WorldWideScience

Sample records for source ims health

  1. CopperCore, an Open Source IMS Learning Design Engine

    NARCIS (Netherlands)

    Vogten, Hubert

    2004-01-01

    The presentation gives an overview of the approach of the development programme of the OTEC department towards the development of Open Source. The CopperCore IMS Learning Design engine is described as an example of this approach.

  2. Open Source-Marketing im Unternehmenseinsatz

    OpenAIRE

    Sarstedt, Marko; Hieke, Marie-Sophie

    2007-01-01

    Die steigende Anzahl an Reaktanzen der Konsumenten gegenüber jeglicher Form von Werbung, insbesondere aber der klassischen, zwingt Unternehmen heute mehr denn je dazu, neue Möglichkeiten zu suchen, um die Wünsche der Kunden erforschen und besser erfüllen zu können. Gerade den latenten, dem Verbraucher also noch nicht bewussten, Bedürfnissen gilt es Rechnung zu tragen. Der aus der Software Branche aufgegriffene Open-Source-Gedanke kann hier ansetzen, um den Konsumenten nicht nur stärker in den...

  3. Consumer channeling in health care: (im) possible?

    NARCIS (Netherlands)

    L.H.H.M. Boonen (Lieke)

    2009-01-01

    textabstractIn several countries major health care reforms have been implemented in the last decades. Most of these reforms focused on a shift from supply-side regulation to a more demand-side oriented system. Managed competition can be seen as a blue print for the reforms in several European

  4. ImTK: an open source multi-center information management toolkit

    Science.gov (United States)

    Alaoui, Adil; Ingeholm, Mary Lou; Padh, Shilpa; Dorobantu, Mihai; Desai, Mihir; Cleary, Kevin; Mun, Seong K.

    2008-03-01

    The Information Management Toolkit (ImTK) Consortium is an open source initiative to develop robust, freely available tools related to the information management needs of basic, clinical, and translational research. An open source framework and agile programming methodology can enable distributed software development while an open architecture will encourage interoperability across different environments. The ISIS Center has conceptualized a prototype data sharing network that simulates a multi-center environment based on a federated data access model. This model includes the development of software tools to enable efficient exchange, sharing, management, and analysis of multimedia medical information such as clinical information, images, and bioinformatics data from multiple data sources. The envisioned ImTK data environment will include an open architecture and data model implementation that complies with existing standards such as Digital Imaging and Communications (DICOM), Health Level 7 (HL7), and the technical framework and workflow defined by the Integrating the Healthcare Enterprise (IHE) Information Technology Infrastructure initiative, mainly the Cross Enterprise Document Sharing (XDS) specifications.

  5. A critical analysis of Sorrell v. IMS Health, Inc.: Pandora's box at best.

    Science.gov (United States)

    Bibet-Kalinyak, Isabelle

    2012-01-01

    Sorrell v. IMS Health, Inc. ("IMS Health"), a remarkable health care case with resounding First Amendment and economic repercussions, features the clashing interests of the State of Vermont and aggressive free market players from the pharmaceutical and data mining industries in a constitutional battle over Free Speech. In 2007, Vermont enacted Act 80, The Confidentiality of Prescription Information Act, prohibiting the sale, disclosure, and use of pharmacy records. Together with two other data miners and PhRMA, an association of brand-name drug manufacturers, IMS Health successfully challenged the constitutionality of Act 80 on First Amendment grounds. This article examines the legal arguments of IMS Health and Act 80 and analyzes why IMS Health stands out for potentially challenging the traditional doctrine of commercial speech and the resulting legal implications. After reviewing the Supreme Court's reasoning, the article concludes that, although the Supreme Court reached the appropriate outcome, it did so by unjustifiably departing from the established legal doctrine of commercial speech and the American tradition of consumer protection. At best, IMS Health's reasoning opens a legal Pandora's Box potentially leading to an onset of new commercial speech challenges; at worst, it manufactured a Trojan Horse aimed at eroding the traditional regulatory safeguards that maintain a balance between the needs of consumers and corporations alike.

  6. Im/mobilities and dis/connectivities in medical globalisation: How global is Global Health?

    Science.gov (United States)

    Dilger, Hansjörg; Mattes, Dominik

    2018-03-01

    The interdisciplinary, politically contested field of Global Health has often been described as a consequence of, and response to, an intensification of the mobilities of, and connectivities between, people, pathogens, ideas, and infrastructure across national borders and large distances. However, such global mobilities and connectivities are not as omnidirectional and unpatterned as the rhetoric of many Global Health actors suggests. Instead, we argue that they are suffused by a plethora of institutional, national, and global political agendas, and substantially shaped by transnational and postcolonial power relations. Furthermore, the configurations that are typically subsumed under the category of Global Health represent only a minor part of the range of im/mobilities and dis/connectivities that are essential for understanding transformations of epidemiological patterns, health care infrastructures, and the responses to health-related challenges in a globalising world. In order to broaden such a limiting analytical perspective, we propose to expand the analytical focus in studying Global Health phenomena by paying close attention to the myriad ways in which particular im/mobilities and dis/connectivities constitute medicine and well-being in global and transnational settings. Pursuing a conceptual shift from studies of 'Global Health' to studying 'medical globalization' may carve out new analytical ground for such an endeavour.

  7. Potential applications for energy from renewable sources in the railway sector; Anwendungsmoeglichkeiten erneuerbarer Energiequellen im Bahnsektor

    Energy Technology Data Exchange (ETDEWEB)

    Goldenberg, Philipp; Goldenberg, Vladimir; Reppich, Marcus [Hochschule Augsburg (Germany)

    2012-07-01

    Making use of energy from renewable sources has strategic and security-policy relevance. Since DB AG is a major energy consumer, the use of energy from renewable sources in railway operations will make economic sense in the long run. The railways depend on a very high security of energy supply nationwide. Efficient energy management can help enhance the security of supply to the railways. In addition, there are large potential energy savings to be made in railway operations. Major efforts are required to reach this objective. Using energy from renewable sources and increasing energy efficiency are two indispensable prerequisites for a sustainable energy supply to the railways as well as for increasing their attractiveness. (orig.)

  8. Analysis of recordings from underwater controlled sources in the Pacific Ocean received by the International Monitoring System (IMS) of the Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO)

    Science.gov (United States)

    Yamada, Tomoaki; Zampolli, Mario; Haralabus, Georgios; Heaney, Kevin; Prior, Mark; Isse, Takeshi

    2016-04-01

    Controlled impulsive scientific underwater sound sources in the Northwestern Pacific were observed at two IMS hydroacoustic stations in the Pacific Ocean. Although these experiments were conducted with the aim of studying the physical properties of the plate boundaries inside the Earth, they are also suitable for the investigation of long range underwater acoustic detections. In spite of the fact that the energy of these controlled impulsive scientific sources is significantly smaller than that of nuclear explosions, the signals were obtained by IMS hydrophone stations thousands of kilometres away and also by distant ocean bottom instruments operated by various Institutes, such as the Earthquake Research Institute, University of Tokyo. These experiments provide calibrated (yield, time, location) long-range acoustic transmissions, which enable one to examine the physics of long-range acoustic propagation and to verify the capabilities of the CTBTO IMS network to detect even small explosions.The two IMS stations used are H03 (Juan Fernandez Island, Chile) off the coast of Chile in the Southeastern Pacific and H11 (Wake Island, USA) in the Western Pacific. Both stations consist of two triplets of hydrophones in the SOFAR channel, which monitor the oceans for signs of nuclear explosions. H03 detected low-yield explosions above flat terrain at distances of 15,000 km across the Pacific as well as explosions above the landward slope off the coast of Japan at distances above 16,000 km across the Pacific. These records showed that source signatures, such as short duration and bubble pulses, were preserved over the long propagation distances. It was found that the observed maximum amplitudes from each source exhibit order of magnitude variations even when the yield and detonation depth are the same. The experimental data and transmission loss simulations suggest that bathymetric features around the sources and between the sources and the receivers are the main causes for

  9. Muriithi, IM

    African Journals Online (AJOL)

    Muriithi, IM. Vol 8, No 2 (2014) - Articles Correlation of magnetic resonance imaging findings with arthroscopy in the evaluation of rotator cuff pathology. Abstract PDF · Vol 8, No 2 (2014) - Articles Patterns of knee, hip and hand osteoarthritis in Kenyatta National Hospital Abstract PDF. ISSN: 1994-1072. AJOL African ...

  10. Quick scan IMS vendors

    NARCIS (Netherlands)

    Norp, A.H.J.; Pals, H.; Walraven, F.A.

    2007-01-01

    IMS is gaining momentum in the market. First operators are deploying IMS, while other operators are considering buying IMS. Operators have two approaches for introducing IMS and building an IMS eco-system: • Buying IMS from a large vendor or system integrator. Vendors like Alcatel-Lucent, Ericsson

  11. How Do Qataris Source Health Information?

    Directory of Open Access Journals (Sweden)

    Sopna M Choudhury

    Full Text Available Qatar is experiencing rapid population expansion with increasing demands on healthcare services for both acute and chronic conditions. Sourcing accurate information about health conditions is crucial, yet the methods used for sourcing health information in Qatar are currently unknown. Gaining a better understanding of the sources the Qatari population use to recognize and manage health and/or disease will help to develop strategies to educate individuals about existing and emerging health problems.To investigate the methods used by the Qatari population to source health information. We hypothesized that the Internet would be a key service used to access health information by the Qatari population.A researcher-led questionnaire was used to collect information from Qatari adults, aged 18-85 years. Participants were approached in shopping centers and public places in Doha, the capital city of Qatar. The questionnaire was used to ascertain information concerning demographics, health status, and utilization of health care services during the past year as well as sources of health information used.Data from a total of 394 eligible participants were included. The Internet was widely used for seeking health information among the Qatari population (71.1%. A greater proportion of Qatari females (78.7% reported searching for health-related information using the Internet compared to Qatari males (60.8%. Other commonly used sources were family and friends (37.8% and Primary Health Care Centers (31.2%. Google was the most commonly used search engine (94.8%. Gender, age and education levels were all significant predictors of Internet use for heath information (P<0.001 for all predictors. Females were 2.9 times more likely than males (P<0.001 and people educated to university or college level were 3.03 times more likely (P<0.001 to use the Internet for heath information.The Internet is a widely used source to obtain health-related information by the Qatari

  12. 'I'm a bad mum': pregnant presenteeism and poor health at work.

    Science.gov (United States)

    Gatrell, Caroline Jane

    2011-02-01

    This paper contributes to research on women's health by challenging the 'common belief' that pregnant employees are prone to take sick leave. Conversely, it shows how some pregnant employees are so determined to appear 'well' that they remain at work when they are ill. The paper coins the phrase 'pregnant presenteeism' to describe pregnant employees who resist taking sick leave. The paper first acknowledges previous studies which show how employers associate pregnancy with incompetence and sickness absence. It then examines why (in contrast to employers' assumptions), some pregnant employees remain at work when they are ill. It does this through a qualitative study of 15 employed mothers in the UK, each of whom was working in a managerial/professional role at the time of her interview. Of these 15 women, three remained at work during pregnancy despite serious health problems. In order to understand the experiences of these 'pregnant presentees', the paper draws upon Annandale and Clark's (1996) concept of a 'binary opposition' which articulates the tendency within medicine to polarize women's and men's health as if at opposite ends of a scale, with women's health classified as 'poor' and men's health as 'good'. The paper argues that the conceptual principles of 'binary opposition' spill over into workplace contexts especially in relation to pregnancy. It then proposes that some employed pregnant women deny their own ill health due to fear of being identified with the female, 'poor health' end of the binary opposition scale. It articulates such denial as a potentially serious health issue for pregnant workers. The paper develops new and more explicit links between 'socio-cultural' feminist studies on the employed maternal body, and health research. Copyright © 2010 Elsevier Ltd. All rights reserved.

  13. "I'm Home(screen)!": Social Media in Health Care Has Arrived.

    Science.gov (United States)

    Housman, Laura T

    2017-11-01

    In more than a decade, the adoption and use of some type of social media among American adults has risen from 5% in 2005 to nearly 70% in 2016. The reigning social media platform by usage, Facebook, has 142% more American adult users than the second most utilized social media platform, Instagram, which was purchased by Facebook in March 2012. Of the 68% of American adult Facebook users, more than three quarters visit the site daily. Although social media applications (apps) such as Facebook and Instagram are the clear draw among users, health care apps are beginning to gain traction as well. In 2017, 32% of consumers now have at least 1 health app on their smartphones or tablets, doubling over the past 4 years. Although having an app should not be confused with using an app, having an app downloaded and available for use is a step closer to ongoing adoption. Mobile apps in health care are being used for ordering and scheduling health care services, as well as tracking and managing aspects of health and wellness. An incredible opportunity now exists to connect and leverage social media to enhance the impact of health care, particularly in the areas of drug development, clinical trial recruitment, and therapy administration and adherence, in which dose reminders, sharing of side effects and response, and the accessibility of patients to one another has both a context and a platform. This commentary serves as an introduction to the ways that social media and mobile health care apps are being used in real-world settings as tools to advance the development and effectiveness of clinical therapeutics. Copyright © 2017 Elsevier HS Journals, Inc. All rights reserved.

  14. Funding of renewable energy sources in the deregulated German electricity market; Foerderung erneuerbarer Energien im liberalisierten deutschen Strommarkt

    Energy Technology Data Exchange (ETDEWEB)

    Wawer, T.

    2007-12-14

    This study intends to develop an efficient market design for the German electricity market, with particular regard to renewable energy sources. The German electricity market is disintegrated, i.e. market sectors are not coordinated by a central agency but by their own interactions. The first part of the investigation analyzes the interdependences of market sectors, while the second part will analyze funding instruments for renewable energy sources on this basis. (orig.)

  15. Heat sources for heat pumps in the energetic and economic comparison; Waermequellen fuer Waermepumpen im energetischen und wirtschaftlichen Vergleich

    Energy Technology Data Exchange (ETDEWEB)

    Bockelmann, Franziska; Fisch, M. Norbert; Schlosser, Mathias; Peter, Markus [Technische Univ. Braunschweig (Germany). Inst. fuer Gebaeude- und Solartechnik

    2016-07-01

    Because of the growing application of heat pumps also the number of potentially usable low-temperature heat sources and corresponding heat exchangers for heat-pump systems present in the market increases. Thereby products like energy fences, high-power piles, ore ice reservoir come into applications without any knowledge ab out their power or the cost-profit ratio. The optimized lay-out of the coupling to the building are however essential conditions in order to reach an energy-efficient and durable operation of the facilities. The research project ''future heat pump'' sponsored by the BMWi is dedicated to the energetic and economic evaluation of heat sources for heat pumps. In this connection a pre-check-tool for the preliminary selection of low-temperature heat sources and connected, suitable heat-exchange systems is developed and their actual status of development presented. The holistic, comparing consideration of the different heat sources and heat-exchanger systems is related among others to the power numbers of the heat pumps, the entry and withdrawal services of the heat-exchangers, and the general performance of the systems. Additionally an estimation of economic and ecologic aspects (investment and operation costs, CO{sub 2} emissions) is made. Aim is the determination of the plausibility of applications and essential boundary conditions of single source systems. For the qualitative comparison in a project-accompanying monitoring different facilities and source systems are measurement-technically comprehended.

  16. Assessment on health and energy sources

    International Nuclear Information System (INIS)

    Acket, C.; Yvon, M.

    2013-01-01

    After having recalled some issues related to the prevention of environmental health risks and mentioned in the preparation of the debate on energy transition in France, this document gathers actual objective elements for an assessment of health impact of the different energy sources. It discusses the impacts on health (mortality, sicknesses and diseases) of fossil fuels (coal and its wastes, gas), of renewable energies, of nuclear energy. For this last one, the document outlines the lack of documentation for various topics, discusses some results published on the dose impact of nuclear operation, and comment the issue of waste storage. It also recalls the main accidents (Three Mile Island, Chernobyl, and Fukushima) and some of the known and assessed impacts. The third part proposes comparisons between the different energy sources in terms of deadly accidents, of pollution and greenhouse effect (current and late mortality), of released radioactivity (release sources and collective dose). In conclusion, the authors outline that the impact on health of environmental risks must be one of the essential issues for the definition of energy policy, and discuss the resulting implications. Various data are provided in appendix: energy in France and in the world, origins of radioactivity

  17. "I'm always entirely happy when I'm here!" Urban blue enhancing human health and well-being in Cologne and Düsseldorf, Germany.

    Science.gov (United States)

    Völker, Sebastian; Kistemann, Thomas

    2013-02-01

    Water is one of the most important landscape elements. In settled areas, planners rediscovered urban blue in the form of rivers as a soft location factor in post-industrial times. Although the recognition of the need for recreational or 'healthy' places like urban green or urban blue in cities is increasing, current urban planning is mostly conducted without taking beneficial health issues into account. In this paper an extended concept of therapeutic landscapes is used to analyse two promenades on the river Rhine in the centres of two German cities (Cologne and Düsseldorf). A complex of qualitative and quantitative methods from diverse disciplines is applied to obtain a multi-dimensional image of salutogenic health processes. The results show that the promenades are favourite places to spend leisure time and to engage in recreational activities, in addition to providing restoration from everyday stresses. Water is a strong predictor of preference and positive perceptive experiences in urban environments. Users of the promenades also report strong emotional attachments to the place. Urban blue space may be interpreted as a therapeutic landscape in various ways. The study forms a contribution to planning issues, particularly considering benefits for human health, and enhances current research concerning therapeutic landscapes. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. Health evaluation of energy-generating sources

    International Nuclear Information System (INIS)

    Anon.

    1978-01-01

    The American Medical Association's House of Delegates, at its December 1976 Clinical Convention, requested that an evaluation be made of the health hazards of nuclear, fossil, and alternative energy-generating sources, for employees of energy-producing facilities as well as for the general population. This report is a summary evaluation of such hazards prepared in response to that request. This report, which was adopted by the House of Delegates on June 21, 1978, appears here in a revised and corrected version

  19. “Como Arrancar una Planta”: Women’s Reflections about Influences of Im/Migration on Their Everyday Lives and Health in Mexico

    Directory of Open Access Journals (Sweden)

    Eva K. Robertson

    2015-04-01

    Full Text Available The aim of this study is to analyze women’s reflections about how experiences of im/migration from rural to urban settings in Monterrey, Mexico, influence their everyday life experience and health and that of their families. The participants were eight women from heterogeneous indigenous backgrounds, one woman with a mestizo background, two health professionals, three persons from organizations supporting indigenous groups, and two researchers. I collected data from personal observations, documents, and interviews that I then analyzed with a critical ethnography methodology developed by Carspecken. The women emphasized that food habits were the first to be adapted to circumstances in an urban everyday life constrained by working conditions. Together with their experiences of discrimination and violence, urban living determines the challenges and the priorities of daily life. Urban life affects how they perceive and treat their own and their family’s health and wellbeing. Nevertheless, their sense of belonging and home remains in their communities of origin, and they strive to reach a balance in their lives and preserve a connection to their roots, motherhood, and traditional knowledge. However, the women handle their im/migration experiences in diverse ways depending on their own conditions and the structural forces limiting or allowing them to act in decisive life situations. Im/migration is not just a matter of choice; it is about survival and is influenced by social determinants and “structural vulnerability” that influences and/or limit human agency. These, together with an unsustainable economic situation, make migration the only option, a forced decision within households. Structural forces such as social injustice in welfare policies restrict human rights and rights for health. Social determinants of health can constrain decision making and frame choices concerning health and childbearing in everyday life.

  20. Health impacts of different energy sources

    International Nuclear Information System (INIS)

    1982-01-01

    Energy is needed to sustain the economy, health and welfare of nations. As a consequence of this, energy consumption figures are frequently used as an index of a nation's advancement. As a result of the global energy crisis, almost every nation has had to develop all its available energy resources and plan its future use of energy. The planners of national and international energy policies are however often faced with a problem of 'public acceptance' arising from the potential health and environmental impacts of developing energy resources. The public's desire to preserve the quality of man's health and his environment frequently results in opposition to many industrial innovations, including the generation and use of energy. Reliable, quantitative data and information are needed on the risks to health and the environment of different contemporary energy systems, to improve public understanding, and to serve as the basis from which national planners can choose between different energy supply options. With the exception of nuclear energy, even in technologically advanced countries little systematic research and development has been done on the quantitative assessment of the effects on health and the environment of the conventional energy sources. The need for this information has only been realized over the past decade as the climate and environment in many regions of the world has deteriorated with the unabated release of pollutants from factories and energy generating plants in particular. A number of countries have started national environmental health research programmes to monitor and regulate toxic emissions from industry and energy plants. Energy-related environmental health research has been supported and co-ordinated by various international organizations such as the International Atomic Energy Agency (IAEA), World Health Organization (WHO) and United Nations Environment Programme (UNEP). WHO has supported expert reviews on the potential health risks posed

  1. I'm a Map, I'm a Green Tree

    Science.gov (United States)

    Anderson, Daniel

    2010-01-01

    I'm talking about the ways we represent ourselves and our world. I've put some thoughts on the topic together here--a gathering that enacts new media creating and takes up conceptual layers like metaphors, models, and composing. The primary sources are videos from the Get a Mac campaign, aka I'm a Mac; I'm a PC ads. Posthuman concepts blending…

  2. Source reliability in auditory health persuasion : Its antecedents and consequences

    NARCIS (Netherlands)

    Elbert, Sarah P.; Dijkstra, Arie

    2015-01-01

    Persuasive health messages can be presented through an auditory channel, thereby enhancing the salience of the source, making it fundamentally different from written or pictorial information. We focused on the determinants of perceived source reliability in auditory health persuasion by

  3. Health Literacy, Health Disparities, and Sources of Health Information in U.S. Older Adults.

    Science.gov (United States)

    Cutilli, Carolyn Crane; Simko, Lynn C; Colbert, Alison M; Bennett, Ian M

    Low health literacy in older adults has been associated with poor health outcomes (i.e., mortality, decreased physical and cognitive functioning, and less preventive care utilization). Many factors associated with low health literacy are also associated with health disparities. Interaction with healthcare providers and sources of health information are influenced by an individual's health literacy and can impact health outcomes. This study examined the relationships between health literacy, sources of health information, and demographic/background characteristics in older adults (aged 65 years and older) related to health literacy and disparities. This descriptive, correlational study is a secondary analysis of the 2003 National Assessment of Adult Literacy, a large-scale national assessment. Older adults with lower health literacy have less income and education, rate their health as poor or fair, have visual or auditory difficulties, need help filling out forms, reading newspaper, or writing notes, and use each source of health information less (print and nonprint). Many of these characteristics and skills are predictive of health literacy and associated with health disparities. The results expand our knowledge of characteristics associated with health literacy and sources of health information used by older adults. Interventions to improve health outcomes including health disparities can focus on recognizing and meeting the health literacy demands of older adults.

  4. Inductive Monitoring System (IMS)

    Data.gov (United States)

    National Aeronautics and Space Administration — IMS: Inductive Monitoring System The Inductive Monitoring System (IMS) is a tool that uses a data mining technique called clustering to extract models of normal...

  5. Prescription data mining, medical privacy and the First Amendment: the U.S. Supreme Court in Sorrell v. IMS health Inc.

    Science.gov (United States)

    Boumil, Marcia M; Dunn, Kaitlyn; Ryan, Nancy; Clearwater, Katrina

    2012-01-01

    In 2011, the United States Supreme Court in Sorrell v. IMS Health Inc. struck down a Vermont law that would restrict the ability of pharmaceutical companies to purchase certain physician-identifiable prescription data without the consent of the prescriber. The law's stated purpose was threefold: to protect the privacy of medical information, to protect the public health and to contain healthcare costs by promoting Vermont's preference in having physicians prescribe more generic drugs. The issue before the Supreme Court was whether the Vermont law represented a legitimate, common sense regulatory program or a bold attempt to suppress commercial speech when the "message" is disfavored by the state. Striking down the law, the Supreme Court applied a heightened level of First Amendment scrutiny to this commercial transaction and held that the Vermont law was not narrowly tailored to protect legitimate privacy interests.

  6. Patterns of trust in sources of health information.

    Science.gov (United States)

    Lawson, Rob; Forbes, Sarah; Williams, John

    2011-01-21

    To understand the different patterns of trust that exist regarding different sources of information about health issues. Data from a large national health lifestyles survey of New Zealanders was examined using a factor analysis of trust toward 24 health information sources (HIS). Differences in trust are compared across a range of demographic variables. Factor analysis identified six different groupings of health information. Variations in trust in sources for health information are identified by age, employment status, level of education, income, sex and ethnic group. Systematic variations exist in the trust that people report with respect to different sources of health information. Understanding these variations may assist policymakers and other agencies which are responsible for planning the dissemination of health information.

  7. Our Cultures Are Our Source of Health

    Centers for Disease Control (CDC) Podcasts

    2013-03-04

    Wes Studi, Hollywood actor, highlights the wisdom of cultural knowledge to promote health and prevent type 2 diabetes.  Created: 3/4/2013 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 3/4/2013.

  8. Source Similarity and Social Media Health Messages: Extending Construal Level Theory to Message Sources.

    Science.gov (United States)

    Young, Rachel

    2015-09-01

    Social media users post messages about health goals and behaviors to online social networks. Compared with more traditional sources of health communication such as physicians or health journalists, peer sources are likely to be perceived as more socially close or similar, which influences how messages are processed. This experimental study uses construal level theory of psychological distance to predict how mediated health messages from peers influence health-related cognition and behavioral intention. Participants were exposed to source cues that identified peer sources as being either highly attitudinally and demographically similar to or different from participants. As predicted by construal level theory, participants who perceived sources of social media health messages as highly similar listed a greater proportion of beliefs about the feasibility of health behaviors and a greater proportion of negative beliefs, while participants who perceived sources as more dissimilar listed a greater proportion of positive beliefs about the health behaviors. Results of the study could be useful in determining how health messages from peers could encourage individuals to set realistic health goals.

  9. Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

    Science.gov (United States)

    Ghaddar, Suad F.; Valerio, Melissa A.; Garcia, Carolyn M.; Hansen, Lucy

    2012-01-01

    Background: Little research has examined adolescent health literacy and its relationship with online health information sources. The purpose of this study is to explore health literacy among a predominantly Hispanic adolescent population and to investigate whether exposure to a credible source of online health information, MedlinePlus[R], is…

  10. Bremssysteme im Personenkraftwagen

    Science.gov (United States)

    Reif, Konrad

    Für die ersten drei Punkte ist die Betriebsbremsanlage ("Fußbremse“) zuständig. Der Fahrer aktiviert sie durch Betätigen des Bremspedals. Die Feststellbremsanlage ("Handbremse“) hält das Fahrzeug im Stillstand.

  11. Geschlechterstereotype im Einsatz

    Directory of Open Access Journals (Sweden)

    Erika Kegyes

    2007-11-01

    Full Text Available Die umfangreiche Monographie gehört zum Forschungsbereich der kritischen angewandten Linguistik (Critical Applied Linguistics und liegt sowohl theoretisch als auch praktisch im Schnittpunkt der gender- und werbesprachlichen Untersuchungen.

  12. Addressing the changing sources of health information in Iran

    Directory of Open Access Journals (Sweden)

    Amir Alishahi Tabriz

    2013-01-01

    Conclusion : Although during 8 years of study radio and television remained as main source of health information but there is an increasing tendency to use internet especially in men. Policymakers should revise their broadcasting strategies based on people demand.

  13. Public health genetic counselors: activities, skills, and sources of learning.

    Science.gov (United States)

    McWalter, Kirsty M; Sdano, Mallory R; Dave, Gaurav; Powell, Karen P; Callanan, Nancy

    2015-06-01

    Specialization within genetic counseling is apparent, with 29 primary specialties listed in the National Society of Genetic Counselors' 2012 Professional Status Survey (PSS). PSS results show a steady proportion of genetic counselors primarily involved in public health, yet do not identify all those performing public health activities. Little is known about the skills needed to perform activities outside of "traditional" genetic counselor roles and the expertise needed to execute those skills. This study aimed to identify genetic counselors engaging in public health activities, the skills used, and the most influential sources of learning for those skills. Participants (N = 155) reported involvement in several public health categories: (a) Education of Public and/or Health Care Providers (n = 80, 52 %), (b) Population-Based Screening Programs (n = 70, 45 %), (c) Lobbying/Public Policy (n = 62, 40 %), (d) Public Health Related Research (n = 47, 30 %), and (e) State Chronic Disease Programs (n = 12, 8 %). Regardless of category, "on the job" was the most common primary source of learning. Genetic counseling training program was the most common secondary source of learning. Results indicate that the number of genetic counselors performing public health activities is likely higher than PSS reports, and that those who may not consider themselves "public health genetic counselors" do participate in public health activities. Genetic counselors learn a diverse skill set in their training programs; some skills are directly applicable to public health genetics, while other public health skills require additional training and/or knowledge.

  14. Parents' preferred child health information sources: implications for nursing practice.

    Science.gov (United States)

    Keatinge, Diane

    2006-01-01

    To ascertain parents' preferences in sources of health information concerning their children's general health care needs, and caring for their children when they are sick. Exploratory/descriptive design. A telephone survey secured data for the study and qualitative content analysis and descriptive statistics were used for analysis. Part 2 of a larger study in which Part I evaluated parents' satisfaction with a paediatric telephone triage service. One hundred of the 101 parents who were recruited for Part 1 of the study participated in Part 2, an examination of parents' preferences in information sources relating to their child's health. Parents' preferences in child health information sources varied according to the perceived severity of their child's illness. Parents frequently selected more than one item on a list of health information sources provided. In a non-urgent situation when children were sick a total of 170 selections were made by parents, with 'telephone advice line' the source most frequently selected (58, 34%), followed by general practitioner (27, 15.8%). In an emergency situation the most frequently selected information source was again 'telephone advice line' (74, n=129, 57.4%), followed by 'other' (31, n=129, 24.3%) often identified as relating to dialing '000' (Australia's emergency services number). Finally, when parents required information about the general health care needs of their child, 'other' (most frequently identified as books) was selected on 40 (n=185, 21.6%) occasions, followed by child health clinic (35, n= 185, 18.9%). Parents prefer to receive information about the health care needs of their child from another person rather than a printed or audio-visual source.

  15. Social internet sites as a source of public health information.

    Science.gov (United States)

    Vance, Karl; Howe, William; Dellavalle, Robert P

    2009-04-01

    Social media websites, such as YouTube, Facebook, MySpace, Twitter, and Second Life are rapidly emerging as popular sources of health information especially for teens and young adults. Social media marketing carries the advantages of low cost, rapid transmission through a wide community, and user interaction. Disadvantages include blind authorship, lack of source citation, and presentation of opinion as fact. Dermatologists and other health care providers should recognize the importance of social media websites and their potential usefulness for disseminating health information.

  16. Resilience in IMS

    DEFF Research Database (Denmark)

    Kamyod, Chayapol; Nielsen, Rasmus Hjorth; Prasad, Neeli R.

    2012-01-01

    ) and supporting always on services. Therefore, not only Quality of Service (QoS) but also resilience is required. In this paper, we attempt to evaluate and analyze end-to-end reliability of the IMS system using a model proposed as a combination of Reliability Block Diagram (RBD) and Markov Reward Models (MRMs......Reliability evaluation of systems has been widely researched for improving system resilience especially in designing processes of a complex system. The convergence of different access networks is possible via IP Multimedia Subsystem (IMS) for development toward Next Generation Networks (NGNs......). The resilience of the IMS architecture is studied by applying 1:1 redundancy at different communication scenarios between end users within and across communication domains. The model analysis provides useful reliability characteristics of the system and can be further applied for system design processes....

  17. 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

  18. Delegation und Kooperation im Gesundheitswesen

    OpenAIRE

    Rosenau, Henning

    2010-01-01

    Delegation und Kooperation im Gesundheitswesen. - In: Tıpta işbirliği ve hukuksal sorunlar = Delegation und Kooperation im Gesundheitswesen / ed.: Hakan Hakeri ... - Samsun : Adalet, 2010. - S. 7-18

  19. Open source electronic health records and chronic disease management.

    Science.gov (United States)

    Goldwater, Jason C; Kwon, Nancy J; Nathanson, Ashley; Muckle, Alison E; Brown, Alexa; Cornejo, Kerri

    2014-02-01

    To study and report on the use of open source electronic health records (EHR) to assist with chronic care management within safety net medical settings, such as community health centers (CHC). The study was conducted by NORC at the University of Chicago from April to September 2010. The NORC team undertook a comprehensive environmental scan, including a literature review, a dozen key informant interviews using a semistructured protocol, and a series of site visits to CHC that currently use an open source EHR. Two of the sites chosen by NORC were actively using an open source EHR to assist in the redesign of their care delivery system to support more effective chronic disease management. This included incorporating the chronic care model into an CHC and using the EHR to help facilitate its elements, such as care teams for patients, in addition to maintaining health records on indigent populations, such as tuberculosis status on homeless patients. The ability to modify the open-source EHR to adapt to the CHC environment and leverage the ecosystem of providers and users to assist in this process provided significant advantages in chronic care management. Improvements in diabetes management, controlled hypertension and increases in tuberculosis vaccinations were assisted through the use of these open source systems. The flexibility and adaptability of open source EHR demonstrated its utility and viability in the provision of necessary and needed chronic disease care among populations served by CHC.

  20. Health effects and sources of indoor air pollution. Part I

    International Nuclear Information System (INIS)

    Samet, J.M.; Marbury, M.C.; Spengler, J.D.

    1987-01-01

    Since the early 1970s, the health effects of indoor air pollution have been investigated with increasing intensity. Consequently, a large body of literature is now available on diverse aspects of indoor air pollution: sources, concentrations, health effects, engineering, and policy. This review begins with a review of the principal pollutants found in indoor environments and their sources. Subsequently, exposure to indoor air pollutants and health effects are considered, with an emphasis on those indoor air quality problems of greatest concern at present: passive exposure to tobacco smoke, nitrogen dioxide from gas-fueled cooking stoves, formaldehyde exposure, radon daughter exposure, and the diverse health problems encountered by workers in newer sealed office buildings. The review concludes by briefly addressing assessment of indoor air quality, control technology, research needs, and clinical implications. 243 references

  1. Organisationsprobleme im Ökomarketing

    OpenAIRE

    Dienel, Wolfram

    2000-01-01

    Organisationsprobleme im Ökomarketing - eine transaktionskostentheoretische Analyse im Absatzkanal konventioneller Lebensmittelhandel Die im Vergleich zum großen Nachfragepotential zögerliche Entwicklung des Ökomarkts in Deutschland ist auf Organisationsprobleme zurückzuführen. Die Organisationsprobleme behindern insbesondere die großskalige Ökomarkterschließung über die konventionellen Supermarktketten, erschweren aber auch die Effizienzsteigerung im kleiner strukturierten alternativen N...

  2. Developing an effective IM/IT strategy.

    Science.gov (United States)

    Kramer, Sarah; Walker, Joanne; Falk, Will

    2009-01-01

    Healthcare organizations and systems around the world lag far behind banking, manufacturing, travel and other industries in their use of information management/information technology (IM/IT) to deliver high-quality products and services. Across Canada, healthcare organizations, as well as governments, understand that information and information technology are needed to deliver quality care and to sustain our publicly funded health system. However, insufficient funding, few experienced resources, lack of strong leadership and absence of clear business/clinical rationale have restricted innovation and advancement in the use of IM/IT to improve healthcare delivery and patient outcomes.

  3. IMS Application Developer's Handbook Creating and Deploying Innovative IMS Applications

    CERN Document Server

    Noldus, Rogier; Mulligan, Catherine; Fikouras, Ioannis; Ryde, Anders; Stille, Mats

    2011-01-01

    IMS Application Developer Handbook will give a hands-on view of exactly what needs to be done by IMS application developers to write an application and take it "live" on an operator's network. It will offer practical guidance on building innovative applications using the features and capabilities of the IMS network, show how the rapidly changing development environment is impacting on the business models employed in the industry and how existing network solutions can be moved towards IMS. The book will also elaborate on how IMS applies basic VoIP principles and techniques to realise a true mul

  4. Health information systems in Africa: descriptive analysis of data sources, information products and health statistics.

    Science.gov (United States)

    Mbondji, Peter Ebongue; Kebede, Derege; Soumbey-Alley, Edoh William; Zielinski, Chris; Kouvividila, Wenceslas; Lusamba-Dikassa, Paul-Samson

    2014-05-01

    To identify key data sources of health information and describe their availability in countries of the World Health Organization (WHO) African Region. An analytical review on the availability and quality of health information data sources in countries; from experience, observations, literature and contributions from countries. Forty-six Member States of the WHO African Region. No participants. The state of data sources, including censuses, surveys, vital registration and health care facility-based sources. In almost all countries of the Region, there is a heavy reliance on household surveys for most indicators, with more than 121 household surveys having been conducted in the Region since 2000. Few countries have civil registration systems that permit adequate and regular tracking of mortality and causes of death. Demographic surveillance sites function in several countries, but the data generated are not integrated into the national health information system because of concerns about representativeness. Health management information systems generate considerable data, but the information is rarely used because of concerns about bias, quality and timeliness. To date, 43 countries in the Region have initiated Integrated Disease Surveillance and Response. A multitude of data sources are used to track progress towards health-related goals in the Region, with heavy reliance on household surveys for most indicators. Countries need to develop comprehensive national plans for health information that address the full range of data needs and data sources and that include provision for building national capacities for data generation, analysis, dissemination and use. © The Royal Society of Medicine.

  5. Health literacy and sources of health education among adolescents in Greece.

    Science.gov (United States)

    Vardavas, Constantine I; Kondilis, Barbara K; Patelarou, Evridiki; Akrivos, Patrick D; Falagas, Matthew E

    2009-01-01

    Knowledge on health and disease prevention and adolescent satisfaction from the health care system are factors that can affect the adolescent's health status. To assess the sources of health information of adolescents in a sample of teenagers from Athens and Crete, Greece. Data were obtained from a convenience sample of 369 adolescents aged 12-18 years from urban areas of Athens and Crete, Greece. Data on health care information sources and overall adolescent health literacy were collected with the use of a questionnaire exploring education on health topics over the past year, sources of health information, and interaction with their physician. More than half the study participants indicated having received information within the past year on oral health, sexually transmitted diseases, physical activity, smoking, and nutrition. The family (71.8%) and the physician (51.5%; boys vs. girls: 44.2% vs. 57.9%, p = .009) are most usually consulted for health information. Girls were found to seek out more sources of health information than boys and to receive more information from their friends (26.9% vs. 11.0%, p programming for youth in Greek schools is imperative to promote healthier lifestyles and to prevent chronic and infectious diseases.

  6. The influence of source term release parameters on health effects

    International Nuclear Information System (INIS)

    Jeong, Jong Tae; Ha, Jae Joo

    1998-08-01

    In this study, the influence of source term release parameters on the health effects was examined. This is very useful in identifying the relative importance of release parameters and can be an important factor in developing a strategy for reducing offsite risks. The release parameters investigated in this study are release height, heat content, fuel burnup, release time, release duration, and warning time. The health effects affected by the change of release parameters are early fatalities, cancer fatalities, early injuries, cancer injuries, early fatality risk, population weighted early fatality risk, population weighted cancer fatality risk, effective whole body population dose, population exceeding an early acute red bone marrow dose of 1.5 Sv, and distance at which early fatalities are expected to occur. As release height increases, the values of early health effects such as early fatalities and injuries decrease. However, the release height dose not have significant influences on late health effects. The values of both early and late health effects decrease as heat content increases. The increase fuel burnup, i.e., the increase of core inventories increases the late health effects, however, has small influence on the early health effects. But, the number of early injuries increases as the fuel burnup increases. The effects of release time increase shows very similar influence on both the early and late health effects. As the release time increases to 2 hours, the values of health effects increase and then decrease rapidly. As release duration increases, the values of late health effects increase slightly, however, the values of early health effects decrease. As warning time increases to 2 hours, the values of late health effects decrease and then shows no variation. The number of early injuries decreases rapidly as the warning time increases to 2 hours. However, the number of early fatalities and the early fatality risk increase as the warning time increases

  7. Sexting im Schulumfeld

    Directory of Open Access Journals (Sweden)

    Barbara Buchegger

    2015-03-01

    Full Text Available Wir wollten es einfach wissen. Wie steht es nun mit diesem "Sexting" – also der Übermittlung von Nacktaufnahmen, die Jugendliche untereinander teilen? Stimmt unser Eindruck aus den Workshops in Schulen, dass es bereits ein "übliches Verhalten" der Jugendlichen geworden ist? Saferinternet.at hat im November/Dezember 2014 eine Studie durch das Institut für Jugendkulturforschung rund um das Thema "Sexting" in Auftrag gegeben.

  8. Sources for increased DOC-concentrations in the groundwater downstream of the landfill Hohne (DEA); Ursachen erhoehter DOC-Konzentrationen im Grundwasserabstrom am Beispiel der Deponie Hohne (DEA)

    Energy Technology Data Exchange (ETDEWEB)

    Bahlmann, E.; Seifert, R. [Hamburg Univ. (Germany). Inst. fuer Geologie; Eschenbach, A.; Kleinschmidt, V. [Hamburg Univ. (Germany). Inst. fuer Bodenkunde

    2017-08-15

    Construction waste together with drilling mud and oil-contaminated soil had been deposited in the landfill Hohne from 1971. Four groundwater monitoring sites had been installed: one monitoring site upstream and three sites downstream of the landfill in three different directions. Downstream of the landfill increased concentrations of chloride, sulphate, sodium and DOC (dissolved organic carbon) had been measured over a period of years. Particularly the source of the DOC has remained unclear. Assumptions were (i) leaking of contaminants from the landfill and degradation under the landfill by microbes or plants or (ii) leaching of DOC from the soil under the landfill caused by a change in the redox potential. The determination of the DOC source was the major subject of this study.

