standards and Guidelines. Second Edition.

    Science.gov (United States)

    Peterson, James A., Ed; Tharrett, Stephen J., Ed.

    The American College of Sports Medicine (ACSM) sets the industry standard for certifying professionals involved in health and fitness and their clinical applications. This 5-part publication provides a revised edition of six standards representing the industry's consensus on design and operation of a safe and high-quality health/fitness facility.…

  12. Standards for the mental health care of people with severe ...

    African Journals Online (AJOL)

    Part one describes conceptual issues underlying the development of South African standards for people with severe psychiatric disorders. Mental health care standards seek to describe what is an acceptable and adequate quality of mental health care for service users. A focus on service quality is especially crucial in ...

  13. Survey of audiovisual standards and practices in health sciences libraries.

    OpenAIRE

    McCarthy, J

    1983-01-01

    A survey of audiovisual (AV) practices in health sciences libraries was conducted by the Audiovisual Standards and Practices Committee of the Medical Library Association. The objective was to determine the variety and extent of AV practices currently in use in health sciences libraries, as a preliminary step toward developing AV standards.

  14. 45 CFR 170.210 - Standards for health information technology to protect electronic health information created...

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Standards for health information technology to protect electronic health information created, maintained, and exchanged. 170.210 Section 170.210 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION SPECIFICATION...

  15. European and International Standards on health and safety in welding

    Science.gov (United States)

    Howe, A.

    2009-02-01

    A number of European and International Standards on health and safety in welding have been published in recent years and work on several more is nearing completion. These standards have been prepared jointly by the International Standards Organization (ISO) and the European Committee for Standardization (CEN). The standards development work has mostly been led by CEN/TC 121/SC 9, with excellent technical input from experts within Europe; but work on the revision of published standards, which has recently gathered pace, is now being carried out by ISO/TC 44/SC 9, with greater international involvement. This paper gives an overview of the various standards that have been published, are being revised or are under development in this field of health and safety in welding, seeking to (i) increase international awareness of published standards, (ii) encourage wider participation in health and safety in welding standards work and (iii) obtain feedback and solicit comments on standards that are currently under development or revision. Such an initiative is particularly timely because work is currently in progress on the revision of one of the more important standards in this field, namely EN ISO 10882:2001 Health and safety in welding and allied processes— Sampling of airborne particles and gases in the operator's breathing zone — Part 1: Sampling of airborne particles.

  16. Standard Model of Particle Physics--a health physics perspective.

    Science.gov (United States)

    Bevelacqua, J J

    2010-11-01

    The Standard Model of Particle Physics is reviewed with an emphasis on its relationship to the physics supporting the health physics profession. Concepts important to health physics are emphasized and specific applications are presented. The capability of the Standard Model to provide health physics relevant information is illustrated with application of conservation laws to neutron and muon decay and in the calculation of the neutron mean lifetime.

  17. Standardization and Innovation for Smart e-Health Monitoring Devices

    DEFF Research Database (Denmark)

    Mihovska, Albena D.; Kyriazakos, Sofoklis; Mihaylov, Mihail Rumenov

    2015-01-01

    The challenges faced by standardization in relation to the potential of wireless communication technologies to deliver lower cost, higher efficiency, enhanced quality of experience and diversified smart e-Health services, are multi-fold and determined by the complexity of the myriad of emerging...... for the delivery of e-Health services in support of independent living. The proposed framework incorporates innovative research and standardized solutions. The paper addresses the correlation between standardization and innovation, in particular for the area of e-Health. It analyzes the potential of research...... to advance and harmonize the standardization efforts towards sustainable e-Health solutions, and outlines some critical points for the future standardization work in the related area....

  18. Template and Model Driven Development of Standardized Electronic Health Records.

    Science.gov (United States)

    Kropf, Stefan; Chalopin, Claire; Denecke, Kerstin

    2015-01-01

    Digital patient modeling targets the integration of distributed patient data into one overarching model. For this integration process, both a theoretical standard-based model and information structures combined with concrete instructions in form of a lightweight development process of single standardized Electronic Health Records (EHRs) are needed. In this paper, we introduce such a process along side a standard-based architecture. It allows the modeling and implementation of EHRs in a lightweight Electronic Health Record System (EHRS) core. The approach is demonstrated and tested by a prototype implementation. The results show that the suggested approach is useful and facilitates the development of standardized EHRSs.

  19. Interoperable and standard e-Health solution over Bluetooth.

    Science.gov (United States)

    Martinez, I; Del Valle, P; Munoz, P; Trigo, J D; Escayola, J; Martínez-Espronceda, M; Muñoz, A; Serrano, L; Garcia, J

    2010-01-01

    The new paradigm of e-Health demands open sensors and middleware components that permit transparent integration and end-to-end interoperability of new personal health devices. The use of standards seems to be the internationally adopted way to solve these problems. This paper presents the implementation of an end-to-end standards-based e-Health solution. This includes ISO/IEEE11073 standard for the interoperability of the medical devices in the patient environment and EN13606 standard for the interoperable exchange of the Electronic Healthcare Record. The design strictly fulfills all the technical features of the most recent versions of both standards. The implemented prototype has been tested in a laboratory environment to demonstrate its feasibility for its further transfer to the healthcare system.

  20. Standards for the mental health care of people with severe ...

    African Journals Online (AJOL)

    Adele

    Standards for the mental health care of people with severe psychiatric disorders in South Africa: Part 1. Conceptual issues. National and provincial departments must publish standards for the level and quality of services they will provide, including the introduction of new services to those who have previously been denied ...

  1. Rehabilitation of cheatgrass-infested rangelands: management

    Science.gov (United States)

    This is the final part of a three part series specifically addressing lessons learned concerning the management of rehabilitated cheatgrass-infested rangelands. Steve Novak and Richard Mack reported in 2003 that they found no evidence of outcrossing in 2,000 cheatgrass seedlings from 60 North Americ...

  2. Rehabilitation of cheatgrass-infested rangelands: concepts

    Science.gov (United States)

    The introduction and subsequent invasion of cheatgrass (Bromus tectorum) onto millions of acres of Intermountain West rangelands has caused astronomical changes to numerous ecosystems and the multiple uses that depend on healthy and functional ecosystems. This is the first part, of a 3-part series ...

  3. Managing the livestock– Wildlife interface on rangelands

    Science.gov (United States)

    du Toit, Johan T.; Cross, Paul C.; Valeix, Marion

    2017-01-01

    On rangelands the livestock–wildlife interface is mostly characterized by management actions aimed at controlling problems associated with competition, disease, and depredation. Wildlife communities (especially the large vertebrate species) are typically incompatible with agricultural development because the opportunity costs of wildlife conservation are unaffordable except in arid and semi-arid regions. Ecological factors including the provision of supplementary food and water for livestock, together with the persecution of large predators, result in livestock replacing wildlife at biomass densities far exceeding those of indigenous ungulates. Diseases are difficult to eradicate from free-ranging wildlife populations and so veterinary controls usually focus on separating commercial livestock herds from wildlife. Persecution of large carnivores due to their depredation of livestock has caused the virtual eradication of apex predators from most rangelands. However, recent research points to a broad range of solutions to reduce conflict at the livestock–wildlife interface. Conserving wildlife bolsters the adaptive capacity of a rangeland by providing stakeholders with options for dealing with environmental change. This is contingent upon local communities being empowered to benefit directly from their wildlife resources within a management framework that integrates land-use sectors at the landscape scale. As rangelands undergo irreversible changes caused by species invasions and climate forcings, the future perspective favors a proactive shift in attitude towards the livestock–wildlife interface, from problem control to asset management.

  4. Management of Collective Rangelands in Rhamna (Morocco ...

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

    Rangelands are severely degraded in Morocco. This has stimulated public interventions to reduce the pressure on natural resources and promote sustainable management. In Rhamna, a region traditionally used for transhumance, such efforts have met with limited success because they have not taken into consideration ...

  5. Weather-centric rangeland revegetation planning

    Science.gov (United States)

    Hardegree, Stuart P.; Abatzoglou, John T.; Brunson, Mark W.; Germino, Matthew; Hegewisch, Katherine C.; Moffet, Corey A.; Pilliod, David S.; Roundy, Bruce A.; Boehm, Alex R.; Meredith, Gwendwr R.

    2018-01-01

    Invasive annual weeds negatively impact ecosystem services and pose a major conservation threat on semiarid rangelands throughout the western United States. Rehabilitation of these rangelands is challenging due to interannual climate and subseasonal weather variability that impacts seed germination, seedling survival and establishment, annual weed dynamics, wildfire frequency, and soil stability. Rehabilitation and restoration outcomes could be improved by adopting a weather-centric approach that uses the full spectrum of available site-specific weather information from historical observations, seasonal climate forecasts, and climate-change projections. Climate data can be used retrospectively to interpret success or failure of past seedings by describing seasonal and longer-term patterns of environmental variability subsequent to planting. A more detailed evaluation of weather impacts on site conditions may yield more flexible adaptive-management strategies for rangeland restoration and rehabilitation, as well as provide estimates of transition probabilities between desirable and undesirable vegetation states. Skillful seasonal climate forecasts could greatly improve the cost efficiency of management treatments by limiting revegetation activities to time periods where forecasts suggest higher probabilities of successful seedling establishment. Climate-change projections are key to the application of current environmental models for development of mitigation and adaptation strategies and for management practices that require a multidecadal planning horizon. Adoption of new weather technology will require collaboration between land managers and revegetation specialists and modifications to the way we currently plan and conduct rangeland rehabilitation and restoration in the Intermountain West.

  6. Increasing flexibility in rangeland management during drought

    Science.gov (United States)

    The extreme drought that began in 2011 and persists throughout the central and western US presents a challenge to sustainable rangeland management. Wyoming ranchers manage half of this drought-prone state and are at the forefront of this challenge. We examined Wyoming ranchers’ drought management st...

  7. Health Care Reform: Designing the Standard Benefits Package.

    Science.gov (United States)

    McArdle, Frank B.

    1994-01-01

    Considerations in designing a standard health care benefits package as a part of national health care reform are discussed. Specific features examined include deductibles, employer contributions, regional variations, cost management techniques such as managed care and higher copayments, annual out-of-pocket maximums, and lifetime benefit maximums.…

  8. Transgender Health: New Zealand's Innovative Statistical Standard for Gender Identity.

    Science.gov (United States)

    Pega, Frank; Reisner, Sari L; Sell, Randall L; Veale, Jaimie F

    2017-02-01

    The implementation of the New Zealand government's recently developed statistical standard for gender identity has led to, and will stimulate further, collection of gender identity data in administrative records, population surveys, and perhaps the census. This will provide important information about the demographics, health service use, and health outcomes of transgender populations to allow evidence-based policy development and service planning. However, the standard does not promote the two-question method, risking misclassification and undercounts; does promote the use of the ambiguous response category "gender diverse" in standard questions; and is not intersex inclusive. Nevertheless, the statistical standard provides a first model for other countries and international organizations, including United Nations agencies, interested in policy tools for improving transgender people's health.

  9. Electronic health record standards, coding systems, frameworks, and infrastructures

    CERN Document Server

    Sinha, Pradeep K; Bendale, Prashant; Mantri, Manisha; Dande, Atreya

    2013-01-01

    Discover How Electronic Health Records Are Built to Drive the Next Generation of Healthcare Delivery The increased role of IT in the healthcare sector has led to the coining of a new phrase ""health informatics,"" which deals with the use of IT for better healthcare services. Health informatics applications often involve maintaining the health records of individuals, in digital form, which is referred to as an Electronic Health Record (EHR). Building and implementing an EHR infrastructure requires an understanding of healthcare standards, coding systems, and frameworks. This book provides an

  10. Rangeland Rummy - a board game to support adaptive management of rangeland-based livestock systems.

    Science.gov (United States)

    Farrié, B; Jouven, M; Launay, F; Moreau, J-C; Moulin, C-H; Piquet, M; Taverne, M; Tchakérian, E; Thénard, V; Martin, G

    2015-01-01

    Rangeland-based livestock systems have to deal with the significant instability and uncertainty of the agricultural context (policy changes, volatility of input prices, etc.), and especially of the climatic context. Thus, they are particularly concerned by adaptive management strategies. To support the development of such strategies, we developed a board game including a computer model called "Rangeland Rummy". It is to be used by groups of farmers and agricultural consultants in the context of short workshops (about 3 h). Rangeland Rummy builds upon five types of material object: (i) a game board; (ii) a calendar stick indicating the starting date of the game board; (iii) sticks marked with the feed resources available for combinations of vegetation types and their management practices; (iv) cards to define animal groups and their feeding requirements throughout the year; (v) cards related to types of feed that can be attributed to animal groups throughout the year. Using these material objects, farmers collectively design a rangeland-based livestock system. This system is immediately evaluated using a computer model, i.e. a spreadsheet providing graphs and indicators providing information on, among other things, the extent to which quantitative and qualitative animal feeding requirements are covered across the year. Playing the game thus consists in collectively and iteratively designing and evaluating rangeland-based livestock systems, while confronting the players with new contextual challenges (e.g. interannual variability of weather, volatility of input prices) or new farmers' objectives (e.g. being self-sufficient for animal feeding). An example of application of Rangeland Rummy with 3 farmers in southern France is reported. Applications show that it tends to develop farmers' adaptive capacity by stimulating their discussions and the exchange of locally-relevant knowledge on management strategies and practices in rangeland-based livestock systems. Copyright

  11. A standard telemental health evaluation model: the time is now.

    Science.gov (United States)

    Kramer, Greg M; Shore, Jay H; Mishkind, Matt C; Friedl, Karl E; Poropatich, Ronald K; Gahm, Gregory A

    2012-05-01

    The telehealth field has advanced historic promises to improve access, cost, and quality of care. However, the extent to which it is delivering on its promises is unclear as the scientific evidence needed to justify success is still emerging. Many have identified the need to advance the scientific knowledge base to better quantify success. One method for advancing that knowledge base is a standard telemental health evaluation model. Telemental health is defined here as the provision of mental health services using live, interactive video-teleconferencing technology. Evaluation in the telemental health field largely consists of descriptive and small pilot studies, is often defined by the individual goals of the specific programs, and is typically focused on only one outcome. The field should adopt new evaluation methods that consider the co-adaptive interaction between users (patients and providers), healthcare costs and savings, and the rapid evolution in communication technologies. Acceptance of a standard evaluation model will improve perceptions of telemental health as an established field, promote development of a sounder empirical base, promote interagency collaboration, and provide a framework for more multidisciplinary research that integrates measuring the impact of the technology and the overall healthcare aspect. We suggest that consideration of a standard model is timely given where telemental health is at in terms of its stage of scientific progress. We will broadly recommend some elements of what such a standard evaluation model might include for telemental health and suggest a way forward for adopting such a model.

  12. 75 FR 39265 - National Center for Health Statistics (NCHS), Classifications and Public Health Data Standards...

    Science.gov (United States)

    2010-07-08

    ...), Classifications and Public Health Data Standards Staff, Announces the Following Meeting Name: ICD-9-CM... for Disease Control and Prevention, Classifications and Public Health Data Standards, 3311 Toledo Road... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND...

  13. 78 FR 9055 - National Center for Health Statistics (NCHS), Classifications and Public Health Data Standards...

    Science.gov (United States)

    2013-02-07

    ...), Classifications and Public Health Data Standards Staff, Announces the Following Meeting Name: ICD-9-CM... Information: Donna Pickett, Medical Systems Administrator, Classifications and Public Health Data Standards... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND...

  14. 78 FR 53148 - National Center for Health Statistics (NCHS), Classifications and Public Health Data Standards...

    Science.gov (United States)

    2013-08-28

    ...), Classifications and Public Health Data Standards Staff, Announces the Following Meeting Name: ICD-9-CM..., Medical Systems Administrator, Classifications and Public Health Data Standards Staff, NCHS, 3311 Toledo... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND...

  15. The governance of standard-setting to improve health.

    Science.gov (United States)

    Fox, Daniel M

    2010-11-01

    This article describes recent events in the governance of standard-setting for 2 areas of US health policy - states' decisions about which prescription drugs to cover under Medicaid and other public programs and making health an aspect of foreign policy - and whether these events offer lessons for policy making. In prescription drug coverage, methodologic advances in research that evaluates health services and the politics of restraining the rate of growth in health expenditures enabled policy makers in most states to establish new public processes for assessing and applying evidence about the effectiveness of competing drugs. Their counterparts in foreign policy, in contrast, made few changes in existing processes for choosing which interventions to support. The history of governance in each area of policy making for health explains the selection of standards to evaluate evidence about interventions and whether and how to use this evidence to guide policy.

  16. 45 CFR 162.404 - Compliance dates of the implementation of the standard unique health identifier for health care...

    Science.gov (United States)

    2010-10-01

    ... standard unique health identifier for health care providers. 162.404 Section 162.404 Public Welfare... REQUIREMENTS Standard Unique Health Identifier for Health Care Providers § 162.404 Compliance dates of the implementation of the standard unique health identifier for health care providers. (a) Health care providers. A...

  17. A case of standardization? Implementing health promotion guidelines in Denmark

    DEFF Research Database (Denmark)

    Rod, Morten Hulvej; Høybye, Mette Terp

    2016-01-01

    policies and interventions and were structured according to risk factors such as alcohol, smoking and physical activity. This article examines the process of implementation of the new Danish health promotion guidelines. The article is based on qualitative interviews and participant observation, focusing...... and standardization. It remains an open question whether or not the guidelines lead to more standardized policies and interventions, but we suggest that the guidelines promote a risk factor oriented approach as the dominant frame for knowledge, reasoning, decision making and priority setting in health promotion. We...

  18. Health care in small prisons: incorporating high-quality standards.

    Science.gov (United States)

    Rieder, Jean-Pierre; Casillas, Alejandra; Mary, Gérard; Secretan, Anne-Dominique; Gaspoz, Jean-Michel; Wolff, Hans

    2013-01-01

    In the past, health management in Geneva's six post-trial prisons had been variable and inconsistent. In 2008, the unit of penitentiary medicine of the Geneva University Hospitals was mandated to re-organize and provide health care at all six prison facilities. The specific aim of this paper is to outline the example as a practical solution to some of the common challenges in unifying the structure and process of health services across multiple small facilities, while meeting European prison health and local quality standards. Geneva's post-trial prisons are small and close to one another in geographical proximity - ideal conditions for the construction of a health mobile team (HMT). This multidisciplinary mobile team operated like a community ambulatory care model; it was progressively launched in all prison facilities in Geneva. The authors incorporated an implementation strategy where health providers partnered with prison and community stakeholders in the health delivery model's development and adaption process. The model's strategic initiatives are described along the following areas, in light of other international prison health activity and prior care models: access to a health care professional, equivalence of care, patient consent, confidentiality, humanitarian interventions, and professional competence and independence. From the perspective of the HMT members, the authors provide the "lessons learned" through this experience, especially to providers who are working on prison health services reform and coordination improvement. The paper particularly stresses the importance of partnering with community health stakeholders and prison staff, a key component to the approach.

  19. Standards for the mental health care of people with severe ...

    African Journals Online (AJOL)

    Adele

    Introduction. In the first part of this two-part series, a number of conceptual issues regarding the development of stan- dards for the mental health care of people with severe psychiatric disorders in South Africa were addressed.1. This part presents the methods that were followed to develop standards, and the results of the ...

  20. 10 CFR 851.23 - Safety and health standards.

    Science.gov (United States)

    2010-01-01

    ..., “Occupational Safety and Health Standards for Agriculture.” (9) American Conference of Governmental Industrial... § 851.27). (11) ANSI Z136.1, “Safe Use of Lasers,” (2000) (incorporated by reference, see § 851.27). (12...

  1. 78 FR 65317 - National Committee on Vital and Health Statistics: Meeting Standards Subcommittee

    Science.gov (United States)

    2013-10-31

    ... coding, document-type standards, message content, structure and format standards, transport, vocabulary... hearing to focus on important considerations for standardized definitions of public health variables...

  2. Open Source, Open Standards, and Health Care Information Systems

    Science.gov (United States)

    2011-01-01

    Recognition of the improvements in patient safety, quality of patient care, and efficiency that health care information systems have the potential to bring has led to significant investment. Globally the sale of health care information systems now represents a multibillion dollar industry. As policy makers, health care professionals, and patients, we have a responsibility to maximize the return on this investment. To this end we analyze alternative licensing and software development models, as well as the role of standards. We describe how licensing affects development. We argue for the superiority of open source licensing to promote safer, more effective health care information systems. We claim that open source licensing in health care information systems is essential to rational procurement strategy. PMID:21447469

  3. Erosion rates from forests and rangelands following fuel management

    Science.gov (United States)

    William J. Elliot; Peter R. Robichaud; I. Sue Miller

    2007-01-01

    In both forest and rangelands, fuel reduction operations are now common practices. Mechanical thinning followed by prescribed fire is common in forests, while fire is frequently applied to rangelands. Studies at different scales (50 sq m to 389 ha) measure the erosion from fuel management. This presentation compares runoff and erosion from these studies. Plot size has...

  4. Structural and functional diversity in rangelands: integrating different ...

    African Journals Online (AJOL)

    Many rangelands exist as dynamic systems where structural and functional diversity of the community is a function of several interacting factors. Understanding the effects of these factors in rangelands requires an understanding of component functioning at different scales. Integrating the range of levels from ecophysiology ...

  5. Rehabilitation of cheatgrass-infested rangelands: applications and practices

    Science.gov (United States)

    The challenges that land owners and resource managers face when trying to attempt applications and practices when attempting to rehabilitate rangelands infested with cheatgrass (Bromus tectorum) are over-whelming. Simply purchasing seed and spreading it throughout the rangelands is doomed for failu...

  6. Session A2 Rangelands as dynamic systems — Biodiversity ...

    African Journals Online (AJOL)

    Management of rangelands for animal products can reduce, maintain or even increase biodiversity. Loss of biodiversity of plants and animals can lead to decreased productivity and income generation from rangelands or can exacerbate the effects of climatic variability and concomitant increased risks for subsistence and ...

  7. Managing climate change risks in rangeland systems [Chapter 15

    Science.gov (United States)

    Linda A. Joyce; Nadine A. Marshall

    2017-01-01

    The management of rangelands has long involved adapting to climate variability to ensure that economic enterprises remain viable and ecosystems sustainable; climate change brings the potential for change that surpasses the experience of humans within rangeland systems. Adaptation will require an intentionality to address the effects of climate change. Knowledge of...

  8. Rangeland drought: Effects, restoration, and adaptation [Chap. 8

    Science.gov (United States)

    Deborah M. Finch; Rosemary L. Pendleton; Matt C. Reeves; Jeffrey E. Ott; Francis F. Kilkenny; Jack L. Butler; Jacqueline P. Ott; Jeremy R. Pinto; Paulette L. Ford; Justin B. Runyon; Mark A. Rumble; Stanley G. Kitchen

    2016-01-01

    Drought can have severe impacts on rangeland ecosystems in North America. For the purposes of this chapter, rangelands include natural grasslands, savannas, shrublands, many deserts, tundras, alpine communities, marshes, meadows, and woodlands. Drought impacts vary depending on the severity, frequency, duration, and aerial extent of the drought(s); how the land is...

  9. Improving access to livestock markets for sustainable rangeland ...

    African Journals Online (AJOL)

    Productivity of rangelands in Kenya is affected by increasing crop farming especially in more fertile range areas. Among the key factors driving the encroachment of crops on rangelands are the changing opportunities brought about by markets. We hypothesize that the existing market inefficiencies characterizing livestock ...

  10. Incorporating plant mortality and recruitment into rangeland management and assessment

    Science.gov (United States)

    Tony Svejcar; Jeremy James; Stuart Hardegree; Roger Sheley

    2014-01-01

    Rangeland management is largely focused on managing vegetation change. Objectives may include managing against change if the desired vegetation is in place, or attempting to create a shift in vegetation if the desired plant community is not present. There is a rich body of research documenting influences of disturbance and management on rangeland vegetation. However,...

  11. Cardiovascular health status between standard and nonstandard workers in Korea.

    Directory of Open Access Journals (Sweden)

    Jong Ju Seon

    Full Text Available The effect of employment insecurity on employee health is an important public health issue due to the recent effects of neoliberalism and the global financial crisis (2007-2008 on labor markets. This study aims to evaluate the differences in cardiovascular health status and the use of preventive screening services between standard and nonstandard workers.Waged employees (N = 5,338 between the ages of 20 and 64 were grouped into standard (full-time, permanent and nonstandard (part-time, temporary, or daily employees. Data from the Fourth Korea National Health and Nutrition Examination Survey, 2007-2009, a nationwide representative survey, were examined, including cardiovascular health risk behaviors (tobacco, alcohol, physical inactivity, measured morbidities (blood pressure, blood glucose level, lipid profiles, body mass index, and the use of screening services for hypertension and diabetes mellitus.Female nonstandard employees tended to have higher blood pressure than did female standard employees (adjusted odds ratio, aOR 1.42, 95% confidence interval, CI 1.02 to 1.98. However, nonstandard employees (both men and women were less likely to use preventive screening services for hypertension (aOR 0.72, 95% CI 0.54 to 0.94 in men; aOR 0.56, 95% CI 0.43 to 0.73 in women and diabetes (aOR 0.58, 95% CI 0.43 to 0.79 in men; aOR 0.55, 95% CI 0.43 to 0.71 in women.Nonstandard work is associated with the underuse of screening services and poorer cardiovascular health in a specific population. Policies to reduce employment insecurity and encourage nonstandard employees to receive health screening services should be prioritized.

  12. Sustainable rangeland management, economic growth, and a cautious role for the SRM

    Science.gov (United States)

    Interest in the art and science of rangeland management increased dramatically during the 20th century and it was out of this interest that the profession of rangeland management was born. As public interest in rangeland management grew, so did the number, breadth, and depth of rangeland management ...

  13. New Tools to Estimate Runoff, Soil Erosion, and Sustainability of Rangeland Plant Communities

    Science.gov (United States)

    Rangelands are the largest land cover type in the world. Degradation from mismanagement, desertification, and drought impact more than 50% of rangelands across the globe. The USDA Agricultural Research Service has been evaluating sustainability of rangeland for over 40-years by conducted rangeland r...

  14. Criterion II: Indicators for conservation and maintenance of plant and animal resources on rangelands (Chapter 3)

    Science.gov (United States)

    Linda A. Joyce; William Fox; Paul Geissler; Rodney Heitschmidt; Lori Hidinger; Duncan Patten; John Spence; Laurence L. Strong; Robert Unnasch; Robert A. Washington-Allen

    2010-01-01

    Five criteria were established by the Sustainable Rangelands Roundtable to be used to assess rangeland sustainability on a national scale. One of those criteria is the conservation and maintenance of plant and animal resources. Within this criterion, 10 indicators were developed through the expert opinions of rangeland scientists, rangeland management agency personnel...

  15. Climate change effects on rangelands and rangeland management: Affirming the need for monitoring

    Science.gov (United States)

    Daniel W. Mccollum; John A. Tanaka; Jack A. Morgan; John E. Mitchell; William E. Fox; Kristie A. Maczko; Lori Hidinger; Clifford S. Duke; Urs P. Kreuter

    2017-01-01

    Uncertainty as to the extent and magnitude of changes in conditions that might occur due to climate change poses a problem for land and resource managers as they seek to adapt to changes and mitigate effects of climate variability. We illustrate using scenarios of projected future conditions on rangelands in the Northern Great Plains and Desert Southwest of the United...

  16. Rangeland dynamics in South Omo Zone of Southern Ethiopia: Assessment of rangeland condition in relation to altitude and Grazing types

    NARCIS (Netherlands)

    Terefe, A.; Ebro, A.; Tessema, Z.K.

    2010-01-01

    A study was undertaken in Hamer and Benna-Tsemay districts of the Southern Ethiopia with the objective to determine the condition of the rangelands for grazing animals as influenced by altitude and grazing types. The rangelands in each of the study districts were stratified based on altitude and

  17. Standard Health Level Seven for Odontological Digital Imaging.

    Science.gov (United States)

    Abril-Gonzalez, Mauricio; Portilla, Fernando A; Jaramillo-Mejia, Marta C

    2017-01-01

    A guide for the implementation of dental digital imaging reports was developed and validated through the International Standard of Health Informatics-Health Level Seven (HL7), achieving interoperability with an electronic system that keeps dental records. Digital imaging benefits patients, who can view previous close-ups of dental examinations; providers, because of greater efficiency in managing information; and insurers, because of improved accessibility, patient monitoring, and more efficient cost management. Finally, imaging is beneficial for the dentist who can be more agile in the diagnosis and treatment of patients using this tool. The guide was developed under the parameters of an HL7 standard. It was necessary to create a group of dentists and three experts in information and communication technologies from different institutions. Diagnostic images scanned with conventional radiology or from a radiovisiograph can be converted to Digital Imaging and Communications in Medicine (DICOM) format, while also retaining patient information. The guide shows how the information of the health record of the patient and the information of the dental image could be standardized in a Clinical Dental Record document using international informatics standard like HL7-V3-CDA document (dental document Level 2). Since it is an informatics standardized document, it could be sent, stored, or displayed using different devices-personal computers or mobile devices-independent of the platform used. Interoperability using dental images and dental record systems reduces adverse events, increases security for the patient, and makes more efficient use of resources. This article makes a contribution to the field of telemedicine in dental informatics. In addition to that, the results could be a reference for projects of electronic medical records when the dental documents are part of them.

  18. Oncologic prevention and suggested working standards in primary health care

    Directory of Open Access Journals (Sweden)

    Konstantinović Dejan

    2016-01-01

    Full Text Available On the ground of the available data, this paper presents the problem of malignant diseases in Central Serbia, and most common carcinogens. Division of carcinogens, cancerogenesis and natural history of disease, early detection of cancer and palliative management are explained. The role and capacities of primary health care doctors in treatment of patients with suspect malignant disease are presented. Authors are suggesting standards for medical tasks and contemporary principles in approach to patients with malignant diseases in everyday practice.

  19. DOE standard: Integration of environment, safety, and health into facility disposition activities. Volume 1: Technical standard

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-05-01

    This Department of Energy (DOE) technical standard (referred to as the Standard) provides guidance for integrating and enhancing worker, public, and environmental protection during facility disposition activities. It provides environment, safety, and health (ES and H) guidance to supplement the project management requirements and associated guidelines contained within DOE O 430.1A, Life-Cycle Asset Management (LCAM), and amplified within the corresponding implementation guides. In addition, the Standard is designed to support an Integrated Safety Management System (ISMS), consistent with the guiding principles and core functions contained in DOE P 450.4, Safety Management System Policy, and discussed in DOE G 450.4-1, Integrated Safety Management System Guide. The ISMS guiding principles represent the fundamental policies that guide the safe accomplishment of work and include: (1) line management responsibility for safety; (2) clear roles and responsibilities; (3) competence commensurate with responsibilities; (4) balanced priorities; (5) identification of safety standards and requirements; (6) hazard controls tailored to work being performed; and (7) operations authorization. This Standard specifically addresses the implementation of the above ISMS principles four through seven, as applied to facility disposition activities.

  20. Behavioral Health and Performance Laboratory Standard Measures (BHP-SM)

    Science.gov (United States)

    Williams, Thomas J.; Cromwell, Ronita

    2017-01-01

    The Spaceflight Standard Measures is a NASA Johnson Space Center Human Research Project (HRP) project that proposes to collect a set of core measurements, representative of many of the human spaceflight risks, from astronauts before, during and after long-duration International Space Station (ISS) missions. The term "standard measures" is defined as a set of core measurements, including physiological, biochemical, psychosocial, cognitive, and functional, that are reliable, valid, and accepted in terrestrial science, are associated with a specific and measurable outcome known to occur as a consequence of spaceflight, that will be collected in a standardized fashion from all (or most) crewmembers. While such measures might be used to define standards of health and performance or readiness for flight, the prime intent in their collection is to allow longitudinal analysis of multiple parameters in order to answer a variety of operational, occupational, and research-based questions. These questions are generally at a high level, and the approach for this project is to populate the standard measures database with the smallest set of data necessary to indicate further detailed research is required. Also included as standard measures are parameters that are not outcome-based in and of-themselves, but provide ancillary information that supports interpretation of the outcome measures, e.g., nutritional assessment, vehicle environmental parameters, crew debriefs, etc. The project's main aim is to ensure that an optimized minimal set of measures is consistently captured from all ISS crewmembers until the end of Station in order to characterize the human in space. -This allows the HRP to identify, establish, and evaluate a common set of measures for use in spaceflight and analog research to: develop baselines, systematically characterize risk likelihood and consequences, and assess effectiveness of countermeasures that work for behavioral health and performance risk factors

  1. MomConnect: an exemplar implementation of the Health Normative Standards Framework in South Africa

    CSIR Research Space (South Africa)

    Seebregts, C

    2016-05-01

    Full Text Available In August 2014, the National Department of Health implemented MomConnect as a national digital maternal health program that implements the South African mobile health (mHealth) strategy and the National Health Normative Standards Framework...

  2. Query Health: standards-based, cross-platform population health surveillance.

    Science.gov (United States)

    Klann, Jeffrey G; Buck, Michael D; Brown, Jeffrey; Hadley, Marc; Elmore, Richard; Weber, Griffin M; Murphy, Shawn N

    2014-01-01

    Understanding population-level health trends is essential to effectively monitor and improve public health. The Office of the National Coordinator for Health Information Technology (ONC) Query Health initiative is a collaboration to develop a national architecture for distributed, population-level health queries across diverse clinical systems with disparate data models. Here we review Query Health activities, including a standards-based methodology, an open-source reference implementation, and three pilot projects. Query Health defined a standards-based approach for distributed population health queries, using an ontology based on the Quality Data Model and Consolidated Clinical Document Architecture, Health Quality Measures Format (HQMF) as the query language, the Query Envelope as the secure transport layer, and the Quality Reporting Document Architecture as the result language. We implemented this approach using Informatics for Integrating Biology and the Bedside (i2b2) and hQuery for data analytics and PopMedNet for access control, secure query distribution, and response. We deployed the reference implementation at three pilot sites: two public health departments (New York City and Massachusetts) and one pilot designed to support Food and Drug Administration post-market safety surveillance activities. The pilots were successful, although improved cross-platform data normalization is needed. This initiative resulted in a standards-based methodology for population health queries, a reference implementation, and revision of the HQMF standard. It also informed future directions regarding interoperability and data access for ONC's Data Access Framework initiative. Query Health was a test of the learning health system that supplied a functional methodology and reference implementation for distributed population health queries that has been validated at three sites. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under

  3. The work of the OIE Aquatic Animal Health Standards Commission.

    Science.gov (United States)

    Hill, B

    2007-01-01

    Founded in 1960 as the Fish Diseases Commission, the Aquatic Animal Health Standards Commission is currently composed of five members elected by the OIE International Committee on a three-year basis. Its remit covers diseases of fish, molluscs and crustaceans. OIE stipulates that Commission members should be internationally recognised specialists in the fields of methods for surveillance, diagnosis and prevention of infectious aquatic animal diseases and have extensive international experience, at the regional or global level. The Commission is responsible for developing the international standards of the Aquatic Code and the Aquatic Manual, very ably supported by various OIE Ad hoc Groups and the designated experts at the OIE Reference Laboratories for aquatic animal diseases. The latest editions of the Aquatic Code and the Aquatic Manual published in 2006 incorporate several important modifications including several changes to the list of diseases. Work has commenced in new areas such as aquatic animal welfare and an assessment of whether amphibian diseases should be included in the work of the Commission. Continuing efforts are being made to encourage enhanced involvement of veterinary authorities in aquatic animal health and to improve cooperation between veterinary and other authorities with competence for aquatic animal health.

  4. Influence of revised public health standards on health equity action: a qualitative study in Ontario, Canada.

    Science.gov (United States)

    Hassen, Nadha; Tyler, Ingrid; Manson, Heather

    2017-10-27

    In 2008, a revised set of public health standards was released in the province of Ontario, Canada. The updated Ontario Public Health Standards (OPHS) introduced a new policy mandate that required local public health units (PHUs) to identify "priority populations" for public health programs and services. The aim of this study was to understand how this Priority Populations Mandate (PPM) facilitated or hindered action on health equity or the social determinants of health through PHUs in Ontario. This study used two sets of qualitative data that were part of a larger study. The first set of data was 16 semi-structured key informant interviews with policymakers involved in developing the OPHS and public health practitioners. The second set of data was the qualitative component of a role-based survey sent out to all the 36 PHUs in Ontario. Thematic content analysis was conducted to iteratively develop themes to answer the research question. We identified six factors that both facilitated and hindered action on health equity and social determinants of health action in the province resulting from the OPHS and PPM. These six factors were grouped into three categories or themes: OPHS policy attributes (1. introducing new terminology, 2. allowing flexibility in implementation and 3. ensuring evidence-informed decision-making), health sector context into which the PPM was introduced (4. different understandings of health equity and 5. variability in existing partnerships) and implementation by PHUs (6. requirement to address the PPM). Although the revised OPHS and the PPM facilitated action on health equity and the social determinants of health, on the whole, this objective could have been better met. The mandate within the OPHS could have been strengthened with respect to promoting action on health equity and the social determinants of health through more clearly defined terminology, conveying a guiding health equity vision and uniting different PHU approaches to addressing

  5. Management of communal rangelands - the dialogue between science and indigenous knowledge: the case of the Eastern Cape

    CSIR Research Space (South Africa)

    Dube, S

    2010-07-01

    Full Text Available Communal area rangeland resource users are an important part of the rangeland ecosystem; rangeland management policies and practice should, therefore, accommodate their socio-cultural practices and knowledge. Indigenous knowledge (IK) is often...

  6. Rehabilitation of Great Basin rangelands: an integrated approach

    Science.gov (United States)

    Disturbed rangelands present significant challenges to resource managers and land owners. In the Great Basin, exotic annual grasses have truncated secondary succession by outcompeting native perennial species for limited moisture and nutrients. An integrated approach to successfully control such inv...

  7. Future scenarios of impacts to ecosystem services on California rangelands

    Science.gov (United States)

    Byrd, Kristin; Alvarez, Pelayo; Flint, Lorraine; Flint, Alan

    2014-01-01

    The 18 million acres of rangelands in the Central Valley of California provide multiple benefits or “ecosystem services” to people—including wildlife habitat, water supply, open space, recreation, and cultural resources. Most of this land is privately owned and managed for livestock production. These rangelands are vulnerable to land-use conversion and climate change. To help resource managers assess the impacts of land-use change and climate change, U.S. Geological Survey scientists and their cooperators developed scenarios to quantify and map changes to three main rangeland ecosystem services—wildlife habitat, water supply, and carbon sequestration. Project results will help prioritize strategies to conserve these rangelands and the ecosystem services that they provide.

  8. Managing public health in the Army through a standard community health promotion council model.

    Science.gov (United States)

    Courie, Anna F; Rivera, Moira Shaw; Pompey, Allison

    2014-01-01

    Public health processes in the US Army remain uncoordinated due to competing lines of command, funding streams and multiple subject matter experts in overlapping public health concerns. The US Army Public Health Command (USAPHC) has identified a standard model for community health promotion councils (CHPCs) as an effective framework for synchronizing and integrating these overlapping systems to ensure a coordinated approach to managing the public health process. The purpose of this study is to test a foundational assumption of the CHPC effectiveness theory: the 3 features of a standard CHPC model - a CHPC chaired by a strong leader, ie, the senior commander; a full time health promotion team dedicated to the process; and centralized management through the USAPHC - will lead to high quality health promotion councils capable of providing a coordinated approach to addressing public health on Army installations. The study employed 2 evaluation questions: (1) Do CHPCs with centralized management through the USAPHC, alignment with the senior commander, and a health promotion operations team adhere more closely to the evidence-based CHPC program framework than CHPCs without these 3 features? (2) Do members of standard CHPCs report that participation in the CHPC leads to a well-coordinated approach to public health at the installation? The results revealed that both time (F(5,76)=25.02, Pstandard CHPC model (F(1,76)=28.40, Pstandard CHPC model may lead to a more coordinated approach to public health and may assure that CHPCs follow an evidence-informed design. This is consistent with past research demonstrating that community coalitions and public health systems that have strong leadership; dedicated staff time and expertise; influence over policy, governance and oversight; and formalized rules and regulations function more effectively than those without. It also demonstrates the feasibility of implementing an evidence-informed approach to community coalitions in an Army

  9. Stress management standards: a warning indicator for employee health.

    Science.gov (United States)

    Kazi, A; Haslam, C O

    2013-07-01

    Psychological stress is a major cause of lost working days in the UK. The Health & Safety Executive (HSE) has developed management standards (MS) to help organizations to assess work-related stress. To investigate the relationships between the MS indicator tool and employee health, job attitudes, work performance and environmental outcomes. The first phase involved a survey employing the MS indicator tool, General Health Questionnaire-12 (GHQ-12), job attitudes, work performance and environmental measures in a call centre from a large utility company. The second phase comprised six focus groups to investigate what employees believed contributed to their perceived stress. Three hundred and four call centre employees responded with a response rate of 85%. Significant negative correlations were found between GHQ-12 and two MS dimensions; demands (Rho = -0.211, P motivation and increased intention to quit but low stress levels were associated with reduced job satisfaction. Lack of management support, recognition and development opportunities were identified as sources of stress. The findings support the utility of the MS as a measure of employee attitudes and performance.

  10. Pastoralism, land degradation and Carbon redistribution in rangelands

    Science.gov (United States)

    Kuhn, Nikolaus J.; Ali, Seid Mohammed

    2017-04-01

    Pastoralism is rarely viewed as a major future form of land use, because of well-documented cases of rangeland degradation, attributed to irrational overstocking, and the subsequent losses of ecosystem services. However, pastoralists were actually encouraged to settle and adopt such strategies, copied from rangelands with higher and more reliable rainfall. This curtailed mobility resulted in a shift from opportunistic and extensive land use to more intensive and settled forms of use, and promoted degradation of vegetation and soils and the ecosystem services they provided. However, pastoralists traditionally employed several techniques to manage rangeland resources. These practices, such as the use of seasonal grassland reserves and livestock mobility, influence vegetation composition, coverage and abundance in rangelands and preserved ecosystem services relevant for pastoralists. The traditional practices also offer tools for soil and vegetation protection and restoration, thereby contributing to the mitigation of climate change. However, various internal and external factors have curtailed traditional management practices and livestock mobility, breaking the co-evolved balance of vegetation, wildlife and land use, thus exposing rangeland to continued livestock pressure, which often leads to degradation. Rather than abandoning pastoralism as consequence of 20th century land degradation, the revitalisation of traditional practices and indigenous knowledge can be vital to secure sustainable livelihoods for millions of pastoralists and to maintain rangeland ecosystem services.

  11. Restoring Degraded Rangelands in Jordan: Optimizing Mechanized Micro-Water Harvesting Technique Using Rangeland Hydrology and Erosion Model (RHEM)

    Science.gov (United States)

    Continuous population growth, recent refugee movement and migration as well as boundary restrictions and their implications on the nomadic lifestyle are additive pressure on rangelands throughout the Middle East. In particular, overgrazing through increased livestock herds threatens the Jordanian ra...

  12. Standardized monitoring of Rangifer health during International Polar Year

    Directory of Open Access Journals (Sweden)

    Susan Kutz

    2013-06-01

    Full Text Available Normal 0 21 false false false SV X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Normal tabell"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-fareast-language:EN-US;} Monitoring of individual animal health indices in wildlife populations can be a powerful tool for evaluation of population health, detecting changes, and informing management decisions. Standardized monitoring allows robust comparisons within and across populations, and over time and vast geographic regions. As an International Polar Year Initiative, the CircumArctic Rangifer Monitoring and Assessment network established field protocols for standardized monitoring of caribou and reindeer (Rangifer tarandus health, which included body condition, contaminants, and pathogen exposure and abundance. To facilitate use of the protocols, training sessions were held, additional resources were developed, and language was translated where needed. From March 2007 to September 2010, at least 1206 animals from 16 circumpolar herds were sampled in the field using the protocols. Four main levels of sampling were done and ranged from basic to comprehensive sampling. Possible sources of sampling error were noted by network members early in the process and protocols were modified or supplemented with additional visual resources to improve clarity when needed. This is the first time that such broad and comprehensive circumpolar sampling of migratory caribou and wild reindeer, using standardized protocols covering both body

  13. BioHealth--the need for security and identity management standards in eHealth.

    Science.gov (United States)

    Hildebrand, Claudia; Pharow, Peter; Engelbrecht, Rolf; Blobel, Bernd; Savastano, Mario; Hovsto, Asbjorn

    2006-01-01

    The experience gained in these last years and the several lesson learned have clearly shown that eHealth is more than just a simple change from paper records to electronic records. It necessitates a change of paradigms, on the one hand and the use of new technologies and introduction of new procedures on the other. Interoperability becomes a crucial issue. Security and confidentiality are vital for the acceptance of the new approaches and for the support of eHealth. Shared care and across-border interactions require a reliable and stable normative framework based on the application of standardized solutions, which are often not yet sufficiently known, diffused and implemented. Feeling this gap, a group of international experts in the medical area proposed to the EC the BioHealth project whose main aim is to create awareness about standardization in eHealth and to facilitate its practical implementation. The project will address all the stakeholders concerning their respective domain. It will evaluate the socio-economic and cultural aspects concerning eHealth with particular reference to the growing introduction of emerging technologies such as health cards, biometrics, RFID (radio-frequency identification) and NFC (Near field communication) tags. By providing information and expert advice on standardization and best practices it will raise the acceptance on standardization. Furthermore, the project will deeply approach the ethical and accessibility issues connected to identity management in eHealth, which -together with privacy- represent probably the most significant obstacles for the wide diffusion of eHealth procedures.

  14. From the school health education study to the national health education standards: concepts endure.

    Science.gov (United States)

    Nobiling, Brandye D; Lyde, Adrian R

    2015-05-01

    The landmark School Health Education Study (SHES) project influenced by the conceptual approach to teaching and learning provides perspective on modern school health instruction. Conceptual education, the cornerstone of the SHES curriculum framework (CF), Health Education: A Conceptual Approach to Curriculum Design, fosters a student's understanding of information that develops with experience. Data were collected through content analysis of the SHES CF and the National Health Education Standards: Achieving Excellence (NHES), 2nd edition. Similarity of essential framework elements was established. Inter-rater reliability was established. Alignment of the SHES components with the NHES reveals parallel conceptual structures around which to develop curriculum. The conceptual approach to curriculum planning has enduring value. It provides a foundation for teaching and learning that is adaptable, flexible, and can maintain permanence in conjunction with emerging scientific evidence and cultural and political influences on health behavior. © 2015, American School Health Association.

  15. Impact of animal density on cattle nutrition in dry Mediterranean rangelands: a faecal near-IR spectroscopy-aided study.

    Science.gov (United States)

    Landau, S Y; Dvash, L; Yehuda, Y; Muklada, H; Peleg, G; Henkin, Z; Voet, H; Ungar, E D

    2018-02-01

    In the context of determining the sustainable carrying capacity of dry-Mediterranean herbaceous rangelands, we examined the effect of animal density on cattle nutrition, which is fundamental to animal performance and welfare. The effects on dietary components of low (0.56 cows/ha; L) and high (1.11 cows/ha; H) animal densities were monitored for three consecutive years in grazing beef cows. In the dry season (summer and early autumn), cows had free access to N-rich poultry litter (PL) given as a dietary supplement. In each season, near-IR spectroscopy (NIRS) was used to predict the chemical composition of herbage samples (ash, NDF, CP, in vitro dry matter digestibility (IVDMD) and metabolizable energy (ME) content from IVDMD). Near-IR spectroscopy was applied also to faecal samples to determine the chemical composition of the diet selected by the animal, as well as the contents of ash, NDF and CP in the faeces themselves. A faecal-NIRS equation was applied to estimate the dietary proportion of PL. Seasonal categories were green, dry without PL supplementation and dry with it. We found no effects of animal density on nutrition during the green season but effects were apparent when cows consumed dry pasture. Ash content predicted by faecal NIRS was higher in the diet than in plant samples clipped from pasture, which infers that cows ingested soil. Dietary and faecal ash contents were higher (Panimals. During the dry period, dietary contents of ME were higher in L than in H (Panimal health, the above results cast doubts on the long-term sustainability of the higher of the animal densities tested. Although it may be sustainable vis-à-vis the vegetation, treatment H may have exceeded the boundaries of what is acceptable for cow health. Chemical information revealed with NIRS can be used to evaluate whether animal densities are compatible with animal health and welfare standards and can play a role in determining the carrying capacity of Mediterranean rangelands.

  16. 45 CFR 170.207 - Vocabulary standards for representing electronic health information.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Vocabulary standards for representing electronic... Specifications for Health Information Technology § 170.207 Vocabulary standards for representing electronic... vocabulary standards for the purpose of representing electronic health information: (a) Problems—(1) Standard...

  17. Developing Consensus on the CompHP Professional Standards for Health Promotion in Europe

    Science.gov (United States)

    Speller, Viv; Parish, Richard; Davison, Heather; Zilnyk, Anna

    2012-01-01

    Building on the CompHP Core Competencies for health promotion the Professional Standards for Health Promotion have been developed and consulted on across Europe. The standards were formulated to fit within the complexity of professional, occupational and educational standards frameworks in Europe as learning outcome standards with performance…

  18. Land management implications for ecosystem services in a South African rangeland

    NARCIS (Netherlands)

    Petz, K.; Glenday, J.; Alkemade, J.R.M.

    2014-01-01

    In South Africa, restoration and sustainable management of historically overgrazed and degraded rangelands are promoted to increase biodiversity and ecosystem service provision. This study evaluates different land management scenarios in terms of ecosystem services in a South African rangeland, the

  19. Very High Resolution Panoramic Photography to Improve Conventional Rangeland Monitoring 1994

    Science.gov (United States)

    Rangeland monitoring often includes repeat photographs as a basis for documentation and although photographic equipment and electronics have been evolving rapidly, basic rangeland photo monitoring methods have changed little over time. Ground based digital photography is underutilized, especially s...

  20. The Rangeland Hydrology and Erosion Model: A Dynamic Approach for Predicting Soil Loss on Rangelands

    Science.gov (United States)

    Hernandez, Mariano; Nearing, Mark A.; Al-Hamdan, Osama Z.; Pierson, Frederick B.; Armendariz, Gerardo; Weltz, Mark A.; Spaeth, Kenneth E.; Williams, C. Jason; Nouwakpo, Sayjro K.; Goodrich, David C.; Unkrich, Carl L.; Nichols, Mary H.; Holifield Collins, Chandra D.

    2017-11-01

    In this study, we present the improved Rangeland Hydrology and Erosion Model (RHEM V2.3), a process-based erosion prediction tool specific for rangeland application. The article provides the mathematical formulation of the model and parameter estimation equations. Model performance is assessed against data collected from 23 runoff and sediment events in a shrub-dominated semiarid watershed in Arizona, USA. To evaluate the model, two sets of primary model parameters were determined using the RHEM V2.3 and RHEM V1.0 parameter estimation equations. Testing of the parameters indicated that RHEM V2.3 parameter estimation equations provided a 76% improvement over RHEM V1.0 parameter estimation equations. Second, the RHEM V2.3 model was calibrated to measurements from the watershed. The parameters estimated by the new equations were within the lowest and highest values of the calibrated parameter set. These results suggest that the new parameter estimation equations can be applied for this environment to predict sediment yield at the hillslope scale. Furthermore, we also applied the RHEM V2.3 to demonstrate the response of the model as a function of foliar cover and ground cover for 124 data points across Arizona and New Mexico. The dependence of average sediment yield on surface ground cover was moderately stronger than that on foliar cover. These results demonstrate that RHEM V2.3 predicts runoff volume, peak runoff, and sediment yield with sufficient accuracy for broad application to assess and manage rangeland systems.

  1. Assessment of validity of the national public health performance standards: the local public health performance assessment instrument.

    OpenAIRE

    Beaulieu, Joyce; Scutchfield, F. Douglas

    2002-01-01

    The National Public Health Performance Standards Program (NPHPSP) has developed performance standards measurement instruments, based on the 10 "Essential Services of Public Health" that are being tested in several states. This article is a report on the face and content validity of the instrument designed for local public health systems. Judgments about the face validity of the standards were obtained in a survey of local public health systems that had used the instrument in a test state. The...

  2. Ecohydrologic impacts of rangeland fire on runoff and erosion: A literature synthesis

    Science.gov (United States)

    Frederick B. Pierson; C. Jason Williams

    2016-01-01

    Fire can dramatically influence rangeland hydrology and erosion by altering ecohydrologic relationships. This synthesis presents an ecohydrologic perspective on the effects of fire on rangeland runoff and erosion through a review of scientific literature spanning many decades. The objectives are: (1) to introduce rangeland hydrology and erosion concepts necessary for...

  3. Rangelands of Central Asia: Proceedings of the Conference on Transformations, Issues, and Future Challenges

    Science.gov (United States)

    Donald J. Bedunah; E. Durant McArthur; Maria Fernandez-Gimenez

    2006-01-01

    The 11 papers in this document address issues and needs in the development and stewardship of Central Asia rangelands, and identify directions for future work. With its vast rangelands and numerous pastoral populations, Central Asia is a region of increasing importance to rangeland scientists, managers, and pastoral development specialists. Five of the papers address...