  9. International sources of financial cooperation for health in developing countries.

    Science.gov (United States)

    Howard, L M

    1983-01-01

    By direct consulation and review of published sources, a study of 16 selected official sources of international financial cooperation was conducted over the August 1979 to August 1980 period in order to assess the policies, programs, and prospects for support of established international health goals. This study demonstrated that approximately 90% of the external health sector funds are provided via development oriented agencies. The major agencies providing such assistance concur that no sector, including health, should be excluded "a priori," providing that the requesting nation conveys its proposals through the appropriate national development planning authority. The agencies in the study also were found to be supporting health related programs in all the geographic regions of the World Health Organization (WHO). An associated review of 30 external funding agencies revealed that only 5 reported providing health assistance in more than half of the countries where they provided assistance for general development purposes. Interviewed sources attributed this to the limited manner in which health proposals have been identified, prepared, and forwarded (with national development authority approval) to international agencies. In 1979 concessional development financing totaled approximately US$29.9 billion, US$24.2 billion being provided by 17 major industrial nations, US$4.7 billion by Organization of Petroleum Exporting (OPEC) countries, and less than US$1 billion by the countries of Eastern Europe. Approximately 2/3 of such concessional financing is administered bilaterally, only 1/3 passing through multilateral institutions. UN agencies receive only 12% of these total concessional development financing resources. In 1979, concessional funding for health totaled approximately US$3 billion, approximately 1/10 of which was administered by WHO and its regional offices. It is anticipated that future international funding for health in developing countries will continue

  10. Active and retired public employees' health insurance: potential data sources.

    Science.gov (United States)

    Morrill, Melinda Sandler

    2014-12-01

    Employer-provided health insurance for public sector workers is a significant public policy issue. Underfunding and the growing costs of benefits may hinder the fiscal solvency of state and local governments. Findings from the private sector may not be applicable because many public sector workers are covered by union contracts or salary schedules and often benefit modifications require changes in legislation. Research has been limited by the difficulty in obtaining sufficiently large and representative data on public sector employees. This article highlights data sources researchers might utilize to investigate topics concerning health insurance for active and retired public sector employees. Copyright © 2014 Elsevier B.V. All rights reserved.

  11. Sources

    International Nuclear Information System (INIS)

    Duffy, L.P.

    1991-01-01

    This paper discusses the sources of radiation in the narrow perspective of radioactivity and the even narrow perspective of those sources that concern environmental management and restoration activities at DOE facilities, as well as a few related sources. Sources of irritation, Sources of inflammatory jingoism, and Sources of information. First, the sources of irritation fall into three categories: No reliable scientific ombudsman to speak without bias and prejudice for the public good, Technical jargon with unclear definitions exists within the radioactive nomenclature, and Scientific community keeps a low-profile with regard to public information. The next area of personal concern are the sources of inflammation. This include such things as: Plutonium being described as the most dangerous substance known to man, The amount of plutonium required to make a bomb, Talk of transuranic waste containing plutonium and its health affects, TMI-2 and Chernobyl being described as Siamese twins, Inadequate information on low-level disposal sites and current regulatory requirements under 10 CFR 61, Enhanced engineered waste disposal not being presented to the public accurately. Numerous sources of disinformation regarding low level radiation high-level radiation, Elusive nature of the scientific community, The Federal and State Health Agencies resources to address comparative risk, and Regulatory agencies speaking out without the support of the scientific community

  12. Epidemiology, public health, and health surveillance around point sources of pollution

    International Nuclear Information System (INIS)

    Stebbings, J.H. Jr.

    1981-01-01

    In industrial society a large number of point sources of pollution exist, such as chemical plants, smelters, and nuclear power plants. Public concern has forced the practising epidemiologist to undertake health surveillance of the usually small populations living around point sources. Although not justifiable as research, such epidemiologic surveillance activities are becoming a routine part of public health practice, and this trend will continue. This introduction reviews concepts of epidemiologic surveillance, and institutional problems relating to the quality of such applied research

  13. Health Information Needs and Reliability of Sources Among Nondegree Health Sciences Students: A Prerequisite for Designing eHealth Literacy.

    Science.gov (United States)

    Haruna, Hussein; Tshuma, Ndumiso; Hu, Xiao

    Understanding health information needs and health-seeking behavior is a prerequisite for developing an electronic health information literacy (EHIL) or eHealth literacy program for nondegree health sciences students. At present, interest in researching health information needs and reliable sources paradigms has gained momentum in many countries. However, most studies focus on health professionals and students in higher education institutions. The present study was aimed at providing new insight and filling the existing gap by examining health information needs and reliability of sources among nondegree health sciences students in Tanzania. A cross-sectional study was conducted in 15 conveniently selected health training institutions, where 403 health sciences students were participated. Thirty health sciences students were both purposely and conveniently chosen from each health-training institution. The selected students were pursuing nursing and midwifery, clinical medicine, dentistry, environmental health sciences, pharmacy, and medical laboratory sciences courses. Involved students were either in their first year, second year, or third year of study. Health sciences students' health information needs focus on their educational requirements, clinical practice, and personal information. They use print, human, and electronic health information. They lack eHealth research skills in navigating health information resources and have insufficient facilities for accessing eHealth information, a lack of specialists in health information, high costs for subscription electronic information, and unawareness of the availability of free Internet and other online health-related databases. This study found that nondegree health sciences students have limited skills in EHIL. Thus, designing and incorporating EHIL skills programs into the curriculum of nondegree health sciences students is vital. EHIL is a requirement common to all health settings, learning environments, and

  14. Secondary data sources for health services research in urologic oncology.

    Science.gov (United States)

    Cole, Alexander P; Friedlander, David F; Trinh, Quoc-Dien

    2018-04-01

    Though secondary data analyses of large datasets may reduce logistical and financial barriers required to perform significant and innovative work, such research requires specialized skills in data handling and statistical techniques as well as thorough and detailed knowledge of the data sources being used. To provide an overview of several common types of secondary data, focusing on strengths, weaknesses and examples of how these data may be used for health services research. Secondary data comprise a broad and heterogeneous category. This review covers several large categories of such data with examples of their use and discussions about their strengths and weaknesses. Sources include administrative data, claims-based datasets, electronic health records health surveys, patient or disease or both registries, quality improvement initiatives, as well as data from existing trials. Linkages of different types of data may expand the scope of questions answerable using secondary data analysis. Specific strengths and weaknesses of each type of dataset are discussed along with examples from the recent urologic literature. Choice of the appropriate data source should be tailored to the specific research question as well as the research resources and expertise available. Appropriate decisions about which data to use are the foundation for valid, high-impact research using secondary data. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Comparing the health impacts of different energy sources

    International Nuclear Information System (INIS)

    Hamilton, L.D.

    1982-01-01

    Assessing health impacts of different energy sources requires synthesis of research results from many different disciplines into a rational framework. Information is often scanty; qualitatively different risks, or energy systems with substantially different end uses, must be put on a common footing. Historically institutional constraints have inhibited agencies from making incisive intercomparisons necessary for formulating energy policy; this has exacerbated public controversy over appropriate energy sources. Risk assessment methods reviewed include examples drawn from work of the Biomedical and Environmental Assessment Division at Brookhaven National Laboratory and elsewhere. Uncertainty over the mechanism and size of air pollution health damage is addressed through a probabilistic health-damage function, using sulphate-particle exposure as an indicator. This facilitates intercomparison through analysis of each step in the whole fuel cycle between a typical coal and nuclear power plant. Occupational health impacts, a significant fraction of overall damage, are illustrated by accident trends in coal-mining. In broadening comparisons to include new technologies, one must include the impact of manufacturing the energy-producing device as part of an expanded fuel cycle, via input/output methods. Throughout the analysis, uncertainties must be made explicit in the results, including uncertainty of data and uncertainty in choice of appropriate models and methods. No single method of comparative risk assessment is fully satisfactory; each has its limitations. Several methods must be compared if decision-making is to be realistic. (author)

  16. Cost and prices of electricity. Fossil fuels, nuclear power and renewable energy sources in comparison; Kosten und Preise fuer Strom. Fossile, Atomstrom und Erneuerbare Energien im Vergleich

    Energy Technology Data Exchange (ETDEWEB)

    Muehlenhoff, Joerg

    2011-09-15

    Consumers of electricity pay for production, transport and distribution as well as for taxes and dues. Electricity rates depend on various influencing factors, e.g. different fuel and capital cost of the power plants and the ratio of supply and demand in the electricity stock markets. End user electricity rats also include taxes and dues as well as the cost of power transmission. The publication presents background information on the formation of electricity rates in Germany. In a second step, the different cost factors of fossil fuels, nuclear power and renewable energy sources are compared. In particular, the external cost is gone into which often tends to be neglected in the electricity markets.

  17. Open source cardiology electronic health record development for DIGICARDIAC implementation

    Science.gov (United States)

    Dugarte, Nelson; Medina, Rubén.; Huiracocha, Lourdes; Rojas, Rubén.

    2015-12-01

    This article presents the development of a Cardiology Electronic Health Record (CEHR) system. Software consists of a structured algorithm designed under Health Level-7 (HL7) international standards. Novelty of the system is the integration of high resolution ECG (HRECG) signal acquisition and processing tools, patient information management tools and telecardiology tools. Acquisition tools are for management and control of the DIGICARDIAC electrocardiograph functions. Processing tools allow management of HRECG signal analysis searching for indicative patterns of cardiovascular pathologies. Telecardiology tools incorporation allows system communication with other health care centers decreasing access time to the patient information. CEHR system was completely developed using open source software. Preliminary results of process validation showed the system efficiency.

  18. Sources of uncertainty in characterizing health risks from flare emissions

    International Nuclear Information System (INIS)

    Hrudey, S.E.

    2000-01-01

    The assessment of health risks associated with gas flaring was the focus of this paper. Health risk assessments for environmental decision-making includes the evaluation of scientific data to identify hazards and to determine dose-response assessments, exposure assessments and risk characterization. Gas flaring has been the cause for public health concerns in recent years, most notably since 1996 after a published report by the Alberta Research Council. Some of the major sources of uncertainty associated with identifying hazardous contaminants in flare emissions were discussed. Methods to predict human exposures to emitted contaminants were examined along with risk characterization of predicted exposures to several identified contaminants. One of the problems is that elemental uncertainties exist regarding flare emissions which places limitations of the degree of reassurance that risk assessment can provide, but risk assessment can nevertheless offer some guidance to those responsible for flare emissions

  19. 'Two clicks and I'm in!' Patients as co-actors in managing health data through a personal health record infrastructure.

    Science.gov (United States)

    Zanutto, Alberto

    2017-06-01

    One of the most significant changes in the healthcare field in the past 10 years has been the large-scale digitalization of patients' healthcare data, and an increasing emphasis on the importance of patients' roles in cooperating with healthcare professionals through digital infrastructures. A project carried out in the North of Italy with the aim of creating a personal health record has been evaluated over the course of 5 years by means of mixed method fieldwork. Two years after the infrastructure was put into regular service, the way in which patients are represented in the system and patient practices have been studied using surveys and qualitative interviews. The data show that, first, patients have become co-actors in describing their clinical histories; second, that they have become co-actors in the diagnosis process; and finally, they have become co-actors in the management of time and space as regards their specific state of health.

  20. Safety techniques in the change of nuclear systems. Radiation protection at spallation neutron sources and transmutation facilities; Sicherheitstechnik im Wandel Nuklearer Systeme. Strahlenschutz bei Spallationsneutronenquellen und Transmutationsanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Nuenighoff, Kay

    2009-07-01

    To push the boundary towards higher neutron fluxes concepts based on spallation reactions have been discussed. Here neutrons are produced by bombarding a heavy metal target (e.g. mercury, tungsten, or tantalum) with high energetic protons. Up to now such facilities could not be realised because of the high power particle accelerators needed. Recent developments of the accelerator technology open the possibility of construction and operating proton accelerators in the MW region. This is demonstrated by construction and commissioning of two MW spallation neutron sources, namely SNS (Oak Ridge, Tennessee, USA) with a power of 1.4 MW and J-PARC (Japan) with 1 MW. The realisation of proton accelerators at this power level will open the way towards energy amplifiers, as proposed e.g. by Carlo Rubbia. Such a facility will not only produce electric power. Furthermore longliving radionuclides can be transmutated into shortlived or even stable nuclides by neutron induced nuclear reactions. A mitigation of the problem of nuclear waste disposal. The above discussed developments prove that accelerators are not only constructed for research, moreover application of these technology became state of the art. With the emergence of particle accelerators in the MW region, radiation protection is confronted with new kind of problems to be solved. Especially the higher kinetic energies of the primary beam particles requires modification and expansion of computer programs well known in nuclear engineering. In contrast to nuclear reactors with kinetic energies up to 2-3 MeV, in spallation reaction secondary particles up to the incident energy in the GeV region will be produced. Problems related to radiation protection have to be considered in an energy range three orders of magnitude higher than known from nuclear reactors. In this thesis existing computer codes are compared and validated with data from selected experiments. Questions concerning radiation protection covers a broad range

  1. IMS applications analysis

    Energy Technology Data Exchange (ETDEWEB)

    RODACY,PHILIP J.; REBER,STEPHEN D.; SIMONSON,ROBERT J.; HANCE,BRADLEY G.

    2000-03-01

    This report examines the market potential of a miniature, hand-held Ion Mobility Spectrometer. Military and civilian markets are discussed, as well as applications in a variety of diverse fields. The strengths and weaknesses of competing technologies are discussed. An extensive Ion Mobility Spectrometry (IMS) bibliography is included. The conclusions drawn from this study are: (1) There are a number of competing technologies that are capable of detecting explosives, drugs, biological, or chemical agents. The IMS system currently represents the best available compromise regarding sensitivity, specificity, and portability. (2) The military market is not as large as the commercial market, but the military services are more likely to invest R and D funds in the system. (3) Military applications should be addressed before commercial applications are addressed. (4) There is potentially a large commercial market for rugged, hand-held Ion Mobility Spectrometer systems. Commercial users typically do not invest R and D funds in this type of equipment rather, they wait for off-the-shelf availability.

  2. Reprint of: "I'm always entirely happy when I'm here!" Urban blue enhancing human health and well-being in Cologne and Düsseldorf, Germany.

    Science.gov (United States)

    Völker, Sebastian; Kistemann, Thomas

    2013-08-01

    Water is one of the most important landscape elements. In settled areas, planners rediscovered urban blue in the form of rivers as a soft location factor in post-industrial times. Although the recognition of the need for recreational or 'healthy' places like urban green or urban blue in cities is increasing, current urban planning is mostly conducted without taking beneficial health issues into account. In this paper an extended concept of therapeutic landscapes is used to analyse two promenades on the river Rhine in the centres of two German cities (Cologne and Düsseldorf). A complex of qualitative and quantitative methods from diverse disciplines is applied to obtain a multi-dimensional image of salutogenic health processes. The results show that the promenades are favourite places to spend leisure time and to engage in recreational activities, in addition to providing restoration from everyday stresses. Water is a strong predictor of preference and positive perceptive experiences in urban environments. Users of the promenades also report strong emotional attachments to the place. Urban blue space may be interpreted as a therapeutic landscape in various ways. The study forms a contribution to planning issues, particularly considering benefits for human health, and enhances current research concerning therapeutic landscapes. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. A global health problem caused by arsenic from natural sources

    Energy Technology Data Exchange (ETDEWEB)

    Ng, J.C.; Wang, J.P.; Shraim, A. [University of Queensland, Brisbane, Qld. (Australia). National Research Center for Environmental Toxicology

    2003-09-01

    Arsenic is a carcinogen to both humans and animals. Arsenicals have been associated with cancers of the skin, lung, and bladder. Clinical manifestations of chronic arsenic poisoning include non-cancer end point of hyper- and hypo-pigmentation, keratosis, hypertension, cardiovascular diseases and diabetes. Epidemiological evidence indicates that arsenic concentration exceeding 50 {mu}g l{sup -1} in the drinking water is not public health protective. The current WHO recommended guideline value for arsenic in drinking water is 10 {mu}g l{sup -1}, whereas many developing countries are still having a value of 50 {mu}g 1{sup -1}. It has been estimated that tens of millions of people are at risk exposing to excessive levels of arsenic from both contaminated water and arsenic-bearing coal from natural sources. The global health implication and possible intervention strategies were also discussed in this review article.

  4. CORPORATIVE MOTIVES ON IMPLEMENTATION OF INTEGRATED MANAGEMENT SYSTEM (IMS

    Directory of Open Access Journals (Sweden)

    Dragan Rajkovic

    2009-09-01

    Full Text Available Integration of management systems for quality, environment, health and risk management as well as corporative social responsibilities is workable corporative approach to reduce costs, effective use of resources, higher motivation of employees and better fulfillment of requirements of social engagements and stakeholders. This paper presents contents of literature and review of a company motives on integrated management system (IMS implementation, namely factors affecting the IMS implementation.

  5. The Internet as a source of health information among Singaporeans: prevalence, patterns of health surfing and impact on health behaviour.

    Science.gov (United States)

    Siow, T R; Soh, I P; Sreedharan, S; Das De, S; Tan, P P; Seow, A; Lun, K C

    2003-11-01

    The Internet is an increasingly popular source of healthcare information. This study describes the prevalence of health surfers in Singapore and their health-surfing patterns. It also assesses their confidence in online health information and the impact the Internet has on health-seeking behaviour. A cross-sectional survey using a standardised questionnaire was carried out among residents aged 13 to 55 years in 1852 units in Bishan North. These units were selected by single-stage simple random cluster sampling method. The household response rate was 51% (n = 950) and the individual response rate was 69% (n = 1646). Responding and non-responding households were similar in terms of ethnicity and housing type. Of the responders, 62.9% surfed the Internet and 37.7% have surfed for health information. Health surfers tended to be younger (20 to 39 years) and have higher education status. Indians were also more likely than other ethnic groups to surf for health. Professional health-related sites comprised the majority (68%) of sites visited, and the most common search keywords concern chronic degenerative diseases, e.g. hypertension. The top preferred sources of health information were doctors (25.9%), the Internet (25.3%) and the traditional mass media (20.5%). Almost half (45.1%) considered online health information trustworthy if it was from a professional source or if the website displayed the source, while 10.6% trusted the information if it concurred with the doctors' advice. The vast majority (91.7%) had taken some action in response to the information. The Internet is being used as an accessible source of health information by a substantial proportion of the lay public. While this can facilitate greater partnership in healthcare, it underlines the need for doctors to be pro-active in the practice of evidence-based medicine, and for guidelines to enable patients to use this tool in a discerning manner.

  6. Anaerobes as Sources of Bioactive Compounds and Health Promoting Tools.

    Science.gov (United States)

    Mamo, Gashaw

    Aerobic microorganisms have been sources of medicinal agents for several decades and an impressive variety of drugs have been isolated from their cultures, studied and formulated to treat or prevent diseases. On the other hand, anaerobes, which are believed to be the oldest life forms on earth and evolved remarkably diverse physiological functions, have largely been neglected as sources of bioactive compounds. However, results obtained from the limited research done so far show that anaerobes are capable of producing a range of interesting bioactive compounds that can promote human health. In fact, some of these bioactive compounds are found to be novel in their structure and/or mode of action.Anaerobes play health-promoting roles through their bioactive products as well as application of whole cells. The bioactive compounds produced by these microorganisms include antimicrobial agents and substances such as immunomodulators and vitamins. Bacteriocins produced by anaerobes have been in use as preservatives for about 40 years. Because these substances are effective at low concentrations, encounter relatively less resistance from bacteria and are safe to use, there is a growing interest in these antimicrobial agents. Moreover, several antibiotics have been reported from the cultures of anaerobes. Closthioamide and andrimid produced by Clostridium cellulolyticum and Pantoea agglomerans, respectively, are examples of novel antibiotics of anaerobe origin. The discovery of such novel bioactive compounds is expected to encourage further studies which can potentially lead to tapping of the antibiotic production potential of this fascinating group of microorganisms.Anaerobes are widely used in preparation of fermented foods and beverages. During the fermentation processes, these organisms produce a number of bioactive compounds including anticancer, antihypertensive and antioxidant substances. The well-known health promoting effect of fermented food is mostly due to these

  7. Quantification of the health hazards associated with different energy sources

    International Nuclear Information System (INIS)

    Reissland, J.A.; Kendall, G.M.; Greenhalgh, J.R.

    1982-01-01

    Comparisons of health hazards which may result from the operation of different types of electrical power-producing systems are a necessary input to the decision-making process of planning future supplies. Although other factors have played a dominant role in the past and will continue to be a major influence, much greater attention is now devoted to a consideration of detriment to health associated with large-scale industrial development. The paper considers only this health aspect of the comparison and concentrates on one aspect of that, namely on how the impact on health of workers and public can be expressed to represent the detriment. Two measures are discussed: the number of deaths and the effective loss of life, both evaluated per GW(e).a. The latter is extended along the same lines as in the ICRP publication 'Problems Involved in Developing an Index of Harm'. The index of harm is a measure of hazard to a worker in a particular industry; the analogous quantity here is a measure of hazard of operating a 1-GW(e) power plant. For illustration, the hazards of coal-fired and nuclear power stations are compared although certain factors are omitted from both cycles which it will be essential to include if the method is extended to bring wind, wave and solar energy sources into the comparison. Inevitably some contributions are very difficult to quantify and it may be more realistic to consider these qualitatively rather than attempt to fold them in with artificial numerical values. The procedure described for the inclusion of quantifiable factors seems to be a reasonable basis for comparison but it is not suggested that any such procedure is adequate by itself. Clearly comparisons should be made on several distinct bases. (author)

  8. Health physics source document for codes of practice

    International Nuclear Information System (INIS)

    Pearson, G.W.; Meggitt, G.C.

    1989-05-01

    Personnel preparing codes of practice often require basic Health Physics information or advice relating to radiological protection problems and this document is written primarily to supply such information. Certain technical terms used in the text are explained in the extensive glossary. Due to the pace of change in the field of radiological protection it is difficult to produce an up-to-date document. This document was compiled during 1988 however, and therefore contains the principle changes brought about by the introduction of the Ionising Radiations Regulations (1985). The paper covers the nature of ionising radiation, its biological effects and the principles of control. It is hoped that the document will provide a useful source of information for both codes of practice and wider areas and stimulate readers to study radiological protection issues in greater depth. (author)

  9. Jung und Alt im Dialog

    Directory of Open Access Journals (Sweden)

    Caroline Baetge

    2012-04-01

    Full Text Available Rezension zu: Kupser, Thomas, und Ida Pöttinger, Hrsg. 2011. Mediale Brücken: Generationen im Dialog durch aktive Medienarbeit. Gesellschaft - Altern - Medien 3. München: kopaed.

  10. Gesundheit und Pflege im Alter

    OpenAIRE

    Pfaff, Martin

    1989-01-01

    Gesundheit und Pflege im Alter : d. Gesundheitsreformgesetz (GRG) ; Möglichkeiten, Grenzen u. weitere Vorschläge / Martin Pfaff ; Klaus Deimer. - In: Expertengespräch "Pflege in der Familie". - Augsburg, 1989. - Getr. Zählung

  11. Resilience of the IMS system

    DEFF Research Database (Denmark)

    Kamyod, Chayapol; Nielsen, Rasmus Hjorth; Prasad, Neeli R.

    2014-01-01

    The paper focuses on end-to-end resilience analysis of the IMS based network through the principal resilience parameters by using OPNET. The resilience behaviours of communication across multiple IMS domains are investigated at different communication scenarios and compared with previous state......-of-the-art. Moreover, the resilience effects when adding a redundancy of the S-CSCF unit are examined. The results disclose interesting resilience behaviours for long distance communications....

  12. Health and economic costs of alternative energy sources

    International Nuclear Information System (INIS)

    Hamilton, L.D.; Manne, A.S.

    1977-01-01

    National energy policy requires realistic totaling of costs in assessing energy alternatives. The Biomedical and Environmental Assessment Division (BEAD) at Brookhaven is estimating biomedical and environmental costs of energy production and use. All forms of energy, including new technologies, are being considered. Beginning with a compilation of pollutants from the energy system, the various paths to man are traced and health effects evaluated. Excess mortality and morbidity in the U.S. attributable to a total fuel cycle to produce 6.6x10 9 kwh - about a year's production of a 1000-MWe power plant - are being estimated. Where enough information is available, estimates are quantitative. In some instances only the nature of the potential hazard can be described. This assessment aims at providing initial estimates of relative impacts to identify where the important health hazards in each fuel cycle arise, thereby identifying key areas for judging the total costs of alternative energy sources, and those areas of research likely to improve the accuracy of the estimates. It was thus estimated that the production of electric power from all sources in the U.S. in 1975 was associated with between two to nineteen thousand deaths and twenty-nine to fourty-eight thousand disabilities; this is roughly between 0.2 and 2% of total deaths in U.S. ages 1-74. The estimated health effects associated with a total fuel cycle standardized to produce 10 10 kwh electric power were: from coal estimated deaths 20-200, estimated disabilities 300-500; from oil estimated deaths 3-150, estimated disabilities 150-300; from gas estimated deaths 0.2, estimated disabilities 20; from nuclear estimated deaths 1-3, estimated disabilities 8-30. The differences in the year 2000 between health impacts of the U.S. energy system under normal growth expectations and under conditions of a nuclear moratorium were estimated. On the assumption that the nuclear moratorium would require 320 additional 1000-MWe

  13. Guiding health promotion efforts with urban Inuit: a community-specific perspective on health information sources and dissemination strategies.

    Science.gov (United States)

    McShane, Kelly E; Smylie, Janet K; Hastings, Paul D; Martin, Carmel M

    2006-01-01

    To develop a community-specific perspective of health information sources and dissemination strategies of urban Inuit to better guide health promotion efforts. Through a collaborative partnership with the Tungasuvvingat Inuit Family Resource Centre, a series of key informant interviews and focus groups were conducted to gather information on specific sources of health information, strategies of health information dissemination, and overall themes in health information processes. Distinct patterns of health information sources and dissemination strategies emerged from the data. Major themes included: the importance of visual learning, community Elders, and cultural interpreters; community cohesion; and the Inuit and non-Inuit distinction. The core sources of health information are family members and sources from within the Inuit community. The principal dissemination strategy for health information was direct communication, either through one-on-one interactions or in groups. This community-specific perspective of health information sources and dissemination strategies shows substantial differences from current mainstream models of health promotion and knowledge translation. Health promotion efforts need to acknowledge the distinct health information processes of this community, and should strive to integrate existing health information sources and strategies of dissemination with those of the community.

  14. Implementing an Open Source Electronic Health Record System in Kenyan Health Care Facilities: Case Study.

    Science.gov (United States)

    Muinga, Naomi; Magare, Steve; Monda, Jonathan; Kamau, Onesmus; Houston, Stuart; Fraser, Hamish; Powell, John; English, Mike; Paton, Chris

    2018-04-18

    The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record adoption in public hospitals and implemented two major health information technology projects: District Health Information Software Version 2, for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country. Following these projects, a modified version of the Open Medical Record System electronic health record was specified and developed to fulfill the clinical and administrative requirements of health care facilities operated by devolved counties in Kenya and to automate the process of collating health care indicators and entering them into the District Health Information Software Version 2 system. We aimed to present a descriptive case study of the implementation of an open source electronic health record system in public health care facilities in Kenya. We conducted a landscape review of existing literature concerning eHealth policies and electronic health record development in Kenya. Following initial discussions with the Ministry of Health, the World Health Organization, and implementing partners, we conducted a series of visits to implementing sites to conduct semistructured individual interviews and group discussions with stakeholders to produce a historical case study of the implementation. This case study describes how consultants based in Kenya, working with developers in India and project stakeholders, implemented the new system into several public hospitals in a county in rural Kenya. The implementation process included upgrading the hospital information technology infrastructure, training users, and attempting to garner administrative and clinical buy-in for adoption of the system. The initial deployment was ultimately scaled back due to a

  15. Health figures: an open source JavaScript library for health data visualization.

    Science.gov (United States)

    Ledesma, Andres; Al-Musawi, Mohammed; Nieminen, Hannu

    2016-03-22

    The way we look at data has a great impact on how we can understand it, particularly when the data is related to health and wellness. Due to the increased use of self-tracking devices and the ongoing shift towards preventive medicine, better understanding of our health data is an important part of improving the general welfare of the citizens. Electronic Health Records, self-tracking devices and mobile applications provide a rich variety of data but it often becomes difficult to understand. We implemented the hFigures library inspired on the hGraph visualization with additional improvements. The purpose of the library is to provide a visual representation of the evolution of health measurements in a complete and useful manner. We researched the usefulness and usability of the library by building an application for health data visualization in a health coaching program. We performed a user evaluation with Heuristic Evaluation, Controlled User Testing and Usability Questionnaires. In the Heuristics Evaluation the average response was 6.3 out of 7 points and the Cognitive Walkthrough done by usability experts indicated no design or mismatch errors. In the CSUQ usability test the system obtained an average score of 6.13 out of 7, and in the ASQ usability test the overall satisfaction score was 6.64 out of 7. We developed hFigures, an open source library for visualizing a complete, accurate and normalized graphical representation of health data. The idea is based on the concept of the hGraph but it provides additional key features, including a comparison of multiple health measurements over time. We conducted a usability evaluation of the library as a key component of an application for health and wellness monitoring. The results indicate that the data visualization library was helpful in assisting users in understanding health data and its evolution over time.

  16. The Influence of eHealth Literacy on Perceived Trust in Online Health Communication Channels and Sources.

    Science.gov (United States)

    Paige, Samantha R; Krieger, Janice L; Stellefson, Michael L

    2017-01-01

    Disparities in online health information accessibility are partially due to varying levels of eHealth literacy and perceived trust. This study examined the relationship between eHealth literacy and perceived trust in online health communication channels and sources among diverse sociodemographic groups. A stratified sample of Black/African Americans (n = 402) and Caucasians (n = 409) completed a Web-based survey that measured eHealth literacy and perceived trustworthiness of online health communication channels and information sources. eHealth literacy positively predicted perceived trust in online health communication channels and sources, but disparities existed by sociodemographic factors. Segmenting audiences according to eHealth literacy level provides a detailed understanding of how perceived trust in discrete online health communication channels and information sources varies among diverse audiences. Black/African Americans with low eHealth literacy had high perceived trust in YouTube and Twitter, whereas Black/African Americans with high eHealth literacy had high perceived trust in online government and religious organizations. Older adults with low eHealth literacy had high perceived trust in Facebook but low perceived trust in online support groups. Researchers and practitioners should consider the sociodemographics and eHealth literacy level of an intended audience when tailoring information through trustworthy online health communication channels and information sources.

  17. Use of and Satisfaction with Sources of Health Information among Older Internet Users and Nonusers

    Science.gov (United States)

    Taha, Jessica; Sharit, Joseph; Czaja, Sara

    2009-01-01

    Purpose: Older adults generally have an increased need for health care information. Whereas some use the Internet to look for this information, others use more traditional sources. This study gathered data from older adults to determine their health information needs, the perceived usefulness of sources of health information, and if there are…

  18. The health cost of energy. The health impacts of the different energy sources

    International Nuclear Information System (INIS)

    Masse, Roland

    2017-01-01

    This publication proposes an assessment of impacts of the different energy sources on public health. After a discussion of general aspects regarding this issue, the author addresses the identification and assessment of risks. While referring to different statistical data, he discusses the impacts of accidents in terms of dead, injured or evacuated people. He also addresses health impacts during a normal operation of power plants, i.e. in the case of nuclear plants (issue of exposure to various levels of radiation at the different steps of fuel cycle), of carbon-based plants (health risks and impacts during coal extraction, due to CO 2 emissions and to other toxic emissions, due to atmospheric pollution, identified risks, modelling attempts, assessment of a loss in life expectancy), and of other energies. While acknowledging that there are still many unknowns to assess these health impacts, the author compares these assessments. A summarized version of this article is proposed, in which the author briefly comments data regarding severe accidents related to energy production, discusses health consequences of electric power production and use, and makes a distinction between the most and less hazardous energies as far as public health is concerned

  19. "I'm afraid I have bad news for you…" Estimating the impact of different health impairments on subjective well-being.

    Science.gov (United States)

    Binder, Martin; Coad, Alex

    2013-06-01

    Bad health decreases individuals' happiness, but few studies measure the impact of specific illnesses. We apply matching estimators to examine how changes in different (objective) conditions of bad health affect subjective well-being for a sample of 100,265 observations from the British Household Panel Survey (BHPS) database (1996-2006). The strongest effect is for alcohol and drug abuse, followed by anxiety, depression and other mental illnesses, stroke and cancer. Adaptation to health impairments varies across health impairments. There is also a puzzling asymmetry: strong adverse reactions to deteriorations in health appear alongside weak increases in well-being after health improvements. In conclusion, our analysis offers a more detailed account of how bad health influences happiness than accounts focusing on how bad self-assessed health affects individual well-being. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Dual-source computed tomography. Effect on regional and global left ventricular function assessment compared to magnetic resonance imaging; Untersuchung der regionalen und globalen linksventrikulaeren Funktion mit der Dual-Source-Computertomografie im Vergleich zur Magnetresonanztomografie

    Energy Technology Data Exchange (ETDEWEB)

    Lueders, F.; Seifarth, H.; Wessling, J.; Heindel, W.; Juergens, Kai Uwe [Inst. fuer Klinische Radiologie, Universitaetsklinikum Muenster (Germany); Fischbach, R. [Klinik fuer Radiologie, Nuklearmedizin und Neuroradiologie, Asklepios Klinik Altona (Germany)

    2009-10-15

    Purpose: to determine regional and global left ventricular (LV) functional parameters and to perform segmental wall thickness (SWT) and motion (WM) analysis of dual source CT (DSCT) with optimized temporal resolution versus MRI. Materials and Methods: 30 patients with known or suspected CAD, non-obstructive HCM, DCM, ARVCM, Fallot Tetralogy, cardiac sarcoidosis and cardiac metastasis underwent DSCT and MRI. The DSCT and MR images were evaluated: end-systolic (ESV), end-diastolic LV (EDV) volumes, stroke volume (SV), ejection fraction (EF), and myocardial mass (MM) as well as LV wall thickening and segmental WM applying the AHA model were obtained and statistically analyzed. Results: The mean LV-EDV (r = 0.96) and ESV (r = 0.98) as well as LV-EF (r = 0.97), SV (r = 0.83), and MM (r = 0.95) correlated well. Bland Altman analysis revealed little systematic underestimation of LV-EF (-1.1 {+-} 7.8%), EDV (-0.3 {+-} 18.2 ml), SV (-1.3 {+-} 16.7 ml) and little overestimation of ESV (1.1 {+-} 7.8 ml) and MM (12.8 {+-} 14.4 g) determined by DSCT. Systolic reconstruction time points correlated well (DSCT 32.2 {+-} 6.7 vs. MRI 35.6 {+-} 4.4% RR-interval). The LV wall thickness obtained by DSCT and MRI showed close correlation in all segments (diameter diff 0.42 {+-} 1 mm). In 413 segments (89%) WM abnormalities were equally rated, whereas DSCT tended to underestimate the degree of wall motion impairment. Conclusion: DSCT with optimized temporal resolution enables regional and global LV function analysis as well as segmental WM analysis in good correlation with MRI. However, the degree of WM impairment is slightly underestimated by DSCT. (orig.)

  1. Application of dual-source-computed tomography in pediatric cardiology in children within the first year of life; Einsatz der Dual-Source-Computertomografie in der Kinderkardiologie bei Kindern im ersten Lebensjahr

    Energy Technology Data Exchange (ETDEWEB)

    Hausmann, P.; Stenger, A.; Dittrich, S.; Gloeckler, M. [Erlangen-Nuernberg Univ., Erlangen (Germany). Pediatric Cardiology; Cesnjevar, R.; Rueffer, A. [Erlangen-Nuernberg Univ., Erlangen (Germany). Congenital Heart Surgery; Hammon, M.; Uder, M.; Rompel, O. [Erlangen-Nuernberg Univ., Erlangen (Germany). Radiology

    2016-02-15

    To assess fields of application and value of dual source computed tomography (DSCT) for diagnostics and therapy in patients with congenital heart disease during their first year of life. Evaluation of image quality, surgical use and radiation exposure of 2nd and 3rd generation DSCT. DSCT was applied in 118 cases between January 2012 and October 2014 for diagnostics of congenital heart defects. 2nd generation was used in 91 cases until April 2014 and 3rd generation in 27 cases during the period thereafter. 3D reconstructions of the image data were created for clinical diagnostics and planning of interventions. Image quality was assessed using a 4-point-scale. The visibility of the mammary arteries was analyzed, and signal-to-noise-ratio (SNR) and contrast-to-noise-ratio (CNR) were calculated. The usefulness of 3D-reconstructions for surgical planning was rated using a 5-point-scale. Radiation exposure and contrast dye consumption were determined. All cases were analyzed retrospectively. DSCT was successfully used in 118 cases. All image data obtained were interpretable. More than 60 percent of cases did not show any artifacts. The mammary arteries were visible down to the diaphragmatic arch in more than 80 percent of cases. Diagnostic value and surgical benefit were evaluated as ''useful'' or as ''essential'' in all cases. Median radiation dose was 0.4 mSv and 0.27 mSv for the 2nd and 3rd generation DSCT, respectively. Consumption of contrast dye was 2 ml/kg in all cases. DSCT is a modern and extremely helpful technique for diagnostics and planning of interventions in patients with complex congenital heart defects. Extracardiac vascular structures in particular can be depicted three-dimensionally at high resolution. The use of iterative reconstruction with 3rd generation DSCT yielded image quality similar to that of 2nd generation DSCT at considerably reduced radiation exposure level compared to 2nd generation DSCT. 3rd

  2. Security in the internet; Sicherheitsaspekte im Internet

    Energy Technology Data Exchange (ETDEWEB)

    Seibel, R.M.M.; Kocher, K.; Landsberg, P. [Witten-Herdecke Univ., Witten (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie

    2000-04-01

    Aim of the study: Is it possible to use the Internet as a secure media for transport of telemedicine? Which risks exist for routine use? In this article state of the art methods of security were analysed. Telemedicine in the Internet has severe risks, because patient data and hospital data of a secure Intranet can be manipulated by connecting it to the Web. Conclusions: Establishing of a firewall and the introduction of HPC (Health Professional Card) are minimizing the risk of un-authorized access to the hospital server. HPC allows good safety with digital signature and authentication of host and client of medical data. For secure e-mail PGP (Pretty Good Privacy) is easy to use as a standard protocol. Planning all activities exactly as well as following legal regulations are important requisites for reduction of safety risks in Internet. (orig.) [German] Ziele der Studie und Analyse: Es sollten die Fragen beantwortet werden, ob es moeglich ist, das Internet als sicheres Uebermittlungsmedium fuer Telemedizin zu nutzen und welche Sicherheitsrisiken bestehen. Dazu wurden die gaengigen Sicherheitsmethoden analysiert. Telemedizin im Internet ist mit Sicherheitsrisiken behaftet, die durch die Oeffnung eines Intranets mit der Moeglichkeit zur unberechtigten Manipulation von aussen bedingt sind. Schlussfolgerung: Diese Sicherheitsrisiken koennen durch eine Firewall weitgehend unterbunden werden. Chipkarten wie die Health professional card ermoeglichen eine hohe Sicherheit bei digitaler Signatur und sicherer Authentifikation der Sender und Empfaenger von Daten im Internet. Auch Standards wie Pretty good privacy sind inzwischen fuer sichere e-mails einfach einzusetzen. Wichtige Voraussetzung fuer die Reduktion von Sicherheitsrisiken ist unter Beruecksichtigung der gesetzlichen Vorgaben die exakte Planung aller Aktivitaeten im Internet, bei denen medizinische Patientendaten versandt werden sollen, in einem Team aus Aerzten und Informatikern. (orig.)

  3. RE-SONANCE--IM

    Indian Academy of Sciences (India)

    However the known sources for £ and 8 are electric charges and electric currents only. ... possible candidate theory of all forces, it is interesting that they may emerge as ... since at that time the universe must have been hot enough to create the ...

  4. Environmental trace analysis by means of supersensitive GC-IMS

    International Nuclear Information System (INIS)

    Leonhardt, J.W.

    1997-01-01

    The effective control of pollutants in ambient air requires their fast in situ identification and concentration determination of chemical compounds in the range of micrograms per m 3 . There are attempts to use conventional analytical techniques as portable GC and GC-MS. These systems are relatively expensive. A new supersensitive ion Mobility Sensor (IMS) was developed and checked by IUT Ltd, which meets the new demands. The use of tritium sources is an advantage in comparison with other IMS being equipped by nickel-63, the application of which is rather critical in respect of the radiation protection. On the other hand an integrated separation column allows to reduce interferences by matrix effects. The technical parameters of the IUT GC- IMS and some of its most important applications are briefly presented

  5. Environmental trace analysis by means of supersensitive GC-IMS

    Energy Technology Data Exchange (ETDEWEB)

    Leonhardt, J.W. [IUTLimited, Berlin, (Germany)

    1997-10-01

    The effective control of pollutants in ambient air requires their fast in situ identification and concentration determination of chemical compounds in the range of micrograms per m{sup 3}. There are attempts to use conventional analytical techniques as portable GC and GC-MS. These systems are relatively expensive. A new supersensitive ion Mobility Sensor (IMS) was developed and checked by IUT Ltd, which meets the new demands. The use of tritium sources is an advantage in comparison with other IMS being equipped by nickel-63, the application of which is rather critical in respect of the radiation protection. On the other hand an integrated separation column allows to reduce interferences by matrix effects. The technical parameters of the IUT GC- IMS and some of its most important applications are briefly presented 6 refs., 1 tab., 5 figs.

  6. Health care managers' perspectives on the sources of evidence in ...

    African Journals Online (AJOL)

    Background: Evidence-based management (EBMgt) has been developed as a management framework for improving the quality of management decisions. To use that, we need to identify the source of evidence in decision-making. Therefore, the purpose of this study was to identify the sources of evidence in managing ...

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

    Directory of Open Access Journals (Sweden)

    Neil J. Hime

    2018-06-01

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

  8. Individualisierte Produkte im Fokus der intergrierten Produktentwicklung

    OpenAIRE

    Baumberger, C.;Gahr, A.