  4. Assessing the impacts of livestock production on biodiversity in rangeland ecosystems

    NARCIS (Netherlands)

    Alkemade, R.; Reid, R.S.; Berg, van den M.; Leeuw, de J.; Jeuken, M.

    2013-01-01

    Biodiversity in rangelands is decreasing, due to intense utilization for livestock production and conversion of rangeland into cropland; yet the outlook of rangeland biodiversity has not been considered in view of future global demand for food. Here we assess the impact of future livestock

  5. Criterion IV: Social and economic indicators of rangeland sustainability (Chapter 5)

    Science.gov (United States)

    Daniel W. McCollum; Louis E. Swanson; John A. Tanaka; Mark W. Brunson; Aaron J. Harp; L. Allen Torell; H. Theodore Heintz

    2010-01-01

    Social and economic systems provide the context and rationale for rangeland management. Sustaining rangeland ecosystems requires attention to the social and economic conditions that accompany the functioning of those systems. We present and discuss economic and social indicators for rangeland sustainability. A brief conceptual basis for each indicator is offered,...

  6. Invasive rangeland plants in range and animal sciences and resources management

    Science.gov (United States)

    Comprising about 50% of the world’s land surface, rangelands are an important ecological and economic resource. Rangeland plant communities are changing. Even though the composition of plant communities in rangeland changes continually through the process of succession, in more recent years this c...

  7. A call to action on women's health: putting corporate CSR standards for workplace health on the global health agenda.

    Science.gov (United States)

    Wofford, David; MacDonald, Shawn; Rodehau, Carolyn

    2016-11-04

    Business operates within a Corporate Social Responsibility (CSR) system that the global health community should harness to advance women's health and related sustainable development goals for workers and communities in low- and middle-income countries. Corporations and their vast networks of supplier companies, particularly in manufacturing and agribusiness, employ millions of workers, increasingly comprised of young women, who lack access to health information, products and services. However, occupational safety and health practices focus primarily on safety issues and fail to address the health needs, including reproductive health, of women workers. CSR policy has focused on shaping corporate policies and practices related to the environment, labor, and human rights, but has also ignored the health needs of women workers. The authors present a new way for global health to understand CSR - as a set of regulatory processes governed by civil society, international institutions, business, and government that set, monitor, and enforce emerging standards related to the role of business in society. They call this the CSR system. They argue that the global health community needs to think differently about the role of corporations in public health, which has been as "partners," and that the global health practitioners should play the same advocacy role in the CSR system for corporate health policies as it does for government and international health policies.

  8. Making Quality Health Websites a National Public Health Priority: Toward Quality Standards.

    Science.gov (United States)

    Devine, Theresa; Broderick, Jordan; Harris, Linda M; Wu, Huijuan; Hilfiker, Sandra Williams

    2016-08-02

    Most US adults have limited health literacy skills. They struggle to understand complex health information and services and to make informed health decisions. The Internet has quickly become one of the most popular places for people to search for information about their health, thereby making access to quality information on the Web a priority. However, there are no standardized criteria for evaluating Web-based health information. Every 10 years, the US Department of Health and Human Services' Office of Disease Prevention and Health Promotion (ODPHP) develops a set of measurable objectives for improving the health of the nation over the coming decade, known as Healthy People. There are two objectives in Healthy People 2020 related to website quality. The first is objective Health Communication and Health Information Technology (HC/HIT) 8.1: increase the proportion of health-related websites that meet 3 or more evaluation criteria for disclosing information that can be used to assess information reliability. The second is objective HC/HIT-8.2: increase the proportion of health-related websites that follow established usability principles. The ODPHP conducted a nationwide assessment of the quality of Web-based health information using the Healthy People 2020 objectives. The ODPHP aimed to establish (1) a standardized approach to defining and measuring the quality of health websites; (2) benchmarks for measurement; (3) baseline data points to capture the current status of website quality; and (4) targets to drive improvement. The ODPHP developed the National Quality Health Website Survey instrument to assess the quality of health-related websites. The ODPHP used this survey to review 100 top-ranked health-related websites in order to set baseline data points for these two objectives. The ODPHP then set targets to drive improvement by 2020. This study reviewed 100 health-related websites. For objective HC/HIT-8.1, a total of 58 out of 100 (58.0%) websites met 3 or

  9. A global travelers' electronic health record template standard for personal health records.

    Science.gov (United States)

    Li, Yu-Chuan; Detmer, Don E; Shabbir, Syed-Abdul; Nguyen, Phung Anh; Jian, Wen-Shan; Mihalas, George I; Shortliffe, Edward H; Tang, Paul; Haux, Reinhold; Kimura, Michio

    2012-01-01

    Tourism as well as international business travel creates health risks for individuals and populations both in host societies and home countries. One strategy to reduce health-related risks to travelers is to provide travelers and relevant caregivers timely, ongoing access to their own health information. Many websites offer health advice for travelers. For example, the WHO and US Department of State offer up-to-date health information about countries relevant to travel. However, little has been done to assure travelers that their medical information is available at the right place and time when the need might arise. Applications of Information and Communication Technology (ICT) utilizing mobile phones for health management are promising tools both for the delivery of healthcare services and the promotion of personal health. This paper describes the project developed by international informaticians under the umbrella of the International Medical Informatics Association. A template capable of becoming an international standard is proposed. This application is available free to anyone who is interested. Furthermore, its source code is made open.

  10. Standards for the mental health care of people with severe ...

    African Journals Online (AJOL)

    Adele

    Porteus and Tennyson Lee (Centre for Health Policy,. Witwatersand University) and Melyven Freeman and. Edith Madela-Mntla (Directorate: Mental Health and. Substance Abuse, Department of Health).Our thanks and appreciation also to all those individuals, organisations and busy health providers and managers who ...

  11. EVALUATION AND MAPPING OF RANGELANDS DEGRADATION USING REMOTELY SENSED DATA

    Directory of Open Access Journals (Sweden)

    Majid Ajorlo

    2005-05-01

    Full Text Available The empirical and scientifically documents prove that misuse of natural resource causes degradation in it. So natural resources conservation is important in approaching sustainable development aims. In current study, Landsat Thematic Mapper images and grazing gradient method have been used to map the extent and degree of rangeland degradation. In during ground-based data measuring, factors such as vegetation cover, litter, plant diversity, bare soil, and stone & gravels were estimated as biophysical indicators of degradation. The next stage, after geometric correction and doing some necessary pre-processing practices on the study area’s images; the best and suitable vegetation index has been selected to map rangeland degradation among the Normalized Difference Vegetation Index (NDVI, Soil Adjusted Vegetation Index (SAVI, and Perpendicular Vegetation Index (PVI. Then using suitable vegetation index and distance parameter was produced the rangelands degradation map. The results of ground-based data analysis reveal that there is a significant relation between increasing distance from critical points and plant diversity and also percentage of litter. Also there is significant relation between vegetation cover percent and distance from village, i.e. the vegetation cover percent increases by increasing distance from villages, while it wasn’t the same around the stock watering points. The result of analysis about bare soil and distance from critical point was the same to vegetation cover changes manner. Also there wasn’t significant relation between stones & gravels index and distance from critical points. The results of image processing show that, NDVI appears to be sensitive to vegetation changes along the grazing gradient and it can be suitable vegetation index to map rangeland degradation. The degradation map shows that there is high degradation around the critical points. These areas need urgent attention for soil conservation. Generally, it

  12. Climate impacts on agriculture: Implications for forage and rangeland production

    Energy Technology Data Exchange (ETDEWEB)

    Izaurralde, Roberto C.; Thomson, Allison M.; Morgan, Jack; Fay, Philip; Polley, Wayne; Hatfield, Jerry L.

    2011-04-19

    Projections of temperature and precipitation patterns across the United States during the next 50 years anticipate a 1.5 to 2°C warming and a slight increase in precipitation as a result of global climate change. There have been relatively few studies of climate change impacts on pasture and rangeland (grazingland) species compared to those on crop species, despite the economic and ecological importance of the former. Here we review the literature on pastureland and rangeland species to rising CO2 and climate change (temperature, and precipitation) and discuss plant and management factors likely to influence pastureland and rangeland responses to change (e.g., community composition, plant competition, perennial growth habit, seasonal productivity, and management methods). Overall, the response of pasture species to increased [CO2] is consistent with the general response of C3 and C4 type vegetation, although significant exceptions exist. Both pastureland and rangeland species should exhibit an acceleration of metabolism and development due to earlier onset of spring green-up and longer growing seasons. However, in the studies reviewed here, C3 pasture species increased their photosynthetic rates by up to 40% while C4 species exhibited no increase in photosynthesis. In general, it is expected that increases in [CO2] and precipitation would enhance rangeland net primary production (NPP) while increased air temperatures would either increase or decrease NPP. Much of this uncertainty in response is due to uncertain future projections of precipitation, both globally and regionally. For example, if annual precipitation changes little or declines, rangeland plant response to warming temperatures and rising [CO2] may be neutral or may decline due to increased water stress. This review reveals the need for comprehensive studies of climate change impacts on the pasture ecosystem including grazing regimes, mutualistic relationships (e.g., plant roots-nematodes; N

  13. Soil Properties and Plant Biomass Production in Natural Rangeland Management Systems

    Directory of Open Access Journals (Sweden)

    Romeu de Souza Werner

    Full Text Available ABSTRACT Improper management of rangelands can cause land degradation and reduce the economic efficiency of livestock activity. The aim of this study was to evaluate soil properties and quantify plant biomass production in four natural rangeland management systems in the Santa Catarina Plateau (Planalto Catarinense of Brazil. The treatments, which included mowed natural rangeland (NR, burned natural rangeland (BR, natural rangeland improved through the introduction of plant species after harrowing (IH, and natural rangeland improved through the introduction of plant species after chisel plowing (IC, were evaluated in a Nitossolo Bruno (Nitisol. In the improved treatments, soil acidity was corrected, phosphate fertilizer was applied, and intercropped annual ryegrass (Lolium multiflorum, velvet grass (Holcus lanatus, and white clover (Trifolium repens were sown. Management systems with harrowed or chisel plowed soil showed improved soil physical properties; however, the effect decreased over time and values approached those of burned and mowed natural rangelands. Natural rangeland systems in the establishment phase had little influence on soil organic C. The mowed natural rangeland and improved natural rangeland exhibited greater production of grazing material, while burning the field decreased production and increased the proportion of weeds. Improvement of the natural rangelands increased leguminous biomass for pasture.

  14. International regulations and standards for avian influenza, including the vaccine standards of the World Organisation for Animal Health.

    Science.gov (United States)

    Bruschke, C J M; Pittman, M; Laddomada, A

    2009-04-01

    For avian influenza the World Organisation for Animal Health (OIE) has laid down international standards on notification, trade, diagnosis, surveillance and the production and use of vaccine. These standards are science- and risk-based to ensure safe trade in poultry and poultry products without unjustified barriers. The European Union, with its 27 Member States, has in place harmonised legislation in line with OIE standards. Early detection, rapid diagnosis, notification and high quality Veterinary Services are crucial for ensuring a rapid response to avian influenza outbreaks and for swiftly reducing the risk of virus spread via trade. Depending on the situation, vaccination may also be a very important tool for disease control. The use of high quality vaccines and postvaccination monitoring are essential for the successful implementation of vaccination. Compliance with international standards is of paramount importance for protecting animal and human health in the global crisis of the highly pathogenic avian influenza of the H5N1 subtype.

  15. Assessment of validity of the national public health performance standards: the local public health performance assessment instrument.

    Science.gov (United States)

    Beaulieu, Joyce; Scutchfield, F Douglas

    2002-01-01

    The National Public Health Performance Standards Program (NPHPSP) has developed performance standards measurement instruments, based on the 10 "Essential Services of Public Health" that are being tested in several states. This article is a report on the face and content validity of the instrument designed for local public health systems. Judgments about the face validity of the standards were obtained in a survey of local public health systems that had used the instrument in a test state. The validity of each standard was addressed along the following dimensions: the importance of the standard as a measure of the Essential Service; its completeness as a measure; and its reasonableness for achievement. All standards for each Essential Service were then judged in terms of their completeness in measuring performance of that service. Respondents judged the standards to be highly valid measures of local public health system performance. Some respondents had reservations about whether standards related to "enforcing laws and regulations" were achievable. Holding local public health systems accountable for the activities of other agencies was a factor mentioned in conjunction with those standards. The NPHPSP standards have face and content validity for measuring local public health system performance. Further testing of their validity and reliability is continuing.

  16. Standards for nursing agencies in South Africa | Muller | Health SA ...

    African Journals Online (AJOL)

    An exploratory and descriptive quantitative research design was employed. A structured two-phase model was utilised ... The standards and criteria were reflected in an evaluation guide/instrument and pilot tested by means of a moc survey in a nursing agency in Gauteng. It is recommended that these standards and criteria ...

  17. Standards for the mental health care of people with severe ...

    African Journals Online (AJOL)

    Adele

    services for people with psychiatric disorders of a less. TABLE I: Domains of standards for the care of people with severe psychiatric disorders in South Africa. Core Standards. • Rights and legal protection. • Safety and Risk management. • Access. • Privacy and confidentiality. • Personal interaction and communication.

  18. Cattle-rangeland management practices and perceptions of pastoralists towards rangeland degradation in the Borana zone of southern Ethiopia.

    Science.gov (United States)

    Solomon, T B; Snyman, H A; Smit, G N

    2007-03-01

    A survey was conducted in the Borana pastoral areas of southern Ethiopia to assess current livestock production systems, rangeland management practices and the perceptions of the pastoralists towards rangeland degradation. This information is considered vital to future pastoral development planning and interventions. Data were collected from a total of 20 villages that were identified from 5 peasant associations, namely Did Yabello, Moyatte, Did Harra, Dubuluk and Melbana. The average household size in the study area was 7.23. The majority of the pastoralists relied on both livestock and crop farming. The average livestock holding per household was 14 cattle, 10 goats, 6 sheep and 2 camels. Livestock holdings, with the exception of camels, has shown a declining trend over time. The two most important traditional rangeland management strategies adopted by the pastoralists included burning and mobility, but since 1974/75 burning has no longer been practised. With regard to mobility, the livestock herding falls in two categories, namely: home based and satellite herding. The former involves the herding of milking cows, calves and immature animals (2 years) further away from the encampments. Based on the pastoralists' perceptions, the major constraints on livestock production in descending order, were recurrent drought, feed and water scarcity, animal diseases, predators and communal land ownership. All the respondents considered the condition of the rangelands to have declined dramatically over time. In the past most development policies were based on equilibrium theories that opposed the communal use of the rangelands and traditional range management practices. The way in which the pastoral system affects the rangeland ecosystem functioning is contentious to this theory and the 'tragedy of the commons'. There was also a perceived problem of bush encroachment and the ban on traditional burning practices and recurrent droughts were seen as aggravating factors to this

  19. Rangeland dynamics in South Omo Zone of Southern Ethiopia: Assessment of rangeland condition in relation to altitude and Grazing types

    OpenAIRE

    Terefe, A.; Ebro, A.; Tessema, Z.K.

    2010-01-01

    A study was undertaken in Hamer and Benna-Tsemay districts of the Southern Ethiopia with the objective to determine the condition of the rangelands for grazing animals as influenced by altitude and grazing types. The rangelands in each of the study districts were stratified based on altitude and grazing types. In the study districts, a total of 32, 3, 2, 7 and 29 species of grasses, legumes, sedges, other herbaceous plants and woody species were identified, respectively. The common and/or dom...

  20. Can health equity survive epidemiology? Standards of proof and social determinants of health.

    Science.gov (United States)

    Schrecker, Ted

    2013-12-01

    This article examines how epidemiological evidence is and should be used in the context of increasing concern for health equity and for social determinants of health. A research literature on use of scientific evidence of "environmental risks" is outlined, and key issues compared with those that arise with respect to social determinants of health. The issue sets are very similar. Both involve the choice of a standard of proof, and the corollary need to make value judgments about how to address uncertainty in the context of "the inevitability of being wrong," at least some of the time, and to consider evidence from multiple kinds of research design. The nature of such value judgments and the need for methodological pluralism are incompletely understood. Responsible policy analysis and interpretation of scientific evidence require explicit consideration of the ethical issues involved in choosing a standard of proof. Because of the stakes involved, such choices often become contested political terrain. Comparative research on how those choices are made will be valuable. © 2013.

  1. The development of methodological tools to assess the health sector with the resulting standardized index

    Directory of Open Access Journals (Sweden)

    Hansuvarova Evgenia Adolfovna

    2016-10-01

    The proposed assessment methodology resulting standardized health index in the various countries of the world allows you to define the country implementing an effective management strategy in the health sector. The leading positions belong to the countries where the state health policy has shown its greatest efficiency. This technique can be used not only for point scoring result of a standardized health index in the world, but also to assess in a particular country.

  2. Program of Research for Forests and Associated Rangelands

    Science.gov (United States)

    Nelson S. Loftus; Joseph G. Massey; [Compilers

    1978-01-01

    This research plan for the Southern Region is a companion publication to the National Program of Research for Forests and Associated Rangelands. While the national program reflects both regional and national priorities, this plan provides details on forestry research matters concerning the South. For the reader's convenience, background information on development...

  3. Ecology and utilization of desert shrub rangelands in Iraq

    NARCIS (Netherlands)

    Thalen, Derk Catharinus Peter

    1979-01-01

    When grazing is the accepted land use, vegetation is the key resource. The present study deals with the desert shrub rangelands of lraq, which contain the major characteristics of such an area, having been under grazing for many centuries. Emphasis is given to the ecology and utilization of the

  4. Parameterization of erodibility in the Rangeland Hydrology and Erosion Model

    Science.gov (United States)

    The magnitude of erosion from a hillslope is governed by the availability of sediment and connectivity of runoff and erosion processes. For undisturbed rangelands, sediment is primarily detached and transported by rainsplash and sheetflow (splash-sheet) processes in isolated bare batches, but sedime...

  5. 75 FR 8036 - Monitor-Hot Creek Rangeland Project

    Science.gov (United States)

    2010-02-23

    ... Forest Service Monitor-Hot Creek Rangeland Project AGENCY: Forest Service, USDA. ACTION: Notice of intent...-Toiyabe National Forest will prepare an environmental impact statement (EIS) on a proposal to authorize..., Little Fish Lake, Monitor Complex, Saulsbury and Stone Cabin allotments have active term grazing permits...

  6. Impact of Rangeland Degradation on Soil Physical, Chemical

    African Journals Online (AJOL)

    In terms of impacts from soil compaction, Abdel-Megid et al, (1987) reported reduced water infiltration and aeration, while Van der westhuizen et al., (1999) found poor plant respiration and soil seed germination unless the soil crust is broken. Soil compaction also enhanced encroachment in eastern rangelands of Ethiopia ...

  7. Ranch business planning and resource monitoring for rangeland sustainability

    Science.gov (United States)

    Kristie A. Maczko; John A. Tanaka; Michael Smith; Cindy Garretson-Weibel; Stanley F. Hamilton; John E. Mitchell; Gene Fults; Charles Stanley; Dick Loper; Larry D. Bryant; J. K. (Rooter) Brite

    2012-01-01

    Aligning a rancher's business plan goals with the capability of the ranch's rangeland resources improves the viability and sustainability of family ranches. Strategically monitoring the condition of soil, water, vegetation, wildlife, livestock production, and economics helps inform business plan goals. Business planning and resource monitoring help keep...

  8. Session A6 Rangelands as dynamic systems — Fragmentation of ...

    African Journals Online (AJOL)

    In this symposium, we consider the effects of fragmentation of rangelands and ensuing loss of biological complexity for a variety of processes including behaviour and performance of large herbivores, responses of plant communities to herbivory, and functioning of human social and economic systems. We invite posters that ...

  9. Rangeland Ecosystem Services: Nature's Supply and Humans' Demand

    Science.gov (United States)

    Ecosystem services are the benefits that society receives from nature and they include the regulation of climate, the pollination of crops, the provisioning of intellectual inspiration and recreational environment, as well as many essential goods such as food, fiber, and wood. Rangeland ecosystem se...

  10. Scale, heterogeneity and secondary production in tropical rangelands

    African Journals Online (AJOL)

    This paper will review our current understanding of scale-related effects on livestock production in tropical rangelands and herbivore-plant interactions at patch to landscape scales. We use published information and results from recent empirical studies in northern Australia and elsewhere to elucidate scale-related effects ...

  11. Vulnerability of amphibians to climate change: implications for rangeland management

    Science.gov (United States)

    Karen E. Bagne; Deborah M. Finch; Megan M. Friggens

    2011-01-01

    Many amphibian populations have declined drastically in recent years due to a large number of factors including the emerging threat of climate change (Wake 2007). Rangelands provide important habitat for amphibians. In addition to natural wetlands, stock tanks and other artificial water catchments provide habitat for many amphibian species (Euliss et al. 2004).

  12. Livestock versus Wildlife Ranching in Kenyan Rangelands: A Case ...

    African Journals Online (AJOL)

    Livestock versus Wildlife Ranching in Kenyan Rangelands: A Case Study of Laikipia District Ranches. ... The results reveal a web of interactive factors involving land tenur, livestock development, disease control, marketing and environmental conservation that need to be considered if the newly emerging mixed -livestock ...

  13. Post-wildfire regeneration of rangeland productivity and functionality ...

    African Journals Online (AJOL)

    Wildfires can have significant impacts on rangeland productivity and functionality causing substantial economic losses to affected farmers. In August 2011, such wildfires swept through the North West province of South Africa, destroying large areas of grazing and farm infrastructure. There is little information available on ...

  14. Botanical Criteria of Baharkish Rangeland in Quchan, Khorasan ...

    African Journals Online (AJOL)

    ADOWIE PERE

    resolution of ecological problems such as biological conservation and natural ... agriculture, biology and pharmacy, this study set out to evaluate ..... Ghahreman, A (1979-1992).Colorful flora of Iran. Research Institute of Forests and Rangelands,. Tehran (In Persian). Ghahreman, A (1994). Plant systematics: cormophytes of ...

  15. Defining function in rangelands of the Peddie district, Eastern Cape ...

    African Journals Online (AJOL)

    Surface soil conditions on the communal rangeland had higher organic carbon, nitrogen and phosphorus content. Following the analysis of satellite-derived vegetation indices, the commercial site had higher active green biomass (higher NDVI) and lower spatial diversity of near-infra red band (lower MSDI) than the ...

  16. Advances in modeling soil erosion after disturbance on rangelands

    Science.gov (United States)

    Research has been undertaken to develop process based models that predict soil erosion rate after disturbance on rangelands. In these models soil detachment is predicted as a combination of multiple erosion processes, rain splash and thin sheet flow (splash and sheet) detachment and concentrated flo...

  17. Runoff and soil erosion from two rangeland sites

    Science.gov (United States)

    Historically over 50 years of rainfall/runoff research using rainfall simulators has been conducted at various rangeland sites in the West, however these sites rarely have consecutive yearly measurements. This limits the understanding of dynamic annual conditions and the interactions of grazing, pla...

  18. Session A4 Rangelands as dynamic systems Desertification ...

    African Journals Online (AJOL)

    Session A4 Rangelands as dynamic systems Desertification: patterns and processes in Africa. M Timm Hoffman, Michael Darkoh. Abstract. The United Nations Convention to Combat Desertification (UNCCD) makes special mention of the desertification problem in Africa. This session will provide an up to date overview of ...

  19. Yield Response of Mediterranean Rangelands under a Changing Climate

    NARCIS (Netherlands)

    Daliakopoulos, Ioannis N.; Panagea, Ioanna S.; Tsanis, Ioannis K.; Grillakis, Manolis G.; Koutroulis, Aristeidis G.; Hessel, Rudi; Mayor, Angeles G.; Ritsema, Coen J.

    2017-01-01

    Understanding the Mediterranean rangelands degradation trends is a key element of mitigating their vulnerability and enhancing their resilience. Climate change and its inherent effects on mean temperature and the precipitation variability can regulate the magnitude, frequency and duration of

  20. Ecology and Conservation of Acacia senegal in the Rangelands ...

    African Journals Online (AJOL)

    Ecology and conservation status of Acacia senegal in the rangelands of Luwero and Nakasongola Districts were assessed between November 2002 and February 2003. Sixty plots measuring 50 x 50 m were laid at 50 m intervals along six 1,000 m transects, and the diameter at breast height (DBH), of Acacia .fellegal trees ...

  1. Monitoring Insect and Disease Impacts on Rangeland Oaks in California

    Science.gov (United States)

    Tedmund J. Swiecki; Elizabeth A. Bernhardt; Arnold Richard A.

    1991-01-01

    We developed methods to assess the impacts of diseases and arthropods on sapling and mature rangeland oaks, and applied these methods at 18 sample plot locations in northern California. The impact of arthropod damage was generally rated as minor. Leafy mistletoe (Phoradendron villosum) was found on 5 percent of the rated trees. There was a slight...

  2. Lessons from historical rangeland revegetation for today's restoration

    Science.gov (United States)

    Bruce A. Roundy

    1999-01-01

    Rangeland revegetation in the Western United States historically was applied at a large scale for soil conservation and forage production purposes. Principles of revegetation that have developed over years of research include matching site potential and plant materials adaption, use of appropriate seedbed preparation and sowing techniques, and development of large...

  3. Sediment dynamics and sources in a grazed hardwood rangeland watershed

    Science.gov (United States)

    Melvin R. George; Neil K. McDougald; Kenneth W. Tate; Royce Larsen

    2002-01-01

    From 1994 to 1998 we documented sediment transport dynamics and sources in a 137 ha grazed hardwood rangeland watershed on granitic soils at the San Joaquin Experimental Range in Madera County. Sediment transport for this watershed was determined by measuring total suspended solids, bedload and flow at an H-flume installed in 1994. Sediment movement as bedload is the...

  4. A review of climate change effects on terrestrial rangeland birds

    Science.gov (United States)

    D. M. Finch; K. E. Bagne; M. M. Friggens; D. M. Smith; K. M. Brodhead

    2011-01-01

    We evaluated existing literature on predicted and known climate change effects on terrestrial rangeland birds. We asked the following questions: 1) How does climate change affect birds? 2) How will birds respond to climate change? 3) Are species already responding? 4) How will habitats be impacted?

  5. The challenge of integrated rangeland monitoring: synthesis address

    African Journals Online (AJOL)

    The utility of monitoring and its guiding principles will only work effectively where good environmental governance is practiced by users and producers affecting rangeland ecosystems. Keywords: adaptive management, complex, environmental governance, human impacts, multi-scale, socio-ecological. African Journal of ...

  6. Reshaping women's land rights on communal rangeland | Kleinbooi ...

    African Journals Online (AJOL)

    This paper aims to contribute to the debates on communal rangelands and analyses the gendered dimension of land rights and land access in the rural areas of Namaqualand. The actual gender relations within rural communities and the emergence of strategies that are being pursued in communal land processes are ...

  7. Sound management may sequester methane in grazed rangeland ecosystems

    Science.gov (United States)

    Considering their contribution to global warming, the sources and sinks of methane (CH4) should be accounted when undertaking a greenhouse gas inventory for grazed rangeland ecosystems. The aim of this study was to evaluate the mitigation potential of current ecological management programs implement...

  8. Ethical standards for the occupational health-nursing practitioner ...

    African Journals Online (AJOL)

    The occupational health-nursing practitioner often becomes involved in ethical dilemmas with regard to the handling of HIV-positive people in the workplace in that the interests of the HIV-positive people conflict with the interests of the employer. Therefore, the occupational health-nursing practitioner could find himself/ ...

  9. Developing global health technology standards: what can other industries teach us?

    Science.gov (United States)

    Masum, Hassan; Lackman, Rebecca; Bartleson, Karen

    2013-10-17

    There is a lack of effective and affordable technologies to address health needs in the developing world. One way to address problems of innovation and affordability is to design global health technologies to follow agreed-upon standards. This Debate article argues that we can better develop standards for global health technologies if we learn lessons from other industries. The article's Background section begins by explaining why standards are needed in global health. For example, if global health technologies can be modularized into independent interfacing parts, these parts can then interact via well-defined standards in a "plug and play" fashion. This can avoid development of mutually incompatible solutions by different organizations, speed the pace of innovation, unlock health systems from single providers and approaches, and lower barriers to entry. The Background then gives a brief primer on standards and discusses incentives for health standards. The article's Discussion section begins with brief relevant cases of standards development from other industries, including electricity, container shipping, CD standards, Universal Serial Bus (USB), and the Internet. It then explores lessons from these and other industries that suggest how to develop standards for global health technologies. The remainder of the Discussion considers intellectual property and regulatory issues and standards-based global health business models, and ends with a checklist of considerations for health standards development leaders. (The associated Additional file discusses observations from standards development for cell phones and semiconductors, as well as challenges in the standards development process itself.) Throughout the article, point-of-care diagnostics are used as an illustrative example. An initiative is already underway to explore standardized diagnostics platforms. This Debate article aims to convince the reader that standards can benefit global health technologies if we

  10. Health policies planning: methodological standards, boundaries and possibilities

    Directory of Open Access Journals (Sweden)

    Cassius Guimarães Chai

    2016-12-01

    Full Text Available Before the health right recognition and expansion brought about by the Federal Constitution of 1988,the impact on public accounts and the need to rationalize the system, now bound to the universalisation matrix, place “planning” as fundamental for the operationalization of actions and services of health accessing. The objective of this article is to carry out an integrative literature review in order to know the factors related to the methodological frameworks, challenges and possibilities for structuring a Municipal Health Plan (Administration. The following databases were searched: Lilacs, Library Digital Thesis and Dissertation (BDTD, in Google Scholar, the Coordination of Improvement of Higher Education Personnel (CAPES Thesis Bank. For the composition of the sample, the following descriptors were associated: Health Policy, Decentralization and Municipalization with Health Planning. In addition, papers were selected among dissertations, theses and scientific articles, as well as institutional handbooks of the Ministry of Health-MS Publics of PlanejaSUS, adopting scientific works published between 2005 and 2015 as a time cut. The results found synthesize the scenario of the intersectoral and tripartite arrangement of health management, contributing to a critical and evaluative exercise of experience, challenges and possibility Of advances in the understanding of the importance of SUS municipal planning.

  11. Climate change impacts on selected global rangeland ecosystem services.

    Science.gov (United States)

    Boone, Randall B; Conant, Richard T; Sircely, Jason; Thornton, Philip K; Herrero, Mario

    2018-03-01

    Rangelands are Earth's dominant land cover and are important providers of ecosystem services. Reliance on rangelands is projected to grow, thus understanding the sensitivity of rangelands to future climates is essential. We used a new ecosystem model of moderate complexity that allows, for the first time, to quantify global changes expected in rangelands under future climates. The mean global annual net primary production (NPP) may decline by 10 g C m -2  year -1 in 2050 under Representative Concentration Pathway (RCP) 8.5, but herbaceous NPP is projected to increase slightly (i.e., average of 3 g C m -2  year -1 ). Responses vary substantially from place-to-place, with large increases in annual productivity projected in northern regions (e.g., a 21% increase in productivity in the US and Canada) and large declines in western Africa (-46% in sub-Saharan western Africa) and Australia (-17%). Soil organic carbon is projected to increase in Australia (9%), the Middle East (14%), and central Asia (16%) and decline in many African savannas (e.g., -18% in sub-Saharan western Africa). Livestock are projected to decline 7.5 to 9.6%, an economic loss of from $9.7 to $12.6 billion. Our results suggest that forage production in Africa is sensitive to changes in climate, which will have substantial impacts on the livelihoods of the more than 180 million people who raise livestock on those rangelands. Our approach and the simulation tool presented here offer considerable potential for forecasting future conditions, highlight regions of concern, and support analyses where costs and benefits of adaptations and policies may be quantified. Otherwise, the technical options and policy and enabling environment that are needed to facilitate widespread adaptation may be very difficult to elucidate. © 2017 John Wiley & Sons Ltd.

  12. 77 FR 75600 - Policy Statement on Occupational Safety and Health Standards for Aircraft Cabin Crewmembers...

    Science.gov (United States)

    2012-12-21

    ... entitled ``Policy Statement on Occupational Safety and Health Standards for Aircraft Cabin Crewmembers... TRANSPORTATION Federal Aviation Administration 14 CFR Parts 91, 121, 125, and 135 Policy Statement on Occupational Safety and Health Standards for Aircraft Cabin Crewmembers; Extension of Comment Period AGENCY...

  13. Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement

    National Research Council Canada - National Science Library

    Husereau, D; Drummond, M; Petrou, S; Carswell, C; Moher, D; Greenberg, D; Augustovski, F; Briggs, AH; Mauskopf, J; Loder, E

    2013-01-01

    .... The C onsolidated H ealth E conomic E valuation R eporting S tandards ( CHEERS ) statement is an attempt to consolidate and update previous health economic evaluation guidelines efforts into one current, useful reporting...

  14. Vegetation restoration on degraded rangelands through the use of microcatchment and brush packs in the communal areas of the Eastern Cape

    CSIR Research Space (South Africa)

    Lesoli, MS

    2010-07-01

    Full Text Available Rangeland degradation results in declining functional capacity, increased poverty, and food insecurity. Major changes in rangeland surface morphology and soil characteristics have a drastic effect on the primary productivity of the rangeland...

  15. Standards for reference services in health sciences libraries: the reference product.

    Science.gov (United States)

    Judkins, D Z; Hewison, N S; MacWilliams, S E; Olson-Urlie, C; Teich, S

    1986-01-01

    Standards for reference services were prepared by a committee of the Oregon Health Sciences Libraries Association (OHSLA). The standards are qualitative and address the following: quality control, appropriateness, accuracy, documentation, timeliness, accessibility, confidentiality, and evaluation. The standards are components of minimally competent reference service as reflected in the reference product. A discussion of concerns and prescriptive measures accompanies the statement of each standard. While prepared specifically for health sciences libraries, the standards are applicable to all types of libraries and may be used as guidelines in evaluating the reference product, in upgrading library service, and in writing policies and procedures.

  16. New race and ethnicity standards: elucidating health disparities in diabetes

    Directory of Open Access Journals (Sweden)

    Katzmarzyk Peter T

    2012-04-01

    Full Text Available Abstract The concepts of race and ethnicity are useful for understanding the distribution of disease in the population and for identifying at-risk groups for prevention and treatment efforts. The U.S. Department of Health and Human Services recently updated the race and ethnicity classifications in order to more effectively monitor health disparities. Differences in chronic disease mortality rates are contributing to race and ethnic health disparities in life expectancy in the United States. The prevalence of diabetes is higher in African Americans and Hispanics compared to white Americans, and parallel trends are seen in diabetes risk factors, including physical inactivity, dietary patterns, and obesity. Further research is required to determine the extent to which the observed differences in diabetes prevalence are attributable to differences in lifestyle versus other characteristics across race and ethnic groups.

  17. High standards: ISO 9000 comes to health care.

    Science.gov (United States)

    Moore, L M

    1999-02-01

    ISO 9000, an international quality system, is catching on in health care. Providers see it as a much less expensive alternative or as a complement to the JCAHO. And because ISO has been used for years in manufacturing, it has one big advantage over JCAHO: employers know it and trust it.

  18. Setting international standards for the management of public health pesticides

    NARCIS (Netherlands)

    Berg, van den H.; Yadav, R.S.; Zaim, M.

    2015-01-01

    Recent developments have highlighted the urgency of sound management of public health pesticides in vector-borne–disease–endemic countries. Major shortcomings are evident in national-level management practices throughout the pesticide life cycle from production to disposal; these shortcomings will

  19. Improving the Quality of Health Care Services for Adolescents, Globally: A Standards-Driven Approach.

    Science.gov (United States)

    Nair, Manisha; Baltag, Valentina; Bose, Krishna; Boschi-Pinto, Cynthia; Lambrechts, Thierry; Mathai, Matthews

    2015-09-01

    The World Health Organization (WHO) undertook an extensive and elaborate process to develop eight Global Standards to improve quality of health care services for adolescents. The objectives of this article are to present the Global Standards and their method of development. The Global Standards were developed through a four-stage process: (1) conducting needs assessment; (2) developing the Global Standards and their criteria; (3) expert consultations; and (4) assessing their usability. Needs assessment involved conducting a meta-review of systematic reviews and two online global surveys in 2013, one with primary health care providers and another with adolescents. The Global Standards were developed based on the needs assessment in conjunction with analysis of 26 national standards from 25 countries. The final document was reviewed by experts from the World Health Organization regional and country offices, governments, academia, nongovernmental organizations, and development partners. The standards were subsequently tested in Benin and in a regional expert consultation of Latin America and Caribbean countries for their usability. The process resulted in the development of eight Global Standards and 79 criteria for measuring them: (1) adolescents' health literacy; (2) community support; (3) appropriate package of services; (4) providers' competencies; (5) facility characteristics; (6) equity and nondiscrimination; (7) data and quality improvement; and (8) adolescents' participation. The eight standards are intended to act as benchmarks against which quality of health care provided to adolescents could be compared. Health care services can use the standards as part of their internal quality assurance mechanisms or as part of an external accreditation process. Copyright © 2015 World Health Organization; Licensee The Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  20. 78 FR 76627 - Health Information Technology Standards Committee Advisory Meeting: Notice of Meeting

    Science.gov (United States)

    2013-12-18

    ... HUMAN SERVICES Health Information Technology Standards Committee Advisory Meeting: Notice of Meeting AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of... National Coordinator for Health Information Technology (ONC). These meeting will be open to the public...

  1. The ISO/EN 13606 Standard for the Interoperable Exchange of Electronic Health Records

    Directory of Open Access Journals (Sweden)

    Pilar Muñoz

    2011-01-01

    Full Text Available The standardization of Electronic Health Records (EHR is a crucial factor for ensuring interoperable sharing of health data. During recent decades, a plethora of initiatives - driven by international organizations - has emerged to define the required models describing the exchange of information between EHRs. These models cover different essential characteristics for building interoperable EHRs, such as architecture, methodology, communication, safety or terminology, among others. In this context, the European reference frame for the standardized exchange of EHR is the recently approved ISO/EN 13606 standard. This multi-part standard provides the syntactic and semantic capabilities (through a dual model approach as well as terminology, security and interface considerations for the standardized exchange of EHR. This paper provides (a an introduction to the different standardization efforts related to the interoperable exchange of EHR around the world, and (b a description of how the ISO/EN 13606 standard provides interoperable sharing of clinical information.

  2. Accounting and Co-constructing: The Development of a Standard for Electronic Health Records

    DEFF Research Database (Denmark)

    Bossen, Claus

    2011-01-01

    for electronic health records on the basis of an application prototype test build on that standard. The analysis shows that inscribed in the standard is an ambition to make staff and health care services more accountable at the cost of more work, loss of overview and fragmentation of patient cases. Significantly...... care services, cooperation between staff and make patient records immediately and accessible to distributed actors. Investments also have the aims of making health care services more accountable, integrated and increase quality and efficiency. This paper analyses a Danish national standard...

  3. Modeling vegetation heights from high resolution stereo aerial photography: an application for broad-scale rangeland monitoring

    Science.gov (United States)

    Gillan, Jeffrey K.; Karl, Jason W.; Duniway, Michael; Elaksher, Ahmed

    2014-01-01

    Vertical vegetation structure in rangeland ecosystems can be a valuable indicator for assessing rangeland health and monitoring riparian areas, post-fire recovery, available forage for livestock, and wildlife habitat. Federal land management agencies are directed to monitor and manage rangelands at landscapes scales, but traditional field methods for measuring vegetation heights are often too costly and time consuming to apply at these broad scales. Most emerging remote sensing techniques capable of measuring surface and vegetation height (e.g., LiDAR or synthetic aperture radar) are often too expensive, and require specialized sensors. An alternative remote sensing approach that is potentially more practical for managers is to measure vegetation heights from digital stereo aerial photographs. As aerial photography is already commonly used for rangeland monitoring, acquiring it in stereo enables three-dimensional modeling and estimation of vegetation height. The purpose of this study was to test the feasibility and accuracy of estimating shrub heights from high-resolution (HR, 3-cm ground sampling distance) digital stereo-pair aerial images. Overlapping HR imagery was taken in March 2009 near Lake Mead, Nevada and 5-cm resolution digital surface models (DSMs) were created by photogrammetric methods (aerial triangulation, digital image matching) for twenty-six test plots. We compared the heights of individual shrubs and plot averages derived from the DSMs to field measurements. We found strong positive correlations between field and image measurements for several metrics. Individual shrub heights tended to be underestimated in the imagery, however, accuracy was higher for dense, compact shrubs compared with shrubs with thin branches. Plot averages of shrub height from DSMs were also strongly correlated to field measurements but consistently underestimated. Grasses and forbs were generally too small to be detected with the resolution of the DSMs. Estimates of

  4. Modeling vegetation heights from high resolution stereo aerial photography: an application for broad-scale rangeland monitoring.

    Science.gov (United States)

    Gillan, Jeffrey K; Karl, Jason W; Duniway, Michael; Elaksher, Ahmed

    2014-11-01

    Vertical vegetation structure in rangeland ecosystems can be a valuable indicator for assessing rangeland health and monitoring riparian areas, post-fire recovery, available forage for livestock, and wildlife habitat. Federal land management agencies are directed to monitor and manage rangelands at landscapes scales, but traditional field methods for measuring vegetation heights are often too costly and time consuming to apply at these broad scales. Most emerging remote sensing techniques capable of measuring surface and vegetation height (e.g., LiDAR or synthetic aperture radar) are often too expensive, and require specialized sensors. An alternative remote sensing approach that is potentially more practical for managers is to measure vegetation heights from digital stereo aerial photographs. As aerial photography is already commonly used for rangeland monitoring, acquiring it in stereo enables three-dimensional modeling and estimation of vegetation height. The purpose of this study was to test the feasibility and accuracy of estimating shrub heights from high-resolution (HR, 3-cm ground sampling distance) digital stereo-pair aerial images. Overlapping HR imagery was taken in March 2009 near Lake Mead, Nevada and 5-cm resolution digital surface models (DSMs) were created by photogrammetric methods (aerial triangulation, digital image matching) for twenty-six test plots. We compared the heights of individual shrubs and plot averages derived from the DSMs to field measurements. We found strong positive correlations between field and image measurements for several metrics. Individual shrub heights tended to be underestimated in the imagery, however, accuracy was higher for dense, compact shrubs compared with shrubs with thin branches. Plot averages of shrub height from DSMs were also strongly correlated to field measurements but consistently underestimated. Grasses and forbs were generally too small to be detected with the resolution of the DSMs. Estimates of

  5. Land use and soil organic matter in South Africa 1: A review on spatial variability and the influence of rangeland stock production

    Directory of Open Access Journals (Sweden)

    Pearson N.S. Mnkeni

    2011-05-01

    Full Text Available Degradation of soil as a consequence of land use poses a threat to sustainable agriculture in South Africa, resulting in the need for a soil protection strategy and policy. Development of such a strategy and policy require cognisance of the extent and impact of soil degradation processes. One of the identified processes is the decline of soil organic matter, which also plays a central role in soil health or quality. The spatial variability of organic matter and the impact of grazing and burning under rangeland stock production are addressed in this first part of the review. Data from uncoordinated studies showed that South African soils have low organic matter levels. About 58% of soils contain less than 0.5% organic carbon and only 4% contain more than 2% organic carbon. Furthermore, there are large differences in organic matter content within and between soil forms, depending on climatic conditions, vegetative cover, topographical position and soil texture. A countrywide baseline study to quantify organic matter contents within and between soil forms is suggested for future reference. Degradation of rangeland because of overgrazing has resulted in significant losses of soil organic matter, mainly as a result of lower biomass production. The use of fire in rangeland management decreases soil organic matter because litter is destroyed by burning. Maintaining or increasing organic matter levels in degraded rangeland soils by preventing overgrazing and restricting burning could contribute to the restoration of degraded rangelands. This restoration is of the utmost importance because stock farming uses the majority of land in South Africa.

  6. Evaluating Structural and Functional Characteristics of Various Ecological Patches in Different Range Conditions (Case Study: Semi -Steppe Rangeland of Aghche-Isfahan

    Directory of Open Access Journals (Sweden)

    F. Jafari

    2015-03-01

    Full Text Available Rangeland condition assessment plays an important role in determining range health and applying appropriate management programs. This study aimed to evaluate the structure and function of a semi-steppe rangeland using Landscape Function Analysis technique (LFA in different land conditions in western Isfahan province, Iran. For this purpose, 4, 3 and 7 sites in different rangeland condition classes including very poor, poor, and moderate were selected respectively. In each site, a 30-meter transect was established and all kinds of patches and inter patches were identified and their lengths and widths were recorded. Also, in each ecological patch, 11 indicators of soil surface characteristics with three replications were measured, and their status was scored according to LFA method. The functionality indices of all the sites including soil stability, infiltration and nutrient cycling were measured. According to the statistical analysis results, most of the structural characteristics (number of patches, patch length, patch area index, landscape organization index and functional indices (infiltration, stability and nutrient cycling status varied significantly (α= 5% between rangeland sites with moderate and very poor condition. The changes of these structural and functional characteristics were not significant between range sites with moderate and poor, and also poor and very poor range conditions. According to the findings of this study, patch types' functionalities did not vary significantly in both rangeland sites with moderate and very poor conditions. The nutrient cycling index in patches formed by ‘forb, shrub and grass’ with poor range condition was significantly more than ‘forb’ and ‘grass’ patches. The study of range site functionality can assist managers in identifying possible ecological thresholds and prioritizing the sub-catchments and vegetation types for implementing range improvement practices.

  7. A repository of codes of ethics and technical standards in health informatics.

    Science.gov (United States)

    Samuel, Hamman W; Zaïane, Osmar R

    2014-01-01

    We present a searchable repository of codes of ethics and standards in health informatics. It is built using state-of-the-art search algorithms and technologies. The repository will be potentially beneficial for public health practitioners, researchers, and software developers in finding and comparing ethics topics of interest. Public health clinics, clinicians, and researchers can use the repository platform as a one-stop reference for various ethics codes and standards. In addition, the repository interface is built for easy navigation, fast search, and side-by-side comparative reading of documents. Our selection criteria for codes and standards are two-fold; firstly, to maintain intellectual property rights, we index only codes and standards freely available on the internet. Secondly, major international, regional, and national health informatics bodies across the globe are surveyed with the aim of understanding the landscape in this domain. We also look at prevalent technical standards in health informatics from major bodies such as the International Standards Organization (ISO) and the U. S. Food and Drug Administration (FDA). Our repository contains codes of ethics from the International Medical Informatics Association (IMIA), the iHealth Coalition (iHC), the American Health Information Management Association (AHIMA), the Australasian College of Health Informatics (ACHI), the British Computer Society (BCS), and the UK Council for Health Informatics Professions (UKCHIP), with room for adding more in the future. Our major contribution is enhancing the findability of codes and standards related to health informatics ethics by compilation and unified access through the health informatics ethics repository.

  8. Improving the Quality of Health Care Services for Adolescents, Globally: A Standards-Driven Approach

    Science.gov (United States)

    Nair, Manisha; Baltag, Valentina; Bose, Krishna; Boschi-Pinto, Cynthia; Lambrechts, Thierry; Mathai, Matthews

    2015-01-01

    Purpose The World Health Organization (WHO) undertook an extensive and elaborate process to develop eight Global Standards to improve quality of health care services for adolescents. The objectives of this article are to present the Global Standards and their method of development. Methods The Global Standards were developed through a four-stage process: (1) conducting needs assessment; (2) developing the Global Standards and their criteria; (3) expert consultations; and (4) assessing their usability. Needs assessment involved conducting a meta-review of systematic reviews and two online global surveys in 2013, one with primary health care providers and another with adolescents. The Global Standards were developed based on the needs assessment in conjunction with analysis of 26 national standards from 25 countries. The final document was reviewed by experts from the World Health Organization regional and country offices, governments, academia, nongovernmental organizations, and development partners. The standards were subsequently tested in Benin and in a regional expert consultation of Latin America and Caribbean countries for their usability. Results The process resulted in the development of eight Global Standards and 79 criteria for measuring them: (1) adolescents' health literacy; (2) community support; (3) appropriate package of services; (4) providers' competencies; (5) facility characteristics; (6) equity and nondiscrimination; (7) data and quality improvement; and (8) adolescents' participation. Conclusions The eight standards are intended to act as benchmarks against which quality of health care provided to adolescents could be compared. Health care services can use the standards as part of their internal quality assurance mechanisms or as part of an external accreditation process. PMID:26299556

  9. Forests, rangelands and climate change in Southern Africa

    CSIR Research Space (South Africa)

    Naidoo, Sasha

    2013-09-01

    Full Text Available should simultaneously achieve synergies with socio-economic benefits, climate change adaptation and biodiversity and ecosystem conservation. National adaptation priorities, as identified in national adaptation programme of action (NAPAs) and national... to countries to enhance technical capacity and financial capacity is also highlighted. It is essential to integrate key sectors in the adaptation of forests and rangelands to climate change through the development of holistic programmes that benefit...

  10. CONSORT-EHEALTH: Improving and Standardizing Evaluation Reports of Web-based and Mobile Health Interventions

    OpenAIRE

    Eysenbach, Gunther

    2011-01-01

    Background Web-based and mobile health interventions (also called ?Internet interventions? or "eHealth/mHealth interventions") are tools or treatments, typically behaviorally based, that are operationalized and transformed for delivery via the Internet or mobile platforms. These include electronic tools for patients, informal caregivers, healthy consumers, and health care providers. The Consolidated Standards of Reporting Trials (CONSORT) statement was developed to improve the suboptimal repo...

  11. Possibilities and Implications of Using the ICF and Other Vocabulary Standards in Electronic Health Records.

    Science.gov (United States)

    Vreeman, Daniel J; Richoz, Christophe

    2015-12-01

    There is now widespread recognition of the powerful potential of electronic health record (EHR) systems to improve the health-care delivery system. The benefits of EHRs grow even larger when the health data within their purview are seamlessly shared, aggregated and processed across different providers, settings and institutions. Yet, the plethora of idiosyncratic conventions for identifying the same clinical content in different information systems is a fundamental barrier to fully leveraging the potential of EHRs. Only by adopting vocabulary standards that provide the lingua franca across these local dialects can computers efficiently move, aggregate and use health data for decision support, outcomes management, quality reporting, research and many other purposes. In this regard, the International Classification of Functioning, Disability, and Health (ICF) is an important standard for physiotherapists because it provides a framework and standard language for describing health and health-related states. However, physiotherapists and other health-care professionals capture a wide range of data such as patient histories, clinical findings, tests and measurements, procedures, and so on, for which other vocabulary standards such as Logical Observation Identifiers Names and Codes and Systematized Nomenclature Of Medicine Clinical Terms are crucial for interoperable communication between different electronic systems. In this paper, we describe how the ICF and other internationally accepted vocabulary standards could advance physiotherapy practise and research by enabling data sharing and reuse by EHRs. We highlight how these different vocabulary standards fit together within a comprehensive record system, and how EHRs can make use of them, with a particular focus on enhancing decision-making. By incorporating the ICF and other internationally accepted vocabulary standards into our clinical information systems, physiotherapists will be able to leverage the potent

  12. Oral health content of early education and child care regulations and standards.

    Science.gov (United States)

    Kranz, Ashley M; Rozier, R Gary

    2011-01-01

    Almost two out of every three US children younger than five receive child care from someone other than their parents. Health promotion in early education and child care (EECC) programs can improve the general health of children and families, but little is known about the role of these programs in oral health. We identified U.S. EECC program guidelines and assessed their oral health recommendations for infants and toddlers. State licensing regulations were obtained from the National Resource Center for Health and Safety in Child Care's online database. Professional standards were identified through a search of PubMed, early childhood organizations' websites, and early childhood literature. All EECC guidelines were reviewed for key terms related to oral health promotion in children and summarized by domains. Thirty-six states include oral health in their licensing regulations, but recommendations are limited and most often address the storage of toothbrushes. Eleven sets of standards were identified, four of which make recommendations about oral health. Standards from the American Academy of Pediatrics/American Public Health Association (AAP/APHA) and the Office of Head Start (OHS) provide the most comprehensive oral health recommendations regarding screening and referral, classroom activities, and education. Detailed guidelines for oral health practices exist but they exhibit large variation in number and content. States can use the comprehensive standards from the AAP/APHA and OHS to inform and strengthen the oral health content of their licensing regulations. Research is needed to determine compliance with regulations and standards, and their effect on oral health.

  13. Structural health monitoring algorithm comparisons using standard data sets

    Energy Technology Data Exchange (ETDEWEB)

    Figueiredo, Eloi; Park, Gyuhae; Figueiras, Joaquim; Farrar, Charles; Worden, Keith

    2009-03-01

    The real-world structures are subjected to operational and environmental condition changes that impose difficulties in detecting and identifying structural damage. The aim of this report is to detect damage with the presence of such operational and environmental condition changes through the application of the Los Alamos National Laboratory’s statistical pattern recognition paradigm for structural health monitoring (SHM). The test structure is a laboratory three-story building, and the damage is simulated through nonlinear effects introduced by a bumper mechanism that simulates a repetitive impact-type nonlinearity. The report reviews and illustrates various statistical principles that have had wide application in many engineering fields. The intent is to provide the reader with an introduction to feature extraction and statistical modelling for feature classification in the context of SHM. In this process, the strengths and limitations of some actual statistical techniques used to detect damage in the structures are discussed. In the hierarchical structure of damage detection, this report is only concerned with the first step of the damage detection strategy, which is the evaluation of the existence of damage in the structure. The data from this study and a detailed description of the test structure are available for download at: http://institute.lanl.gov/ei/software-and-data/.