    2017-01-01

    Individualisierte Produkte stellen neue Herausforderungen an die Produktentwicklung – vornehmlich im Bereich der Produktstrukturplanung, der kundenindividuellen Produktadaption und dem Zielkostenmanagement. Diese Themen werden am Lehrstuhl für Produktentwicklung im Rahmen des Sonderforschungsbereiches 582 behandelt.

  9. Alkohol im Alter

    DEFF Research Database (Denmark)

    Wolter, Dirk

    2015-01-01

    Alcohol abuse and health problems due to alcohol increase in the elderly. The functional impact is more pronounced than in younger people; nevertheless, alcohol abuse in the elderly is often overlooked. Early onset and late onset alcoholics differ with respect to previous problems, social...... and health status and therapy prognosis. The severity of withdrawal depends on addiction severity and comorbidities but not on calendar age. It is important to support patients in developing a motivation for change. Brief interventions are effective in elderly persons with an at-risk consumption of alcohol...

  10. A two-stage extraction procedure for insensitive munition (IM) explosive compounds in soils.

    Science.gov (United States)

    Felt, Deborah; Gurtowski, Luke; Nestler, Catherine C; Johnson, Jared; Larson, Steven

    2016-12-01

    The Department of Defense (DoD) is developing a new category of insensitive munitions (IMs) that are more resistant to detonation or promulgation from external stimuli than traditional munition formulations. The new explosive constituent compounds are 2,4-dinitroanisole (DNAN), nitroguanidine (NQ), and nitrotriazolone (NTO). The production and use of IM formulations may result in interaction of IM component compounds with soil. The chemical properties of these IM compounds present unique challenges for extraction from environmental matrices such as soil. A two-stage extraction procedure was developed and tested using several soil types amended with known concentrations of IM compounds. This procedure incorporates both an acidified phase and an organic phase to account for the chemical properties of the IM compounds. The method detection limits (MDLs) for all IM compounds in all soil types were regulatory risk-based Regional Screening Level (RSL) criteria for soil proposed by the U.S. Army Public Health Center. At defined environmentally relevant concentrations, the average recovery of each IM compound in each soil type was consistent and greater than 85%. The two-stage extraction method decreased the influence of soil composition on IM compound recovery. UV analysis of NTO established an isosbestic point based on varied pH at a detection wavelength of 341 nm. The two-stage soil extraction method is equally effective for traditional munition compounds, a potentially important point when examining soils exposed to both traditional and insensitive munitions. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. College Students' Health Information Activities on Facebook: Investigating the Impacts of Health Topic Sensitivity, Information Sources, and Demographics.

    Science.gov (United States)

    Syn, Sue Yeon; Kim, Sung Un

    2016-07-01

    College students tend to lack access to health information. Because social networking sites (SNSs) are popularly adopted by college students, SNSs are considered to be good media channels for college students to obtain health-related information. This study examines the factors that influence college students' health information-seeking and -sharing activities on Facebook. An online survey was distributed to college students between the ages of 18 and 29 to determine intentions pertaining to health information activities according to the factors identified for the study. The factors included both contextual factors (such as health topic sensitivity and health information sources) as well as user factors (such as demographics). Our findings showed that college students are willing to read and post health-related information on Facebook when the health topic is not sensitive. In addition, there are clear differences in preferences between professional sources and personal sources as health information sources. It was found that most user factors, except gender, have no influence on health information activities. The impacts of SNS contexts, awareness of information sources, types of interlocutors, and privacy concerns are further discussed.

  12. Application of Hadamard transform in IMS

    International Nuclear Information System (INIS)

    Sha Miaomiao; Liu Weihao; Chen Yong; Jiang Dazhen

    2008-01-01

    Hadamard transform can improve the SNR by increasing the ion duty cycle in IMS. In this paper, the ion spectral signals were processed by Hadamard transform based on the IMS detector hardware platform. The results showed that Hadamard transform can greatly improve the SNR of the IMS detector in contrast with traditional method. (authors)

  13. Advanced Interval Management (IM) Concepts of Operations

    Science.gov (United States)

    Barmore, Bryan E.; Ahmad, Nash'at N.; Underwood, Matthew C.

    2014-01-01

    This document provides a high-level description of several advanced IM operations that NASA is considering for future research and development. It covers two versions of IM-CSPO and IM with Wake Mitigation. These are preliminary descriptions to support an initial benefits analysis

  14. "I don't know how I'm still standing" a Bakhtinian analysis of social housing and health narratives in East London.

    Science.gov (United States)

    Thompson, C; Lewis, D J; Greenhalgh, T; Smith, N R; Fahy, A E; Cummins, S

    2017-03-01

    Housing is a significant determinant of health and substandard housing is a public health issue. East London has long had a shortage of social and affordable housing, worsened in recent years by a combination of stressors. In one of East London's most deprived boroughs, Newham, changes brought about by the 2011 Localism Act and the unique demands of being the host Olympic borough in 2012 have brought considerable pressures to bear on social infrastructure. This paper examines how these pressures were experienced by local residents via their narratives of social housing and health. The data reported here are from a qualitative study comprising two waves of data collection. Narrative family interviews and go-along interviews were conducted with 40 Newham residents at wave one and 28 at wave two. A narrative analysis with a Bakhtinian interpretation was undertaken. This revealed that residents framed experiences of social housing in terms of an inherent system-level ideology based on notions of need and waiting. A particularly striking feature of this ideology was the extent to which descriptions of ill health and impairment were implicated in constructions of housing need; participants directly attributed a range of health complaints to their housing predicaments, including stress, depression, cancer scares, panic attacks and loss of sleep. Understanding the contested ideology of social housing can illuminate both the dynamic processes of social exclusion and the ways in which its subjects seek to resist it. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. "End-of-Life Care? I'm not Going to Worry About That Yet." Health Literacy Gaps and End-of-Life Planning Among Elderly Dialysis Patients.

    Science.gov (United States)

    Ladin, Keren; Buttafarro, Katie; Hahn, Emily; Koch-Weser, Susan; Weiner, Daniel E

    2018-03-19

    Between 2000 and 2012, the incident dialysis population in the United States increased by nearly 60%, most sharply among adults 75 years and older. End-of-life (EOL) conversations among dialysis patients are associated with better patient-centered outcomes and lower use of aggressive interventions in the last month of life. This study examined how health literacy may affect engagement, comprehension, and satisfaction with EOL conversations among elderly dialysis patients. Qualitative/descriptive study with semi-structured interviews about health literacy, EOL conversations, and goals of care with 31 elderly dialysis patients at 2 centers in Boston. Themes were interpreted in the context of Nutbeam's health literacy framework. Despite high mortality risk in this population, only 13% of patients had discussed EOL preferences with physicians, half had discussed EOL with their social network, and 25% of participants explicitly stated that they had never considered EOL preferences. Less than 30% of participants could correctly define terminology commonly used in EOL conversations. Analyses yielded 5 themes: (1) Misunderstanding EOL terminology; (2) Nephrologists reluctant to discuss EOL; (3) Patients conforming to socially constructed roles; (4) Discordant expectations and dialysis experiences; and (5) Reconciling EOL values and future care. Patients had limited understanding of EOL terminology, lacked of opportunities for meaningful EOL discussion with providers and family, resulting in uncertainty about future care. Limited health literacy presents a substantial barrier to communication and could lead to older adults committing to an intensive pattern of care without adequate information. Clinicians should consider health literacy when discussing dialysis initiation.

  16. Integrated audit in labour, health and environmental protection in RAG Deutsche Steinkohle AG; Das integrierte Audit im Arbeits-, Gesundheits- und Umweltschutz bei der RAG Deutsche Steinkohle AG

    Energy Technology Data Exchange (ETDEWEB)

    Jaensch, Christian [Zentralbereich Arbeits-, Gesundheits- und Umweltschutz, RAG Aktiengesellschaft, Herne (Germany)

    2009-07-02

    On the basis of the experience acquired with the environmental audit at RAG the internal audit was extended by the safety at work and health protection fields. This approach is the logical adaptation to the development of the integrated management system in labour, health and environmental protection (LHE), which is specified in the internal RAG LHE concept. The audit serves essentially for regular and systematic checking of the management process in labour, health and environmental protection. The aims pursued with this integrated audit and also the course of an audit are explained. In addition the special requirements both on an audit in a mining company and also on own auditors are outlined. This internal check has been carried out in all RAG Deutsche Steinkohle companies since 2008. (orig.)

  17. Argumentellipse in der "weichen" Nachricht im Deutschen und im Slowenischen

    Directory of Open Access Journals (Sweden)

    Uršula Krevs

    1998-12-01

    Full Text Available Argumentellipsen werden in der sprachlichen Kommunikation ohne weiteres akzeptiert, obwohl sie allenfalls in gewissem Sinne wegen ihrer Elliptizität abweichend wirken. Im folgenden interessiert uns, wie die Argumentellipse als syntaktische Entität in den Text eingebettet wird und welche Funktionen sie ausübt. Unsere Aufmerksamkeit gilt bier der Textsorte "weiche" Nachricht, die als Abweichung des Grundmusters gilt. Um im Sprachenpaar Deutsch-Slowenisch die in dieser Textsorte realisierten Argumentellipsen vergleichen zu können, wurde die Homogenität in der Thematik angestrebt und die Texte aus dem gleichen Kommunikationsbereich gewählt. So wurden die Korpora zwei Zeitschriften, die sich mit der gleichen Sportart beschäftigen, entnommen: der deutschen Zeitschrift "Rotpunkt" und der slowenischen Zeitschrift  "Grif '.

  18. Electromagnetic fields and health complaints - interdisciplinary case evaluations in an environmental medicine counselling project; Elektromagnetische Felder und Gesundheitsbelastungen - Interdisziplinaere Fallabklaerungen im Rahmen eines umweltmedizinischen Beratungsprojektes

    Energy Technology Data Exchange (ETDEWEB)

    Huss, A.; Braun-Fahrlaender, C. [Inst. fuer Sozial- und Praeventivmedizin, Basel (Switzerland); Kuechenhoff, J. [Psychiatrische Universitaetsklinik Basel (Switzerland); Bircher, A. [Kantonsspital Basel, Allergologie, Basel (Switzerland); Niederer, M. [Kantonales Lab., Basel (Switzerland); Tremp, J. [Amt fuer Umwelt und Energie, Liestal (Switzerland); Waeber, R. [Bundesamt fuer Gesundheit, Abt. Chemikalien, Bern (Switzerland)

    2005-07-01

    Background: During 2001, persons who attributed their health problems to environmental exposures, e.g. electromagnetic fields (EMF), were counselled in an interdisciplinary environmental medicine pilot project in the Basel area. Methods: All participants had a medical and a psychological-psychiatric examination and were visited at home by an environmental hygienist. High and low frequency EMF measurements were conducted at the homes of those participants who attributed their health complaints specifically to EMF. The plausibility of a relation between health complaints and EMF exposure was discussed in joint case conferences. Plausibility was judged on the basis of the following criteria: EMF levels had to exceed a tenth of the Swiss threshold values to be considered in the case conference (low frequency: 10 V/m, 0.1 {mu}T, high frequency: 0.6 V/m). The exposure had to occur in an area where the participant spent at least several hours or more every day. Prerequisite was that the exposure occurred before the onset of symptoms. Results: 25 of 63 (40%) of participants suspected EMF as cause of their health complaints. All EMF measurements yielded fields below the Swiss threshold values. Despite of the difficulties in assessing an exposure-response relation in an individual case and the controversial scientific evidence related to health effects of EMF exposures, the project team concluded that in 8 of the 25 (32%) participants, at least one of the reported symptoms was plausibly related to the EMF exposure. An evaluation interview half a year after counselling yielded that around 45% of the participants reported that they had benefited from the project and their health problems had improved following participation. Conclusions: Although none of the threshold values was exceeded, the project team rated an EMF exposure a plausible cause of the reported health complaints of few participants. Due to the high complexity in these cases, only an interdisciplinary team is

  19. Sources of project financing in health care systems.

    Science.gov (United States)

    Smith, D G; Wheeler, J R; Rivenson, H L; Reiter, K L

    2000-01-01

    Through discussions with chief financial officers of leading health care systems, insights are offered on preferences for project financing and development efforts. Data from these same systems provide at least anecdotal evidence in support of pecking-order theory.

  20. Safety bey statistics? A critical view on statistical methods applied in health physics; Sicherheit durch Statistik? Ein kritischer Blick auf die Anwendung statistischer Methoden im Strahlenschutz

    Energy Technology Data Exchange (ETDEWEB)

    Kraut, W. [Duale Hochschule Baden-Wuerttemberg (DHBW), Karlsruhe (Germany). Studiengang Sicherheitswesen

    2016-07-01

    The only proper way to describe uncertainties in health physics is by statistical means. But statistics never can replace Your personal evaluation of effect, nor can statistics transmute randomness into certainty like an ''uncertainty laundry''. The paper discusses these problems in routine practical work.

  1. Study of the Continuous Improvement Trend for Health, Safety and Environmental Indicators, after Establishment of Integrated Management System (IMS) in a Pharmaceutical Industry in Iran.

    Science.gov (United States)

    Mariouryad, Pegah; Golbabaei, Farideh; Nasiri, Parvin; Mohammadfam, Iraj; Marioryad, Hossein

    2015-10-01

    Nowadays, organizations try to improve their services and consequently adopt management systems and standards which have become key parts in various industries. One of these management systems which have been noticed in the recent years is Integrated Management System that is the combination of quality, health, safety and environment management systems. This study was conducted with the aim of evaluating the improvement trend after establishment of integrated management system for health, safety and environment indicators, in a pharmaceutical industry in Iran. First, during several inspections in different parts of the industry, indicators that should have been noted were listed and then these indicators were organized in 3 domains of health, safety and environment in the form of a questionnaire that followed Likert method of scaling. Also, the weight of each index was resulted from averaging out of 30 managers and the viewpoints of the related experts in the field. Moreover, by checking the documents and evidence of different years (5 contemplation years of this study), the score of each indicator was determined by multiplying the weight and score of the indices and were finally analysed. Over 5 years, scores of health scope indicators, increased from 161.99 to 202.23. Score in the first year after applying the integrated management system establishment was 172.37 in safety part and in the final year increased to 197.57. The changes of environmental scope rates, from the beginning of the program up to the last year increased from 49.24 to 64.27. Integrated management systems help organizations to improve programs to achieve their objectives. Although in this study all trends of health, safety and environmental indicator changes were positive, but at the same time showed to be slow. So, one can suggest that the result of an annual evaluation should be applied in planning future activities for the years ahead.

  2. Oral health literacy and information sources among adults in Tehran, Iran.

    Science.gov (United States)

    Sistani, M M Naghibi; Yazdani, R; Virtanen, J; Pakdaman, A; Murtomaa, H

    2013-09-01

    To assess oral health literacy level and oral health information of Iranian adults in Tehran, and to determine the factors related to oral health literacy. A cross-sectional population study. A random sample of 1,031 adults in Tehran, Iran. Oral health literacy was measured using an oral health adult literacy questionnaire (OHL-AQ). Variation in use of information sources by socio-economic and demographic background was estimated by odds ratios. A multiple linear regression model served to determine predictor factors of OHL-AQ scores controlling for characteristics of the subjects and number of information sources. The mean OHL-AQ score was 10.5 (sd 3.0). Women (p information were dentists (52.6%), and TV/Radio (49.5%). According to the regression model, females (p = 0.001), high educational level (p information sources (two sources p = 0.01, three sources or more p = 0.002) were the main predictor factors of OHL-AQ scores. The average oral health literacy level of Iranian adults was low. Disseminating evidence-based oral health care information from multiple sources including TV/radio, dentists, and other health professionals in different settings should improve public oral health literacy.

  3. 77 FR 59931 - Single Source Program Expansion Supplement Award to Area Health Education Centers (AHEC) Program...

    Science.gov (United States)

    2012-10-01

    ... Program Expansion Supplement Award to Area Health Education Centers (AHEC) Program Grantee; Exception to... Competition--Single Source Program Expansion Supplement Award to Area Health Education Centers (AHEC) Program... supplement award to the University of Guam School of Nursing, an Area Health Education Center (AHEC) Program...

  4. Using IMS VDEX in Agrega

    Directory of Open Access Journals (Sweden)

    Jose Manuel Canabal

    2009-03-01

    Full Text Available An essential element in a learning object repository is the meta-information associated with the resources housed by the repository, as this is what enables the objects to be retrieved. In many cases, the meta-information which is described consists of the classification of a resource in relation to a taxonomy or thesaurus. Agrega is a network of learning object repositories in which an LOM profile, called LOM-ES, has been used to label the objects. Part of the meta-information described corresponds to the classification of the object with respect to a group of taxonomies and a thesaurus, which have had to be described using the ims vdex standard to enable them to be managed from the federation nodes. This article describes the way in which ims vdex has been used in order to create this description and how these metadata instances are managed.

  5. Deaf Adolescents' Learning of Cardiovascular Health Information: Sources and Access Challenges.

    Science.gov (United States)

    Smith, Scott R; Kushalnagar, Poorna; Hauser, Peter C

    2015-10-01

    Deaf individuals have more cardiovascular risks than the general population that are believed to be related to their cardiovascular health knowledge disparities. This phenomenological study describes where 20 deaf sign language-using adolescents from Rochester, New York, many who possess many positive characteristics to support their health literacy, learn cardiovascular health information and their lived experiences accessing health information. The goal is to ultimately use this information to improve the delivery of cardiovascular health education to this population and other deaf adolescents at a higher risk for weak health literacy. Deaf bilingual researchers interviewed deaf adolescents, transcribed and coded the data, and described the findings. Five major sources of cardiovascular health information were identified including family, health education teachers, healthcare providers, printed materials, and informal sources. Despite possessing advantageous characteristics contributing to stronger health literacy, study participants described significant challenges with accessing health information from each source. They also demonstrated inconsistencies in their cardiovascular health knowledge, especially regarding heart attack, stroke, and cholesterol. These findings suggest a great need for additional public funding to research deaf adolescents' informal health-related learning, develop accessible and culturally appropriate health surveys and health education programming, improve interpreter education, and disseminate information through social media. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. Deaf Adolescents’ Learning of Cardiovascular Health Information: Sources and Access Challenges

    Science.gov (United States)

    Smith, Scott R.; Kushalnagar, Poorna; Hauser, Peter C.

    2015-01-01

    Deaf individuals have more cardiovascular risks than the general population that are believed to be related to their cardiovascular health knowledge disparities. This phenomenological study describes where 20 deaf sign language-using adolescents from Rochester, New York, many who possess many positive characteristics to support their health literacy, learn cardiovascular health information and their lived experiences accessing health information. The goal is to ultimately use this information to improve the delivery of cardiovascular health education to this population and other deaf adolescents at a higher risk for weak health literacy. Deaf bilingual researchers interviewed deaf adolescents, transcribed and coded the data, and described the findings. Five major sources of cardiovascular health information were identified including family, health education teachers, healthcare providers, printed materials, and informal sources. Despite possessing advantageous characteristics contributing to stronger health literacy, study participants described significant challenges with accessing health information from each source. They also demonstrated inconsistencies in their cardiovascular health knowledge, especially regarding heart attack, stroke, and cholesterol. These findings suggest a great need for additional public funding to research deaf adolescents’ informal health-related learning, develop accessible and culturally appropriate health surveys and health education programming, improve interpreter education, and disseminate information through social media. PMID:26048900

  7. Professionalisierung und Doping im Sport

    OpenAIRE

    Wüterich, Christoph

    2004-01-01

    Der Beitrag untersucht Zusammenhänge zwischen der zunehmenden Professionalisierung des Sports und dem Anstieg von Dopingvergehen. Er zeigt, dass im historischen Vergleich beide Phänomene nicht neu sind, dass sich die Probleme aufgrund der steigenden Bedeutung des Leistungssports aber zugespitzt haben. Ausgehend von einer juristischen und sozioökonomischen Analyse der Anreize zu Doping werden Lösungsvorschläge entwickelt. The author analyzes the interdependencies between a growing commercia...

  8. The IMS Software Integration Platform

    Science.gov (United States)

    1993-04-12

    products to incorporate all data shared by the IMS applications. Some entities (time-series, images, a algorithm -specific parameters) must be managed...dbwhoanii, dbcancel Transaction Management: dbcommit, dbrollback Key Counter Assignment: dbgetcounter String Handling: cstr ~to~pad, pad-to- cstr Error...increment *value; String Maniputation: int cstr topad (array, string, arraylength) char *array, *string; int arrayjlength; int pad tocstr (string

  9. Understanding mental health through reading selected literature sources: an evaluation.

    Science.gov (United States)

    McKie, A; Gass, J P

    2001-04-01

    The increasing use of the humanities in nurse education provides an alternative means of facilitating students' understanding of health issues. In part, this contributes to a critique of rationalist-technological approaches to education where knowledge is reduced to abstract, discernable and measured units. A more communal approach to education recognises the place of interpretation as part of learning and, within this, the significance of dialogue, identity, tradition, attachment and partnership. The reading of works of literature is one way in which the reader interprets texts in a multiplicity of ways in order to more fully understand the 'real' world. Mental health offers particular opportunities for literary descriptions. The evaluation of a learning unit within a mental health nursing branch programme where students read a number of works of literature is outlined. Results indicate a variety of student responses to use of such an approach. The authors assert the usefulness of these approaches in encouraging deeper understanding of complex issues faced in mental health nursing practice. At the same time, however, careful consideration is given to the place of such approaches within the overall philosophy of a curriculum programme. Copyright 2001 Harcourt Publishers Ltd.

  10. Our Cultures Are Our Source of Health PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2013-03-04

    In this 60 second Public Service Announcement, Wes Studi, Hollywood actor, highlights the wisdom of cultural knowledge to promote health and prevent type 2 diabetes.  Created: 3/4/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 3/4/2013.

  11. Our Cultures Are Our Source of Health PSA (:30)

    Centers for Disease Control (CDC) Podcasts

    2013-03-04

    In this 30 second Public Service Announcement, Wes Studi, Hollywood actor, highlights the wisdom of cultural knowledge to promote health and prevent type 2 diabetes.  Created: 3/4/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 3/4/2013.

  12. Budget Management Health System Only - SUS im Municipal Context: Analysis of Audit-SUS in PPA of Fortaleza and its Role in Social Control Strengthening

    Directory of Open Access Journals (Sweden)

    Lizziane Souza Queiroz Franco de Oliveira

    2016-10-01

    Full Text Available The budget planning is the duty of every manager and fundamental for the implementation of key policies such as health. To implement them, it’s necessary to control the provision of these services; hence the importance of the audit. This article intends to, through documentary and bibliographic research, analyzing quantitative and qulitatively budgetary forecasting and execution aimed at audit’s actions - SUS, provideds for PPA/2014-2017 and LOA-2014, both the city of Fortaleza, in order to ascertain whether the municipal management performs its expenditure aimed at encouraging good planning and provide to society an efficient public management and responsive to social control.

  13. Wozu und wie kooperative Arbeitsformen im studienbegleitenden Deutschunterricht?

    Directory of Open Access Journals (Sweden)

    Karmelka Barić

    2016-04-01

    Full Text Available Ausgehend von einer Reflexion über die im Beruf und im Leben notwendigen Kompetenzen in der Kommunikation sowie von der Überzeugung, dass es notwendig ist, diese Kompetenzen schon im Studium durch geeignete Arbeitsverfahren und Themen zu entwickeln, werden Kooperation und Autonomie fördernde Arbeitsformen für den studienbegleitenden Deutsch- und Fremdsprachenunterricht (SDU/SFU vorgestellt. Diese Arbeitsformen sind auf andere Sprachen übertragbar und aus dem Lehrwerk Mit Deutsch studieren arbeiten leben A2/B1 (Lévy-Hillerich, Serena, Barić & Cickovska 2010 und der dazu gehörenden Lernplattform entnommen. Das Lehrwerk selbst ist eine Umsetzung der SDU-Rahmencurricula, die im Laufe von über zwanzig Jahren in zehn Ländern im Rahmen eines 1994 am Goethe-Institut Warschau begonnenen Hochschulprojekts und der daraus entstandenen Forschungstätigkeit entstanden sind. Grundlage des Projekts ist ein ganzheitlicher soziopädagogischer Ansatz, der LernerInnen als Menschen betrachtet, die im Präsenz- oder im virtuellen Unterricht in der Sprache und durch die Sprache fach- und sprachübergreifende Kooperationsfähigkeiten entwickeln, die sich später im Leben in der Gesellschaft auswirken. Nach der Vorstellung des Projekts und seiner wissenschaftlichen Hintergründe im ersten Teil des Beitrags werden im zweiten Teil die sich aus dem Ansatz ergebenden Arbeitsformen untersucht: Dabei werden die sich dazu eignenden Themen, die Lernhilfen für StudentInnen, die den LehrerInnen zufallenden Rollen sowie die Ansprüche an Lehrbücher/Unterrichtsmaterialien und Online-/Blended-Learning-Lernszenarien besprochen. Der abschließende Überblick im dritten Teil über die Schwierigkeiten, die beim kooperativen Lernen im SDU/SFU auftreten können, ist gleichzeitig eine offenbleibende Frage danach, wie LehrerInnen aus- und fortgebildet werden sollten, um sich den Anforderungen einer sich dauernd verändernden Lernlandschaft stellen zu können.   The paper

  14. An experimental test of the persuasive effect of source similarity in narrative and nonnarrative health blogs.

    Science.gov (United States)

    Lu, Amy Shirong

    2013-07-25

    Blogs, or websites containing online personal journals, are a form of popular personal communication with immense potential for health promotion. Narratives are stories with a beginning, middle, and end that provide information about the characters and plot. Source similarity refers to the degree to which the message source and each recipient are alike with respect to certain attributes. Narratives and source similarity have seldom been examined in tandem as strategies for health persuasion. Personal health blogs provide a suitable platform for such an investigation. This study examined the persuasive effects of message type and source similarity on participants' intentions to adopt a specific health behavior (running for exercise). A total of 150 participants were randomly assigned to conditions (n=25 per condition) in a completely crossed, 2 (message type: narrative and nonnarrative) × 3 (source similarity: no similarity, non-health-related similarity, and health-related similarity) between-subjects experiment. First, in an online questionnaire, participants provided personal information in 42 categories and rated the relatedness of each category to running and then completed pretest measures of the dependent variables. Based on their responses, 150 personal health blogs were created. Two weeks later, the initial participants read the blog created with their personal characteristics and completed a questionnaire online. The source similarity effect was stronger in nonnarrative than narrative blogs. When the blogs were nonnarrative, those with health-related similarities were more persuasive than those with non-health-related similarities. Narrative blogs generated more positive thoughts and stronger blogger identification than nonnarrative blogs. Health-related source similarity is key for persuasive health communication, especially when the messages are nonnarrative.

  15. Vision problems are a leading source of modifiable health expenditures.

    Science.gov (United States)

    Rein, David B

    2013-12-13

    According to recent studies, visual problems represent one of the top contributors to economic health burden in the United States. This burden is divided nearly equally between direct expenditures for the care and treatment of visual problems, and the indirect costs of outcomes caused by low vision, including productivity losses, the cost of care, and incremental nursing home placements. A large amount of academic research is devoted to visual science, the biology of the visual system, and the medical treatment of visual disorders. Compared to the burden, a disproportionate share of this research is devoted to the study of retinal disorders and glaucoma. This is understandable, as research into the retina and optic nerve has the potential to unlock fundamental insights into the nature of sight and visual cognition. However, population visual health and the functionality that depends upon it also may benefit greatly from additional research into areas of prevention, rehabilitation, and adaptation. In addition, comparative research into the benefits of resource allocation across prevention, treatment, and rehabilitative resources could lead to improvements in population health.

  16. Chlorophyta and Rhodophyta macroalgae: a source of health promoting phytochemicals.

    Science.gov (United States)

    Santos, Sonia A O; Vilela, Carla; Freire, Carmen S R; Abreu, Maria H; Rocha, Silvia M; Silvestre, Armando J D

    2015-09-15

    A detailed study of the lipophilic composition of Codium tomentosum, Ulva lactuca, Gracilaria vermiculophylla and Chondrus crispus macroalgae cultivated in the Portuguese coast was carried out by gas chromatography-mass spectrometry before and after alkaline hydrolysis. Their long-chain aliphatic alcohols and monoglycerides compositions are reported for the first time. Additionally, other new compounds were also identified: phytol and neophytadiene in C. tomentosum, U. lactuca and G. vermiculophylla and stigmasterol, α-tocopherol and 24-methylenecholesterol in C. tomentosum. The lipophilic fraction of the studied macroalgae are mainly constituted by fatty acids (110.1-1030.5mgkg(-1) of dry material) and sterols (14.8-1309.1mgkg(-1) of dry material). C. tomentosum showed to be a valuable source of stigmasterol (1229.0mgkg(-1) of dry material) and α-tocopherol (21.8mgkg(-1) of dry material). These results are a relevant contribution for the valorisation of these macroalgae species as sources of valuable phytochemicals. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. The 3LGM2-tool to support information management in health care / Der 3LGM2-Baukasten zur Unterstützung des Informationsmanagements im Gesundheitswesen

    Directory of Open Access Journals (Sweden)

    Winter, Alfred

    2011-01-01

    Full Text Available Hospital information systems (HIS as well as transinstitutional health information systems (tHIS are constructed like a (complex of building(s out of different and probably heterogeneous bricks and components. Like an architect the information manager needs a description or model for the information system’s architecture respectively the enterprise architecture. 3LGM2 as a meta model has been designed to describe information systems (IS by concepts on three layers. The meta model has been supplemented by the 3LGM2 tool. It enables information managers to graphically design even complex IS and provides means for analyzing information system’s quality and thus supports strategic, tactical and operational information management.

  18. Health and economic costs of alternative energy sources

    Energy Technology Data Exchange (ETDEWEB)

    Hamilton, L D [Biomedical and Environmental Assessment Division, National Center for Analysis of Energy Systems, Brookhaven National Laboratory (United States); Manne, A S [Department of Operations Research, Stanford University (United States)

    1978-08-15

    Before the United States of America can arrive at a coherent national energy policy, several ongoing debates must be resolved - on environmental hazards, health impacts, and the direct economic consequences of alternative future energy options. No one strategy is obviously correct - or uniquely ethical. Each strategy has its drawbacks, each can be blocked by one or another coalition of interest groups. The public is poorly informed by the media. A single large coal-mine accident is far more extensively reported than a long series of isolated accidents at grade crossings for coal trains, and yet the latter causes more deaths each year. Similarly, the public debate on nuclear issues is focused on low-probability, high-consequence events. It is as though national policy were being framed by a gambler whose motto is 'it's only the stakes and not the odds that matter'. The two authors of this paper come from different disciplines, yet they both believe that the odds do matter. It is essential that the public be well informed about the health risks and the economic consequences of a moratorium on the civilian uses of nuclear energy in the USA. We think that such a moratorium would adversely affect health and the economy. These impacts although small in relation, say, to the overall death rate or to the overall gross national product are not small in an absolute sense The adverse consequences of a moratorium are much more certain, and surely outweigh the impacts of any plausible accident associated with the operation of power reactors.

  19. Health and economic costs of alternative energy sources

    International Nuclear Information System (INIS)

    Hamilton, L.D.; Manne, A.S.

    1978-01-01

    Before the United States of America can arrive at a coherent national energy policy, several ongoing debates must be resolved - on environmental hazards, health impacts, and the direct economic consequences of alternative future energy options. No one strategy is obviously correct - or uniquely ethical. Each strategy has its drawbacks, each can be blocked by one or another coalition of interest groups. The public is poorly informed by the media. A single large coal-mine accident is far more extensively reported than a long series of isolated accidents at grade crossings for coal trains, and yet the latter causes more deaths each year. Similarly, the public debate on nuclear issues is focused on low-probability, high-consequence events. It is as though national policy were being framed by a gambler whose motto is 'it's only the stakes and not the odds that matter'. The two authors of this paper come from different disciplines, yet they both believe that the odds do matter. It is essential that the public be well informed about the health risks and the economic consequences of a moratorium on the civilian uses of nuclear energy in the USA. We think that such a moratorium would adversely affect health and the economy. These impacts although small in relation, say, to the overall death rate or to the overall gross national product are not small in an absolute sense The adverse consequences of a moratorium are much more certain, and surely outweigh the impacts of any plausible accident associated with the operation of power reactors

  20. The health aspects of biogas as an energy source

    International Nuclear Information System (INIS)

    Srinivasan, H.R.

    1982-01-01

    Data on the positive health impacts of biogas as fuel for rural household cooking have been collected from three villages near Bombay, one of which used traditional firewood as cooking fuel, one used biogas plants, and the third used biogas plants connected to latrines. The study illustrates the advantages of the use of biogas compared to wood, dung-cakes and crop residues. The biogas plants in the villages selected for study have been in operation for three or four years. Short-time studies show positive advantages of the use of biogas as fuel. (author)

  1. Adoption of Free Open Source Geographic Information System Solution for Health Sector in Zanzibar Tanzania

    OpenAIRE

    BAKAR, Abubakar D.; KIMARO, Honest C.; SULTAN, Abu Bakar MD; HAMIAR, S.

    2014-01-01

    The study aims at developing in-depth understanding on how Open Source Geographic Information System technology is used to provide solutions for data visualization in the health sector of Zanzibar, Tanzania. The study focuses on implementing the health visualization solutions for the purpose of bridging the gap during the transition period from proprietary software to the Free Open-Source Software using Key Indicator Data System. The developed tool facilitates data integration between the two...

  2. Telemedicine as a source of universal health coverage in pakistan

    International Nuclear Information System (INIS)

    Chowdhry, B.S.; Bhatti, M.I.; Baig, M.A.A.

    2013-01-01

    The combination of information and communication technologies (ICTs) for sustainable healthcare through telemedicine focuses on both changes in the access of healthcare information services as well as wider dissemination of healthcare related skills and professional expertise of medical community. Many developing countries are deficient in healthcare services and suffer from a shortage of doctors and other healthcare Professionals. In Pakistan, the inadequate allocation of doctors/specialists, infrastructures of telecommunications, roads and transport make it more difficult to provide in remote and rural areas. Where clinics and hospitals exist, they are often ill-equipped. The aim of this paper is to share knowledge about the use of telemedic solutions in the health sector in order to propose strategies and actions to formulate tactical recommendations for policy makers and advisors as well as researchers. The examples in this paper illustrate that telemedicine has clearly made an impact on healthcare. (author)

  3. Reflections on the role of open source in health information system interoperability.

    Science.gov (United States)

    Sfakianakis, S; Chronaki, C E; Chiarugi, F; Conforti, F; Katehakis, D G

    2007-01-01

    This paper reflects on the role of open source in health information system interoperability. Open source is a driving force in computer science research and the development of information systems. It facilitates the sharing of information and ideas, enables evolutionary development and open collaborative testing of code, and broadens the adoption of interoperability standards. In health care, information systems have been developed largely ad hoc following proprietary specifications and customized design. However, the wide deployment of integrated services such as Electronic Health Records (EHRs) over regional health information networks (RHINs) relies on interoperability of the underlying information systems and medical devices. This reflection is built on the experiences of the PICNIC project that developed shared software infrastructure components in open source for RHINs and the OpenECG network that offers open source components to lower the implementation cost of interoperability standards such as SCP-ECG, in electrocardiography. Open source components implementing standards and a community providing feedback from real-world use are key enablers of health care information system interoperability. Investing in open source is investing in interoperability and a vital aspect of a long term strategy towards comprehensive health services and clinical research.

  4. Open Source Paradigm: A Synopsis of The Cathedral and the Bazaar for Health and Social Care.

    Science.gov (United States)

    Benson, Tim

    2016-07-04

    Open source software (OSS) is becoming more fashionable in health and social care, although the ideas are not new. However progress has been slower than many had expected. The purpose is to summarise the Free/Libre Open Source Software (FLOSS) paradigm in terms of what it is, how it impacts users and software engineers and how it can work as a business model in health and social care sectors. Much of this paper is a synopsis of Eric Raymond's seminal book The Cathedral and the Bazaar, which was the first comprehensive description of the open source ecosystem, set out in three long essays. Direct quotes from the book are used liberally, without reference to specific passages. The first part contrasts open and closed source approaches to software development and support. The second part describes the culture and practices of the open source movement. The third part considers business models. A key benefit of open source is that users can access and collaborate on improving the software if they wish. Closed source code may be regarded as a strategic business risk that that may be unacceptable if there is an open source alternative. The sharing culture of the open source movement fits well with that of health and social care.

  5. Nitrate and Nitrogen Oxides: Sources, Health Effects and Their Remediation.

    Science.gov (United States)

    Hakeem, Khalid Rehman; Sabir, Muhammad; Ozturk, Munir; Akhtar, Mohd Sayeed; Ibrahim, Faridah Hanum

    Increased use of nitrogenous (N) fertilizers in agriculture has significantly altered the global N-cycle because they release nitrogenous gases of environmental concerns. The emission of nitrous oxide (N 2 O) contributes to the global greenhouse gas accumulation and the stratospheric ozone depletion. In addition, it causes nitrate leaching problem deteriorating ground water quality. The nitrate toxicity has been reported in a number of studies showing the health hazards like methemoglobinemia in infants and is a potent cause of cancer. Despite these evident negative environmental as well as health impacts, consumption of N fertilizer cannot be reduced in view of the food security for the teeming growing world population. Various agronomic and genetic modifications have been practiced to tackle this problem. Some agronomic techniques adopted include split application of N, use of slow-release fertilizers, nitrification inhibitors and encouraging the use of organic manure over chemical fertilizers. As a matter of fact, the use of chemical means to remediate nitrate from the environment is very difficult and costly. Particularly, removal of nitrate from water is difficult task because it is chemically non-reactive in dilute aqueous solutions. Hence, the use of biological means for nitrate remediation offers a promising strategy to minimize the ill effects of nitrates and nitrites. One of the important goals to reduce N-fertilizer application can be effectively achieved by choosing N-efficient genotypes. This will ensure the optimum uptake of applied N in a balanced manner and exploring the molecular mechanisms for their uptake as well as metabolism in assimilatory pathways. The objectives of this paper are to evaluate the interrelations which exist in the terrestrial ecosystems between the plant type and characteristics of nutrient uptake and analyze the global consumption and demand for fertilizer nitrogen in relation to cereal production, evaluate the various

  6. Suchverhalten im Web: Empirische Ergebnisse

    OpenAIRE

    Schmidt-Mänz, Nadine

    2005-01-01

    Nadine Schmidt-Mänz vom Institut für Entscheidungstheorie u. Unternehmensforschung, Universität Karlsruhe, berichtete über „Suchverhalten im Web: Empirische Ergebnisse“. Rund 6000 Benutzer von Suchmaschinen füllten den von ihr hergestellten Online-Fragebogen aus. Einige ihrer Erkenntnisse: Als Suchmaschine wurde mit 91,3 % Google benutzt. Die Monopolstellung von Google war den Suchenden nicht bewußt. Einer der Schlüsse der Referentin: Es mangelt nicht an Suchmaschinen, sondern an der „Weitere...

  7. Rx for Consumer Health Information: The Magic is in the Right Source

    OpenAIRE

    Blue, Ana Rosa; Curry, Jane

    2010-01-01

    Health information is one of the most popular topics requested, in libraries, by the public. These handouts supported the session titled: "Rx for Consumer Health Information: The Magic is in the Right Source" presented at the 2010 BC Library Conference (theme: Seriously Entertaining: Learning through Fun and Games).

  8. Current knowledge of US metal and nonmetal miner health: Current and potential data sources for analysis of miner health status

    Science.gov (United States)

    Yeoman, K. M.; Halldin, C. N.; Wood, J.; Storey, E.; Johns, D.; Laney, A. S.

    2016-01-01

    ABSTRACT Little is known about the current health status of US metal and nonmetal (MNM) miners, in part because no health surveillance systems exist for this population. The National Institute for Occupational Safety and Health (NIOSH) is developing a program to characterize burden of disease among MNM miners. This report discusses current knowledge and potential data sources of MNM miner health. Recent national surveys were analyzed, and literature specific to MNM miner health status was reviewed. No robust estimates of disease prevalence were identified, and national surveys did not provide information specific to MNM miners. Because substantial gaps exist in the understanding of MNM miners' current health status, NIOSH plans to develop a health surveillance program for this population to guide intervention efforts to reduce occupational and personal risks for chronic illness. PMID:25658684

  9. Effect of three common sources of electromagnetic fields on health

    Energy Technology Data Exchange (ETDEWEB)

    Mortazavi, S M.J.; Ahmadi, J; Behnejad, B [Rafsanjan Univ. of Medical Sciences, Rafsanjan (Iran, Islamic Republic of)

    2006-07-01

    Background And Aims: The number of people complaining about different symptoms that may be associated with exposure to electromagnetic fields (E.M.F.) has increased rapidly during the past years. Students use both mobile phones and video display terminals frequently. The purpose of this study was to investigate the association of mobile phone use and E.M.F. health hazards. Methods: Basic demographic data and self-reported symptoms were sought using a questionnaire administered to all apparently healthy students at Rafsanjan University of Medical Sciences (R.U.M.S.) and Vali-e-Asr University (V.A.U.). Questions ab out some major confounding factors such as age, gender, amount of video display terminal work were also included. All symptoms were self reported and there was no medical examination. Exact Fisher Test was used for data analysis. Results: 518 complete responses were collected. The responders comprised 317 Vali-e-Asr students (61.2%) and 201 R.U.M.S. students (38.8%). The gender distribution was male 175 33.8%), and female 343 (66.2 %). Thirty percent of the students had been using mobile phones (26% in female students and 38.2% in males, P<0.01). There was a significant difference between the frequency of mobile phone users in medical/par a medical (41.3%) and non-medical (23%) students (P<0. 001). Thirty six percent of the students had been using cord-less phones (no statistically significant gender difference). 56.3% used cathode ray tubes (C.R.T.) as computer monitors (47.1% in female students and 74.3% in males, P<0.001). Regarding self-reported symptoms, headache (52%), fatigue (35%), difficulties in concentration (31.7%), vertigo/dizziness (30%), attention disorders (28.8%), nervousness (28.1%), palpitation (14.7%), low back pain (14.3%), myalgia (12.3%), and tinnitus (10%) were the main self-reported symptoms. There were significantly more women with headache, dizziness, myalgia, and nervousness than men (in each case P<0.001). No significant

  10. Effect of three common sources of electromagnetic fields on health

    International Nuclear Information System (INIS)

    Mortazavi, S.M.J.; Ahmadi, J.; Behnejad, B.