  14. STANDARD PRECAUTIONS: AN ASSESSMENT OF AWARENESS AMONG HEALTH CARE PERSONNEL IN A TEACHING HOSPITAL, SOUTH INDIA.

    OpenAIRE

    Sangeetha; Harshika; Seema

    2015-01-01

    BACKGROUND : Standard precautions ar e crucial in the prevention and transmission of Healthcare associated infections ( HAI) and transmission of blood - borne pathogens like Hepatitis B, Human Immunodeficiency Virus & Hepatitis C. They are not well u nderstood or implemented by health care practitioners. Hence this study was taken up to determine and compare knowledge, attitude of standard precautions among health care personnel at a teaching ho...

  15. Assessing the impacts of livestock production on biodiversity in rangeland ecosystems.

    Science.gov (United States)

    Alkemade, Rob; Reid, Robin S; van den Berg, Maurits; de Leeuw, Jan; Jeuken, Michel

    2013-12-24

    Biodiversity in rangelands is decreasing, due to intense utilization for livestock production and conversion of rangeland into cropland; yet the outlook of rangeland biodiversity has not been considered in view of future global demand for food. Here we assess the impact of future livestock production on the global rangelands area and their biodiversity. First we formalized existing knowledge about livestock grazing impacts on biodiversity, expressed in mean species abundance (MSA) of the original rangeland native species assemblages, through metaanalysis of peer-reviewed literature. MSA values, ranging from 1 in natural rangelands to 0.3 in man-made grasslands, were entered in the IMAGE-GLOBIO model. This model was used to assess the impact of change in food demand and livestock production on future rangeland biodiversity. The model revealed remarkable regional variation in impact on rangeland area and MSA between two agricultural production scenarios. The area of used rangelands slightly increases globally between 2000 and 2050 in the baseline scenario and reduces under a scenario of enhanced uptake of resource-efficient production technologies increasing production [high levels of agricultural knowledge, science, and technology (high-AKST)], particularly in Africa. Both scenarios suggest a global decrease in MSA for rangelands until 2050. The contribution of livestock grazing to MSA loss is, however, expected to diminish after 2030, in particular in Africa under the high-AKST scenario. Policies fostering agricultural intensification can reduce the overall pressure on rangeland biodiversity, but additional measures, addressing factors such as climate change and infrastructural development, are necessary to totally halt biodiversity loss.

  16. Health and academic achievement: cumulative effects of health assets on standardized test scores among urban youth in the United States.

    Science.gov (United States)

    Ickovics, Jeannette R; Carroll-Scott, Amy; Peters, Susan M; Schwartz, Marlene; Gilstad-Hayden, Kathryn; McCaslin, Catherine

    2014-01-01

    The Institute of Medicine (2012) concluded that we must "strengthen schools as the heart of health." To intervene for better outcomes in both health and academic achievement, identifying factors that impact children is essential. Study objectives are to (1) document associations between health assets and academic achievement, and (2) examine cumulative effects of these assets on academic achievement. Participants include 940 students (grades 5 and 6) from 12 schools randomly selected from an urban district. Data include physical assessments, fitness testing, surveys, and district records. Fourteen health indicators were gathered including physical health (eg, body mass index [BMI]), health behaviors (eg, meeting recommendations for fruit/vegetable consumption), family environment (eg, family meals), and psychological well-being (eg, sleep quality). Data were collected 3-6 months prior to standardized testing. On average, students reported 7.1 health assets out of 14. Those with more health assets were more likely to be at goal for standardized tests (reading/writing/mathematics), and students with the most health assets were 2.2 times more likely to achieve goal compared with students with the fewest health assets (both p academic achievement, closing equity gaps in both health and academic achievement. © 2013, American School Health Association.

  17. Health and Academic Achievement: Cumulative Effects of Health Assets on Standardized Test Scores Among Urban Youth in the United States*

    Science.gov (United States)

    Ickovics, Jeannette R.; Carroll-Scott, Amy; Peters, Susan M.; Schwartz, Marlene; Gilstad-Hayden, Kathryn; McCaslin, Catherine

    2014-01-01

    Background The Institute of Medicine (2012) concluded that we must “strengthen schools as the heart of health.” To intervene for better outcomes in both health and academic achievement, identifying factors that impact children is essential. Study objectives are to (1) document associations between health assets and academic achievement, and (2) examine cumulative effects of these assets on academic achievement. Methods Participants include 940 students (grades 5 and 6) from 12 schools randomly selected from an urban district. Data include physical assessments, fitness testing, surveys, and district records. Fourteen health indicators were gathered including physical health (eg, body mass index [BMI]), health behaviors (eg, meeting recommendations for fruit/vegetable consumption), family environment (eg, family meals), and psychological well-being (eg, sleep quality). Data were collected 3-6 months prior to standardized testing. Results On average, students reported 7.1 health assets out of 14. Those with more health assets were more likely to be at goal for standardized tests (reading/writing/mathematics), and students with the most health assets were 2.2 times more likely to achieve goal compared with students with the fewest health assets (both p health may also improve academic achievement, closing equity gaps in both health and academic achievement. PMID:24320151

  18. 76 FR 9782 - Office of the National Coordinator for Health Information Technology; HIT Standards Committee's...

    Science.gov (United States)

    2011-02-22

    ... March 2011: March 9th Privacy & Security Standards Workgroup, 2:30 p.m. to 4 p.m./ET; March 24th Privacy... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND... Standards Committee's Workgroups: Clinical Operations, Vocabulary Task Force, Implementation, and Privacy...

  19. Approaches to the international standards application in healthcare and public health in different countries

    Directory of Open Access Journals (Sweden)

    Vitaliy Sarancha

    2017-06-01

    Full Text Available As a result of consequent development, and guided by an increasing demand of different types of the organizations regarding structured management, the system of standardization has been established. The idea behind standardization is adjusting the characteristics of a product, process or a production cycle to make them consistent and in line with the rules regarding what is proper and acceptable. The “standard” is a document that specifies such established set of criteria covering a broad range of topics and applicable to commissioners of health, specialists in primary care, public health staff, and social care providers, as well as the local authorities and service users. Health products, ranging from medical devices and health informatics to traditional medicines and unconventional healing tools are all in the focus of standards’ application. Different countries have their own quality management traditions based on their history, mentality, socio-economic environment and the local regulations. Taking into consideration that community social system organization and the quality of social infrastructure are the main foundations of social relations and future prosperity, here we review the existing standardization environment in the health sector in different countries, both developed and those on a convergence path. We focused on standardization environment in the United States of America, Great Britain, Germany, Ukraine, Russian Federation, Croatia and Albania. In order to simplify comprehension, we also demonstrate the algorithm of standardization, as well as the opportunities for application of the international standards in healthcare and public health.

  20. Consolidated Health Economic Evaluation Reporting Standards (CHEERS)--explanation and elaboration: a report of the ISPOR Health Economic Evaluation Publication Guidelines Good Reporting Practices Task Force

    National Research Council Canada - National Science Library

    Husereau, Don; Drummond, Michael; Petrou, Stavros; Carswell, Chris; Moher, David; Greenberg, Dan; Augustovski, Federico; Briggs, Andrew H; Mauskopf, Josephine; Loder, Elizabeth

    2013-01-01

    .... The Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement is an attempt to consolidate and update previous health economic evaluation guidelines into one current, useful reporting guidance...

  1. Heterogeneity in the relationship between the standard-gamble utility measure and health-status dimensions

    NARCIS (Netherlands)

    Bult, [No Value; Bosch, JL; Hunink, MGM

    1996-01-01

    The authors assessed the relationship between the standard-gamble utility measure and the RAND-36 health-status dimensions, taking into account possible heterogeneity among patients in the weights they assign to different health-status dimensions. A questionnaire including both measures was

  2. 40 CFR 79.60 - Good laboratory practices (GLP) standards for inhalation exposure health effects testing.

    Science.gov (United States)

    2010-07-01

    ... exposure health effects testing. (a) General Provisions—(1) Scope. (i) This section prescribes good... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Good laboratory practices (GLP) standards for inhalation exposure health effects testing. 79.60 Section 79.60 Protection of Environment...

  3. 77 FR 58755 - Small Business Size Standards: Health Care and Social Assistance

    Science.gov (United States)

    2012-09-24

    ... ADMINISTRATION 13 CFR Part 121 RIN 3245-AG30 Small Business Size Standards: Health Care and Social Assistance..., Health Care and Social Assistance, reflect the changes in economic characteristics of small businesses... small. The Small Business Act delegates to SBA's Administrator the responsibility for establishing small...

  4. Forest management practices and the occupational safety and health administration logging standard

    Science.gov (United States)

    John R. Myers; David Elton Fosbroke

    1995-01-01

    The Occupational Safety and Health Administration (OSHA) has established safety and health regulations for the logging industry. These new regulations move beyond the prior OSHA pulpwood harvesting standard by including sawtimber harvesting operations. Because logging is a major tool used by forest managers to meet silvicultural goals, managers must be aware of what...

  5. Comparison of the World Health Organization (WHO) Child Growth Standards and the National Center for Health Statistics/WHO international growth reference: implications for child health programmes

    OpenAIRE

    Onis,Mercedes de; Onyango, Adelheid W; Borghi, Elaine; Garza, Cutberto; Yang, Hong

    2017-01-01

    Abstract Objectives To compare growth patterns and estimates of malnutrition based on the World Health Organization (WHO) Child Growth Standards (‘the WHO standards') and the National Center for Health Statistics (NCHS)/WHO international growth reference (‘the NCHS reference'), and discuss implications for child health programmes. Design Secondary analysis of longitudinal data to compare growth patterns (birth to 12 months) and data from two cross-sectional surveys to compare estimates of mal...

  6. Rehabilitation of community-owned, mixed-use rangelands: Lessons from the Ewaso ecosystem in Kenya

    Science.gov (United States)

    Globally, 10-20% of arid and semi-arid rangelands have been classified as severely degraded (UNCCD 1994; MEA 2005), and in sub-Saharan Africa specifically, 70% of rangelands are considered moderately to severely degraded (Dregne 1992; UNCCD 1994). Given that these drylands make up 43% of Africa’s la...

  7. Application of the Rangeland Hydrology and Erosion Model to Ecological Site Descriptions and Management

    Science.gov (United States)

    The utility of Ecological Site Descriptions (ESDs) and State-and-Transition Models (STMs) concepts in guiding rangeland management hinges on their ability to accurately describe and predict community dynamics and the associated consequences. For many rangeland ecosystems, plant community dynamics ar...

  8. Plant/life form considerations in the rangeland hydrology and erosion model (RHEM)

    Science.gov (United States)

    Resilience of rangeland to erosion has largely been attributed to adequate plant cover; however, plant life/growth form, and individual species presence can have a dramatic effect on hydrologic and erosion dynamics on rangelands. Plant life/growth form refers to genetic tendency of a plant to grow i...

  9. Agricultural, Runoff, Erosion and Salinity (ARES) Database to Better Evaluate Rangeland State and Sustainability

    Science.gov (United States)

    Rangelands comprise approximately 40% of the earth’s surface and are the largest land cover type in the world. Degradation from mismanagement, desertification, and drought impact more than 50% of rangelands across the globe. The USDA Agricultural Research Service (ARS) has been evaluating means of r...

  10. Global view of remote sensing of rangelands: Evolution, applications, future pathways [Chapter 10

    Science.gov (United States)

    Matt Reeves; Robert A. Washington-Allen; Jay Angerer; E. Raymond Hunt; Ranjani Wasantha Kulawardhana; Lalit Kumar; Tatiana Loboda; Thomas Loveland; Graciela Metternicht; R. Douglas. Ramsey

    2015-01-01

    The term "rangeland" is rather nebulous, and there is no single definition of rangeland that is universally accepted by land managers, scientists, or international bodies (Lund, 2007; Reeves and Mitchell, 2011). Dozens and possibly hundreds (Lund, 2007) of definitions and ideologies exist because various stakeholders often have unique objectives...

  11. Winter grazing decreases wildfire risk, severity, and behavior in semi-arid sagebrush rangelands

    Science.gov (United States)

    Wildfires are an ecological and economic risk for many semi-arid rangelands which has resulted in increased pressure for pre-suppression management of fuels. In rangelands, fuel management treatment options are limited by costs. We evaluated winter grazing as a tool to manage fuels and alter fire ...

  12. Bush encroachment dynamics and rangeland management implications in the Horn of Africa

    Science.gov (United States)

    Rangelands in the Horn of Africa have been undergoing a rapid shift from herbaceous to woody plant dominance in the past decades, threatening subsistence livestock herding and pastoral food security. Despite of significant rangeland management implications, quantification of the spatial extent of en...

  13. White-tailed deer distribution in response to patch burning on rangeland

    Science.gov (United States)

    M. G. Meek; S. M. Cooper; M. K. Owens; R. M. Cooper; A. L. Wappel

    2008-01-01

    Management of rangelands has changed substantially over the past few decades; today there is greater emphasis on wildlife management and increased interest in using natural disturbances such as fire to manage rangeland plant and animal communities. To determine the effect of prescribed fires on the distribution of white-tailed deer (Odocoileus virginianus...

  14. Earth stewardship on rangelands: Coping with ecological, economic, and political marginality

    Science.gov (United States)

    Rangelands encompass 30-40 percent of Earth's land surface and support 1-2 billion people. Their predominant use is extensive livestock production by pastoralists and ranchers. But rangelands are characterized by ecological, economic, and political marginality, and higher-value, more intensive land ...

  15. Hydrologic vulnerability of western US rangelands in the wake of woodland encroachment and increasing wildfire activity

    Science.gov (United States)

    Pinyon and juniper woodlands have dramatically increased their range in the past 150 years and currently occupy more than 30 million ha of the western US. Range expansion has primarily occurred through encroachment into sagebrush rangelands. Woodland expansion and infill on western rangelands have a...

  16. California Hardwood Rangeland Use and Productivity Changes, and the Economics of Regional Livestock Production

    Science.gov (United States)

    Gerald L. Horner; James H. Cothern

    1991-01-01

    Changes in the availability, productivity and cost of hardwood rangeland affects the production and location of range-fed livestock. The California Range Livestock Model (CRLM) was developed to determine the effect of proposed policies and alternative economic conditions on the range-fed livestock industry generally and hardwood rangeland in particular. Three possible...

  17. Climate change and North American rangelands: Assessment of mitigation and adaptation strategies

    Science.gov (United States)

    Linda A. Joyce; David D. Briske; Joel R. Brown; H. Wayne Polley; Bruce A. McCarl; Derek W. Bailey

    2013-01-01

    Recent climatic trends and climate model projections indicate that climate change will modify rangeland ecosystem functions and the services and livelihoods that they provision. Recent history has demonstrated that climatic variability has a strong influence on both ecological and social components of rangeland systems and that these systems possess substantial...

  18. Discussion of submitted posters for Section 2.3 (Rangeland Germplasm Resources)

    Science.gov (United States)

    As part of the IX International Rangeland Congress held in Rosario, Argentina, a total of 70 posters from 17 countries were submitted to Section 2.3 (Rangeland Germplasm Resources). These posters documented research conducted in five major regions of the world: South America, North America, Africa...

  19. Competencies for public health and interprofessional education in accreditation standards of complementary and alternative medicine disciplines.

    Science.gov (United States)

    Brett, Jennifer; Brimhall, Joseph; Healey, Dale; Pfeifer, Joseph; Prenguber, Marcia

    2013-01-01

    This review examines the educational accreditation standards of four licensed complementary and alternative medicine (CAM) disciplines (naturopathic medicine, chiropractic health care, acupuncture and oriental medicine, and massage therapy), and identifies public health and other competencies found in those standards that contribute to cooperation and collaboration among the health care professions. These competencies may form a foundation for interprofessional education. The agencies that accredit the educational programs for each of these disciplines are individually recognized by the United States Department (Secretary) of Education. Patients and the public are served when healthcare practitioners collaborate and cooperate. This is facilitated when those practitioners possess competencies that provide them the knowledge and skills to work with practitioners from other fields and disciplines. Educational accreditation standards provide a framework for the delivery of these competencies. Requiring these competencies through accreditation standards ensures that practitioners are trained to optimally function in integrative clinical care settings. © 2013 Elsevier Inc. All rights reserved.

  20. NASA Space Flight Human-System Standard Human Factors, Habitability, and Environmental Health

    Science.gov (United States)

    Holubec, Keith; Connolly, Janis

    2010-01-01

    This slide presentation reviews the history, and development of NASA-STD-3001, NASA Space Flight Human-System Standard Human Factors, Habitability, and Environmental Health, and the related Human Integration Design Handbook. Currently being developed from NASA-STD-3000, this project standard currently in review will be available in two volumes, (i.e., Volume 1 -- VCrew Health and Volume 2 -- Human Factors, Habitability, and Environmental Health) and the handbook will be both available as a pdf file and as a interactive website.

  1. National Training and Education Standards for Health and Wellness Coaching: The Path to National Certification

    Science.gov (United States)

    Wolever, Ruth Q.; Lawson, Karen; Moore, Margaret

    2015-01-01

    The purpose of this article is twofold: (1) to announce the findings of the job task analysis as well as national training and education standards for health and wellness coaching (HWC) that have been developed by the large-scale, collaborative efforts of the National Consortium for Credentialing Health and Wellness Coaches (NCCHWC) and (2) to invite commentary from the public. The rapid proliferation of individuals and organizations using the terms of health and/or wellness coaches and the propagation of private industry and academic coach training and education programs endeavoring to prepare these coaches has created an urgent and pressing need for national standards for use of the term health and wellness coach, as well as minimal requirements for training, education, and certification. Professionalizing the field with national standards brings a clear and consistent definition of health and wellness coaching and accepted practice standards that are uniform across the field. In addition, clear standards allow for uniform curricular criteria to ensure a minimal benchmark for education, training, and skills and knowledge evaluation of professional health and wellness coaches. PMID:25984418

  2. US Department of Energy DOE Nevada Operations Office, Nevada Test Site: Underground safety and health standards

    Energy Technology Data Exchange (ETDEWEB)

    1993-05-01

    The Nevada Test Site Underground Safety and Health Standards Working Group was formed at the direction of John D. Stewart, Director, Nevada Test Site Office in April, 1990. The objective of the Working Group was to compile a safety and health standard from the California Tunnel Safety Orders and OSHA for the underground operations at the NTS, (excluding Yucca Mountain). These standards are called the NTS U/G Safety and Health Standards. The Working Group submits these standards as a RECOMMENDATION to the Director, NTSO. Although the Working Group considers these standards to be the most integrated and comprehensive standards that could be developed for NTS Underground Operations, the intent is not to supersede or replace any relevant DOE orders. Rather the intent is to collate the multiple safety and health references contained in DOE Order 5480.4 that have applicability to NTS Underground Operations into a single safety and heath standard to be used in the underground operations at the NTS. Each portion of the standard was included only after careful consideration by the Working Group and is judged to be both effective and appropriate. The specific methods and rationale used by the Working Group are outlined as follows: The letter from DOE/HQ, dated September 28, 1990 cited OSHA and the CTSO as the safety and health codes applicable to underground operations at the NTS. These mandated codes were each originally developed to be comprehensive, i.e., all underground operations of a particular type (e.g., tunnels in the case of the CTSO) were intended to be adequately regulated by the appropriate code. However, this is not true; the Working Group found extensive and confusing overlap in the codes in numerous areas. Other subjects and activities were addressed by the various codes in cursory fashion or not at all.

  3. The health benefits of attaining and strengthening air quality standards in Cape Town

    Directory of Open Access Journals (Sweden)

    Samantha Keen

    2016-12-01

    Full Text Available The link between pollution and poor health and mortality has been established globally. Developing countries carry most of the burden of ill health from air pollution, and urban centres like the City of Cape Town even more so. Effective air quality management to protect human health relies on the attainment of air quality standards. This study uses the Benefits Mapping and Analysis Program (BenMAP along with a locally derived exposure-response function and air quality monitor data to investigate whether the consistent attainment of current or more stringent air quality standards would avoid loss of life. The results show that attaining the PM10 24-hour mean South Africa National Standard limit and the PM10 and SO2 24-hour mean World Health Organisation guidelines in Cape Town reduces levels of pollutants and does reduce excess risk of mortality in Cape Town.

  4. California Diploma Project Technical Report II: Alignment Study--Alignment Study of the Health Sciences and Medical Technology Draft Standards and California's Exit Level Common Core State Standards

    Science.gov (United States)

    McGaughy, Charis; de Gonzalez, Alicia

    2012-01-01

    The California Department of Education is in the process of revising the Career and Technical Education (CTE) Model Curriculum Standards. The Educational Policy Improvement Center (EPIC) conducted an investigation of the draft version of the Health Sciences and Medical Technology Standards (Health Science). The purpose of the study is to…

  5. Quality standards and incentives in managed care organizations' specialty contracts for behavioral health.

    Science.gov (United States)

    Hodgkin, Dominic; Horgan, Constance M; Garnick, Deborah W; Merrick, Elizabeth L

    2002-06-01

    In the US, most privately insured individuals are enrolled with managed care organizations (MCOs), and a majority of these organizations have subcontracted responsibility for behavioral health care to specialized vendors. Based on economic theory, we anticipate that MCOs should be more likely to require quality standards in contracts that transfer all financial risk to the vendor. To test whether use of quality standards in behavioral health subcontracts differs between MCOs that transfer full financial risk and other MCOs. Similarly, to test for differences between for-profit and nonprofit MCOs. Bivariate tests and logistic regression analysis of the use of five quality-related standards, and the use of any standard, in a nationally representative sample of commercial MCO products in 60 US market areas. Statistical controls include MCO size, chain affiliation, region and market size. All five standards we examined were widely used in behavioral health subcontracts (varying from 47% to 70% of products). However, contrary to our hypothesis, the standards are not more commonly used by MCO products with unlimited capitated contracts for behavioral health. In most cases the opposite is true. In addition, for-profit plans were more rather than less likely to use several of the standards. MCOs that transfer full risk may be using mechanisms other than quality standards (e.g. periodic rebidding) to prevent skimping; may be less concerned about quality anyway; or may be more skeptical about the value of existing standards. The fact that for-profit plans are equally or more likely to use these standards may reveal that their objectives are not different from those of nonprofits, or that competition is constraining them to adopt standards anyway. Limitations of this study include the lack of more detailed data on the nature of financial risk-sharing, and on the types of financial penalties associated with each standard. Pressure for accreditation appears to be an effective

  6. Development of an ISO 9000 compatible occupational health standard: defining the issues.

    Science.gov (United States)

    Dyjack, D T; Levine, S P

    1995-06-01

    Corporate ISO 9000 registration is gaining international acceptance as the hallmark of quality system achievement. The International Organization for Standardization (ISO) is currently drafting environmental standards that will complement ISO 9000. Should the international community also consider development of an ISO 9000-compatible occupational safety and health management standard (OSHMS)? To determine the advantages and disadvantages of this issue, the investigators conducted interviews with government and private sector experts, reviewed publicly accessible ISO documents, and evaluated published literature germane to the subject. Major advantages of an ISO OSHMS were the harmonization of national standards, maximizing Occupational Safety and Health Administration (OSHA) efficiency through third-party registration audits, and increased emphasis on employee-driven health and safety programs. Major disadvantages were the single vote of the American National Standards Institute at international proceedings, direct and indirect program development costs, potential unethical or incompetent conduct of registrars, and the logistics of developing an acceptable standard to all stakeholders. Some unresolved issues were the inevitability of an ISO OSHMS, auditor indemnification, and the scope of OSHA participation. Industrial health and safety professionals should initiate formal discussion on this issue to elaborate on findings presented here and to establish a consensus on future activities.

  7. Mental and social health in disasters: relating qualitative social science research and the Sphere standard.

    Science.gov (United States)

    Batniji, Rajaie; Van Ommeren, Mark; Saraceno, Benedetto

    2006-04-01

    Increasingly, social scientists interested in mental and social health conduct qualitative research to chronicle the experiences of and humanitarian responses to disaster We reviewed the qualitative social science research literature in relation to a significant policy document, the Sphere Handbook, which includes a minimum standard in disaster response addressing "mental and social aspects of health", involving 12 interventions indicators. The reviewed literature in general supports the relevance of the Sphere social health intervention indicators. However, social scientists' chronicles of the diversity and complexity of communities and responses to disaster illustrate that these social interventions cannot be assumed helpful in all settings and times. With respect to Sphere mental health intervention indicators, the research largely ignores the existence and well-being of persons with pre-existing, severe mental disorders in disasters, whose well-being is addressed by the relevant Sphere standard. Instead, many social scientists focus on and question the relevance of posttraumatic stress disorder-focused interventions, which are common after some disasters and which are not specifically covered by the Sphere standard. Overall, social scientists appear to call for a social response that more actively engages the political, social, and economic causes of suffering, and that recognizes the social complexities and flux that accompany disaster. By relating social science research to the Sphere standard for mental and social health, this review informs and illustrates the standard and identifies areas of needed research.

  8. Unmanned Aircraft Systems Used over Western U.S. Rangelands to Characterize Terrestrial Ecosystems

    Science.gov (United States)

    Rango, A.

    2015-12-01

    New remote sensing methods to quantify terrestrial ecosystems have developed rapidly over the past 10 years. New platforms with improved aeronautical capabilities have become known as Unmanned Aircraft Systems (UAS). In addition to the new aircraft, sensors are becoming smaller and some can fit into limited payload bays. The miniaturization process is well underway, but much remains to be done. Rather than using a wide variety of sensors, a limited number of instruments is recommended. At the moment we fly 2-3 instruments (digital SLR camera, 6-band multispectral camera, and single video camera). Our flights are primarily over low population density western U.S. rangeland with objectives to assess rangeland health, active erosion, vegetation change, phenology, livestock movement, and vegetation type consumed by grazing animals. All of our UAS flights are made using a serpentine flight path with overlapping images at an altitude of 700 ft (215 m). This altitude allows hyperspatial imagery with a resolution of 5-15 cm depending upon the sensor being used, and it allows determination of vegetation type based on the plant structure and vegetation geometries, or by multispectral analysis. In addition to advances in aircraft and sensor technology, image processing software has become more sophisticated. Future development is necessary, and we can expect improvement in sensors, aircraft, data collection, and application to terrestrial ecosystems. Of 17 ARS research laboratories across the country four laboratories are interested in future UAS applications and another 13 already have at least one UAS. In 2015 the Federal Aviation Administration proposed a framework of recommendations that would allow routine use of certain small UAS (those weighing less than 55 lb (25 kg)). Although these new regulations will provide increased flexibility in how flights are made, other operations will still require the use of a Certificate of Authorization.

  9. Comparing soil aggregate stability at different grazing intensities (case study: Bardasiab rangeland, Fereidounshahr

    Directory of Open Access Journals (Sweden)

    M Mollaei

    2012-06-01

    Full Text Available Soil quality, aggregate stability and erosion sensibility are affected by different range management practices. This research aimed to evaluate the relationships between soil organic carbon, mean weight diameter (MWD and aggregate size distribution in the surface soil layer (0- 20 cm of various range sites with different grazing intensities (non, slightly and heavily grazed in Bardasiab rangeland, Feridounshahr, Isfahan province. Stratified random sampling method was used to collect soil samples along the established transects. Some physical and chemical properties of soil samples such as texture, electrical conductivity (EC, organic carbon (OC, MWD and sodium absorption ratio (SAR were measured in the soil laboratory. Simple linear regression and One-way ANOVA followed by the Fisher’s LSD test were used to analyze the data. Results of regression analysis showed that MWD and OC of the soil samples were significantly correlated ( α =1%, R 2 = 61.3 %. The soil MWD values of range sites with various grazing intensities were significantly different ( α =5%. Organic carbon was increased and SAR was decreased in the sites located inside exclosures, which lead to higher soil MWD. Aggregate size distribution among various sites were significantly different ( α =5% only for the aggregate smaller than 0.25 mm. Soil aggregates sizes between non-grazed and heavily grazed sites were also significantly different only for the size ranges of 4- 8 mm α =5%, ( and less than 0.25 mm α=1% (. In addition, macro aggregates increased and micro aggregates decreased in range sites with no or slight grazing intensity, respectively as these sites experienced low trampling and increased litter and organic carbons. Soil aggregate stability can therefore be used as an appropriate indicator for monitoring the impact of different management practices on rangeland soil quality and health.

  10. From the School Health Education Study to the National Health Education Standards: Concepts Endure

    Science.gov (United States)

    Nobiling, Brandye D.; Lyde, Adrian R.

    2015-01-01

    Background: The landmark School Health Education Study (SHES) project influenced by the conceptual approach to teaching and learning provides perspective on modern school health instruction. Conceptual education, the cornerstone of the SHES curriculum framework (CF), "Health Education: A Conceptual Approach to Curriculum Design," fosters…

  11. Landscape Measures of Rangeland Condition in the BLM Owyhee Pilot Project: Shrub Canopy Mapping, Vegetation Classification, and Detection of Anomalous Land Areas

    Energy Technology Data Exchange (ETDEWEB)

    Tagestad, Jerry D.; Downs, Janelle L.

    2007-12-28

    In 2006, the BLM tasked PNNL to collaborate in research being conducted under the Owyhee Uplands Pilot Project to assess rangeland condition. The objective of this effort was to provide Owyhee Uplands Pilot Project with a sophisticated suite of data and tools to assist in evaluating the health and condition of the Owyhee Uplands study area. We focused on three technical areas. The first involved enhancing existing algorithms to estimate shrub canopy cover in the Lower Reynolds Creek Watershed. The second task involved developing and applying a strategy to assess and compare three vegetation map products for the Idaho portion of the Owyhee study area. The third task developed techniques and data that can be used to identify areas exhibiting anomalous rangeland conditions (for example exotic plants or excessive bare soil exposure). This report documents the methods used, results obtained, and conclusions drawn.

  12. [What do living standard surveys show about the health system in Colombia?].

    Science.gov (United States)

    Zambrano, Andrés; Ramírez, Manuel; Yepes, Francisco José; Guerra, José Alberto; Rivera, David

    2008-01-01

    This paper analyzes the main advances in health coverage and health services demand in Colombia using the 1997 and 2003 living standards surveys. The study showed an increase in health coverage associated with expansion of the subsidized care system, although a large proportion of the population is still not entitled to health care. The type of entitlement also directly affects the demand for services. There was an increase in preventive medical consultations in 2003 and a decrease in the use medical care for acute illness, due mainly to lack of money. Access to medicines increased from 1997 to 2003, as reflected by a decrease in out-of-pocket expenditure on medicines.

  13. Health risk assessment standards of cyanobacteria bloom occurrence in bathing sites

    Directory of Open Access Journals (Sweden)

    Agnieszka Stankiewicz

    2011-03-01

    Full Text Available Threat for human health appears during a massive cyanobacteria bloom in potable water used for human consumption or in basins used for recreational purposes. General health risk assessment standards and preventive measures to be taken by sanitation service were presented in scope of: – evaluation of cyanobacteria bloom occurrence in bathing sites / water bodies, – procedures in case of cyanobacteria bloom, including health risk assessment and decision making process to protect users’ health at bathing sites, – preventive measures, to be taken in case of cyanobacteria bloom occurrence in bathing sites and basins, where bathing sites are located.

  14. Animal-habitat relationships in high altitude rangelands

    OpenAIRE

    Singh, Navinder J.

    2008-01-01

    The papers of the thesis are not available in Munin: 1. Navinder J Singh, Nigel G Yoccoz, Nicolas Lecomte, Steeve D Côté and Joseph L Fox: «Scale and selection of habitat and resources: Tibetan argali in high altitude rangelands» (manuscript). Published version, Can. J. Zool. 88: 436-447 (2010), available at http://dx.doi.org/10.1139/Z10-015 2. Navinder J Singh, Christophe Bonenfant, Nigel G Yoccoz and Steeve D Côté: «Proximate and ultimate causes of sexual segregation in eurasian w...

  15. Integration of occupational health and safety, environmental and quality management system standards.

    Science.gov (United States)

    Stromsvag, A; Winder, C

    1997-01-01

    Occupational health and safety, environmental, and quality (SEQ) issues are commonly managed by three separate departments within organizations. Because of a number of commonalities in the three management systems, there could be a degree of overlap that might lead to inefficiencies. By integrating these three management systems into one SEQ system, the duplication of effort could be minimized and the health and safety, environmental, and quality issues could be managed by one common proactive approach. The draft Australian standard for an occupational health and safety (OHS) management system and the internationally accepted standards for environmental (ISO 14001) and quality (ISO 9001) management systems were analyzed to identify all requirements of the three management systems and integrate this into one SEQ management system standard.

  16. Laying a Community-Based Foundation for Data-Driven Semantic Standards in Environmental Health Sciences

    Science.gov (United States)

    Mattingly, Carolyn J.; Boyles, Rebecca; Lawler, Cindy P.; Haugen, Astrid C.; Dearry, Allen; Haendel, Melissa

    2016-01-01

    Background: Despite increasing availability of environmental health science (EHS) data, development, and implementation of relevant semantic standards, such as ontologies or hierarchical vocabularies, has lagged. Consequently, integration and analysis of information needed to better model environmental influences on human health remains a significant challenge. Objectives: We aimed to identify a committed community and mechanisms needed to develop EHS semantic standards that will advance understanding about the impacts of environmental exposures on human disease. Methods: The National Institute of Environmental Health Sciences sponsored the “Workshop for the Development of a Framework for Environmental Health Science Language” hosted at North Carolina State University on 15–16 September 2014. Through the assembly of data generators, users, publishers, and funders, we aimed to develop a foundation for enabling the development of community-based and data-driven standards that will ultimately improve standardization, sharing, and interoperability of EHS information. Discussion: Creating and maintaining an EHS common language is a continuous and iterative process, requiring community building around research interests and needs, enabling integration and reuse of existing data, and providing a low barrier of access for researchers needing to use or extend such a resource. Conclusions: Recommendations included developing a community-supported web-based toolkit that would enable a) collaborative development of EHS research questions and use cases, b) construction of user-friendly tools for searching and extending existing semantic resources, c) education and guidance about standards and their implementation, and d) creation of a plan for governance and sustainability. Citation: Mattingly CJ, Boyles R, Lawler CP, Haugen AC, Dearry A, Haendel M. 2016. Laying a community-based foundation for data-driven semantic standards in environmental health sciences. Environ

  17. The scientific rationale for the World Organisation for Animal Health standards and recommendations on avian influenza.

    Science.gov (United States)

    Pasick, J; Kahn, S

    2014-12-01

    The World Organisation for Animal Health (OIE) prescribes standards for the diagnosis and control of avian influenza, as well as health measures for safe trade in birds and avian products, which are based on up-to-date scientific information and risk management principles, consistent with the role of the OIE as a reference standard-setting body for the World Trade Organization (WTO). These standards and recommendations continue to evolve, reflecting advances in technology and scientific understanding of this important zoonotic disease. The avian influenza viruses form part of the natural ecosystem by virtue of their ubiquitous presence in wild aquatic birds, a fact that human intervention cannot change. For the purposes of the Terrestrial Animal Health Code (Terrestrial Code), avian influenza is defined as an infection of poultry. However, the scope of the OIE standards and recommendations is not restricted to poultry, covering the diagnosis, early detection and management of avian influenza, including sanitary measures for trade in birds and avian products. The best way to manage avian influenza-associated risks to human and animal health is for countries to conduct surveillance using recommended methods, to report results in a consistent and transparent manner, and to applythe sanitary measures described in the Terrestrial Code. Surveillance for and timely reporting of avian influenza in accordance with OIE standards enable the distribution of relevant, up-to-date information to the global community.

  18. Development of a pre-service teachers' self-efficacy instrument regarding teacher health education standards.

    Science.gov (United States)

    Clark, Jeffrey K; Brey, Rebecca A; Clark, Susan E

    2013-10-01

    Whereas many education programs expect students to use national standards in various content areas, few studies have been conducted that examine pre-service teachers' confidence in demonstrating their use of the professional teacher standards. The purpose of this project was 2-fold: (1) To develop the Pre-service Health Education National Standards Self-efficacy (PHENSS) Scale; and (2) To establish the instrument's ability to draw inferences from PHENSS Scale scores. The final instrument consisted of 29 items and 4 demographic items. Validation was established using qualitative and quantitative procedures. After the instrument had been validated, pre-service elementary education and pre-service secondary health education teachers were recruited to complete the instrument at 2 different times. Items were grouped to form 7 subscales (a subscale for each standard) and were analyzed to determine test-retest reliability and internal consistency. All scales were found to be statistically significant (p ≤ .05). Cronbach's alpha for the 7 subscales ranged from .73 to .96, and α = .94 for the entire instrument. The instrument, which assessed self-efficacy toward implementing Professional Teacher Standards in Health Education, was found to be both valid and reliable. © 2013, American School Health Association.

  19. Analysis and evaluation of the Electronic Health Record standard in China: a comparison with the American national standard ASTM E 1384.

    Science.gov (United States)

    Xu, Wei; Guan, Zhiyu; Cao, Hongxin; Zhang, Haiyan; Lu, Min; Li, Tiejun

    2011-08-01

    To analyze and evaluate the newly issued Electronic Health Record (EHR) Architecture and Data Standard of China (Chinese EHR Standard) and identify areas of improvement for future revisions. We compared the Chinese EHR Standard with the standard of the American Society for Testing and Materials Standard Practice for Content and Structure of Electronic Health Records in the United States (ASTM E 1384 Standard). The comparison comprised two steps: (1) comparing the conformance of the two standards to the international standard: Health Informatics-Requirements for an Electronic Health Record Architecture (ISO/TS 18308), and showing how the architectures of the two standards satisfy or deviate from the ISO requirements and (2) comparing the detailed data structures between the two standards. Of the 124 requirement items in ISO/TS 18308, the Chinese EHR Standard and the ASTM E 1384 Standard conformed to 77 (62.1%) and 111 (89.5%), respectively. The Chinese EHR Standard conformed to 34 of 50 Structure requirements (68.0%), 22 of 24 Process requirements (91.7%), and 21 of 50 Other requirements (42.0%). The ASTM E 1384 Standard conformed to 49 of 50 Structure requirements (98.0%), 23 of 24 Process requirements (95.8%), and 39 of 40 Other requirements (78.0%). Further development of the Chinese EHR Standard should focus on supporting privacy and security mechanism, diverse data types, more generic and extensible lower level data structures, and relational attributes for data elements. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  20. Can health equity survive epidemiology? Standards of proof and social determinants of health

    National Research Council Canada - National Science Library

    Schrecker, Ted

    2013-01-01

    .... The issue sets are very similar. Both involve the choice of a standard of proof, and the corollary need to make value judgments about how to address uncertainty in the context of "the inevitability of being wrong," at least...

  1.   Representations at Work: A national Standard for Electronic Health Records

    DEFF Research Database (Denmark)

    Bossen, Claus

    2006-01-01

      Representations are at work in IT technology. As plans of and for work, they enable cooperation, coordination, accountability and control, which have to be balanced off against each other. The article describes a standard developed for electronic health records (EHR) and the results of a test...... of a prototype built on that standard at a department of internal medicine in 2004. It is argued that the prototype did not support clinical work, which is attributed to the model of work embedded in the standard, called Basic Structure for EHR (BEHR). The article concludes by calling for critical...

  2. CCR+: Metadata Based Extended Personal Health Record Data Model Interoperable with the ASTM CCR Standard.

    Science.gov (United States)

    Park, Yu Rang; Yoon, Young Jo; Jang, Tae Hun; Seo, Hwa Jeong; Kim, Ju Han

    2014-01-01

    Extension of the standard model while retaining compliance with it is a challenging issue because there is currently no method for semantically or syntactically verifying an extended data model. A metadata-based extended model, named CCR+, was designed and implemented to achieve interoperability between standard and extended models. Furthermore, a multilayered validation method was devised to validate the standard and extended models. The American Society for Testing and Materials (ASTM) Community Care Record (CCR) standard was selected to evaluate the CCR+ model; two CCR and one CCR+ XML files were evaluated. In total, 188 metadata were extracted from the ASTM CCR standard; these metadata are semantically interconnected and registered in the metadata registry. An extended-data-model-specific validation file was generated from these metadata. This file can be used in a smartphone application (Health Avatar CCR+) as a part of a multilayered validation. The new CCR+ model was successfully evaluated via a patient-centric exchange scenario involving multiple hospitals, with the results supporting both syntactic and semantic interoperability between the standard CCR and extended, CCR+, model. A feasible method for delivering an extended model that complies with the standard model is presented herein. There is a great need to extend static standard models such as the ASTM CCR in various domains: the methods presented here represent an important reference for achieving interoperability between standard and extended models.

  3. Ergonomics standards and guidelines for computer workstation design and the impact on users' health - a review.

    Science.gov (United States)

    Woo, E H C; White, P; Lai, C W K

    2016-03-01

    This paper presents an overview of global ergonomics standards and guidelines for design of computer workstations, with particular focus on their inconsistency and associated health risk impact. Overall, considerable disagreements were found in the design specifications of computer workstations globally, particularly in relation to the results from previous ergonomics research and the outcomes from current ergonomics standards and guidelines. To cope with the rapid advancement in computer technology, this article provides justifications and suggestions for modifications in the current ergonomics standards and guidelines for the design of computer workstations. Practitioner Summary: A research gap exists in ergonomics standards and guidelines for computer workstations. We explore the validity and generalisability of ergonomics recommendations by comparing previous ergonomics research through to recommendations and outcomes from current ergonomics standards and guidelines.

  4. The Role of Rural Communities in Conservation of Rangelands in Mahneshan Township

    Directory of Open Access Journals (Sweden)

    Kobra Karimi

    2016-05-01

    Full Text Available The aim of this study was to investigate the action of rangeland-depended livestock holders regarding rangeland conservation, including protection and rehabilitation activities and to analyse relevant influencing factors, using a mixed method of survey and case study. The data were collected through analysing existing documents, focus groups, semi-structured and structured interviews using questionnaires submitted to 204 rural livestock holders in the Mahneshan Township. The quantitative data were analysed using SPSS and AMOS software. According to the results farmers’ knowledge regarding the role, importance and factors affecting rangeland degradation was relatively high, however they had a low level of knowledge and action about mechanical conservation techniques. The action of livestock holders in terms of biological conservation activities and grazing management showed a positive and signifincat corrletaion with variables such as implementing of rangeland projects, their interaction with external institutions, participating in extension training courses, education level and irrigated and rainfed agricultural land size. Moreover, based on a path analysis, 37% of the variance of the farmers’ actions regarding the rangeland conservation was explained by the variables such as rangeland rehabilitation actions, farmers’ conservation knowledge, farmers’ interaction with natural resources experts, beekeeping, and participating in extension training courses. Promotional and extension activities and farmers’ interaction with experts have a positive effect in enhancing farmers’ knowledge and actions for sustainable rangeland use and conservation.

  5. Institutional development for sustainable rangeland resource and ecosystem management in mountainous areas of northern Nepal.

    Science.gov (United States)

    Dong, Shikui; Lassoie, James; Shrestha, K K; Yan, Zhaoli; Sharma, Ekalabya; Pariya, D

    2009-02-01

    Rangelands represent one of the most important natural resources in mountainous regions of northern Nepal. However, a poor understanding of the social dimensions of rangeland use has limited their proper management and sustainable development, which represent major challenges for Nepal's resource managers. Institutional development is thought to be a viable solution to this problem and may ultimately lead to improved rangeland management in Nepal. Based on this hypothesis, a study was conduced in the Rasuwa district of northern Nepal to examine the effectiveness of institutional development at the local and national levels in mitigating the problems facing sustainable rangeland management by using an institutional analysis and development (IAD) framework. The information and data were mainly collected from different stakeholders, farmers, professionals and practitioners using a toolkit of participatory rural appraisal (PRA), workshops and literature review. It can be concluded from this case study that a number of institutional development efforts are needed to promote sustainable rangeland management in this region. First, local herders represent a repository of rich indigenous knowledge essential to sustaining sound rangeland management practices; hence, indigenous practices need to be integrated into modern technologies. Second, public services and technical support are currently unavailable or inaccessible to local herders; hence, research, development and extension interventions need to be initiated for marginalized pastoral communities. Third, rangeland institutions are incomplete and ill-organized, so institutional development of various organizations is necessary for promoting sustainable rangeland management. Fourth, the policies and governance necessary for promoting rangeland management are not well-designed; hence, governance reform and policy development need to be formulated through internal and external agencies and organizations.

  6. The GEOGLAM Rangelands and Pasture Productivity Activity: Recent Progress and Future Directions

    Science.gov (United States)

    Guerschman, J. P.; Held, A. A.; Donohue, R. J.; Renzullo, L. J.; Sims, N.; Kerblat, F.; Grundy, M.

    2015-12-01

    Rangelands and pastures cover about a third of the world's land area and support livestock production which represents ~40% of global agricultural gross domestic product. The global consumption of animal protein shows a clear increasing trend, driven by both total population and per capita income increases, putting a growing pressure on the sustainability of grazing lands worldwide. Despite their relevance, rangelands have received less attention than croplands regarding global monitoring of the resource productivity and condition. The Rangelands and Pasture Productivity (RaPP) activity is a component within the Global Agricultural Monitoring initiative established under the Group on Earth Observations (GEOGLAM) in 2013. GEOGLAM RaPP is aimed at providing the global community with the means to monitor the world's rangelands and pastures on a routine basis, and the capacity to produce animal protein in real-time, at global, regional and national levels. Since its launch two years ago GEOGLAM RAPP has made progress in the four implementation elements. These include: 1- the establishment of community of practice; 2- the development of a global monitoring system for rangeland condition; 3- the establishment of pilot sites in main rangeland systems for satellite data products validation and model testing; and 4- integration with livestock production models. Three international workshops have been held building the community of practice. A prototype monitoring system that provides global visualisations and querying capability of vegetation cover data and anomalies has been established. Pilot sites, mostly in areas with long records of field measurements of rangeland condition and productivity have been proposed for nine countries. The link to global livestock models, including physical and economic components, have been established. Future challenges for GEOGLAM RaPP have also been identified and include: better representation of the areas occupied by rangelands

  7. Use of small UAVs in rangeland sediment source area mapping

    Science.gov (United States)

    Kuhn, Nikolaus J.; Kuhn, Brigitte; Krenz, Juliane

    2017-04-01

    The occurrence of severe erosion features in rangelands is often seen as a sign of high sediment delivery from those areas into nearby waterbodies. However, runoff, erosion and sediment transport are often patchy and discontinuous and thus assuming a direct link between erosion features and sediment delivery can lead to serious over predictions. So far, available data on the size of erosion features and the movement of sediment was limited by the resolution of Digital Elevation Models, soil and vegetation maps. Small UAVs offer the opportunity to quantify both the loss of surface material associated with erosion features, such as rills, gullies and badlands, as well as an estimate of the volume of depositional features between the site of erosion and nearby waterbodies. This study presents the acquisition and use of UAV-derived topographic information aimed at assessing the relevance of badland-type features in rangeland catchments of the Great Karoo region in South Africa. In particular, the feasility to assess volumes of erosion and sediment deposits, as well as the potential pathways from source to sink area, and the change of connectivity over time, are discussed.

  8. Predictive Phenologic Modeling Using MODIS: A Tool for Rangeland Management

    Science.gov (United States)

    Kisen, N. M.; Hepner, G.; Hadley, H.

    2007-12-01

    Grazing is the predominant land use activity in the rangelands of the Inter-Mountain West. Vegetation phenology affects the impact of grazing; new plant growth is especially palatable to grazing animals. Over time, preferential grazing gives less palatable plants an advantage in rooting depth and may alter the composition of plant species and lead to soil erosion. The benefits of using remote spectral imagery to predict the onset and advancement of the phenologic phases for expansive and/or inaccessible areas is recognized, however, the practical application of this technology has been limited. A time series of Moderate Resolution Imaging Spectrometer (MODIS) vegetation indices was analyzed to identify the temporal profile of the growing season for surface vegetation in the Upper Colorado River Basin (UCRB). Drivers to which the progression of phenologic transition dates are most responsive were explored. Using phenological parameters defined from the MODIS time series and relationships of the phenological transition dates to the drivers, a predictive phenological model specific to the environmental parameters of the UCRB was developed. This model can be implemented at various spatial extents and temporal windows as part of a rangeland management strategy.

  9. Forage seeding in rangelands increases production and prevents weed invasion

    Directory of Open Access Journals (Sweden)

    Josh Davy

    2017-07-01

    Full Text Available Increasing forage productivity in the Sierra foothill rangelands would help sustain the livestock industry as land availability shrinks and lease rates rise, but hardly any studies have been done on forage selections. From 2009 to 2014, in one of the first long-term and replicated studies of seeding Northern California's Mediterranean annual rangeland, we compared the cover of 22 diverse forages to determine their establishment and survivability over time. Among the annual herbs, forage brassica (Brassica napus L. and chicory (Cichorium intybus L. proved viable options. Among the annual grasses, soft brome (Bromus hordeaceus and annual ryegrass (Lolium multiflorum performed well. However, these species will likely require frequent reseeding to maintain dominance. Long-term goals of sustained dominant cover (> 3 years are best achieved with perennial grasses. Perennial grasses that persisted with greater than 50% cover were Berber orchardgrass (Dactylis glomerata, Flecha tall fescue (Lolium arundinaceum and several varieties of hardinggrass (Phalaris aquatica L., Perla koleagrass, Holdfast, Advanced AT. In 2014, these successful perennials produced over three times more dry matter (pounds per acre than the unseeded control and also suppressed annual grasses and yellow starthistle (Centaurea solstitialis L. cover.

  10. Scales of snow depth variability in high elevation rangeland sagebrush

    Science.gov (United States)

    Tedesche, Molly E.; Fassnacht, Steven R.; Meiman, Paul J.

    2017-09-01

    In high elevation semi-arid rangelands, sagebrush and other shrubs can affect transport and deposition of wind-blown snow, enabling the formation of snowdrifts. Datasets from three field experiments were used to investigate the scales of spatial variability of snow depth around big mountain sagebrush ( Artemisia tridentata Nutt.) at a high elevation plateau rangeland in North Park, Colorado, during the winters of 2002, 2003, and 2008. Data were collected at multiple resolutions (0.05 to 25 m) and extents (2 to 1000 m). Finer scale data were collected specifically for this study to examine the correlation between snow depth, sagebrush microtopography, the ground surface, and the snow surface, as well as the temporal consistency of snow depth patterns. Variograms were used to identify the spatial structure and the Moran's I statistic was used to determine the spatial correlation. Results show some temporal consistency in snow depth at several scales. Plot scale snow depth variability is partly a function of the nature of individual shrubs, as there is some correlation between the spatial structure of snow depth and sagebrush, as well as between the ground and snow depth. The optimal sampling resolution appears to be 25-cm, but over a large area, this would require a multitude of samples, and thus a random stratified approach is recommended with a fine measurement resolution of 5-cm.

  11. Operational implications of using 2006 World Health Organization growth standards in nutrition programmes: secondary data analysis.

    Science.gov (United States)

    Seal, Andrew; Kerac, Marko

    2007-04-07

    To assess the implications of adopting the World Health Organization 2006 growth standards in combination with current diagnostic criteria in emergency and non-emergency child feeding programmes. Secondary analysis of data from three standardised nutrition surveys (n=2555) for prevalence of acute malnutrition, using weight for height z score (new WHO 2006 growth standards (WHO standards). Refugee camps in Algeria, Kenya, and Bangladesh. Population Children aged 6-59 months. Important differences exist in the weight for height cut-offs used for defining acute malnutrition obtained from the WHO standards and NCHS reference data. These vary according to a child's height and according to whether z score or percentage of the median cut-offs are used. If applied and used according to current practice in nutrition programmes, the WHO standards will result in a higher measured prevalence of severe acute malnutrition during surveys but, paradoxically, a decrease in the admission of children to emergency feeding programmes and earlier discharge of recovering patients. The expected impact on case fatality rates of applying the new standards in conjunction with current diagnostic criteria is unknown. A full assessment of the appropriate use of the new WHO standards in the diagnosis of acute malnutrition is urgently needed. This should be completed before the standards are adopted by organisations that run nutrition programmes targeting acute malnutrition.

  12. A Standards-Based Architecture Proposal for Integrating Patient mHealth Apps to Electronic Health Record Systems.

    Science.gov (United States)

    Marceglia, S; Fontelo, P; Rossi, E; Ackerman, M J

    2015-01-01

    Mobile health Applications (mHealth Apps) are opening the way to patients' responsible and active involvement with their own healthcare management. However, apart from Apps allowing patient's access to their electronic health records (EHRs), mHealth Apps are currently developed as dedicated "island systems". Although much work has been done on patient's access to EHRs, transfer of information from mHealth Apps to EHR systems is still low. This study proposes a standards-based architecture that can be adopted by mHealth Apps to exchange information with EHRs to support better quality of care. Following the definition of requirements for the EHR/mHealth App information exchange recently proposed, and after reviewing current standards, we designed the architecture for EHR/mHealth App integration. Then, as a case study, we modeled a system based on the proposed architecture aimed to support home monitoring for congestive heart failure patients. We simulated such process using, on the EHR side, OpenMRS, an open source longitudinal EHR and, on the mHealth App side, the iOS platform. The integration architecture was based on the bi-directional exchange of standard documents (clinical document architecture rel2 - CDA2). In the process, the clinician "prescribes" the home monitoring procedures by creating a CDA2 prescription in the EHR that is sent, encrypted and de-identified, to the mHealth App to create the monitoring calendar. At the scheduled time, the App alerts the patient to start the monitoring. After the measurements are done, the App generates a structured CDA2-compliant monitoring report and sends it to the EHR, thus avoiding local storage. The proposed architecture, even if validated only in a simulation environment, represents a step forward in the integration of personal mHealth Apps into the larger health-IT ecosystem, allowing the bi-directional data exchange between patients and healthcare professionals, supporting the patient's engagement in self

  13. 48 CFR 1609.7001 - Minimum standards for health benefits carriers.

    Science.gov (United States)

    2010-10-01

    ... instructions and directives. (2) Legal and ethical business and health care practices. (3) Compliance with the... of chapter 89 of title 5, United States Code; part 890 of title 5, Code of Federal Regulations; chapter 1 of title 48, Code of Federal Regulations, and the following standards. The carrier shall...

  14. Operational implications of using 2006 World Health Organization growth standards in nutrition programmes: secondary data analysis

    OpenAIRE

    Seal, A; Kerac, M.

    2007-01-01

    Objective To assess the implications of adopting the World Health Organization 2006 growth standards in combination with current diagnostic criteria in emergency and non-emergency child feeding programmes.Design Secondary analysis of data from three standardised nutrition surveys (n=2555) for prevalence of acute malnutrition, using weight for height z score (

  15. Nine Standardized Scales for Evaluating Treatment Outcome in a Mental Health Clinic.

    Science.gov (United States)

    Clark, Austen; Friedman, Matthew J.

    1983-01-01

    Analyzed psychometrics of a package of standardized scales used to assess mental health treatment outcomes in a VA cost-effectiveness study (N=451). Derived the following scales: family involvement, involvement with friends, labor market participation, symptomatology, substance abuse, client satisfaction, and client goal attainment. (LLL)

  16. Maritime Standards for Compliance Safety and Health Officers (Instructor Manual). Volume 3

    Science.gov (United States)

    1981-03-01

    struck tools. Chicaeo, IT., Klein Tools, Inc. 1l77. 47-2 for CSHOS OccupatiOna Safety and Healt Adrnftraio TABLE OF CONTENTS I. Types of Tools Used in...4Lesson 40: Welding, Cutting and Heating (Continued) 52-4 Maritime Standards U.S. Department of Labor for CSHOs Ocupational Safety and Health

  17. [Organization of the activities of health services according to UNI EN ISO 9000 standards].

    Science.gov (United States)

    Bisio, S; Melazzini, M; Fracchia, G; Franco, G

    1999-01-01

    Implementation of a Quality System in accordance with the ISO 9000 standard with an Occupational Health Service. Following the lead of the industrial sector, Quality Systems (QS), in accordance with the principles of the ISO 9000 standards, have been implemented in many health care organizations. The purpose is to improve the health care delivered to the patient in a systematic way improving the system efficacy and effectiveness. Our aim is to describe a practical approach for the implementation of a QS in accordance with the ISO 9000 standard within an Occupational Health Service (OHS) in a middle-sized hospital. The purpose of the system is to ensure that everyone at the OHS is aware of the common quality objectives and knows how to act in order to achieve them. The implementation of the QS has entailed 2 phases: (i) a conformity assessment to verify that the organization and services delivered measure up to ISO standards; (ii) the development of a deployment plan to support the activities and action implementation for achieving the QS requirement of ISO 9000. An early conformity assessment highlighted the need for management and control in order to assure quality. The Service did not have a documented QS, a documented management review and a documented procedure for corrective and preventive actions for ensuring QS implementation and its effectiveness. A strategic quality plan, focused upon the major areas for improvement, was developed. This practical approach shows encouraging results because it allows to build up the basic quality and to motivate the OHS personnel.

  18. STANDARD PRECAUTIONS: AN ASSESSMENT OF AWARENESS AMONG HEALTH CARE PERSONNEL IN A TEACHING HOSPITAL, SOUTH INDIA.

    Directory of Open Access Journals (Sweden)

    Sangeetha

    2015-02-01

    Full Text Available BACKGROUND : Standard precautions ar e crucial in the prevention and transmission of Healthcare associated infections ( HAI and transmission of blood - borne pathogens like Hepatitis B, Human Immunodeficiency Virus & Hepatitis C. They are not well u nderstood or implemented by health care practitioners. Hence this study was taken up to determine and compare knowledge, attitude of standard precautions among health care personnel at a teaching hospital, Bangalore. OBJECTIVE : To assess knowledge, attitud e, practices and compliance of Standard precautions among health care workers at a teaching hospital. METHODOLOGY : One hundred and fifty seven health care personnel participated in this study. A pretest and post test was administered to the study group. A pre - structured questionnaire on standard precautions was prepared which included knowledge, attitude and practices. RESULTS : 116 ( 73.88% nurses had knowledge about hand hygiene, but only 82 ( 52.2% nurses practiced hand hygiene before and after patient care. Knowledge about PPE measures like gloves, face mask & goggles, gowns were known to 101(64.33%, 56 ( 35.66% & 69 ( 43.94% nurses respectively. 117 ( 74.52% nurses discarded needles & sharps in correct puncture proof containers, but their correct knowled ge regarding colour coding of hospital waste segregation was comparatively less i.e. 104 ( 66.24%. 119 ( 75.79% of the nurses had practice of recapping the needles after use. CONCLUSION : There was significant improvement in the knowledge and practice of stan dard precautions in the present study after incorporating good training practices

  19. Health care costs attributable to overweight calculated in a standardized way for three European countries

    NARCIS (Netherlands)

    Lette, M.; Bemelmans, W.J.; Breda, J.; Slobbe, L.C.; Dias, J.; Boshuizen, H.C.

    2016-01-01

    This article presents a tool to calculate health care costs attributable to overweight in a comparable and standardized way. The purpose is to describe the methodological principles of the tool and to put it into use by calculating and comparing the costs attributable to overweight for The

  20. Pan-Canadian REspiratory STandards INitiative for Electronic Health Records (PRESTINE): 2011 national forum proceedings.

    Science.gov (United States)

    Lougheed, M Diane; Minard, Janice; Dworkin, Shari; Juurlink, Mary-Ann; Temple, Walley J; To, Teresa; Koehn, Marc; Van Dam, Anne; Boulet, Louis-Philippe

    2012-01-01

    In a novel knowledge translation initiative, the Government of Ontario's Asthma Plan of Action funded the development of an Asthma Care Map to enable adherence with the Canadian Asthma Consensus Guidelines developed under the auspices of the Canadian Thoracic Society (CTS). Following its successful evaluation within the Primary Care Asthma Pilot Project, respiratory clinicians from the Asthma Research Unit, Queen's University (Kingston, Ontario) are leading an initiative to incorporate standardized Asthma Care Map data elements into electronic health records in primary care in Ontario. Acknowledging that the issue of data standards affects all respiratory conditions, and all provinces and territories, the Government of Ontario approached the CTS Respiratory Guidelines Committee. At its meeting in September 2010, the CTS Respiratory Guidelines Committee agreed that developing and standardizing respiratory data elements for electronic health records are strategically important. In follow-up to that commitment, representatives from the CTS, the Lung Association, the Government of Ontario, the National Lung Health Framework and Canada Health Infoway came together to form a planning committee. The planning committee proposed a phased approach to inform stakeholders about the issue, and engage them in the development, implementation and evaluation of a standardized dataset. An environmental scan was completed in July 2011, which identified data definitions and standards currently available for clinical variables that are likely to be included in electronic medical records in primary care for diagnosis, management and patient education related to asthma and COPD. The scan, sponsored by the Government of Ontario, includes compliance with clinical nomenclatures such as SNOMED-CT® and LOINC®. To help launch and create momentum for this initiative, a national forum was convened on October 2 and 3, 2011, in Toronto, Ontario. The forum was designed to bring together key

  1. Pan-Canadian Respiratory Standards Initiative for Electronic Health Records (PRESTINE: 2011 National Forum Proceedings

    Directory of Open Access Journals (Sweden)

    M Diane Lougheed

    2012-01-01

    Full Text Available In a novel knowledge translation initiative, the Government of Ontario’s Asthma Plan of Action funded the development of an Asthma Care Map to enable adherence with the Canadian Asthma Consensus Guidelines developed under the auspices of the Canadian Thoracic Society (CTS. Following its successful evaluation within the Primary Care Asthma Pilot Project, respiratory clinicians from the Asthma Research Unit, Queen’s University (Kingston, Ontario are leading an initiative to incorporate standardized Asthma Care Map data elements into electronic health records in primary care in Ontario. Acknowledging that the issue of data standards affects all respiratory conditions, and all provinces and territories, the Government of Ontario approached the CTS Respiratory Guidelines Committee. At its meeting in September 2010, the CTS Respiratory Guidelines Committee agreed that developing and standardizing respiratory data elements for electronic health records are strategically important. In follow-up to that commitment, representatives from the CTS, the Lung Association, the Government of Ontario, the National Lung Health Framework and Canada Health Infoway came together to form a planning committee. The planning committee proposed a phased approach to inform stakeholders about the issue, and engage them in the development, implementation and evaluation of a standardized dataset. An environmental scan was completed in July 2011, which identified data definitions and standards currently available for clinical variables that are likely to be included in electronic medical records in primary care for diagnosis, management and patient education related to asthma and COPD. The scan, sponsored by the Government of Ontario, includes compliance with clinical nomenclatures such as SNOMED-CT® and LOINC®. To help launch and create momentum for this initiative, a national forum was convened on October 2 and 3, 2011, in Toronto, Ontario. The forum was designed to

  2. Impact of repeated health behavior counseling on women portraying an overweight standardized patient.

    Science.gov (United States)

    Wagenschutz, Heather; Ross, Paula T; Bernat, Carrie K; Lypson, Monica L

    2013-01-01

    To investigate the influence of participation in a health behavior counseling (HBC) case by examining standardized patients' real-life attitudes and behaviors toward nutrition and physical activity habits. Focus group sessions were held with 10 standardized patients who regularly participated in the HBC case. Emergent themes were identified using grounded theory data analysis. Standardized patients reported how participation with role playing in the HBC case prompted personal lifestyle changes. Changes occurred through increased awareness and motivation to make adjustments to health habits, such as exercise and improved food choices. The HBC model can be an effective method for helping patients to recognize the need to take action and implement positive lifestyle changes. Copyright © 2013 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  3. Standardization of physical measurements in European health examination surveys-experiences from the site visits.

    Science.gov (United States)

    Tolonen, Hanna; Mäki-Opas, Johanna; Mindell, Jennifer S; Trichopoulou, Antonia; Naska, Androniki; Männistö, Satu; Giampaoli, Simona; Kuulasmaa, Kari; Koponen, Päivikki

    2017-10-01

    Health examination surveys (HESs) provide valuable data on health and its determinants at the population level. Comparison of HES results within and between countries and over time requires measurements which are free of bias due to differences in or adherence to measurement procedures and/or measurement devices. In the European HES (EHES) Pilot Project, 12 countries conducted a pilot HES in 2010-11 using standardized measurement protocols and centralized training. External evaluation visits (site visits) were performed by the EHES Reference Centre staff to evaluate the success of standardization and quality of data collection. In general, standardized EHES protocols were followed adequately in all the pilot surveys. Small deviations were observed in the posture of participants during the blood pressure and height measurement; in the use of a tourniquet when drawing blood samples; and in the calibration of measurement devices. Occasionally, problems with disturbing noise from outside or people coming into the room during the measurements were observed. In countries with an ongoing national HES or a long tradition of conducting national HESs at regular intervals, it was more difficult to modify national protocols to fulfil EHES requirements. The EHES protocols to standardize HES measurements and procedures for collection of blood samples are feasible in cross-country settings. The prerequisite for successful standardization is adequate training. External and internal evaluation activities during the survey fieldwork are also needed to monitor compliance to standards.

  4. California Diploma Project Technical Report III: Validity Study--Validity Study of the Health Sciences and Medical Technology Standards

    Science.gov (United States)

    McGaughy, Charis; Bryck, Rick; de Gonzalez, Alicia

    2012-01-01

    This study is a validity study of the recently revised version of the Health Science Standards. The purpose of this study is to understand how the Health Science Standards relate to college and career readiness, as represented by survey ratings submitted by entry-level college instructors of health science courses and industry representatives. For…

  5. EPA Strengthens Ozone Standards to Protect Public Health/Science-based standards to reduce sick days, asthma attacks, emergency room visits, greatly outweigh costs

    Science.gov (United States)

    WASHINGTON - Based on extensive scientific evidence on effects that ground-level ozone pollution, or smog, has on public health and welfare, the U.S. Environmental Protection Agency (EPA) has strengthened the National Ambient Air Quality Standards (

  6. Nutra-ergonomics: influence of nutrition on physical employment standards and the health of workers.

    Science.gov (United States)

    Shearer, Jane; Graham, Terry E; Skinner, Tina L

    2016-06-01

    The importance of ergonomics across several scientific domains, including biomechanics, psychology, sociology, and physiology, have been extensively explored. However, the role of other factors that may influence the health and productivity of workers, such as nutrition, is generally overlooked. Nutra-ergonomics describes the interface between workers, their work environment, and performance in relation to their nutritional status. It considers nutrition to be an integral part of a safe and productive workplace that encompasses physical and mental health as well as the long-term wellbeing of workers. This review explores the knowledge, awareness, and common practices of nutrition, hydration, stimulants, and fortified product use employed prior to physical employment standards testing and within the workplace. The influence of these nutra-ergonomic strategies on physical employment standards, worker safety, and performance will be examined. Further, the roles, responsibilities, and implications for the applicant, worker, and the employer will be discussed within the context of nutra-ergonomics, with reference to the provision and sustainability of an environment conducive to optimize worker health and wellbeing. Beyond physical employment standards, workplace productivity, and performance, the influence of extended or chronic desynchronization (irregular or shift work) in the work schedule on metabolism and long-term health, including risk of developing chronic and complex diseases, is discussed. Finally, practical nutra-ergonomic strategies and recommendations for the applicant, worker, and employer alike will be provided to enhance the short- and long-term safety, performance, health, and wellbeing of workers.

  7. Interpretations and variations of ISO 9000 in acute health care. International Organization for Standardization.

    Science.gov (United States)

    Sweeney, J; Heaton, C

    2000-06-01

    This paper aims to address two questions related to the implementation of the ISO 9000 Quality Management System standard in the acute health care sector: which countries have developed specific nationwide guidelines/interpretations? and what variances exist between the different interpretations of the ISO 9002 standard? The study was carried out via an assessment of the available guideline documents for the use of ISO 9000 in the acute health care sector. The interpretation of each document was examined for common elements and deviations from the commonly agreed terms. Worldwide in the acute health care sector (excluding that of laboratories). Eighty-two international ISO members and/or quality health care organizations. The results showed variation in the interpretations of the ISO 9000 standard. In total, 16 of the clauses/subclauses note distinct variations, between one or more of the documents, which could alter the perception of the system. From examination of the six identified guideline documents, the claim that ISO 9000 introduces quality systems which are comparable from one country to another is unfounded in the acute health care sector.

  8. Evidence and rationale for the World Health Organization recommended standards for Japanese encephalitis surveillance

    Directory of Open Access Journals (Sweden)

    Marfin Anthony

    2009-12-01

    Full Text Available Abstract Background Japanese encephalitis (JE is the most important form of viral encephalitis in Asia. Surveillance for the disease in many countries has been limited. To improve collection of accurate surveillance data in order to increase understanding of the full impact of JE and monitor control programs, World Health Organization (WHO Recommended Standards for JE Surveillance have been developed. To aid acceptance of the Standards, we describe the process of development, provide the supporting evidence, and explain the rationale for the recommendations made in the document. Methods A JE Core Working Group was formed in 2002 and worked on development of JE surveillance standards. A series of questions on specific topics was initially developed. A literature review was undertaken and the findings were discussed and documented. The group then prepared a draft document, with emphasis placed on the feasibility of implementation in Asian countries. A field test version of the Standards was published by WHO in January 2006. Feedback was then sought from countries that piloted the Standards and from public health professionals in forums and individual meetings to modify the Standards accordingly. Results After revisions, a final version of the JE surveillance standards was published in August 2008. The supporting information is presented here together with explanations of the rationale and levels of evidence for specific recommendations. Conclusion Provision of the supporting evidence and rationale should help to facilitate successful implementation of the JE surveillance standards in JE-endemic countries which will in turn enable better understanding of disease burden and the impact of control programs.

  9. The human right to the highest attainable standard of health: new opportunities and challenges.

    Science.gov (United States)

    Hunt, Paul

    2006-07-01

    The health and human rights communities have much in common. Recently, the international community has begun to devote more attention to the right to the highest attainable standard of health ("the right to health"). Today, this human right presents health and human rights professionals with a range of new opportunities and challenges. The right to health is enshrined in binding international treaties and constitutions. It has numerous elements, including the right to health care and the underlying determinants of health, such as adequate sanitation and safe water. It empowers disadvantaged individuals and communities. If integrated into national and international policies, it can help to establish policies that are meaningful to those living in poverty. The author introduces his work as the UN Special Rapporteur on the right to health. By way of illustration, he briefly considers his interventions on Niger's Poverty Reduction Strategy, Uganda's neglected (or tropical or poverty-related) diseases, and the recent US-Peru trade negotiations. With the maturing of human rights, health professionals have become an indispensable part of the global human rights movement. While human rights do not provide magic solutions, they have a constructive contribution to make. The failure to use them is a missed opportunity of major proportions.

  10. Academy of Nutrition and Dietetics: Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Public Health and Community Nutrition.

    Science.gov (United States)

    Bruening, Meg; Udarbe, Adrienne Z; Yakes Jimenez, Elizabeth; Stell Crowley, Phyllis; Fredericks, Doris C; Edwards Hall, Leigh Ann

    2015-10-01

    The need and demand for population-level disease prevention has increased, especially with the passage of the Affordable Care Act, a worldwide increase in obesity and chronic disease, and a global emphasis on preventative health care that includes behavioral, environmental, and policy interventions. In response to these evolving needs, the Public Health and Community Nutrition Dietetic Practice Group, with guidance from the Academy of Nutrition and Dietetics Quality Management Committee, has developed Standards of Practice and Standards of Professional Performance as tools for registered dietitian nutritionists (RDNs) currently in practice or interested in working in public health and community nutrition, to assess their current skill levels and to identify areas for professional development. The Standards of Practice address the four steps of the Nutrition Care Process for community and public health RDNs, which are assessment, diagnosis, intervention, and evaluation/monitoring. The Standards of Professional Performance consist of the following six domains of professional performance for community and public health RDNs: Quality in Practice, Competence and Accountability, Provision of Services, Application of Research, Communication and Application of Knowledge, and Utilization and Management of Resources. Within each standard, specific indicators provide measurable action statements that illustrate the ways in which RDNs can address client and population nutrition and health. The indicators describe three skill levels (competent, proficient, and expert) for RDNs. These tools highlight the unique scope of expertise that RDNs provide to the field of public health and community nutrition. Copyright © 2015 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  11. Assessment of USDA-NRCS rangeland conservation programs: recommendation for an evidence-based conservation platform.

    Science.gov (United States)

    Briske, D D; Bestelmeyer, B T; Brown, J R; Brunson, M W; Thurow, T L; Tanaka, J A

    2017-01-01

    The Conservation Effects Assessment Project (CEAP) was created in response to a request from the Office of Management and Budget that the U.S. Department of Agriculture, Natural Resource Conservation Service (USDA-NRCS) document the societal benefits anticipated to accrue from a major increase in conservation funding authorized by the 2002 Farm Bill. A comprehensive evaluation of the efficacy of rangeland conservation practices cost-shared with private landowners was unable to evaluate conservation benefits because outcomes were seldom documented. Four interrelated suppositions are presented to examine the causes underlying minimal documentation of conservations outcomes. These suppositions are (1) the benefits of conservation practices are considered a certainty so that documentation in not required, (2) there is minimal knowledge exchange between the USDA-NRCS and research organizations, (3) and a paucity of conservation-relevant science, as well as (4) inadequate technical support for land owners following implementation of conservation practices. We then follow with recommendations to overcome potential barriers to documentation of conservation outcomes identified for each supposition. Collectively, this assessment indicates that the existing conservation practice standards are insufficient to effectively administer large conservation investments on rangelands and that modification of these standards alone will not achieve the goals explicitly stated by CEAP. We recommend that USDA-NRCS modify its conservation programs around a more comprehensive and integrative platform that is capable of implementing evidence-based conservation. Collaborative monitoring organized around landowner-agency-scientist partnerships would represent the focal point of a Conservation Program Assessment Network (CPAN). The primary network objective would be to establish missing information feedback loops between conservation practices and their agricultural and environmental outcomes

  12. Climate, Health, Agricultural and Economic Impacts of Tighter Vehicle-Emission Standards

    Science.gov (United States)

    Shindell, Drew; Faluvegi, Greg; Walsh, Michael; Anenberg, Susan C.; VanDingen, Rita; Muller, Nicholas Z.; Austin, Jeff; Koch, Dorothy; Milly, George

    2011-01-01

    Non-CO2 air pollutants from motor vehicles have traditionally been controlled to protect air quality and health, but also affect climate. We use global composition climate modelling to examine the integrated impacts of adopting stringent European on-road vehicle-emission standards for these pollutants in 2015 in many developing countries. Relative to no extra controls, the tight standards lead to annual benefits in 2030 and beyond of 120,000-280,000 avoided premature air pollution-related deaths, 6.1-19.7 million metric tons of avoided ozone-related yield losses of major food crops, $US0.6-2.4 trillion avoided health damage and $US1.1-4.3 billion avoided agricultural damage, and mitigation of 0.20 (+0.14/-0.17) C of Northern Hemisphere extratropical warming during 2040-2070. Tighter vehicle-emission standards are thus extremely likely to mitigate short-term climate change in most cases, in addition to providing large improvements in human health and food security. These standards will not reduce CO2 emissions, however, which is required to mitigate long-term climate change.

  13. Accelerating North American rangeland conservation with earth observation data and user driven web applications.

    Science.gov (United States)

    Allred, B. W.; Naugle, D.; Donnelly, P.; Tack, J.; Jones, M. O.

    2016-12-01

    In 2010, the USDA Natural Resources Conservation Service (NRCS) launched the Sage Grouse Initiative (SGI) to voluntarily reduce threats facing sage-grouse and rangelands on private lands. Over the past five years, SGI has matured into a primary catalyst for rangeland and wildlife conservation across the North American west, focusing on the shared vision of wildlife conservation through sustainable working landscapes and providing win-win solutions for producers, sage grouse, and 350 other sagebrush obligate species. SGI and its partners have invested a total of $750 million into rangeland and wildlife conservation. Moving forward, SGI continues to focus on rangeland conservation. Partnering with Google Earth Engine, SGI has developed outcome monitoring and conservation planning tools at continental scales. The SGI science team is currently developing assessment and monitoring algorithms of key conservation indicators. The SGI web application utilizes Google Earth Engine for user defined analysis and planning, putting the appropriate information directly into the hands of managers and conservationists.

  14. Integrating management objectives and grazing strategies on semi-arid rangelands

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Rangelands account for almost half of Nebraska's 24 million acres. Much of these expansive natural resource areas are in the semi-arid climatic region of Nebraska...

  15. Compilation of Studies Assessing Post Wildfire Seeding of Rangelands Worldwide, 1965-2010

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Mitigation of ecological damage caused by rangeland wildfires has historically been an issue restricted to the western United States. It has focused on conservation...

  16. Collaborative adaptive landscape management (CALM) in rangelands: Discussion of general principles

    Science.gov (United States)

    The management of rangeland landscapes involves broad spatial extents, mixed land ownership, and multiple resource objectives. Management outcomes depend on biophysical heterogeneity, highly variable weather conditions, land use legacies, and spatial processes such as wildlife movement, hydrological...

  17. Relevance of rangeland degradation in semiarid Northeastern South Africa to the nonequilibrium theory

    CSIR Research Space (South Africa)

    Wessels, Konrad J

    2007-04-01

    Full Text Available According to the nonequilibrium theory, livestock grazing has a limited effect on long-term vegetation productivity of semiarid rangelands, which is largely determined by rainfall. The communal lands in northeastern South Africa contain extensive...

  18. Integrated protection model: ISO 45001 as a future of safety and health standards

    Directory of Open Access Journals (Sweden)

    Živković Snežana

    2015-01-01

    Full Text Available Along with the increase in awareness of the importance of human resources and their contribution to the value of the organization, there is a growing awareness of the need for their management. The fact that modern society prescribes by the law that organizations must identify dangers and hazards, risk level that may arise, as well as their management and implementation of consistent measures to reduce their impact, shows the importance that is attributed to this issue. For the effective implementation of laws in the field of health and safety at work and other necessary protective measures, there has been a need for a systematic approach to management in this area. Systematic approach to management in the field of health and safety at work ensures the implementation of all measures necessary for the safe operation thus protecting both employees and organization. This systematic approach is reflected in the current standard OHSAS 18001, which aims to establish control over the risks that carry harmful potentials, and thus ensuring the continuity of operation of the organization. The focus of the scientific community which is actively working on improving the existing standards in the field of safety and health of employees is focused on the upcoming standard that will replace OHSAS 18001. The upcoming standard places a greater emphasis on the risk management and the ongoing assessment of risks and opportunities to prevent or reduce side effects. The innovations in this standard are reflected in the strengthening of the role of top management and top management as well as in the context of the 'organization' itself. ISO 45001 provides for active participation of management in all processes of health and safety at work and tends to reduce the usage of process of delegated responsibility to one manager, while, on the other hand, the organization looks at the broader, i.e., the requirements of the wider community are taken into account.

  19. Nutrition and bone health projects funded by the UK Food Standards Agency: have they helped to inform public health policy?

    Science.gov (United States)

    Ashwell, Margaret; Stone, Elaine; Mathers, John; Barnes, Stephen; Compston, Juliet; Francis, Roger M.; Key, Tim; Cashman, Kevin D.; Cooper, Cyrus; Khaw, Kay Tee; Lanham-New, Susan; Macdonald, Helen; Prentice, Ann; Shearer, Martin; Stephen, Alison

    2009-01-01

    The UK Food Standards Agency convened an international group of expert scientists to review the Agency-funded projects on diet and bone health in the context of developments in the field as a whole. The potential benefits of fruit and vegetables, vitamin K, early-life nutrition and vitamin D on bone health were presented and reviewed. The workshop reached two conclusions which have public health implications. First, that promoting a diet rich in fruit and vegetable intakes might be beneficial to bone health and would be very unlikely to produce adverse consequences on bone health. The mechanism(s) for any effect of fruit and vegetables remains unknown, but the results from these projects did not support the postulated acid–base balance hypothesis. Secondly, increased dietary consumption of vitamin K may contribute to bone health, possibly through its ability to increase the γ-carboxylation status of bone proteins such as osteocalcin. A supplementation trial comparing vitamin K supplementation with Ca and vitamin D showed an additional effect of vitamin K against baseline levels of bone mineral density, but the benefit was only seen at one bone site. The major research gap identified was the need to investigate vitamin D status to define deficiency, insufficiency and depletion across age and ethnic groups in relation to bone health. PMID:18086331

  20. Refocusing acute psychiatry, performance management, standards and accountability, a new context for mental health nursing.

    LENUS (Irish Health Repository)

    Harnett, P J

    2009-06-01

    The term \\'performance management\\' has an aversive \\'managerial\\' aspect, is unappealing to many public sector staff and has an \\'image problem\\'. Perhaps as a consequence, it has failed to make a significant impact on Irish public sector workers, notably mental health nurses. In this paper, performance management is introduced and examined within an Irish healthcare context and with reference to its use in other countries. Some of the challenges faced by Irish mental health nurses and the potential benefits of working within a performance managed workplace are discussed. The paper concludes that performance management is likely to increasingly affect nurses, either as active agents or as passive recipients of a change that is thrust on them. The authors anticipate that the performance management \\'image problem\\' will give way to recognition that this is a fundamental change which has the potential to enable health services to change. This change will bring high standards of transparency, worker involvement in decision making, an explicit value base for health services and individual teams. It provides the potential for clear practice standards and high standards of transparency as well as worker welfare in all aspects, including supporting employment and career progression.

  1. Using standardized patients in enhancing undergraduate students' learning experience in mental health nursing.

    Science.gov (United States)

    Goh, Yong-Shian; Selvarajan, Sunil; Chng, Mui-Lee; Tan, Chee-Shiong; Yobas, Piyanee

    2016-10-01

    Conducting mental status examination and suicide risk assessment is an important skill required of nurses when they are in the clinical setting. With nursing students often expressing the anxiety and lack of confidence in doing so, the use of standardized patients provide an excellent opportunity to practice and become proficient with this skill in a simulated environment. To explore the learning experience of undergraduate nursing students using standardized patients while practising their mental status examination and suicide risk assessment skills in mental health nursing module. A pre- and post-test, single group quasi experimental design was used in this study. A standard didactic tutorial session and a standardized patient session was conducted to evaluate the learning experience of undergraduate nursing students learning mental status examination and suicide risk assessment. Outcome measures for this study include Student Satisfaction and Self-Confidence in learning scale. Qualitative comments in the form of open-ended questions were also collected in this study. A University offering nursing program from undergraduate to postgraduate level. A convenience sample of Year 2 undergraduate nursing students undertaking the mental health nursing module was included in this study. The use of standardized patient session had significantly increased students' satisfaction and confidence level before they are posted to a mental health setting for their clinical attachment. There was a significant difference on students' self-confidence level for those who have taken care of a patient with mental illness after adjusting for pre-test on score in learning. Qualitative feedback obtained from students showed a positive outlook towards the use of standardized patient as an effective tool in augmenting didactic learning into practical skills. Using standardized patient in mental health nursing education enhanced the integration of didactic content into clinical setting

  2. Exploring the Cultural Dimensions of the Right to the Highest Attainable Standard of Health

    Directory of Open Access Journals (Sweden)

    Yvonne Donders

    2015-07-01

    Full Text Available The right to enjoying the highest attainable standard of health is incorporated in many international and regional human rights instruments. This right contains both freedoms and entitlements, including the freedom to control one's own health and body and the right to an accessible system of health care, goods and services. Both aspects of the right to health – freedoms and entitlements – have important cultural dimensions. The UN Committee on Economic, Social and Cultural Rights has for instance stated that the right to health implies that health facilities, goods and services must be culturally appropriate, in other words respectful of the culture of individuals and communities. At the same time, it should be noted that culture and health may have a problematic relationship. Cultural patterns, attitudes or stereotypes may severely limit the health freedoms of people or may prevent certain people from accessing health care. Furthermore, there are some cultural or traditional practices that are condoned but that are very harmful to people's health. It seems that international human rights law demands respect for the cultural dimensions of the right to health, while at the same time requiring protection of the right to health against negative aspects of cultures. How does this work out in practice? What does the concept of "culturally appropriate" health goods and services mean at the national level? Who decides on what is or is not culturally appropriate? How have international supervisory bodies elaborated on the freedoms and entitlements of the right to health and the obligations for States Parties to the treaties in relation to the cultural dimensions of the right to health? This article analyses several treaty provisions and the interpretation of these provisions by the treaty monitoring bodies. Apart from several UN treaties, several regional treaties in Africa are dealt with, notably the African Charter on Human and Peoples' Rights

  3. Standards of lithium monitoring in mental health trusts in the UK

    Directory of Open Access Journals (Sweden)

    Shingleton-Smith Amber

    2010-10-01

    Full Text Available Abstract Background Lithium is a commonly prescribed drug with a narrow therapeutic index, and recognised adverse effects on the kidneys and thyroid. Clinical guidelines for the management of bipolar affective disorder published by The National Institute for Health and Clinical Excellence (NICE recommend checks of renal and thyroid function before lithium is prescribed. They further recommend that all patients who are prescribed lithium should have their renal and thyroid function checked every six months, and their serum lithium checked every three months. Adherence to these recommendations has not been subject to national UK audit. Methods The Prescribing Observatory for Mental Health (POMH-UK invited all National Health Service Mental Health Trusts in the UK to participate in a benchmarking audit of lithium monitoring against recommended standards. Data were collected retrospectively from clinical records and submitted electronically. Results 436 clinical teams from 38 Trusts submitted data for 3,373 patients. In patients recently starting lithium, there was a documented baseline measure of renal or thyroid function in 84% and 82% respectively. For patients prescribed lithium for a year or more, the NICE standards for monitoring lithium serum levels, and renal and thyroid function were met in 30%, 55% and 50% of cases respectively. Conclusions The quality of lithium monitoring in patients who are in contact with mental health services falls short of recognised standards and targets. Findings from this audit, along with reports of harm received by the National Patient Safety Agency, prompted a Patient Safety Alert mandating primary care, mental health and acute Trusts, and laboratory staff to work together to ensure systems are in place to support recommended lithium monitoring by December 2010.

  4. The Role of Indigenous Ecological Knowledge in Managing Rangelands Sustainably in Northern Iran

    Directory of Open Access Journals (Sweden)

    Mehdi Ghorbani

    2013-06-01

    Full Text Available Pastoralists' knowledge of adaptive rangeland management in Iran has long been only selectively analyzed and documented. This study attempts to rectify that by outlining the indigenous ecological knowledge of the pastoralists of Nariyan village in the Taleghan region of northern Iran, and by evaluating the influence of such knowledge on rangeland management. Local herd owners operate according to traditional herding practices; their knowledge of rangeland plants and principles of sustainable rangeland management is indigenous and is based on centuries of experience and observation. Their in-depth knowledge covers the medicinal properties of various local plant species and the palatability of the most salient forage species in terms of sustaining the sheep and goats that are their livelihood. This study investigates some of the traditional strategies of rangeland management used in the Taleghan region, the rationale and timing of livestock rotation in the rangelands, local landscape classification, and local know-how in animal husbandry, all of which are indispensable in contributing to the pastoralists' survival and maintenance of the local environment.

  5. Soil degradation in wooded rangelands of southwest Spain

    Science.gov (United States)

    Schnabel, S.; Lavado Contador, J. F.; Gómez Gutiérrez, Á.

    2009-04-01

    The paper presents a review on soil degradation studies carried out since 1990 in wooded rangelands in Extremadura. In the semiarid and subhumid parts of the south-western Iberian Peninsula open evergreen woodlands dominated by Quercus species are widespread (dehesas and montados). They are composed of grasslands with a varying degree of tree cover, ranging from treeless to more than 80 individuals per hectare. In some areas shrubs form a third component of the vegetation. Dehesas are subject to a complex exploitation system with agro-silvo-pastoral land use. The dominant soil degradation phenomena include different forms of water erosion and physical and biological degradation. Regarding soil erosion and surface hydrology, research has been carried out at different spatial scales. Sheetwash and overland flow were investigated along hillslopes and in microplots, whereas gully erosion and runoff production were monitored in small experimental catchments. Recently, physical and biological degradation has been studied in a large number of farms, representing the most important types of rangelands in the region of Extremadura. This included a rapid appraisal of degradation features, the determination of soil properties and a study on the distribution and activity of gullies. Soil degradation varies strongly with regard to the natural factors, but also with respect to land use and management. Sheetwash (interrill erosion) is the dominant process on hillslopes, with a mean soil loss rate of 0.63 t ha-1. However rainfall variation and land management, especially livestock density, produce changes in soil cover. With low to moderate livestock densities and during prolonged periods with low rainfall (droughts), the vegetation cover may be strongly reduced, provoking high soil losses, whereas during normal or humid periods interrill erosion is low. Excessive stocking rates may exacerbate sheetwash, producing severe soil degradation, regardless of rainfall conditions. In

  6. [Study on the standard of health protection zone for petroleum processing industry].

    Science.gov (United States)

    Wu, Lei; Zhu, Chang-cai; Mei, Yong; Zhang, Ling; Ye, Fang-li

    2012-02-01

    To establish health protection zone standards for petroleum processing industry. The intensity of characteristic pollutants from fugitive emission were estimated by the inverse method of ground concentration through field survey and monitoring for representative petroleum processing industry, which was calculated health protection zone by using the model of atmospheric diffusion. Characteristic pollutant of fugitive emission source from petroleum processing industry was confirmed as hydrogen sulfide. When local average wind speed in the past five years was less than 2, 2-4 m/s and more than 4 m/s respectively and meanwhile the scale of petroleum processing industry was less than 8 million tons, the recommended value of health protection zone were 900, 800, 700 m respectively. Besides, when the scale of petroleum processing industry was more than 8 million tons and in the same wind speed level, the recommended value of health protection zone were 1200, 1000, 900 m respectively. Recommended value of health protection zone for petroleum processing industry was reasonable and feasible through revising and improving of the version of 1987's standard.

  7. Standard of Care in Pediatrics: Integrating Family-Centred Care and Social Determinants of Health.

    Science.gov (United States)

    Ho, Karen; Shaul, Randi Zlotnik; Chapman, Lee Ann; Ford-Jones, Elizabeth Lee

    2016-01-01

    In pediatric healthcare, there is a recognized need to address social determinants of health (SDOH) to positively influence child health and development. In addition, family-centred care (FCC) recognizes the value of the family unit in affecting individual patient experiences of illness and care. However, pediatric healthcare that incorporates principles of FCC and SDOH may be interpreted as calling on clinicians to deviate from or add to practices that form an accepted standard of care. This paper explores the legal and ethical considerations of doing so and describes practical responses to these challenging situations.

  8. Adaptive Rangeland Decision-Making and Coping with Drought

    Directory of Open Access Journals (Sweden)

    Leslie M. Roche

    2016-12-01

    Full Text Available Grazinglands support the livelihoods of millions of people around the world, as well as supply critical ecosystem services. Communities reliant on rain-fed rangelands are potentially the most vulnerable to increasing climate variability given their dependence on highly climate-sensitive resources. Droughts, which are gradual natural hazards, pose substantial and recurrent economic and ecological stresses to these systems. This study examined management decision-making based on survey responses of 479 California ranchers to: (1 identify the types of drought strategies in-place across California’s rangelands and the operation variables driving strategy selection; and (2 examine how individual drought adaptation is enhanced by decision-making factors. Four types of in-place drought strategies were identified and ordered along a gradient of increasing intensity (number of practices used. Significant background variables driving strategy selection were operation experience with drought, type of livestock operation, grazing system, and land ownership types. Information resource networks, goal setting for sustainable natural resources, and management capacity all acted to enhance individual drought adaptation—defined here by active drought planning and the number of both reactive and proactive drought practices used. Overall, analyses revealed that flexibility in management is a key component of adapting to and coping with drought. Climate policy planning should take into account the diversity of strategies that have been developed by ranchers for multiple generations and within the context of their unique operations, as well as support these working landscapes via a range of adaptation and mitigation options to reduce vulnerability across all types of operations.

  9. Monitoring Forage Production of California Rangeland Using Remote Sensing Observations

    Science.gov (United States)

    Liu, H.; Jin, Y.; Dahlgren, R. A.; O'Geen, A. T.; Roche, L. M.; Smith, A. M.; Flavell, D.

    2016-12-01

    Pastures and rangeland cover more than 10 million hectares in California's coastal and inland foothill regions, providing feeds to livestock and important ecosystem services. Forage production in California has a large year-to-year variation due to large inter-annual and seasonal variabilities in precipitation and temperature. It also varies spatially due to the variability in climate and soils. Our goal is to develop a robust and cost-effective tool to map the near-real-time and historical forage productivity in California using remote sensing observations from Landsat and MODIS satellites. We used a Monteith's eco-physiological plant growth theory: the aboveground net primary production (ANPP) is determined by (i) the absorbed photosynthetically active radiation (APAR) and the (ii) light use efficiency (LUE): ANPP = APAR * LUEmax * f(T) * f(SM), where LUEmax is the maximum LUE, and f(T) and f(SM) are the temperature and soil moisture constrains on LUE. APAR was estimated with Landsat and MODIS vegetation index (VI), and LUE was calibrated with a statewide point dataset of peak forage production measurements at 75 annual rangeland sites. A non-linear optimization was performed to derive maximum LUE and the parameters for temperature and soil moisture regulation on LUE by minimizing the differences between the estimated and measured ANPP. Our results showed the satellite-derived annual forage production estimates correlated well withcontemporaneous in-situ forage measurements and captured both the spatial and temporal productivity patterns of forage productivity well. This remote sensing algorithm can be further improved as new field measurements become available. This tool will have a great importance in maintaining a sustainable range industry by providing key knowledge for ranchers and the stakeholders to make managerial decisions.

  10. Protocol of the COSMIN study: COnsensus-based Standards for the selection of health Measurement INstruments

    Directory of Open Access Journals (Sweden)

    Patrick DL

    2006-01-01

    Full Text Available Abstract Background Choosing an adequate measurement instrument depends on the proposed use of the instrument, the concept to be measured, the measurement properties (e.g. internal consistency, reproducibility, content and construct validity, responsiveness, and interpretability, the requirements, the burden for subjects, and costs of the available instruments. As far as measurement properties are concerned, there are no sufficiently specific standards for the evaluation of measurement properties of instruments to measure health status, and also no explicit criteria for what constitutes good measurement properties. In this paper we describe the protocol for the COSMIN study, the objective of which is to develop a checklist that contains COnsensus-based Standards for the selection of health Measurement INstruments, including explicit criteria for satisfying these standards. We will focus on evaluative health related patient-reported outcomes (HR-PROs, i.e. patient-reported health measurement instruments used in a longitudinal design as an outcome measure, excluding health care related PROs, such as satisfaction with care or adherence. The COSMIN standards will be made available in the form of an easily applicable checklist. Method An international Delphi study will be performed to reach consensus on which and how measurement properties should be assessed, and on criteria for good measurement properties. Two sources of input will be used for the Delphi study: (1 a systematic review of properties, standards and criteria of measurement properties found in systematic reviews of measurement instruments, and (2 an additional literature search of methodological articles presenting a comprehensive checklist of standards and criteria. The Delphi study will consist of four (written Delphi rounds, with approximately 30 expert panel members with different backgrounds in clinical medicine, biostatistics, psychology, and epidemiology. The final checklist will

  11. The 2014 Scope and Standards of Practice for Psychiatric Mental Health Nursing: Key Updates.

    Science.gov (United States)

    Kane, Catherine F

    2015-01-31

    The 2014 Psychiatric-Mental Health Nursing: Scope and Standards of Practice is the specialty's description of competent nursing practice. The scope portion of this document identifies the focus of the specialty by defining nursing practice extents and limits. Standards are statements that identify the duties and obligations for which specialty nurses are held accountable, including general registered nurses and advanced practice nurses. This article begins with a brief overview of the revision process. The author describes key factors that influenced the revision, such as external documents and current priorities in healthcare, and synthesizes significant changes to the document, including commentary and comparisons to the generalist Scope and Standards of Practice. Implications for nursing education and a companion resource are discussed.

  12. Key elements on implementing an occupational health and safety management system using ISO 45001 standard

    Directory of Open Access Journals (Sweden)

    Darabont Doru Costin

    2017-01-01

    Full Text Available Occupational health and safety (OHS management system is one of the main elements of the company’s general management system. During last decade, Romanian companies gained a valuable experience on implementing this type of management systems, using OHSAS 18001 referential and standard. However, the projected release of the ISO 45001 represents a new approach which requires the companies to take in consideration new key elements for a successful implementation of the OHS management system. The aim of the paper is to identify and analyse these key elements, by integration of the following issues: standard requirements, Romanian OHS legislation and good practice examples, including the general control measures for new and emerging risks such as psycho-social risks, workforce ageing and new technologies. The study results represent an important work instrument for each company interested to implement or upgrade its OHS management system using ISO 45001 standard and could be used regardless the company size or activity domain.

  13. Determinants and Functions of Standardized Assessment Use Among School Mental Health Clinicians: A Mixed Methods Evaluation.

    Science.gov (United States)

    Lyon, Aaron R; Ludwig, Kristy; Wasse, Jessica Knaster; Bergstrom, Alex; Hendrix, Ethan; McCauley, Elizabeth

    2016-01-01

    The current study evaluated why and how school mental health clinicians use standardized assessment tools in their work with youth and families. Quantitative and qualitative (focus group) data were collected prior to and following a training and consultation sequence as part of a trial program to assess school clinician's (n = 15) experiences administering standardized tools to youth on their caseloads (n = 191). Findings indicated that, although assessment use was initially somewhat low, clinicians used measures to conduct initial assessments with the bulk of their caseloads (average = 62.2%) during the implementation period. Clinicians also reported on factors influencing their use of assessments at the client, provider, and system levels; perceived functions of assessment; student responses to assessment use; and use of additional sources of clinically-relevant information (primarily educational data) for the purposes of assessment and progress monitoring. Implications for the contextual appropriateness of standardized assessment and training in assessment tools are discussed.

  14. Changing organizational culture: using the CEO cancer gold standard policy initiatives to promote health and wellness at a school of public health

    OpenAIRE

    Towne, Samuel D.; Anderson, Kelsey E.; Smith, Matthew Lee; Dahlke, Deborah Vollmer; Kellstedt, Debra; Purcell, Ninfa Pena; Ory, Marcia G.

    2015-01-01

    Background Worksite wellness initiatives for health promotion and health education have demonstrated effectiveness in improving employee health and wellness. We examined the effects of a multifaceted health promotion campaign on organizational capacity to meet requirements to become CEO Cancer Gold Standard Accredited. Methods We conducted an online survey to assess perceived organizational values and support for the five CEO Cancer Gold Standard Pillars for cancer prevention: tobacco cessati...

  15. Digital health technology and trauma: development of an app to standardize care.

    Science.gov (United States)

    Hsu, Jeremy M

    2015-04-01

    Standardized practice results in less variation, therefore reducing errors and improving outcome. Optimal trauma care is achieved through standardization, as is evidenced by the widespread adoption of the Advanced Trauma Life Support approach. The challenge for an individual institution is how does one educate and promulgate these standardized processes widely and efficiently? In today's world, digital health technology must be considered in the process. The aim of this study was to describe the process of developing an app, which includes standardized trauma algorithms. The objective of the app was to allow easy, real-time access to trauma algorithms, and therefore reduce omissions/errors. A set of trauma algorithms, relevant to the local setting, was derived from the best available evidence. After obtaining grant funding, a collaborative endeavour was undertaken with an external specialist app developing company. The process required 6 months to translate the existing trauma algorithms into an app. The app contains 32 separate trauma algorithms, formatted as a single-page flow diagram. It utilizes specific smartphone features such as 'pinch to zoom', jump-words and pop-ups to allow rapid access to the desired information. Improvements in trauma care outcomes result from reducing variation. By incorporating digital health technology, a trauma app has been developed, allowing easy and intuitive access to evidenced-based algorithms. © 2015 Royal Australasian College of Surgeons.

  16. The strategic use of standardized information exchange technology in a university health system.

    Science.gov (United States)

    Cheng, Po-Hsun; Chen, Heng-Shuen; Lai, Feipei; Lai, Jin-Shin

    2010-04-01

    This article illustrates a Web-based health information system that is comprised of specific information exchange standards related to health information for healthcare services in National Taiwan University Health System. Through multidisciplinary teamwork, medical and informatics experts collaborated and studied on system scope definition, standard selection challenges, system implementation barriers, system management outcomes, and further expandability of other systems. After user requirement analysis and prototyping, from 2005 to 2008, an online clinical decision support system with multiple functions of reminding and information push was implemented. It was to replace its original legacy systems and serve among the main hospital and three branches of 180-200 clinics and 7,500-8,000 patient visits per day. To evaluate the effectiveness of this system, user surveys were performed, which revealed that the average score of user satisfaction increased from 2.80 to 3.18 on a 4-point scale. Among the items, especially e-learning for training service, courtesy communications for system requests, and courtesy communications for system operations showed statistically significant improvement. From this study, the authors concluded that standardized information exchange technologies can be used to create a brand new enterprise value and steadily obtain more competitive advantages for a prestige healthcare system.

  17. Changes in vegetation structure and aboveground biomass in response to traditional rangeland management practices in Borana, southern Ethiopia

    National Research Council Canada - National Science Library

    Gilo, Bikila Negasa; Kelkay, Tessema Zewdu

    2017-01-01

    .... Sampling through random allocation of quadrats within replicated sample plots was undertaken in communally grazed areas, grazing enclosures and rangelands managed by prescribed fire for five years...

  18. Changes in Property Rights and Management of High-Elevation Rangelands in Bhutan: Implications for Sustainable Development of Herder Communities

    Directory of Open Access Journals (Sweden)

    Karma Tenzing

    2017-08-01

    Full Text Available Property rights and management regimes for high-elevation rangelands in Bhutan have evolved over centuries in response to environmental, cultural, and political imperatives. The 2007 Land Act of Bhutan aims to redress historical inequities in property rights by redistributing grazing leases to local livestock owners in a process known as rangeland nationalization. This study explored 3 related issues: property rights and management regimes in 3 distinct high-elevation rangeland systems, herders' and government officials' perceptions of the proposed rangeland nationalization process, and the implications of rangeland nationalization for herder livelihoods and sustainable development. Qualitative research methods were adopted to capture the lived experiences of 151 livestock farmers, seminomadic herders, and government officials, including 40 individual interviews and 9 focus group discussions. The research revealed that herding in these high-elevation rangelands is governed by a complex combination of private, communal, and mixed property use rights regimes. Management regimes varied according to traditional rules, but development was limited because of lack of management rights. The rangeland nationalization process is expected to promote sustainable management of high-elevation rangelands by incentivizing provisioning and maintenance activities. However, the lack of clear implementation guidelines and a coherent replacement for traditional practices have created confusion and anxiety in herder communities. Providing tenure security and management rights in an equitable manner will be vital for fostering sustainable development for herder communities living in the high-elevation rangelands of Bhutan.

  19. Improving health, safety and energy efficiency in New Zealand through measuring and applying basic housing standards.

    Science.gov (United States)

    Gillespie-Bennett, Julie; Keall, Michael; Howden-Chapman, Philippa; Baker, Michael G

    2013-08-02

    Substandard housing is a problem in New Zealand. Historically there has been little recognition of the important aspects of housing quality that affect people's health and safety. In this viewpoint article we outline the importance of assessing these factors as an essential step to improving the health and safety of New Zealanders and household energy efficiency. A practical risk assessment tool adapted to New Zealand conditions, the Healthy Housing Index (HHI), measures the physical characteristics of houses that affect the health and safety of the occupants. This instrument is also the only tool that has been validated against health and safety outcomes and reported in the international peer-reviewed literature. The HHI provides a framework on which a housing warrant of fitness (WOF) can be based. The HHI inspection takes about one hour to conduct and is performed by a trained building inspector. To maximise the effectiveness of this housing quality assessment we envisage the output having two parts. The first would be a pass/fail WOF assessment showing whether or not the house meets basic health, safety and energy efficiency standards. The second component would rate each main assessment area (health, safety and energy efficiency), potentially on a five-point scale. This WOF system would establish a good minimum standard for rental accommodation as well encouraging improved housing performance over time. In this article we argue that the HHI is an important, validated, housing assessment tool that will improve housing quality, leading to better health of the occupants, reduced home injuries, and greater energy efficiency. If required, this tool could be extended to also cover resilience to natural hazards, broader aspects of sustainability, and the suitability of the dwelling for occupants with particular needs.

  20. Standardizing Benchmark Dose Calculations to Improve Science-Based Decisions in Human Health Assessments

    Science.gov (United States)

    Wignall, Jessica A.; Shapiro, Andrew J.; Wright, Fred A.; Woodruff, Tracey J.; Chiu, Weihsueh A.; Guyton, Kathryn Z.