    2006-01-01

    Background And Aims: The number of people complaining about different symptoms that may be associated with exposure to electromagnetic fields (E.M.F.) has increased rapidly during the past years. Students use both mobile phones and video display terminals frequently. The purpose of this study was to investigate the association of mobile phone use and E.M.F. health hazards. Methods: Basic demographic data and self-reported symptoms were sought using a questionnaire administered to all apparently healthy students at Rafsanjan University of Medical Sciences (R.U.M.S.) and Vali-e-Asr University (V.A.U.). Questions ab out some major confounding factors such as age, gender, amount of video display terminal work were also included. All symptoms were self reported and there was no medical examination. Exact Fisher Test was used for data analysis. Results: 518 complete responses were collected. The responders comprised 317 Vali-e-Asr students (61.2%) and 201 R.U.M.S. students (38.8%). The gender distribution was male 175 33.8%), and female 343 (66.2 %). Thirty percent of the students had been using mobile phones (26% in female students and 38.2% in males, P<0.01). There was a significant difference between the frequency of mobile phone users in medical/par a medical (41.3%) and non-medical (23%) students (P<0. 001). Thirty six percent of the students had been using cord-less phones (no statistically significant gender difference). 56.3% used cathode ray tubes (C.R.T.) as computer monitors (47.1% in female students and 74.3% in males, P<0.001). Regarding self-reported symptoms, headache (52%), fatigue (35%), difficulties in concentration (31.7%), vertigo/dizziness (30%), attention disorders (28.8%), nervousness (28.1%), palpitation (14.7%), low back pain (14.3%), myalgia (12.3%), and tinnitus (10%) were the main self-reported symptoms. There were significantly more women with headache, dizziness, myalgia, and nervousness than men (in each case P<0.001). No significant

  11. Public health aspects of the available electricity sources

    International Nuclear Information System (INIS)

    Rabl, A.; Spadaro, J.V.

    2000-01-01

    This paper presents a summary of recent studies of the safety of energy systems, presenting the results both in physical units of YOLL (years of life lost) and in monetary units. Whereas the earlier studies of the safety of energy systems tended to focus on risks to workers and on accidents, in recent years the importance of public health impacts due to pollution has been recognized, especially thanks to the ExternE (External Costs of Energy) Project of the European Commission. To evaluate the impact and damage cost of a pollutant, one needs to carry out an impact pathway analysis; this involves the calculation of increased pollutant concentration in all affected regions due to an incremental emission (e.g. μg/m 3 of particles, using models of atmospheric dispersion and chemistry), followed by the calculation of physical impacts (e.g. number of cases of asthma due to these particles, using a dose-response function). The entire so-called fuel chain (or fuel cycle) is evaluated and compared on the basis of delivered end use energy. Even though the uncertainties are large, the results provide substantial evidence that the classical air pollutants (particles, NOx and SOx) from the combustion of fossil fuels impose a heavy toll, in addition to the cost of global warming. The external costs are especially large for coal; even for 'good current technology' they may be comparable to the price of electricity. For natural gas the external costs are about a third to a half of coal. The external costs of nuclear are small compared to the price of electricity (at most a few %), and so are the external costs of most renewable energy systems. (authors)

  12. Deriving consumer-facing disease concepts for family health histories using multi-source sampling.

    Science.gov (United States)

    Hulse, Nathan C; Wood, Grant M; Haug, Peter J; Williams, Marc S

    2010-10-01

    The family health history has long been recognized as an effective way of understanding individuals' susceptibility to familial disease; yet electronic tools to support the capture and use of these data have been characterized as inadequate. As part of an ongoing effort to build patient-facing tools for entering detailed family health histories, we have compiled a set of concepts specific to familial disease using multi-source sampling. These concepts were abstracted by analyzing family health history data patterns in our enterprise data warehouse, collection patterns of consumer personal health records, analyses from the local state health department, a healthcare data dictionary, and concepts derived from genetic-oriented consumer education materials. Collectively, these sources yielded a set of more than 500 unique disease concepts, represented by more than 2500 synonyms for supporting patients in entering coded family health histories. We expect that these concepts will be useful in providing meaningful data and education resources for patients and providers alike.

  13. Health information exposure from information and communication technologies and its associations with health behaviors: Population-based survey.

    Science.gov (United States)

    Shen, Chen; Wang, Man Ping; Wan, Alice; Viswanath, Kasisomayajula; Chan, Sophia Siu Chee; Lam, Tai Hing

    2018-08-01

    Health information and communication technologies (ICTs) are increasingly used but little is known about routine exposure to health information from ICTs and its associations with health behaviors. A territory-wide population-based dual landline and mobile telephone survey was conducted in 2016 in Hong Kong, where smartphone ownership and Internet access are among the most prevalent, easiest and fastest in the world. Health information exposure from traditional sources (television/radio/newspaper/magazine), Internet websites, social media sites and instant messaging (IM); and information on smoking, alcohol consumption and physical activity were recorded. Prevalence was weighted by age, sex and education level of the general population. Multinomial logistic regression was used to assess the association of health information exposure with smoking and alcohol consumption, whilst multivariable linear regression was used to assess the association with frequency of moderate and vigorous physical activity (days/week). Of 3063 respondents, most (71.6%) were often or sometimes exposed to health information from traditional sources, followed by Internet websites (40.9%), social media sites (40.7%), and IM (27.0%). Respondents with lower education and household income were less frequently exposed to health information from Internet websites, social media sites and IM (all P < 0.001). Health information exposure from IM was associated with being never smokers, and more frequent moderate and vigorous physical activity (all P for trend <0.05). Health information exposure from IM was least frequent but associated with healthier behaviors. Further public health education campaigns can consider using IM to deliver information, particularly to disadvantaged groups. Copyright © 2018 Elsevier Inc. All rights reserved.

  14. Sources of Discrimination and Their Associations With Health in Sexual Minority Adults.

    Science.gov (United States)

    Figueroa, Wilson S; Zoccola, Peggy M

    2016-06-01

    Health disparities exist between sexual minorities and heterosexuals. These health disparities may be due to stressful social situations and environments that are created by discrimination. The current study recruited 277 sexual minorities to complete an online survey to examine the effects of discrimination on health. Discrimination from family and friends, compared to non-family and friends, was found to be more strongly associated with poorer health. This effect was partially statistically mediated by perceived stress reactivity. Findings from this study highlight the importance of distinguishing between different sources of discrimination when examining the effect of discrimination on health in sexual minority adults.

  15. sources

    Directory of Open Access Journals (Sweden)

    Shu-Yin Chiang

    2002-01-01

    Full Text Available In this paper, we study the simplified models of the ATM (Asynchronous Transfer Mode multiplexer network with Bernoulli random traffic sources. Based on the model, the performance measures are analyzed by the different output service schemes.

  16. Towards open collaborative health informatics - The Role of free/libre open source principles. Contribution of the IMIA Open Source Health Informatics Working Group.

    Science.gov (United States)

    Karopka, T; Schmuhl, H; Marcelo, A; Molin, J Dal; Wright, G

    2011-01-01

    : To analyze the contribution of Free/Libre Open Source Software in health care (FLOSS-HC) and to give perspectives for future developments. The paper summarizes FLOSS-related trends in health care as anticipated by members of the IMIA Open Source Working Group. Data were obtained through literature review and personal experience and observations of the authors in the last two decades. A status quo is given by a frequency analysis of the database of Medfloss.org, one of the world's largest platforms dedicated to FLOSS-HC. The authors discuss current problems in the field of health care and finally give a prospective roadmap, a projection of the potential influences of FLOSS in health care. FLOSS-HC already exists for more than 2 decades. Several projects have shown that FLOSS may produce highly competitive alternatives to proprietary solutions that are at least equivalent in usability and have a better total cost of ownership ratio. The Medfloss.org database currently lists 221 projects of diverse application types. FLOSS principles hold a great potential for addressing several of the most critical problems in health care IT. The authors argue that an ecosystem perspective is relevant and that FLOSS principles are best suited to create health IT systems that are able to evolve over time as medical knowledge, technologies, insights, workflows etc. continuously change. All these factors that inherently influence the development of health IT systems are changing at an ever growing pace. Traditional models of software engineering are not able to follow these changes and provide up-to-date systems for an acceptable cost/value ratio. To allow FLOSS to positively influence Health IT in the future a "FLOSS-friendly" environment has to be provided. Policy makers should resolve uncertainties in the legal framework that disfavor FLOSS. Certification procedures should be specified in a way that they do not raise additional barriers for FLOSS.

  17. Digital Medien im Naturwissenschaftlichen Unterricht

    CERN Document Server

    Meßinger-Koppelt, Jenny

    2014-01-01

    „Morgens, 8 Uhr: Kurz vor der Schultür werden noch die neuesten Posts auf Facebook geliked, ein Selfie in die Whats-App-Gruppe hochgeladen oder auf YouTube noch ein #LOL-Video gestreamed. Dann klingelt es und die Digital Natives greifen wieder zu Stift, Papier und werden frontal mit Fakten gefüttert“ (A. Spang). Für Schüler sind Internet, Smartphone und Tablet-PC heute selbstverständlicher Teil ihrer Lernwelt. Und auch die Alltags- und Berufswelt ist ohne Informationstechnologien nicht mehr vorstellbar. Doch was bedeutet das für den Schulunterricht, insbesondere für die techniknahen Naturwissenschaften? Wie gelingt im Schulalltag die Balance zwischen Kreidezeit und interaktivem Whiteboard nach mittlerweile 30 Jahren Erfahrung mit Schulcomputern? Der vorliegende Sammelband präsentiert zahlreiche Praxisbeispiele aus dem Schulalltag zum sinnvollen Einsatz digitaler Medien im Biologie-, Chemie- und Physik-Unterricht sowie den aktuellen Stand der fachdidaktischen Forschung. Zu Wort kommen Hochschullehr...

  18. The Denver Aerosol Sources and Health (DASH) study: Overview and early findings

    Science.gov (United States)

    Vedal, S.; Hannigan, M. P.; Dutton, S. J.; Miller, S. L.; Milford, J. B.; Rabinovitch, N.; Kim, S.-Y.; Sheppard, L.

    Improved understanding of the sources of air pollution that are most harmful could aid in developing more effective measures for protecting human health. The Denver Aerosol Sources and Health (DASH) study was designed to identify the sources of ambient fine particulate matter (PM 2.5) that are most responsible for the adverse health effects of short-term exposure to PM 2.5. Daily 24-h PM 2.5 sampling began in July 2002 at a residential monitoring site in Denver, Colorado, using both Teflon and quartz filter samplers. Sampling is planned to continue through 2008. Chemical speciation is being carried out for mass, inorganic ionic compounds (sulfate, nitrate and ammonium), and carbonaceous components, including elemental carbon, organic carbon, temperature-resolved organic carbon fractions and a large array of organic compounds. In addition, water-soluble metals were measured daily for 12 months in 2003. A receptor-based source apportionment approach utilizing positive matrix factorization (PMF) will be used to identify PM 2.5 source contributions for each 24-h period. Based on a preliminary assessment using synthetic data, the proposed source apportionment should be able to identify many important sources on a daily basis, including secondary ammonium nitrate and ammonium sulfate, diesel vehicle exhaust, road dust, wood combustion and vegetative debris. Meat cooking, gasoline vehicle exhaust and natural gas combustion were more challenging for PMF to accurately identify due to high detection limits for certain organic molecular marker compounds. Measurements of these compounds are being improved and supplemented with additional organic molecular marker compounds. The health study will investigate associations between daily source contributions and an array of health endpoints, including daily mortality and hospitalizations and measures of asthma control in asthmatic children. Findings from the DASH study, in addition to being of interest to policymakers, by

  19. Ambient volatile organic compounds (VOCs) in Calgary, Alberta: Sources and screening health risk assessment.

    Science.gov (United States)

    Bari, Md Aynul; Kindzierski, Warren B

    2018-08-01

    Exposure to ambient volatile organic compound (VOCs) in urban areas is of interest because of their potential chronic and acute adverse effects to public health. Limited information is available about VOC sources in urban areas in Canada. An investigation of ambient VOCs levels, their potential sources and associated risks to public health was undertaken for the urban core of Alberta's largest city (downtown Calgary) for the period 2010-2015. Twenty-four hour arithmetic and geometric mean concentrations of total VOCs were 42μg/m 3 and 39μg/m 3 , respectively and ranged from 16 to 160μg/m 3 , with winter levels about two-fold higher than summer. Alkanes (58%) were the most dominant compounds followed by halogenated VOCs (22%) and aromatics (11%). Mean and maximum 24h ambient concentrations of selected VOCs of public health concern were below chronic and acute health risk screening criteria of the United States regulatory agencies and a cancer screening benchmark used in Alberta equivalent to 1 in 100,000 lifetime risk. The Positive matrix factorization (PMF) model revealed nine VOC sources at downtown Calgary, where oil/natural gas extraction/combustion (26%), fuel combustion (20%), traffic sources including gasoline exhaust, diesel exhaust, mixed fugitive emissions (10-15%), and industrial coatings/solvents (12%) were predominant. Other sources included dry cleaning (3.3%), biogenic (3.5%) and a background source (18%). Source-specific health risk values were also estimated. Estimated cancer risks for all sources were below the Alberta cancer screening benchmark, and estimated non-cancer risks for all sources were well below a safe level. Copyright © 2018 Elsevier B.V. All rights reserved.

  20. Associations among stress, gender, sources of social support, and health in emerging adults.

    Science.gov (United States)

    Lee, Chih-Yuan Steven; Dik, Bryan J

    2017-10-01

    This study aimed to examine how sources of social support intersect with stress and health by testing two theoretical models. Three relationship-specific sources of social support (family, friends, and romantic partners) and two health indicators (self-rated physical health and depressive symptoms) were investigated. The sample consisted of 636 emerging adults attending college (age range: 18-25). Results suggest that only support from family was a stress-buffer, in that it buffered the adverse association between stress and depressive symptoms. Holding stress constant, only support from family was related to self-rated physical health and only support from friends or romantic partners was associated with depressive symptoms. There were no gender differences in the mean levels of self-rated physical health and depressive symptoms. However, gender moderations were found, in that the positive relationship between friends support and physical health was observed only in women, that the association between friends support and depressive symptoms was greater in men than in women, and that family support buffered the negative relationship between stress and physical health only in men. Findings of this study suggest that the associations among stress, social support, and health vary by the sources of support, the health outcome, and gender. Copyright © 2016 John Wiley & Sons, Ltd.

  1. IMS Learning Design Frequently Asked Questions

    NARCIS (Netherlands)

    Tattersall, Colin; Manderveld, Jocelyn; Hummel, Hans; Sloep, Peter; Koper, Rob; De Vries, Fred

    2004-01-01

    This list of frequently asked questions was composed on the basis of questions asked of the Educational Technology Expertise Centrum. The questions addessed are: Where can I find the IMS Learning Design Specification? What is meant by the phrase “Learning Design”? What is the IMS LD Specification

  2. Health Information Sources, Perceived Vaccination Benefits, and Maintenance of Childhood Vaccination Schedules.

    Science.gov (United States)

    Hwang, Juwon; Shah, Dhavan V

    2018-06-05

    Parental concerns over the safety or necessity of childhood vaccination have increased over the past decades. At the same time, there has been a proliferation of vaccine-related information available through a range of health information sources. This study investigates the associations between evaluations of health information sources, parental perceptions of childhood vaccination benefits, and the maintenance of vaccination schedules for their children. Specifically, this study aims to (a) incorporate social media into the battery of health information sources and (b) differentiate households with a childhood autism diagnosis and those without, given unsubstantiated but persistent concerns about vaccine safety and autism. Analyzing a sample of U.S. households, a total of 4,174 parents who have at least one child under the age of 18 were analyzed, including 138 of parents of households with a childhood autism diagnosis. Results show that the more the parents value interpersonal communication and magazines as sources of health information, the more they perceive vaccination benefits, and the more the value they put on television, the better they keep vaccination schedules up-to-date for their children. On the other hand, social media are negatively associated with their perceptions of vaccination benefits. Although parents of children diagnosed with autism are less likely to perceive vaccination benefits, no interaction effects with evaluations of health information sources are found on parental perceptions of vaccination benefits or maintenance of schedules.

  3. A Study on Sources of Health Financing in Nigeria: Implications for Health care Marketers and Planners

    Directory of Open Access Journals (Sweden)

    Rotimi Ayodele Gbadeyan

    2016-01-01

    Full Text Available There have been increasing difficulties in providing qualitative health care services to the public in Nigeria. The development has called for the need to examine ways through which government and other stakeholders resolve these crises in the health sector. The objective of this paper is to examine the level of Government spending to total Health expenditures in Nigeria. This study basically employs secondary data for analysis. The secondary data are provided from the World Bank Development indicators and Internet. The data was analyzed using the Pearson Correlation Coefficient Statistical technique. The result revealed a strong positive Correlation (r = 0.634 between Government Health Spending and Total Health Spending. This indicates that Government Health Spending constitutes a significant proportion of the Total Health Expenditures in Nigeria; despite complains about inadequate health financing. In conclusion, the Nigerian Health sector would become more vibrant, if the Government and the Private sector are ready to give the necessary commitments required to achieve the laudable objective of qualitative health for all. The study recommends for more Government Health funding towards tackling the prevalence of some chronic diseases such as HIV, Asthma, Tuberculosis, Meningitis and Paralysis, etc.

  4. A new ppb-gas analyzer by means of GC-ion mobility spectrometry (GC-IMS)

    International Nuclear Information System (INIS)

    Leonhardt, J.W.

    2003-01-01

    IMS-detectors are using beta-sources like tritium or nickel-63. This detection principle uses fast ion-molecular reactions between air cluster ions, produced by beta ionization and the analyte. The system works at normal pressure, the very high sensitivity and selectivity is used widely in industry, research, medicine and environmental control. In the last few years especially, small tritium sources were reduced to a level of some 50 MBq, which is 20 times less than the exemption levels for these sources. One of the handicaps of that technology is the problem of cross sensitivities. To overcome these problems a special GC-column of 1 m length has been included into the gas inlet and mixtures of compounds get separated by their retention times before entering the drift sensor. By means of that method a new analytical quality of IMS is arrived. The application of these analytical devices got a spin off in the last year. The main applications being discussed are as follows: (1) anti terror systems in buildings and facilities, (2) working place monitoring in chemical industry, (3) microelectronics: HF, HCl, Cl 2 , NMP, NH 3 , NO 2 , SO 2 , (4) environment: NH 3 , HCN, HCl, CH 2 O, organic compounds, SO 2 , NO 2 , (5) gas and petrol: gas-carottage, H 2 S, mercaptans, (6) household, furniture: solvents, clue, organic vapour from furniture, and (7) health care: diagnostics of various diseases. (author)

  5. [Cockroaches and co. The role of health pests as allergen source].

    Science.gov (United States)

    Raulf, M; Sander, I; Gonnissen, D; Zahradnik, E; Brüning, T

    2014-05-01

    In most of the cases health pests are carriers of pathogens or parasites which have a negative impact on human health or affect the health of other mammals. What is lesser known is that they can also act as allergens. Most of the health pests in this sense belong to the arthropods, such as cockroaches (Blattaria), mosquitos (Culiciformia), lice (Pediculus humanus corporis), fleas (Siphonaptera) and ticks (Argasidae). In the group of vertebrates rats (Rattus norvegicus and Rattus rattus), house mice (Mus musculus) and pigeons (Columba livia domestica) are also classified as health pests. Also storage pests which are not carriers of pathogens can induce secondary infestation with hygiene pests or molds and have an underestimated impact on human health. In this article selected examples of health pests and also storage pests as an allergen source are described, taking into account the sensitization prevalence and identified single allergens.

  6. Emissions balancing of renewable energy sources. Avoided emissions due to the use of renewable energies in 2007; Emissionsbilanz erneuerbarer Energietraeger. Durch Einsatz erneuerbarer Energien vermiedene Emissionen im Jahr 2007

    Energy Technology Data Exchange (ETDEWEB)

    Memmler, Michael; Mohrbach, Elke; Schneider, Sven; Dreher, Marion; Herbener, Reinhard

    2009-10-15

    The report on the emissions accounting with respect to renewable energy covers the following issues: 1. Introduction and purpose. 2. Methodology concerning the balancing for electricity, heat and traffic, uncertainties due to lack of data. 3. Energy supply from renewable energy sources in 2007. 4. Fossil energy substitution by renewable energy sources: electricity, heat and traffic. 5. Emissions from different energy supply lines: electricity, heat, traffic. 6. Results of the emissions accounting for renewable energy sources: electricity, heat, traffic and comprehensive review. 7. Retroacting accounting and forward projection.

  7. Development of a plug-type IMS-MS instrument and its applications in resolving problems existing in in-situ detection of illicit drugs and explosives by IMS.

    Science.gov (United States)

    Du, Zhenxia; Sun, Tangqiang; Zhao, Jianan; Wang, Di; Zhang, Zhongxia; Yu, Wenlian

    2018-07-01

    Ion mobility spectrometry (IMS) which acts as a rapid analysis technique is widely used in the field detection of illicit drugs and explosives. Due to limited separation abilities of the pint-sized IMS challenges and problems still exist regarding high false positive and false negative responses due to the interference of the matrix. In addition, the gas-phase ion chemistry and special phenomena in the IMS spectra, such one substance showing two peaks, were not identified unambiguously. In order to explain or resolve these questions, in this paper, an ion mobility spectrometry was coupled to a mass spectrometry (IMS-MS). A commercial IMS is embedded in a custom-built ion chamber shell was attached to the mass spectrometer. The faraday plate of IMS was fabricated with a hole for the ions to passing through to the mass spectrometer. The ion transmission efficiency of IMS-MS was optimized by optimizing the various parameters, especially the distance between the faraday plate and the cone of mass spectrum. This design keeps the integrity of the two original instruments and the mass spectrometry still works with multimode ionization source (i.e., IMS-MS, ESI-MS, APCI-MS modes). The illicit drugs and explosive samples were analyzed by the IMS-MS with 63 Ni source. The results showed that the IMS-MS is of high sensitivity. The ionization mechanism of the illicit drug and explosive samples with 63 Ni source were systematically studied. In addition, the interferent which interfered the detection of cocaine was identified as dibutyl phthalate (DBP) by this platform. The reason why the acetone solution of amphetamine showed two peaks was explained. Copyright © 2018 Elsevier B.V. All rights reserved.

  8. Utilization of open source electronic health record around the world: A systematic review

    Directory of Open Access Journals (Sweden)

    Farzaneh Aminpour

    2014-01-01

    Full Text Available Many projects on developing Electronic Health Record (EHR systems have been carried out in many countries. The current study was conducted to review the published data on the utilization of open source EHR systems in different countries all over the world. Using free text and keyword search techniques, six bibliographic databases were searched for related articles. The identified papers were screened and reviewed during a string of stages for the irrelevancy and validity. The findings showed that open source EHRs have been wildly used by source limited regions in all continents, especially in Sub-Saharan Africa and South America. It would create opportunities to improve national healthcare level especially in developing countries with minimal financial resources. Open source technology is a solution to overcome the problems of high-costs and inflexibility associated with the proprietary health information systems.

  9. Utilization of open source electronic health record around the world: A systematic review.

    Science.gov (United States)

    Aminpour, Farzaneh; Sadoughi, Farahnaz; Ahamdi, Maryam

    2014-01-01

    Many projects on developing Electronic Health Record (EHR) systems have been carried out in many countries. The current study was conducted to review the published data on the utilization of open source EHR systems in different countries all over the world. Using free text and keyword search techniques, six bibliographic databases were searched for related articles. The identified papers were screened and reviewed during a string of stages for the irrelevancy and validity. The findings showed that open source EHRs have been wildly used by source limited regions in all continents, especially in Sub-Saharan Africa and South America. It would create opportunities to improve national healthcare level especially in developing countries with minimal financial resources. Open source technology is a solution to overcome the problems of high-costs and inflexibility associated with the proprietary health information systems.

  10. Open-Source web-based geographical information system for health exposure assessment

    Directory of Open Access Journals (Sweden)

    Evans Barry

    2012-01-01

    Full Text Available Abstract This paper presents the design and development of an open source web-based Geographical Information System allowing users to visualise, customise and interact with spatial data within their web browser. The developed application shows that by using solely Open Source software it was possible to develop a customisable web based GIS application that provides functions necessary to convey health and environmental data to experts and non-experts alike without the requirement of proprietary software.

  11. Open-Source web-based geographical information system for health exposure assessment

    DEFF Research Database (Denmark)

    Evans, Barry; Sabel, Clive E

    2012-01-01

    This paper presents the design and development of an open source web-based Geographical Information System allowing users to visualise, customise and interact with spatial data within their web browser. The developed application shows that by using solely Open Source software it was possible to d...... to develop a customisable web based GIS application that provides functions necessary to convey health and environmental data to experts and non-experts alike without the requirement of proprietary software....

  12. Sources of satisfaction and dissatisfaction among specialists within the public and private health sectors

    DEFF Research Database (Denmark)

    Ashton, Toni; Brown, Paul M.; Sopina, Elizaveta (Liza)

    2013-01-01

    and professional development, key sources of dissatisfaction are workload pressures, mentally demanding work and managerial interference. In the private sector specialists value the opportunity to work independently and apply their own ideas in the workplace. Conclusion Sources of job satisfaction...... and dissatisfaction amongst specialists are different for the public and private sectors. Allowing specialists more freedom to work independently and to apply their own ideas in the workplace may enhance recruitment and retention of specialists in the public health system....

  13. Open source non-invasive prenatal testing platform and its performance in a public health laboratory

    DEFF Research Database (Denmark)

    Johansen, Peter; Richter, Stine R; Balslev-Harder, Marie

    2016-01-01

    OBJECTIVE: The objective of this study was to introduce non-invasive prenatal testing (NIPT) for fetal autosomal trisomies and gender in a Danish public health setting, using semi-conductor sequencing and published open source scripts for analysis. METHODS: Plasma-derived DNA from a total of 375...... correlation (R(2)  = 0.72) to Y-chromosomal content of the male fetus samples. DISCUSSION: We have implemented NIPT into Danish health care using published open source scripts for autosomal aneuploidy detection and fetal DNA fraction estimation showing excellent false negative and false positive rates. Seq...

  14. Autonomy and Financial Sources, Key Factors in the Performance of Health Insurance Scheme: Case of Albania

    Directory of Open Access Journals (Sweden)

    Enkelejda Avdi

    2013-12-01

    Full Text Available Autonomy of public health insurance scheme comprises political, financial, organizational, normative and contractual aspects. The paper analyses the role and position of a health insurance scheme (HIS within the overall healthcare system in Albania, the relationship to all other institutions, stakeholders and actors. By analyesing published literature and collected data through secondary sources, the paper focuses on financial autonomy, which refers first of all to a certain level of budgetary independence regarding source generation and spending on health services. For assuring effective and efficient performance of the single payer for health care services in Albania, need effective changes in the legislation do take into account the various levels of autonomy mentioned above.

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

    National Research Council Canada - National Science Library

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

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

  16. Mortality, morbidity and health in developed societies: a review of data sources.

    Science.gov (United States)

    Wunsch, Guillaume; Gourbin, Catherine

    2018-01-01

    The purpose of this paper is to review the major sources of data on mortality, morbidity and health in Europe and in other developed regions in order to examine their potential for analysing mortality and morbidity levels and trends. The review is primarily focused on routinely collected information covering a whole country. No attempt is made to draw up an inventory of sources by country; the paper deals instead with the pros and cons of each source for mortality and morbidity studies in demography. While each source considered separately can already yield useful, though partial, results, record linkage among data sources can significantly improve the analysis. Record linkage can also lead to the detection of possible causal associations that could eventually be confirmed. More generally, Big Data can reveal changing mortality and morbidity trends and patterns that could lead to preventive measures being taken rather than more costly curative ones.

  17. Electronic Communication Channel Use and Health Information Source Preferences Among Latinos in Northern Manhattan.

    Science.gov (United States)

    Hillyer, Grace Clarke; Schmitt, Karen M; Lizardo, Maria; Reyes, Andria; Bazan, Mercedes; Alvarez, Maria C; Sandoval, Rossy; Abdul, Kazeem; Orjuela, Manuela A

    2017-04-01

    Understanding key health concepts is crucial to participation in Precision Medicine initiatives. In order to assess methods to develop and disseminate a curriculum to educate community members in Northern Manhattan about Precision Medicine, clients from a local community-based organization were interviewed during 2014-2015. Health literacy, acculturation, use of Internet, email, and text messaging, and health information sources were assessed. Associations between age and outcomes were evaluated; multivariable analysis used to examine the relationship between participant characteristics and sources of health information. Of 497 interviewed, 29.4 % had inadequate health literacy and 53.6 % had access to the Internet, 43.9 % to email, and 45.3 % to text messaging. Having adequate health literacy was associated with seeking information from a healthcare professional (OR 2.59, 95 % CI 1.54-4.35) and from the Internet (OR 3.15, 95 % CI 1.97-5.04); having ≤ grade school education (OR 2.61, 95 % CI 1.32-5.17) also preferred information from their provider; persons >45 years (OR 0.29, 95 % CI 0.18-0.47) were less likely to use the Internet for health information and preferred printed media (OR 1.64, 95 % CI 1.07-2.50). Overall, electronic communication channel use was low and varied significantly by age with those ≤45 years more likely to utilize electronic channels. Preferred sources of health information also varied by age as well as by health literacy and educational level. This study demonstrates that to effectively communicate key Precision Medicine concepts, curriculum development for Latino community members of Northern Manhattan will require attention to health literacy, language preference and acculturation and incorporate more traditional communication channels for older community members.

  18. Finnish experiences of health monitoring: local, regional, and national data sources for policy evaluation

    Directory of Open Access Journals (Sweden)

    Katri Kilpeläinen

    2016-02-01

    Full Text Available Background: Finland has a long tradition of gathering information about the health and welfare of the adult population. Design: Surveys and administrative registers form the basis for national and local health monitoring in Finland. Results: Different data sources are used in Finland to develop key indicators, which can be used to evaluate how the national health policy targets have been met in different parts of the country and in different population subgroups. Progress has been shown in chronic disease risk factors, such as smoking reduction. However, some health policy targets have not been met. Socioeconomic health differences, for example, have remained large compared with other European countries. Conclusion: Although data availability for key health indicators is good in Finland, there is a need for wider and more comprehensive use of this information by political decision-makers and healthcare professionals.

  19. Radiation protection during brachytherapy, radiosynoviorthesis or radioimmunotherapy using liquid beta sources. Statement of the SSK; Strahlenschutz bei der Therapie mit Beta-Strahlern in fluessiger Form im Rahmen einer Brachytherapie, Radiosynoviorthese und einer Radioimmuntherapie. Empfehlung der Strahlenschutzkommission

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2005-07-01

    Unsealed liquid beta sources (Sr-89, Y-90, I-131, Er-169, Re-186, Re-188) are used increasingly in nuclear medicine for therapeutic purposes. In contrast to radioiodine therapy of thyroid diseases, interdisciplinary cooperation may be necessary (cardiology, orthopedic, rheumatology, oncology etc.), e.g. during applicaiton outside nuclear medicine or in case of non-nuclear invasive application methods. During preparation and application of beta sources, enhanced radiation exposure of the medical staff, especially doctors, is possible both in consequence of external exposure and in case of contaminations. Routine applications of unsealed liquid beta sources therefore necessitate specified radiation protection measures as specified in the guideline ''Strahlenschutz in der Medizin''. (orig.)

  20. Optimizing the Presentation of Mental Health Information in Social Media: The Effects of Health Testimonials and Platform on Source Perceptions, Message Processing, and Health Outcomes.

    Science.gov (United States)

    Quintero Johnson, Jessie M; Yilmaz, Gamze; Najarian, Kristy

    2017-09-01

    Using social media for the purpose of disseminating mental health information is a critical area of scientific inquiry for health communication professionals. The purpose of this study was to investigate whether the presence of a first-person testimonial in educational mental health information placed in Facebook and Twitter messages influenced college students' (N = 257) source perceptions, information processing, cognitive elaboration, health information recall, beliefs, and behavioral intentions. Results show that exposure to social media messages that featured mental health information embedded with a testimonial predicted less source homophily and more critical thoughts about the social media source, less systematic message processing, and less cognitive elaboration. Health information recall was significantly impacted by both the social media platform and message content such that participants in the testimonial condition on Facebook were more likely to recall the health facts in those messages whereas participants who viewed the testimonial in Twitter were less likely to recall the facts in those tweets. Compared to those who read Facebook messages, participants who read Twitter messages reported higher levels of systematic message processing. These findings suggest that the integration of health testimonials into social media messages might inadvertently provoke psychological resistance to mental health information, thereby reducing the persuasive impact of those messages.

  1. Validating Smoking Data From the Veteran’s Affairs Health Factors Dataset, an Electronic Data Source

    Science.gov (United States)

    Brandt, Cynthia A.; Skanderson, Melissa; Justice, Amy C.; Shahrir, Shahida; Butt, Adeel A.; Brown, Sheldon T.; Freiberg, Matthew S.; Gibert, Cynthia L.; Goetz, Matthew Bidwell; Kim, Joon Woo; Pisani, Margaret A.; Rimland, David; Rodriguez-Barradas, Maria C.; Sico, Jason J.; Tindle, Hilary A.; Crothers, Kristina

    2011-01-01

    Introduction: We assessed smoking data from the Veterans Health Administration (VHA) electronic medical record (EMR) Health Factors dataset. Methods: To assess the validity of the EMR Health Factors smoking data, we first created an algorithm to convert text entries into a 3-category smoking variable (never, former, and current). We compared this EMR smoking variable to 2 different sources of patient self-reported smoking survey data: (a) 6,816 HIV-infected and -uninfected participants in the 8-site Veterans Aging Cohort Study (VACS-8) and (b) a subset of 13,689 participants from the national VACS Virtual Cohort (VACS-VC), who also completed the 1999 Large Health Study (LHS) survey. Sensitivity, specificity, and kappa statistics were used to evaluate agreement of EMR Health Factors smoking data with self-report smoking data. Results: For the EMR Health Factors and VACS-8 comparison of current, former, and never smoking categories, the kappa statistic was .66. For EMR Health Factors and VACS-VC/LHS comparison of smoking, the kappa statistic was .61. Conclusions: Based on kappa statistics, agreement between the EMR Health Factors and survey sources is substantial. Identification of current smokers nationally within the VHA can be used in future studies to track smoking status over time, to evaluate smoking interventions, and to adjust for smoking status in research. Our methodology may provide insights for other organizations seeking to use EMR data for accurate determination of smoking status. PMID:21911825

  2. E2eUberIM

    DEFF Research Database (Denmark)

    Wac, Katarzyna; Cummings, Mark; Dey, Jayanta

    2016-01-01

    , high-quality services, we propose an innovative end-to-end service management framework called e2eUberIM. This framework contains a scalable, flexible, and volatile information model (UberIM) and a real-time, "organic" communication and storage process (e2eUber). It leverages the proprietary interfaces...... of different vendors, enabling the resulting enhanced operations system environment to automatically and in real-time optimize operational overhead while maximizing the user experience, and quickly field new innovative, composed "any-services" (XaaS). We document the e2eUberIM requirements and its design...

  3. Imágenes e identidades

    OpenAIRE

    Guerrini, Sebastión

    2013-01-01

    Las identidades se estructuran en un proceso de identificación continua con imágenes. Esto afecta no solo a las identidades de las personas, sino también a las de las instituciones, organizaciones y empresas. En este sentido, el rol de ser del Diseño en Comunicación Visual es intentar afectar a las identidades de los espectadores de sus imágenes. Por esta razón, primero es importante definir qué son las imágenes. Facultad de Bellas Artes

  4. Source ventilation in the restaurant and in both large-scale catering establishments of the casino in Bern. Quellueftung im Restaurant und in den beiden Grosskuechen des Casino Bern

    Energy Technology Data Exchange (ETDEWEB)

    Anon,

    1991-08-01

    Source ventilation in the area of person concentrations has remarkable advantages: natural and economic, fresh air directly for the consumer, no draft phenomena, optimum dissipation of charge such as heat, smoke, etc., light efficiency. Structure and mode of function as well as the advantages of the system are shown by means of the casino in Bern. (BWI).

  5. Health Literacy and Preferences for Sources of Child Health Information of Mothers With Infants in the Neonatal Intensive Care Unit.

    Science.gov (United States)

    Skeens, Kristen; Logsdon, M Cynthia; Stikes, Reetta; Ryan, Lesa; Sparks, Kathryn; Hayes, Pauline; Myers, John; Davis, Deborah Winders

    2016-08-01

    Parents of infants hospitalized in the neonatal intensive care unit (NICU) frequently need guidance to prepare them for the care and health promotion of their child after hospital discharge. The health literacy of the parents should be considered so that education can be tailored to meet their needs. It is also important to understand the parents' preferences for how, and from whom, they receive education. The purpose of this study was to identify health literacy levels of parents of infants in an NICU and preferences for who they want to provide them with education. An exploratory, descriptive design was used to assess participant health literacy and preferences for obtaining child health information. Only mothers (no fathers) with babies in the NICU were available to complete the survey. Mean participant age was 26.4 years (SD = 6.7). Participants had a mean Rapid Estimate of Adult Literacy in Medicine, Revised, score of 5.64 (SD = 2.4), indicating a low level of health literacy. Questions regarding when to administer medication were correctly answered by 69% of participants. Proper medication dosage was understood by 92% of participants; however, only 30% were able to correctly convert measurements. One-on-one discussions with a physician were the preferred source of health information for 80% of participants. The current exploratory study provides new information that will help inform the development of future studies and increase awareness of nurses regarding health literacy and the specific types of skills for which parents need the most help.

  6. Public views of different sources of health advice: pharmacists, social media and mobile health applications.

    Science.gov (United States)

    Crilly, Philip; Jair, Sophia; Mahmood, Zahra; Moin Khan, Armineh; Munir, Aneesah; Osei-Bediako, Irene; Samir, Mustafa; Kayyali, Reem

    2018-05-06

    Investigating public perceptions of community pharmacists (CP) in public health and their use of social media (SM) and mobile health applications (MH apps) in that regard. Two surveys were created. One sought public perceptions of SM and the other of MH apps for health advice. Both included a section on perceptions of the role of CPs in public health. A convenience sampling strategy, based on proximity, was used.The study population was the public (n = 8 500 000) living in Greater London. The general public were recruited face-to-face in public spaces. A minimum sample (95% confidence interval/5% margin of error) of 385 was needed. Ethical approval was obtained from the university ethics committee. Responses were analysed in SPSS. About 820/1800 (45.6%) completed one/both surveys. Respondents seek health advice primarily from GPs, followed by digital mediums and then CPs. Under 35s use digital mediums more frequently (P = 0.039). Those who had used SM (41.7%) or MH apps (61.8%) for health information did not confirm its accuracy with a healthcare professional (HCP). Of those that did (MH apps = 39.2%; SM = 58.3%), the HCP disagreed with the information on MH apps and SM on 19.6% and 36.7% of occasions, respectively. Nevertheless, 64.5% stated that if a SM page was maintained by an HCP they would use it. The public are using digital mediums for health advice instead of speaking to an HCP. If CPs want to have an impact on public health they must start imbedding digital mediums into their services. © 2018 Royal Pharmaceutical Society.

  7. e-Health and new moms: Contextual factors associated with sources of health information.

    Science.gov (United States)

    Walker, Lorraine O; Mackert, Michael S; Ahn, Jisoo; Vaughan, Misha W; Sterling, Bobbie S; Guy, Sarah; Hendrickson, Sherry

    2017-11-01

    Guided by the Uses and Gratifications approach, to examine mothers' use and preference of e-Health media, and associated contextual factors. Cross-sectional survey of 165 mothers (White, African-American, and Hispanic) from a stratified random sample. Use of online media about mother-baby care; favorite websites about motherhood and best-liked features of Web sites; channel preferences (Web site, postal mail, text) for receiving three types of health information; and contextual factors, e.g., education. Media use ranged from 96% for health information searches about babies to 46% for YouTube viewing about mother-baby topics. Contextual factors, such as education, were associated with media use. Babycenter was the most frequently reported favorite Web site and rich, relevant information was the best-liked feature. Across three health topics (weight, stress/depression, parenting) mothers preferred receiving information by Web site, followed by postal mail and least by text messaging (χ 2 statistics, p < .001). Stress and race/ethnicity were among factors associated with preferences. Mothers widely used e-Health related media, but use was associated with contextual factors. In public health efforts to reach new mothers, partnering with mother-favored Web sites, focusing on audience-relevant media, and adopting attributes of successful sites are recommended strategies. © 2017 Wiley Periodicals, Inc.