    2014-01-01

    Background: Benchmark dose (BMD) modeling computes the dose associated with a prespecified response level. While offering advantages over traditional points of departure (PODs), such as no-observed-adverse-effect-levels (NOAELs), BMD methods have lacked consistency and transparency in application, interpretation, and reporting in human health assessments of chemicals. Objectives: We aimed to apply a standardized process for conducting BMD modeling to reduce inconsistencies in model fitting and selection. Methods: We evaluated 880 dose–response data sets for 352 environmental chemicals with existing human health assessments. We calculated benchmark doses and their lower limits [10% extra risk, or change in the mean equal to 1 SD (BMD/L10/1SD)] for each chemical in a standardized way with prespecified criteria for model fit acceptance. We identified study design features associated with acceptable model fits. Results: We derived values for 255 (72%) of the chemicals. Batch-calculated BMD/L10/1SD values were significantly and highly correlated (R2 of 0.95 and 0.83, respectively, n = 42) with PODs previously used in human health assessments, with values similar to reported NOAELs. Specifically, the median ratio of BMDs10/1SD:NOAELs was 1.96, and the median ratio of BMDLs10/1SD:NOAELs was 0.89. We also observed a significant trend of increasing model viability with increasing number of dose groups. Conclusions: BMD/L10/1SD values can be calculated in a standardized way for use in health assessments on a large number of chemicals and critical effects. This facilitates the exploration of health effects across multiple studies of a given chemical or, when chemicals need to be compared, providing greater transparency and efficiency than current approaches. Citation: Wignall JA, Shapiro AJ, Wright FA, Woodruff TJ, Chiu WA, Guyton KZ, Rusyn I. 2014. Standardizing benchmark dose calculations to improve science-based decisions in human health assessments. Environ Health

  1. Multi-paddock grazing on rangelands: why the perceptual dichotomy between research results and rancher experience?

    Science.gov (United States)

    Teague, Richard; Provenza, Fred; Kreuter, Urs; Steffens, Tim; Barnes, Matt

    2013-10-15

    Maintaining or enhancing the productive capacity and resilience of rangeland ecosystems is critical for the continued support of people who depend on them for their livelihoods, especially in the face of climatic change. This is also necessary for the continued delivery of ecosystem services derived from rangelands for the broader benefit of societies around the world. Multi-paddock grazing management has been recommended since the mid-20th century as an important tool to adaptively manage rangelands ecosystems to sustain productivity and improve animal management. Moreover, there is much anecdotal evidence from producers that, if applied appropriately, multi-paddock grazing can improve forage and livestock production. By contrast, recent reviews of published rangeland-based grazing systems studies have concluded that, in general, field trials show no superiority of vegetation or animal production in multi-paddock grazing relative to continuous yearlong stocking of single-paddock livestock production systems. Our goal is to provide a framework for rangeland management decisions that support the productivity and resiliency of rangelands and then to identify why different perceptions exist among rangeland managers who have effectively used multi-paddock grazing systems and research scientists who have studied them. First, we discuss the ecology of grazed ecosystems under free-ranging herbivores and under single-paddock fenced conditions. Second, we identify five principles underpinning the adaptive management actions used by successful grazing managers and the ecological, physiological, and behavioral framework they use to achieve desired conservation, production, and financial goals. Third, we examine adaptive management principles needed to successfully manage rangelands subjected to varying environmental conditions. Fourth, we describe the differences between the interpretation of results of grazing systems research reported in the scientific literature and the

  2. Reproductive health information and abortion services: standards developed by the European Court of Human Rights.

    Science.gov (United States)

    Westeson, Johanna

    2013-08-01

    In 3 recent judgments, the European Court of Human Rights addressed the issue of access to abortion and related reproductive health services. In 2 of the judgments, the Court declared that the state violated women's rights by obstructing access to legal health services, including abortion. In so doing, it referred to the state's failure to implement domestic norms on prenatal testing and conscientious objection, and recognized the relevance of international medical guidelines. This illustrates that domestic and international medical standards can serve as critical guidance to human rights courts. In the third case, the Court showed its unwillingness to declare access to abortion a human right per se, which is troubling from the perspective of women's right to health and dignity. The present article outlines the relevance of these cases for the reproductive health profession and argues that medical professional societies can influence human rights courts by developing and enforcing medical standards, not only for the benefit of abortion rights domestically but also for the advancement of women's human rights worldwide. Copyright © 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  3. Impact of National Ambient Air Quality Standards Nonattainment Designations on Particulate Pollution and Health.

    Science.gov (United States)

    Zigler, Corwin M; Choirat, Christine; Dominici, Francesca

    2018-03-01

    Despite dramatic air quality improvement in the United States over the past decades, recent years have brought renewed scrutiny and uncertainty surrounding the effectiveness of specific regulatory programs for continuing to improve air quality and public health outcomes. We employ causal inference methods and a spatial hierarchical regression model to characterize the extent to which a designation of "nonattainment" with the 1997 National Ambient Air Quality Standard for ambient fine particulate matter (PM2.5) in 2005 causally affected ambient PM2.5 and health outcomes among over 10 million Medicare beneficiaries in the Eastern United States in 2009-2012. We found that, on average across all retained study locations, reductions in ambient PM2.5 and Medicare health outcomes could not be conclusively attributed to the nonattainment designations against the backdrop of other regional strategies that impacted the entire Eastern United States. A more targeted principal stratification analysis indicates substantial health impacts of the nonattainment designations among the subset of areas where the designations are estimated to have actually reduced ambient PM2.5 beyond levels achieved by regional measures, with noteworthy reductions in all-cause mortality, chronic obstructive pulmonary disorder, heart failure, ischemic heart disease, and respiratory tract infections. These findings provide targeted evidence of the effectiveness of local control measures after nonattainment designations for the 1997 PM2.5 air quality standard.

  4. Assessing electronic health record phenotypes against gold-standard diagnostic criteria for diabetes mellitus.

    Science.gov (United States)

    Spratt, Susan E; Pereira, Katherine; Granger, Bradi B; Batch, Bryan C; Phelan, Matthew; Pencina, Michael; Miranda, Marie Lynn; Boulware, Ebony; Lucas, Joseph E; Nelson, Charlotte L; Neely, Benjamin; Goldstein, Benjamin A; Barth, Pamela; Richesson, Rachel L; Riley, Isaretta L; Corsino, Leonor; McPeek Hinz, Eugenia R; Rusincovitch, Shelley; Green, Jennifer; Barton, Anna Beth; Kelley, Carly; Hyland, Kristen; Tang, Monica; Elliott, Amanda; Ruel, Ewa; Clark, Alexander; Mabrey, Melanie; Morrissey, Kay Lyn; Rao, Jyothi; Hong, Beatrice; Pierre-Louis, Marjorie; Kelly, Katherine; Jelesoff, Nicole

    2017-04-01

    We assessed the sensitivity and specificity of 8 electronic health record (EHR)-based phenotypes for diabetes mellitus against gold-standard American Diabetes Association (ADA) diagnostic criteria via chart review by clinical experts. We identified EHR-based diabetes phenotype definitions that were developed for various purposes by a variety of users, including academic medical centers, Medicare, the New York City Health Department, and pharmacy benefit managers. We applied these definitions to a sample of 173 503 patients with records in the Duke Health System Enterprise Data Warehouse and at least 1 visit over a 5-year period (2007-2011). Of these patients, 22 679 (13%) met the criteria of 1 or more of the selected diabetes phenotype definitions. A statistically balanced sample of these patients was selected for chart review by clinical experts to determine the presence or absence of type 2 diabetes in the sample. The sensitivity (62-94%) and specificity (95-99%) of EHR-based type 2 diabetes phenotypes (compared with the gold standard ADA criteria via chart review) varied depending on the component criteria and timing of observations and measurements. Researchers using EHR-based phenotype definitions should clearly specify the characteristics that comprise the definition, variations of ADA criteria, and how different phenotype definitions and components impact the patient populations retrieved and the intended application. Careful attention to phenotype definitions is critical if the promise of leveraging EHR data to improve individual and population health is to be fulfilled.

  5. Key Intervention Characteristics in e-Health: Steps Towards Standardized Communication.

    Science.gov (United States)

    Bewick, Bridgette M; Ondersma, Steven J; Høybye, Mette T; Blakstad, Oskar; Blankers, Matthijs; Brendryen, Håvar; Helland, Pål F; Johansen, Ayna B; Wallace, Paul; Sinadinovic, Kristina; Sundström, Christopher; Berman, Anne H

    2017-10-01

    This paper reports expert opinion on e-health intervention characteristics that enable effective communication of characteristics across the diverse field of e-health interventions. The paper presents a visualization tool to support communication of the defining characteristics. An initial list of e-health intervention characteristics was developed through an iterative process of item generation and discussion among the 12 authors. The list was distributed to 123 experts in the field, who were emailed an invitation to assess and rank the items. Participants were asked to evaluate these characteristics in three separate ways. A total of 50 responses were received for a response rate of 40.7%. Six respondents who reported having little or no expertise in e-health research were removed from the dataset. Our results suggest that 10 specific intervention characteristics were consistently supported as of central importance by the panel of 44 e-intervention experts. The weight and perceived relevance of individual items differed between experts; oftentimes, this difference is a result of the individual theoretical perspective and/or behavioral target of interest. The first iteration of the visualization of salient characteristics represents an ambitious effort to develop a tool that will support communication of the defining characteristics for e-health interventions aimed to assist e-health developers and researchers to communicate the key characteristics of their interventions in a standardized manner that facilitates dialog.

  6. SMART on FHIR: a standards-based, interoperable apps platform for electronic health records.

    Science.gov (United States)

    Mandel, Joshua C; Kreda, David A; Mandl, Kenneth D; Kohane, Isaac S; Ramoni, Rachel B

    2016-09-01

    In early 2010, Harvard Medical School and Boston Children's Hospital began an interoperability project with the distinctive goal of developing a platform to enable medical applications to be written once and run unmodified across different healthcare IT systems. The project was called Substitutable Medical Applications and Reusable Technologies (SMART). We adopted contemporary web standards for application programming interface transport, authorization, and user interface, and standard medical terminologies for coded data. In our initial design, we created our own openly licensed clinical data models to enforce consistency and simplicity. During the second half of 2013, we updated SMART to take advantage of the clinical data models and the application-programming interface described in a new, openly licensed Health Level Seven draft standard called Fast Health Interoperability Resources (FHIR). Signaling our adoption of the emerging FHIR standard, we called the new platform SMART on FHIR. We introduced the SMART on FHIR platform with a demonstration that included several commercial healthcare IT vendors and app developers showcasing prototypes at the Health Information Management Systems Society conference in February 2014. This established the feasibility of SMART on FHIR, while highlighting the need for commonly accepted pragmatic constraints on the base FHIR specification. In this paper, we describe the creation of SMART on FHIR, relate the experience of the vendors and developers who built SMART on FHIR prototypes, and discuss some challenges in going from early industry prototyping to industry-wide production use. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association.

  7. Application of standard treatment guidelines in rural community health centres, Timor-Leste.

    Science.gov (United States)

    Higuchi, Michiyo; Okumura, Junko; Aoyama, Atsuko; Suryawati, Sri; Porter, John

    2012-08-01

    To analyse nurses' and midwives' knowledge of and attitudes towards standard treatment guidelines (STGs), which were developed to help their practices at rural community health centres (CHCs) in Timor-Leste. Fifty-five nurses and midwives were individually interviewed. Data were analysed qualitatively using the Framework approach. Overall, the standard treatments for acute respiratory tract infections, malaria and diarrhoea were well known by the respondents. Clinical nurses showed precise and detailed knowledge, especially for antibiotic use. The respondents were willing to use STGs and believed that they 'should' follow them. This feeling arose due to their self-awareness as frontline health workers and, at the same time, as peripheral civil servants. The changes brought about by the introduction of STGs were positively perceived. Three components of the change were observed: the concept, daily practice and perceived patient satisfaction. The respondents had previously felt a lack of confidence and hoped to improve their capacity as health care workers; they became confident in their practices by using STGs. Self-confidence was identified more clearly in the clinical nurse interviews. Few difficulties in using STGs were indicated, and the respondents suggested ways to deal with these difficulties. By using the STGs, the nurses/midwives gained knowledge and self-confidence. The positive perception of the changes promoted further use of the STGs. Clinical nurse training positively influenced the knowledge of and attitudes towards the STGs. Few difficulties in applying STGs in daily practice were identified, which is contrary to previous studies that targeted physicians in the Western world. Development of STGs within a health policy framework was considered a key factor. The STGs exist across related policies and various programmes, which are interconnected. The Timor-Leste experience indicates the value of STGs for non-physician health care providers at the

  8. Worldwide Regulations of Standard Values of Pesticides for Human Health Risk Control: A Review

    Science.gov (United States)

    Jennings, Aaron

    2017-01-01

    The impact of pesticide residues on human health is a worldwide problem, as human exposure to pesticides can occur through ingestion, inhalation, and dermal contact. Regulatory jurisdictions have promulgated the standard values for pesticides in residential soil, air, drinking water, and agricultural commodity for years. Until now, more than 19,400 pesticide soil regulatory guidance values (RGVs) and 5400 pesticide drinking water maximum concentration levels (MCLs) have been regulated by 54 and 102 nations, respectively. Over 90 nations have provided pesticide agricultural commodity maximum residue limits (MRLs) for at least one of the 12 most commonly consumed agricultural foods. A total of 22 pesticides have been regulated with more than 100 soil RGVs, and 25 pesticides have more than 100 drinking water MCLs. This research indicates that those RGVs and MCLs for an individual pesticide could vary over seven (DDT drinking water MCLs), eight (Lindane soil RGVs), or even nine (Dieldrin soil RGVs) orders of magnitude. Human health risk uncertainty bounds and the implied total exposure mass burden model were applied to analyze the most commonly regulated and used pesticides for human health risk control. For the top 27 commonly regulated pesticides in soil, there are at least 300 RGVs (8% of the total) that are above all of the computed upper bounds for human health risk uncertainty. For the top 29 most-commonly regulated pesticides in drinking water, at least 172 drinking water MCLs (5% of the total) exceed the computed upper bounds for human health risk uncertainty; while for the 14 most widely used pesticides, there are at least 310 computed implied dose limits (28.0% of the total) that are above the acceptable daily intake values. The results show that some worldwide standard values were not derived conservatively enough to avoid human health risk by the pesticides, and that some values were not computed comprehensively by considering all major human exposure

  9. Worldwide Regulations of Standard Values of Pesticides for Human Health Risk Control: A Review.

    Science.gov (United States)

    Li, Zijian; Jennings, Aaron

    2017-07-22

    Abstract: The impact of pesticide residues on human health is a worldwide problem, as human exposure to pesticides can occur through ingestion, inhalation, and dermal contact. Regulatory jurisdictions have promulgated the standard values for pesticides in residential soil, air, drinking water, and agricultural commodity for years. Until now, more than 19,400 pesticide soil regulatory guidance values (RGVs) and 5400 pesticide drinking water maximum concentration levels (MCLs) have been regulated by 54 and 102 nations, respectively. Over 90 nations have provided pesticide agricultural commodity maximum residue limits (MRLs) for at least one of the 12 most commonly consumed agricultural foods. A total of 22 pesticides have been regulated with more than 100 soil RGVs, and 25 pesticides have more than 100 drinking water MCLs. This research indicates that those RGVs and MCLs for an individual pesticide could vary over seven (DDT drinking water MCLs), eight (Lindane soil RGVs), or even nine (Dieldrin soil RGVs) orders of magnitude. Human health risk uncertainty bounds and the implied total exposure mass burden model were applied to analyze the most commonly regulated and used pesticides for human health risk control. For the top 27 commonly regulated pesticides in soil, there are at least 300 RGVs (8% of the total) that are above all of the computed upper bounds for human health risk uncertainty. For the top 29 most-commonly regulated pesticides in drinking water, at least 172 drinking water MCLs (5% of the total) exceed the computed upper bounds for human health risk uncertainty; while for the 14 most widely used pesticides, there are at least 310 computed implied dose limits (28.0% of the total) that are above the acceptable daily intake values. The results show that some worldwide standard values were not derived conservatively enough to avoid human health risk by the pesticides, and that some values were not computed comprehensively by considering all major human

  10. The Logic of Standard-Setting: A Comparative Perspective. I. The Uncertain Logic of Standard-Setting. II. Prevention and Health Standards: American, Soviet, and European Models

    OpenAIRE

    Majone, G.

    1982-01-01

    I. Environmental standards are, and will long remain, basic instruments of regulatory policy. At the same time, the standard-setting process rests on precarious conceptual foundations. This contradiction poses severe problems of administrative rationality and political legitimacy. After a discussion of the major sources of uncertainty in standard-setting, the paper argues that a fundamental restructuring of procedures, institutions, and evaluative criteria is needed. Two directions of re...

  11. Introduced and invasive species in novel rangeland ecosystems: friends or foes?

    Science.gov (United States)

    Belnap, Jayne; Ludwig, John A.; Wilcox, Bradford P.; Betancourt, Julio L.; Dean, W. Richard J.; Hoffmann, Benjamin D.; Milton, Sue J.

    2012-01-01

    Globally, new combinations of introduced and native plant and animal species have changed rangelands into novel ecosystems. Whereas many rangeland stakeholders (people who use or have an interest in rangelands) view intentional species introductions to improve forage and control erosion as beneficial, others focus on unintended costs, such as increased fire risk, loss of rangeland biodiversity, and threats to conservation efforts, specifically in nature reserves and parks. These conflicting views challenge all rangeland stakeholders, especially those making decisions on how best to manage novel ecosystems. To formulate a conceptual framework for decision making, we examined a wide range of novel ecosystems, created by intentional and unintentional introductions of nonnative species and land-use–facilitated spread of native ones. This framework simply divides decision making into two types: 1) straightforward–certain, and 2) complex–uncertain. We argue that management decisions to retain novel ecosystems are certain when goods and services provided by the system far outweigh the costs of restoration, for example in the case of intensively managed Cenchrus pastures. Decisions to return novel ecosystems to natural systems are also certain when the value of the system is low and restoration is easy and inexpensive as in the case of biocontrol of Opuntia infestations. In contrast, decisions whether to retain or restore novel ecosystems become complex and uncertain in cases where benefits are low and costs of control are high as, for example, in the case of stopping the expansion of Prosopis and Juniperus into semiarid rangelands. Decisions to retain or restore novel ecosystems are also complex and uncertain when, for example, nonnative Eucalyptus trees expand along natural streams, negatively affecting biodiversity, but also providing timber and honey. When decision making is complex and uncertain, we suggest that rangeland managers utilize cost–benefit analyses

  12. Standardizing nursing information in Canada for inclusion in electronic health records: C-HOBIC.

    Science.gov (United States)

    Hannah, Kathryn J; White, Peggy A; Nagle, Lynn M; Pringle, Dorothy M

    2009-01-01

    The Canadian Health Outcomes for Better Information and Care (C-HOBIC) project introduced systematic use of standardized clinical nursing terminology for patient assessments. Implemented so far in three Canadian provinces, C-HOBIC comprises an innovative model for large-scale capture of standardized nursing-sensitive clinical outcomes data within electronic health records (EHRs). To support this activity, nursing assessment and outcomes concepts were mapped to the International Classification for Nursing Practice (ICNP(R)). By comparing serial data on a patient across multiple time points, the C-HOBIC model can generate nursing-sensitive patient outcome reports. A principle benefit of the C-HOBIC model is that it provides nurses with information critical to planning for and evaluating patient care. Inclusion of nursing information in either provincial databases or EHRs in three Canadian provinces promotes continuity of patient care across sectors of the healthcare systems in those provinces and also facilitates aggregation and analysis by administrators and policy makers. The C-HOBIC model provides standardized, consistent, interoperable clinical information that reflects nursing practice throughout the Canadian healthcare System.

  13. World Health Organization International Standard To Harmonize Assays for Detection of Mycoplasma DNA.

    Science.gov (United States)

    Nübling, C Micha; Baylis, Sally A; Hanschmann, Kay-Martin; Montag-Lessing, Thomas; Chudy, Michael; Kreß, Julia; Ulrych, Ursula; Czurda, Stefan; Rosengarten, Renate

    2015-09-01

    Nucleic acid amplification technique (NAT)-based assays (referred to here as NAT assays) are increasingly used as an alternative to culture-based approaches for the detection of mycoplasma contamination of cell cultures. Assay features, like the limit of detection or quantification, vary widely between different mycoplasma NAT assays. Biological reference materials may be useful for harmonization of mycoplasma NAT assays. An international feasibility study included lyophilized preparations of four distantly related mycoplasma species (Acholeplasma laidlawii, Mycoplasma fermentans, M. orale, M. pneumoniae) at different concentrations which were analyzed by 21 laboratories using 26 NAT assays with a qualitative, semiquantitative, or quantitative design. An M. fermentans preparation was shown to decrease the interassay variation when used as a common reference material. The preparation was remanufactured and characterized in a comparability study, and its potency (in NAT-detectable units) across different NATs was determined. The World Health Organization (WHO) Expert Committee on Biological Standardization (ECBS) established this preparation to be the "1st World Health Organization international standard for mycoplasma DNA for nucleic acid amplification technique-based assays designed for generic mycoplasma detection" (WHO Tech Rep Ser 987:42, 2014) with a potency of 200,000 IU/ml. This WHO international standard is now available as a reference preparation for characterization of NAT assays, e.g., for determination of analytic sensitivity, for calibration of quantitative assays in a common unitage, and for defining regulatory requirements in the field of mycoplasma testing. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

  14. Estimates of Global Rangeland Net Primary Productivity and its Consumption Based on Climate and Livestock Distribution Data

    Science.gov (United States)

    Asrar, G.; Wolf, J.; Rafique, R.; West, T. O.; Ogle, S. M.

    2016-12-01

    Rangelands play an important role in providing ecosystem services such as food, forage, and fuels in many parts of the world. The net primary productivity (NPP), a difference between CO2 fixed by plants and CO2 lost to autotrophic respiration, is a good indicator of the productivity of rangeland ecosystems, and their contribution to the cycling of carbon in the Earth system. In this study, we estimated the NPP of global rangelands, the consumption thereof by grazing livestock, and associated uncertainties, to better understand and quantify the contribution of rangelands to land-based carbon storage. We estimated rangeland NPP using mean annual precipitation data from Climate Research Unit (CRU), and a regression model based on global observations (Del Grosso et al., 2008). Spatial distributions of annual livestock consumption of rangeland NPP (Wolf et al., 2015) were combined with gridded annual rangeland NPP for the years 2000 - 2011. The uncertainty analysis of these estimates was conducted using a Monte Carlo approach. The rangeland NPP estimates with associated uncertainties were also compared with the total modeled GPP estimates obtained from vegetation dynamic model simulations. Our results showed that mean above-ground NPP of rangelands is 1017.5 MgC/km2, while mean below-ground NPP is 847.6 MgC/km2. The total rangeland NPP represents a significant portion of the total NPP of the terrestrial ecosystem. The livestock area requirements used to geographically distribute livestock spatially are based on optimal pasturage and are low relative to area requirements on less productive land. Even so, ca. 90% of annual livestock consumption of rangeland NPP were met with no adjustment of livestock distributions. Moreover, the results of this study allowed us to explicitly quantify the temporal and spatial variations of rangeland NPP under different climatic conditions. Uncertainty analysis was helpful in identifying the strength and weakness of the methods used to

  15. Modeling climate change effects on runoff and soil erosion in southeastern Arizona rangelands and implications for mitigation with rangeland conservation practices

    Science.gov (United States)

    Climate change is expected to impact runoff and soil erosion on rangelands in the southwestern United States. This study was done to evaluate the potential impacts of precipitation changes on soil erosion and surface runoff in southeastern Arizona using seven GCM models with three emission scenarios...

  16. Adaptive Sleep Scheduling for Health Monitoring System Based on the IEEE 802.15.4 Standard

    Directory of Open Access Journals (Sweden)

    Nurul Fahmi

    2016-08-01

    Full Text Available In the recent years, Wireless Sensor Networks (WSNs have become a very popular technology for research in various fields. One of the technologies which is developed using WSN is environmental health monitoring. However, there is a problem when we want to optimize the performance of the environmental health monitoring such as the limitation of the energy. In this paper, we proposed a method for the environmental health monitoring using the fuzzy logic approach according to the environmental health conditions. We use that condition to determine the sleep time in the system based on IEEE 802.15.4 standard protocol. The main purpose of this method is to extend the life and minimize the energy consumption of the battery. We implemented this system in the real hardware test-bed using temperature, humidity, CO and CO2 sensors. We compared the performance without sleep scheduling, with sleep scheduling and adaptive sleep scheduling. The power consumption spent during the process of testing without sleep scheduling is 52%, for the sleep scheduling is 13%, while using the adaptive sleep scheduling is around 7%. The users also can monitor the health condition via mobile phone or web-based application, in real-time anywhere and anytime.

  17. Struggles of Professionalism and Emotional Labour in Standardized Mental Health Care

    Directory of Open Access Journals (Sweden)

    Annette Kamp

    2016-03-01

    Full Text Available This article points out how recent public sector reforms under headings as New Public Management, Lean and Quality Reforms entail different forms for standardization, and examines how this development instigates a transformation of interdisciplinary and highly skilled emotional labor in mental healthcare. It is based on an ethnographic study of a Danish child psychiatric unit, which ‘produces’ diagnoses and treatment/therapy for children and their families. We illustrate how the enforcement of standardization upsets the balance between the humanistic and medical aspects of psychiatry as a discipline and field of practice, and show how this development challenges professional identities, interdisciplinary collaboration and hierarchical relations. The development is however negotiated, reformulated, and opposed, in teams of mental health professionals. In this context of increasing standardization, highly skilled emotional labor unfolds. We point out how acceleration and leaning of work procedures increases the emotional labor in relation to clients, partners, and colleagues. But paradoxically, at the same time, emotional labor becomes still more invisible as it is excluded from the standardized schemes. The study illustrates the crucial role of emotional labor in mental care work and points out how it is left to the professionals to negotiate paradoxes and make ends meet.

  18. Expert Reliability for the World Health Organization Standardized Ultrasound Classification of Cystic Echinococcosis.

    Science.gov (United States)

    Solomon, Nadia; Fields, Paul J; Tamarozzi, Francesca; Brunetti, Enrico; Macpherson, Calum N L

    2017-03-01

    AbstractCystic echinococcosis (CE), a parasitic zoonosis, results in cyst formation in the viscera. Cyst morphology depends on developmental stage. In 2003, the World Health Organization (WHO) published a standardized ultrasound (US) classification for CE, for use among experts as a standard of comparison. This study examined the reliability of this classification. Eleven international CE and US experts completed an assessment of eight WHO classification images and 88 test images representing cyst stages. Inter- and intraobserver reliability and observer performance were assessed using Fleiss' and Cohen's kappa. Interobserver reliability was moderate for WHO images (κ = 0.600, P classification for each image were significant for WHO (0.413 classification, with substantial to almost perfect interobserver reliability for pathognomonic stages. This confirms experts' abilities to reliably identify WHO-defined pathognomonic signs of CE, demonstrating that the WHO classification provides a reproducible way of staging CE.

  19. Weak fault detection and health degradation monitoring using customized standard multiwavelets

    Science.gov (United States)

    Yuan, Jing; Wang, Yu; Peng, Yizhen; Wei, Chenjun

    2017-09-01

    Due to the nonobvious symptoms contaminated by a large amount of background noise, it is challenging to beforehand detect and predictively monitor the weak faults for machinery security assurance. Multiwavelets can act as adaptive non-stationary signal processing tools, potentially viable for weak fault diagnosis. However, the signal-based multiwavelets suffer from such problems as the imperfect properties missing the crucial orthogonality, the decomposition distortion impossibly reflecting the relationships between the faults and signatures, the single objective optimization and independence for fault prognostic. Thus, customized standard multiwavelets are proposed for weak fault detection and health degradation monitoring, especially the weak fault signature quantitative identification. First, the flexible standard multiwavelets are designed using the construction method derived from scalar wavelets, seizing the desired properties for accurate detection of weak faults and avoiding the distortion issue for feature quantitative identification. Second, the multi-objective optimization combined three dimensionless indicators of the normalized energy entropy, normalized singular entropy and kurtosis index is introduced to the evaluation criterions, and benefits for selecting the potential best basis functions for weak faults without the influence of the variable working condition. Third, an ensemble health indicator fused by the kurtosis index, impulse index and clearance index of the original signal along with the normalized energy entropy and normalized singular entropy by the customized standard multiwavelets is achieved using Mahalanobis distance to continuously monitor the health condition and track the performance degradation. Finally, three experimental case studies are implemented to demonstrate the feasibility and effectiveness of the proposed method. The results show that the proposed method can quantitatively identify the fault signature of a slight rub on

  20. Incorporating grazing into an eco-hydrologic model: Simulating coupled human and natural systems in rangelands

    Science.gov (United States)

    Reyes, J. J.; Liu, M.; Tague, C.; Choate, J. S.; Evans, R. D.; Johnson, K. A.; Adam, J. C.

    2013-12-01

    Rangelands provide an opportunity to investigate the coupled feedbacks between human activities and natural ecosystems. These areas comprise at least one-third of the Earth's surface and provide ecological support for birds, insects, wildlife and agricultural animals including grazing lands for livestock. Capturing the interactions among water, carbon, and nitrogen cycles within the context of regional scale patterns of climate and management is important to understand interactions, responses, and feedbacks between rangeland systems and humans, as well as provide relevant information to stakeholders and policymakers. The overarching objective of this research is to understand the full consequences, intended and unintended, of human activities and climate over time in rangelands by incorporating dynamics related to rangeland management into an eco-hydrologic model that also incorporates biogeochemical and soil processes. Here we evaluate our model over ungrazed and grazed sites for different rangeland ecosystems. The Regional Hydro-ecologic Simulation System (RHESSys) is a process-based, watershed-scale model that couples water with carbon and nitrogen cycles. Climate, soil, vegetation, and management effects within the watershed are represented in a nested landscape hierarchy to account for heterogeneity and the lateral movement of water and nutrients. We incorporated a daily time-series of plant biomass loss from rangeland to represent grazing. The TRY Plant Trait Database was used to parameterize genera of shrubs and grasses in different rangeland types, such as tallgrass prairie, Intermountain West cold desert, and shortgrass steppe. In addition, other model parameters captured the reallocation of carbon and nutrients after grass defoliation. Initial simulations were conducted at the Curlew Valley site in northern Utah, a former International Geosphere-Biosphere Programme Desert Biome site. We found that grasses were most sensitive to model parameters affecting

  1. Evaluation of Vitamin D Standardization Program protocols for standardizing serum 25-hydroxyvitamin D data: a case study of the program's potential for national nutrition and health surveys12345

    Science.gov (United States)

    Cashman, Kevin D; Kiely, Mairead; Kinsella, Michael; Durazo-Arvizu, Ramón A; Tian, Lu; Zhang, Yue; Lucey, Alice; Flynn, Albert; Gibney, Michael J; Vesper, Hubert W; Phinney, Karen W; Coates, Paul M; Picciano, Mary F; Sempos, Christopher T

    2013-01-01

    Background: The Vitamin D Standardization Program (VDSP) has developed protocols for standardizing procedures of 25-hydroxyvitamin D [25(OH)D] measurement in National Health/Nutrition Surveys to promote 25(OH)D measurements that are accurate and comparable over time, location, and laboratory procedure to improve public health practice. Objective: We applied VDSP protocols to existing ELISA-derived serum 25(OH)D data from the Irish National Adult Nutrition Survey (NANS) as a case-study survey and evaluated their effectiveness by comparison of the protocol-projected estimates with those from a reanalysis of survey serums by using liquid chromatography–tandem mass spectrometry (LC–tandem MS). Design: The VDSP reference system and protocols were applied to ELISA-based serum 25(OH)D data from the representative NANS sample (n = 1118). A reanalysis of 99 stored serums by using standardized LC–tandem MS and resulting regression equations yielded predicted standardized serum 25(OH)D values, which were then compared with LC–tandem MS reanalyzed values for all serums. Results: Year-round prevalence rates for serum 25(OH)D concentrations 125 nmol/L were 1.2%, 0.3%, and 0.6% by means of ELISA, VDSP protocols, and LC–tandem MS, respectively. Conclusion: VDSP protocols hold a major potential for national nutrition and health surveys in terms of the standardization of serum 25(OH)D data. PMID:23615829

  2. Evaluation of Vitamin D Standardization Program protocols for standardizing serum 25-hydroxyvitamin D data: a case study of the program's potential for national nutrition and health surveys.

    Science.gov (United States)

    Cashman, Kevin D; Kiely, Mairead; Kinsella, Michael; Durazo-Arvizu, Ramón A; Tian, Lu; Zhang, Yue; Lucey, Alice; Flynn, Albert; Gibney, Michael J; Vesper, Hubert W; Phinney, Karen W; Coates, Paul M; Picciano, Mary F; Sempos, Christopher T

    2013-06-01

    The Vitamin D Standardization Program (VDSP) has developed protocols for standardizing procedures of 25-hydroxyvitamin D [25(OH)D] measurement in National Health/Nutrition Surveys to promote 25(OH)D measurements that are accurate and comparable over time, location, and laboratory procedure to improve public health practice. We applied VDSP protocols to existing ELISA-derived serum 25(OH)D data from the Irish National Adult Nutrition Survey (NANS) as a case-study survey and evaluated their effectiveness by comparison of the protocol-projected estimates with those from a reanalysis of survey serums by using liquid chromatography-tandem mass spectrometry (LC-tandem MS). The VDSP reference system and protocols were applied to ELISA-based serum 25(OH)D data from the representative NANS sample (n = 1118). A reanalysis of 99 stored serums by using standardized LC-tandem MS and resulting regression equations yielded predicted standardized serum 25(OH)D values, which were then compared with LC-tandem MS reanalyzed values for all serums. Year-round prevalence rates for serum 25(OH)D concentrations 125 nmol/L were 1.2%, 0.3%, and 0.6% by means of ELISA, VDSP protocols, and LC-tandem MS, respectively. VDSP protocols hold a major potential for national nutrition and health surveys in terms of the standardization of serum 25(OH)D data.

  3. Reorienting land degradation towards sustainable land management: linking sustainable livelihoods with ecosystem services in rangeland systems.

    Science.gov (United States)

    Reed, M S; Stringer, L C; Dougill, A J; Perkins, J S; Atlhopheng, J R; Mulale, K; Favretto, N

    2015-03-15

    This paper identifies new ways of moving from land degradation towards sustainable land management through the development of economic mechanisms. It identifies new mechanisms to tackle land degradation based on retaining critical levels of natural capital whilst basing livelihoods on a wider range of ecosystem services. This is achieved through a case study analysis of the Kalahari rangelands in southwest Botswana. The paper first describes the socio-economic and ecological characteristics of the Kalahari rangelands and the types of land degradation taking place. It then focuses on bush encroachment as a way of exploring new economic instruments (e.g. Payments for Ecosystem Services) designed to enhance the flow of ecosystem services that support livelihoods in rangeland systems. It does this by evaluating the likely impacts of bush encroachment, one of the key forms of rangeland degradation, on a range of ecosystem services in three land tenure types (private fenced ranches, communal grazing areas and Wildlife Management Areas), before considering options for more sustainable land management in these systems. We argue that with adequate policy support, economic mechanisms could help reorient degraded rangelands towards more sustainable land management. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  4. A review of concentrated flow erosion processes on rangelands: Fundamental understanding and knowledge gaps

    Directory of Open Access Journals (Sweden)

    Sayjro K. Nouwakpo

    2016-06-01

    Full Text Available Concentrated flow erosion processes are distinguished from splash and sheetflow processes in their enhanced ability to mobilize and transport large amounts of soil, water and dissolved elements. On rangelands, soil, nutrients and water are scarce and only narrow margins of resource losses are tolerable before crossing the sustainability threshold. In these ecosystems, concentrated flow processes are perceived as indicators of degradation and often warrant the implementation of mitigation strategies. Nevertheless, this negative perception of concentrated flow processes may conflict with the need to improve understanding of the role of these transport vessels in redistributing water, soil and nutrients along the rangeland hillslope. Vegetation influences the development and erosion of concentrated flowpaths and has been the primary factor used to control and mitigate erosion on rangelands. At the ecohydrologic level, vegetation and concentrated flow pathways are engaged in a feedback relationship, the understanding of which might help improve rangeland management and restoration strategies. In this paper, we review published literature on experimental and conceptual research pertaining to concentrated flow processes on rangelands to: (1 present the fundamental science underpinning concentrated flow erosion modeling in these landscapes, (2 discuss the influence of vegetation on these erosion processes, (3 evaluate the contribution of concentrated flow erosion to overall sediment budget and (4 identify knowledge gaps.

  5. The periodic health examination provided to asymptomatic older women: an assessment using standardized patients.

    Science.gov (United States)

    Carney, P A; Dietrich, A J; Freeman, D H; Mott, L A

    1993-07-15

    To describe physical examination and cancer prevention services provided by primary care physicians in response to the request for a "checkup" by an asymptomatic 55-year-old woman seeking to establish ongoing care; to assess the effects of two interventions (education and office organization) intended to improve these services; and to assess the feasibility of using "standardized" patients to evaluate physician responses to such a request. Northern New England. Fifty-nine primary care physicians who were accepting new patients and were participating in a study of early detection and prevention of cancer. Cross sectional; observations of patient visits. Actresses trained to portray a specific patient role ("standardized" or "simulated" patients) visited each physician once. Physicians were blinded to the simulated patients' true identities. Actresses reported the components of the general physical examination and the cancer-related "checkup." Most interactions were audiotaped. Fourteen physical examination components were measured, ranging from assessment of vibratory sense (5%) to measurement of blood pressure (98%). Provision of 10 services recommended by the National Cancer Institute to standardized patients included 16% being advised to reduce dietary fat; 53% to do monthly breast self-examination; 74% to quit smoking; and 89% to obtain a mammogram. Physicians spent from 5 to 60 minutes with the patients. Two physicians did not charge, whereas others charged from $24 to $108. Study group assignment was not associated with statistical differences in provider performance. Two standardized patients (3%) were detected by physicians. Audiotapes were used to verify the actresses' ability to replicate their scenario (consistently repeat their performance) and to verify physician performance. Physician responses to an identical patient request varied widely in terms of time spent with the patient, the services provided, and the cost of the visit. Using standardized

  6. Where’s the beef? Predicting the effects of climate change on cattle production in western U.S. rangelands

    Science.gov (United States)

    Sue Miller; Matt Reeves; Karen Bagne; John Tanaka

    2017-01-01

    Cattle production capacity on western rangelands is potentially vulnerable to climate change through impacts on the amount of forage, changes in vegetation type, heat stress, and year-to-year forage variability. The researchers in this study projected climate change effects to rangelands through 2100 and compared them to a present-day baseline to estimate vulnerability...

  7. Scale effects on runoff and soil erosion in rangelands: observations and estimations with predictors of different availability

    Science.gov (United States)

    Runoff and erosion estimates are needed for rangeland management decisions and evaluation of ecosystem services derived from rangeland conservation practices. The information on the effect of scale on the runoff and erosion, and on the choice of runoff and erosion predictors, remains scarce. The obj...

  8. Species richness has not increased after long-term protection from grazing on sagebrush, aspen and tall forb rangelands

    Science.gov (United States)

    W. A. Laycock; Dale Bartos; Keith Klement

    2001-01-01

    Recent conservation biology and environmental literature contains claims that livestock grazing has caused and continues to cause reduction in species diversity on Western rangelands, especially public rangelands. This paper present quantitative data on species richness (number of species) inside and outside 24 long-term exclosures; 8 exclosures in aspen vegetation in...

  9. The crucial roles of standards and strategy in developing a regional health information network.

    Science.gov (United States)

    Neame, R

    1995-10-01

    Contemporary medical practice increasingly involves the use of inter-professional teams and complex care protocols. Increasing emphasis on value for money, medical audit, quality assurance and optimal outcomes requires that the practitioner has ready access to large amounts of up-to-date information, and that various abstracts and summaries of cases are made available quickly to providers, purchaser/funders, statisticians and researchers, and others. Rapid movements of large quantities of information is vital for the future success of health care: development of health information networks are vital strategic goals. In 1991 New Zealand initiated a widespread process of health services reform, whose success depended upon better availability and faster movements of information. The first phase of a national network to support these needs was successfully implemented in mid 1993: this provided for a point of connection for all individuals and organisations involved in the health sector, using commercial networking services. Fundamental to this development has been the adoption adaptation and development of appropriate standards and specifications for interconnection profiles, communications protocols, message formats, privacy and security requirements classification and coding systems and data element definitions. These have been selected to provide the maximum utility whilst imposing the minimum of constraints on the diversity of end user systems.

  10. The 2014 National Emission Inventory for Rangeland Fires ...

    Science.gov (United States)

    Biomass burning has been identified as an important contributor to the degradation of air quality because of its impact on ozone and particulate matter. One component of the biomass burning inventory, crop residue burning, has been poorly characterized in the National Emissions Inventory. In the 2011 NEI, Wildland fires, prescribed fires, and crop residue burning collectively were the largest source of PM2.5 This paper summarizes our 2014 NEI method to estimate crop residue burning emissions and grass/pasture burning emissions using remote sensing data and field information and literature-based, crop-specific emission factors. We will focus on both the post-harvest and pre-harvest burning that takes place with bluegrass, corn, cotton, rice, soybeans, sugarcane and wheat. Estimates for 2014 indicate that over the continental United States (CONUS), crop residue burning including all areas identified as Pasture/Grass, Grassland Herbaceous, and Pasture/Hay produced 64,994 short tons of PM2.5. This estimate compares with the 2011 NEI and 2008 NEI as follows: 2008: 49,653 short tons and 2011: 141,184 short tons. Note that in the previous two NEI’s rangeland burning was not well-defined and so the comparison is not exact. In addition, the entire database used to estimate this sector of emissions is available on EPA’s Clearinghouse for Inventories and Emission Factors (CHIEF http://www3.epa.gov/ttn/chief/index.html The National Emissions Inventory is developed on

  11. Standardization of the Food Composition Database Used in the Latin American Nutrition and Health Study (ELANS).

    Science.gov (United States)

    Kovalskys, Irina; Fisberg, Mauro; Gómez, Georgina; Rigotti, Attilio; Cortés, Lilia Yadira; Yépez, Martha Cecilia; Pareja, Rossina G; Herrera-Cuenca, Marianella; Zimberg, Ioná Z; Tucker, Katherine L; Koletzko, Berthold; Pratt, Michael

    2015-09-16

    Between-country comparisons of estimated dietary intake are particularly prone to error when different food composition tables are used. The objective of this study was to describe our procedures and rationale for the selection and adaptation of available food composition to a single database to enable cross-country nutritional intake comparisons. Latin American Study of Nutrition and Health (ELANS) is a multicenter cross-sectional study of representative samples from eight Latin American countries. A standard study protocol was designed to investigate dietary intake of 9000 participants enrolled. Two 24-h recalls using the Multiple Pass Method were applied among the individuals of all countries. Data from 24-h dietary recalls were entered into the Nutrition Data System for Research (NDS-R) program after a harmonization process between countries to include local foods and appropriately adapt the NDS-R database. A food matching standardized procedure involving nutritional equivalency of local food reported by the study participants with foods available in the NDS-R database was strictly conducted by each country. Standardization of food and nutrient assessments has the potential to minimize systematic and random errors in nutrient intake estimations in the ELANS project. This study is expected to result in a unique dataset for Latin America, enabling cross-country comparisons of energy, macro- and micro-nutrient intake within this region.

  12. Study on Oxygen Supply Standard for Physical Health of Construction Personnel of High-Altitude Tunnels

    Directory of Open Access Journals (Sweden)

    Chun Guo

    2015-12-01

    Full Text Available The low atmospheric pressure and low oxygen content in high-altitude environment have great impacts on the functions of human body. Especially for the personnel engaged in complicated physical labor such as tunnel construction, high altitude can cause a series of adverse physiological reactions, which may result in multiple high-altitude diseases and even death in severe cases. Artificial oxygen supply is required to ensure health and safety of construction personnel in hypoxic environments. However, there are no provisions for oxygen supply standard for tunnel construction personnel in high-altitude areas in current tunnel construction specifications. As a result, this paper has theoretically studied the impacts of high-altitude environment on human bodies, analyzed the relationship between labor intensity and oxygen consumption in high-altitude areas and determined the critical oxygen-supply altitude values for tunnel construction based on two different standard evaluation systems, i.e., variation of air density and equivalent PIO2. In addition, it has finally determined the oxygen supply standard for construction personnel in high-altitude areas based on the relationship between construction labor intensity and oxygen consumption.

  13. Standardization of the Food Composition Database Used in the Latin American Nutrition and Health Study (ELANS)

    Science.gov (United States)

    Kovalskys, Irina; Fisberg, Mauro; Gómez, Georgina; Rigotti, Attilio; Cortés, Lilia Yadira; Yépez, Martha Cecilia; Pareja, Rossina G.; Herrera-Cuenca, Marianella; Zimberg, Ioná Z.; Tucker, Katherine L.; Koletzko, Berthold; Pratt, Michael

    2015-01-01

    Between-country comparisons of estimated dietary intake are particularly prone to error when different food composition tables are used. The objective of this study was to describe our procedures and rationale for the selection and adaptation of available food composition to a single database to enable cross-country nutritional intake comparisons. Latin American Study of Nutrition and Health (ELANS) is a multicenter cross-sectional study of representative samples from eight Latin American countries. A standard study protocol was designed to investigate dietary intake of 9000 participants enrolled. Two 24-h recalls using the Multiple Pass Method were applied among the individuals of all countries. Data from 24-h dietary recalls were entered into the Nutrition Data System for Research (NDS-R) program after a harmonization process between countries to include local foods and appropriately adapt the NDS-R database. A food matching standardized procedure involving nutritional equivalency of local food reported by the study participants with foods available in the NDS-R database was strictly conducted by each country. Standardization of food and nutrient assessments has the potential to minimize systematic and random errors in nutrient intake estimations in the ELANS project. This study is expected to result in a unique dataset for Latin America, enabling cross-country comparisons of energy, macro- and micro-nutrient intake within this region. PMID:26389952

  14. Standardization of the Food Composition Database Used in the Latin American Nutrition and Health Study (ELANS

    Directory of Open Access Journals (Sweden)

    Irina Kovalskys

    2015-09-01

    Full Text Available Between-country comparisons of estimated dietary intake are particularly prone to error when different food composition tables are used. The objective of this study was to describe our procedures and rationale for the selection and adaptation of available food composition to a single database to enable cross-country nutritional intake comparisons. Latin American Study of Nutrition and Health (ELANS is a multicenter cross-sectional study of representative samples from eight Latin American countries. A standard study protocol was designed to investigate dietary intake of 9000 participants enrolled. Two 24-h recalls using the Multiple Pass Method were applied among the individuals of all countries. Data from 24-h dietary recalls were entered into the Nutrition Data System for Research (NDS-R program after a harmonization process between countries to include local foods and appropriately adapt the NDS-R database. A food matching standardized procedure involving nutritional equivalency of local food reported by the study participants with foods available in the NDS-R database was strictly conducted by each country. Standardization of food and nutrient assessments has the potential to minimize systematic and random errors in nutrient intake estimations in the ELANS project. This study is expected to result in a unique dataset for Latin America, enabling cross-country comparisons of energy, macro- and micro-nutrient intake within this region.

  15. DOE standard: Integration of environment, safety, and health into facility disposition activities. Volume 2: Appendices

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-05-01

    This volume contains the appendices that provide additional environment, safety, and health (ES and H) information to complement Volume 1 of this Standard. Appendix A provides a set of candidate DOE ES and H directives and external regulations, organized by hazard types that may be used to identify potentially applicable directives to a specific facility disposition activity. Appendix B offers examples and lessons learned that illustrate implementation of ES and H approaches discussed in Section 3 of Volume 1. Appendix C contains ISMS performance expectations to guide a project team in developing and implementing an effective ISMS and in developing specific performance criteria for use in facility disposition. Appendix D provides guidance for identifying potential Applicable or Relevant and Appropriate Requirements (ARARs) when decommissioning facilities fall under the Comprehensive Environmental Response, Compensation, Liability Act (CERCLA) process. Appendix E discusses ES and H considerations for dispositioning facilities by privatization. Appendix F is an overview of the WSS process. Appendix G provides a copy of two DOE Office of Nuclear Safety Policy and Standards memoranda that form the bases for some of the guidance discussed within the Standard. Appendix H gives information on available hazard analysis techniques and references. Appendix I provides a supplemental discussion to Sections 3.3.4, Hazard Baseline Documentation, and 3.3.6, Environmental Permits. Appendix J presents a sample readiness evaluation checklist.

  16. Congruence between position descriptions for public health nursing directors and supervisors with national professional standards and competencies.

    Science.gov (United States)

    Polivka, Barbara J; Chaudry, Rosemary Valedes; Jones, Alexandria

    2014-01-01

    This study described the extent to which position descriptions (PDs) for public health directors of nursing (DONs) and non-DON public health nursing (PHN) supervisors in Ohio local health departments incorporate national standards of PHN practice and competencies for public health managers. Ninety-four PDs were obtained from 66 local health departments. Statements in each PD were analyzed for congruence with the 2007 American Nurses Association Public Health Nursing Scope and Standards of Practice (ANA Standards) and the Council on Linkages Core Competencies for Public Health Professionals (COL Competencies). Health department and PD characteristics were also obtained. COL Competencies within each COL skill domain were pooled for analysis. Position descriptions addressed an average of 7.6 of the 20 ANA Standards/Substandards (range, 1-15). The most commonly addressed ANA Standards were Leadership, Regulatory Activities, Collegiality and Professional Relationships, and Planning; the least often addressed were Population Diagnosis and Priorities, Professional Practice Evaluation, Outcomes Identification, Advocacy, and Evaluation. Position descriptions addressed an average of 3.6 of the 8 COL skill domains (range, 0-6). Financial Planning and Management, Policy Development/Program Planning, Community Dimensions of Practice, and Analytic/Assessment were the most commonly addressed COL skill domains, whereas Cultural Competence and Basic Public Health Sciences were the least commonly addressed. About 75% of the PDs included task statements that did not correspond to any of the ANA Standards or COL Competencies. Results indicate that PDs do not reflect compliance with professional mandates for the practice of PHN. This lack of fit between PDs and nationally recognized standards of practice and competencies suggest that PHN may be undifferentiated as a public health discipline and as a nursing specialty.

  17. Improving pre-service elementary teachers' self-reported efficacy for using the professional teacher standards in health education.

    Science.gov (United States)

    Clark, Jeffrey K; Clark, Susan E; Brey, Rebecca A

    2014-07-01

    The effectiveness of health education methods courses for pre-service elementary teachers has not been assessed for improving the pre-service elementary teacher's self-efficacy for using the professional teacher standards in health education (PTSHE). A quasi-experimental design was used to assess pre-service elementary teachers' self-efficacy toward using the PTSHE. Four institutions whose elementary education programs provide a health education methods course were recruited to participate in the study. Students were recruited to participate and they completed the Pre-service Health Education National Standards Self-efficacy (PHENSS) Scale at the beginning and end of the semester. Data were analyzed using SPSS (version 15) software. A significant increase in the PHENSS Scale scores indicated that a 3-credit health education methods course could improve the pre-service elementary teacher's self-efficacy to use the national standards in their teaching of health education. Further analysis indicated statistically significant improvement of the participants' PHENSS scores in 2 of the 7 standards. Teacher self-efficacy can be a useful measure of the pre-service elementary teachers' ability to use the national standards for health education. The design of the methods course may affect the PHENSS scores. © 2014, American School Health Association.

  18. Assessing the Success of Postfire Reseeding in Semiarid Rangelands Using Terra MODIS

    Science.gov (United States)

    Chen, Fang; Weber, Keith T.; Scbnase, John L.

    2012-01-01

    Successful postfire reseeding efforts can aid rangeland ecosystem recovery by rapidly establishing a desired plant community and thereby reducing the likelihood of infestation by invasive plants. Although the success of postfire remediation is critical, few efforts have been made to leverage existing geospatial technologies to develop methodologies to assess reseeding success following a fire. In this study, Terra Moderate Resolution Imaging Spectroradiometer (MODIS) satellite data were used to improve the capacity to assess postfire reseeding rehabilitation efforts, with particular emphasis on the semiarid rangelands of Idaho. Analysis of MODIS data demonstrated a positive effect of reseeding on rangeland ecosystem recovery, as well as differences in vegetation between reseeded areas and burned areas where no reseeding had occurred (P,0.05). We conclude that MODIS provides useful data to assess the success of postfire reseeding.