  8. The state and profile of open source software projects in health and medical informatics.

    Science.gov (United States)

    Janamanchi, Balaji; Katsamakas, Evangelos; Raghupathi, Wullianallur; Gao, Wei

    2009-07-01

    Little has been published about the application profiles and development patterns of open source software (OSS) in health and medical informatics. This study explores these issues with an analysis of health and medical informatics related OSS projects on SourceForge, a large repository of open source projects. A search was conducted on the SourceForge website during the period from May 1 to 15, 2007, to identify health and medical informatics OSS projects. This search resulted in a sample of 174 projects. A Java-based parser was written to extract data for several of the key variables of each project. Several visually descriptive statistics were generated to analyze the profiles of the OSS projects. Many of the projects have sponsors, implying a growing interest in OSS among organizations. Sponsorship, we discovered, has a significant impact on project success metrics. Nearly two-thirds of the projects have a restrictive license type. Restrictive licensing may indicate tighter control over the development process. Our sample includes a wide range of projects that are at various stages of development (status). Projects targeted towards the advanced end user are primarily focused on bio-informatics, data formats, database and medical science applications. We conclude that there exists an active and thriving OSS development community that is focusing on health and medical informatics. A wide range of OSS applications are in development, from bio-informatics to hospital information systems. A profile of OSS in health and medical informatics emerges that is distinct and unique to the health care field. Future research can focus on OSS acceptance and diffusion and impact on cost, efficiency and quality of health care.

  9. Tocopherols and Tocotrienols in Common and Emerging Dietary Sources: Occurrence, Applications, and Health Benefits.

    Science.gov (United States)

    Shahidi, Fereidoon; de Camargo, Adriano Costa

    2016-10-20

    Edible oils are the major natural dietary sources of tocopherols and tocotrienols, collectively known as tocols. Plant foods with low lipid content usually have negligible quantities of tocols. However, seeds and other plant food processing by-products may serve as alternative sources of edible oils with considerable contents of tocopherols and tocotrienols. Tocopherols are among the most important lipid-soluble antioxidants in food as well as in human and animal tissues. Tocopherols are found in lipid-rich regions of cells (e.g., mitochondrial membranes), fat depots, and lipoproteins such as low-density lipoprotein cholesterol. Their health benefits may also be explained by regulation of gene expression, signal transduction, and modulation of cell functions. Potential health benefits of tocols include prevention of certain types of cancer, heart disease, and other chronic ailments. Although deficiencies of tocopherol are uncommon, a continuous intake from common and novel dietary sources of tocopherols and tocotrienols is advantageous. Thus, this contribution will focus on the relevant literature on common and emerging edible oils as a source of tocols. Potential application and health effects as well as the impact of new cultivars as sources of edible oils and their processing discards are presented. Future trends and drawbacks are also briefly covered.

  10. Tocopherols and Tocotrienols in Common and Emerging Dietary Sources: Occurrence, Applications, and Health Benefits

    Science.gov (United States)

    Shahidi, Fereidoon; de Camargo, Adriano Costa

    2016-01-01

    Edible oils are the major natural dietary sources of tocopherols and tocotrienols, collectively known as tocols. Plant foods with low lipid content usually have negligible quantities of tocols. However, seeds and other plant food processing by-products may serve as alternative sources of edible oils with considerable contents of tocopherols and tocotrienols. Tocopherols are among the most important lipid-soluble antioxidants in food as well as in human and animal tissues. Tocopherols are found in lipid-rich regions of cells (e.g., mitochondrial membranes), fat depots, and lipoproteins such as low-density lipoprotein cholesterol. Their health benefits may also be explained by regulation of gene expression, signal transduction, and modulation of cell functions. Potential health benefits of tocols include prevention of certain types of cancer, heart disease, and other chronic ailments. Although deficiencies of tocopherol are uncommon, a continuous intake from common and novel dietary sources of tocopherols and tocotrienols is advantageous. Thus, this contribution will focus on the relevant literature on common and emerging edible oils as a source of tocols. Potential application and health effects as well as the impact of new cultivars as sources of edible oils and their processing discards are presented. Future trends and drawbacks are also briefly covered. PMID:27775605

  11. Crossing heterogeneous information sources for better analysis of health and social care data

    NARCIS (Netherlands)

    Szirbik, NB; Pelletier, C; Chaussalet, TJ; Bos, L; Marsh, A

    2005-01-01

    In this paper we describe a methodology that emerged during an implementation of a health-and-social-care-oriented data repository, which consists in grouping information from heterogeneous and distributed information sources. We developed this methodology by first constructing a concrete data

  12. Health physics evaluation of an accident involving acute overexposure to a radiography source

    International Nuclear Information System (INIS)

    Basson, J.K.; Hanekom, A.P.; Coetzee, F.C.; Lloyd, D.C.

    1981-10-01

    An accident, involving the loss of an iridium-192 radiographic source and the subsequent serious overexposure of a third party, is described. Health physics aspects, particularly dosimetrical aspects are addressed and compared with results obtained by means of chromosome aberration dosimetry. Details are provided on the medical observations and treatment of the patient [af

  13. A new source of data for public health surveillance: Facebook likes.

    Science.gov (United States)

    Gittelman, Steven; Lange, Victor; Gotway Crawford, Carol A; Okoro, Catherine A; Lieb, Eugene; Dhingra, Satvinder S; Trimarchi, Elaine

    2015-04-20

    Investigation into personal health has become focused on conditions at an increasingly local level, while response rates have declined and complicated the process of collecting data at an individual level. Simultaneously, social media data have exploded in availability and have been shown to correlate with the prevalence of certain health conditions. Facebook likes may be a source of digital data that can complement traditional public health surveillance systems and provide data at a local level. We explored the use of Facebook likes as potential predictors of health outcomes and their behavioral determinants. We performed principal components and regression analyses to examine the predictive qualities of Facebook likes with regard to mortality, diseases, and lifestyle behaviors in 214 counties across the United States and 61 of 67 counties in Florida. These results were compared with those obtainable from a demographic model. Health data were obtained from both the 2010 and 2011 Behavioral Risk Factor Surveillance System (BRFSS) and mortality data were obtained from the National Vital Statistics System. Facebook likes added significant value in predicting most examined health outcomes and behaviors even when controlling for age, race, and socioeconomic status, with model fit improvements (adjusted R(2)) of an average of 58% across models for 13 different health-related metrics over basic sociodemographic models. Small area data were not available in sufficient abundance to test the accuracy of the model in estimating health conditions in less populated markets, but initial analysis using data from Florida showed a strong model fit for obesity data (adjusted R(2)=.77). Facebook likes provide estimates for examined health outcomes and health behaviors that are comparable to those obtained from the BRFSS. Online sources may provide more reliable, timely, and cost-effective county-level data than that obtainable from traditional public health surveillance systems as

  14. Open-Source Electronic Health Record Systems for Low-Resource Settings: Systematic Review.

    Science.gov (United States)

    Syzdykova, Assel; Malta, André; Zolfo, Maria; Diro, Ermias; Oliveira, José Luis

    2017-11-13

    Despite the great impact of information and communication technologies on clinical practice and on the quality of health services, this trend has been almost exclusive to developed countries, whereas countries with poor resources suffer from many economic and social issues that have hindered the real benefits of electronic health (eHealth) tools. As a component of eHealth systems, electronic health records (EHRs) play a fundamental role in patient management and effective medical care services. Thus, the adoption of EHRs in regions with a lack of infrastructure, untrained staff, and ill-equipped health care providers is an important task. However, the main barrier to adopting EHR software in low- and middle-income countries is the cost of its purchase and maintenance, which highlights the open-source approach as a good solution for these underserved areas. The aim of this study was to conduct a systematic review of open-source EHR systems based on the requirements and limitations of low-resource settings. First, we reviewed existing literature on the comparison of available open-source solutions. In close collaboration with the University of Gondar Hospital, Ethiopia, we identified common limitations in poor resource environments and also the main requirements that EHRs should support. Then, we extensively evaluated the current open-source EHR solutions, discussing their strengths and weaknesses, and their appropriateness to fulfill a predefined set of features relevant for low-resource settings. The evaluation methodology allowed assessment of several key aspects of available solutions that are as follows: (1) integrated applications, (2) configurable reports, (3) custom reports, (4) custom forms, (5) interoperability, (6) coding systems, (7) authentication methods, (8) patient portal, (9) access control model, (10) cryptographic features, (11) flexible data model, (12) offline support, (13) native client, (14) Web client,(15) other clients, (16) code

  15. Sources of Indoor Air Pollution and Respiratory Health in Preschool Children

    Directory of Open Access Journals (Sweden)

    Virginia Fuentes-Leonarte

    2009-01-01

    Full Text Available We carried out bibliographic searches in PubMed and Embase.com for the period from 1996 to 2008 with the aim of reviewing the scientific literature on the relationship between various sources of indoor air pollution and the respiratory health of children under the age of five. Those studies that included adjusted correlation measurements for the most important confounding variables and which had an adequate population size were considered to be more relevant. The results concerning the relationship between gas energy sources and children's respiratory health were heterogeneous. Indoor air pollution from biomass combustion in the poorest countries was found to be an important risk factor for lower respiratory tract infections. Solvents involved in redecorating, DYI work, painting, and so forth, were found to be related to an increased risk for general respiratory problems. The distribution of papers depending on the pollution source showed a clear relationship with life-style and the level of development.

  16. Sources of Indoor Air Pollution and Respiratory Health in Preschool Children

    International Nuclear Information System (INIS)

    Leonarte, V.F.; Ballester, F.; Leonarte, V.F.; Ballester, F.; Tenias, J.M.; Tenias, J.M.

    2010-01-01

    We carried out bibliographic searches in Pub Med and Embase.com for the period from 1996 to 2008 with the aim of reviewing the scientific literature on the relationship between various sources of indoor air pollution and the respiratory health of children under the age of five. Those studies that included adjusted correlation measurements for the most important confounding variables and which had an adequate population size were considered to be more relevant. The results concerning the relationship between gas energy sources and children's respiratory health were heterogeneous. Indoor air pollution from biomass combustion in the poorest countries was found to be an important risk factor for lower respiratory tract infections. Solvents involved in redecorating, DY work, painting, and so forth, were found to be related to an increased risk for general respiratory problems. The distribution of papers depending on the pollution source showed a clear relationship with life-style and the level of development.

  17. Towards the Adoption of Open Source and Open Access Electronic Health Record Systems

    Directory of Open Access Journals (Sweden)

    Ilias Maglogiannis

    2012-01-01

    Full Text Available As the Electronic Health Record (EHR systems constantly expand to support more clinical activities and their implementations in healthcare organizations become more widespread, several communities have been working intensively for several years to develop open access and open source EHR software, aiming at reducing the costs of EHR deployment and maintenance. In this paper, we describe and evaluate the most popular open source electronic medical records such as openEMR, openMRS and patientOS, providing their technical features and potentials. These systems are considered quite important due to their prevalence. The article presents the key features of each system and outlines the advantages and problems of Open Source Software (OSS Systems through a review of the literature, in order to demonstrate the possibility of their adoption in modern electronic healthcare systems. Also discussed are the future trends of OS EHRs in the context of the Personal Health Records and mobile computing paradigm.

  18. The use of open source electronic health records within the federal safety net.

    Science.gov (United States)

    Goldwater, Jason C; Kwon, Nancy J; Nathanson, Ashley; Muckle, Alison E; Brown, Alexa; Cornejo, Kerri

    2014-01-01

    To conduct a federally funded study that examines the acquisition, implementation and operation of open source electronic health records (EHR) within safety net medical settings, such as federally qualified health centers (FQHC). The study was conducted by the National Opinion Research Center (NORC) at the University of Chicago from April to September 2010. The NORC team undertook a comprehensive environmental scan, including a literature review, a dozen key informant interviews using a semistructured protocol, and a series of site visits to West Virginia, California and Arizona FQHC that were currently using an open source EHR. Five of the six sites that were chosen as part of the study found a number of advantages in the use of their open source EHR system, such as utilizing a large community of users and developers to modify their EHR to fit the needs of their provider and patient communities, and lower acquisition and implementation costs as compared to a commercial system. Despite these advantages, many of the informants and site visit participants felt that widespread dissemination and use of open source was restrained due to a negative connotation regarding this type of software. In addition, a number of participants stated that there is a necessary level of technical acumen needed within the FQHC to make an open source EHR effective. An open source EHR provides advantages for FQHC that have limited resources to acquire and implement an EHR, but additional study is needed to evaluate its overall effectiveness.

  19. Determinants of Internet use as a preferred source of information on personal health.

    Science.gov (United States)

    Lemire, Marc; Paré, Guy; Sicotte, Claude; Harvey, Charmian

    2008-11-01

    To understand the personal, social and cultural factors likely to explain recourse to the Internet as a preferred source of personal health information. A cross-sectional survey was conducted among a population of 2923 Internet users visiting a firmly established website that offers information on personal health. Multiple regression analysis was performed to identify the determinants of site use. The analysis template comprised four classes of determinants likely to explain Internet use: beliefs, intentions, user satisfaction and socio-demographic characteristics. Seven-point Likert scales were used. An analysis of the psychometric qualities of the variables provided compelling evidence of the construct's validity and reliability. A confirmatory factor analysis confirmed the correspondence with the factors predicted by the theoretical model. The regression analysis explained 35% of the variance in Internet use. Use was directly associated with five factors: perceived usefulness, importance given to written media in searches for health information, concern for personal health, importance given to the opinions of physicians and other health professionals, and the trust placed in the information available on the site itself. This study confirms the importance of the credibility of information on the frequency of Internet use as a preferred source of information on personal health. It also shows the potentially influential role of the Internet in the development of personal knowledge of health issues.

  20. The State of Open Source Electronic Health Record Projects: A Software Anthropology Study.

    Science.gov (United States)

    Alsaffar, Mona; Yellowlees, Peter; Odor, Alberto; Hogarth, Michael

    2017-02-24

    Electronic health records (EHR) are a key tool in managing and storing patients' information. Currently, there are over 50 open source EHR systems available. Functionality and usability are important factors for determining the success of any system. These factors are often a direct reflection of the domain knowledge and developers' motivations. However, few published studies have focused on the characteristics of free and open source software (F/OSS) EHR systems and none to date have discussed the motivation, knowledge background, and demographic characteristics of the developers involved in open source EHR projects. This study analyzed the characteristics of prevailing F/OSS EHR systems and aimed to provide an understanding of the motivation, knowledge background, and characteristics of the developers. This study identified F/OSS EHR projects on SourceForge and other websites from May to July 2014. Projects were classified and characterized by license type, downloads, programming languages, spoken languages, project age, development status, supporting materials, top downloads by country, and whether they were "certified" EHRs. Health care F/OSS developers were also surveyed using an online survey. At the time of the assessment, we uncovered 54 open source EHR projects, but only four of them had been successfully certified under the Office of the National Coordinator for Health Information Technology (ONC Health IT) Certification Program. In the majority of cases, the open source EHR software was downloaded by users in the United States (64.07%, 148,666/232,034), underscoring that there is a significant interest in EHR open source applications in the United States. A survey of EHR open source developers was conducted and a total of 103 developers responded to the online questionnaire. The majority of EHR F/OSS developers (65.3%, 66/101) are participating in F/OSS projects as part of a paid activity and only 25.7% (26/101) of EHR F/OSS developers are, or have been

  1. Innovationsmanagement im Marketing: Anleitung zur Innovations-Sensibilisierung und deren Umsetzung im Rahmen der Neuen Lernkultur

    OpenAIRE

    Mangisch, Christian; Blatter, Martin

    2009-01-01

    Der Kurs “Innovationsmanagement im Marketing“ vermittelt den Teilnehmenden Wissen zum Innovationsmanagement, zum innovativen Team und zu innovativen Marketing Trends. Diese Kurse sind online auf dem folgenden Link www.ritzycampus.ch zu finden. Die Teilnehmer müssen für den Online-Kurs keine speziellen Kenntnisse oder Voraussetzungen mitbringen. Diese Online-Kurse im Fach Marketing sind an ein breites Publikum gerichtet. Sie ermöglichen den Studierenden im Eigenstudium die Grundlagen der Theme...

  2. Oral health knowledge and sources of information among male Saudi school children.

    Science.gov (United States)

    Wyne, Amjad H; Chohan, Arham N; Al-Dosari, Khalid; Al-Dokheil, Majed

    2004-06-01

    The purpose of present study was to determine the oral health knowledge and sources of information in male Saudi school children. The required information was collected through a especially designed questionnaire. A total of 130 children completed the questionnaire with the mean age of 13.3 (SD 1.9) years. There was no significant difference in oral health knowledge or sources of information in relation to age and educational level. Less than half (44.6%) of the children actually had heard about fluoride, one-third (34.6%) correctly identified the action of fluoride as preventing tooth decay. Almost all (97.2%) the children thought that sweets (chocolates/candies) could cause tooth decay. However, a large number of children were not aware of cariogenic potential of soft drinks (31.5%). More than half (53.1%) of the children reported that their dentist taught them how to brush properly. However, 11.5% children were not taught by any one about proper tooth-brushing. A large number (40.0%) of children thought that one must visit the dentist only in case of pain in the teeth. Dentists were the most popular (61.5%) source of oral health information. It can be concluded that the children need further oral health education in areas of caries prevention, and there was a need to utilise parents, schoolteachers and media to enhance their oral health knowledge.

  3. Leveraging Diverse Data Sources to Identify and Describe U.S. Health Care Delivery Systems.

    Science.gov (United States)

    Cohen, Genna R; Jones, David J; Heeringa, Jessica; Barrett, Kirsten; Furukawa, Michael F; Miller, Dan; Mutti, Anne; Reschovsky, James D; Machta, Rachel; Shortell, Stephen M; Fraze, Taressa; Rich, Eugene

    2017-12-15

    Health care delivery systems are a growing presence in the U.S., yet research is hindered by the lack of universally agreed-upon criteria to denote formal systems. A clearer understanding of how to leverage real-world data sources to empirically identify systems is a necessary first step to such policy-relevant research. We draw from our experience in the Agency for Healthcare Research and Quality's Comparative Health System Performance (CHSP) initiative to assess available data sources to identify and describe systems, including system members (for example, hospitals and physicians) and relationships among the members (for example, hospital ownership of physician groups). We highlight five national data sources that either explicitly track system membership or detail system relationships: (1) American Hospital Association annual survey of hospitals; (2) Healthcare Relational Services Databases; (3) SK&A Healthcare Databases; (4) Provider Enrollment, Chain, and Ownership System; and (5) Internal Revenue Service 990 forms. Each data source has strengths and limitations for identifying and describing systems due to their varied content, linkages across data sources, and data collection methods. In addition, although no single national data source provides a complete picture of U.S. systems and their members, the CHSP initiative will create an early model of how such data can be combined to compensate for their individual limitations. Identifying systems in a way that can be repeated over time and linked to a host of other data sources will support analysis of how different types of organizations deliver health care and, ultimately, comparison of their performance.

  4. Understanding How the "Open" of Open Source Software (OSS) Will Improve Global Health Security.

    Science.gov (United States)

    Hahn, Erin; Blazes, David; Lewis, Sheri

    2016-01-01

    Improving global health security will require bold action in all corners of the world, particularly in developing settings, where poverty often contributes to an increase in emerging infectious diseases. In order to mitigate the impact of emerging pandemic threats, enhanced disease surveillance is needed to improve early detection and rapid response to outbreaks. However, the technology to facilitate this surveillance is often unattainable because of high costs, software and hardware maintenance needs, limited technical competence among public health officials, and internet connectivity challenges experienced in the field. One potential solution is to leverage open source software, a concept that is unfortunately often misunderstood. This article describes the principles and characteristics of open source software and how it may be applied to solve global health security challenges.

  5. [Access to health information sources in Spain. how to combat "infoxication"].

    Science.gov (United States)

    Navas-Martin, Miguel Ángel; Albornos-Muñoz, Laura; Escandell-García, Cintia

    2012-01-01

    Internet has become a priceless source for finding health information for both patients and healthcare professionals. However, the universality and the abundance of information can lead to unfounded conclusions about health issues that can confuse further than clarify the health information. This aspect causes intoxication of information: infoxication. The question lies in knowing how to filter the information that is useful, accurate and relevant for our purposes. In this regard, integrative portals, such as the Biblioteca Virtual de Salud, compile information at different levels (international, national and regional), different types of resources (databases, repositories, bibliographic sources, etc.), becoming a starting point for obtaining quality information. Copyright © 2011 Elsevier España, S.L. All rights reserved.

  6. IMS Mitigation Target Areas - 2010 [ds673

    Data.gov (United States)

    California Natural Resource Agency — Mitigation Target Areas (MTA) were developed by the California Department of Fish and Game for the Interim Mitigation Strategy (IMS). The MTAs are an identification...

  7. [Variation im heutigen Deutsch...] / Laura Tidrike

    Index Scriptorium Estoniae

    Tidrike, Laura

    2008-01-01

    Arvustus: Variation im heutigen Deutsch : Perspektiven für den Sprachunterricht / hrsg. v. Eva Neuland. Frankfurt am Main : Lang, 2006. (Sprache - Kommunikation - Kultur. Soziolinguistische Beiträge ; Vol. 4)

  8. Literatur zu Gast im Globe

    CERN Multimedia

    2006-01-01

    Der deutsche Schriftsteller Thomas LEHR liest am 23. März 2006 aus seinem Roman '42', einem philosophischen Abenteuerroman über die Suche nach der Zeit, erzählt in einer funkelnden und souveränen Sprache. Eine Welt von vernichtender Schönheit und bizarren Schrecken wartet auf eine Besuchergruppe, die in der Nähe von Genf die unterirdischen Anlagen des Forschungszentrums für Teilchenphysik CERN besichtigt. Als sie um 12:47:42 wieder ans Tageslicht tritt, scheint ganz Europa in einen Dornröschenschlaf gefallen. Allein die 70 Besucher können sich noch bewegen. Monate und Jahre verharrt die Welt wie in einer riesigen dreidimensionalen Fotografie, bis ein wiederum schockierendes Ereignis die 'Chronifizierten' aus ihren physikalischen Spekulationen und seltsamen Lebensformen reisst. Zu dieser literarischen Veranstaltung im 'Globe of Science and Innovation' laden gemeinsam das Generalkonsulat der Bundesrepublik Deutschland in Genf und CERN ein. Vor Beginn der Lesung wird eine Führung in deutscher Sprac...

  9. Gruppenbezogene Menschenfeindlichkeit im Sport in Brandenburg

    OpenAIRE

    Delto, Hannes; Tzschoppe, Petra

    2016-01-01

    Mit der Querschnittsstudie "Wir und die Anderen – Gruppenbezogene Menschenfeindlichkeit im organisierten Sport in Brandenburg" wurde das Syndrom Gruppenbezogener Menschenfeindlichkeit im organisierten Sport untersucht. Das Konzept der Gruppenbezogenen Menschenfeindlichkeit – ausgehend von einer Ideologie der Ungleichwertigkeit – wurde von Prof. Wilhelm Heitmeyer (Universität Bielefeld) entwickelt. Die Ergebnisse ermöglichen explizite Aussagen über Ausmaß und Ursachen Gruppenbezogener Menschen...

  10. Gruppenbezogene Menschenfeindlichkeit im Sport in Sachsen

    OpenAIRE

    Delto, Hannes; Tzschoppe, Petra

    2015-01-01

    Mit der Querschnittsstudie „Wir und die Anderen – Gruppenbezogene Menschenfeindlichkeit im organisierten Sport in Sachsen“ wurde erstmals das Syndrom Gruppenbezogener Menschenfeindlichkeit im organisierten Sport untersucht. Das Konzept der Gruppenbezogenen Menschenfeindlichkeit – ausgehend von einer Ideologie der Ungleichwertigkeit – wurde von Prof. Wilhelm Heitmeyer (Universität Bielefeld) entwickelt. Die Ergebnisse ermöglichen explizite Aussagen über Ausmaß und Ursachen Gruppenbezogener Men...

  11. Verletzungen und Fehlbeanspruchungen im leistungsorientierten Rudersport

    OpenAIRE

    Bussian, Marc Robert

    2004-01-01

    Die Stellung der Breitensportart Rudern als gesundheitsfördernde Sportform ist in der Literatur gleichlautend positiv beschrieben. Im leistungsorientierten Rudersport müssen neben den Verletzungen und Fehlbeanspruchungen der eigentlichen Sportart die unabdingbaren Nebentrainingsformen berücksichtigt werden. In den neunziger Jahren vollzog sich ein trainingsmethodischer Wandel, die Einführung eines erschwinglichen Rudersimulators und eine technische Weiterentwicklung im Boots- und Ruderbau. Ei...

  12. Important sources and chemical species of ambient fine particles related to adverse health effects

    Science.gov (United States)

    Heo, J.

    2017-12-01

    Although many epidemiological studies have reported that exposure to ambient fine particulate matter (PM2.5) has been linked to increases in mortality and mobidity health outcomes, the key question of which chemical species and sources of PM2.5 are most harmful to public health remains unanswered in the air pollution research area. This study was designed to address the key question with evaluating the risks of exposure to chemical species and source-specific PM2.5 mass on morbidity. Hourly measurements of PM2.5 mass and its major chemical species, including organic carbon, elemental carbon, ions, and trace elements, were observed from January 1 to December 31, 2013 at four of the PM2.5 supersites in urban environments in Korea and the reuslts were used in a positive matrix factorization to estimate source contributions to PM2.5 mass. Nine sources, including secondary sulfate, secondary nitrate, mobile, biomass burning, roadway emission, industry, oil combustion, soil, and aged sea salt, were identified and secondary inorganic aerosol factors (i.e. secondary sulfalte, and secondary nitrate) were the dominant sources contributing to 40% of the total PM2.5 mass in the study region. In order to evaluate the risks of exposure to chemical species and sources of PM2.5 on morbidity, emergency room visits for cardivascular disease and respiratory disease were considered. Hourly health outcomes were compared with hourly measurments of the PM2.5 chemical species and sources using a poission generalized linear model incorporating natural splines, as well as time-stratified case-crossover design. The PM2.5 mass and speveral chemical components, such as organic carbon, elemetal carbon, zinc, and potassium, were strongly associated with morbidity. Source-apporitionmened PM2.5 mass derived from biomass burning, and mobile sources, was significantly associated with cardiovascular and respiratory diseases. The findings represent that local combustion may be particularly important

  13. Possible Sources of Bias in Primary Care Electronic Health Record Data Use and Reuse.

    Science.gov (United States)

    Verheij, Robert A; Curcin, Vasa; Delaney, Brendan C; McGilchrist, Mark M

    2018-05-29

    Enormous amounts of data are recorded routinely in health care as part of the care process, primarily for managing individual patient care. There are significant opportunities to use these data for other purposes, many of which would contribute to establishing a learning health system. This is particularly true for data recorded in primary care settings, as in many countries, these are the first place patients turn to for most health problems. In this paper, we discuss whether data that are recorded routinely as part of the health care process in primary care are actually fit to use for other purposes such as research and quality of health care indicators, how the original purpose may affect the extent to which the data are fit for another purpose, and the mechanisms behind these effects. In doing so, we want to identify possible sources of bias that are relevant for the use and reuse of these type of data. This paper is based on the authors' experience as users of electronic health records data, as general practitioners, health informatics experts, and health services researchers. It is a product of the discussions they had during the Translational Research and Patient Safety in Europe (TRANSFoRm) project, which was funded by the European Commission and sought to develop, pilot, and evaluate a core information architecture for the learning health system in Europe, based on primary care electronic health records. We first describe the different stages in the processing of electronic health record data, as well as the different purposes for which these data are used. Given the different data processing steps and purposes, we then discuss the possible mechanisms for each individual data processing step that can generate biased outcomes. We identified 13 possible sources of bias. Four of them are related to the organization of a health care system, whereas some are of a more technical nature. There are a substantial number of possible sources of bias; very little is

  14. Distribution, sources and health risk assessment of mercury in kindergarten dust

    Science.gov (United States)

    Sun, Guangyi; Li, Zhonggen; Bi, Xiangyang; Chen, Yupeng; Lu, Shuangfang; Yuan, Xin

    2013-07-01

    Mercury (Hg) contamination in urban area is a hot issue in environmental research. In this study, the distribution, sources and health risk of Hg in dust from 69 kindergartens in Wuhan, China, were investigated. In comparison with most other cities, the concentrations of total mercury (THg) and methylmercury (MeHg) were significantly elevated, ranging from 0.15 to 10.59 mg kg-1 and from 0.64 to 3.88 μg kg-1, respectively. Among the five different urban areas, the educational area had the highest concentrations of THg and MeHg. The GIS mapping was used to identify the hot-spot areas and assess the potential pollution sources of Hg. The emissions of coal-power plants and coking plants were the main sources of THg in the dust, whereas the contributions of municipal solid waste (MSW) landfills and iron and steel smelting related industries were not significant. However, the emission of MSW landfills was considered to be an important source of MeHg in the studied area. The result of health risk assessment indicated that there was a high adverse health effect of the kindergarten dust in terms of Hg contamination on the children living in the educational area (Hazard index (HI) = 6.89).

  15. Health beliefs and their sources in Korean and Japanese nurses: A Q-methodology pilot study.

    Science.gov (United States)

    Stone, Teresa E; Kang, Sook Jung; Cha, Chiyoung; Turale, Sue; Murakami, Kyoko; Shimizu, Akihiko

    2016-01-01

    Many health beliefs do not have supporting scientific evidence, and are influenced by culture, gender, religion, social circumstance and popular media. Nurses may also hold non-evidenced-based beliefs that affect their own health behaviours and their practices. Using Q-methodology, pilot Q-cards representing a concourse of health beliefs for Japanese and South Korean nurses and explain the content and sources of health beliefs. Qualitative. Two university campuses, one each in Japan and Korea. A convenience sample of 30 was obtained, 14 clinical nurses and 16 academic nurses. Literature reviews and expert informants were used to develop two sets of 65 Q-cards which listed culturally appropriate health beliefs in both Japan and Korea. These beliefs were examined in four structured groups and five individual interviews in Japan, and five groups and two individual interviews in Korea. Our unique study revealed six categories regarding sources of health beliefs that provide rich insights about how participants accessed, processed and transmitted health information. They were more certain about knowledge from their specialty area such as that from medical or nursing resources, but derived and distributed many general health beliefs from personal experience, family and mass media. They did not always pass on accurate information to students or those in their care, and often beliefs were not based on scientific evidence. Findings highlight the dangers of clinical and academic nurses relying on health belief advice of others and passing this on to patients, students or others, without mindfully examining the basis of their beliefs through scientific evidence. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Laypeoples' preferred sources of health information on the emergency management of tooth avulsion.

    Science.gov (United States)

    Al-Sane, Mona; Bourisly, Nibal; Almulla, Taghreed; Andersson, Lars

    2011-12-01

    When planning nationwide information campaigns on the emergency management of tooth avulsion, the populations' preference to different modes of information delivery should be taken into consideration. We currently lack information on that. The aim of this study was, therefore, to assess laypeoples' preferred sources of information on the emergency management of tooth avulsion. This was a joint study undertaken by experts in media and experts in dental traumatology. Interview-assisted questionnaires were conducted on a sample of 579 adults from Kuwait. Subjects were asked to choose their three preferred sources of information on the emergency management of tooth avulsion. Subjects' responses and sociodemographic data were registered. The data were descriptively analyzed, and a chi-square test was used to assess the relation of the subjects' preferences to their registered demographics. The Internet, health care professionals, and TV were the three most preferred sources of information on the emergency management of tooth avulsion across all groups, regardless of the sociodemographic characteristics. Younger adults, singles and subjects with higher education significantly preferred the Internet. Older adults preferred TV. Family was a preferred source in geographic districts populated with extended families, while friends were a preferred source in geographic districts populated by expatriates. Younger people and those with higher education can be effectively targeted through the Internet, while it is more effective to target older people through TV. Information, on tooth avulsion management, given by health care professionals is preferred across all population segments. © 2011 John Wiley & Sons A/S.

  17. I'm a Guy. How Can I Talk to My Female Doctor about Certain Things?

    Science.gov (United States)

    ... Español I'm a Guy. How Can I Talk to My Female Doctor About Certain Things? KidsHealth / ... site. Note: All information on TeensHealth® is for educational purposes only. For specific medical advice, diagnoses, and ...

  18. Morphological and physiological investigations on mutants of Fusarium monoliforme IM

    International Nuclear Information System (INIS)

    Gancheva, V.

    1996-01-01

    High-producing mutants of Fusarium moniliforme IM are obtained as a result of gamma irradiation. The cultural characteristics of mutant strains 3284, 3211 and 76 following incubation of the producers for 14 days on potato-glucose agar are described. The colour of the aerial and substrate mycelium and the ability of the mutant strains to form conidiae and pigments are discussed in detail. The differences in the ability of mutants to assimilate different carbon and nitrogen sources are of specific importance for modelling nutrient media for submerged cultivation of F. moniliforme. 2 tabs., 2 figs. 7 refs

  19. [Realization of the modern educational concept for the organization of the teaching and learning activities at the Department of Forensic Medicine of I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation].

    Science.gov (United States)

    Pigolkin, Yu I; Lomakin, Yu V; Leonova, E N

    The modern educational concept for the organization of the teaching and learning activities (continuous, free, and open education) implies the necessity for its implementation the development and introduction of the new approaches to the work with the students. This problem should be addressed based on the use of the up-to-date technologies for education of the adult subjects. Such technologies find the increasingly wider application at the Department of Forensic Medicine of the I.M. Sechenov First Moscow State Medical University. It markedly contributes to the improvement of the quality of education.

  20. ls with Chronic Conditions Want More Guidance from Health Professionals in Finding Quality Online Health SourcesIndividua

    Directory of Open Access Journals (Sweden)

    Cari Merkley

    2016-04-01

    Full Text Available Objective – To explore how and when individuals with chronic health conditions seek out health information online, and the challenges they encounter when doing so. Design – Qualitative study employing thematic analysis. Setting – Urban Western Australia. Subjects – 17 men and women between 19 and 85 years of age with at least 1 chronic health condition. Methods – Participants were recruited in late 2013 at nine local pharmacies, through local radio, media channels, and a university's social media channels. Participants were adult English speakers who had looked for information on their chronic health condition(s using the Internet. Semi-structured face-to-face interviews were conducted with each participant, audio recorded, and transcribed. The transcripts were coded in QSR Nvivo using two different processes – an initial data-driven inductive approach to coding, followed by a theory driven analysis of the data. Main Results – Three major themes emerged: trust, patient activation, and relevance. Many of the participants expressed trust both in health professionals and in the efficacy of search engines like Google. However, there was uncertainty about the quality of some of the health information sources found. Searching for information online was seen by some participants as a way to feel more empowered about their condition(s and treatment, but they reported frustration in finding information that was relevant to their specific condition(s given the volume of information available. Low health literacy emerged in participant interviews as an intrinsic barrier to effective online searches for health information, along with low patient motivation and lack of time. The many extrinsic barriers identified included difficulty determining the quality of information found, the accessibility of the information (e.g., journal paywalls, and poor relationships with health care providers. Conclusion – Individuals look for online health

  1. The market premium of the German Renewable Energy Sources Act 2012. Does it really contribute to both market and system integration of renewables?; Die Marktpraemie im EEG 2012. Ein sinnvoller Beitrag zur Markt- und Systemintegration erneuerbarer Energien?

    Energy Technology Data Exchange (ETDEWEB)

    Gawel, Erik [Helmholtz-Zentrum fuer Umweltforschung, Leipzig (Germany). Dept. Oekonomie; Univ. Leipzig (Germany). Inst. fuer Infrastruktur und Ressourcenmanagement; Purkus, Alexandra [Helmholtz-Zentrum fuer Umweltforschung (Germany). Dept. Bioenergie

    2013-03-15

    With the share of renewable energies within the electricity sector rising, improving their market integration (i.e. inclusion in the steering and remuneration processes of the electricity market) and system integration (i.e. enhanced responsibility for grid stability) is of increasing importance. To transform the energy system efficiently while ensuring security of supply, it is necessary to increase the alignment of renewable electricity production with short- and long-term market signals. The German Renewable Energy Sources Act 2012 introduced the market premium to provide market experience to renewable plant operators and incentives for demand-oriented electricity production. Shortly after its introduction, the instrument is already being criticised as ineffective and expensive. Building on early experiences, this article examines whether the market premium in its current design improves market and/or system integration, and if it seems suitable in principle to contribute to these aims (effectiveness). Also, potential efficiency gains and additional costs of ''administering integration'' are discussed (efficiency). While market integration in a strict sense (i.e. exposing renewables to price risks) is not the purpose of the market premium, it has successfully increased participation in direct marketing. However, windfall profits are high, and the benefits of gradually leading plant operators towards the market are questionable. Incentives for demand-oriented electricity production are established, but they prove insufficient particularly in the case of intermittent renewable energy sources. A continuation of the instrument in its current form therefore does not seem recommendable. To conclude, potential alternative solutions are presented.

  2. Knowledge and networks – key sources of power in global health

    Science.gov (United States)

    Hanefeld, Johanna; Walt, Gill

    2015-01-01

    Shiffman rightly raises questions about who exercises power in global health, suggesting power is a complex concept, and the way it is exercised is often opaque. Power that is not based on financial strength but on knowledge or experience, is difficult to estimate, and yet it may provide the legitimacy to make moral claims on what is, or ought to be, on global health agendas. Twenty years ago power was exercised in a much less complex health environment. The World Health Organization (WHO) was able to exert its authority as world health leader. The landscape today is very different. Financial resources for global health are being competed for by diverse organisations, and power is diffused and somewhat hidden in such a climate, where each organization has to establish and make its own moral claims loudly and publicly. We observe two ways which allow actors to capture moral authority in global health. One, through power based on scientific knowledge and two, through procedures in the policy process, most commonly associated with the notion of broad consultation and participation. We discuss these drawing on one particular framework provided by Bourdieu, who analyses the source of actor power by focusing on different sorts of capital. Different approaches or theories to understanding power will go some way to answering the challenge Shiffman throws to health policy analysts. We need to explore much more fully where power lies in global health, and how it is exercised in order to understand underlying health agendas and claims to legitimacy made by global health actors today. PMID:25674577

  3. Revenue sources for essential services in Florida: findings and implications for organizing and funding public health.

    Science.gov (United States)

    Livingood, William C; Morris, Michael; Sorensen, Bonita; Chapman, Karen; Rivera, Lillian; Beitsch, Les; Street, Phil; Coughlin, Susan; Smotherman, Carmen; Wood, David

    2013-01-01

    The Florida Public Health Practice-Based Research Network conducted the study of Florida county health departments (CHDs) to assess relationships between self-assessed performance on essential services (ESs) and sources of funding. Primary data were collected using an online survey based on Public Health Accreditation Board standards for ES. Bivariate and multivariate analyses were conducted to assess the relationship of sources and amounts of revenue obtained from the Florida Department of Health financial system to responses to the survey of CHD capacity for ESs. Self-assessed CHD performance for each ES varied extensively among the CHDs and across the 10 ESs, ranging from a high of 98% CHDs completely or almost completely meeting the standards for ES 2 (Investigating Problems and Hazards) to a low of 32% completely or almost completely meeting standards for ES 10 (Research/Evidence). Medicaid revenue and fees were positively correlated with some ESs. Per capita revenue support varied extensively among the CHDs. Revenue for ES is decreasing and is heavily reliant on noncategorical (discretionary) revenue. This study has important implications for continued reliance on ES as an organizing construct for public health.

  4. Fine particulate matter in the tropical environment: monsoonal effects, source apportionment, and health risk assessment

    OpenAIRE

    M. F. Khan; M. F. Khan; M. T. Latif; M. T. Latif; W. H. Saw; N. Amil; N. Amil; M. S. M. Nadzir; M. S. M. Nadzir; M. Sahani; N. M. Tahir; N. M. Tahir; J. X. Chung

    2016-01-01

    The health implications of PM2.5 in the tropical region of Southeast Asia (SEA) are significant as PM2.5 can pose serious health concerns. PM2.5 concentration and sources here are strongly influenced by changes in the monsoon regime from the south-west quadrant to the north-east quadrant in the region. In this work, PM2.5 samples were collected at a semi-urban area using a high-volume air sampler at different seasons on 24 h basis. Analysis of trace elements and water-sol...

  5. A review on polycyclic aromatic hydrocarbons: Source, environmental impact, effect on human health and

    Directory of Open Access Journals (Sweden)

    Hussein I. Abdel-Shafy

    2016-03-01

    The aim of this review is to discuss PAHs impact on the environmental and the magnitude of the human health risks posed by such substances. They also contain important information on concentrations, burdens and fate of polycyclic aromatic hydrocarbons (PAHs in the atmosphere. The main anthropogenic sources of PAHs and their effect on the concentrations of these compounds in air are discussed. The fate of PAHs in the air, their persistence and the main mechanisms of their losses are presented. Health hazards associated with PAH air pollution are stressed.

  6. Treat the source not the symptoms: why thinking about sleep informs the social determinants of health.

    Science.gov (United States)

    Hale, Lauren; Hale, Benjamin

    2010-06-01

    Based on theoretical and empirical work, we argue that autonomy is likely an important underlying source of healthy sleep. The implication is that 'treatment' for sleep problems cannot be understood as an individual-level behavioral problem but must instead be addressed in concert with larger scale social factors that may be inhibiting high-quality sufficient sleep in large segments of the population. When sleep is understood as a proxy for health, the implications extend even further. Policies and interventions that facilitate the autonomy of individuals therefore may not only help reduce individual sleep problems but also have broader consequences for ameliorating social disparities in health.

  7. Health social workers sources of knowledge for decision making in practice.

    Science.gov (United States)

    McDermott, Fiona; Henderson, Annabel; Quayle, Carol

    2017-10-01

    This article presents findings from research examining knowledge social workers in a health network in Victoria, Australia identified as informing their decision-making. Data for 13 patients, and in-depth interviews with six social workers who worked with these patients, were studied. A thematic analysis of interviews revealed that participants identified reliance on past experience and contextual/situational information as underpinning their decisions, demonstrating their commitment to person-in-environment perspectives. However, despite the availability of a repository of empirical evidence, no respondent made use of this. This study provided insight into health practitioners' sources of knowledge, highlighting gaps and areas for further exploration.