  19. Taking the stairs instead: The impact of workplace design standards on health promotion strategies.

    Science.gov (United States)

    McGann, Sarah; Jancey, Jonine; Tye, Marian

    2013-01-01

    Comprehensive health promotion in Western Australia has been conducted from the point of views of policy development, promotion, education and service delivery. Much of this recent work has been focused on supporting workplaces - but there has yet to be any real focus on the design of the actual physical workplace environment from a health promotion perspective. This paper is aimed at highlighting the gap in health promotion knowledge by addressing how the disciplines of architecture and health promotion can work together to challenge the regulations that dictate design practice and ultimately bridge that gap for long-term change. The overarching aim is to undertake further evidenced-based research that will inform best practice in the planning and design of workplaces to reduce sedentary behaviour and increase opportunities for physical activity. Within this wide objective this paper focuses in particular on the idea of stairs-versus-lift movement strategies within office buildings. By examining building design guidelines from a health promotion perspective we expose a central dichotomy, where health promotion posters say "Take the stairs instead" whereas the language of building design suggests that the lift is best. From a design point of view, the National Codes of Construction (NCC), formally known as the Building Codes of Australia (BCA), the essential technical regulation for all building design and construction, primarily addresses the concepts of 'egress' and 'travel distance' for escape in the event of fire, and building access in terms of universal access. Additionally, The Property Council of Australia's Guide to Office Building Quality prioritises lift performance criteria along with the quality and experience of lift use as a major grading factor. There is no provision in either set of standards for staircase quality and experience. The stairs, despite being promoted as better life choice for better health, is not promoted through these building codes

  20. Taking the stairs instead: The impact of workplace design standards on health promotion strategies

    Directory of Open Access Journals (Sweden)

    Marian Tye

    2013-01-01

    Full Text Available AbstractBackground Comprehensive health promotion in Western Australia has been conducted from the point of views of policy development, promotion, education and service delivery. Much of this recent work has been focused on supporting workplaces – but there has yet to be any real focus on the design of the actual physical workplace environment from a health promotion perspective. Aims This paper is aimed at highlighting the gap in health promotion knowledge by addressing how the disciplines of architecture and health promotion can work together to challenge the regulations that dictate design practice and ultimately bridge that gap for long-term change. The overarching aim is to undertake further evidenced-based research that will inform best practice in the planning and design of workplaces to reduce sedentary behaviour and increase opportunities for physical activity. Method Within this wide objective this paper focuses in particular on the idea of stairs-versus-lift movement strategies within office buildings. By examining building design guidelines from a health promotion perspective we expose a central dichotomy, where health promotion posters say “Take the stairs instead” whereas the language of building design suggests that the lift is best. Results From a design point of view, the National Codes of Construction (NCC, formally known as the Building Codes of Australia (BCA, the essential technical regulation for all building design and construction, primarily addresses the concepts of ‘egress’ and ‘travel distance’ for escape in the event of fire, and building access in terms of universal access. Additionally, The Property Council of Australia’s Guide to Office Building Quality prioritises lift performance criteria along with the quality and experience of lift use as a major grading factor. There is no provision in either set of standards for staircase quality and experience. Conclusion The stairs, despite being promoted

  1. Optimizing the electronic health record to standardize administration and documentation of nutritional supplements.

    Science.gov (United States)

    Citty, Sandra W; Kamel, Amir; Garvan, Cynthia; Marlowe, Lee; Westhoff, Lynn

    2017-01-01

    Malnutrition in hospitalized patients is a major cause for hospital re-admission, pressure ulcers and increased hospital costs. Methods to improve the administration and documentation of nutritional supplements for hospitalized patients are needed to improve patient care, outcomes and resource utilization. Staff at a medium-sized academic health science center hospital in the southeastern United States noted that nutritional supplements ordered for patients at high risk for malnutrition were not offered or administered to patients in a standardized manner and/or not documented clearly in the electronic health record as per prescription. This paper reports on a process improvement project that redesigned the ordering, administration and documentation process of oral nutritional supplements in the electronic health record. By adding nutritional products to the medication order sets and adding an electronic nutrition administration record (ENAR) tab, the multidisciplinary team sought to standardize nutritional supplement ordering, documentation and administration at prescribed intervals. This process improvement project used a triangulated approach to evaluating pre- and post-process change including: medical record reviews, patient interviews, and nutrition formula room log reports. Staff education and training was carried out prior to initiation of the system changes. This process change resulted in an average decrease in the return of unused nutritional formula from 76% returned at baseline to 54% post-process change. The process change resulted in 100% of nutritional supplement orders having documentation about nutritional medication administration and/or reason for non-administration. Documentation in the ENAR showed that 41% of ONS orders were given and 59% were not given. Significantly more patients reported being offered the ONS product (p=0.0001) after process redesign and more patients (5% before ENAR and 86% after ENAR reported being offered the correct

  2. Biomass Increases Go under Cover: Woody Vegetation Dynamics in South African Rangelands.

    Science.gov (United States)

    Mograbi, Penelope J; Erasmus, Barend F N; Witkowski, E T F; Asner, Gregory P; Wessels, Konrad J; Mathieu, Renaud; Knapp, David E; Martin, Roberta E; Main, Russell

    2015-01-01

    Woody biomass dynamics are an expression of ecosystem function, yet biomass estimates do not provide information on the spatial distribution of woody vegetation within the vertical vegetation subcanopy. We demonstrate the ability of airborne light detection and ranging (LiDAR) to measure aboveground biomass and subcanopy structure, as an explanatory tool to unravel vegetation dynamics in structurally heterogeneous landscapes. We sampled three communal rangelands in Bushbuckridge, South Africa, utilised by rural communities for fuelwood harvesting. Woody biomass estimates ranged between 9 Mg ha(-1) on gabbro geology sites to 27 Mg ha(-1) on granitic geology sites. Despite predictions of woodland depletion due to unsustainable fuelwood extraction in previous studies, biomass in all the communal rangelands increased between 2008 and 2012. Annual biomass productivity estimates (10-14% p.a.) were higher than previous estimates of 4% and likely a significant contributor to the previous underestimations of modelled biomass supply. We show that biomass increases are attributable to growth of vegetation wood extraction rangeland, 79% of the changes in the vertical vegetation subcanopy are gains in the 1-3 m height class. The higher the wood extraction pressure on the rangelands, the greater the biomass increases in the low height classes within the subcanopy, likely a strong resprouting response to intensive harvesting. Yet, fuelwood shortages are still occurring, as evidenced by the losses in the tall tree height class in the high extraction rangeland. Loss of large trees and gain in subcanopy shrubs could result in a structurally simple landscape with reduced functional capacity. This research demonstrates that intensive harvesting can, paradoxically, increase biomass and this has implications for the sustainability of ecosystem service provision. The structural implications of biomass increases in communal rangelands could be misinterpreted as woodland recovery in the

  3. Biomass Increases Go under Cover: Woody Vegetation Dynamics in South African Rangelands.

    Directory of Open Access Journals (Sweden)

    Penelope J Mograbi

    Full Text Available Woody biomass dynamics are an expression of ecosystem function, yet biomass estimates do not provide information on the spatial distribution of woody vegetation within the vertical vegetation subcanopy. We demonstrate the ability of airborne light detection and ranging (LiDAR to measure aboveground biomass and subcanopy structure, as an explanatory tool to unravel vegetation dynamics in structurally heterogeneous landscapes. We sampled three communal rangelands in Bushbuckridge, South Africa, utilised by rural communities for fuelwood harvesting. Woody biomass estimates ranged between 9 Mg ha(-1 on gabbro geology sites to 27 Mg ha(-1 on granitic geology sites. Despite predictions of woodland depletion due to unsustainable fuelwood extraction in previous studies, biomass in all the communal rangelands increased between 2008 and 2012. Annual biomass productivity estimates (10-14% p.a. were higher than previous estimates of 4% and likely a significant contributor to the previous underestimations of modelled biomass supply. We show that biomass increases are attributable to growth of vegetation <5 m in height, and that, in the high wood extraction rangeland, 79% of the changes in the vertical vegetation subcanopy are gains in the 1-3 m height class. The higher the wood extraction pressure on the rangelands, the greater the biomass increases in the low height classes within the subcanopy, likely a strong resprouting response to intensive harvesting. Yet, fuelwood shortages are still occurring, as evidenced by the losses in the tall tree height class in the high extraction rangeland. Loss of large trees and gain in subcanopy shrubs could result in a structurally simple landscape with reduced functional capacity. This research demonstrates that intensive harvesting can, paradoxically, increase biomass and this has implications for the sustainability of ecosystem service provision. The structural implications of biomass increases in communal rangelands

  4. Carrying capacity in arid rangelands during droughts: the role of temporal and spatial thresholds.

    Science.gov (United States)

    Accatino, F; Ward, D; Wiegand, K; De Michele, C

    2017-02-01

    Assessing the carrying capacity is of primary importance in arid rangelands. This becomes even more important during droughts, when rangelands exhibit non-equilibrium dynamics, and the dynamics of livestock conditions and forage resource are decoupled. Carrying capacity is usually conceived as an equilibrium concept, that is, the consumer density that can co-exist in long-term equilibrium with the resource. As one of the first, here we address the concept of carrying capacity in systems, where there is no feedback between consumer and resource in a limited period of time. To this end, we developed an individual-based model describing the basic characteristics of a rangeland during a drought. The model represents a rangeland composed by a single water point and forage distributed all around, with livestock units moving from water to forage and vice versa, for eating and drinking. For each livestock unit we implemented an energy balance and we accounted for the gut-filling effect (i.e. only a limited amount of forage can be ingested per unit time). Our results showed that there is a temporal threshold above which livestock begin to experience energy deficit and burn fat reserves. We demonstrated that such a temporal threshold increases with the number of animals and decreases with the rangeland conditions (amount of forage). The temporal threshold corresponded to the time livestock take to consume all the forage within a certain distance from water, so that the livestock can return to water for drinking without spending more energy than they gain within a day. In this study, we highlight the importance of a time threshold in the assessment of carrying capacity in non-equilibrium conditions. Considering this time threshold could explain contrasting observations about the influence of livestock number on livestock conditions. In case of private rangelands, the herd size should be chosen so that the spatial threshold equals (or exceeds) the length of the drought.

  5. Rangeland dynamics: investigating vegetation composition and structure of urban and exurban prairie dog habitat.

    Science.gov (United States)

    Hopson, Rebecca; Meiman, Paul; Shannon, Graeme

    2015-01-01

    Rapid human population growth and habitat modification in the western United States has led to the formation of urban and exurban rangelands. Many of these rangelands are also home to populations of black-tailed prairie dogs (Cynomys ludovicianus). Our study aimed to compare the vegetation composition of an urban and exurban rangeland, and explore the role that prairie dogs play in these systems. The percent absolute canopy cover of graminoids (grasses and grass-likes), forbs, shrubs, litter, and bare ground were estimated at sampling areas located on and off prairie dog colonies at an urban and an exurban site. Herbaceous forage quality and quantity were determined on plant material collected from exclosure cages located on the colony during the entire growing season, while a relative estimate of prairie dog density was calculated using maximum counts. The exurban site had more litter and plant cover and less bare ground than the urban site. Graminoids were the dominant vegetation at the exurban plots. In contrast, mostly introduced forbs were found on the urban prairie dog colony. However, the forage quality and quantity tests demonstrated no difference between the two colonies. The relative prairie dog density was greater at the urban colony, which has the potential to drive greater vegetation utilization and reduced cover. Exurban rangeland showed lower levels of impact and retained all of the plant functional groups both on- and off-colony. These results suggest that activities of prairie dogs might further exacerbate the impacts of humans in fragmented urban rangeland habitats. Greater understanding of the drivers of these impacts and the spatial scales at which they occur are likely to prove valuable in the management and conservation of rangelands in and around urban areas.

  6. Mental health legislation in Lebanon: Nonconformity to international standards and clinical dilemmas in psychiatric practice.

    Science.gov (United States)

    Kerbage, Hala; El Chammay, Rabih; Richa, Sami

    2016-01-01

    Mental health legislation represents an important mean of protecting the rights of persons with mental disabilities by preventing human rights violations and discrimination and by legally reinforcing the objectives of a mental health policy. The last decade has seen significant changes in the laws relating to psychiatric practice all over the world, especially with the implementation of the Convention for the Rights of People with Disabilities (CRPD). In this paper, we review the existing legislation in Lebanon concerning the following areas in mental health: treatment and legal protection of persons with mental disabilities, criminal laws in relation to offenders with mental disorders, and laws regulating incapacity. We will discuss these texts in comparison with international recommendations and standards on the rights of persons with disabilities, showing the recurrent contradiction between them. Throughout our article, we will address the clinical dilemmas that Lebanese psychiatrists encounter in practice, in the absence of a clear legislation that can orient their decisions and protect their patients from abuse. Copyright © 2015. Published by Elsevier Ltd.

  7. Experimental warming, not grazing, decreases rangeland quality on the Tibetan Plateau.

    Science.gov (United States)

    Klein, Julia A; Harte, John; Zhao, Xin-Quan

    2007-03-01

    We investigated experimental warming and simulated grazing (clipping) effects on rangeland quality, as indicated by vegetation production and nutritive quality, in winter-grazed meadows and summer-grazed shrublands on the Tibetan Plateau, a rangeland system experiencing climatic and pastoral land use changes. Warming decreased total aboveground net primary productivity (ANPP) by 40 g x m(-2) x yr(-1) at the meadow habitats and decreased palatable ANPP (total ANPP minus non-palatable forb ANPP) by 10 g x m(-2) x yr(-1) at both habitats. The decreased production of the medicinal forb Gentiana straminea and the increased production of the non-palatable forb Stellera chamaejasme with warming also reduced rangeland quality. At the shrubland habitats, warming resulted in less digestible shrubs, whose foliage contains 25% digestible dry matter (DDM), replacing more digestible graminoids, whose foliage contains 60% DDM. This shift from graminoids to shrubs not only results in lower-quality forage, but could also have important consequences for future domestic herd composition. Although warming extended the growing season in non-clipped plots, the reduced rangeland quality due to decreased vegetative production and nutritive quality will likely overwhelm the improved rangeland quality associated with an extended growing season. Grazing maintained or improved rangeland quality by increasing total ANPP by 20-40 g x m(-2) x yr(-1) with no effect on palatable ANPP. Grazing effects on forage nutritive quality, as measured by foliar nitrogen and carbon content and by shifts in plant group ANPP, resulted in improved forage quality. Grazing extended the growing season at both habitats, and it advanced the growing season at the meadows. Synergistic interactions between warming and grazing were present, such that grazing mediated the warming-induced declines in vegetation production and nutritive quality. Moreover, combined treatment effects were nonadditive, suggesting that we

  8. Indicators of Range Health

    Science.gov (United States)

    Science-based grassland management requires an understanding of the current status of the land relative to its potential. Rangeland health assessments help increase the cost-effectiveness of management by identifying where a change in management may be required, and the types of ecological processes...

  9. Geospatial resources for supporting data standards, guidance and best practice in health informatics

    Directory of Open Access Journals (Sweden)

    Kamel Boulos Maged N

    2011-01-01

    Full Text Available Abstract Background The 1980s marked the occasion when Geographical Information System (GIS technology was broadly introduced into the geo-spatial community through the establishment of a strong GIS industry. This technology quickly disseminated across many countries, and has now become established as an important research, planning and commercial tool for a wider community that includes organisations in the public and private health sectors. The broad acceptance of GIS technology and the nature of its functionality have meant that numerous datasets have been created over the past three decades. Most of these datasets have been created independently, and without any structured documentation systems in place. However, search and retrieval systems can only work if there is a mechanism for datasets existence to be discovered and this is where proper metadata creation and management can greatly help. This situation must be addressed through support mechanisms such as Web-based portal technologies, metadata editor tools, automation, metadata standards and guidelines and collaborative efforts with relevant individuals and organisations. Engagement with data developers or administrators should also include a strategy of identifying the benefits associated with metadata creation and publication. Findings The establishment of numerous Spatial Data Infrastructures (SDIs, and other Internet resources, is a testament to the recognition of the importance of supporting good data management and sharing practices across the geographic information community. These resources extend to health informatics in support of research, public services and teaching and learning. This paper identifies many of these resources available to the UK academic health informatics community. It also reveals the reluctance of many spatial data creators across the wider UK academic community to use these resources to create and publish metadata, or deposit their data in repositories

  10. Geospatial resources for supporting data standards, guidance and best practice in health informatics.

    Science.gov (United States)

    Mathys, Tony; Kamel Boulos, Maged N

    2011-01-26

    The 1980s marked the occasion when Geographical Information System (GIS) technology was broadly introduced into the geo-spatial community through the establishment of a strong GIS industry. This technology quickly disseminated across many countries, and has now become established as an important research, planning and commercial tool for a wider community that includes organisations in the public and private health sectors.The broad acceptance of GIS technology and the nature of its functionality have meant that numerous datasets have been created over the past three decades. Most of these datasets have been created independently, and without any structured documentation systems in place. However, search and retrieval systems can only work if there is a mechanism for datasets existence to be discovered and this is where proper metadata creation and management can greatly help.This situation must be addressed through support mechanisms such as Web-based portal technologies, metadata editor tools, automation, metadata standards and guidelines and collaborative efforts with relevant individuals and organisations. Engagement with data developers or administrators should also include a strategy of identifying the benefits associated with metadata creation and publication. The establishment of numerous Spatial Data Infrastructures (SDIs), and other Internet resources, is a testament to the recognition of the importance of supporting good data management and sharing practices across the geographic information community. These resources extend to health informatics in support of research, public services and teaching and learning.This paper identifies many of these resources available to the UK academic health informatics community. It also reveals the reluctance of many spatial data creators across the wider UK academic community to use these resources to create and publish metadata, or deposit their data in repositories for sharing.The Go-Geo! service is introduced as an

  11. Spatial Variation in EU Poverty with Respect to Health, Education and Living Standards.

    Science.gov (United States)

    Weziak-Bialowolska, Dorota

    We examine the European Union (EU) countries and within-country areas (i.e., large urban areas, small urban areas, and rural areas) that are the most disadvantageous with respect to multidimensional poverty and in each of the investigated dimensions, i.e., health, education, and living standards. To this end, we construct the Multidimensional Poverty Index and its sub-indices: the Poverty in Health Index, Poverty in Education Index, and Poverty in Standard of Living Index. All of these indices provide information regarding the fraction of people who live in poverty, as well as information on the poverty intensity experienced by the poor. Our results indicate that the scale of poverty in the EU countries is diversified, with Denmark and Sweden being the most affluent countries, and Latvia, Bulgaria, and Romania being the most disadvantageous. We demonstrate that there are countries with no differences in the levels of poverty within a country, such as Denmark, Sweden, Spain, Finland, and the Czech Republic, and countries, usually less affluent ones such as Romania, Bulgaria and Lithuania, where considerable geographical inequality is present. In general, in countries with a high and moderately high number of poor, the worst situation with respect to the scale of poverty is observed in rural areas, and the best situation is observed in large urban areas, with the exception of Greece, Italy, and Portugal, where in large urban areas, the situation is the worst. In countries with a low number of poor, in general, the poverty is relatively higher in large urban areas.

  12. Development of the crop residue and rangeland burning in the ...

    Science.gov (United States)

    Biomass burning has been identified as an important contributor to the degradation of air quality because of its impact on ozone and particulate matter. One component of the biomass burning inventory, crop residue burning, has been poorly characterized in the National Emissions Inventory (NEI). In the 2011 NEI, wildland fires, prescribed fires, and crop residue burning collectively were the largest source of PM2.5. This paper summarizes our 2014 NEI method to estimate crop residue burning emissions and grass/pasture burning emissions using remote sensing data and field information and literature-based, crop-specific emission factors. We focus on both the postharvest and pre-harvest burning that takes place with bluegrass, corn, cotton, rice, soybeans, sugarcane and wheat. Estimates for 2014 indicate that over the continental United States (CONUS), crop residue burning excluding all areas identified as Pasture/Grass, Grassland Herbaceous, and Pasture/Hay occurred over approximately 1.5 million acres of land and produced 19,600 short tons of PM2.5. For areas identified as Pasture/Grass, Grassland Herbaceous, and Pasture/Hay, biomass burning emissions occurred over approximately 1.6 million acres of land and produced 30,000 short tons of PM2.5. This estimate compares with the 2011 NEI and 2008 NEI as follows: 2008: 49,650 short tons and 2011: 141,180 short tons. Note that in the previous two NEIs rangeland burning was not well defined and so the comparison is not e

  13. The environment, international standards, asset health management and condition monitoring: An integrated strategy

    Energy Technology Data Exchange (ETDEWEB)

    Roe, S. [CSD, British Institute of Non-Destructive Testing (BINDT) (United Kingdom); Mba, D. [School of Engineering, Cranfield University, MK43 0AL, Bedfordshire (United Kingdom)], E-mail: d.mba@cranfield.ac.uk

    2009-02-15

    Asset Health Management (AHM), supported by condition monitoring (CM) and performance measuring technologies, together with trending, modelling and diagnostic frameworks, is not only critical to the reliability of high-value machines, but also to a companies Overall Equipment Efficiency (OEE), system safety and profitability. In addition these protocols are also critical to the global concern of the environment. Industries involved with monitoring key performances indicators (KPI) to improve OEE would benefit from a standardised qualification and certification scheme for their personnel, particularly if it is based on internationally accepted procedures for the various CM technologies that also share the same objectives as AH and CM. Furthermore, the development of 'models' for implementation of a Carbon tax is intrinsically dependent on the integrity and accuracy of measurements contributing to these indicators. This paper reviews the global picture of condition monitoring, the environment and related international standards and then considers their relationship and equivalent global objectives. In addition, it presents the methods behind the development of such standards for certification of competence in personnel involved with data collection, modelling and measurements of KPIs. Two case studies are presented that highlight the integrated strategy in practise.

  14. Time standards of nursing in Primary Health Care: an observational study

    Directory of Open Access Journals (Sweden)

    Daiana Bonfim

    2016-02-01

    Full Text Available Abstract OBJECTIVE To determine time standards for interventions and activities conducted by nursing professionals in Family Health Units (FHU in Brazil to substantiate the calculation of work force. METHOD This was an observational study carried out in 27 FHU, in 12 municipalities in 10 states, in 2013. In each unit, nursing professionals were observed every 10 minutes, for eight work hours, on five consecutive days via the work sampling technique. RESULTS A total of 32,613 observations were made, involving 47 nurses and 93 nursing technicians/assistants. Appointments were the main intervention carried out by nurses, with a mean time of 25.3 minutes, followed by record-keeping, which corresponded to 9.7%. On average, nursing technicians/assistants spent 6.3% of their time keeping records and 30.6 intervention minutes on immunization/vaccination control. CONCLUSION The study resulted in standard times of interventions carried out by the FHU nursing team, which can underpin the determination of nursing staff size and human resource policies. Furthermore, the study showed the panorama of interventions currently employed, allowing for the work process to be reviewed and optimized.

  15. Normalization and standardization of electronic health records for high-throughput phenotyping: the SHARPn consortium.

    Science.gov (United States)

    Pathak, Jyotishman; Bailey, Kent R; Beebe, Calvin E; Bethard, Steven; Carrell, David C; Chen, Pei J; Dligach, Dmitriy; Endle, Cory M; Hart, Lacey A; Haug, Peter J; Huff, Stanley M; Kaggal, Vinod C; Li, Dingcheng; Liu, Hongfang; Marchant, Kyle; Masanz, James; Miller, Timothy; Oniki, Thomas A; Palmer, Martha; Peterson, Kevin J; Rea, Susan; Savova, Guergana K; Stancl, Craig R; Sohn, Sunghwan; Solbrig, Harold R; Suesse, Dale B; Tao, Cui; Taylor, David P; Westberg, Les; Wu, Stephen; Zhuo, Ning; Chute, Christopher G

    2013-12-01

    To develop scalable informatics infrastructure for normalization of both structured and unstructured electronic health record (EHR) data into a unified, concept-based model for high-throughput phenotype extraction. Software tools and applications were developed to extract information from EHRs. Representative and convenience samples of both structured and unstructured data from two EHR systems-Mayo Clinic and Intermountain Healthcare-were used for development and validation. Extracted information was standardized and normalized to meaningful use (MU) conformant terminology and value set standards using Clinical Element Models (CEMs). These resources were used to demonstrate semi-automatic execution of MU clinical-quality measures modeled using the Quality Data Model (QDM) and an open-source rules engine. Using CEMs and open-source natural language processing and terminology services engines-namely, Apache clinical Text Analysis and Knowledge Extraction System (cTAKES) and Common Terminology Services (CTS2)-we developed a data-normalization platform that ensures data security, end-to-end connectivity, and reliable data flow within and across institutions. We demonstrated the applicability of this platform by executing a QDM-based MU quality measure that determines the percentage of patients between 18 and 75 years with diabetes whose most recent low-density lipoprotein cholesterol test result during the measurement year was high-throughput phenotyping to identify patient cohorts.

  16. Semantic validation of standard-based electronic health record documents with W3C XML schema.

    Science.gov (United States)

    Rinner, C; Janzek-Hawlat, S; Sibinovic, S; Duftschmid, G

    2010-01-01

    The goal of this article is to examine whether W3C XML Schema provides a practicable solution for the semantic validation of standard-based electronic health record (EHR) documents. With semantic validation we mean that the EHR documents are checked for conformance with the underlying archetypes and reference model. We describe an approach that allows XML Schemas to be derived from archetypes based on a specific naming convention. The archetype constraints are augmented with additional components of the reference model within the XML Schema representation. A copy of the EHR document that is transformed according to the before-mentioned naming convention is used for the actual validation against the XML Schema. We tested our approach by semantically validating EHR documents conformant to three different ISO/EN 13606 archetypes respective to three sections of the CDA implementation guide "Continuity of Care Document (CCD)" and an implementation guide for diabetes therapy data. We further developed a tool to automate the different steps of our semantic validation approach. For two particular kinds of archetype prescriptions, individual transformations are required for the corresponding EHR documents. Otherwise, a fully generic validation is possible. In general, we consider W3C XML Schema as a practicable solution for the semantic validation of standard-based EHR documents.

  17. Development of an ISO 9000-compatible occupational health standard--II: defining the potential benefits and open issues.

    Science.gov (United States)

    Levine, S P; Dyjack, D T

    1996-04-01

    The International Organization for Standardization (ISO) is currently voting on a final draft of ISO 14000 Environmental Standards that follow the general philosophy of ISO 9000 product quality standards. Should the international community also consider development of an ISO 9000-14000 compatible occupational safety and health management standard (OS&HMS) or an environment, safety, and health management standard? The first paper in this series (Am. Ind. Hyg. Assoc. J. 56:599-609 [1995]) introduced this subject, reviewed the historical precedents, and identified the underlying issues. In this paper the authors identify some of the potential benefits and most critical open issues that may affect the viability of an OS&HMS at the national and international levels. Twelve potential benefits are identified in the major categories of national and international, and industrial and governmental benefits; 16 open issues are identified in the major categories of applications, ethics, cost, and international issues.

  18. One World, One Standard for Burn Care: Nursing's Role in Global Health

    Directory of Open Access Journals (Sweden)

    Sheryl A Ramstad

    2017-06-01

    Full Text Available In 1978, a landmark United Nations conference in Alma-Ata declared the goal of health for all by the year 2000 (WHO, 1978. Yet, today significant disparities exist between the health care afforded individuals in resource-limited countries and those in the industrialized world. Nursing, as a global profession, can become a powerful force for change so that better health is universally achieved. Problem/Background: This project started with a partnership between a burn center in the United States and a pediatric burn center (Burn Center in Peru, a country in which it is estimated that 15,000 children endure burn injuries each year (Huby-Vidaurre, 2016. Most are under the age of five, and suffer scald burns from pots with hot liquids left to cool on the floors of their homes. Pressure garment therapy (PGT is a major treatment to reduce scarring for pediatric burn survivors in the United States since the early 1970s, but is unavailable in Peru. Strategy: The Doctor of Nursing Practice project leader worked with the Burn Center team to develop a plan to use PGT as an intervention to address disfiguring scarring among pediatric burn survivors, utilizing the twinning approach. Methods: This quality improvement project involved interdisciplinary collaboration and international partnerships between resource-rich and resource-challenged nations. Obtaining supplies needed to promote PGT in Peru required cultivating relationships with many people in the United States, including translators and interpreters to assist in overcoming language barriers among the participants, manufacturers and distributors of pressure garments to donate fabrics, and people regularly traveling to Peru who transported the donated PGT materials. It also involved working closely with the Burn Center team on developing a culture conducive to conforming to an international standard of practice. Results: Resources were successfully leveraged to build a sustainable PGT program for all

  19. Standard regulation of obligatory immunoprevention of flu in a control system of incidence of health workers

    Directory of Open Access Journals (Sweden)

    A. E. Zobov

    2016-01-01

    Full Text Available In article the interconnected provisions of the federal legislation and regulations of federal executive authorities regulating a question of obligatory immunization of health workers against flu in aspect of legal consequences of refusal of her are considered. The analysis of the existing regulations and materials of jurisprudence concerning carrying out obligatory vaccination of health workers against flu is carried out. By results of the analysis it is shown that today a problematic issue is absence of the accurate standardly consolidated criteria of reference of these or those categories of medical personnel to group of the subjects of obligatory immunization performing works with sick infectious diseases and, respectively, against flu. It doesn’t allow the management of the medical organizations to differentiate specifically mentioned professions and positions owing to what the requirement about obligatory carrying out preventive inoculations against flu of those health workers whose obligatory vaccination isn’t provided actually is compulsion to vaccination. Therefore, the subsequent discharge from work in case of refusal it работни from carrying out an inoculation strikes at his rights (as in this case, for example, time of discharge isn’t subject to payment and inclusion in the length of service granting the right for the annual paid vacation and is illegal.It is offered to accept as such criterion the labor function fixed by the statutory act of authorized federal executive authority for concrete positions of employees of the medical organizations providing performance of work with sick infectious diseases. The recommendations to heads of the medical organizations concerning the publication of local acts on the organization of vaccinal prevention of flu and adoption of administrative decisions after written refusals of vaccination are provided.

  20. Performance of acute flaccid paralysis surveillance compared with World Health Organization standards.

    Science.gov (United States)

    Desai, Shalini; Smith, Tiffany; Thorley, Bruce R; Grenier, Danielle; Dickson, Nigel; Altpeter, Ekkehardt; Sabbe, Martine; Elliott, Elizabeth; Zurynski, Yvonne

    2015-02-01

    To compare acute flaccid paralysis (AFP) surveillance systems used by members of the International Network of Paediatric Surveillance Units (INoPSU) across the five AFP surveillance performance indicators recommended by the World Health Organization (WHO) for the maintenance of polio-free certification. A survey was administered to AFP surveillance co-ordinators in five INoPSU member countries (Australia, Belgium, Canada, New Zealand and Switzerland). Data collected included information on surveillance system processes, WHO-recommended performance indicators, investigative practices and final diagnoses of cases from 2006 to 2010. All countries contacted completed the survey. Each country used similar case definitions and processes for collecting AFP data. All countries used at least one of the WHO indicators for surveillance. No country consistently met the performance indicator for incidence or stool sampling. In all countries, at least one form of neurological testing was used to diagnose cases of AFP. Guillain-Barré syndrome was the most common final diagnosis in all countries for all years examined. Industrialised countries surveyed do not consistently meet the WHO-recommended AFP surveillance performance indicators. An opportunity exists for INoPSU to suggest a standard way for member countries to collect AFP data in order to examine the potential for strengthening the current systems or introducing additional enterovirus surveillance or alternative/complementary neurological performance measures suitable for countries that have eliminated polio. INoPSU member countries are evaluating these possibilities. © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  1. A novel protocol for assessment of aboveground biomass in rangeland environments

    NARCIS (Netherlands)

    Mundava, C.; Schut, A.G.T.; Helmholtz, P.; Stovold, R.G.H.; Donald, G.; Lamb, D.W.

    2015-01-01

    Current methods to measure aboveground biomass (AGB) do not deliver adequate results in relation to the extent and spatial variability that characterise rangelands. An optimised protocol for the assessment ofAGBis presented that enables calibration and validation of remote-sensing imagery or plant

  2. Improving restoration of exotic annual grass-invaded rangelands through activated carbon seed enhancement technologies

    Science.gov (United States)

    Cost-efficient strategies for revegetating annual grass-infested rangelands are limited. Restoration efforts typically comprise a combination of pre-emergent herbicide treatments and seeding to restore desired plant materials. However, practitioners struggle with applying herbicide at rates sufficie...

  3. Feeding goats on scrubby Mexican rangeland and pasteurization: influences on milk and artisan cheese quality.

    Science.gov (United States)

    Hilario, Mario Cuchillo; Puga, Claudia Delgadillo; Wrage, Nicole; Pérez-Gil R, Fernando

    2010-08-01

    The objective of this study was to evaluate the effect of foraging on local scrubby rangeland versus stable feeding with high-protein concentrate as well as the compulsory pasteurization process on goats' milk and artisan soft cheese quality in terms of chemical composition and fatty acid profile. The results indicated that there were no significant differences in the energy, fat, or ash content of milk and cheese due to feeding; however, a significant influence of feeding on cheese protein and fatty acids in both milk and cheese was detected. Feeding on scrubby rangeland tended to increase the amounts of major polyunsaturated fatty acids in milk and cheese from goats. Pasteurization, which is mandatory in Mexico, did not alter the fatty acid concentrations in milk or cheese. Small goat-keepers using rangeland resources might claim better economical returns for products recognized as healthier. Further investigations to assure ecosystem sustainability of shrubby rangeland joined with economical evaluations and best animal management to avoid deleterious effects are recommended.

  4. Comparative Assessment of Goods and Services Provided by Grazing Regulation and Reforestation in Degraded Mediterranean Rangelands

    NARCIS (Netherlands)

    Papanastasis, Vasilios P.; Bautista, Susana; Chouvardas, Dimitrios; Mantzanas, Konstantinos; Papadimitriou, Maria; Garcia Mayor, Angeles; Koukioumi, Polina; Papaioannou, Athanasios; Vallejo, Ramon V.

    2017-01-01

    Several management actions are applied to restore ecosystem services in degraded Mediterranean rangelands, which range from adjusting the grazing pressure to the removal of grazers and pine plantations. Four such actions were assessed in Quercus coccifera L. shrublands in northern Greece: (i)

  5. Disaggregation of Soil Map Units for Improved Ecological Site Mapping in Rangelands

    Science.gov (United States)

    Rangeland soils are often mapped with soil map units consisting of associations, complexes, and undifferentiated groups composed of varied soil components. Because different components may be related to different ecological sites, the unmapped heterogeneity within map units limits the potential uses...

  6. Developing a parameterization approach of soil erodibility for the Rangeland Hydrology and Erosion Model (RHEM)

    Science.gov (United States)

    Soil erodibility is a key factor for estimating soil erosion using physically based models. In this study, a new parameterization approach for estimating erodibility was developed for the Rangeland Hydrology and Erosion Model (RHEM). The approach uses empirical equations that were developed by apply...

  7. Mapping Erosion and Salinity Risk Categories Using GIS and the Rangeland Hydrology Erosion Model

    Science.gov (United States)

    Up to fifteen percent of rangelands in the state of Utah in the United States are classified as being in severely eroding condition. Some of these degraded lands are located on saline, erodible soils of the Mancos Shale formation. This results in a disproportionate contribution of sediment, salinity...

  8. Framework for comparing ecosystem impacts of developing unconventional energy resources on western US rangelands

    Science.gov (United States)

    Urs P. Kreuter; William E. Fox; John A. Tanaka; Kristie A. Maczko; Daniel W. McCollum; John E. Mitchell; Clifford S. Duke; Lori Hidinger

    2012-01-01

    More diverse sources of energy are needed for countries to progress toward energy independence and to meet future food production needs. The US Task Force on Strategic Unconventional Fuels concluded that to achieve this objective it is essential to develop a domestic unconventional fuels industry. Rangelands, which cover 50% to 70% of the earth's terrestrial...

  9. Salinity mobilization and transport from rangelands: assessment, recommendations, and knowledge gaps

    Science.gov (United States)

    The purpose of the salinity project is to improve the understanding of sources and transport mechanisms in rangeland catchments that deliver dissolved solids (salts) to streams within the Upper Colorado River Basin (UCRB) through a review of relevant literature on what is known about the impact of r...

  10. Developing a year-round objective measure of Colorado rangeland nutrient composition

    Science.gov (United States)

    A goal for any rangeland grazing operation is to attain an appropriate balance among available forage resources where forage nutrient composition and supplementation (i.e. if needed) meets daily nutritional demands of livestock. To accomplish this on a short-term basis, the producer needs to have in...

  11. The quantification of rangeland condition in a semi-arid grassland of ...

    African Journals Online (AJOL)

    The degradation gradient technique was used to quantify rangeland .condition in areas ranging from poor, trampled areas close to watering points to well managed areas in a semi-arid. sweet grassland of southern Africa. Ecological values were linked to species by means of their individual positions on the degradation ...

  12. Two new mobile apps for rangeland inventory and monitoring by landowners and land managers

    Science.gov (United States)

    Rangeland inventory and monitoring have been transformed during the past 10 years by a number of major innovations. This paper reviews the status of two new mobile apps (LandInfo and LandCover) that are part of a larger “Land-Potential Knowledge System” (LandPKS) that is being developed to capitaliz...

  13. Rangeland management for multiple outcomes: Explicity integrating ecosystem services into management models

    Science.gov (United States)

    In recent decades, there has been increased interest in ecosystem services among landowners, and a growing diversity of stakeholders on rangelands. Given these changes, management cannot focus solely on maximizing ranch proceeds, but must also incorporate ecosystem service goals to sustain resources...

  14. Estimating climate change effects on net primary production of rangelands in the United States

    Science.gov (United States)

    Matthew C. Reeves; Adam L. Moreno; Karen E. Bagne; Steven W. Running

    2014-01-01

    The potential effects of climate change on net primary productivity (NPP) of U.S. rangelands were evaluated using estimated climate regimes from the A1B, A2 and B2 global change scenarios imposed on the biogeochemical cycling model, Biome-BGC from 2001 to 2100. Temperature, precipitation, vapor pressure deficit, day length, solar radiation, CO2 enrichment and nitrogen...

  15. Composted manure application promotes long-term invasion of semi-arid rangeland by Bromus tectorum

    Science.gov (United States)

    Composted organic matter derived from sewage treatment facilities or livestock manure from feedlots is often applied to rangelands of western North America to increase soil fertility, forage production, forage quality, and soil carbon (C) storage. This practice can have a number of undesirable side ...

  16. Dairy cattle on Norwegian alpine rangelands – grazing preferences and milk quality

    NARCIS (Netherlands)

    Sickel, H; Abrahamsen, R K; Eldegard, K; Lunnan, T; Norderhaug, A; Petersen, M.A.; Sickel, M.; Steenhuisen, F.; Ohlson, M.

    2014-01-01

    The results from the study ‘Effects of vegetation and grazing preferences on the quality of alpine dairy products’ will be presented. The main objective of the project was to investigate the connections bet - ween alpine rangeland vegetation, landscape use and grazing preferences of free ranging

  17. Towards a remote sensing based indicator of rangeland ecosystem resistance and resilience

    Science.gov (United States)

    Understanding ecosystem resistance and resilience to disturbance and invasive species is critical to the sustainable management of rangeland systems. In this context, resistance refers to the inherent ability of an ecosystem to resist disturbance, while resilience refers to the capacity of an ecosys...

  18. Future of America's Forests and Rangelands: Update to the 2010 Resources Planning Act Assessment

    Science.gov (United States)

    Forest Service U.S. Department of Agriculture

    2016-01-01

    The Update to the 2010 Resources Planning Act (RPA) Assessment summarizes findings about the status, trends, and projected future of forests, rangelands, wildlife, biodiversity, water, outdoor recreation, and urban forests, as well as the effects of climate change upon these resources. Varying assumptions about population and economic growth, land use change, and...

  19. Session A5 Rangelands as dynamic systems Role of wildlife in ...

    African Journals Online (AJOL)

    Rangelands in southern Africa are increasingly being used for conservation, ecotourism, game farming and hunting. This impacts people's livelihoods and the state of natural resources. Complimentarity and competition between wildlife and domestic livestock can be explored. Theme: This session focuses on ecosystem ...

  20. Effects of climate change on rangeland vegetation in the northern Rockies [Chapter 6

    Science.gov (United States)

    Matt C. Reeves; Mary E. Manning; Jeff P. DiBenedetto; Kyle A. Palmquist; William K. Lauenroth; John B. Bradford; Daniel R. Schlaepfer

    2017-01-01

    A longer growing season with climate change is expected to increase net primary productivity of many rangeland types, especially those dominated by grasses, although responses will depend on local climate and soil conditions. Elevated atmospheric carbon dioxide may increase water use efficiency and productivity of some species. In many cases, increasing wildfire...

  1. Hardwood rangeland landowners in California from 1985 to 2004: production, ecosystem services, and permanence

    Science.gov (United States)

    Lynn Huntsinger; Martin Johnson; Monica Stafford; Jeremy S. Fried

    2010-01-01

    A longitudinal study of California hardwood rangelands shows significant change in landowner characteristics and goals. Results of three studies spanning 1985 to 2004 were used to develop and evaluate a multiagency research and extension program known as the Integrated Hardwood Range Management Program. Program-sponsored education and research aimed at encouraging...

  2. Developing soil erodibility prediction equations for the Rangeland Hydrology and Erosion Model (RHEM)

    Science.gov (United States)

    Soil erodibility is a key factor for estimating soil erosion using physically based models. In this study, a new parameterization approach for estimating erodibility was developed for the Rangeland Hydrology and Erosion Model (RHEM). The approach uses empirical equations that were developed by apply...

  3. Southern Idaho student "bug crews": Weeds, youth, and biocontrol in the rangelands of Idaho

    Science.gov (United States)

    Sharlyn Gunderson-Izurieta; George P. Markin; Nan Reedy; Becky. Frieberg

    2009-01-01

    Biological control of noxious weeds is an effective and widespread method often used by rangeland managers in the western United States. However, once biological control agents, usually insects, are released onto public and private lands there are few, if any, programs to follow up and monitor the effectiveness of these agents. A technique being used by some...

  4. Rangeland exclosures of northeastern Oregon: stories they tell (1936–2004).

    Science.gov (United States)

    Charles Grier Johnson

    2007-01-01

    Rangeland exclosures installed primarily in the 1960s, but with some from the 1940s, were resampled for changes in plant community structure and composition periodically from 1977 to 2004 on the Malheur, Umatilla, and Wallowa-Whitman National Forests in northeastern Oregon. They allow one to compare vegetation with all-ungulate exclusion (known historically as game...

  5. Response of native versus exotic plant guilds to cattle and elk herbivory in forested rangeland

    Science.gov (United States)

    Burak K. Pekin; Michael J. Wisdom; Catherine G. Parks; Bryan A. Endress; Bridgett J. Naylor; Ralf Ohlemuller

    2015-01-01

    Questions: Are exotic plant species favoured by non-native ungulate herbivores and disadvantaged by native herbivores in forested rangelands? Do the impacts of ungulates on exotic vs native plants depend on forest management activities such as prescribed fire and stand thinning?Location: Northeastern Oregon, USA....

  6. Multi-scale wind erosion monitoring and assessment for US rangelands

    Science.gov (United States)

    Wind erosion is a major resource concern for rangeland managers. Although wind erosion is a naturally occurring process in many drylands, land use activities, and land management in particular, can accelerate wind-driven soil loss – impacting ecosystem dynamics and agricultural production, air quali...

  7. Utah lotus: North American legume for rangeland revegetation in southern Great Basin and Colorado Plateau

    Science.gov (United States)

    Utah lotus (Lotus utahensis Ottley) is a North American leguminous forb that may hold promise for rangeland revegetation in the western USA for diversifying planting mixtures, attracting pollinators, providing high quality forage, and expanding habitats for insects needed by sage grouse chicks. We ...

  8. Vulnerability of cattle production to climate change on U.S. rangelands

    Science.gov (United States)

    Matt C. Reeves; Karen E. Bagne

    2016-01-01

    We examined multiple climate change effects on cattle production for U.S. rangelands to estimate relative change and identify sources of vulnerability among seven regions. Climate change effects to 2100 were projected from published models for four elements: forage quantity, vegetation type trajectory, heat stress, and forage variability. Departure of projections from...

  9. Orthorectification, mosaicking, and analysis of sub-decimeter resolution UAV imagery for rangeland monitoring

    Science.gov (United States)

    Unmanned aerial vehicles (UAVs) offer an attractive platform for acquiring imagery for rangeland monitoring. UAVs can be deployed quickly and repeatedly, and they can obtain sub-decimeter resolution imagery at lower image acquisition costs than with piloted aircraft. Low flying heights result in ima...

  10. Arguments for a major research focus on seeding establishment and recruitment on rangelands

    Science.gov (United States)

    Understanding vegetation change is the basis for much of the rangeland management profession. Yet we know little about seedling ecology, from the standpoint of either reseeding or natural recruitment. We often view vegetation over long time horizons to allow changes to manifest themselves. If we lac...

  11. Deforestation of "degraded" rangelands: The Argentine Chaco enters the next stage of the Anthropocene

    Science.gov (United States)

    Twenty years ago I completed my Master’s work in the Chaco forests of northern Argentina. The native forests are, in fact, rangelands. In addition to livestock grazing, there is timber extraction, wildlife harvest (think tegu lizard cowboy boots), and charcoal production. I took part in a project co...

  12. Climate-change adaptation on rangelands: Linking regional exposure with diverse adaptive capacity

    Science.gov (United States)

    David D. Briske; Linda A. Joyce; H. Wayne Polley; Joel R. Brown; Klaus Wolter; Jack A. Morgan; Bruce A. McCarl; Derek W. Bailey

    2015-01-01

    The ecological consequences of climate change are predicted to vary greatly throughout US rangelands. Projections show warming and drying in the southern Great Plains and the Southwest, warmer and drier summers with reduced winter snowpack in the Northwest, and warmer and wetter conditions in the northern Great Plains. Primarily through their combined effects on soil...

  13. The Role of Rangelands in Diversified Farming Systems: Innovations, Obstacles, and Opportunities in the USA

    Directory of Open Access Journals (Sweden)

    Nathan F. Sayre

    2012-12-01

    Full Text Available Discussions of diversified farming systems (DFS rarely mention rangelands: the grasslands, shrublands, and savannas that make up roughly one-third of Earth's ice-free terrestrial area, including some 312 million ha of the United States. Although ranching has been criticized by environmentalists for decades, it is probably the most ecologically sustainable segment of the U.S. meat industry, and it exemplifies many of the defining characteristics of DFS: it relies on the functional diversity of natural ecological processes of plant and animal (reproduction at multiple scales, based on ecosystem services generated and regenerated on site rather than imported, often nonrenewable, inputs. Rangelands also provide other ecosystem services, including watershed, wildlife habitat, recreation, and tourism. Even where non-native or invasive plants have encroached on or replaced native species, rangelands retain unusually high levels of plant diversity compared with croplands or plantation forests. Innovations in management, marketing, incentives, and easement programs that augment ranch income, creative land tenure arrangements, and collaborations among ranchers all support diversification. Some obstacles include rapid landownership turnover, lack of accessible U.S. Department of Agriculture certified processing facilities, tenure uncertainty, fragmentation of rangelands, and low and variable income, especially relative to land costs. Taking advantage of rancher knowledge and stewardship, and aligning incentives with production of diverse goods and services, will support the sustainability of ranching and its associated public benefits. The creation of positive feedbacks between economic and ecological diversity should be the ultimate goal.

  14. A composite index to explain variations in poverty, health, nutritional status and standard of living: use of multivariate statistical methods.

    Science.gov (United States)

    Antony, G M; Rao, K Visweswara

    2007-08-01

    To calculate the Human Development Index (HDI) and Human Poverty Index (HPI) of Indian states; to trace the indicators useful for finding variations in poverty; and to develop a composite index that may explain variations in poverty, health, nutritional status and standard of living. Cross-sectional study. The HDI and HPI were calculated for different Indian states. A set of possible indicators varying between rich and poor states of India was identified with the use of discriminant function analysis. A composite index has been developed for measuring the standard of living of Indian states with the help of factor analysis. Demographic, socio-economic, health and dietary indicators play a major role in determining the real standard of living. Poverty, standard of living and human development depend on multiple factors. The existing indices, such as HDI and HPI, use income indicators to measure the standard of living, and do not take into account diet and nutritional status indicators. The proposed index was found to be more suitable for measuring the real standard of living and human development, as it is a comprehensive index of income and non-income indicators. Further validation may be carried out for different populations. Discriminant function analysis and factor analysis were used to assess health inequality and standard of living among Indian states. The proposed multi-dimensional index may provide a better picture of human development. Further work is of interest for other populations.

  15. Defense Health Care: DOD Is Meeting Most Mental Health Care Access Standards, but It Needs a Standard for Follow-up Appointments

    Science.gov (United States)

    2016-04-01

    reduce the stigma associated with mental health treatment for military servicemembers and deployed civilian DOD employees. See GAO, Human Capital...Additional Actions Needed to Enhance DOD’s Efforts to Address Mental Health Care Stigma , GAO-16-404 (Washington, D.C.: Apr. 18, 2016). Page...Employees’ Compensation Act, any disability resulting from a war-risk hazard is generally deemed to have resulted from personal injury sustained

  16. School Health and Safety Standards for Dance Education and Dance in Physical Education

    Science.gov (United States)

    Hernandez, Barbara L. Michiels; Strickland, George

    2005-01-01

    Student safety is an important goal when teaching physically active skills, and school safety standards should be considered as important as the dance content standards for students. More than being complementary, safety standards and content standards are functionally related, because "consistently enforcing safe practices within the…

  17. Barriers to the widespread adoption of health data standards: an exploratory qualitative study in tertiary healthcare organizations in Saudi Arabia.

    Science.gov (United States)

    Alkraiji, Abdullah; Jackson, Thomas; Murray, Ian

    2013-04-01

    Although health data standards are perceived to be the essential solution for interoperability barriers within medical IT systems, the level of adoption of those standards still remains frustratingly low. Little is known about the barriers facing their adoption within the healthcare organizations context. In addressing this gap in the literature, based on IT related standards adoption theories such as Diffusion of Innovation Theory and the theories surrounding the Economics of Standards, a qualitative multiple-case study was undertaken in Saudi Arabia to investigate those barriers. The results exposed that few standards were adopted because of four broad reasons, managerial, technical, educational and governmental. While some of the findings can be rooted to those related standards theories, others can be underpinned through the normative literature. Core barriers are the lack of a national regulator and a data exchange plan, and the lack of an adequate policy regarding medical IT systems and information management and national healthcare system; also important are technical barriers and the switching costs to the standards. The outcome of this study can be used in forming effective interventions when planning to use health data standards and, in particular those in developing countries.

  18. Effects of Management on Soil Carbon Pools in California Rangeland Ecosystems

    Science.gov (United States)

    Silver, W. L.; Ryals, R.; Lewis, D. J.; Creque, J.; Wacker, M.; Larson, S.

    2008-12-01

    Rangeland ecosystems managed for livestock production represent the largest land-use footprint globally, covering more than one-quarter of the world's land surface (Asner et al. 2004). In California, rangelands cover an estimated 17 million hectares or approximately 40% of the land area (FRAP 2003). These ecosystems have considerable potential to sequester carbon (C) in soil and offset greenhouse gas emissions through changes in land management practices. Climate policies and C markets may provide incentives for rangeland managers to pursue strategies that optimize soil C storage, yet we lack a thorough understanding of the effects of management on soil C pools in rangelands over time and space. We sampled soil C pools on rangelands in a 260 km2 region of Marin and Sonoma counties to determine if patterns in soil C storage exist with management. Replicate soil samples were collected from 35 fields that spanned the dominant soil orders, plant communities, and management practices in the region while controlling for slope and bioclimatic zone (n = 1050). Management practices included organic amendments, intensive (dairy) and extensive (other) grazing practices, and subsoiling. Soil C pools ranged from approximately 50 to 140 Mg C ha-1 to 1 m depth, with a mean of 99 ± 22 (sd) Mg C ha-1. Differences among sites were due primarily to C concentrations, which exhibited a much larger coefficient of variation than bulk density at all depths. There were no statistically significant differences among the dominant soil orders. Subsoiling appeared to significantly increase soil C content in the top 50 cm, even though subsoiling had only occurred for the first time the previous Nov. Organic amendments also appeared to greatly increase soil C pools, and was the dominant factor that distinguished soil C pools in intensive and extensive land uses. Our results indicate that management has the potential to significantly increase soil C pools. Future research will determine the

  19. Opportunities and obstacles for rangeland conservation in San Diego County, California, USA

    Directory of Open Access Journals (Sweden)

    Kathleen A. Farley

    2017-03-01

    Full Text Available Working landscapes such as rangelands are increasingly recognized as having high conservation value, providing a variety of ecosystem services, including food, fiber, habitat, recreation, open space, carbon storage, and water, in addition to a broad range of social benefits. However, conversion of rangelands to other land uses has been prevalent throughout the western United States, leading to greater attention in the conservation community to the importance of collaborating with private landowners. The level of interest in collaborative conservation among private landowners and the types of conservation programs they choose to participate in depend on the social, economic, and environmental context. We used GIS analysis and interviews with ranchers to evaluate rangeland conversion and participation in conservation programs among ranchers in San Diego County, California, USA, which is part of a biodiversity hotspot with high plant species richness and a large number of endemic and rare species. We found that > 25% of rangelands were converted to other uses, primarily urbanization, over the past 25 years while the area of public rangeland increased by 9%. Interviews revealed that ranchers in San Diego County have had limited involvement with most conservation programs, and a critical factor for nonparticipation was providing programs access to private land, along with other issues related to trust and social values. Among ranchers who had participated in conservation programs, the payment level and the agency or organization administering the program were key factors. Our results provide insight into factors influencing whether and when ranchers are likely to participate in conservation initiatives and illustrate that private and public land conservation are strongly linked and would be more effective if the two strategies were better integrated.

  20. Basic health program: state administration of basic health programs; eligibility and enrollment in standard health plans; essential health benefits in standard health plans; performance standards for basic health programs; premium and cost sharing for basic health programs; federal funding process; trust fund and financial integrity. Final rule.

    Science.gov (United States)

    2014-03-12

    This final rule establishes the Basic Health Program (BHP), as required by section 1331 of the Affordable Care Act. The BHP provides states the flexibility to establish a health benefits coverage program for low-income individuals who would otherwise be eligible to purchase coverage through the Affordable Insurance Exchange (Exchange, also called Health Insurance Marketplace). The BHP complements and coordinates with enrollment in a QHP through the Exchange, as well as with enrollment in Medicaid and the Children's Health Insurance Program (CHIP). This final rule also sets forth a framework for BHP eligibility and enrollment, benefits, delivery of health care services, transfer of funds to participating states, and federal oversight. Additionally, this final rule amends another rule issued by the Secretary of the Department of Health and Human Services (Secretary) in order to clarify the applicability of that rule to the BHP.