  8. Integrating IMS LD and IMS QTIv2 using CopperCore Service Integration

    NARCIS (Netherlands)

    Vogten, Hubert

    2006-01-01

    Vogten, H. (2006). Integrating IMS LD and IMS QTIv2 using CopperCore Service Integration. Presentation at International Workshop in Learning Networks for Lifelong Competence Development. March, 30-31, 2006. Sofia, Bulgaria: TENCompetence Conference. Retrieved June 30th, 2006, from

  9. CopperCore Service Integration, Integrating IMS Learning Design and IMS Question and Test Interoperability

    NARCIS (Netherlands)

    Vogten, Hubert; Martens, Harrie; Nadolski, Rob; Tattersall, Colin; Van Rosmalen, Peter; Koper, Rob

    2006-01-01

    Vogten, H., Martens, H., Nadolski, R., Tattersall, C., Rosmalen, van, P., Koper, R., (2006). CopperCore Service Integration, Integrating IMS Learning Design and IMS Question and Test Interoperability. Proceedings of the 6th IEEE International Conference on Advanced Learning Technologies (pp.

  10. Integrating IMS Learning Design and IMS Question and Test Interoperability using CopperCore Service Integration

    NARCIS (Netherlands)

    Vogten, Hubert; Martens, Harrie; Nadolski, Rob; Tattersall, Colin; Van Rosmalen, Peter; Koper, Rob

    2006-01-01

    Please, cite this publication as: Vogten, H., Martens, H., Nadolski, R., Tattersall, C., van Rosmalen, P., & Koper, R. (2006). Integrating IMS Learning Design and IMS Question and Test Interoperability using CopperCore Service Integration. Proceedings of International Workshop in Learning Networks

  11. On the usability of frequency distributions and source attribution of Cs-137 detections encountered in the IMS radio-nuclide network for radionuclide event screening and climate change monitoring

    Science.gov (United States)

    Becker, A.; Wotawa, G.; Zähringer, M.

    2009-04-01

    Under the provisions of the Comprehensive Nuclear-Test-Ban Treaty (CTBT), airborne radioactivity is measured by means of high purity Germanium gamma ray detectors deployed in a global monitoring network. Almost 60 of the scheduled 80 stations have been put in provisional operations by the end of 2008. Each station daily sends the 24 hour samples' spectroscopic data to the Vienna based Provisional Technical Secretariat (PTS) of the CTBT Organization (CTBTO) for review for treaty-relevant nuclides. Cs-137 is one of these relevant isotopes. Its typical minimum detectable concentration is in the order of a few Bq/m3. However, this isotope is also known to occur in atmospheric trace concentrations, due to known non CTBT relevant processes and sources related to, for example, the re-suspension of cesium from historic nuclear tests and/or the Chernobyl reactor disaster, temporarily enhanced by bio-mass burning (Wotawa et al. 2006). Properly attributed cesium detections can be used as a proxy to detect Aeolian dust events (Igarashi et al, 2001) that potentially carry cesium from all aforementioned sources but are also known to play an important role for the radiative forcing in the atmosphere (shadow effect), at the surface (albedo) and the carbon dioxide cycle when interacting with oceanic phytoplankton (Mikami and Shi, 2005). In this context this paper provides a systematic attribution of recent Cs-137 detections in the PTS monitoring network in order to Characterize those stations which are regularly affected by Cs-137 Provide input for procedures that distinguish CTBT relevant detection from other sources (event screening) Explore on the capability of certain stations to use their Cs-137 detections as a proxy to detect aeolian dust events and to flag the belonging filters to be relevant for further investigations in this field (-> EGU-2009 Session CL16/AS4.6/GM10.1: Aeolian dust: initiator, player, and recorder of environmental change). References Igarashi, Y., M

  12. Fine particulate matter in the tropical environment: monsoonal effects, source apportionment, and health risk assessment

    Science.gov (United States)

    Khan, M. F.; Latif, M. T.; Saw, W. H.; Amil, N.; Nadzir, M. S. M.; Sahani, M.; Tahir, N. M.; Chung, J. X.

    2016-01-01

    The health implications of PM2.5 in the tropical region of Southeast Asia (SEA) are significant as PM2.5 can pose serious health concerns. PM2.5 concentration and sources here are strongly influenced by changes in the monsoon regime from the south-west quadrant to the north-east quadrant in the region. In this work, PM2.5 samples were collected at a semi-urban area using a high-volume air sampler at different seasons on 24 h basis. Analysis of trace elements and water-soluble ions was performed using inductively coupled plasma mass spectroscopy (ICP-MS) and ion chromatography (IC), respectively. Apportionment analysis of PM2.5 was carried out using the United States Environmental Protection Agency (US EPA) positive matrix factorization (PMF) 5.0 and a mass closure model. We quantitatively characterized the health risks posed to human populations through the inhalation of selected heavy metals in PM2.5. 48 % of the samples collected exceeded the World Health Organization (WHO) 24 h PM2.5 guideline but only 19 % of the samples exceeded 24 h US EPA National Ambient Air Quality Standard (NAAQS). The PM2.5 concentration was slightly higher during the north-east monsoon compared to south-west monsoon. The main trace metals identified were As, Pb, Cd, Ni, Mn, V, and Cr while the main ions were SO42-, NO3-, NH4+, and Na. The mass closure model identified four major sources of PM2.5 that account for 55 % of total mass balance. The four sources are mineral matter (MIN) (35 %), secondary inorganic aerosol (SIA) (11 %), sea salt (SS) (7 %), and trace elements (TE) (2 %). PMF 5.0 elucidated five potential sources: motor vehicle emissions coupled with biomass burning (31 %) were the most dominant, followed by marine/sulfate aerosol (20 %), coal burning (19 %), nitrate aerosol (17 %), and mineral/road dust (13 %). The hazard quotient (HQ) for four selected metals (Pb, As, Cd, and Ni) in PM2.5 mass was highest in PM2.5 mass from the coal burning source and least in PM2.5 mass

  13. The Role of Free/Libre and Open Source Software in Learning Health Systems.

    Science.gov (United States)

    Paton, C; Karopka, T

    2017-08-01

    Objective: To give an overview of the role of Free/Libre and Open Source Software (FLOSS) in the context of secondary use of patient data to enable Learning Health Systems (LHSs). Methods: We conducted an environmental scan of the academic and grey literature utilising the MedFLOSS database of open source systems in healthcare to inform a discussion of the role of open source in developing LHSs that reuse patient data for research and quality improvement. Results: A wide range of FLOSS is identified that contributes to the information technology (IT) infrastructure of LHSs including operating systems, databases, frameworks, interoperability software, and mobile and web apps. The recent literature around the development and use of key clinical data management tools is also reviewed. Conclusions: FLOSS already plays a critical role in modern health IT infrastructure for the collection, storage, and analysis of patient data. The nature of FLOSS systems to be collaborative, modular, and modifiable may make open source approaches appropriate for building the digital infrastructure for a LHS. Georg Thieme Verlag KG Stuttgart.

  14. Free/Libre open source software in health care: a review.

    Science.gov (United States)

    Karopka, Thomas; Schmuhl, Holger; Demski, Hans

    2014-01-01

    To assess the current state of the art and the contribution of Free/Libre Open Source Software in health care (FLOSS-HC). The review is based on a narrative review of the scientific literature as well as sources in the context of FLOSS-HC available through the Internet. All relevant available sources have been integrated into the MedFLOSS database and are freely available to the community. The literature review reveals that publications about FLOSS-HC are scarce. The largest part of information about FLOSS-HC is available on dedicated websites and not in the academic literature. There are currently FLOSS alternatives available for nearly every specialty in health care. Maturity and quality varies considerably and there is little information available on the percentage of systems that are actually used in health care delivery. The global impact of FLOSS-HC is still very limited and no figures on the penetration and usage of FLOSS-HC are available. However, there has been a considerable growth in the last 5 to 10 years. While there where only few systems available a decade ago, in the meantime many systems got available (e.g., more than 300 in the MedFLOSS database). While FLOSS concepts play an important role in most IT related sectors (e.g., telecommunications, embedded devices) the healthcare industry is lagging behind this trend.

  15. Free/Libre Open Source Software in Health Care: A Review

    Science.gov (United States)

    Schmuhl, Holger; Demski, Hans

    2014-01-01

    Objectives To assess the current state of the art and the contribution of Free/Libre Open Source Software in health care (FLOSS-HC). Methods The review is based on a narrative review of the scientific literature as well as sources in the context of FLOSS-HC available through the Internet. All relevant available sources have been integrated into the MedFLOSS database and are freely available to the community. Results The literature review reveals that publications about FLOSS-HC are scarce. The largest part of information about FLOSS-HC is available on dedicated websites and not in the academic literature. There are currently FLOSS alternatives available for nearly every specialty in health care. Maturity and quality varies considerably and there is little information available on the percentage of systems that are actually used in health care delivery. Conclusions The global impact of FLOSS-HC is still very limited and no figures on the penetration and usage of FLOSS-HC are available. However, there has been a considerable growth in the last 5 to 10 years. While there where only few systems available a decade ago, in the meantime many systems got available (e.g., more than 300 in the MedFLOSS database). While FLOSS concepts play an important role in most IT related sectors (e.g., telecommunications, embedded devices) the healthcare industry is lagging behind this trend. PMID:24627814

  16. An exploratory study identifying where local government public health decision makers source their evidence for policy.

    Science.gov (United States)

    Stoneham, Melissa; Dodds, James

    2014-08-01

    The Western Australian (WA) Public Health Bill will replace the antiquated Health Act 1911. One of the proposed clauses of the Bill requires all WA local governments to develop a Public Health Plan. The Bill states that Public Health Plans should be based on evidence from all levels, including national and statewide priorities, community needs, local statistical evidence, and stakeholder data. This exploratory study, which targeted 533 WA local government officers, aimed to identify the sources of evidence used to generate the list of public health risks to be included in local government Public Health Plans. The top four sources identified for informing local policy were: observation of the consequences of the risks in the local community (24.5%), statewide evidence (17.6%), local evidence (17.6%) and coverage in local media (16.2%). This study confirms that both hard and soft data are used to inform policy decisions at the local level. Therefore, the challenge that this study has highlighted is in the definition or constitution of evidence. SO WHAT? Evidence is critical to the process of sound policy development. This study highlights issues associated with what actually constitutes evidence in the policy development process at the local government level. With the exception of those who work in an extremely narrow field, it is difficult for local government officers, whose role includes policymaking, to read the vast amount of information that has been published in their area of expertise. For those who are committed to the notion of evidence-based policymaking, as advocated within the WA Public Health Bill, this presents a considerable challenge.

  17. Consumer-led health-related online sources and their impact on consumers: An integrative review of the literature.

    Science.gov (United States)

    Laukka, Elina; Rantakokko, Piia; Suhonen, Marjo

    2017-04-01

    The aim of the review was to describe consumer-led health-related online sources and their impact on consumers. The review was carried out as an integrative literature review. Quantisation and qualitative content analysis were used as the analysis method. The most common method used by the included studies was qualitative content analysis. This review identified the consumer-led health-related online sources used between 2009 and 2016 as health-related online communities, health-related social networking sites and health-related rating websites. These sources had an impact on peer support; empowerment; health literacy; physical, mental and emotional wellbeing; illness management; and relationships between healthcare organisations and consumers. The knowledge of the existence of the health-related online sources provides healthcare organisations with an opportunity to listen to their consumers' 'voice'. The sources make healthcare consumers more competent actors in relation to healthcare, and the knowledge of them is a valuable resource for healthcare organisations. Additionally, these health-related online sources might create an opportunity to reduce the need for drifting among the healthcare services. Healthcare policymakers and organisations could benefit from having a strategy of increasing their health-related online sources.

  18. Comparing the use of an online expert health network against common information sources to answer health questions.

    Science.gov (United States)

    Rhebergen, Martijn D F; Lenderink, Annet F; van Dijk, Frank J H; Hulshof, Carel T J

    2012-02-02

    Many workers have questions about occupational safety and health (OSH). It is unknown whether workers are able to find correct, evidence-based answers to OSH questions when they use common information sources, such as websites, or whether they would benefit from using an easily accessible, free-of-charge online network of OSH experts providing advice. To assess the rate of correct, evidence-based answers to OSH questions in a group of workers who used an online network of OSH experts (intervention group) compared with a group of workers who used common information sources (control group). In a quasi-experimental study, workers in the intervention and control groups were randomly offered 2 questions from a pool of 16 standardized OSH questions. Both questions were sent by mail to all participants, who had 3 weeks to answer them. The intervention group was instructed to use only the online network ArboAntwoord, a network of about 80 OSH experts, to solve the questions. The control group was instructed that they could use all information sources available to them. To assess answer correctness as the main study outcome, 16 standardized correct model answers were constructed with the help of reviewers who performed literature searches. Subsequently, the answers provided by all participants in the intervention (n = 94 answers) and control groups (n = 124 answers) were blinded and compared with the correct model answers on the degree of correctness. Of the 94 answers given by participants in the intervention group, 58 were correct (62%), compared with 24 of the 124 answers (19%) in the control group, who mainly used informational websites found via Google. The difference between the 2 groups was significant (rate difference = 43%, 95% confidence interval [CI] 30%-54%). Additional analysis showed that the rate of correct main conclusions of the answers was 85 of 94 answers (90%) in the intervention group and 75 of 124 answers (61%) in the control group (rate difference

  19. Comparing the health impacts of different sources of energy. Keynote address

    International Nuclear Information System (INIS)

    Hamilton, L.D.

    1981-01-01

    Assessing health impacts of different energy sources requires synthesis of research results from any different disciplines into a rational framework. Information is often scanty; qualitatively different risks, or energy systems with substantially different end uses, must be put on a common footing. Historically institutional constraints have inhibited agencies from making incisive comparisons necessary for formulating energy policy; this has exacerbated public controversy over appropriate energy sources. Risk assessment methods reviewed include examples drawn from work of the Biomedical and Environmental Assessment Division at Brookhaven National Laboratory and elsewhere. Uncertainty over the mechanism and size of air pollution health damage is addressed through a probabilistic health-damage function, using sulfate-particle exposure as an indicator. This facilitates intercomparison through analysis of each step in the whole fuel cycle between a typical coal and nuclear powerplant. Occupational health impacts, a significant fraction of overall damage, are illustrated by accident trends in coal mining. In broadening comparisons to include new technologies, one must include the impact of manufacturing the energy-producing device as part of an expanded fuel cycle, via input/output methods. Throughout the analysis, uncertainties must be made explicit in the results, including uncertainty of data and uncertainty in choice of appropriate models and methods. No single method of comparative risk assessment is fully satisfactory; each has its limitations. One needs to compare several methods if decision-making is to be realistic

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

    Science.gov (United States)

    Ham, Walter Allan

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

  1. Biological stimulation of the Human skin applying health promoting light and plasma sources

    Energy Technology Data Exchange (ETDEWEB)

    Awakowicz, P.; Bibinov, N. [Center for Plasma Science and Technology, Ruhr-University, Bochum (Germany); Born, M.; Niemann, U. [Philips Research, Aachen (Germany); Busse, B. [Zell-Kontakt GmbH, Noerten-Hardenberg (Germany); Gesche, R.; Kuehn, S.; Porteanu, H.E. [Ferdinand-Braun-Institut fuer Hoechstfrequenztechnik, Berlin (Germany); Helmke, A. [University of Applied Sciences and Arts, Goettingen (Germany); Kaemling, A.; Wandke, D. [CINOGY GmbH, Duderstadt (Germany); Kolb-Bachofen, V.; Liebmann, J. [Institute for Immunobiology, Heinrich-Heine University, Duesseldorf (Germany); Kovacs, R.; Mertens, N.; Scherer, J. [Aurion Anlagentechnik GmbH, Seligenstadt (Germany); Oplaender, C.; Suschek, C. [Clinic for Plastic Surgery, University Clinic, Aachen (Germany); Vioel, W. [Laser-Laboratorium, Goettingen (Germany); University of Applied Sciences and Arts, Goettingen (Germany)

    2009-10-15

    In the frame of BMBF project ''BioLiP'', new physical treatment techniques aiming at medical treatment of the human skin have been developed. The acronym BioLiP stands for ''Desinfektion, Entkeimung und biologische Stimulation der Haut durch gesundheitsfoerdernde Licht- und Plasmaquellen'' (Disinfection, germ reduction and biological stimulation of the human skin by health promoting light and plasma sources). A source applying a low-temperature dielectric barrier discharge plasma (DBD) has been investigated on its effectiveness for skin disinfection and stimulation of biological material. Alternatively an atmospheric plasma source consisting of a microwave resonator combined with a solid state power oscillator has been examined. This concept which allows for a compact and efficient design avoiding external microwave power supply and matching units has been optimized with respect to nitrogen monoxide (NO) production in high yields. In both cases various application possibilities in the medical and biological domain are opened up. Light sources in the visible spectral range have been investigated with respect to the proliferation of human cell types. Intensive highly selective blue light sources based on LED technology can slow down proliferation rates without inducing toxic effects which offers new opportunities for treatments of so-called hyperproliferative skin conditions (e.g. with psoriasis or in wound healing) using UV-free light. (copyright 2009 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  2. Dust abatement in mining and tunnelling - status report; Stand der Technik bei der Staubbekaempfung im Berg- und Tunnelbau

    Energy Technology Data Exchange (ETDEWEB)

    Mikki, P. [CFT GmbH, Compact-Filtertechnik, Gladbeck (Germany)

    2005-02-01

    Health and safety have priority in underground mining, especially dust and silicosis prevention in mining and tunnelling. While silicosis is not considered as an occupational disease in the strict sense, it is well known that most silicosis cases occur in these industries. (orig.) [German] Im Untertagebau sind die Probleme des Gesundheitsschutzes von vorrangiger Bedeutung, insbesondere im Bereich der Staub- und Silikosebekaempfung im Berg- und Tunnelbau. Wenn auch bei der Silikose nicht ausschliesslich von einer unter Tagespezifischen Berufskrankheit gesprochen werden kann, so entfaellt doch der ueberwiegende Teil der auftretenden Krankheitsfaelle auf diese Industriezweige. (orig.)

  3. Global Sources and Pathways of Mercury in the Context of Human Health

    Directory of Open Access Journals (Sweden)

    Kyrre Sundseth

    2017-01-01

    Full Text Available This paper reviews information from the existing literature and the EU GMOS (Global Mercury Observation System project to assess the current scientific knowledge on global mercury releases into the atmosphere, on global atmospheric transport and deposition, and on the linkage between environmental contamination and potential impacts on human health. The review concludes that assessment of global sources and pathways of mercury in the context of human health is important for being able to monitor the effects from implementation of the Minamata Convention targets, although new research is needed on the improvement of emission inventory data, the chemical and physical behaviour of mercury in the atmosphere, the improvement of monitoring network data, predictions of future emissions and speciation, and on the subsequent effects on the environment, human health, as well as the economic costs and benefits of reducing these aspects.

  4. Assembling GHERG: Could "academic crowd-sourcing" address gaps in global health estimates?

    Science.gov (United States)

    Rudan, Igor; Campbell, Harry; Marušić, Ana; Sridhar, Devi; Nair, Harish; Adeloye, Davies; Theodoratou, Evropi; Chan, Kit Yee

    2015-06-01

    In recent months, the World Health Organization (WHO), independent academic researchers, the Lancet and PLoS Medicine journals worked together to improve reporting of population health estimates. The new guidelines for accurate and transparent health estimates reporting (likely to be named GATHER), which are eagerly awaited, represent a helpful move that should benefit the field of global health metrics. Building on this progress and drawing from a tradition of Child Health Epidemiology Reference Group (CHERG)'s successful work model, we would like to propose a new initiative - "Global Health Epidemiology Reference Group" (GHERG). We see GHERG as an informal and entirely voluntary international collaboration of academic groups who are willing to contribute to improving disease burden estimates and respect the principles of the new guidelines - a form of "academic crowd-sourcing". The main focus of GHERG will be to identify the "gap areas" where not much information is available and/or where there is a lot of uncertainty present about the accuracy of the existing estimates. This approach should serve to complement the existing WHO and IHME estimates and to represent added value to both efforts.

  5. Wearable Sensor Localization Considering Mixed Distributed Sources in Health Monitoring Systems.

    Science.gov (United States)

    Wan, Liangtian; Han, Guangjie; Wang, Hao; Shu, Lei; Feng, Nanxing; Peng, Bao

    2016-03-12

    In health monitoring systems, the base station (BS) and the wearable sensors communicate with each other to construct a virtual multiple input and multiple output (VMIMO) system. In real applications, the signal that the BS received is a distributed source because of the scattering, reflection, diffraction and refraction in the propagation path. In this paper, a 2D direction-of-arrival (DOA) estimation algorithm for incoherently-distributed (ID) and coherently-distributed (CD) sources is proposed based on multiple VMIMO systems. ID and CD sources are separated through the second-order blind identification (SOBI) algorithm. The traditional estimating signal parameters via the rotational invariance technique (ESPRIT)-based algorithm is valid only for one-dimensional (1D) DOA estimation for the ID source. By constructing the signal subspace, two rotational invariant relationships are constructed. Then, we extend the ESPRIT to estimate 2D DOAs for ID sources. For DOA estimation of CD sources, two rational invariance relationships are constructed based on the application of generalized steering vectors (GSVs). Then, the ESPRIT-based algorithm is used for estimating the eigenvalues of two rational invariance matrices, which contain the angular parameters. The expressions of azimuth and elevation for ID and CD sources have closed forms, which means that the spectrum peak searching is avoided. Therefore, compared to the traditional 2D DOA estimation algorithms, the proposed algorithm imposes significantly low computational complexity. The intersecting point of two rays, which come from two different directions measured by two uniform rectangle arrays (URA), can be regarded as the location of the biosensor (wearable sensor). Three BSs adopting the smart antenna (SA) technique cooperate with each other to locate the wearable sensors using the angulation positioning method. Simulation results demonstrate the effectiveness of the proposed algorithm.

  6. 40 CFR 51.352 - Basic I/M performance standard.

    Science.gov (United States)

    2010-07-01

    ... following model I/M program inputs and local characteristics, such as vehicle mix and local fuel controls... current version of the EPA mobile source emission model, and shall meet the minimum performance standard... specified in 40 CFR part 85, subpart W. (8) Emission control device inspections. None. (9) Stringency. A 20...

  7. 300 Gb/s IM/DD based SDM-WDM-PON with laserless ONUs

    DEFF Research Database (Denmark)

    Bao, Fangdi; Morioka, Toshio; Oxenløwe, Leif Katsuo

    2018-01-01

    A low-cost, high-speed SDM-WDM-PON architecture is proposed by using a multi-core fiber (MCF) and intensity modulation/directly detection (IM/DD). One of the MCF cores is used for sending laser sources from optical line terminal (OLT) to optical network unit (ONU), thus facilitating laserless...

  8. Δim-lacunary statistical convergence of order α

    Science.gov (United States)

    Altınok, Hıfsı; Et, Mikail; Işık, Mahmut

    2018-01-01

    The purpose of this work is to introduce the concepts of Δim-lacunary statistical convergence of order α and lacunary strongly (Δim,p )-convergence of order α. We establish some connections between lacunary strongly (Δim,p )-convergence of order α and Δim-lacunary statistical convergence of order α. It is shown that if a sequence is lacunary strongly (Δim,p )-summable of order α then it is Δim-lacunary statistically convergent of order α.

  9. Diesel engine cogeneration plants in the context of integration of renewable energy sources in power supply; Dieselmotor-Kraft-Waerme-Kopplungsanlagen im Kontext der Integration Erneuerbarer Energien in die Energieversorgung

    Energy Technology Data Exchange (ETDEWEB)

    Sievers, John

    2010-10-29

    be used optimally for mobility. The main assessment criteria for this are global warming potential, cumulated energy demand and exergy generation. Furthermore it also investigates potential sources from where the necessary bio energy for Diesel motors could be obtained. It is evident that the agricultural area available in Germany will only enable the production of a small part of the bio energy needed for the German power supply. An interesting option would be to make use of biogas on a larger scale and to import vegetable oils from outside Europe. This should mainly be carried out using degraded land, which would require an agricultural area in the range of 6 to 12 Mio. ha. Final results show that using renewable fuels, and after the integration of wind power, a full balance of the residual load by cogeneration, is reasonable and feasible. Such a wind-cogeneration DSM system should be supplemented by a stronger UCTE electricity grid and by the integration of hydro power plants for balancing power, which will enable the large-scale exchange of renewable energies within Europe and the neighboring regions.

  10. Radiological information management system (RadIMS)

    International Nuclear Information System (INIS)

    Oesterling, R.G.; Marko, S.A.; Tschaeche, A.N.

    1991-01-01

    Westinghouse Idaho Nuclear Company, Inc. (WINCO) is developing and implementing an information management system, known as RadIMS, to track and record personnel exposure to ionizing radiation. RadIMS has been designed to fulfill all the requirements of US Department of Energy (USDOE) Order 5480.11, ''Radiation Protection for Occupational Workers.'' This Order requires the contractor to maintain detailed radiation exposure records on all individuals who work at the facility. These records must be retrievable for the entire working life of the individual and be available to other USDOE contractors on request. To meet these general needs, RadIMS provides for retrieval of detailed, comprehensive individual exposure histories as well as the usual online interactions to accomplish day-today radiation protection operations. These two extremes of functionality require different approaches in the WINCO computing environment. The exposure histories include database text, paper, microfilm, and electronic bitmaps

  11. Radiological information management system (RadIMS)

    Energy Technology Data Exchange (ETDEWEB)

    Oesterling, R.G.; Marko, S.A.; Tschaeche, A.N.

    1991-08-19

    Westinghouse Idaho Nuclear Company, Inc. (WINCO) is developing and implementing an information management system, known as RadIMS, to track and record personnel exposure to ionizing radiation. RadIMS has been designed to fulfill all the requirements of US Department of Energy (USDOE) Order 5480.11, Radiation Protection for Occupational Workers.'' This Order requires the contractor to maintain detailed radiation exposure records on all individuals who work at the facility. These records must be retrievable for the entire working life of the individual and be available to other USDOE contractors on request. To meet these general needs, RadIMS provides for retrieval of detailed, comprehensive individual exposure histories as well as the usual online interactions to accomplish day-today radiation protection operations. These two extremes of functionality require different approaches in the WINCO computing environment. The exposure histories include database text, paper, microfilm, and electronic bitmaps.

  12. Radiological information management system (RadIMS)

    Energy Technology Data Exchange (ETDEWEB)

    Oesterling, R.G.; Marko, S.A.; Tschaeche, A.N.

    1991-08-19

    Westinghouse Idaho Nuclear Company, Inc. (WINCO) is developing and implementing an information management system, known as RadIMS, to track and record personnel exposure to ionizing radiation. RadIMS has been designed to fulfill all the requirements of US Department of Energy (USDOE) Order 5480.11, ``Radiation Protection for Occupational Workers.`` This Order requires the contractor to maintain detailed radiation exposure records on all individuals who work at the facility. These records must be retrievable for the entire working life of the individual and be available to other USDOE contractors on request. To meet these general needs, RadIMS provides for retrieval of detailed, comprehensive individual exposure histories as well as the usual online interactions to accomplish day-today radiation protection operations. These two extremes of functionality require different approaches in the WINCO computing environment. The exposure histories include database text, paper, microfilm, and electronic bitmaps.

  13. Midlatitude magnetometer chains during the IMS

    International Nuclear Information System (INIS)

    Mcpherron, R.L.

    1982-01-01

    The International Magnetospheric Study (IMS) is an international program to study global problems of magnetospheric dynamics. A key element of the U.S. participation in this program was the establishment of a ground magnetometer network. This network included a number of arrays at high and low latitudes. This report describes three chains established at midlatitudes, including the IMS Midlatitude Chain, the AFGL Magnetometer Network, and the Bell Lab Conjugate Array. Descriptions of the type of equipment, station locations, types of data display, and availability of data for each chain are presented in this report. A major problem of the data analysis phase of the IMS will be reducing selected subsets of these data to a common format. Currently, there are no plans to do this in a systematic manner

  14. Cigarette constituent health communications for smokers: impact of chemical, imagery, and source.

    Science.gov (United States)

    Kowitt, Sarah; Sheeran, Paschal; Jarman, Kristen L; Ranney, Leah M; Schmidt, Allison M; Noar, Seth M; Huang, Li-Ling; Goldstein, Adam O

    2017-10-03

    Communication campaigns are incorporating tobacco constituent messaging to reach smokers, yet there is a dearth of research on how such messages should be constructed or will be received by smokers. In a 2x2x2 experiment, we manipulated three cigarette constituent message components: (1) the toxic constituent of tobacco (arsenic vs. lead) with a corresponding health effect, (2) the presence or absence of an evocative image, and (3) the source of the message (FDA vs. no source). We recruited smokers (N = 1,669, 55.4% women) via an online platform and randomized them to 1 of the 8 message conditions. Participants viewed the message and rated its believability and perceived effectiveness, the credibility of the message source, and action expectancies (i.e., likelihood of seeking additional information and help with quitting as a result of seeing the message). We found significant main effects of image, constituent, and source on outcomes. The use of arsenic as the constituent, the presence of an evocative image, and the FDA as the source increased the believability, source credibility, and perceived effectiveness of the tobacco constituent health message. Multiple elements of a constituent message, including type of constituent, imagery, and message source, impact their reception among smokers. Specifically, communication campaigns targeting smokers that utilize arsenic as the tobacco constituent, visual imagery, and the FDA logo may be particularly effective in changing key outcomes that are associated with subsequent attitude and behavioral changes. This paper describes how components of communication campaigns about cigarette constituents are perceived. Multiple elements of a tobacco constituent message, including type of constituent, image, and message source may influence the reception of messages among current smokers. Communication campaigns targeting smokers that utilize arsenic as the tobacco constituent, visual imagery, and the FDA logo may be particularly

  15. Food sources of nitrates and nitrites: the physiologic context for potential health benefits.

    Science.gov (United States)

    Hord, Norman G; Tang, Yaoping; Bryan, Nathan S

    2009-07-01

    The presence of nitrates and nitrites in food is associated with an increased risk of gastrointestinal cancer and, in infants, methemoglobinemia. Despite the physiologic roles for nitrate and nitrite in vascular and immune function, consideration of food sources of nitrates and nitrites as healthful dietary components has received little attention. Approximately 80% of dietary nitrates are derived from vegetable consumption; sources of nitrites include vegetables, fruit, and processed meats. Nitrites are produced endogenously through the oxidation of nitric oxide and through a reduction of nitrate by commensal bacteria in the mouth and gastrointestinal tract. As such, the dietary provision of nitrates and nitrites from vegetables and fruit may contribute to the blood pressure-lowering effects of the Dietary Approaches to Stop Hypertension (DASH) diet. We quantified nitrate and nitrite concentrations by HPLC in a convenience sample of foods. Incorporating these values into 2 hypothetical dietary patterns that emphasize high-nitrate or low-nitrate vegetable and fruit choices based on the DASH diet, we found that nitrate concentrations in these 2 patterns vary from 174 to 1222 mg. The hypothetical high-nitrate DASH diet pattern exceeds the World Health Organization's Acceptable Daily Intake for nitrate by 550% for a 60-kg adult. These data call into question the rationale for recommendations to limit nitrate and nitrite consumption from plant foods; a comprehensive reevaluation of the health effects of food sources of nitrates and nitrites is appropriate. The strength of the evidence linking the consumption of nitrate- and nitrite-containing plant foods to beneficial health effects supports the consideration of these compounds as nutrients.

  16. [Sources of finance for provincial occupational health services. Theory and practice].

    Science.gov (United States)

    Rydlewska-Liszkowska, I; Jugo, B

    1999-01-01

    The financing of occupational health services (OHS) at the provincial level is an important issue in view of the transformation process going on not only in OHS but also in the overall health care system in Poland. New principles of financing must be now based on the cost and effects analyses. Thus, the question arises on how to provide financial means adequate to needs of health care institutions resulting from their tasks and responsibilities. The gaps existing in the information system have encouraged us to examine the situation in regard to the structure of financing and internal allocation of financial means. The objectives were formulated as follows: to characterise the sources of financial means received by provincial OHS centres; to analyse the structure of financial means derived from various sources, taking into account forms of financial administration, using the data provided by selected centres; to define the relation between the financial means being at the disposal of OHS centres and the scope of their activities; The information on the financing system was collected using a questionnaire mailed to directors of selected OHS centres. The information collected proved to be a valuable source of knowledge on the above mentioned issues as well as on how far the new system of financing associated with a new form of financial administration--an independent public health institution--has already been implemented. The studies indicated that at the present stage of the OHS system transformation it is very difficult to formulate conclusions on the financing administration in provincial OHS centres.

  17. Current and future funding sources for specialty mental health and substance abuse treatment providers.

    Science.gov (United States)

    Levit, Katharine R; Stranges, Elizabeth; Coffey, Rosanna M; Kassed, Cheryl; Mark, Tami L; Buck, Jeffrey A; Vandivort-Warren, Rita

    2013-06-01

    Goals were to describe funding for specialty behavioral health providers in 1986 and 2005 and examine how the recession, parity law, and Affordable Care Act (ACA) may affect future funding. Numerous public data sets and actuarial methods were used to estimate spending for services from specialty behavioral health providers (general hospital specialty units; specialty hospitals; psychiatrists; other behavioral health professionals; and specialty mental health and substance abuse treatment centers). Between 1986 and 2005, hospitals-which had received the largest share of behavioral health spending-declined in importance, and spending shares trended away from specialty hospitals that were largely funded by state and local governments. Hospitals' share of funding from private insurance decreased from 25% in 1986 to 12% in 2005, and the Medicaid share increased from 11% to 23%. Office-based specialty providers continued to be largely dependent on private insurance and out-of-pocket payments, with psychiatrists receiving increased Medicaid funding. Specialty centers received increased funding shares from Medicaid (from 11% to 29%), and shares from other state and local government sources fell (from 64% to 46%). With ACA's full implementation, spending on behavioral health will likely increase under private insurance and Medicaid. Parity in private plans will also push a larger share of payments for office-based professionals from out-of-pocket payments to private insurance. As ACA provides insurance for formerly uninsured individuals, funding by state behavioral health authorities of center-based treatment will likely refocus on recovery and support services. Federal Medicaid rules will increase in importance as more people needing behavioral health treatment become covered.

  18. Towards the Application of Open Source Software in Developing National Electronic Health Record-Narrative Review Article.

    Science.gov (United States)

    Aminpour, Farzaneh; Sadoughi, Farahnaz; Ahmadi, Maryam

    2013-12-01

    Electronic Health Record (EHR) is a repository of patient health information shared among multiple authorized users. As a modern method of storing and processing health information, it is a solution for improving quality, safety and efficiency of patient care and health system. However, establishment of EHR requires a significant investment of time and money. While many of healthcare providers have very limited capital, application of open source software would be considered as a solution in developing national electronic health record especially in countries with low income. The evidence showed that financial limitation is one of the obstacles to implement electronic health records in developing countries. Therefore, establishment of an open source EHR system capable of modifications according to the national requirements seems to be inevitable in Iran. The present study identifies the impact of application of open source software in developing national electronic health record in Iran.

  19. National spending on health by source for 184 countries between 2013 and 2040.

    Science.gov (United States)

    Dieleman, Joseph L; Templin, Tara; Sadat, Nafis; Reidy, Patrick; Chapin, Abigail; Foreman, Kyle; Haakenstad, Annie; Evans, Tim; Murray, Christopher J L; Kurowski, Christoph

    2016-06-18

    A general consensus exists that as a country develops economically, health spending per capita rises and the share of that spending that is prepaid through government or private mechanisms also rises. However, the speed and magnitude of these changes vary substantially across countries, even at similar levels of development. In this study, we use past trends and relationships to estimate future health spending, disaggregated by the source of those funds, to identify the financing trajectories that are likely to occur if current policies and trajectories evolve as expected. We extracted data from WHO's Health Spending Observatory and the Institute for Health Metrics and Evaluation's Financing Global Health 2015 report. We converted these data to a common purchasing power-adjusted and inflation-adjusted currency. We used a series of ensemble models and observed empirical norms to estimate future government out-of-pocket private prepaid health spending and development assistance for health. We aggregated each country's estimates to generate total health spending from 2013 to 2040 for 184 countries. We compared these estimates with each other and internationally recognised benchmarks. Global spending on health is expected to increase from US$7·83 trillion in 2013 to $18·28 (uncertainty interval 14·42-22·24) trillion in 2040 (in 2010 purchasing power parity-adjusted dollars). We expect per-capita health spending to increase annually by 2·7% (1·9-3·4) in high-income countries, 3·4% (2·4-4·2) in upper-middle-income countries, 3·0% (2·3-3·6) in lower-middle-income countries, and 2·4% (1·6-3·1) in low-income countries. Given the gaps in current health spending, these rates provide no evidence of increasing parity in health spending. In 1995 and 2015, low-income countries spent $0·03 for every dollar spent in high-income countries, even after adjusting for purchasing power, and the same is projected for 2040. Most importantly, health spending in many low

  20. Sources of satisfaction and dissatisfaction among specialists within the public and private health sectors.

    Science.gov (United States)

    Ashton, Toni; Brown, Paul; Sopina, Elizaveta; Cameron, Linda; Tenbensel, Timothy; Windsor, John

    2013-09-27

    As in many countries, medical and surgical specialists in New Zealand have the opportunity of working in the public sector, the private sector or both. This study aimed to explore the level and sources of satisfaction and dissatisfaction of specialists in New Zealand with working in the two sectors. Such information can assist workforce planning, management and policy and may inform the wider debate about the relationship between the two sectors. A postal survey was conducted of 1983 registered specialists throughout New Zealand. Respondents were asked to assess 14 sources of satisfaction and 9 sources of dissatisfaction according to a 5-point Likert scale. Means and standard deviations were calculated for the total sample, and for procedural and non-procedural specialties. Differences between the means of each source of satisfaction and dissatisfaction were also calculated. Completed surveys were received from 943 specialists (47% response rate). Overall mean levels of satisfaction were higher in the private sector than the public sector while levels of dissatisfaction were lower. While the public system is valued for its opportunities for further education and professional development, key sources of dissatisfaction are workload pressures, mentally demanding work and managerial interference. In the private sector specialists value the opportunity to work independently and apply their own ideas in the workplace. Sources of job satisfaction and dissatisfaction amongst specialists are different for the public and private sectors. Allowing specialists more freedom to work independently and to apply their own ideas in the workplace may enhance recruitment and retention of specialists in the public health system.

  1. Arsenic Contamination of Groundwater: A Review of Sources, Prevalence, Health Risks, and Strategies for Mitigation

    Directory of Open Access Journals (Sweden)

    Shiv Shankar

    2014-01-01

    Full Text Available Arsenic contamination of groundwater in different parts of the world is an outcome of natural and/or anthropogenic sources, leading to adverse effects on human health and ecosystem. Millions of people from different countries are heavily dependent on groundwater containing elevated level of As for drinking purposes. As contamination of groundwater, poses a serious risk to human health. Excessive and prolonged exposure of inorganic As with drinking water is causing arsenicosis, a deteriorating and disabling disease characterized by skin lesions and pigmentation of the skin, patches on palm of the hands and soles of the feet. Arsenic poisoning culminates into potentially fatal diseases like skin and internal cancers. This paper reviews sources, speciation, and mobility of As and global overview of groundwater As contamination. The paper also critically reviews the As led human health risks, its uptake, metabolism, and toxicity mechanisms. The paper provides an overview of the state-of-the-art knowledge on the alternative As free drinking water and various technologies (oxidation, coagulation flocculation, adsorption, and microbial for mitigation of the problem of As contamination of groundwater.

  2. Health risk assessment for arsenic in water sources of cankiri province of Turkey

    International Nuclear Information System (INIS)

    Caylak, Emrah

    2012-01-01

    To investigate the levels of arsenic (As) in the water sources of Cankiri Province, the samples were collected from the stations of central Cankiri (n = 27) and Kursunlu town (n = 12) during 2009 and 2010. The concentrations of As were analyzed with an atomic absorption spectrophotometer, and then compared with permissible limit, 10 μg/L in drinking water, by Turkish legislation and World Health Organization (WHO). The As levels were higher than this limit (mean value 10-30 μg/L in 26 stations), whereas, they were found to be >30 μg/L in 12 sampling points. The water sources were categorized for health risk assessment such as reservoir, tap, well, and spring, and then chronic daily intake for oral and dermal exposure to As via drinking water, hazard quotient (HQ), and hazard index were calculated by using indices. The HQ values were found to be >1 in all samples of Cankiri Province. The effects of As on human health were then evaluated using carcinogenic risk (CR). CR values for As were also estimated to be >10 -5 in drinking water samples of Cankiri Province and might exert potential CR for people. These assessments would point out required drinking water treatment strategy to ensure safety of consumers. (Copyright copyright 2012 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  3. Arsenic contamination of groundwater: a review of sources, prevalence, health risks, and strategies for mitigation.

    Science.gov (United States)

    Shankar, Shiv; Shanker, Uma; Shikha

    2014-01-01

    Arsenic contamination of groundwater in different parts of the world is an outcome of natural and/or anthropogenic sources, leading to adverse effects on human health and ecosystem. Millions of people from different countries are heavily dependent on groundwater containing elevated level of As for drinking purposes. As contamination of groundwater, poses a serious risk to human health. Excessive and prolonged exposure of inorganic As with drinking water is causing arsenicosis, a deteriorating and disabling disease characterized by skin lesions and pigmentation of the skin, patches on palm of the hands and soles of the feet. Arsenic poisoning culminates into potentially fatal diseases like skin and internal cancers. This paper reviews sources, speciation, and mobility of As and global overview of groundwater As contamination. The paper also critically reviews the As led human health risks, its uptake, metabolism, and toxicity mechanisms. The paper provides an overview of the state-of-the-art knowledge on the alternative As free drinking water and various technologies (oxidation, coagulation flocculation, adsorption, and microbial) for mitigation of the problem of As contamination of groundwater.