  1. Utilization of Unmanned Aerial Vehicles for Rangeland Resources Monitoring in a Changing Regulatory Environment (Invited)

    Science.gov (United States)

    Rango, A.; Vivoni, E. R.; Browning, D. M.; Anderson, C.; Laliberte, A. S.

    2013-12-01

    now been acquired at Jornada. Most of our UAV flights have taken place over rangelands or watersheds in the western U.S. These flights have been successful used for classification of vegetation cover and type, measuring gaps between vegetation patches, identifing locations of potentially erosive soil, deriving digital elevation models, and monitoring plant phenology.. These measurements can be directly compared to more costly and time-intensive traditional techniques used in rangeland health determinations. New UAVs are becoming available with increased sensor payload capacity. At Jornada we have concentrated on flying at low altitudes (~215 m) to acquire hyperspatial resolutions with digital cameras of about 5-6 cm. We also fly a six band multispectral camera with spatial resolution of ~ 13 cm. We have recently acquired a larger Bat-4 UAV to go with the Bat-3 UAV. The major improvement associated with this upgrade is an increase in sensor payload from 1.4 kg to 14 kg. We are surveying the type of sensors that we could add to best increase our information content.

  2. Income or living standard and health in Germany: different ways of measurement of relative poverty with regard to self-rated health.

    Science.gov (United States)

    Pfoertner, Timo-Kolja; Andress, Hans-Juergen; Janssen, Christian

    2011-08-01

    Current study introduces the living standard concept as an alternative approach of measuring poverty and compares its explanatory power to an income-based poverty measure with regard to subjective health status of the German population. Analyses are based on the German Socio-Economic Panel (2001, 2003 and 2005) and refer to binary logistic regressions of poor subjective health status with regard to each poverty condition, their duration and their causal influence from a previous time point. To calculate the discriminate power of both poverty indicators, initially the indicators were considered separately in regression models and subsequently, both were included simultaneously. The analyses reveal a stronger poverty-health relationship for the living standard indicator. An inadequate living standard in 2005, longer spells of an inadequate living standard between 2001, 2003 and 2005 as well as an inadequate living standard at a previous time point is significantly strongly associated with subjective health than income poverty. Our results challenge conventional measurements of the relationship between poverty and health that probably has been underestimated by income measures so far.

  3. The relation of standardized mental health screening and categorical assessment in detained male adolescents.

    Science.gov (United States)

    Colins, Olivier F; Grisso, Thomas; Mulder, Eva; Vermeiren, Robert

    2015-03-01

    Having an effective triage tool is an important step toward a careful use of the restricted time and qualified personnel to perform comprehensive psychiatric assessment in juvenile justice settings. The aims of this study were to examine the construct validity of the Massachusetts Youth Screening Inventory-second version (MAYSI-2), and its likelihood to identify youths who might have a psychiatric disorder. Data from up to 781 male adolescents (mean age = 16.73 years) were gathered as part of the standardized mental health screening and assessment in two all-male Youth Detention Centers in the Netherlands. Categorical assessments were based on two structured diagnostic interviews. Sensitivity, specificity, positive and negative predictive values, and the area under the curve were calculated to evaluate the likelihood of the MAYSI-2 to identify youths with a psychiatric disorder. Youths with a disorder scored significantly higher on the corresponding MAYSI-2 subscale than youths without a disorder. In the total sample, 70 % of the youths with a disorder met the Caution cut-off criteria on at least one MAYSI-2 scale, while youths without a psychiatric disorder were very unlikely to meet cut-off criteria for multiple MAYSI-2 scales. Overall, the sensitivity was slightly better when analyses were repeated in groups of youths from various ethnic origins. The findings supported the construct validity of the Dutch MAYSI-2 and suggested that the MAYSI-2 is a valid mental health screening tool that may serve relatively well as a triage tool. Its effectiveness, however, may differ between ethnic groups.

  4. Development of the First World Health Organization Lentiviral Vector Standard: Toward the Production Control and Standardization of Lentivirus-Based Gene Therapy Products

    Science.gov (United States)

    Zhao, Yuan; Stepto, Hannah; Schneider, Christian K

    2017-01-01

    Gene therapy is a rapidly evolving field. So far, there have been >2,400 gene therapy products in clinical trials and four products on the market. A prerequisite for producing gene therapy products is ensuring their quality and safety. This requires appropriately controlled and standardized production and testing procedures that result in consistent safety and efficacy. Assuring the quality and safety of lentivirus-based gene therapy products in particular presents a great challenge because they are cell-based multigene products that include viral and therapeutic proteins as well as modified cells. In addition to the continuous refinement of a product, changes in production sites and manufacturing processes have become more and more common, posing challenges to developers regarding reproducibility and comparability of results. This paper discusses the concept of developing a first World Health Organization International Standard, suitable for the standardization of assays and enabling comparison of cross-trial and cross-manufacturing results for this important vector platform. The standard will be expected to optimize the development of gene therapy medicinal products, which is especially important, given the usually orphan nature of the diseases to be treated, naturally hampering reproducibility and comparability of results. PMID:28747142

  5. Evaluation of the ability of standardized supports to improve public health response to syndromic surveillance for respiratory diseases in Canada

    Directory of Open Access Journals (Sweden)

    Laura A. Rivera

    2017-02-01

    Full Text Available Abstract Background Despite widespread implementation of syndromic surveillance systems within public health agencies, previous studies of the implementation and use of these systems have indicated that the functions and responses taken in response to syndromic surveillance data vary widely according to local context and preferences. The objective of the Syndromic Surveillance Evaluation Study was to develop and implement standardized supports in local public health agencies in Ontario, Canada, and evaluate the ability of these supports to affect actions taken as part of public health communicable disease control programs. Methods Local public health agencies (LPHA in Ontario, which used syndromic surveillance based on emergency department visits for respiratory disease, were recruited and randomly allocated to the study intervention or control group. The intervention group health agencies received standardized supports in terms of a standardized aberrant event detection algorithm and a response protocol dictating steps to investigate and assess the public health significance of syndromic surveillance alerts. The control group continued with their pre-existing syndromic surveillance infrastructure and processes. Outcomes were assessed using logbooks, which collected quantitative and qualitative information about alerts received, investigation steps taken, and public health responses. The study was conducted prospectively for 15 months (October 2013 to February 2015. Results Fifteen LPHAs participated in the study (n = 9 intervention group, n = 6 control group. A total of 1,969 syndromic surveillance alerts were received by all LPHAs. Variations in the types and amount of responses varied by LPHA, in particularly differences were noted by the size of the health unit. Smaller health units had more challenges to both detect and mount a response to any alerts. LPHAs in the control group were more likely to declare alerts to have public

  6. Considerations for Using Genetic and Epigenetic Information in Occupational Health Risk Assessment and Standard Setting.

    Science.gov (United States)

    Schulte, P A; Whittaker, C; Curran, C P

    2015-01-01

    Risk assessment forms the basis for both occupational health decision-making and the development of occupational exposure limits (OELs). Although genetic and epigenetic data have not been widely used in risk assessment and ultimately, standard setting, it is possible to envision such uses. A growing body of literature demonstrates that genetic and epigenetic factors condition biological responses to occupational and environmental hazards or serve as targets of them. This presentation addresses the considerations for using genetic and epigenetic information in risk assessments, provides guidance on using this information within the classic risk assessment paradigm, and describes a framework to organize thinking about such uses. The framework is a 4 × 4 matrix involving the risk assessment functions (hazard identification, dose-response modeling, exposure assessment, and risk characterization) on one axis and inherited and acquired genetic and epigenetic data on the other axis. The cells in the matrix identify how genetic and epigenetic data can be used for each risk assessment function. Generally, genetic and epigenetic data might be used as endpoints in hazard identification, as indicators of exposure, as effect modifiers in exposure assessment and dose-response modeling, as descriptors of mode of action, and to characterize toxicity pathways. Vast amounts of genetic and epigenetic data may be generated by high-throughput technologies. These data can be useful for assessing variability and reducing uncertainty in extrapolations, and they may serve as the foundation upon which identification of biological perturbations would lead to a new paradigm of toxicity pathway-based risk assessments.

  7. Private animal health and welfare standards in quality assurance programmes: a review and proposed framework for critical evaluation.

    Science.gov (United States)

    More, S J; Hanlon, A; Marchewka, J; Boyle, L

    2017-06-24

    In recent years, 'private standards' in animal health and welfare have become increasingly common, and are often incorporated into quality assurance (QA) programmes. Here, we present an overview of the use of private animal health and welfare standards in QA programmes, and propose a generic framework to facilitate critical programme review. Private standards are being developed in direct response to consumer demand for QA, and offer an opportunity for product differentiation and a means to drive consumer choice. Nonetheless, a range of concerns have been raised, relating to the credibility of these standards, their potential as a discriminatory barrier to trade, the multiplicity of private standards that have been developed, the lack of consumer input and compliance costs. There is a need for greater scrutiny of private standards and of associated QA programmes. We propose a framework to clarify the primary programme goal(s) and measureable outputs relevant to animal health and welfare, the primary programme beneficiaries and to determine whether the programme is effective, efficient and transparent. This paper provides a theoretical overview, noting that this framework could be used as a tool directly for programme evaluation, or as a tool to assist with programme development and review. British Veterinary Association.

  8. Handbook of Home Health Standards - Fifth edition Marrelli Tina M Handbook of Home Health Standards - Fifth edition 688pp Elsevier 9780323052245 032305224X [Formula: see text].

    Science.gov (United States)

    2009-06-03

    Home care is different from other forms of health care. Clinicians are guests in patients' homes and may be the only healthcare providers patients see on a particular day or week, so they should feel comfortable working independently, but recognise they are part of a larger healthcare team.

  9. Development of the PHAST model: generating standard public health services data and evidence for decision-making.

    Science.gov (United States)

    Bekemeier, Betty; Park, Seungeun

    2017-11-02

    Standardized data regarding the distribution, quality, reach, and variation in public health services provided at the community level and in wide use across states and communities do not exist. This leaves a major gap in our nation's understanding of the value of prevention activities and, in particular, the contributions of our government public health agencies charged with assuring community health promotion and protection. Public health and community leaders, therefore, are eager for accessible and comparable data regarding preventive services that can inform policy decisions about where to invest resources. We used literature review and a practice-based approach, employing an iterative process to identify factors that facilitate data provision among public health practitioners. This paper describes the model, systematically developed by our research team and with input from practice partners, that guides our process toward maximizing the uptake and integration of these standardized measures into state and local data collection systems. The model we developed, using a dissemination and implementation science framework, is intended to foster greater interest in and accountability for data collection around local health department services and to facilitate spatial exploration and statistical analysis of local health department service distribution, change, and performance. Our model is the first of its kind to thoroughly develop a means to guide research and practice in realizing the National Academy of Medicine's recommendation for developing systems to measure and track state and local public health system contributions to population health.

  10. Development of the crop residue and rangeland burning in the 2014 National Emissions Inventory using information from multiple sources

    Data.gov (United States)

    U.S. Environmental Protection Agency — This workbook contains all the activity data, emission factor data, and ancillary data used to compute crop residue burning and rangeland emissions for the 2014 NEI...

  11. 78 FR 58539 - National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and...

    Science.gov (United States)

    2013-09-24

    ... areas of patient satisfaction and safety Address issues of health literacy Establish congruency with..., academic institutions, health associations, and other private organizations. A complete list of NPAC... in depth: Purpose, Definitions, Inclusivity, Audience, Health Literacy, Language Access Services...

  12. [Mobile Health: IEEE Standard for Wearable Cuffless Blood Pressure Measuring Devices].

    Science.gov (United States)

    Zhou, Xia; Wu, Wenli; Bao, Shudi

    2015-07-01

    IEEE Std 1708-2014 breaks through the traditional standards of cuff based blood pressure measuring devices and establishes a normative definition of wearable cuffless blood pressure measuring devices and the objective performance evaluation of this kind of devices. This study firstly introduces the background of the new standard. Then, the standard details will be described, and the impact of cuffless blood pressure measuring devices with the new standard on manufacturers and end users will be addressed.

  13. 77 FR 54163 - Health Information Technology: Standards, Implementation Specifications, and Certification...

    Science.gov (United States)

    2012-09-04

    .... Consensus-Based Standards 6. Adopting Versions of Standards 7. Display of Vocabulary Standards 8. Common.... Certified EHR Technology (CEHRT) Definition 2. Base EHR Definition 3. Complete EHR Definition 4.... Representation of Meeting the Base EHR Definition F. EHR Technology Price Transparency G. Certification and...

  14. Standards for Prognostics and Health Management (PHM) Techniques within Manufacturing Operations

    Science.gov (United States)

    2014-10-02

    KPIs ) within the manufacturing operations management (MOM) domain (International Organization for Standardization, 2013). KPIs are the most useful...intelligent manner (International Organization for Standardization, 2013). Because KPIs are serviced by effective PHM systems, standards related to... KPIs could easily influence the diagnostic and prognostic aspects of PHM systems. NIST personnel are active in the development of the ISO 22400

  15. Community health nurses' learning needs in relation to the Canadian community health nursing standards of practice: results from a Canadian survey.

    Science.gov (United States)

    Valaitis, Ruta K; Schofield, Ruth; Akhtar-Danesh, Noori; Baumann, Andrea; Martin-Misener, Ruth; Underwood, Jane; Isaacs, Sandra

    2014-01-01

    CANADIAN COMMUNITY HEALTH NURSES (CHNS) WORK IN DIVERSE URBAN, RURAL, AND REMOTE SETTINGS SUCH AS: public health units/departments, home health, community health facilities, family practices, and other community-based settings. Research into specific learning needs of practicing CHNs is sparsely reported. This paper examines Canadian CHNs learning needs in relation to the 2008 Canadian Community Health Nursing Standards of Practice (CCHN Standards). It answers: What are the learning needs of CHNs in Canada in relation to the CCHN Standards? What are differences in CHNs' learning needs by: province and territory in Canada, work setting (home health, public health and other community health settings) and years of nursing practice? Between late 2008 and early 2009 a national survey was conducted to identify learning needs of CHNs based on the CCHN Standards using a validated tool. Results indicated that CHNs had learning needs on 25 of 88 items (28.4%), suggesting CHNs have confidence in most CCHN Standards. Three items had the highest learning needs with mean scores > 0.60: two related to epidemiology (means 0.62 and 0.75); and one to informatics (application of information and communication technology) (mean = 0.73). Public health nurses had a greater need to know about "…evaluating population health promotion programs systematically" compared to home health nurses (mean 0.66 vs. 0.39, p learn "… advocating for healthy public policy…" than their more experienced peers (p = 0.0029). Also, NPs had a greater need to learn about "…using community development principles when engaging the individual/community in a consultative process" compared to RNs (p = 0.05). Many nurses were unsure if they applied foundational theoretical frameworks (i.e., the Ottawa Charter of Health Promotion, the Jakarta Declaration, and the Population Health Promotion Model) in practice. CHN educators and practice leaders need to consider these results in determining where to strengthen

  16. 77 FR 70643 - Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits...

    Science.gov (United States)

    2012-11-26

    ... population, computed in accordance with the health plan's cost sharing, divided by the total anticipated... comprehensiveness, affordability, administrative simplicity, evidence-based practice, ethics, population health...

  17. Use of new World Health Organization child growth standards to assess how infant malnutrition relates to breastfeeding and mortality

    OpenAIRE

    Vesel, L; Bahl, R.; Martines, J; Penny, M.; Bhandari, N.; Kirkwood, BR; WHO Immunization-, linkedVitaminASupplementationStudyGroup

    2010-01-01

    Objective To compare the estimated prevalence of malnutrition using the World Health Organization's (WHO) child growth standards versus the National Center for Health Statistics' (NCHS) growth reference, to examine the relationship between exclusive breastfeeding and malnutrition, and to determine the sensitivity and specificity of nutritional status indicators for predicting death during infancy. Methods A secondary analysis of data on 9424 mother-infant pairs in Ghana, India and Peru was co...

  18. Satellite monitoring the rangeland degradation under the impacts of climatic and socio-economic changes over central Asia

    Science.gov (United States)

    Wang, K.; Zhang, L.; Dai, L.; Yan, D.

    2012-12-01

    Central Asia, encompassing the republics of Kazakhstan, Kyrgyz, Uzbekistan, Turkmenistan, Tajikistan and China's western Sinkiang, is a typical arid and semi-arid area. The climate in Central Asia is extreme arid, where summer is hot, cloudless and dry, and winter is moist and relatively warm in the south and cold and dry in the north. Rangeland, accounting for 46% of the entire area, is the main vegetation type in this area. Recent findings showed that climate change had caused unprecedented rangeland degradation in Central Asia over the past 30 years. Socio-economical change and environmental change due to the collapse of Soviet Union also accelerated rangeland degradation. Rangeland degradation adversely further deteriorated the environment. With the development of high resolution remote sensing images, an increasing attention has paid to study rangeland degradation in this area. However, previous investigations based on either Advanced Very High Resolution Radiometer (AVHRR) or Moderate Resolution Imaging Spectroradiometer (MODIS) data, has not integrate multi-resolution satellite data for investigating vegetation change and its response to climatic and socio-economic change . In this paper, we employed 30 years' remote sensing data, including both AVHRR ( 1982-2006) and MODIS (2000-2011) satellite data, and in-situ meteorological and social data (e.g. population, economic, and land use change data), to investigate rangeland degradation in the central Asia. We 1) analyzed the spatial-temporal variations of vegetation changes during the past 30 years, and 2) evaluated the roles of climatic and socio-economic factors as potential causes of observed vegetation changes. The results showed extensive area had statistically significant degradation trends (pSoviet Union, rangeland degradation was accelerated due to increased population and economic changes, but this degraded trend slowed down since the political system became relatively stable in 1991. These results

  19. Role of traditional enclosures on the diversity of herbaceous vegetation in a semi-arid rangeland, southern Ethiopia

    OpenAIRE

    Angassa, A.; Oba, G.; Treydte, A.C.; Weladji, R. B.

    2010-01-01

    Grazing management and seasonality strongly influence the recovery potential of herbaceous vegetation in semi-arid rangelands of southern Ethiopia after history of heavy grazing. We investigated effects of management (enclosures versus grazed landscapes), age of enclosures and seasonality related to rainfall (i.e., independent variables) on herbaceous biomass, grass basal cover, herbaceous species abundance, species richness and diversity in a savanna rangeland of southern Ethiopia. We furthe...

  20. [Technical improvement of cohort constitution in administrative health databases: Providing a tool for integration and standardization of data applicable in the French National Health Insurance Database (SNIIRAM)].

    Science.gov (United States)

    Ferdynus, C; Huiart, L

    2016-09-01

    Administrative health databases such as the French National Heath Insurance Database - SNIIRAM - are a major tool to answer numerous public health research questions. However the use of such data requires complex and time-consuming data management. Our objective was to develop and make available a tool to optimize cohort constitution within administrative health databases. We developed a process to extract, transform and load (ETL) data from various heterogeneous sources in a standardized data warehouse. This data warehouse is architected as a star schema corresponding to an i2b2 star schema model. We then evaluated the performance of this ETL using data from a pharmacoepidemiology research project conducted in the SNIIRAM database. The ETL we developed comprises a set of functionalities for creating SAS scripts. Data can be integrated into a standardized data warehouse. As part of the performance assessment of this ETL, we achieved integration of a dataset from the SNIIRAM comprising more than 900 million lines in less than three hours using a desktop computer. This enables patient selection from the standardized data warehouse within seconds of the request. The ETL described in this paper provides a tool which is effective and compatible with all administrative health databases, without requiring complex database servers. This tool should simplify cohort constitution in health databases; the standardization of warehouse data facilitates collaborative work between research teams. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  1. [Experience of justification of hygienic standards of food safety with the use of criteria for the risk population health].

    Science.gov (United States)

    Zaytseva, N V; Tutelyan, V A; Shur, P Z; Khotimchenko, S A; Sheveleva, S A

    2014-01-01

    In the article there is presented the experience of justification of hygienic standards of food safety with the use of criteria for the risk for population health. Health risk assessment under the impact of tetracyclines with food showed that the content of residual amounts of these antibiotics at the level of 10 mg/kg (permissible residual tetracycline accepted in Customs Union Member Countries (CUMC) will not increase the risk to public health, including the most sensitive groups of the population. The assessment ofthe health risk associated with the receipt of ractopamine with food, showed that eating foods containing ractopamine at ADI level (0-1 mg/kg body weight), and even at the limit of quantification levels in meat products, is inadmissible because of unacceptable risk of functional disorders and diseases of the cardiovascular system. The results of the substantiation of the permissible levels of nitrates content in crop production showed that at the level of exposure according to hygienic standards established in the CUMC as at the recommended and actual consumption levels of products ofplant origin, the health risk as carcinogenic and non-carcinogenic, does not exceed acceptable levels. The results of the assessment of the risk associated with the permissible levels of L. monocytogenes in certain food groups showed that an exposure level of hygienic standards established in the CUMC, standards of Codex Alimentarius Commission and EU documents (before release to the market by the manufacturer) the health risk does not exceed the maximum permissible level of the appearance of serious diseases. Adoption of standards of Codex Alimentarius Commission and the EU (for handling products in the market) is not acceptable because it can lead to an unacceptable risk of listeriosis for the population of the Russian Federation as a whole, and for the most sensitive groups.

  2. Health and Academic Achievement: Cumulative Effects of Health Assets on Standardized Test Scores among Urban Youth in the United States

    Science.gov (United States)

    Ickovics, Jeannette R.; Carroll-Scott, Amy; Peters, Susan M.; Schwartz, Marlene; Gilstad-Hayden, Kathryn; McCaslin, Catherine

    2014-01-01

    Background: The Institute of Medicine (2012) concluded that we must "strengthen schools as the heart of health." To intervene for better outcomes in both health and academic achievement, identifying factors that impact children is essential. Study objectives are to (1) document associations between health assets and academic achievement,…

  3. Does the evidence about health risks associated with nitrate ingestion warrant an increase of the nitrate standard for drinking water?

    Directory of Open Access Journals (Sweden)

    Benjamin Nigel

    2006-09-01

    Full Text Available Abstract Several authors have suggested that it is safe to raise the health standard for nitrate in drinking water, and save money on measures associated with nitrate pollution of drinking water resources. The major argument has been that the epidemiologic evidence for acute and chronic health effects related to drinking water nitrate at concentrations near the health standard is inconclusive. With respect to the chronic effects, the argument was motivated by the absence of evidence for adverse health effects related to ingestion of nitrate from dietary sources. An interdisciplinary discussion of these arguments led to three important observations. First, there have been only a few well-designed epidemiologic studies that evaluated ingestion of nitrate in drinking water and risk of specific cancers or adverse reproductive outcomes among potentially susceptible subgroups likely to have elevated endogenous nitrosation. Positive associations have been observed for some but not all health outcomes evaluated. Second, the epidemiologic studies of cancer do not support an association between ingestion of dietary nitrate (vegetables and an increased risk of cancer, because intake of dietary nitrate is associated with intake of antioxidants and other beneficial phytochemicals. Third, 2–3 % of the population in Western Europe and the US could be exposed to nitrate levels in drinking water exceeding the WHO standard of 50 mg/l nitrate, particularly those living in rural areas. The health losses due to this exposure cannot be estimated. Therefore, we conclude that it is not possible to weigh the costs and benefits from changing the nitrate standard for drinking water and groundwater resources by considering the potential consequences for human health and by considering the potential savings due to reduced costs for nitrate removal and prevention of nitrate pollution.

  4. The Impact of Ethnicity, Nationality, Counseling Orientation, and Mental Health Standards on Stereotypic Beliefs about Women: A Pilot Study.

    Science.gov (United States)

    Belk, Sharyn S.; And Others

    1989-01-01

    Examines people's stereotypic beliefs about women. Compares Hispanics to Anglos and Mexico to the U.S. in order to investigate the impact of ethnicity and national culture, respectively, on stereotypic beliefs. Investigates differential mental health standards ascribed to men and women and the influence of counseling orientation on these beliefs.…

  5. Standards and measurements for assessing bone health-workshop report co-sponsored by the International Society for Clinical Densitometry (ISCD) and the National Institute of Standards and Technology (NIST).

    Science.gov (United States)

    Bennett, Herbert S; Dienstfrey, Andrew; Hudson, Lawrence T; Oreskovic, Tammy; Fuerst, Thomas; Shepherd, John

    2006-01-01

    This article reports and discusses the results of the recent ISCD-NIST Workshop on Standards and Measurements for Assessing Bone Health. The purpose of the workshop was to assess the status of efforts to standardize and compare results from dual-energy X-ray absorptiometry (DXA) scans, and then to identify and prioritize ongoing measurement and standards needs.

  6. Noise Producing Toys and the Efficacy of Product Standard Criteria to Protect Health and Education Outcomes

    Directory of Open Access Journals (Sweden)

    Stuart J. McLaren

    2013-12-01

    Full Text Available An evaluation of 28 commercially available toys imported into New Zealand revealed that 21% of these toys do not meet the acoustic criteria in the ISO standard, ISO 8124-1:2009 Safety of Toys, adopted by Australia and New Zealand as AS/NZS ISO 8124.1:2010. While overall the 2010 standard provided a greater level of protection than the earlier 2002 standard, there was one high risk toy category where the 2002 standard provided greater protection. A secondary set of toys from the personal collections of children known to display atypical methods of play with toys, such as those with autism spectrum disorders (ASD, was part of the evaluation. Only one of these toys cleanly passed the 2010 standard, with the remainder failing or showing a marginal-pass. As there is no tolerance level stated in the standards to account for interpretation of data and experimental error, a value of +2 dB was used. The findings of the study indicate that the current standard is inadequate in providing protection against excessive noise exposure. Amendments to the criteria have been recommended that apply to the recently adopted 2013 standard. These include the integration of the new approaches published in the recently amended European standard (EN 71 on safety of toys.

  7. Faecal near-IR spectroscopy to determine the nutritional value of diets consumed by beef cattle in east Mediterranean rangelands.

    Science.gov (United States)

    Landau, S Y; Dvash, L; Roudman, M; Muklada, H; Barkai, D; Yehuda, Y; Ungar, E D

    2016-02-01

    Rapid assessment of the nutritional quality of diets ingested by grazing animals is pivotal for successful cow-calf management in east Mediterranean rangelands, which receive unpredictable rainfall and are subject to hot-spells. Clipped vegetation samples are seldom representative of diets consumed, as cows locate and graze selectively. In contrast, faeces are easily sampled and their near-IR spectra contain information about nutrients and their utilization. However, a pre-requisite for successful faecal near-infrared reflectance spectroscopy (FNIRS) is that the calibration database encompass the spectral variability of samples to be analyzed. Using confined beef cows in Northern and Southern Israel, we calibrated prediction equations based on individual pairs of known dietary attributes and the NIR spectra of associated faeces (n=125). Diets were composed of fresh-cut green fodder of monocots (wheat and barley), dicots (safflower and garden pea) and natural pasture collected at various phenological states over 2 consecutive years, and, optionally, supplements of barley grain and dried poultry litter. A total of 48 additional pairs of faeces and diets sourced from cows fed six complete mixed rations covering a wide range of energy and CP concentrations. Precision (linearity of calibration, R2cal, and of cross-validation, R2cv) and accuracy (standard error of cross-validation, SEcv) were criteria for calibration quality. The calibrations for dietary ash, CP, NDF and in vitro dry matter digestibility yielded R2cal values >0.87, R2cv of 0.81 to 0.89 and SEcv values of 16, 13, 39 and 31 g/kg dry matter, respectively. Equations for nutrient intake were of low quality, with the exception of CP. Evaluation of FNIRS predictions was carried out with grazing animals supplemented or not with poultry litter, and implementation of the method in one herd over 2 years is presented. The potential usefulness of equations was also established by calculating the Mahalanobis (H

  8. Usage of international standards for integrating extramural monitoring and personal health device data into medical information infrastructure.

    Science.gov (United States)

    Mense, A; Sauermann, S; Gerbovic, G; Frohner, M; Pohn, B; Bruckner, R; Urbauer, Ph; Eckkrammer, F; Wahl, H

    2010-01-01

    Integrating extramural measured devices data into medical information systems is becoming more and more attractive for integrated medical care. A lot of devices already have the ability to transfer measured data to mobile devices or computers and a few systems offer submitting data to a centralized information database or information system. Unfortunately, all of these devices use proprietary protocols and processes which makes integration into other systems a major problem. To address this problem the Healthy Interoperability project has been created with the objective of creating a framework for transferring health data based on international standards. The paper outlines how the framework architecture takes full advantage from the definitions of the international standards ISO 11073, HL7, IHE and CEN 13606. Even the definition of the user profiles and the security framework is based on standards from ETSI, ISO and CEN. By using these standards the framework can also perfectly be used for intramural communication.

  9. 5 CFR 890.201 - Minimum standards for health benefits plans.

    Science.gov (United States)

    2010-01-01

    ... SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Health Benefits Plans § 890.201... dentistry or cosmetic surgery, or both, limited to conditions arising after the effective date of coverage...

  10. Growth of Czech Breastfed Infants in Comparison with the World Health Organization Standards

    Czech Academy of Sciences Publication Activity Database

    Vignerová, J.; Shriver, L.; Paulová, M.; Brabec, Marek; Schneidrová, D.; Růžková, R.; Procházka, B.; Riedlová, J.

    2015-01-01

    Roč. 23, č. 1 (2015), s. 32-38 ISSN 1210-7778 Grant - others:GA MZd(CZ) NS9974; Pedagogická fakulta UK(CZ) PRVOUK P02 Institutional support: RVO:67985807 Keywords : breastfeeding * Czech * growth standards * infants * national references * WHO standards Subject RIV: FG - Pediatrics Impact factor: 0.525, year: 2015

  11. The value of forage measurement information in rangeland management. [implementation of satellite data in range management

    Science.gov (United States)

    Lietzke, K. R.

    1975-01-01

    An economic model and simulation are developed to estimate the potential social benefit arising from the use of alternative measurement systems in rangeland management. In order to estimate these benefits, it was necessary to model three separate systems: the range environment, the rangeland manager, and the information system which links the two. The rancher's decision-making behavior is modeled according to sound economic principles. Results indicate substantial potential benefits, particularly when used in assisting management of government-operated ranges; possible annual benefits in this area range from $20 to $46 million, depending upon the system capabilities assumed. Possible annual benefit in privately-managed stocker operations range from $2.8 to $49.5 million, depending upon where actual rancher capabilities lie and what system capabilities are assumed.

  12. Transcending Landscapes: Working Across Scales and Levels in Pastoralist Rangeland Governance.

    Science.gov (United States)

    Robinson, Lance W; Ontiri, Enoch; Alemu, Tsegaye; Moiko, Stephen S

    2017-08-01

    Landscape approaches can be subjected to mistakenly targeting a single "best" level of governance, and paying too little attention to the role that cross-scale and cross-level interactions play in governance. In rangeland settings, resources, patterns of use of those resources, and the institutions for managing the resources exist at multiple levels and scales. While the scholarship on commons offers some guidance on how to conceptualize governance in rangeland landscapes, some elements of commons scholarship-notably the "design principles" for effective governance of commons-do not seem to apply neatly to governance in pastoralist rangeland settings. This paper examines three cases where attempts have been made to foster effective landscape governance in such settings to consider how the materiality of commons influences the nature of cross-scale and cross-level interactions, and how these interactions affect governance. In all three cases, although external actors seemed to work appropriately and effectively at community and landscape levels, landscape governance mechanisms have been facing great challenges arising from relationships beyond the landscape, both vertically to higher levels of decision-making and horizontally to communities normally residing in other landscapes. The cases demonstrate that fostering effective landscape-level governance cannot be accomplished only through action at the landscape level; it is a task that must be pursued at multiple levels and in relation to the connections across scales and levels. The paper suggests elements of a conceptual framework for understanding cross-level and cross-scale elements of landscape governance, and offers suggestions for governance design in pastoralist rangeland settings.

  13. Phenomapping of rangelands in South Africa using time series of RapidEye data

    Science.gov (United States)

    Parplies, André; Dubovyk, Olena; Tewes, Andreas; Mund, Jan-Peter; Schellberg, Jürgen

    2016-12-01

    Phenomapping is an approach which allows the derivation of spatial patterns of vegetation phenology and rangeland productivity based on time series of vegetation indices. In our study, we propose a new spatial mapping approach which combines phenometrics derived from high resolution (HR) satellite time series with spatial logistic regression modeling to discriminate land management systems in rangelands. From the RapidEye time series for selected rangelands in South Africa, we calculated bi-weekly noise reduced Normalized Difference Vegetation Index (NDVI) images. For the growing season of 2011⿿2012, we further derived principal phenology metrics such as start, end and length of growing season and related phenological variables such as amplitude, left derivative and small integral of the NDVI curve. We then mapped these phenometrics across two different tenure systems, communal and commercial, at the very detailed spatial resolution of 5 m. The result of a binary logistic regression (BLR) has shown that the amplitude and the left derivative of the NDVI curve were statistically significant. These indicators are useful to discriminate commercial from communal rangeland systems. We conclude that phenomapping combined with spatial modeling is a powerful tool that allows efficient aggregation of phenology and productivity metrics for spatially explicit analysis of the relationships of crop phenology with site conditions and management. This approach has particular potential for disaggregated and patchy environments such as in farming systems in semi-arid South Africa, where phenology varies considerably among and within years. Further, we see a strong perspective for phenomapping to support spatially explicit modelling of vegetation.

  14. Rangeland monitoring reveals long-term plant responses to precipitation and grazing at the landscape scale

    Science.gov (United States)

    Munson, Seth M.; Duniway, Michael C.; Johanson, Jamin K.

    2015-01-01

    Managers of rangeland ecosystems require methods to track the condition of natural resources over large areas and long periods of time as they confront climate change and land use intensification. We demonstrate how rangeland monitoring results can be synthesized using ecological site concepts to understand how climate, site factors, and management actions affect long-term vegetation dynamics at the landscape-scale. Forty-six years of rangeland monitoring conducted by the Bureau of Land Management (BLM) on the Colorado Plateau reveals variable responses of plant species cover to cool-season precipitation, land type (ecological site groups), and grazing intensity. Dominant C3 perennial grasses (Achnatherum hymenoides, Hesperostipa comata), which are essential to support wildlife and livestock on the Colorado Plateau, had responses to cool-season precipitation that were at least twice as large as the dominant C4 perennial grass (Pleuraphis jamesii) and woody vegetation. However, these C3 perennial grass responses to precipitation were reduced by nearly one-third on grassland ecological sites with fine- rather than coarse-textured soils, and there were no detectable C3 perennial grass responses to precipitation on ecological sites dominated by a dense-growing shrub, Coleogyne ramosissima. Heavy grazing intensity further reduced the responses of C3 perennial grasses to cool-season precipitation on ecological sites with coarse-textured soils and surprisingly reduced the responses of shrubs as well. By using ecological site groups to assess rangeland condition, we were able to improve our understanding of the long-term relationships between vegetation change and climate, land use, and site characteristics, which has important implications for developing landscape-scale monitoring strategies.

  15. Assessment of rangeland ecosystem conditions, Salt Creek watershed and Dugout Ranch, southeastern Utah

    Science.gov (United States)

    Bowker, M.A.; Miller, M.E.; Belote, R.T.

    2012-01-01

    Increasingly, dry rangelands are being valued for multiple services beyond their traditional value as a forage production system. Additional ecosystem services include the potential to store carbon in the soil and plant biomass. In addition, dust emissions from rangelands might be considered an ecosystem detriment, the opposite of an ecosystem service. Dust emitted may have far-reaching impacts, for example, reduction of local air quality, as well as altering regional water supplies through effects on snowpack. Using an extensive rangeland monitoring dataset in the greater Canyonlands region (Utah, USA), we developed a method to estimate indices of the provisioning of three ecosystem services (forage production, dust retention, C storage) and one ecosystem property (nativeness), taking into account both ecosystem type and alternative states within that ecosystem type. We also integrated these four indices into a multifunctionality index. Comparing the currently ungrazed Canyonlands National Park watersheds to the adjacent Dugout Ranch pastures, we found clearly higher multifunctionality was attained in the Park, and that this was primarily driven by greater C-storage and better dust retention. It is unlikely to maximize all benefits and minimize all detriments at the same time. Some goods and services may have synergistic interactions; for example, managing for carbon storage will increase plant and biocrust cover likely lowering dust emission. Likewise, some may have antagonistic interactions. For instance, if carbon is consumed as biomass for livestock production, then carbon storage may be reduced. Ultimately our goal should be to quantify the monetary consequences of specific land use practices for multiple ecosystem services and determine the best land use and adaptive management practices for attaining multiple ecosystem services, minimizing economic detriments, and maximizing economic benefits from multi-commodity rangelands. Our technique is the first step

  16. Rangeland management and climate hazards in drylands: dust storms, desertification and the overgrazing debate

    OpenAIRE

    Middleton, N

    2016-01-01

    This paper examines the theory and supporting evidence for links between desertification, drought and dust storms with a particular focus on studies undertaken in and around the Gobi Desert. Overgrazing of rangeland by pastoralists has been the most commonly cited cause of desertification in global drylands for more than 30 years, but the evidence supporting this link is not always convincing. Nonetheless, overgrazing, desertification and dust storms are frequently connected, regardless. Drou...

  17. Transcending Landscapes: Working Across Scales and Levels in Pastoralist Rangeland Governance

    Science.gov (United States)

    Robinson, Lance W.; Ontiri, Enoch; Alemu, Tsegaye; Moiko, Stephen S.

    2017-08-01

    Landscape approaches can be subjected to mistakenly targeting a single "best" level of governance, and paying too little attention to the role that cross-scale and cross-level interactions play in governance. In rangeland settings, resources, patterns of use of those resources, and the institutions for managing the resources exist at multiple levels and scales. While the scholarship on commons offers some guidance on how to conceptualize governance in rangeland landscapes, some elements of commons scholarship—notably the "design principles" for effective governance of commons—do not seem to apply neatly to governance in pastoralist rangeland settings. This paper examines three cases where attempts have been made to foster effective landscape governance in such settings to consider how the materiality of commons influences the nature of cross-scale and cross-level interactions, and how these interactions affect governance. In all three cases, although external actors seemed to work appropriately and effectively at community and landscape levels, landscape governance mechanisms have been facing great challenges arising from relationships beyond the landscape, both vertically to higher levels of decision-making and horizontally to communities normally residing in other landscapes. The cases demonstrate that fostering effective landscape-level governance cannot be accomplished only through action at the landscape level; it is a task that must be pursued at multiple levels and in relation to the connections across scales and levels. The paper suggests elements of a conceptual framework for understanding cross-level and cross-scale elements of landscape governance, and offers suggestions for governance design in pastoralist rangeland settings.

  18. Biomass Increases Go under Cover: Woody Vegetation Dynamics in South African Rangelands

    Science.gov (United States)

    Mograbi, Penelope J.; Knapp, David E.; Martin, Roberta E.; Main, Russell

    2015-01-01

    Woody biomass dynamics are an expression of ecosystem function, yet biomass estimates do not provide information on the spatial distribution of woody vegetation within the vertical vegetation subcanopy. We demonstrate the ability of airborne light detection and ranging (LiDAR) to measure aboveground biomass and subcanopy structure, as an explanatory tool to unravel vegetation dynamics in structurally heterogeneous landscapes. We sampled three communal rangelands in Bushbuckridge, South Africa, utilised by rural communities for fuelwood harvesting. Woody biomass estimates ranged between 9 Mg ha-1 on gabbro geology sites to 27 Mg ha-1 on granitic geology sites. Despite predictions of woodland depletion due to unsustainable fuelwood extraction in previous studies, biomass in all the communal rangelands increased between 2008 and 2012. Annual biomass productivity estimates (10–14% p.a.) were higher than previous estimates of 4% and likely a significant contributor to the previous underestimations of modelled biomass supply. We show that biomass increases are attributable to growth of vegetation biomass increases in the low height classes within the subcanopy, likely a strong resprouting response to intensive harvesting. Yet, fuelwood shortages are still occurring, as evidenced by the losses in the tall tree height class in the high extraction rangeland. Loss of large trees and gain in subcanopy shrubs could result in a structurally simple landscape with reduced functional capacity. This research demonstrates that intensive harvesting can, paradoxically, increase biomass and this has implications for the sustainability of ecosystem service provision. The structural implications of biomass increases in communal rangelands could be misinterpreted as woodland recovery in the absence of three-dimensional, subcanopy information. PMID:25969985

  19. Could payments for environmental services improve rangeland management in Central Asia, West Asia and North Africa?:

    OpenAIRE

    Dutilly-Diane, Celine; McCarthy, Nancy; Turkelboom, Francis; Bruggeman, Adriana; Tiedemann, James; Street, Kenneth; Serra, Gianluca

    2007-01-01

    "Although several institutional and management approaches that address the degradation of the rangelands have been tested in the dry areas of Central and West Asia and North Africa (CWANA), impact has been limited. Nonetheless, the development of National Action Plans to combat desertification highlights the interest of governments to tackle this issue. Payment for Environmental Services (PES) may be a viable policy option, though, to date, most PES programs have focused on the management of ...

  20. Use of new World Health Organization child growth standards to assess how infant malnutrition relates to breastfeeding and mortality

    Science.gov (United States)

    Vesel, Linda; Martines, Jose; Penny, Mary; Bhandari, Nita; Kirkwood, Betty R

    2010-01-01

    Abstract Objective To compare the estimated prevalence of malnutrition using the World Health Organization’s (WHO) child growth standards versus the National Center for Health Statistics’ (NCHS) growth reference, to examine the relationship between exclusive breastfeeding and malnutrition, and to determine the sensitivity and specificity of nutritional status indicators for predicting death during infancy. Methods A secondary analysis of data on 9424 mother–infant pairs in Ghana, India and Peru was conducted. Mothers and infants were enrolled in a trial of vitamin A supplementation during which the infants’ weight, length and feeding practices were assessed regularly. Malnutrition indicators were determined using WHO and NCHS growth standards. Findings The prevalence of stunting, wasting and underweight in infants aged malnutrition in the first 6 months of life. In infants aged Malnutrition indicators determined using WHO standards were better predictors of mortality than those determined using NCHS standards. No association was found between breastfeeding duration and malnutrition at 6 months. Use of WHO child growth standards highlighted the importance of malnutrition in the first 6 months of life. PMID:20428352

  1. ANALYSIS OF THE FACTORS AFFECTING EFFECTIVENESS OF RANGELAND-DEPENDENT DAIRY CATTLE FARMS IN ERZURUM PROVINCE

    Directory of Open Access Journals (Sweden)

    Abdurrahman KARA

    2014-06-01

    Full Text Available With a special emphasis on the rangeland condition, factors affecting effectiveness of the farms were researched inthis study. Study area covers Erzurum Province, Turkey. Villages were purposively selected from those of whichrangeland conditions had been studied previously. Stratified sampling method was employed in determination of thesample size. Data were collected from the randomly selected farmers through face to face interviews, resulted in 99completed questionnaires. Collected data by structured questionnaires were of 2004-2005 production year. Farmswere studied under three farm size groups of 0-12, 12,1-25 and 25+ ha. In analysis of the data stepwise regressionand multiple linear and log-linear regression models were used. As farm success criteria, net product and grossmargin were calculated for every studied farm. According to the results, rangeland condition, stable type, number ofcattle, size of cultivated land, amount of labour per farm and small ruminant flock existence in the village andnumber of small ruminant were found to be the most important factors affecting farm effectiveness. It was concludedthat more robust and long-term studies should be conducted using a wider variation in rangeland condition toconfirm the study findings.

  2. Climate change and land management in the rangelands of central Oregon.

    Science.gov (United States)

    Creutzburg, Megan K; Halofsky, Jessica E; Halofsky, Joshua S; Christopher, Treg A

    2015-01-01

    Climate change, along with exotic species, disturbances, and land use change, will likely have major impacts on sagebrush steppe ecosystems in the western U.S. over the next century. To effectively manage sagebrush steppe landscapes for long-term goals, managers need information about the interacting impacts of climate change, disturbances and land management on vegetation condition. Using a climate-informed state-and-transition model, we evaluated the potential impacts of climate change on rangeland condition in central Oregon and the effectiveness of multiple management strategies. Under three scenarios of climate change, we projected widespread shifts in potential vegetation types over the twenty-first century, with declining sagebrush steppe and expanding salt desert shrub likely by the end of the century. Many extreme fire years occurred under all climate change scenarios, triggering rapid vegetation shifts. Increasing wildfire under climate change resulted in expansion of exotic grasses but also decreased juniper encroachment relative to projections without climate change. Restoration treatments in warm-dry sagebrush steppe were ineffective in containing exotic grass, but juniper treatments in cool-moist sagebrush steppe substantially reduced the rate of juniper encroachment, particularly when prioritized early in the century. Overall, climate-related shifts dominated future vegetation patterns, making management for improved rangeland condition more difficult. Our approach allows researchers and managers to examine long-term trends and uncertainty in rangeland vegetation condition and test the effectiveness of alternative management actions under projected climate change.

  3. Emerging issues and challenges in conservation of biodiversity in the rangelands of Tanzania

    Directory of Open Access Journals (Sweden)

    Jafari Kideghesho

    2013-11-01

    Full Text Available Tanzania rangelands are a stronghold for biodiversity harbouring a variety of animal and plant species of economic, ecological and socio-cultural importance. Efforts to protect these resources against destruction and loss have involved, among other things, setting aside some tracks of land as protected areas in the form of national parks, nature reserves, game reserves, game controlled and wildlife management areas. However, these areas and adjacent lands have long been subjected to a number of emerging issues and challenges, which complicate their management, thus putting the resources at risk of over exploitation and extinction. These issues and challenges include, among other things, government policies, failure of conservation (as a form of land use to compete effectively with alternative land uses, habitat degradation and blockage of wildlife corridors, overexploitation and illegal resource extraction, wildfires, human population growth, poverty, HIV/AIDS pandemic and human-wildlife conflicts. In this paper, we review the emerging issues and challenges in biodiversity conservation by drawing experience from different parts of Tanzania. The paper is based on the premise that, understanding of the issues and challenges underpinning the rangelands is a crucial step towards setting up of plausible objectives, strategies and plans that will improve and lead to effective management of these areas. We conclude by recommending some proactive measures that may enhance the sustainability of the rangeland resources for the benefit of the current and future generations.

  4. Introducing cattle grazing to a noxious weed-dominated rangeland shifts plant communities

    Directory of Open Access Journals (Sweden)

    Josh S. Davy

    2015-10-01

    Full Text Available Invasive weed species in California's rangelands can reduce herbaceous diversity, forage quality and wildlife habitat. Small-scale studies (5 acres or fewer have shown reductions of medusahead and yellow starthistle using prescribed grazing on rangelands, but little is published on the effects of pasture-scale (greater than 80 acres prescribed grazing on weed control and plant community responses. We report the results of a 6-year collaborative study of manager-applied prescribed grazing implemented on rangeland that had not been grazed for 4 years. Grazing reduced medusahead but did not alter yellow starthistle cover. Medusahead reductions were only seen in years that did not have significant late spring rainfall, suggesting that it is able to recover from heavy grazing if soil moisture is present. Later season grazing appears to have the potential to suppress medusahead in all years. In practice, however, such grazing is constrained by livestock drinking water availability and forage quality, which were limited even in years with late spring rainfall. Thus, we expect that grazing treatments under real-world constraints would reduce medusahead only in years with little late spring rainfall. After 10 years of grazing exclusion, the ungrazed plant communities began to shift, replacing medusahead with species that have little value, such as ripgut and red brome.

  5. Fodder Biomass Monitoring in Sahelian Rangelands Using Phenological Metrics from FAPAR Time Series

    Directory of Open Access Journals (Sweden)

    Abdoul Aziz Diouf

    2015-07-01

    Full Text Available Timely monitoring of plant biomass is critical for the management of forage resources in Sahelian rangelands. The estimation of annual biomass production in the Sahel is based on a simple relationship between satellite annual Normalized Difference Vegetation Index (NDVI and in situ biomass data. This study proposes a new methodology using multi-linear models between phenological metrics from the SPOT-VEGETATION time series of Fraction of Absorbed Photosynthetically Active Radiation (FAPAR and in situ biomass. A model with three variables—large seasonal integral (LINTG, length of growing season, and end of season decreasing rate—performed best (MAE = 605 kg·DM/ha; R2 = 0.68 across Sahelian ecosystems in Senegal (data for the period 1999–2013. A model with annual maximum (PEAK and start date of season showed similar performances (MAE = 625 kg·DM/ha; R2 = 0.64, allowing a timely estimation of forage availability. The subdivision of the study area in ecoregions increased overall accuracy (MAE = 489.21 kg·DM/ha; R2 = 0.77, indicating that a relation between metrics and ecosystem properties exists. LINTG was the main explanatory variable for woody rangelands with high leaf biomass, whereas for areas dominated by herbaceous vegetation, it was the PEAK metric. The proposed approach outperformed the established biomass NDVI-based product (MAE = 818 kg·DM/ha and R2 = 0.51 and should improve the operational monitoring of forage resources in Sahelian rangelands.

  6. Climatic and topographical factors affecting the vegetative carbon stock of rangelands in arid and semiarid regions of China

    Science.gov (United States)

    Zhengchao, Ren; Huazhong, Zhu; Shi, Hua; Xiaoni, Liu

    2016-01-01

    Rangeland systems play an important role in ecological stabilization and the terrestrial carbon cycle in arid and semiarid regions. However, little is known about the vegetative carbon dynamics and climatic and topographical factors that affect vegetative carbon stock in these rangelands. Our goal was to assess vegetative carbon stock by examining meteorological data in conjunction with NDVI (normalized difference vegetation index) time series datasets from 2001–2012. An improved CASA (Carnegie Ames Stanford Approach) model was then applied to simulate the spatiotemporal dynamic variation of vegetative carbon stock, and analyze its response to climatic and topographical factors. We estimated the vegetative carbon stock of rangeland in Gansu province, China to be 4.4× 1014 gC, increasing linearly at an annual rate of 9.8×1011 gC. The mean vegetative carbon density of the whole rangeland was 136.5 gC m-2. Vegetative carbon density and total carbon varied temporally and spatially and were highly associated with temperature, precipitation and solar radiation. Vegetative carbon density reached the maximal value on elevation at 2500–3500 m, a slope of >30°and easterly aspect. The effect of precipitation, temperature and solar radiation on the vegetative carbon density of five rangeland types (desert and salinized meadow, steppe, alpine meadow, shrub and tussock, and marginal grassland in the forest) depends on the acquired quantity of water and heat for rangeland plants at all spatial scales. The results of this study provide new evidence for explaining spatiotemporal heterogeneity in vegetative carbon dynamics and responses to global change for rangeland vegetative carbon stock, and offer a theoretical and practical basis for grassland agriculture management in arid and semiarid regions.

  7. A review of interoperability standards in e-Health and imperatives for their adoption in Africa

    CSIR Research Space (South Africa)

    Adebesin, F

    2013-07-01

    Full Text Available The ability of healthcare information systems to share and exchange information (interoperate) is essential to facilitate the quality and effectiveness of healthcare services. Although standardization is considered key to addressing...

  8. 78 FR 54470 - National Committee on Vital and Health Statistics: Meeting Standards Subcommittee

    Science.gov (United States)

    2013-09-04

    ... records and the Meaningful Use program, implementation of national messaging and vocabulary standards for... Use; (4) Quality and Patient Safety; and, (5) Privacy and Security. Contact Person for More...

  9. Quality assurance in health sciences literature searching: applying the ISO 9000 quality standard.

    Science.gov (United States)

    Cullen, R; Mason, D

    1995-09-01

    Medicine is a literature-based discipline. Ensuring that the literature review which precedes a significant piece of medical research has met predetermined standards is essential. A list of items reviewed carries no guarantees that all appropriate items have been included in the survey of the literature, or that appropriate sources have been efficiently searched. This would be a matter for concern in any discipline. In medicine it is a matter of life and death. Quality assurance procedures that offer guarantees of the standards built into the process, rather than quality control which measures only outputs, can provide the necessary reassurance. The ISO 9000 quality standard offers a much needed quality assurance process. A methodology for applying the ISO 9000 standard to the task of searching the medical literature is outlined in this paper. A new role for medical librarians in promoting a rigorous methodology in the literature review equal to that of the research it supports is defined.

  10. Using Green Building As A Model For Making Health Promotion Standard In The Built Environment.

    Science.gov (United States)

    Trowbridge, Matthew J; Worden, Kelly; Pyke, Christopher

    2016-11-01

    The built environment-the constructed physical parts of the places where people live and work-is a powerful determinant of both individual and population health. Awareness of the link between place and health is growing within the public health sector and among built environment decision makers working in design, construction, policy, and both public and private finance. However, these decision makers lack the knowledge, tools, and capacity to ensure that health and well-being are routinely considered across all sectors of the built environment. The green building industry has successfully established environmental sustainability as a normative part of built environment practice, policy making, and investment. We explore the value of this industry's experience as a template for promoting health and well-being in the built environment. Project HOPE—The People-to-People Health Foundation, Inc.

  11. Device interoperability and authentication for telemedical appliance based on the ISO/IEEE 11073 Personal Health Device (PHD) Standards.