  4. NOx emissions from large point sources: variability in ozone production, resulting health damages and economic costs

    International Nuclear Information System (INIS)

    Mauzerall, D.L.; Namsoug Kim

    2005-01-01

    We present a proof-of-concept analysis of the measurement of the health damage of ozone (O 3 ) produced from nitrogen oxides (NO x =NO+NO 2 ) emitted by individual large point sources in the eastern United States. We use a regional atmospheric model of the eastern United States, the Comprehensive Air quality Model with Extensions (CAMx), to quantify the variable impact that a fixed quantity of NO x emitted from individual sources can have on the downwind concentration of surface O 3 , depending on temperature and local biogenic hydrocarbon emissions. We also examine the dependence of resulting O 3 -related health damages on the size of the exposed population. The investigation is relevant to the increasingly widely used 'cap and trade' approach to NO x regulation, which presumes that shifts of emission over time and space, holding the total fixed over the course of the summer O 3 season, will have minimal effect on the environmental outcome. By contrast, we show that a shift of a unit of NO x emissions from one place or time to another could result in large changes in resulting health effects due to O 3 formation and exposure. We indicate how the type of modeling carried out here might be used to attach externality-correcting prices to emissions. Charging emitters fees that are commensurate with the damage caused by their NO x emissions would create an incentive for emitters to reduce emissions at times and in locations where they cause the largest damage. (author)

  5. An IMS Station life cycle from a sustainment point of view

    Science.gov (United States)

    Brely, Natalie; Gautier, Jean-Pierre; Foster, Daniel

    2014-05-01

    The International Monitoring System (IMS) is to consist of 321 monitoring facilities, composed of four different technologies with a variety of designs and equipment types, deployed in a range of environments around the globe. The International Monitoring System is conceived to operate in perpetuity through maintenance, replacement and recapitalization of IMS facilities' infrastructure and equipment when the end of service life is reached [CTBT/PTS/INF.1163]. Life Cycle techniques and modellization are being used by the PTS to plan and forecast life cycle sustainment requirements of IMS facilities. Through historical data analysis, Engineering inputs and Feedback from experienced Station Operators, the PTS currently works towards increasing the level of confidence on these forecasts and sustainment requirements planning. Continued validation, feedback and improvement of source data from scientific community and experienced users is sought and essential in order to ensure limited effect on data availability and optimal costs (human and financial).

  6. The source of display rules and their effects on primary health care professionals' well-being.

    Science.gov (United States)

    Martínez-Iñigo, David; Totterdell, Peter; Alcover, Carlos Maria; Holman, David

    2009-11-01

    Employees' perceptions of the emotional requirements of their work role are considered a necessary antecedent of emotion work. The impact of these requirements on the emotions employees display, their well-being, and their clients' satisfaction has been explored in previous research. Emotional requirements have been characterized as organizationally-based expectations (e.g., Brotheridge & Lee, 2003), formal and informal organizational rules (e.g., Cropanzano, Weiss & Elias, 2004), occupational norms (e.g., Rafaeli & Sutton, 1987; Smith & Kleinman, 1989) and job-based demands (Brotheridge & Lee, 2002). Although all these definitions assume some kind of shared source for perceptions of emotional requirements, it remains unclear to what extent these different sources contribute and to what extent the requirements are shared by different units, teams and individuals in the organization. The present study analyses the perception of emotional requirements from a survey of ninety-seven Primary Health Care teams composed of general practitioners, nurses and administrative staff (N = 1057). The relative contribution of different sources of variance (team, organizational, and occupational) to perceived emotional requirements and the effects on employees' job satisfaction and well being are examined. Results confirm the relevance of the source and show the contribution of emotional demands to prediction of emotional exhaustion and job satisfaction levels.

  7. "ARZT IM GANZEN SPEKTRUM" ["PHYSICIAN IN THE FULL SPEKTRUM"

    Directory of Open Access Journals (Sweden)

    Mitzkat, Anika

    2006-11-01

    Full Text Available [english] For more than 20 years teaching in the medical program at Witten/Herdecke Private University has followed the goal of introducing students to the reality of patient care by a practical approach. The “adaptive physician personality” describes the educational objective of a physician who is able to orient towards “the full spectrum” of his professional core competencies. In regard to the “adaptive physician personality” four Integrated Curricula (Communication, Science, Ethics, and Health Economy had been developed along with the introduction of a model medical program in 2000. Witten/Herdecke University thereby today addresses the requirements defined by the New Medical Licensure Act of 27.06.2002 and brings forward at the same time a program which prepares the medical student for the multi-dimensional responsibilities in the reality of modern health care. This article describes the Integrated Curricula exemplified by the Communication curriculum. This relatively young area of medical teaching in Germany is still extensively unexplored concerning evidence-based research about its effectiveness and efficiency of teaching. [german] Die Lehre im Studiengang Humanmedizin an der Privaten Universität Witten/Herdecke (UWH verfolgt seit mehr als 20 Jahren das Ziel, Studierende praxisnah an die Realität der Patientenversorgung heranzuführen. Das Ausbildungsziel des Medizinstudiums ist dabei die ”lernfähige Arztpersönlichkeit”, die sich möglichst „im ganzen Spektrum” ärztlicher Kernkompetenzen zu orientieren vermag. Im Hinblick auf das Ziel der „lernfähigen Arztpersönlichkeit“ wurden mit der Einführung des Modellstudiengangs Medizin im Jahr 2000 vier Integrierte Curricula (Kommunikation, Wissenschaft, Ethik und Gesundheitsökonomie aufgebaut. Die Lehre an der Universität Witten/Herdecke geht damit einerseits auf die Anforderungen, die mit Einführung der neuen Approbationsordnung für Ärzte vom 27.06.2002 an

  8. Source apportionment and heavy metal health risk (HMHR) quantification from sources in a southern city in China, using an ME2-HMHR model.

    Science.gov (United States)

    Peng, Xing; Shi, GuoLiang; Liu, GuiRong; Xu, Jiao; Tian, YingZe; Zhang, YuFen; Feng, YinChang; Russell, Armistead G

    2017-02-01

    Heavy metals (Cr, Co, Ni, As, Cd, and Pb) can be bound to PM adversely affecting human health. Quantifying the source impacts on heavy metals can provide source-specific estimates of the heavy metal health risk (HMHR) to guide effective development of strategies to reduce such risks from exposure to heavy metals in PM 2.5 (particulate matter (PM) with aerodynamic diameter less than or equal to 2.5 μm). In this study, a method combining Multilinear Engine 2 (ME2) and a risk assessment model is developed to more effectively quantify source contributions to HMHR, including heavy metal non-cancer risk (non-HMCR) and cancer risk (HMCR). The combined model (called ME2-HMHR) has two steps: step1, source contributions to heavy metals are estimated by employing the ME2 model; step2, the source contributions in step 1 are introduced into the risk assessment model to calculate the source contributions to HMHR. The approach was applied to Huzou, China and five significant sources were identified. Soil dust is the largest source of non-HMCR. For HMCR, the source contributions of soil dust, coal combustion, cement dust, vehicle, and secondary sources are 1.0 × 10 -4 , 3.7 × 10 -5 , 2.7 × 10 -6 , 1.6 × 10 -6 and 1.9 × 10 -9 , respectively. The soil dust is the largest contributor to HMCR, being driven by the high impact of soil dust on PM 2.5 and the abundance of heavy metals in soil dust. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Ionizing radiation and radionuclides in the environment: sources, origin, geochemical processes and health risks

    International Nuclear Information System (INIS)

    Dangic, A.

    1995-01-01

    Ionizing radiation related to the radioactivity and radionuclides appears to be ones of most dangerous environmental risks to the human health. The paper considers appearance and importance of radionuclides, both natural (cosmogenic and Earth's) and anthropogenic, mode of their entering into and movement through the environment. Most risk to the population are radionuclides related to the geological-geochemical systems - in Serbia, high concentrations of radionuclides related to these sources were indicated at a number of localities. Movement of radionuclides through the environment is regulated by the geochemical processes i.e. the geochemical cycles of the elements. For the discovering of radionuclides in the nature, the assessment of the health risks to the population and the related protection are necessary multilayer geochemical studies. (author)

  10. Systeme im Einsatz. Lernmanagement, Kompetenzmanagement und PLE

    NARCIS (Netherlands)

    Kalz, Marco; Schön, Sandra; Lindner, Martin; Roth, Detlev; Baumgartner, Peter

    2011-01-01

    Kalz, M., Schön, S., Lindner, M., Roth, D., & Baumgartner, P. (2011). Systeme im Einsatz. Lernmanagement, Kompetenzmanagement und PLE. In M. Ebner, & S. Schön (Eds.), L3T - Lerhbuch für Lernen und Lehren mit Technologie (pp. 111-118). Graz, Austria: Uni Graz. Available at

  11. IMS Learning Design: De stand van zaken

    NARCIS (Netherlands)

    Tattersall, Colin; Manderveld, Jocelyn

    2005-01-01

    Tattersall, C. & Manderveld, J. (2004) IMS Learning Design: De stand van zaken In: Gorissen, P., Manderveld, J., Benneker, F. & Cordewener, B. Leertechnologie in de Lage Landen (pp. 31-33). Utrecht, Stichting Surf. Ook beschikbaar in dspace: http://hdl.handle.net/1820/270

  12. An IMS testbed for SIP applications

    DEFF Research Database (Denmark)

    Caba, Cosmin Marius; Soler, José

    2013-01-01

    The paper presents the design and implementation of an emulation platform for the IP Multimedia Subsystem. The SIP Servlet API v1.1 has been used to implement the final system. The purpose of the emulation is to offer to IMS service developers an environment where they can integrate development...

  13. Water. Sleeping Energy source; Wasser. Energiequelle im Dornroeschenschlaf

    Energy Technology Data Exchange (ETDEWEB)

    Mardo, Dietrich

    2009-12-11

    The intelligent utilization of water power is so old as human civilization. An intelligent further development of advanced technologies is still sleeping. Suitable kinds of utilization and advanced technology attempts are presented in this contribution. Some are more likely exotic, but the water giants of Assuan and the three-canyons project in China present themselves more and more as a ticking environmental bomb. (orig./GL)

  14. Interactive, open source, travel time scenario modelling: tools to facilitate participation in health service access analysis.

    Science.gov (United States)

    Fisher, Rohan; Lassa, Jonatan

    2017-04-18

    Modelling travel time to services has become a common public health tool for planning service provision but the usefulness of these analyses is constrained by the availability of accurate input data and limitations inherent in the assumptions and parameterisation. This is particularly an issue in the developing world where access to basic data is limited and travel is often complex and multi-modal. Improving the accuracy and relevance in this context requires greater accessibility to, and flexibility in, travel time modelling tools to facilitate the incorporation of local knowledge and the rapid exploration of multiple travel scenarios. The aim of this work was to develop simple open source, adaptable, interactive travel time modelling tools to allow greater access to and participation in service access analysis. Described are three interconnected applications designed to reduce some of the barriers to the more wide-spread use of GIS analysis of service access and allow for complex spatial and temporal variations in service availability. These applications are an open source GIS tool-kit and two geo-simulation models. The development of these tools was guided by health service issues from a developing world context but they present a general approach to enabling greater access to and flexibility in health access modelling. The tools demonstrate a method that substantially simplifies the process for conducting travel time assessments and demonstrate a dynamic, interactive approach in an open source GIS format. In addition this paper provides examples from empirical experience where these tools have informed better policy and planning. Travel and health service access is complex and cannot be reduced to a few static modeled outputs. The approaches described in this paper use a unique set of tools to explore this complexity, promote discussion and build understanding with the goal of producing better planning outcomes. The accessible, flexible, interactive and

  15. Fine particulate matter in the tropical environment: monsoonal effects, source apportionment, and health risk assessment

    Directory of Open Access Journals (Sweden)

    M. F. Khan

    2016-01-01

    Full Text Available The health implications of PM2.5 in the tropical region of Southeast Asia (SEA are significant as PM2.5 can pose serious health concerns. PM2.5 concentration and sources here are strongly influenced by changes in the monsoon regime from the south-west quadrant to the north-east quadrant in the region. In this work, PM2.5 samples were collected at a semi-urban area using a high-volume air sampler at different seasons on 24 h basis. Analysis of trace elements and water-soluble ions was performed using inductively coupled plasma mass spectroscopy (ICP-MS and ion chromatography (IC, respectively. Apportionment analysis of PM2.5 was carried out using the United States Environmental Protection Agency (US EPA positive matrix factorization (PMF 5.0 and a mass closure model. We quantitatively characterized the health risks posed to human populations through the inhalation of selected heavy metals in PM2.5. 48 % of the samples collected exceeded the World Health Organization (WHO 24 h PM2.5 guideline but only 19 % of the samples exceeded 24 h US EPA National Ambient Air Quality Standard (NAAQS. The PM2.5 concentration was slightly higher during the north-east monsoon compared to south-west monsoon. The main trace metals identified were As, Pb, Cd, Ni, Mn, V, and Cr while the main ions were SO42−, NO3−, NH4+, and Na. The mass closure model identified four major sources of PM2.5 that account for 55 % of total mass balance. The four sources are mineral matter (MIN (35 %, secondary inorganic aerosol (SIA (11 %, sea salt (SS (7 %, and trace elements (TE (2 %. PMF 5.0 elucidated five potential sources: motor vehicle emissions coupled with biomass burning (31 % were the most dominant, followed by marine/sulfate aerosol (20 %, coal burning (19 %, nitrate aerosol (17 %, and mineral/road dust (13 %. The hazard quotient (HQ for four selected metals (Pb, As, Cd, and Ni in PM2.5 mass was highest in PM2.5 mass from the coal burning

  16. Assessment of variable drinking water sources used in Egypt on broiler health and welfare

    Directory of Open Access Journals (Sweden)

    N. ELSaidy

    2015-07-01

    Full Text Available Aim: This study assessed the impact of four water sources used as drinking water in Egypt for broiler chickens on its performance, carcass characteristic, hematological, and immunological responses. Materials and Methods: A total of 204 unsexed 1-day old Indian River broiler chickens were used in this study. They were randomly allocated into four treatment groups of 51 birds in each, with three replicates, 17 birds per replicate. Groups were classified according to water source they had been received into (T1 received farm tap water; (T2 received filtered tap water (T3 received farm stored water at rooftop tanks, (T4 received underground (well water. Results: All water sources showed no significant differences among treated groups at (p>0.05 for most of the performance parameters and carcass characteristics. However (T2 group showed higher records for body weight (BWT, BWT gain (BWG, feed conversion ratio, bursa weight, serum total protein, globulin (G, albumin (A and A/G ratio, Ab titer against New castle disease virus vaccine. On the other hand, it showed lower records for water intake (WI, WI/Feed intake ratio, total leukocytes count %, heterophil %, lymphocyte %, H/L ratio, liver weight, glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, serum uric acid and creatinine. Where filtered water reverse osmosis showed lowest records for bacterial load, the absence of coliform bacteria, total dissolved solids (TDS, electrical conductivity (EC and salinity. On the other hand stored water showed higher numerical values for TDS, EC, alkalinity, salinity, pH, bacterial count, and coliform count. Conclusion: Base on the results of this study, it is concluded that different water sources could safely be used as drinking water for poultry; as long as it is present within the acceptable range of drinking water quality for chickens. Suggesting the benefits of treatment of water sources on improving chickens’ health and welfare. Draw

  17. Assessment of variable drinking water sources used in Egypt on broiler health and welfare

    Science.gov (United States)

    ELSaidy, N.; Mohamed, R. A.; Abouelenien, F.

    2015-01-01

    Aim: This study assessed the impact of four water sources used as drinking water in Egypt for broiler chickens on its performance, carcass characteristic, hematological, and immunological responses. Materials and Methods: A total of 204 unsexed 1-day old Indian River broiler chickens were used in this study. They were randomly allocated into four treatment groups of 51 birds in each, with three replicates, 17 birds per replicate. Groups were classified according to water source they had been received into (T1) received farm tap water; (T2) received filtered tap water (T3) received farm stored water at rooftop tanks, (T4) received underground (well) water. Results: All water sources showed no significant differences among treated groups at (p>0.05) for most of the performance parameters and carcass characteristics. However (T2) group showed higher records for body weight (BWT), BWT gain (BWG), feed conversion ratio, bursa weight, serum total protein, globulin (G), albumin (A) and A/G ratio, Ab titer against New castle disease virus vaccine. On the other hand, it showed lower records for water intake (WI), WI/Feed intake ratio, total leukocytes count %, heterophil %, lymphocyte %, H/L ratio, liver weight, glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, serum uric acid and creatinine. Where filtered water reverse osmosis showed lowest records for bacterial load, the absence of coliform bacteria, total dissolved solids (TDS), electrical conductivity (EC) and salinity. On the other hand stored water showed higher numerical values for TDS, EC, alkalinity, salinity, pH, bacterial count, and coliform count. Conclusion: Base on the results of this study, it is concluded that different water sources could safely be used as drinking water for poultry; as long as it is present within the acceptable range of drinking water quality for chickens. Suggesting the benefits of treatment of water sources on improving chickens’ health and welfare. Draw attention to

  18. Assessment of variable drinking water sources used in Egypt on broiler health and welfare.

    Science.gov (United States)

    ELSaidy, N; Mohamed, R A; Abouelenien, F

    2015-07-01

    This study assessed the impact of four water sources used as drinking water in Egypt for broiler chickens on its performance, carcass characteristic, hematological, and immunological responses. A total of 204 unsexed 1-day old Indian River broiler chickens were used in this study. They were randomly allocated into four treatment groups of 51 birds in each, with three replicates, 17 birds per replicate. Groups were classified according to water source they had been received into (T1) received farm tap water; (T2) received filtered tap water (T3) received farm stored water at rooftop tanks, (T4) received underground (well) water. All water sources showed no significant differences among treated groups at (p>0.05) for most of the performance parameters and carcass characteristics. However (T2) group showed higher records for body weight (BWT), BWT gain (BWG), feed conversion ratio, bursa weight, serum total protein, globulin (G), albumin (A) and A/G ratio, Ab titer against New castle disease virus vaccine. On the other hand, it showed lower records for water intake (WI), WI/Feed intake ratio, total leukocytes count %, heterophil %, lymphocyte %, H/L ratio, liver weight, glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, serum uric acid and creatinine. Where filtered water reverse osmosis showed lowest records for bacterial load, the absence of coliform bacteria, total dissolved solids (TDS), electrical conductivity (EC) and salinity. On the other hand stored water showed higher numerical values for TDS, EC, alkalinity, salinity, pH, bacterial count, and coliform count. Base on the results of this study, it is concluded that different water sources could safely be used as drinking water for poultry; as long as it is present within the acceptable range of drinking water quality for chickens. Suggesting the benefits of treatment of water sources on improving chickens' health and welfare. Draw attention to the importance of maintaining the hygienic quality

  19. Managing P2P services via the IMS

    NARCIS (Netherlands)

    Liotta, A.; Lin, L.

    2007-01-01

    The key aim of our work was to illustrate the benefits and means to deploy P2P services via the IMS. Having demonstrated the technical viability of P2P-IMS we have also found a way to add a new management dimension to existing P2P systems. P2P-IMS comes with a natural "data management" mechanism,

  20. Dietary Sources of Lutein and Zeaxanthin Carotenoids and Their Role in Eye Health

    Directory of Open Access Journals (Sweden)

    Rashida Ali

    2013-04-01

    Full Text Available The eye is a major sensory organ that requires special care for a healthy and productive lifestyle. Numerous studies have identified lutein and zeaxanthin to be essential components for eye health. Lutein and zeaxanthin are carotenoid pigments that impart yellow or orange color to various common foods such as cantaloupe, pasta, corn, carrots, orange/yellow peppers, fish, salmon and eggs. Their role in human health, in particular the health of the eye, is well established from epidemiological, clinical and interventional studies. They constitute the main pigments found in the yellow spot of the human retina which protect the macula from damage by blue light, improve visual acuity and scavenge harmful reactive oxygen species. They have also been linked with reduced risk of age-related macular degeneration (AMD and cataracts. Research over the past decade has focused on the development of carotenoid-rich foods to boost their intake especially in the elderly population. The aim of this article is to review recent scientific evidences supporting the benefits of lutein and zexanthin in preventing the onset of two major age-related eye diseases with diets rich in these carotenoids. The review also lists major dietary sources of lutein and zeaxanthin and refers to newly developed foods, daily intake, bioavailability and physiological effects in relation to eye health. Examples of the newly developed high-lutein functional foods are also underlined.

  1. The Moderator Role of Perceived Emotional Intelligence in the Relationship between Sources of Stress and Mental Health in Teachers.

    Science.gov (United States)

    Pulido-Martos, Manuel; Lopez-Zafra, Esther; Estévez-López, Fernando; Augusto-Landa, José María

    2016-03-03

    This study analyzes the role of Perceived Emotional Intelligence (PEI) on sources of job stress and mental health in 250 elementary school teachers from Jaén (Spain). The aim of the study was two-fold: (1) to analyze the associations between Perceived Emotional Intelligence (PEI), sources of occupational stress and mental health; and (2) to determine whether PEI moderates the relationship between sources of occupational stress and mental health. An initial sample of 250 teachers was assessed Three questionnaires, the Trait Meta-Mood Scale, the Sources of Stress Scale in Teachers and the Medical Outcomes Study 36-item Short Form Health Survey, were used to evaluate PEI, sources of occupational stress and mental health, respectively. Teachers with higher levels of emotional attention reported lower levels of mental health (r = -.30; p relationship between sources of occupational stress and emotional role. Specifically, each significant interaction (i.e., deficiencies x attention, adaptation x attention, and adaptation x clarity) made a small and unique contribution in the explanation of emotional role (all p < .05, all sr 2 ∼ .02). Finally, our results imply that PEI is an important moderator of teachers´ occupational stressors on mental health.

  2. [Kriegsland im Osten Eroberung, Kolonisierung und Militärherrschaft im Ersten Weltkrieg] / Markus Pöhlmann

    Index Scriptorium Estoniae

    Pöhlmann, Markus

    2003-01-01

    Rets.: Vejas Gabriel Liulevicius. Kriegsland im Osten Eroberung, Kolonisierung und Militärherrschaft im Ersten Weltkrieg. Aus dem Amerikanischen von Jürgen Bauer, Edith Nerke und Fee Engemann. Hamburg : 2002

  3. Ion mobility spectrometry-mass spectrometry (IMS-MS) for on- and offline analysis of atmospheric gas and aerosol species

    Science.gov (United States)

    Krechmer, Jordan E.; Groessl, Michael; Zhang, Xuan; Junninen, Heikki; Massoli, Paola; Lambe, Andrew T.; Kimmel, Joel R.; Cubison, Michael J.; Graf, Stephan; Lin, Ying-Hsuan; Budisulistiorini, Sri H.; Zhang, Haofei; Surratt, Jason D.; Knochenmuss, Richard; Jayne, John T.; Worsnop, Douglas R.; Jimenez, Jose-Luis; Canagaratna, Manjula R.

    2016-07-01

    Measurement techniques that provide molecular-level information are needed to elucidate the multiphase processes that produce secondary organic aerosol (SOA) species in the atmosphere. Here we demonstrate the application of ion mobility spectrometry-mass spectrometry (IMS-MS) to the simultaneous characterization of the elemental composition and molecular structures of organic species in the gas and particulate phases. Molecular ions of gas-phase organic species are measured online with IMS-MS after ionization with a custom-built nitrate chemical ionization (CI) source. This CI-IMS-MS technique is used to obtain time-resolved measurements (5 min) of highly oxidized organic molecules during the 2013 Southern Oxidant and Aerosol Study (SOAS) ambient field campaign in the forested SE US. The ambient IMS-MS signals are consistent with laboratory IMS-MS spectra obtained from single-component carboxylic acids and multicomponent mixtures of isoprene and monoterpene oxidation products. Mass-mobility correlations in the 2-D IMS-MS space provide a means of identifying ions with similar molecular structures within complex mass spectra and are used to separate and identify monoterpene oxidation products in the ambient data that are produced from different chemical pathways. Water-soluble organic carbon (WSOC) constituents of fine aerosol particles that are not resolvable with standard analytical separation methods, such as liquid chromatography (LC), are shown to be separable with IMS-MS coupled to an electrospray ionization (ESI) source. The capability to use ion mobility to differentiate between isomers is demonstrated for organosulfates derived from the reactive uptake of isomers of isoprene epoxydiols (IEPOX) onto wet acidic sulfate aerosol. Controlled fragmentation of precursor ions by collisionally induced dissociation (CID) in the transfer region between the IMS and the MS is used to validate MS peak assignments, elucidate structures of oligomers, and confirm the

  4. Cobalt toxicity in humans-A review of the potential sources and systemic health effects.

    Science.gov (United States)

    Leyssens, Laura; Vinck, Bart; Van Der Straeten, Catherine; Wuyts, Floris; Maes, Leen

    2017-07-15

    Cobalt (Co) and its compounds are widely distributed in nature and are part of numerous anthropogenic activities. Although cobalt has a biologically necessary role as metal constituent of vitamin B 12 , excessive exposure has been shown to induce various adverse health effects. This review provides an extended overview of the possible Co sources and related intake routes, the detection and quantification methods for Co intake and the interpretation thereof, and the reported health effects. The Co sources were allocated to four exposure settings: occupational, environmental, dietary and medical exposure. Oral intake of Co supplements and internal exposure through metal-on-metal (MoM) hip implants deliver the highest systemic Co concentrations. The systemic health effects are characterized by a complex clinical syndrome, mainly including neurological (e.g. hearing and visual impairment), cardiovascular and endocrine deficits. Recently, a biokinetic model has been proposed to characterize the dose-response relationship and effects of chronic exposure. According to the model, health effects are unlikely to occur at blood Co concentrations under 300μg/l (100μg/l respecting a safety factor of 3) in healthy individuals, hematological and endocrine dysfunctions are the primary health endpoints, and chronic exposure to acceptable doses is not expected to pose considerable health hazards. However, toxic reactions at lower doses have been described in several cases of malfunctioning MoM hip implants, which may be explained by certain underlying pathologies that increase the individual susceptibility for Co-induced systemic toxicity. This may be associated with a decrease in Co bound to serum proteins and an increase in free ionic Co 2+ . As the latter is believed to be the primary toxic form, monitoring of the free fraction of Co 2+ might be advisable for future risk assessment. Furthermore, future research should focus on longitudinal studies in the clinical setting of Mo

  5. Structural Health Monitoring of Wind Turbine Blades: Acoustic Source Localization Using Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Omar Mabrok Bouzid

    2015-01-01

    Full Text Available Structural health monitoring (SHM is important for reducing the maintenance and operation cost of safety-critical components and systems in offshore wind turbines. This paper proposes an in situ wireless SHM system based on an acoustic emission (AE technique. By using this technique a number of challenges are introduced due to high sampling rate requirements, limitations in the communication bandwidth, memory space, and power resources. To overcome these challenges, this paper focused on two elements: (1 the use of an in situ wireless SHM technique in conjunction with the utilization of low sampling rates; (2 localization of acoustic sources which could emulate impact damage or audible cracks caused by different objects, such as tools, bird strikes, or strong hail, all of which represent abrupt AE events and could affect the structural health of a monitored wind turbine blade. The localization process is performed using features extracted from aliased AE signals based on a developed constraint localization model. To validate the performance of these elements, the proposed system was tested by testing the localization of the emulated AE sources acquired in the field.

  6. Technical challenges for big data in biomedicine and health: data sources, infrastructure, and analytics.

    Science.gov (United States)

    Peek, N; Holmes, J H; Sun, J

    2014-08-15

    To review technical and methodological challenges for big data research in biomedicine and health. We discuss sources of big datasets, survey infrastructures for big data storage and big data processing, and describe the main challenges that arise when analyzing big data. The life and biomedical sciences are massively contributing to the big data revolution through secondary use of data that were collected during routine care and through new data sources such as social media. Efficient processing of big datasets is typically achieved by distributing computation over a cluster of computers. Data analysts should be aware of pitfalls related to big data such as bias in routine care data and the risk of false-positive findings in high-dimensional datasets. The major challenge for the near future is to transform analytical methods that are used in the biomedical and health domain, to fit the distributed storage and processing model that is required to handle big data, while ensuring confidentiality of the data being analyzed.

  7. Hydrogeochemistry of the drinking water sources of Derebogazi Village (Kahramanmaras) and their effects on human health.

    Science.gov (United States)

    Uras, Yusuf; Uysal, Yagmur; Arikan, Tugba Atilan; Kop, Alican; Caliskan, Mustafa

    2015-06-01

    The aim of this study was to investigate the sources of drinking water for Derebogazi Village, Kahramanmaras Province, Turkey, in terms of hydrogeochemistry, isotope geochemistry, and medical geology. Water samples were obtained from seven different water sources in the area, all of which are located within quartzite units of Paleozoic age, and isotopic analyses of (18)O and (2)H (deuterium) were conducted on the samples. Samples were collected from the region for 1 year. Water quality of the samples was assessed in terms of various water quality parameters, such as temperature, pH, conductivity, alkalinity, trace element concentrations, anion-cation measurements, and metal concentrations, using ion chromatography, inductively coupled plasma (ICP) mass spectrometry, ICP-optical emission spectrometry techniques. Regional health surveys had revealed that the heights of local people are significantly below the average for the country. In terms of medical geology, the sampled drinking water from the seven sources was deficient in calcium and magnesium ions, which promote bone development. Bone mineral density screening tests were conducted on ten females using dual energy X-ray absorptiometry to investigate possible developmental disorder(s) and potential for mineral loss in the region. Of these ten women, three had T-scores close to the osteoporosis range (T-score < -2.5).

  8. Concentrations, sources and human health risk of inhalation exposure to air toxics in Edmonton, Canada.

    Science.gov (United States)

    Bari, Md Aynul; Kindzierski, Warren B

    2017-04-01

    With concern about levels of air pollutants in recent years in the Capital Region of Alberta, an investigation of ambient concentrations, sources and potential human health risk of hazardous air pollutants (HAPs) or air toxics was undertaken in the City of Edmonton over a 5-year period (2009-2013). Mean concentrations of individual HAPs in ambient air including volatile organic compounds (VOCs), polycyclic aromatic hydrocarbons (PAHs) and trace metals ranged from 0.04 to 1.73 μg/m 3 , 0.01-0.54 ng/m 3 , and 0.05-3.58 ng/m 3 , respectively. Concentrations of benzene, naphthalene, benzo(a)pyrene (BaP), arsenic, manganese and nickel were far below respective annual Alberta Ambient Air Quality Objectives. Carcinogenic and non-carcinogenic risk of air toxics were also compared with risk levels recommended by regulatory agencies. Positive matrix factorization identified six air toxics sources with traffic as the dominant contributor to total HAPs (4.33 μg/m 3 , 42%), followed by background/secondary organic aerosol (SOA) (1.92 μg/m 3 , 25%), fossil fuel combustion (0.92 μg/m 3 , 11%). On high particulate air pollution event days, local traffic was identified as the major contributor to total HAPs compared to background/SOA and fossil fuel combustion. Carcinogenic risk values of traffic, background/SOA and metals industry emissions were above the USEPA acceptable level (1 × 10 -6 ), but below a tolerable risk (1 × 10 -4 ) and Alberta benchmark (1 × 10 -5 ). These findings offer useful preliminary information about current ambient air toxics levels, dominant sources and their potential risk to public health; and this information can support policy makers in the development of appropriate control strategies if required. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Factors related to use of the Internet as a source of health information by urological cancer patients.

    Science.gov (United States)

    Valero-Aguilera, Beatriz; Bermúdez-Tamayo, Clara; García-Gutiérrez, José Francisco; Jiménez-Pernett, Jaime; Vázquez-Alonso, Fernando; Suárez-Charneco, Armando; Guerrero-Tejada, Rosario; Cózar-Olmo, José Manuel

    2012-12-01

    The aims of this study were to describe the profile of urological cancer patients who look for health information on the Internet and to analyse the factors related to use of the Internet as a source of health information. A cross-sectional descriptive study using individual, semi-structured, questionnaire-based interviews was carried out in oncology clinics in a hospital in Granada (Spain) in a sample group of 169 patients with prostate, bladder and kidney cancer. The dependent variable was use of the Internet as a source of health information. The independent variables were sociodemographic variables, health status, relationship with healthcare services, patient's role in decision-making process, satisfaction with healthcare, Internet use, Internet skills and attitude. Data analyses include descriptive, bivariate and multivariate analyses. Of the patients in the sample group, 72.2 % had prostate cancer, 19.4 % had bladder cancer and 8.3 % had kidney cancer. Only 11.2 % of patients in the group used the Internet as a source of health information. These patients were typically men of an average age of 62 years, who live in urban areas, who have completed secondary or university education, with a high income and who usually share the role of decision maker with their doctor. Patients who use the Internet as a source of health information usually look for support from psychological support groups, have family members who also look for information on the Internet and prefer sources of information other than those provided by the health services. The study outlines the profile of urological cancer patients who use the Internet as a source of health information. Internet use is related to a patient's attitude towards decision making, level of education and whether or not they look for information from sources other than the health system itself.

  10. The Evolving Role of Open Source Software in Medicine and Health Services

    Directory of Open Access Journals (Sweden)

    Sevket Seref Arikan

    2013-01-01

    Full Text Available The past five decades have witnessed immense coevolution of methods and tools of information technology, and their practical and experimental application within the medical and healthcare domain. Healthcare itself continues to evolve in response to change in healthcare needs, progress in the scientific foundations of treatments, and in professional and managerial organization of affordable and effective services, in which patients and their families and carers increasingly participate. Taken together, these trends impose highly complex underlying challenges for the design, development, and sustainability of the quality of supporting information services and software infrastructure that are needed. The challenges are multidisciplinary and multiprofessional in scope, and they require deeper study and learning to inform policy and promote public awareness of the problems health services have faced in this area for many years. The repeating pattern of failure to live up to expectations of policy-driven national health IT initiatives has proved very costly and remains frustrating and unproductive for all involved. In this article, we highlight the barriers to progress and discuss the dangers of pursuing a standardization framework devoid of empirical testing and iterative development. We give the example of the openEHR Foundation, which was established at University College London (UCL in London, England, with members in 80 countries. The Foundation is a not-for-profit company providing open specifications and working for generic standards for electronic records, informed directly by a wide range of implementation experience. We also introduce the Opereffa open source framework, which was developed at UCL based on these specifications and which has been downloaded in some 70 countries. We argue that such an approach is now essential to support good discipline, innovation, and governance at the heart of medicine and health services, in line with the

  11. 75 FR 65494 - Award of Three Single-Source Expansion Supplements to The University of Colorado Health Sciences...

    Science.gov (United States)

    2010-10-25

    ... Single-Source Expansion Supplements to The University of Colorado Health Sciences Center in Aurora, CO...), Administration on Developmental Disabilities (ADD) has awarded three single-source expansion supplements for data... people with intellectual and developmental disabilities in all facets of community life. The University...

  12. Estimating the costs of work-related accidents and ill-health: An analysis of European data sources

    NARCIS (Netherlands)

    Heuvel, S. van den; Zwaan, L. van der; Dam, L. van; Oude Hengel, K.M.; Eekhout, I.; Emmerik, M.L. van; Oldenburg, C.; Brück, C.; Janowski, P.; Wilhelm, C.

    2017-01-01

    This report presents the results of a survey of national and international data sources on the costs of work-related injuries, illnesses and deaths. The aim was to evaluate the quality and comparability of different sources as a first step towards estimating the costs of accidents and ill-health at

  13. Racial and Ethnic Differences in Tobacco Information Seeking and Information Sources: Findings From the 2015 Health Information National Trends Survey.

    Science.gov (United States)

    Nguyen, Anh B; Robinson, Joelle; O'Brien, Erin Keely; Zhao, Xiaoquan

    2017-09-01

    This article describes sources of health information, types of tobacco information sought, and trust in sources of tobacco information among U.S. racial/ethnic groups (Whites, Blacks, Hispanics, Asian and Pacific Islanders, and Other). Cross-sectional data (N = 3,788) from a nationally representative survey, HINTS-FDA 2015, were analyzed to examine unadjusted and adjusted associations between race/ethnicity and (a) first source of health information, (b) tobacco information seeking, and (c) trust in sources of tobacco information. Adjusted associations controlled for current tobacco product use and sociodemographic variables. Findings indicated that the Internet was the most common first source of health information while health care providers were the second most common source for all racial/ethnic groups. Tobacco-related health information seeking was more prevalent than other tobacco product information seeking. Unadjusted analyses indicated that a higher proportion of Whites sought other tobacco product information compared to Asians and Pacific Islanders. Trust was rated highest for doctors while trust for health organizations was rated second highest. Asians and Pacific Islanders had higher trust in the government compared to all other groups. Blacks had higher trust in religious organizations compared to all other groups besides Hispanics. Blacks had higher trust for tobacco companies compared to Whites and Other. Many of these differences were attenuated in adjusted analyses. This research has implications for tobacco control practice and policymaking by identifying potential dissemination strategies.

  14. Mapping human health risks from exposure to trace metal contamination of drinking water sources in Pakistan

    International Nuclear Information System (INIS)

    Bhowmik, Avit Kumar; Alamdar, Ambreen; Katsoyiannis, Ioannis; Shen, Heqing; Ali, Nadeem; Ali, Syeda Maria; Bokhari, Habib; Schäfer, Ralf B.; Eqani, Syed Ali Musstjab Akber Shah

    2015-01-01

    The consumption of contaminated drinking water is one of the major causes of mortality and many severe diseases in developing countries. The principal drinking water sources in Pakistan, i.e. ground and surface water, are subject to geogenic and anthropogenic trace metal contamination. However, water quality monitoring activities have been limited to a few administrative areas and a nationwide human health risk assessment from trace metal exposure is lacking. Using geographically weighted regression (GWR) and eight relevant spatial predictors, we calculated nationwide human health risk maps by predicting the concentration of 10 trace metals in the drinking water sources of Pakistan and comparing them to guideline values. GWR incorporated local variations of trace metal concentrations into prediction models and hence mitigated effects of large distances between sampled districts due to data scarcity. Predicted concentrations mostly exhibited high accuracy and low uncertainty, and were in good agreement with observed concentrations. Concentrations for Central Pakistan were predicted with higher accuracy than for the North and South. A maximum 150–200 fold exceedance of guideline values was observed for predicted cadmium concentrations in ground water and arsenic concentrations in surface water. In more than 53% (4 and 100% for the lower and upper boundaries of 95% confidence interval (CI)) of the total area of Pakistan, the drinking water was predicted to be at risk of contamination from arsenic, chromium, iron, nickel and lead. The area with elevated risks is inhabited by more than 74 million (8 and 172 million for the lower and upper boundaries of 95% CI) people. Although these predictions require further validation by field monitoring, the results can inform disease mitigation and water resources management regarding potential hot spots. - Highlights: • Predictions of trace metal concentration use geographically weighted regression • Human health risk

  15. Mapping human health risks from exposure to trace metal contamination of drinking water sources in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Bhowmik, Avit Kumar [Institute for Environmental Sciences, University of Koblenz-Landau, Fortstrasse 7, D-76829 Landau in der Pfalz (Germany); Alamdar, Ambreen [Key Lab of Urban Environment and Health, Institute of Urban Environment, Chinese Academy of Sciences, Xiamen 361021 (China); Katsoyiannis, Ioannis [Aristotle University of Thessaloniki, Department of Chemistry, Division of Chemical Technology, Box 116, Thessaloniki 54124 (Greece); Shen, Heqing [Key Lab of Urban Environment and Health, Institute of Urban Environment, Chinese Academy of Sciences, Xiamen 361021 (China); Ali, Nadeem [Department of Environmental Sciences, FBAS, International Islamic University, Islamabad (Pakistan); Ali, Syeda Maria [Center of Excellence in Environmental Studies, King Abdulaziz University, Jeddah (Saudi Arabia); Bokhari, Habib [Public Health and Environment Division, Department of Biosciences, COMSATS Institute of Information Technology, Islamabad (Pakistan); Schäfer, Ralf B. [Institute for Environmental Sciences, University of Koblenz-Landau, Fortstrasse 7, D-76829 Landau in der Pfalz (Germany); Eqani, Syed Ali Musstjab Akber Shah, E-mail: ali_ebl2@yahoo.com [Key Lab of Urban Environment and Health, Institute of Urban Environment, Chinese Academy of Sciences, Xiamen 361021 (China); Public Health and Environment Division, Department of Biosciences, COMSATS Institute of Information Technology, Islamabad (Pakistan)

    2015-12-15

    The consumption of contaminated drinking water is one of the major causes of mortality and many severe diseases in developing countries. The principal drinking water sources in Pakistan, i.e. ground and surface water, are subject to geogenic and anthropogenic trace metal contamination. However, water quality monitoring activities have been limited to a few administrative areas and a nationwide human health risk assessment from trace metal exposure is lacking. Using geographically weighted regression (GWR) and eight relevant spatial predictors, we calculated nationwide human health risk maps by predicting the concentration of 10 trace metals in the drinking water sources of Pakistan and comparing them to guideline values. GWR incorporated local variations of trace metal concentrations into prediction models and hence mitigated effects of large distances between sampled districts due to data scarcity. Predicted concentrations mostly exhibited high accuracy and low uncertainty, and were in good agreement with observed concentrations. Concentrations for Central Pakistan were predicted with higher accuracy than for the North and South. A maximum 150–200 fold exceedance of guideline values was observed for predicted cadmium concentrations in ground water and arsenic concentrations in surface water. In more than 53% (4 and 100% for the lower and upper boundaries of 95% confidence interval (CI)) of the total area of Pakistan, the drinking water was predicted to be at risk of contamination from arsenic, chromium, iron, nickel and lead. The area with elevated risks is inhabited by more than 74 million (8 and 172 million for the lower and upper boundaries of 95% CI) people. Although these predictions require further validation by field monitoring, the results can inform disease mitigation and water resources management regarding potential hot spots. - Highlights: • Predictions of trace metal concentration use geographically weighted regression • Human health risk

  16. The Application of Internal Marketing (IM in a Service Organization

    Directory of Open Access Journals (Sweden)

    R. Sharma

    2013-07-01

    Findings and Strategic Implications. To complement earlier theoretical proposition on IM, the findings indicate that there are several empirical aspects such as “costs, people and concept” which hinder successful implementation of IM. This study proposes several strategic HR recommendations to reduce the “implementation gap” in IM such as to conduct continuous staff training on IM knowledge on regular time intervals, to reduce excessive work load and pressure and engaging staff members in continuous personal development sessions. In addition, the findings reveal that IM training should be given priority to solve “people-oriented” issues.