    Science.gov (United States)

    Caranguian, Luther Paul R; Pancho-Festin, Susan; Sison, Luis G

    2012-01-01

    In this study, we focused on the interoperability and authentication of medical devices in the context of telemedical systems. A recent standard called the ISO/IEEE 11073 Personal Health Device (X73-PHD) Standards addresses the device interoperability problem by defining common protocols for agent (medical device) and manager (appliance) interface. The X73-PHD standard however has not addressed security and authentication of medical devices which is important in establishing integrity of a telemedical system. We have designed and implemented a security policy within the X73-PHD standards. The policy will enable device authentication using Asymmetric-Key Cryptography and the RSA algorithm as the digital signature scheme. We used two approaches for performing the digital signatures: direct software implementation and use of embedded security modules (ESM). The two approaches were evaluated and compared in terms of execution time and memory requirement. For the standard 2048-bit RSA, ESM calculates digital signatures only 12% of the total time for the direct implementation. Moreover, analysis shows that ESM offers more security advantage such as secure storage of keys compared to using direct implementation. Interoperability with other systems was verified by testing the system with LNI Healthlink, a manager software that implements the X73-PHD standard. Lastly, security analysis was done and the system's response to common attacks on authentication systems was analyzed and several measures were implemented to protect the system against them.

  12. Tests and standards for express-control of physical fitness and health of middle school age pupils

    Directory of Open Access Journals (Sweden)

    Bodnar I.R.

    2016-08-01

    Full Text Available Introduction: to day, physical fitness testing often causes negative emotions in pupils. It results in sharp loss of pupils’ wish to fulfill physical exercises in free time and worsens their health. Possibility to assess health level is an important motivation factor for pupils’ passing physical tests. Objective testing system will form positive motivation for physical exercises’ practicing and will facilitate increase of pupils’ motor functioning. It will also facilitate optimization of their physical condition, improvement of physical fitness and strengthening of health. Material: we tested physical fitness level and made diagnosis of pupils’ functional state (10-15 years’ age; n=85 with the help of tool methodic. We also used regressive analysis. Results: the system of tests and standards for express-control over physical fitness and health of middle school age pupils has been worked out and substantiated. The system of tests envisages fulfillment of 4 exercises: back pressing ups on bench during 20 seconds; throwing and catching of ball with two hands from wall during 30 seconds; side bending; torso rising from lying position into sitting during 30 seconds. Integral indicator of pupils’ physical fitness and health correlates with functional state of organism’s leading systems. We worked out 5 levels’ scale for express-control over physical fitness and health of middle school age pupils. The system stipulates calculation of integrative indicator with the help of regression equation by results of 4 test exercises and calculation of one index. Conclusions: The system of tests and standards permits the following: to divide pupils into relatively uniform groups even at the beginning of academic year for successful reasonable physical load. The system also permits to determine standard and find what shall be strived for by a pupil in order to achieve optimal physical fitness and somatic state; to motivate relatively weakly

  13. Conscientious objection to sexual and reproductive health services: international human rights standards and European law and practice.

    Science.gov (United States)

    Zampas, Christina; Andión-Ibañez, Ximena

    2012-06-01

    The practice of conscientious objection often arises in the area of individuals refusing to fulfil compulsory military service requirements and is based on the right to freedom of thought, conscience and religion as protected by national, international and regional human rights law. The practice of conscientious objection also arises in the field of health care, when individual health care providers or institutions refuse to provide certain health services based on religious, moral or philosophical objections. The use of conscientious objection by health care providers to reproductive health care services, including abortion, contraceptive prescriptions, and prenatal tests, among other services is a growing phenomena throughout Europe. However, despite recent progress from the European Court of Human Rights on this issue (RR v. Poland, 2011), countries and international and regional bodies generally have failed to comprehensively and effectively regulate this practice, denying many women reproductive health care services they are legally entitled to receive. The Italian Ministry of Health reported that in 2008 nearly 70% of gynaecologists in Italy refuse to perform abortions on moral grounds. It found that between 2003 and 2007 the number of gynaecologists invoking conscientious objection in their refusal to perform an abortion rose from 58.7 percent to 69.2 percent. Italy is not alone in Europe, for example, the practice is prevalent in Poland, Slovakia, and is growing in the United Kingdom. This article outlines the international and regional human rights obligations and medical standards on this issue, and highlights some of the main gaps in these standards. It illustrates how European countries regulate or fail to regulate conscientious objection and how these regulations are working in practice, including examples of jurisprudence from national level courts and cases before the European Court of Human Rights. Finally, the article will provide recommendations

  14. Population Health Metrics Research Consortium gold standard verbal autopsy validation study: design, implementation, and development of analysis datasets

    Directory of Open Access Journals (Sweden)

    Ohno Summer

    2011-08-01

    Full Text Available Abstract Background Verbal autopsy methods are critically important for evaluating the leading causes of death in populations without adequate vital registration systems. With a myriad of analytical and data collection approaches, it is essential to create a high quality validation dataset from different populations to evaluate comparative method performance and make recommendations for future verbal autopsy implementation. This study was undertaken to compile a set of strictly defined gold standard deaths for which verbal autopsies were collected to validate the accuracy of different methods of verbal autopsy cause of death assignment. Methods Data collection was implemented in six sites in four countries: Andhra Pradesh, India; Bohol, Philippines; Dar es Salaam, Tanzania; Mexico City, Mexico; Pemba Island, Tanzania; and Uttar Pradesh, India. The Population Health Metrics Research Consortium (PHMRC developed stringent diagnostic criteria including laboratory, pathology, and medical imaging findings to identify gold standard deaths in health facilities as well as an enhanced verbal autopsy instrument based on World Health Organization (WHO standards. A cause list was constructed based on the WHO Global Burden of Disease estimates of the leading causes of death, potential to identify unique signs and symptoms, and the likely existence of sufficient medical technology to ascertain gold standard cases. Blinded verbal autopsies were collected on all gold standard deaths. Results Over 12,000 verbal autopsies on deaths with gold standard diagnoses were collected (7,836 adults, 2,075 children, 1,629 neonates, and 1,002 stillbirths. Difficulties in finding sufficient cases to meet gold standard criteria as well as problems with misclassification for certain causes meant that the target list of causes for analysis was reduced to 34 for adults, 21 for children, and 10 for neonates, excluding stillbirths. To ensure strict independence for the validation of

  15. 77 FR 72998 - Policy Statement on Occupational Safety and Health Standards for Aircraft Cabin Crewmembers

    Science.gov (United States)

    2012-12-07

    ... a proposed policy statement regarding the regulation of some occupational safety and health...). This policy statement will enhance occupational safety and health in the aircraft cabin by establishing... Federal Aviation Administration 14 CFR Parts 91, 121, 125 and 135 Policy Statement on Occupational Safety...

  16. The Relationship between Using Electronic Health Records and Meeting Accreditation Standards for Client Safety in Residential Aged Care Homes.

    Science.gov (United States)

    Jiang, Tao; Yu, Ping

    2015-01-01

    This study aims to identify the benefits of using electronic health records (EHR) for client safety in residential aged care (RAC) homes. The aged care accreditation reports published between 27 April 2011 and 3 December 2013 were downloaded and analysed. It could be seen from these reports that only 1,031(37.45%) RAC homes in Australia had adopted an EHR system by 2013. 13 RAC homes failed one or more accreditation standards. Only one of these was using an EHR system and this one met the accreditation standards on information systems. Our study provides empirical evidence to suggest that adopting and using EHR can be one of the effective organisational mechanisms to meeting accreditation standards in RAC homes.

  17. Mapping the route to medication therapy management documentation and billing standardization and interoperabilility within the health care system: meeting proceedings.

    Science.gov (United States)

    Millonig, Marsha K

    2009-01-01

    To convene a diverse group of stakeholders to discuss medication therapy management (MTM) documentation and billing standardization and its interoperability within the health care system. More than 70 stakeholders from pharmacy, health information systems, insurers/payers, quality, and standard-setting organizations met on October 7-8, 2008, in Bethesda, MD. The American Pharmacists Association (APhA) organized the invitational conference to facilitate discussion on strategic directions for meeting current market need for MTM documentation and billing interoperability and future market needs for MTM integration into electronic health records (EHRs). APhA recently adopted policy that specifically addresses technology barriers and encourages the use and development of standardized systems for the documentation and billing of MTM services. Day 1 of the conference featured six foundational presentations on health information technology (HIT) trends, perspectives on MTM from the profession and the Centers for Medicare & Medicaid Services, health care quality and medication-related outcome measures, integrating MTM workflow in EHRs, and the current state of MTM operalization in practice. After hearing presentations on day 1 and having the opportunity to pose questions to each speaker, conference participants were divided into three breakout groups on day 2. Each group met three times for 60 minutes each and discussed five questions from the perspective of a patient, provider, or payer. Three facilitators met with each of the groups and led discussion from one perspective (i.e., patient, provider, payer). Participants then reconvened as a complete group to participate in a discussion on next steps. HIT is expected to assist in delivering safe, effective, efficient, coordinated care as health professionals strive to improve the quality of care and outcomes for individual patients. The pharmacy profession is actively contributing to quality patient care through MTM services

  18. Training Family Medicine Residents in Effective Communication Skills While Utilizing Promotoras as Standardized Patients in OSCEs: A Health Literacy Curriculum

    Directory of Open Access Journals (Sweden)

    Patti Pagels

    2015-01-01

    Full Text Available Introduction. Future health care providers need to be trained in the knowledge and skills to effectively communicate with their patients with limited health literacy. The purpose of this study is to develop and evaluate a curriculum designed to increase residents’ health literacy knowledge, improve communication skills, and work with an interpreter. Materials and Methods. Family Medicine residents N=25 participated in a health literacy training which included didactic lectures and an objective structured clinical examination (OSCE. Community promotoras acted as standardized patients and evaluated the residents’ ability to measure their patients’ health literacy, communicate effectively using the teach-back and Ask Me 3 methods, and appropriately use an interpreter. Pre- and postknowledge, attitudes, and postdidactic feedback were obtained. We compared OSCE scores from the group that received training (didactic group and previous graduates. Residents reported the skills they used in practice three months later. Results. Family Medicine residents showed an increase in health literacy knowledge p=0.001 and scored in the adequately to expertly performed range in the OSCE. Residents reported using the teach-back method (77.8% and a translator more effectively (77.8% three months later. Conclusions. Our innovative health literacy OSCE can be replicated for medical learners at all levels of training.

  19. Training Family Medicine Residents in Effective Communication Skills While Utilizing Promotoras as Standardized Patients in OSCEs: A Health Literacy Curriculum.

    Science.gov (United States)

    Pagels, Patti; Kindratt, Tiffany; Arnold, Danielle; Brandt, Jeffrey; Woodfin, Grant; Gimpel, Nora

    2015-01-01

    Introduction. Future health care providers need to be trained in the knowledge and skills to effectively communicate with their patients with limited health literacy. The purpose of this study is to develop and evaluate a curriculum designed to increase residents' health literacy knowledge, improve communication skills, and work with an interpreter. Materials and Methods. Family Medicine residents (N = 25) participated in a health literacy training which included didactic lectures and an objective structured clinical examination (OSCE). Community promotoras acted as standardized patients and evaluated the residents' ability to measure their patients' health literacy, communicate effectively using the teach-back and Ask Me 3 methods, and appropriately use an interpreter. Pre- and postknowledge, attitudes, and postdidactic feedback were obtained. We compared OSCE scores from the group that received training (didactic group) and previous graduates. Residents reported the skills they used in practice three months later. Results. Family Medicine residents showed an increase in health literacy knowledge (p = 0.001) and scored in the adequately to expertly performed range in the OSCE. Residents reported using the teach-back method (77.8%) and a translator more effectively (77.8%) three months later. Conclusions. Our innovative health literacy OSCE can be replicated for medical learners at all levels of training.

  20. Particulate Air Pollution and Health: Emerging Issues and Research Needs Related to the Development of Air Quality Standards

    Directory of Open Access Journals (Sweden)

    Patrick A Hessel

    1997-01-01

    Full Text Available The health effects of particulate air pollution were highlighted at the Eighth Annual Conference of the International Society for Environmental Epidemiology, held in Edmonton, Alberta in August 1996. Despite consistent evidence for adverse respiratory and cardiovascular health effects related to particulate air pollution, there are significant gaps in the knowledge of the mechanisms whereby particulate air pollution affects human health. Questions regarding the appropriate measure of dose for assessing exposures relevant to health outcomes and the methods used to analyze dose-response data remain unanswered. Health effects have been demonstrated across the range of exposures that have been examined, and further research in low exposure settings is necessary to explore the lower end of the dose-response curve. Although a significant body of literature has been generated, comprehensive risk assessments have not been undertaken. Examination of the chronic effects of particulate air pollution and identification of high risk populations are necessary. Although there are significant unanswered questions regarding the health effects of particulate air pollution, the available information suggests that particulate air pollution at levels consistent with current standards is associated with measurable health effects.

  1. Struggles of professionalism and emotional labour in standardized mental health care

    DEFF Research Database (Denmark)

    Kamp, Annette; Dybbroe, Betina

    2016-01-01

    This article points out how recent public sector reforms under headings as New Public Management, Lean and Quality Reforms entail different forms for standardization, and examines how this development instigates a transformation of interdisciplinary and highly skilled emotional labor in mental...... healthcare. It is based on an ethnographic study of a Danish child psychiatric unit, which ‘produces’ diagnoses and treatment/therapy for children and their families. We illustrate how the enforcement of standardization upsets the balance between the humanistic and medical aspects of psychiatry...... standardization, highly skilled emotional labor unfolds. We point out how acceleration and leaning of work procedures increases the emotional labor in relation to clients, partners, and colleagues. But paradoxically, at the same time, emotional labor becomes still more invisible as it is excluded from...

  2. The optimal negligence standard in health care under supply-side cost sharing.

    Science.gov (United States)

    Olbrich, Anja

    2008-06-01

    This paper elaborates on the optimal negligence standard in a world where physicians choose their level of care subject to erroneous court judgements and to the degree of supply-side cost sharing. Uncertain liability in malpractice lawsuits leads physicians to provide excessive and insufficient care, which results in a loss of social welfare. The standard that maximizes welfare depends on the cost share: Under traditional, close to full cost reimbursement it is lower than the first-best level of care, while under substantial supply-side cost sharing it increases and may even exceed the first best.

  3. Recommendation of standardized health learning contents using archetypes and semantic web technologies.

    Science.gov (United States)

    Legaz-García, María del Carmen; Martínez-Costa, Catalina; Menárguez-Tortosa, Marcos; Fernández-Breis, Jesualdo Tomás

    2012-01-01

    Linking Electronic Healthcare Records (EHR) content to educational materials has been considered a key international recommendation to enable clinical engagement and to promote patient safety. This would suggest citizens to access reliable information available on the web and to guide them properly. In this paper, we describe an approach in that direction, based on the use of dual model EHR standards and standardized educational contents. The recommendation method will be based on the semantic coverage of the learning content repository for a particular archetype, which will be calculated by applying semantic web technologies like ontologies and semantic annotations.

  4. Barriers & challenges to the adoption of E-Health standards in Africa

    CSIR Research Space (South Africa)

    Adebesin, F

    2013-07-01

    Full Text Available healthcare expenditure per GDP in 2010 was 11.3%; Italy’s was 9.6% while Iceland spent 9.3% of its GDP on healthcare. South Africa’s national healthcare expendi- ture accounts for 8.5% of its GDP [41] while Sierra Leo- ne has the highest healthcare...-annually. There are significant cultural and environmental differ- ences between developed and developing nations. Low level representation of African countries in standards development means that the continent’s ability to influ- ence the development of standards that address...

  5. An Assessment of Productivity Patterns of Grass-Dominated Rangelands in the Hindu Kush Karakoram Region, Pakistan

    Directory of Open Access Journals (Sweden)

    Faisal Mueen Qamer

    2016-09-01

    Full Text Available Rangelands in the Hindu Kush Karakoram region provide a resource base for nomadic livestock grazing, which is one of the major traditional livelihood practices in the area. The present study assessed the spatiotemporal patterns and trends of rangelands using satellite remote-sensing time-series data. Moderate resolution imaging spectroradiometer (MODIS-based normalized difference vegetation index (NDVI data, collected at fortnightly intervals over 12 years (2001–2012, were used as a proxy for the vegetation conditions of the grasslands. The analysis revealed that rangeland productivity increased with increasing elevation up to the sub-alpine zone, which had a higher productivity than the moist temperate zone and humid sub-tropical zone. The high sub-alpine productivity was attributed to seasonal amplitude and the extended length of the growing season in the phenological cycle. In the temporal analysis of productivity, the majority of the area exhibited improvements in vegetation conditions, which were strongest in the humid sub-tropical zones and weakest in the alpine zones. The sub-alpine grasslands were found to be the most productive and heterogeneous habitat; however, the relatively strong negative temporal trend in productivity in this zone indicates ongoing degradation in these rangelands. Thus, special attention is needed for the sustainable management of rangelands in the sub-alpine zones of the Hindu Kush Karakoram region.

  6. Relationship Between Forage Allowance and Grazing Efficiency in the Great Plains: Implications for Managing Rangelands for Both Livestock Production and Desired Ecosystem Goods and Services

    Science.gov (United States)

    Emergence of desired ecosystem goods and services from rangelands as a societal benefit and a potential income source for land managers has implications regarding the management of plant communities traditionally used primarily for livestock production. Contemporary decision-making on rangelands in ...

  7. Fact Sheet: Revisions to the Occupational Safety and Health Administration Hazard Communication Standards (HCS)

    Science.gov (United States)

    On March 26, 2012, Occupational Safety and Health Administration (OSHA) modified its HCS to conform to the United Nations’ (UN) Globally Harmonized System of Classification and Labeling of Chemicals (GHS), to improve consistency and quality of information.

  8. Addiction Competencies in the 2009 CACREP Clinical Mental Health Counseling Program Standards

    Science.gov (United States)

    Lee, Tiffany K.; Craig, Stephen E.; Fetherson, Bianca T. L.; Simpson, C. Dennis

    2013-01-01

    The Council for Accreditation of Counseling and Related Educational Programs developed addiction competencies for clinical mental health counseling students. This article highlights these competencies, provides an overview of current addiction training, and describes methods to integrate addiction education into curricula.

  9. 75 FR 2013 - Health Information Technology: Initial Set of Standards, Implementation Specifications, and...

    Science.gov (United States)

    2010-01-13

    ... priority conditions, patient access to self management tools, access to comprehensive patient data and... * * * collection of quality data and public reporting,'' ``telemedicine,'' and ``technologies that help reduce... Information Standards OCR Office for Civil Rights OIG Office of Inspector General OMB Office of Management and...

  10. Race, Color-Blind Racial Attitudes, and Judgments About Mental Health: A Shifting Standards Perspective

    Science.gov (United States)

    Gushue, George V.

    2004-01-01

    A fictitious counseling center intake report was given to a sample of 158 White graduate students in counseling and clinical psychology to examine the impact of reported client race (Black or White) on perceptions of clients' symptom severity. As predicted by the shifting standards model of social judgment (M. Biernat, M. Manis, & T. E. Nelson,…

  11. 77 FR 34044 - National Committee on Vital and Health Statistics: Meeting Standards Subcommittee

    Science.gov (United States)

    2012-06-08

    ... Hilton Hotel Silver Spring, 8727 Colesville Road, Silver Spring, Maryland 20910, Tel: 1-301-589-5200. Status: Open. Purpose: The purpose of the hearing is to receive an update from industry on the... Standards Maintenance Organization (DSMO), and industry preparations for the first set of operating rules...

  12. Evaluating Standards-Based Assessment Rubrics in a Postgraduate Public Health Subject

    Science.gov (United States)

    Kite, James; Phongsavan, Philayrath

    2017-01-01

    Standards-based assessment rubrics are recognised as an important tool for ensuring clear criteria in higher education. Most of the available evidence on rubrics comes from studies with face-to-face undergraduate students. Our study evaluated the introduction of rubrics into a postgraduate subject that included both online and face-to-face…

  13. Evaluation of Health Surveillance in the Zona da Mata Mineira: from standards to practice.

    Science.gov (United States)

    Donateli, Cíntia Pereira; Avelar, Patrícia Silva; Einloft, Ariadne Barbosa do Nascimento; Cotta, Rosângela Minardi Mitre; Costa, Glauce Dias da

    2017-10-01

    Health Surveillance is of paramount importance when confronted with the current Brazilian epidemiological setting. This study aims to evaluate the level of Health Surveillance in the Zona da Mata Mineira region. This is an evaluative study, and data were collected in the first half of 2016. The research universe consisted of seven municipalities in the Zona da Mata Mineira complex. Municipalities were selected with reference to available operational epidemiological, environmental and sanitary surveillance. The subjects under analysis were the Surveillance coordinators (n = 21), Health Surveillance coordinators (n = 7) and Health secretaries (n = 7). We conducted interviews using a semi-structured and elaborated questionnaire based on the Donabedian triad: Structure, Process and Outcome. A score system was established in order to obtain the classification of performance, realm and sub-realms, in which a score was assigned for each criterion. We used incipient, intermediate or advanced cutoff points to classify the level of Health Surveillance of scores were below 5.99 points, between 6.0 and 7.99 points and between 8 and 10 points, respectively. The level of regional Health Surveillance performance level was classified as an intermediate.

  14. A preliminary taxonomy and a standard knowledge base for mental-health system indicators in Spain

    Directory of Open Access Journals (Sweden)

    Gibert Karina

    2010-12-01

    Full Text Available Abstract Background There are many sources of information for mental health indicators but we lack a comprehensive classification and hierarchy to improve their use in mental health planning. This study aims at developing a preliminary taxonomy and its related knowledge base of mental health indicators usable in Spain. Methods A qualitative method with two experts panels was used to develop a framing document, a preliminary taxonomy with a conceptual map of health indicators, and a knowledge base consisting of key documents, glossary and database of indicators with an evaluation of their relevance for Spain. Results A total of 661 indicators were identified and organised hierarchically in 4 domains (Context, Resources, Use and Results, 12 subdomains and 56 types. Among these the expert panels identified 200 indicators of relevance for the Spanish system. Conclusions The classification and hierarchical ordering of the mental health indicators, the evaluation according to their level of relevance and their incorporation into a knowledge base are crucial for the development of a basic list of indicators for use in mental health planning.

  15. Zimbabwe's Human Resources for health Information System (ZHRIS)-an assessment in the context of establishing a global standard.

    Science.gov (United States)

    Waters, Keith P; Zuber, Alexandra; Simbini, Tungamirirai; Bangani, Zwashe; Krishnamurthy, Ramesh S

    2017-04-01

    There have been numerous global calls to action to utilize human resources information systems (HRIS) to improve the availability and quality of data for strengthening the regulation and deployment of health workers. However, with no normative guidance in existence, the development of HRIS has been inconsistent and lacking in standardization, hindering the availability and use of data for health workforce planning and decision making (Riley et al., 2012). CDC and WHO partnered with the Ministry of Health in several countries to conduct HRIS functional requirements analyses and establish a Minimum Data Set (MDS) of elements essential for a global standard HRIS. As a next step, CDC advanced a study to examine the alignment of one of the HRIS it supports (in Zimbabwe) against this MDS. For this study, we created a new data collection and analysis tool to assess the extent to which Zimbabwe's CDC-supported HRIS was aligned with the WHO MDS. We performed systematic "gap analyses" in order to make prioritized recommendations for addressing the gaps, with the aim of improving the availability and quality of data on Zimbabwe's health workforce. The majority of the data elements outlined in the WHO MDS were present in the ZHRIS databases, though they were found to be missing various applicable elements. The lack of certain elements could impede functions such as health worker credential verification or equitable in-service training allocation. While the HRIS MDS treats all elements equally, our assessment revealed that not all the elements have equal significance when it comes to data utilization. Further, some of the HRIS MDS elements exceeded the current needs of regulatory bodies and the Ministry of Health and Child Care (MOHCC) in Zimbabwe. The preliminary findings of this study helped inspire the development of a more recent HRH Registry MDS subset, which is a shorter list of priority data elements recommended as a global standard for HRIS. The field-tested assessment

  16. A Walk in My Shoes: Using Art to Explore the Lived Experience of Psychiatric-Mental Health Standardized Patients.

    Science.gov (United States)

    Webster, Debra; Jarosinski, Judith M

    2017-08-01

    Use of standardized patients (SPs) to teach mental health nursing skills is increasing. Although the literature regarding the effectiveness of this teaching strategy supports its use, information regarding the effect of portraying mental illness on SPs is lacking. Using a qualitative approach incorporating art as expression, this effect was examined. Five SPs created an artistic expression to describe their work portraying an individual with mental illness while working with senior nursing students enrolled in a psychiatric-mental health clinical nursing course. Themes identified include: (a) Walking the Walk, (b) Listen to Me, (c) See Me as a Person, and (d) Letting it Get to Me. Immersion into the role of the SP with mental illness affects actors. The current article offers best practice approaches to address psychological implications for SPs portraying mental illness. [Journal of Psychosocial Nursing and Mental Health Services, 55(8), 39-47.]. Copyright 2017, SLACK Incorporated.

  17. Home-centered health-enabling technologies and regional health information systems. An integration approach based on international standards.

    Science.gov (United States)

    Gietzelt, M; von Bargen, T; Kohlmann, M; Marschollek, M; Schwartze, J; Song, B; Wagner, M; Wolf, K-H; Haux, R

    2014-01-01

    This article is part of the Focus Theme of Methods of Information in Medicine on "Using Data from Ambient Assisted Living and Smart Homes in Electronic Health Records". In this paper, we present a prototype of a Home-Centered Health-Enabling Technology (HET-HC), which is able to capture, store, merge and process data from various sensor systems at people's home. In addition, we present an architecture designed to integrate HET-HC into an exemplary regional Health Information System (rHIS). rHIS are traditionally document-based to fit to the needs in a clinical context. However, HET-HC are producing continuous data streams for which documents might be an inappropriate representation. Therefore, the HET-HC could register placeholder-documents at rHIS. These placeholder-documents are assembled upon user-authenticated request by the HET-HC and are always up-to-date. Moreover, it is not trivial to find a clinical coding system for continuous sensor data and to make the data machine-readable in order to enhance the interoperability of such systems. Therefore, we propose the use of SNOCAP-HET, which is a nomenclature to describe the context of sensor-based measurements in health-enabling technologies. We present an architectural approach to integrate HET-HC into rHIS. Our solution is the centralized registration of placeholder-documents with rHIS and the decentralized data storage at people's home. We concluded that the presented architecture of integrating HET-HC into rHIS might fit well to the traditional approach of document-based data storage. Data security and privacy issues are also duly considered.

  18. A Standard Mutual Authentication Protocol for Cloud Computing Based Health Care System.

    Science.gov (United States)

    Mohit, Prerna; Amin, Ruhul; Karati, Arijit; Biswas, G P; Khan, Muhammad Khurram

    2017-04-01

    Telecare Medical Information System (TMIS) supports a standard platform to the patient for getting necessary medical treatment from the doctor(s) via Internet communication. Security protection is important for medical records (data) of the patients because of very sensitive information. Besides, patient anonymity is another most important property, which must be protected. Most recently, Chiou et al. suggested an authentication protocol for TMIS by utilizing the concept of cloud environment. They claimed that their protocol is patient anonymous and well security protected. We reviewed their protocol and found that it is completely insecure against patient anonymity. Further, the same protocol is not protected against mobile device stolen attack. In order to improve security level and complexity, we design a light weight authentication protocol for the same environment. Our security analysis ensures resilience of all possible security attacks. The performance of our protocol is relatively standard in comparison with the related previous research.

  19. Standardized assessment of psychosocial factors and their influence on medically confirmed health outcomes in workers: a systematic review.

    Science.gov (United States)

    Rosário, Susel; Fonseca, João A; Nienhaus, Albert; da Costa, José Torres

    2016-01-01

    Previous studies of psychosocial work factors have indicated their importance for workers' health. However, to what extent health problems can be attributed to the nature of the work environment or other psychosocial factors is not clear. No previous systematic review has used inclusion criteria based on specific medical evaluation of work-related health outcomes and the use of validated instruments for the assessment of the psychosocial (work) environment. The aim of this systematic review is to summarize the evidence assessing the relationship between the psychosocial work environment and workers' health based on studies that used standardized and validated instruments to assess the psychosocial work environment and that focused on medically confirmed health outcomes. A systematic review of the literature was carried out by searching the databases PubMed, B-ON, Science Direct, Psycarticles, Psychology and Behavioral Sciences Collection and the search engine (Google Scholar) using appropriate words for studies published from 2004 to 2014. This review follows the recommendations of the Statement for Reporting Systematic Reviews (PRISMA). Studies were included in the review if data on psychosocial validated assessment method(s) for the study population and specific medical evaluation of health-related work outcome(s) were presented. In total, the search strategy yielded 10,623 references, of which 10 studies (seven prospective cohort and three cross-sectional) met the inclusion criteria. Most studies (7/10) observed an adverse effect of poor psychosocial work factors on workers' health: 3 on sickness absence, 4 on cardiovascular diseases. The other 3 studies reported detrimental effects on sleep and on disease-associated biomarkers. A more consistent effect was observed in studies of higher methodological quality that used a prospective design jointly with the use of validated instruments for the assessment of the psychosocial (work) environment and clinical

  20. THE IMPORTANCE OF BUREAUCRACY STRUCTURE FACTOR IN THE IMPLEMENTATION OF MINIMUM STANDARD OF HEALTH SERVICE IN CENTRAL JAVA PROVINCE, INDONESIA

    Directory of Open Access Journals (Sweden)

    Mardianti N.I.

    2017-11-01

    Full Text Available This paper examines the phenomenon of incompatibility of the institutional structure of Regional Public Hospital which causes the disruption of the achievement of Minimum Service Standards (MSS indicator in the health sector, especially maternal health in the Provincial Government of Central Java. In Central Java, the largest number of maternal mortality rate was in the hospital in 2015 amounted to 85.71%. Meanwhile, the coverage rate of delivery assisted by health personnel in accordance with the indicator of MSS is 98.09%. In 2015, Central Java is the province with the second highest national of maternal mortality rate case amounted to 619 cases. The Provincial Government as the coordinator of MSS implementation in the region through the Bureau of Pemotda and the Cooperation of Regional Secretariat of Central Java has a significant role in the successful implementation of the Regulation of Minister of Health 43/2016 on MSS in Health Sector. In which MSS has a function to observe the implementation of health program in the region. This research uses a qualitative approach, the type of research is a case study and interactive model analysis from Miles, Huberman, and Saldana. The results of the analysis show that the implementation process of the policy in Bureau of Pemotda and the Cooperation of Regional Secretariat of Central Java has not run well obstructed by bureaucratic structure factor. It can be seen from the unfulfilled policy objective which is to provide convenience to local government in the preparation of planning document on the achievement of health MSS indicator. Although health MSS is achieved, it will not be able to reduce the maternal mortality rate.

  1. Critical features of an auditable management system for an ISO 9000-compatible occupational health and safety standard.

    Science.gov (United States)

    Levine, S; Dyjack, D T

    1997-04-01

    An International Organization for Standardization (ISO) 9001: 1994-harmonized occupational health and safety (OHS) management system has been written at the University of Michigan, and reviewed, revised, and accepted under the direction of the American Industrial Hygiene Association (AIHA) Occupational Health and Safety Management Systems (OHSMS) Task Force and the Board of Directors. This system is easily adaptable to the ISO 14001 format and to both OHS and environmental management system applications. As was the case with ISO 9001: 1994, this system is expected to be compatible with current production quality and OHS quality systems and standards, have forward compatibility for new applications, and forward flexibility, with new features added as needed. Since ISO 9001: 1987 and 9001: 1994 have been applied worldwide, the incorporation of harmonized OHS and environmental management system components should be acceptable to business units already performing first-party (self-) auditing, and second-party (contract qualification) auditing. This article explains the basis of this OHS management system, its relationship to ISO 9001 and 14001 standards, the philosophy and methodology of an ISO-harmonized system audit, the relationship of these systems to traditional OHS audit systems, and the authors' vision of the future for application of such systems.

  2. 78 FR 52848 - Occupational Safety and Health Standards for Aircraft Cabin Crewmembers

    Science.gov (United States)

    2013-08-27

    ... address flight deck crew safety and health issues, such as fatigue, heat, chemical exposure, laser strikes, cosmic radiation, ozone exposure, contagious diseases, contamination of oxygen masks, and noise on the... does not apply to them. NATA asked for clarification of how the policy would affect personnel who work...

  3. Preconception Care: A New Standard of Care within Maternal Health Services.

    Science.gov (United States)

    Genuis, Stephen J; Genuis, Rebecca A

    2016-01-01

    Emerging research suggests that much pediatric affliction has origins in the vulnerable phase of fetal development. Prenatal factors including deficiency of various nutrients and exposure to assorted toxicants are major etiological determinants of myriad obstetrical complications, pediatric chronic diseases, and perhaps some genetic mutations. With recent recognition that modifiable environmental determinants, rather than genetic predestination, are the etiological source of most chronic illness, modification of environmental factors prior to conception offers the possibility of precluding various mental and physical health conditions. Environmental and lifestyle modification through informed patient choice is possible but evidence confirms that, with little to no training in clinical nutrition, toxicology, or environmental exposures, most clinicians are ill-equipped to counsel patients about this important area. With the totality of available scientific evidence that now exists on the potential to modify disease-causing gestational determinants, failure to take necessary precautionary action may render members of the medical community collectively and individually culpable for preventable illness in children. We advocate for environmental health education of maternity health professionals and the widespread adoption and implementation of preconception care. This will necessitate the translation of emerging knowledge from recent research literature, to health professionals, to reproductive-aged women, and to society at large.

  4. Preconception Care: A New Standard of Care within Maternal Health Services

    Directory of Open Access Journals (Sweden)

    Stephen J. Genuis

    2016-01-01

    Full Text Available Emerging research suggests that much pediatric affliction has origins in the vulnerable phase of fetal development. Prenatal factors including deficiency of various nutrients and exposure to assorted toxicants are major etiological determinants of myriad obstetrical complications, pediatric chronic diseases, and perhaps some genetic mutations. With recent recognition that modifiable environmental determinants, rather than genetic predestination, are the etiological source of most chronic illness, modification of environmental factors prior to conception offers the possibility of precluding various mental and physical health conditions. Environmental and lifestyle modification through informed patient choice is possible but evidence confirms that, with little to no training in clinical nutrition, toxicology, or environmental exposures, most clinicians are ill-equipped to counsel patients about this important area. With the totality of available scientific evidence that now exists on the potential to modify disease-causing gestational determinants, failure to take necessary precautionary action may render members of the medical community collectively and individually culpable for preventable illness in children. We advocate for environmental health education of maternity health professionals and the widespread adoption and implementation of preconception care. This will necessitate the translation of emerging knowledge from recent research literature, to health professionals, to reproductive-aged women, and to society at large.

  5. Health and Job-Specific Body Composition Standards for the US Air Force. Volume 1

    Science.gov (United States)

    2000-01-18

    diabetes mellitus, heart disease, high blood pressure, osteoarthritis , and some cancers (Nieman, 1998). Those with excess accumulation of abdominal fat...measurement for sports and health courses (1st Ed.). Sydney, Australia : UNSW Press. Palmer, B., Carroll, J.W., & Mirza, A.T. (1998). A review of

  6. 78 FR 12833 - Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits...

    Science.gov (United States)

    2013-02-25

    ... FEHBP Federal Employees Health Benefits Program FSA Flexible Spending Arrangement HEDIS Healthcare... silver plan, 80 percent for a gold plan, and 90 percent for a platinum plan. These AVs, called ``metal..., 45 CFR 147.140. We believe there are two alternative reads of the statute that give strong textual...

  7. 77 FR 11001 - Small Business Size Standards: Health Care and Social Assistance

    Science.gov (United States)

    2012-02-24

    ... (Nursing and Residential Care Facilities) were part of SIC Major Industry Group 80, Health Services, while... changes, growth trends, SBA financial assistance, other program factors, etc.). SBA also considers the....0 $1,708.4 $35.5 $34.5 Substance Abuse) Hospitals $35.5 $30.0 $35.5 ] 623110--Nursing Care...

  8. Addressing the NASM health and safety standard through curricular changes in a brass methods course: an outcome study.

    Science.gov (United States)

    Laursen, Amy; Chesky, Kris

    2014-09-01

    The National Association of Schools of Music (NASM) recently ratified a new health and safety standard requiring schools of music to inform students about health concerns related to music. While organizations such as the Performing Arts Medicine Association have developed advisories, the exact implementation is the prerogative of the institution. One possible approach is to embed health education activities into existing methods courses that are routinely offered to music education majors. This may influence student awareness, knowledge, and the perception of competency and responsibility for addressing health risks associated with learning and performing musical instruments. Unfortunately, there are no known lesson plans or curriculum guides for supporting such activities. Therefore, the purpose of this study is to (1) develop course objectives and content that can be applied to a preexisting brass methods course, (2) implement course objectives into a semester-long brass methods course, and (3) test the effectiveness of this intervention on students' awareness, knowledge, perception of competency, and responsibly of health risks that are related to learning and performing brass instruments. Results showcase the potential for modifying methods courses without compromising the other objectives of the course. Additionally, students' awareness, knowledge, perception of competency, and responsibility were positively influenced as measured by changes in pre to post responses to survey group questions.

  9. Are more restrictive food cadmium standards justifiable health safety measures or opportunistic barriers to trade? An answer from economics and public health

    Energy Technology Data Exchange (ETDEWEB)

    Figueroa B, Eugenio [Department of Economics and National Center for the Environment (CENMA), Universidad de Chile, Diagonal Paraguay 257, Of. 1604, Santiago (Chile)], E-mail: efiguero@cenma.cl

    2008-01-15

    In the past, Cd regulations have imposed trade restrictions on foodstuffs from some developing countries seeking to access markets in the developed world and in recent years, there has been a trend towards imposing more rigorous standards. This trend seems to respond more to public and private sectors strategies in some developed countries to create disguised barriers to trade and to improve market competitiveness for their industries, than to scientifically justified health precautions (sanitary and phytosanitary measures) and/or technical barriers to trade acceptable under the Uruguay Round Agreement of the WTO. Applying more rigorous Cd standards in some developed countries will not only increase production costs in developing countries but it will also have a large impact on their economies highly dependent on international agricultural markets. In the current literature there are large uncertainties in the cause-effect relationship between current levels of Cd intakes and eventual health effects in human beings; even the risk of Cd to kidney function is under considerable debate. Recent works on the importance of zinc:Cd ratio rather than Cd levels alone to determine Cd risk factors, on the one hand, and on the declining trends of Cd level in foods and soils, on the other, also indicate a lack of scientific evidence justifying more restrictive cadmium standards. This shows that developing countries should fight for changing and making more transparent the current international structures and procedures for setting sanitary and phytosanitary measures and technical barriers to trade.

  10. Opportunities for Integrated Ecological Analysis across Inland Australia with Standardised Data from Ausplots Rangelands.

    Directory of Open Access Journals (Sweden)

    Greg R Guerin

    Full Text Available Australian rangelands ecosystems cover 81% of the continent but are understudied and continental-scale research has been limited in part by a lack of precise data that are standardised between jurisdictions. We present a new dataset from AusPlots Rangelands that enables integrative rangelands analysis due to its geographic scope and standardised methodology. The method provides data on vegetation and soils, enabling comparison of a suite of metrics including fractional vegetation cover, basal area, and species richness, diversity, and composition. Cover estimates are robust and repeatable, allowing comparisons among environments and detection of modest change. The 442 field plots presented here span a rainfall gradient of 129-1437 mm Mean annual precipitation with varying seasonality. Vegetation measurements include vouchered vascular plant species, growth form, basal area, height, cover and substrate type from 1010 point intercepts as well as systematically recorded absences, which are useful for predictive modelling and validation of remote sensing applications. Leaf and soil samples are sampled for downstream chemical and genomic analysis. We overview the sampling of vegetation parameters and environments, applying the data to the question of how species abundance distributions (SADs vary over climatic gradients, a key question for the influence of environmental change on ecosystem processes. We found linear relationships between SAD shape and rainfall within grassland and shrubland communities, indicating more uneven abundance in deserts and suggesting relative abundance may shift as a consequence of climate change, resulting in altered diversity and ecosystem function. The standardised data of AusPlots enables such analyses at large spatial scales, and the testing of predictions through time with longitudinal sampling. In future, the AusPlots field program will be directed towards improving coverage of space, under-represented environments

  11. Opportunities for Integrated Ecological Analysis across Inland Australia with Standardised Data from Ausplots Rangelands.

    Science.gov (United States)

    Guerin, Greg R; Sparrow, Ben; Tokmakoff, Andrew; Smyth, Anita; Leitch, Emrys; Baruch, Zdravko; Lowe, Andrew J

    2017-01-01

    Australian rangelands ecosystems cover 81% of the continent but are understudied and continental-scale research has been limited in part by a lack of precise data that are standardised between jurisdictions. We present a new dataset from AusPlots Rangelands that enables integrative rangelands analysis due to its geographic scope and standardised methodology. The method provides data on vegetation and soils, enabling comparison of a suite of metrics including fractional vegetation cover, basal area, and species richness, diversity, and composition. Cover estimates are robust and repeatable, allowing comparisons among environments and detection of modest change. The 442 field plots presented here span a rainfall gradient of 129-1437 mm Mean annual precipitation with varying seasonality. Vegetation measurements include vouchered vascular plant species, growth form, basal area, height, cover and substrate type from 1010 point intercepts as well as systematically recorded absences, which are useful for predictive modelling and validation of remote sensing applications. Leaf and soil samples are sampled for downstream chemical and genomic analysis. We overview the sampling of vegetation parameters and environments, applying the data to the question of how species abundance distributions (SADs) vary over climatic gradients, a key question for the influence of environmental change on ecosystem processes. We found linear relationships between SAD shape and rainfall within grassland and shrubland communities, indicating more uneven abundance in deserts and suggesting relative abundance may shift as a consequence of climate change, resulting in altered diversity and ecosystem function. The standardised data of AusPlots enables such analyses at large spatial scales, and the testing of predictions through time with longitudinal sampling. In future, the AusPlots field program will be directed towards improving coverage of space, under-represented environments, vegetation types

  12. Stakeholder Theory and Rangeland Management: The Importance of Ranch Income Dependence

    Science.gov (United States)

    Elias, S.; Roche, L. M.; Elias, E.

    2016-12-01

    The California drought beginning in 2012 has been driven by reduced precipitation and record high temperatures. Hydrologic drought in the Southwest United States is projected to become the new climatology of the region. While ranchers are considered naturally adaptive, often adeptly altering management based upon conditions, the projected increased aridity may challenge rangeland management. Certain rancher characteristics are likely to impact how well ranchers adapt. Based on Stakeholder Theory (ST), we hypothesize that the extent to which ranchers are dependent on their ranches as a source of income would serve as a predictor of several key variables related to ranching adaptation and success. Data were obtained from 507 ranchers throughout the State of California via the Rangeland Decision-Making Survey implemented by University of California, Davis in 2010, just prior to the unprecedented California drought. Consistent with the ST urgency facet, results of linear regression analyses indicate the more dependent ranchers are on their ranches for their income, the more aware they are of USDA ranching initiatives (β = 0.19, p < .001) and state ranching initiatives (β = 0.10, p < .05). In addition, more dependent ranchers are more likely to use multiple and diverse sources of information about ranching (β = 0.18, p < .001), are more likely to realize the severity and extent of the most recent drought's impacts (β = 0.18, p < .001), and were more likely to have a drought management plan in place during the most recent drought (β = 0.18, p < .001). These findings are important in relation to both outreach/extension efforts and rangeland research. Outreach/extension efforts should take into account that people less dependent on their ranches are less aware of resources, as well as, less prepared to adapt to drought. Researchers should control for the extent to which ranchers are dependent on their ranches for income in order to ensure more accurate findings.

  13. Revolutionary land use change in the 21st century: Is (rangeland) science relevant?

    Science.gov (United States)

    Herrick, J.E.; Brown, J.R.; Bestelmeyer, B.T.; Andrews, S.S.; Baldi, G.; Davies, J.; Duniway, M.; Havstad, K.M.; Karl, J.W.; Karlen, D.L.; Peters, Debra P.C.; Quinton, J.N.; Riginos, C.; Shaver, P.L.; Steinaker, D.; Twomlow, S.

    2012-01-01

    Rapidly increasing demand for food, fiber, and fuel together with new technologies and the mobility of global capital are driving revolutionary changes in land use throughout the world. Efforts to increase land productivity include conversion of millions of hectares of rangelands to crop production, including many marginal lands with low resistance and resilience to degradation. Sustaining the productivity of these lands requires careful land use planning and innovative management systems. Historically, this responsibility has been left to agronomists and others with expertise in crop production. In this article, we argue that the revolutionary land use changes necessary to support national and global food security potentially make rangeland science more relevant now than ever. Maintaining and increasing relevance will require a revolutionary change in range science from a discipline that focuses on a particular land use or land cover to one that addresses the challenge of managing all lands that, at one time, were considered to be marginal for crop production. We propose four strategies to increase the relevance of rangeland science to global land management: 1) expand our awareness and understanding of local to global economic, social, and technological trends in order to anticipate and identify drivers and patterns of conversion; 2) emphasize empirical studies and modeling that anticipate the biophysical (ecosystem services) and societal consequences of large-scale changes in land cover and use; 3) significantly increase communication and collaboration with the disciplines and sectors of society currently responsible for managing the new land uses; and 4) develop and adopt a dynamic and flexible resilience-based land classification system and data-supported conceptual models (e.g., state-and-transition models) that represent all lands, regardless of use and the consequences of land conversion to various uses instead of changes in state or condition that are

  14. Effects of expressive writing on standardized graduate entrance exam performance and physical health functioning.

    Science.gov (United States)

    Dalton, Jonathan J; Glenwick, David S

    2009-05-01

    A substantial body of literature has demonstrated that expressive writing about an individual's deepest thoughts and feelings regarding a past or ongoing stressful experience results in a wide range of beneficial effects, including physical health and cognitive functioning. The authors examined the effects of writing about a future stressful experience--an impending graduate entrance exam--by comparing the exam performance and physical health functioning of participants who wrote about their deepest thoughts regarding the exam with those of participants who wrote about neutral and nonemotional topics. The experimental group reported a mean exam score that was significantly (19 percentile points) higher than that of the comparison group (i.e., the control group). The participants in the experimental group who wrote on 3--compared with fewer--occasions experienced the greatest benefits. The authors propose possible causal mechanisms for the results and suggest future research questions and applications.

  15. Gender Differences in Socioeconomic Status and Health: Evidence from the 2008 Vietnam Household Living Standard Survey

    OpenAIRE

    Nidhiya Menon; Yana van der Meulen Rodgers

    2010-01-01

    The study provides new evidence on gender differences in educational attainment, labor market status, health status, and land titling in Vietnam. Up-to-date statistical evidence on household well-being in Vietnam is particularly important given the heavy weight the government has placed on meeting the needs of vulnerable members of the population, reducing overall poverty, and improving societal well-being. Vietnam’s government has placed priority emphasis on achieving gender equality in the ...

  16. Method for selecting e-health standards to support interoperability of healthcare information systems

    CSIR Research Space (South Africa)

    Adebesin, F

    2014-05-01

    Full Text Available of actions that provide observable value to a business actor or stakeholder [32, 33]. Business use cases are typically specified through narrative text (as user stories) and/or graphically using, for example, unified modelling language (UML) sequence... immunisation guidelines), as well as health indicator data that is required for monitoring and evaluation of healthcare programmes (e.g. the total number of antenatal patients who were tested for HIV at the first visit). Narrative 1 provides a hypothetical...

  17. Inferring the economic standard of living and health from cohort height: Evidence from modern populations in developing countries.

    Science.gov (United States)

    Akachi, Yoko; Canning, David

    2015-12-01

    Average adult height is a physical measure of the biological standard of living of a population. While the biological and economic standards of living of a population are very different concepts, they are linked and may empirically move together. If this is so, then cohort heights can also be used to make inferences about the economic standard of living and health of a population when other data are not available. We investigate how informative this approach is in terms of inferring income, nutrition, and mortality using data on heights from developing countries over the last 50 years for female cohorts born 1951-1992. We find no evidence that the absolute differences in adult height across countries are associated with different economic living standards. Within countries, however, faster increases in adult cohort height over time are associated with more rapid growth of GDP per capita, life expectancy, and nutritional intake. Using our instrumental variable approach, each centimeter gain in height is associated with a 6% increase in income per capita, a reduction in infant mortality of 7 per thousand (or an 1.25 year increase in life expectancy), and an increase in nutrition of 64 calories and 2 grams of protein per person per day relative to the global trend. We find that increases in cohort height can predict increases in income even for countries not used in the estimation of the relationship. This suggests our approach has predictive power out of sample for countries where we lack income and health data. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.

  18. Standard-based comprehensive detection of adverse drug reaction signals from nursing statements and laboratory results in electronic health records.

    Science.gov (United States)

    Lee, Suehyun; Choi, Jiyeob; Kim, Hun-Sung; Kim, Grace Juyun; Lee, Kye Hwa; Park, Chan Hee; Han, Jongsoo; Yoon, Dukyong; Park, Man Young; Park, Rae Woong; Kang, Hye-Ryun; Kim, Ju Han

    2017-07-01

    We propose 2 Medical Dictionary for Regulatory Activities-enabled pharmacovigilance algorithms, MetaLAB and MetaNurse, powered by a per-year meta-analysis technique and improved subject sampling strategy. This study developed 2 novel algorithms, MetaLAB for laboratory abnormalities and MetaNurse for standard nursing statements, as significantly improved versions of our previous electronic health record (EHR)-based pharmacovigilance method, called CLEAR. Adverse drug reaction (ADR) signals from 117 laboratory abnormalities and 1357 standard nursing statements for all precautionary drugs ( n   = 101) were comprehensively detected and validated against SIDER (Side Effect Resource) by MetaLAB and MetaNurse against 11 817 and 76 457 drug-ADR pairs, respectively. We demonstrate that MetaLAB (area under the curve, AUC = 0.61 ± 0.18) outperformed CLEAR (AUC = 0.55 ± 0.06) when we applied the same 470 drug-event pairs as the gold standard, as in our previous research. Receiver operating characteristic curves for 101 precautionary terms in the Medical Dictionary for Regulatory Activities Preferred Terms were obtained for MetaLAB and MetaNurse (0.69 ± 0.11; 0.62 ± 0.07), which complemented each other in terms of ADR signal coverage. Novel ADR signals discovered by MetaLAB and MetaNurse were successfully validated against spontaneous reports in the US Food and Drug Administration Adverse Event Reporting System database. The present study demonstrates the symbiosis of laboratory test results and nursing statements for ADR signal detection in terms of their system organ class coverage and performance profiles. Systematic discovery and evaluation of the wide spectrum of ADR signals using standard-based observational electronic health record data across many institutions will affect drug development and use, as well as postmarketing surveillance and regulation.

  19. Standardized functions for smartphone applications: examples from maternal and child health.

    Science.gov (United States)

    Rotheram-Borus, Mary Jane; Tomlinson, Mark; Swendeman, Dallas; Lee, Adabel; Jones, Erynne

    2012-01-01

    Millennium Development Goals (MDGs) are unlikely to be met in most low- and middle-income countries (LMIC). Smartphones and smartphone proxy systems using simpler phones, equipped with the capabilities to identify location/time and link to the web, are increasingly available and likely to provide an excellent platform to support healthcare self-management, delivery, quality, and supervision. Smart phones allow information to be delivered by voice, texts, pictures, and videos as well as be triggered by location and date. Prompts and reminders, as well as real-time monitoring, can improve quality of health care. We propose a three-tier model for designing platforms for both professional and paraprofessional health providers and families: (1) foundational functions (informing, training, monitoring, shaping, supporting, and linking to care); (2) content-specific targets (e.g., for MDG; developmentally related tasks); (3) local cultural adaptations (e.g., language). We utilize the Maternal and Child Health (MCH) MDG in order to demonstrate how the existing literature can be organized and leveraged on open-source platforms and provide examples using our own experience in Africa over the last 8 years.

  20. Standardized Functions for Smartphone Applications: Examples from Maternal and Child Health

    Directory of Open Access Journals (Sweden)

    Mary Jane Rotheram-Borus

    2012-01-01

    Full Text Available Millennium Development Goals (MDGs are unlikely to be met in most low- and middle-income countries (LMIC. Smartphones and smartphone proxy systems using simpler phones, equipped with the capabilities to identify location/time and link to the web, are increasingly available and likely to provide an excellent platform to support healthcare self-management, delivery, quality, and supervision. Smart phones allow information to be delivered by voice, texts, pictures, and videos as well as be triggered by location and date. Prompts and reminders, as well as real-time monitoring, can improve quality of health care. We propose a three-tier model for designing platforms for both professional and paraprofessional health providers and families: (1 foundational functions (informing, training, monitoring, shaping, supporting, and linking to care; (2 content-specific targets (e.g., for MDG; developmentally related tasks; (3 local cultural adaptations (e.g., language. We utilize the Maternal and Child Health (MCH MDG in order to demonstrate how the existing literature can be organized and leveraged on open-source platforms and provide examples using our own experience in Africa over the last 8 years.