  17. Nosocomial infections: knowledge and source of information among clinical health care students in Ghana

    Directory of Open Access Journals (Sweden)

    Bello AI

    2011-08-01

    Full Text Available Ajediran I Bello1, Eunice N Asiedu1, Babatunde OA Adegoke2, Jonathan NA Quartey1, Kwadwo O Appiah-Kubi1, Bertha Owusu-Ansah11Department of Physiotherapy, School of Allied Health Sciences, College of Health Sciences, University of Ghana, Accra, Ghana; 2Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, NigeriaBackground: This study determined and compared the knowledge of nosocomial infections among clinical health care students at the College of Health Sciences, University of Ghana.Methods: Two hundred undergraduate health care students from four academic programs participated in the study. The study sample was drawn from each academic program by a simple random sampling technique using the class directory from each course. The Infection Control Standardized Questionnaire (ICSQ was used to assess the knowledge of students about three main domains, ie, hand hygiene, nosocomial infections, and standard precautions. A maximum score of 50 was obtainable, and respondents with scores ≥70% were classified as having a satisfactory knowledge. The response on each item was coded numerically to generate data for statistical analysis. Comparison of knowledge on the domains among categories of students was assessed using the Kruskal–Wallis test, while associations between courses of study and knowledge about nosocomial infections were determined using the Chi-square test. All statistical tests had a significant level of 5% (P < 0.05Results: Overall mean percentage score of the participants on ICSQ was 65.4 ± 2.58, with medical, physiotherapy, radiography, and nursing students recording mean percentage scores of 70.58 ± 0.62, 65.02 ± 2.00, 64.74 ± 1.19, and 61.31 ± 2.35, respectively. The main source of information about the prevention of nosocomial infections as cited by participants was their routine formal training in class. There was no significant association (P > 0.05 between course of study and knowledge of

  18. Spatial Distribution, Sources Apportionment and Health Risk of Metals in Topsoil in Beijing, China

    Directory of Open Access Journals (Sweden)

    Chunyuan Sun

    2016-07-01

    Full Text Available In order to acquire the pollution feature and regularities of distribution of metals in the topsoil within the sixth ring road in Beijing, a total of 46 soil samples were collected, and the concentrations of twelve elements (Nickel, Ni, Lithium, Li, Vanadium, V, Cobalt, Co, Barium, Ba, Strontium, Sr, Chrome, Cr, Molybdenum, Mo, Copper, Cu, Cadmium, Cd, Zinc, Zn, Lead, Pb were analyzed. Geostatistics and multivariate statistics were conducted to identify spatial distribution characteristics and sources. In addition, the health risk of the analyzed heavy metals to humans (adult was evaluated by an U.S. Environmental Protection Agency health risk assessment model. The results indicate that these metals have notable variation in spatial scale. The concentration of Cr was high in the west and low in the east, while that of Mo was high in the north and low in the south. High concentrations of Cu, Cd, Zn, and Pb were found in the central part of the city. The average enrichment degree of Cd is 5.94, reaching the standard of significant enrichment. The accumulation of Cr, Mo, Cu, Cd, Zn, and Pb is influenced by anthropogenic activity, including vehicle exhaustion, coal burning, and industrial processes. Health risk assessment shows that both non-carcinogenic and carcinogenic risks of selected heavy metals are within the safety standard and the rank of the carcinogenic risk of the four heavy metals is Cr > Co > Ni > Cd.

  19. Spatial Distribution, Sources Apportionment and Health Risk of Metals in Topsoil in Beijing, China.

    Science.gov (United States)

    Sun, Chunyuan; Zhao, Wenji; Zhang, Qianzhong; Yu, Xue; Zheng, Xiaoxia; Zhao, Jiayin; Lv, Ming

    2016-07-20

    In order to acquire the pollution feature and regularities of distribution of metals in the topsoil within the sixth ring road in Beijing, a total of 46 soil samples were collected, and the concentrations of twelve elements (Nickel, Ni, Lithium, Li, Vanadium, V, Cobalt, Co, Barium, Ba, Strontium, Sr, Chrome, Cr, Molybdenum, Mo, Copper, Cu, Cadmium, Cd, Zinc, Zn, Lead, Pb) were analyzed. Geostatistics and multivariate statistics were conducted to identify spatial distribution characteristics and sources. In addition, the health risk of the analyzed heavy metals to humans (adult) was evaluated by an U.S. Environmental Protection Agency health risk assessment model. The results indicate that these metals have notable variation in spatial scale. The concentration of Cr was high in the west and low in the east, while that of Mo was high in the north and low in the south. High concentrations of Cu, Cd, Zn, and Pb were found in the central part of the city. The average enrichment degree of Cd is 5.94, reaching the standard of significant enrichment. The accumulation of Cr, Mo, Cu, Cd, Zn, and Pb is influenced by anthropogenic activity, including vehicle exhaustion, coal burning, and industrial processes. Health risk assessment shows that both non-carcinogenic and carcinogenic risks of selected heavy metals are within the safety standard and the rank of the carcinogenic risk of the four heavy metals is Cr > Co > Ni > Cd.

  20. Novel data sources for women's health research: mapping breast screening online information seeking through Google trends.

    Science.gov (United States)

    Fazeli Dehkordy, Soudabeh; Carlos, Ruth C; Hall, Kelli S; Dalton, Vanessa K

    2014-09-01

    Millions of people use online search engines everyday to find health-related information and voluntarily share their personal health status and behaviors in various Web sites. Thus, data from tracking of online information seeker's behavior offer potential opportunities for use in public health surveillance and research. Google Trends is a feature of Google which allows Internet users to graph the frequency of searches for a single term or phrase over time or by geographic region. We used Google Trends to describe patterns of information-seeking behavior in the subject of dense breasts and to examine their correlation with the passage or introduction of dense breast notification legislation. To capture the temporal variations of information seeking about dense breasts, the Web search query "dense breast" was entered in the Google Trends tool. We then mapped the dates of legislative actions regarding dense breasts that received widespread coverage in the lay media to information-seeking trends about dense breasts over time. Newsworthy events and legislative actions appear to correlate well with peaks in search volume of "dense breast". Geographic regions with the highest search volumes have passed, denied, or are currently considering the dense breast legislation. Our study demonstrated that any legislative action and respective news coverage correlate with increase in information seeking for "dense breast" on Google, suggesting that Google Trends has the potential to serve as a data source for policy-relevant research. Copyright © 2014 AUR. Published by Elsevier Inc. All rights reserved.

  1. Characterization and source apportionment of health risks from ambient PM10 in Hong Kong over 2000-2011

    Science.gov (United States)

    Li, Zhiyuan; Yuan, Zibing; Li, Ying; Lau, Alexis K. H.; Louie, Peter K. K.

    2015-12-01

    Atmospheric particulate matter (PM) pollution is a major public health concern in Hong Kong. In this study, the spatiotemporal variations of health risks from ambient PM10 from seven air quality monitoring stations between 2000 and 2011 were analyzed. Positive matrix factorization (PMF) was adopted to identify major source categories of ambient PM10 and quantify their contributions. Afterwards, a point-estimated risk model was used to identify the inhalation cancer and non-cancer risks of PM10 sources. The long-term trends of the health risks from classified local and non-local sources were explored. Furthermore, the reason for the increase of health risks during high PM10 days was discussed. Results show that vehicle exhaust source was the dominant inhalation cancer risk (ICR) contributor (72%), whereas trace metals and vehicle exhaust sources contributed approximately 27% and 21% of PM10 inhalation non-cancer risk (INCR), respectively. The identified local sources accounted for approximately 80% of the ICR in Hong Kong, while contribution percentages of the non-local and local sources for INCR are comparable. The clear increase of ICR at high PM days was mainly attributed to the increase of contributions from coal combustion/biomass burning and secondary sulfate, while the increase of INCR at high PM days was attributed to the increase of contributions from the sources coal combustion/biomass burning, secondary nitrate, and trace metals. This study highlights the importance of health risk-based source apportionment in air quality management with protecting human health as the ultimate target.

  2. λ (Δim) -statistical convergence of order α

    Science.gov (United States)

    Colak, Rifat; Et, Mikail; Altin, Yavuz

    2017-09-01

    In this study, using the generalized difference operator Δim and a sequence λ = (λn) which is a non-decreasing sequence of positive numbers tending to ∞ such that λn+1 ≤ λn+1, λ1 = 1, we introduce the concepts of λ (Δim) -statistical convergence of order α (α ∈ (0, 1]) and strong λ (Δim) -Cesàro summablility of order α (α > 0). We establish some connections between λ (Δim) -statistical convergence of order α and strong λ (Δim) -Cesàro summablility of order α. It is shown that if a sequence is strongly λ (Δim) -Cesàro summable of order α, then it is λ (Δim) -statistically convergent of order β in case 0 < α ≤ β ≤ 1.

  3. Pollution characteristics, source apportionment, and health risk of heavy metals in street dust of Suzhou, China.

    Science.gov (United States)

    Lin, Manli; Gui, Herong; Wang, Yao; Peng, Weihua

    2017-01-01

    To analyze the pollution characteristics, source apportionment, and health risk of heavy metals (HMs) in street dust of Suzhou, China, 23 sampling sites were selected and periodically sampled for 12 months. A total of 276 samples were collected, and the concentrations of selected HMs (e.g., Cr, Cu, Fe, Mn, Pb, V, and Zn) were examined with an X-ray fluorescence spectrum analyzer. Results showed that the mean concentrations of Cr, Cu, Fe, Mn, Pb, V, and Zn in the street dust of Suzhou were 112.9, 27.5, 19941.3, 410.3, 45.2, 75.6, and 225.3 mg kg -1 , respectively. Cr, Cu, Pb, and Zn exceeded their background values in local natural soils by 1.3-3.6-fold, whereas Fe, Mn, and V were all within their background values. However, enrichment factor analysis revealed that Cr, Cu, Mn, Pb, V, and Zn, especially Cr, Cu, Pb, and Zn, were enriched in Suzhou street dust. The HMs showed no significant seasonal changes overall, but spatial distribution analysis implied that the high values of Cr, Cu, Mn, Pb, V, and Zn were mainly distributed in areas with frequent human activities. Results of multivariate techniques (e.g., Pearson correlation, hierarchical cluster, and principal components analyses) suggested that Pb and Zn had complicated sources; Cu and V mainly originated from traffic sources; Fe and Mn mainly came from natural sources; and Cr was dominantly related to industrial district. Health risk assessment revealed that a single heavy metal might not cause both non-cancer and carcinogenic risks to local residents. Nevertheless, the sum of the hazard index of all selected HMs for children slightly exceeded the safety value, thereby implying that the HMs from Suzhou street dust can possibly produce significant risk to children. Cr was the priority pollutant in the study area because of its high concentration, high enrichment, and high contribution to non-cancer risk values.

  4. Fine particulate matter in the indoor air of barbeque restaurants: Elemental compositions, sources and health risks

    International Nuclear Information System (INIS)

    Taner, Simge; Pekey, Beyhan; Pekey, Hakan

    2013-01-01

    Cooking is a significant source of indoor particulate matter that can cause adverse health effects. In this study, a 5-stage cascade impactor was used to collect particulate matter from 14 restaurants that cooked with charcoal in Kocaeli, the second largest city in Turkey. A total of 24 elements were quantified using ICP-MS. All of the element contents except for Mn were higher for fine particles (PM 2.5 ) than coarse particles (PM >2.5 ), and the major trace elements identified in the PM 2.5 included V, Se, Zn, Cr, As, Cu, Ni, and Pb. Principle component analysis (PCA) and enrichment factor (EF) calculations were used to determine the sources of PM 2.5 . Four factors that explained over 77% of the total variance were identified by the PCA. These factors included charcoal combustion, indoor activities, crustal components, and road dust. The Se, As, Cd, and V contents in the PM 2.5 were highly enriched (EF > 100). The health risks posed by the individual metals were calculated to assess the potential health risks associated with inhaling the fine particles released during charcoal cooking. The total hazard quotient (total HQ) for a PM 2.5 of 4.09 was four times greater than the acceptable limit (i.e., 1.0). In addition, the excess lifetime cancer risk (total ELCR) for PM 2.5 was 1.57 × 10 −4 , which is higher than the acceptable limit of 1.0 × 10 −6 . Among all of the carcinogenic elements present in the PM 2.5 , the cancer risks resulting from Cr(VI) and As exposure were the highest (i.e., 1.16 × 10 −4 and 3.89 × 10 −5 , respectively). Overall, these results indicate that the lifetime cancer risk associated with As and Cr(VI) exposure is significant at selected restaurants, which is of concern for restaurant workers. - Highlights: • Particulate emissions from charcoal combustion in the BBQ restaurants were studied. • Vanadium, Se, Zn, Cr and As were found as high concentrations in PM 2.5 . • Charcoal combustion and indoor activities were the

  5. Phenolic-enriched foods: sources and processing for enhanced health benefits.

    Science.gov (United States)

    McDougall, Gordon J

    2017-05-01

    Polyphenols are ubiquitous secondary products present in many plant foods. Their intake has been associated with health benefits ranging from reduced incidence of CVD, diabetes and cancers to improved neurodegenerative outcomes. Major dietary sources include beverages such as coffee, teas and foods such as chocolate. Fruits are also major sources and berries in particular are a palatable source of a diverse range of polyphenol components. There are a number of ways that polyphenol uptake could be increased and healthier polyphenol-rich foods could be produced with specific compositions to target-specific health effects. Firstly, we could exploit the genetic diversity of plants (with a focus on berries) to select varieties that have enhanced levels of specific polyphenols implicated in disease mitigation (e.g. anthocyanins, tannins or flavonols). Working with variation induced by environmental and agronomic factors, modern molecular breeding techniques could exploit natural variation and beneficially alter polyphenol content and composition, although this could be relatively long term. Alternatively, we could employ a synthetic biology approach and design new plants that overexpress certain genes or re-deploy more metabolic effort into specific polyphenols. However, such 'polyphenol-plus' fruit could prove unpalatable as polyphenols contribute to sensorial properties (e.g. astringency of tannins). However, if the aim was to produce a polyphenol as a pharmaceutical then 'lifting' biosynthetic pathways from plants and expressing them in microbial vectors may be a feasible option. Secondly, we could design processing methods to enhance the polyphenolic composition or content of foods. Fermentation of teas, cocoa beans and grapes, or roasting of cocoa and coffee beans has long been used and can massively influence polyphenol composition and potential bioactivity. Simple methods such as milling, heat treatment, pasteurisation or juicing (v. pureeing) can have notable

  6. Fine particulate matter in the indoor air of barbeque restaurants: Elemental compositions, sources and health risks

    Energy Technology Data Exchange (ETDEWEB)

    Taner, Simge; Pekey, Beyhan, E-mail: bpekey@kocaeli.edu.tr; Pekey, Hakan

    2013-06-01

    Cooking is a significant source of indoor particulate matter that can cause adverse health effects. In this study, a 5-stage cascade impactor was used to collect particulate matter from 14 restaurants that cooked with charcoal in Kocaeli, the second largest city in Turkey. A total of 24 elements were quantified using ICP-MS. All of the element contents except for Mn were higher for fine particles (PM{sub 2.5}) than coarse particles (PM{sub >2.5}), and the major trace elements identified in the PM{sub 2.5} included V, Se, Zn, Cr, As, Cu, Ni, and Pb. Principle component analysis (PCA) and enrichment factor (EF) calculations were used to determine the sources of PM{sub 2.5}. Four factors that explained over 77% of the total variance were identified by the PCA. These factors included charcoal combustion, indoor activities, crustal components, and road dust. The Se, As, Cd, and V contents in the PM{sub 2.5} were highly enriched (EF > 100). The health risks posed by the individual metals were calculated to assess the potential health risks associated with inhaling the fine particles released during charcoal cooking. The total hazard quotient (total HQ) for a PM{sub 2.5} of 4.09 was four times greater than the acceptable limit (i.e., 1.0). In addition, the excess lifetime cancer risk (total ELCR) for PM{sub 2.5} was 1.57 × 10{sup −4}, which is higher than the acceptable limit of 1.0 × 10{sup −6}. Among all of the carcinogenic elements present in the PM{sub 2.5}, the cancer risks resulting from Cr(VI) and As exposure were the highest (i.e., 1.16 × 10{sup −4} and 3.89 × 10{sup −5}, respectively). Overall, these results indicate that the lifetime cancer risk associated with As and Cr(VI) exposure is significant at selected restaurants, which is of concern for restaurant workers. - Highlights: • Particulate emissions from charcoal combustion in the BBQ restaurants were studied. • Vanadium, Se, Zn, Cr and As were found as high concentrations in PM{sub 2.5}.

  7. Source attribution and credibility of health and appearance exercise advertisements: relationship with implicit and explicit attitudes and intentions.

    Science.gov (United States)

    Berry, Tanya R; Shields, Chris

    2014-02-01

    The relationship of attributed source (commercial or nonprofit) and credibility of exercise advertisements to explicit and implicit exercise-related attitudes and intentions was examined. Male and female participants (N = 227) were randomly assigned to watch health or appearance-related advertisements and then completed an implicit attitudes task and questionnaires. Health advertisements and those attributed to a nonprofit source were rated more credible. Appearance condition participants who attributed the advertisement to a nonprofit source also rated the advertisement as more credible. Participants who rated a commercial advertisement as credible reported higher implicit instrumental attitudes. Implications for exercise promotion are discussed.

  8. 78 FR 54652 - Sole Source Cooperative Agreement Award to the Association for State and Territorial Health...

    Science.gov (United States)

    2013-09-05

    ... coordinate their respective national health security roles and responsibilities to achieve community health... and territorial health officials, which play a critical role in building community health resilience... resilience. SHDs and territorial health officials are intimately familiar with the communities and...

  9. The Human Face of Health News: A Multi-Method Analysis of Sourcing Practices in Health-Related News in Belgian Magazines.

    Science.gov (United States)

    De Dobbelaer, Rebeca; Van Leuven, Sarah; Raeymaeckers, Karin

    2018-05-01

    Health journalists are central gatekeepers who select, frame, and communicate health news to a broad audience, but the selection and content of health news are also influenced by the sources journalists, rely on (Hinnant, Len-Rios, & Oh, 2012). In this paper, we examine whether the traditional elitist sourcing practices (e.g., research institutions, government) are still important in a digitalized news environment where bottom-up non-elite actors (e.g., patients, civil society organizations) can act as producers (Bruns, 2003). Our main goal, therefore, is to detect whether sourcing practices in health journalism can be linked with strategies of empowerment. We use a multi-method approach combining quantitative and qualitative research methods. First, two content analyses are developed to examine health-related news in Belgian magazines (popular weeklies, health magazines, general interest magazines, and women's magazines). The analyses highlight sourcing practices as visible in the texts and give an overview of the different stakeholders represented as sources. In the first wave, the content analysis includes 1047 health-related news items in 19 different Belgian magazines (March-June 2013). In the second wave, a smaller sample of 202 health-related items in 10 magazines was studied for follow-up reasons (February 2015). Second, to contextualize the findings of the quantitative analysis, we interviewed 16 health journalists and editors-in-chief. The results illustrate that journalists consider patients and blogs as relevant sources for health news; nonetheless, elitist sourcing practices still prevail at the cost of bottom-up communication. However, the in-depth interviews demonstrate that journalists increasingly consult patients and civil society actors to give health issues a more "human" face. Importantly, the study reveals that this strategy is differently applied by the various types of magazines. While popular weeklies and women's magazines give a voice to

  10. Emotionsregulationsstrategien und aggressives Verhalten im Kindergartenalter

    OpenAIRE

    Helmsen, Johanna; Petermann, Franz

    2010-01-01

    In der vorliegenden Studie (N = 193) wurde untersucht, ob sich körperlich und relational aggressive Kinder im Kindergartenalter (mittleres Alter: 55 Monate) in ihren Emotionsregulationsstrategien von ihren unauffälligen Altersgenossen unterscheiden. Zur Erhebung der Emotionsregulation wurde eine strukturierte, videografierte Verhaltensbeobachtung durchgeführt, in der gezielt Frustration ausgelöst wurde. Anschließend wurden Regulationsstrategien in sieben verschiedenen Kategorien ausgewertet. ...

  11. THOR Ion Mass Spectrometer instrument - IMS

    Science.gov (United States)

    Retinò, Alessandro; Kucharek, Harald; Saito, Yoshifumi; Fraenz, Markus; Verdeil, Christophe; Leblanc, Frederic; Techer, Jean-Denis; Jeandet, Alexis; Macri, John; Gaidos, John; Granoff, Mark; Yokota, Shoichiro; Fontaine, Dominique; Berthomier, Matthieu; Delcourt, Dominique; Kistler, Lynn; Galvin, Antoniette; Kasahara, Satoshi; Kronberg, Elena

    2016-04-01

    Turbulence Heating ObserveR (THOR) is the first mission ever flown in space dedicated to plasma turbulence. Specifically, THOR will study how turbulent fluctuations at kinetic scales heat and accelerate particles in different turbulent environments within the near-Earth space. To achieve this goal, THOR payload is being designed to measure electromagnetic fields and particle distribution functions with unprecedented resolution and accuracy. Here we present the Ion Mass Spectrometer (IMS) instrument that will measure the full three-dimensional distribution functions of near-Earth main ion species (H+, He+, He++ and O+) at high time resolution (~ 150 ms for H+ , ~ 300 ms for He++) with energy resolution down to ~ 10% in the range 10 eV/q to 30 keV/q and angular resolution ~ 10°. Such high time resolution is achieved by mounting multiple sensors around the spacecraft body, in similar fashion to the MMS/FPI instrument. Each sensor combines a top-hat electrostatic analyzer with deflectors at the entrance together with a time-of-flight section to perform mass selection. IMS electronics includes a fast sweeping high voltage board that is required to make measurements at high cadence. Ion detection includes Micro Channel Plates (MCP) combined with Application-Specific Integrated Circuits (ASICs) for charge amplification, discrimination and time-to-digital conversion (TDC). IMS is being designed to address many of THOR science requirements, in particular ion heating and acceleration by turbulent fluctuations in foreshock, shock and magnetosheath regions. The IMS instrument is being designed and will be built by an international consortium of scientific institutes with main hardware contributions from France, USA, Japan and Germany.

  12. Experimentelle Untersuchungen zur sonographischen Frakturdiagnostik im Kinderalter

    OpenAIRE

    Meuser, Stefan Heinrich Peter

    2010-01-01

    Falsch diagnostiziert und nicht korrekt therapiert können Frakturen im Kindesalter zu Wachstumsstörungen und damit verbundenen lebenslangen Problemen führen. Nach einem Trauma ist die klinische Untersuchung und Bestimmung des Schmerzmaximums gerade bei Kindern oft sehr schwierig. So müssen häufig mehrere Röntgenaufnahmen getätigt werden, ehe eine Fraktur sicher diagnostiziert oder ausgeschlossen werden kann. Die hierbei auftretende ionisierende Strahlung geht jedoch besonder...

  13. Professionelle Literaturrecherche und -verwaltung im Web [Praxisbericht

    OpenAIRE

    Schaffert, Sandra

    2007-01-01

    In diesem Beitrag werden Hinweise für eine professionelle Literaturrecherche und -verwaltung im World Wide Web gegeben. Dazu werden für die pädagogische Ausbildung und Forschung einschlägige Literaturdatenbanken genannt, insbesondere solche, die kostenlos zu nutzen sind. Außerdem werden Tipps für clevere Recherchen sowie eine kurze Übersicht über Web-Werkzeuge zur Verwaltung von bibliografischen Angaben gegeben. (DIPF/Orig.)

  14. Dynamik des Kaufverhaltens im Bio-Sortiment

    OpenAIRE

    Buder, Fabian; Hamm, Ulrich; Bickel, Malte; Bien, Barbara; Michels, Paul

    2010-01-01

    Das Gesamtziel des vorliegenden Forschungsprojekts war es, eine detaillierte Informationsgrundlage zum tatsächlichen Kaufverhalten von deutschen Haushalten bei ökologischen Lebensmitteln auf der Basis von Haushaltspaneldaten zu erstellen. Dazu sollten zum einen relevante Aspekte des Kaufverhaltens von Haushalten bei Öko-Lebensmitteln im Zeitverlauf von 2004 bis 2008 analysiert und zum anderen die Einflussfaktoren des Kaufverhaltens bei Öko-Lebensmitteln für das Jahr 2008 identifiziert werden....

  15. Gewerbsmässigkeit im schweizerischen Luftrecht

    OpenAIRE

    Müller, Roland

    2005-01-01

    Der Begriff der Gewerbsmässigkeit hat im schweizerischen Luftrecht eine grosse Bedeutung. Werden gewerbsmässige Flüge ohne die entsprechenden Bewilligungen und Voraussetzungen durchgeführt, so resultieren gravierende zivilrechtliche, strafrechtliche und administrative Konsequenzen. In den massgebenden internationalen Luftfahrtabkommen findet sich keine Definition der Gewerbsmässigkeit, dies wird den einzelnen Staaten überlassen. Nur in den Joint Aviation Requirements und in der EU-Zollver...

  16. The MyHealthService approach for chronic disease management based on free open source software and low cost components.

    Science.gov (United States)

    Vognild, Lars K; Burkow, Tatjana M; Luque, Luis Fernandez

    2009-01-01

    In this paper we present an approach to building personal health services, supporting following-up, physical exercising, health education, and psychosocial support for the chronically ill, based on free open source software and low-cost computers, mobile devices, and consumer health and fitness devices. We argue that this will lower the cost of the systems, which is important given the increasing number of people with chronicle diseases and limited healthcare budgets.

  17. Maize—A potential source of human nutrition and health: A review

    Directory of Open Access Journals (Sweden)

    Tajamul Rouf Shah

    2016-12-01

    Full Text Available Maize or corn (Zea mays L. is an important cereal crop of the world. It is a source of nutrition as well as phytochemical compounds. Phytochemicals play an important role in preventing chronic diseases. It contains various major phytochemicals such as carotenoids, phenolic compounds, and phytosterols. It is believed to have potential anti-HIV activity due to the presence of Galanthus nivalis agglutinin (GNA lectin or GNA-maize. A tablespoon of maize oil satisfies the requirements for essential fatty acids for a healthy child or adult. Decoction of maize silk, roots, leaves, and cob are used for bladder problems, nausea, vomiting, and stomach complaints. Zein an alcohol-soluble prolamine found in maize endosperm has unique novel applications in pharmaceutical and nutraceutical areas. Resistant starch (RS from maize reduces the risk of cecal cancer, atherosclerosis, and obesity-related complications. This review presents a detailed view on the nutritional and potential health benefits of maize.

  18. Health surveillance of medical personnel occupationally exposed to ionizing radiation sources: Biomonitoring and dosimetry

    International Nuclear Information System (INIS)

    Brumen, V.; Prlic, I.; Radalj, Z.; Horvat, D.; Cerovac, H.

    1996-01-01

    The aim of this work is to present the complete results of periodical health surveillance of medical personnel occupationally exposed to ionizing radiation sources, conducted according to established law regulations in Croatia. The report comprises a total of 21 examinees (11 female, 10 male), mean age 43,19 ± 9,85 years, originating from different professional groups and working in a radiation zone 14,7 ± 8,27 years on the average. Within the framework of this study, the results of their biomonitoring, including haematological parameters (whole blood count), ophthalmological findings (fundus oculi), cytogenetic test (conventional structural chromosomal aberration analysis) and peripheral blood flow survey (capillaroscopy and dermothermometry) will be presented. Filmdosimetric data for the referred period will also be reported. (author)

  19. Waste collection in developing countries - Tackling occupational safety and health hazards at their source

    Energy Technology Data Exchange (ETDEWEB)

    Bleck, Daniela, E-mail: bleck.daniela@baua.bund.de [Federal Institute for Occupational Safety and Health, Germany (BAuA), Friedrich Henkel Weg 1-25, 44149 Dortmund (Germany); Wettberg, Wieland, E-mail: wettberg.wieland@baua.bund.de [Federal Institute for Occupational Safety and Health, Germany (BAuA), Friedrich Henkel Weg 1-25, 44149 Dortmund (Germany)

    2012-11-15

    Waste management procedures in developing countries are associated with occupational safety and health risks. Gastro-intestinal infections, respiratory and skin diseases as well as muscular-skeletal problems and cutting injuries are commonly found among waste workers around the globe. In order to find efficient, sustainable solutions to reduce occupational risks of waste workers, a methodological risk assessment has to be performed and counteractive measures have to be developed according to an internationally acknowledged hierarchy. From a case study in Addis Ababa, Ethiopia suggestions for the transferral of collected household waste into roadside containers are given. With construction of ramps to dump collected household waste straight into roadside containers and an adaptation of pushcarts and collection procedures, the risk is tackled at the source.

  20. Waste collection in developing countries – Tackling occupational safety and health hazards at their source

    International Nuclear Information System (INIS)

    Bleck, Daniela; Wettberg, Wieland

    2012-01-01

    Waste management procedures in developing countries are associated with occupational safety and health risks. Gastro-intestinal infections, respiratory and skin diseases as well as muscular-skeletal problems and cutting injuries are commonly found among waste workers around the globe. In order to find efficient, sustainable solutions to reduce occupational risks of waste workers, a methodological risk assessment has to be performed and counteractive measures have to be developed according to an internationally acknowledged hierarchy. From a case study in Addis Ababa, Ethiopia suggestions for the transferral of collected household waste into roadside containers are given. With construction of ramps to dump collected household waste straight into roadside containers and an adaptation of pushcarts and collection procedures, the risk is tackled at the source.

  1. Health information exchanges--Unfulfilled promise as a data source for clinical research.

    Science.gov (United States)

    Parker, Carol; Weiner, Michael; Reeves, Mathew

    2016-03-01

    To determine the use of health information exchange organizations (HIEs) to support and conduct clinical research. This scoping review included US-based studies published between January 2003 and March 2014 that used data from an HIE to address at least one of three categories of research: clinical or epidemiological research, financial evaluation, or utilization of health services. Eligibility was not restricted to research on HIEs. Studies with research questions outside of the evaluation of HIEs themselves were sought. Eighteen articles met final study inclusion criteria from an initial list of 847 hits. Fifteen studies addressed a clinical or epidemiological research question, 6 addressed a financial consideration, and 8 addressed a utilization issue. Considerable overlap was found among the research categories: 13 articles addressed more than one category. Of the eighteen included studies, only two used HIE data to answer a research objective that was NOT specific to HIE use. Research designs were varied and ranged from observational studies, such as cohort and cross-sectional studies, to randomized trials. The 18 articles represent the involvement of a small number of HIEs; 7 of the studies were from a single HIE. This review demonstrates that HIE-provided information is available and used to answer clinical or epidemiological, financial, or utilization-based research questions; however, the majority of the studies using HIE data are done with the primary goal of evaluating the use and impact of HIEs on health care delivery and outcomes. As HIEs mature and become integrated parts of the health care industry, the authors anticipate that fewer studies will be published that describe or validate the role of HIEs, and more will use HIEs as multi-institutional data sources for conducting clinical research and improving health services and clinical outcomes. Articles identified in this review indicate the limited extent that HIE data are being used for clinical

  2. Mapping human health risks from exposure to trace metal contamination of drinking water sources in Pakistan.

    Science.gov (United States)

    Bhowmik, Avit Kumar; Alamdar, Ambreen; Katsoyiannis, Ioannis; Shen, Heqing; Ali, Nadeem; Ali, Syeda Maria; Bokhari, Habib; Schäfer, Ralf B; Eqani, Syed Ali Musstjab Akber Shah

    2015-12-15

    The consumption of contaminated drinking water is one of the major causes of mortality and many severe diseases in developing countries. The principal drinking water sources in Pakistan, i.e. ground and surface water, are subject to geogenic and anthropogenic trace metal contamination. However, water quality monitoring activities have been limited to a few administrative areas and a nationwide human health risk assessment from trace metal exposure is lacking. Using geographically weighted regression (GWR) and eight relevant spatial predictors, we calculated nationwide human health risk maps by predicting the concentration of 10 trace metals in the drinking water sources of Pakistan and comparing them to guideline values. GWR incorporated local variations of trace metal concentrations into prediction models and hence mitigated effects of large distances between sampled districts due to data scarcity. Predicted concentrations mostly exhibited high accuracy and low uncertainty, and were in good agreement with observed concentrations. Concentrations for Central Pakistan were predicted with higher accuracy than for the North and South. A maximum 150-200 fold exceedance of guideline values was observed for predicted cadmium concentrations in ground water and arsenic concentrations in surface water. In more than 53% (4 and 100% for the lower and upper boundaries of 95% confidence interval (CI)) of the total area of Pakistan, the drinking water was predicted to be at risk of contamination from arsenic, chromium, iron, nickel and lead. The area with elevated risks is inhabited by more than 74 million (8 and 172 million for the lower and upper boundaries of 95% CI) people. Although these predictions require further validation by field monitoring, the results can inform disease mitigation and water resources management regarding potential hot spots. Copyright © 2015 Elsevier B.V. All rights reserved.

  3. Toward an Intelligent Ion Mobility Spectrometer (IMS)

    International Nuclear Information System (INIS)

    McJunkin, Timothy R.; Scott, Jill R.; Miller, Carla J.

    2003-01-01

    The ultimate goal is to design and build a very smart ion mobility spectrometer (IMS) that can operate autonomously. To accomplish this, software capable of interpreting spectra so that it can be used in control loops for data interpretation as well as adjusting instrument parameters is being developed. Fuzzy logic and fuzzy numbers are used in this IMS spectra classification scheme. Fuzzy logic provides a straight forward method for developing a classification/detection system, whenever rules for classifying the spectra can be described linguistically. Instead of using 'max' and 'min' values, the product of the truth values is used to determine class membership. Using the product allows rule-bases that utilize the AND function to allow each condition to discount truth value in determining membership, while rule-bases with an OR function are allowed to accumulate membership. Fuzzy numbers allow encapsulation of the uncertainties due to ion mobility peak widths as well as measured instrumental parameters, such as pressure and temperature. Associating a peak with a value of uncertainty, in addition to making adjustments to the mobility calculation based on variations in measured parameters, enables unexpected shifts to be more reliably detected and accounted for; thereby, reducing the opportunity for 'false negative' results. The measure of uncertainty is anticipated to serve the additional purpose of diagnosing the operational conditions of the IMS instrument.

  4. Grand Prix Eurovision: Eine Fankultur im Medienzeitalter

    Directory of Open Access Journals (Sweden)

    Heinz Moser

    2017-06-01

    Full Text Available Der Grand Prix Eurovision ist seit Jahrzehnten eine der bekanntesten Unterhaltungssendungen im europäischen Raum. Dennoch erregte es Verwunderung, wenn der Schreibende Bekannten darüber berichtete, daß dies ein Forschungsgegenstand sei. Wurde von Interviews mit Grand Prix-Fans erzählt, so fielen schnell Aussagen wie: „Wie kann man sich nur für so etwas Abseitiges und Triviales wie den Grand Prix interessieren“. Dennoch bin ich der Meinung, daß Fankulturen für die entstehende Mediengesellschaft ein nicht unwichtiges Forschungsthema darstellen. Zwar geht es nicht um eine medienpädagogische Fragestellung im engeren Sinne; die Fans des Grand Prix Eurovision sind dem Jugendalter längst entwachsen. Dennoch handelt es sich bei Fangemeinschaften um Phänomene, die im Rahmen von Jugend- und Kinderkulturen von besonderer Relevanz sind. So meint Winter (1997, daß jugendliche Fanwelten eine bedeutende Rolle als Kristallisationspunkte kultureller Differenzierung spielen: ,Die Zugehörigkeit zu einer Fan weit ist Teil der jugendlichen Lebensbewältigung in der Postmoderne, denn in der Gemeinschaft der Fans können Jugendliche emotionale Allianzen eingehen, außeralltäglichen Beschäftigungen nachgehen, expressive Identitätsmuster gemeinschaftlich realisieren und sich mit ihrer Lebenssituation als Heranwachsende auseinandersetzen“ (Winter 1997, S. 51f..

  5. Aerosol Health Impact Source Attribution Studies with the CMAQ Adjoint Air Quality Model

    Science.gov (United States)

    Turner, M. D.

    Fine particulate matter (PM2.5) is an air pollutant consisting of a mixture of solid and liquid particles suspended in the atmosphere. Knowledge of the sources and distributions of PM2.5 is important for many reasons, two of which are that PM2.5 has an adverse effect on human health and also an effect on climate change. Recent studies have suggested that health benefits resulting from a unit decrease in black carbon (BC) are four to nine times larger than benefits resulting from an equivalent change in PM2.5 mass. The goal of this thesis is to quantify the role of emissions from different sectors and different locations in governing the total health impacts, risk, and maximum individual risk of exposure to BC both nationally and regionally in the US. We develop and use the CMAQ adjoint model to quantify the role of emissions from all modeled sectors, times, and locations on premature deaths attributed to exposure to BC. From a national analysis, we find that damages resulting from anthropogenic emissions of BC are strongly correlated with population and premature death. However, we find little correlation between damages and emission magnitude, suggesting that controls on the largest emissions may not be the most efficient means of reducing damages resulting from BC emissions. Rather, the best proxy for locations with damaging BC emissions is locations where premature deaths occur. Onroad diesel and nonroad vehicle emissions are the largest contributors to premature deaths attributed to exposure to BC, while onroad gasoline emissions cause the highest deaths per amount emitted. Additionally, emissions in fall and winter contribute to more premature deaths (and more per amount emitted) than emissions in spring and summer. From a regional analysis, we find that emissions from outside each of six urban areas account for 7% to 27% of the premature deaths attributed to exposure to BC within the region. Within the region encompassing New York City and Philadelphia

  6. Red Chicory (Cichorium intybus L. cultivar as a Potential Source of Antioxidant Anthocyanins for Intestinal Health

    Directory of Open Access Journals (Sweden)

    Laura D'evoli

    2013-01-01

    Full Text Available Fruit- and vegetable-derived foods have become a very significant source of nutraceutical phytochemicals. Among vegetables, red chicory (Cichorium Intybus L. cultivar has gained attention for its content of phenolic compounds, such as the anthocyanins. In this study, we evaluated the nutraceutical effects, in terms of antioxidant, cytoprotective, and antiproliferative activities, of extracts of the whole leaf or only the red part of the leaf of Treviso red chicory (a typical Italian red leafy plant in various intestinal models, such as Caco-2 cells, differentiated in normal intestinal epithelia and undifferentiated Caco-2 cells. The results show that the whole leaf of red chicory can represent a good source of phytochemicals in terms of total phenolics and anthocyanins as well as the ability of these phytochemicals to exert antioxidant and cytoprotective effects in differentiated Caco-2 cells and antiproliferative effects in undifferentiated Caco-2 cells. Interestingly, compared to red chicory whole leaf extracts, the red part of leaf extracts had a significantly higher content of both total phenolics and anthocyanins. The same extracts effectively corresponded to an increase of antioxidant, cytoprotective, and antiproliferative activities. Taken together, these findings suggest that the red part of the leaf of Treviso red chicory with a high content of antioxidant anthocyanins could be interesting for development of new food supplements to improve intestinal health.

  7. The implementation of the Plan Esperanza and response to the imPACT Review.

    Science.gov (United States)

    Vidaurre, Tatiana; Santos, Carlos; Gómez, Henry; Sarria, Gustavo; Amorin, Edgar; López, Marga; Regalado, Roxana; Manrique, Javier; Tarco, Duniska; Ayestas, Carlos; Calderón, Mónica; Mas, Luis; Neciosup, Silvia; Salazar, Miriam; Chávez, Juan Carlos; Ubillus, Milward; Limache, Abel; Ubillus, José Carlos; Navarro, Jeannie; Sarwal, Kavita; Sutcliffe, Simon; Gutiérrez-Aguado, Alfonso; Silva, Marianela; Mena, Amalia; Guillén, María Eugenia; Castañeda, Carlos; Abugattas, Julio

    2017-10-01

    Following the implementation of the National Cancer Prevention and Control Results-based Budget Programme (PpR Cancer-024) in 2011, the Peruvian Government approved the Plan Esperanza-a population-based national cancer control plan-in 2012. Legislation that ensured full government-supported funding for people who were otherwise unable to access or afford care and treatment accompanied the Plan. In 2013, the Ministry of Health requested an integrated mission of the Programme of Action for Cancer Therapy (imPACT) report to strengthen cancer control in Peru. The imPACT Review, which was executed in 2014, assessed Peru's achievements in cancer control, and areas for improvement, including cancer control planning, further development of population-based cancer registration, increased prevention, early diagnosis, treatment and palliative care, and the engagement and participation of civil society in the health-care system. This Series paper gives a brief history of the development of the Plan Esperanza, describes the innovative funding model that supports it, and summarises how funds are disseminated on the basis of disease, geography, and demographics. An overview of the imPACT Review, and the government's response in the context of the Plan Esperanza, is provided. The development and execution of the Plan Esperanza and the execution of and response to the imPACT Review demonstrates the Peruvian Government's commitment to fighting cancer across the country, including in remote and urban areas. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Bismarck meets Beveridge on the Silk Road: coordinating funding sources to create a universal health financing system in Kyrgyzstan.

    Science.gov (United States)

    Kutzin, Joseph; Ibraimova, Ainura; Jakab, Melitta; O'Dougherty, Sheila

    2009-07-01

    Options for health financing reform are often portrayed as a choice between general taxation (known as the Beveridge model) and social health insurance (known as the Bismarck model). Ten years of health financing reform in Kyrgyzstan, since the introduction of its compulsory health insurance fund in 1997, provide an excellent example of why it is wrong to reduce health financing policy to a choice between the Beveridge and Bismarck models. Rather than fragment the system according to the insurance status of the population, as many other low- and middle-income countries have done, the Kyrgyz reforms were guided by the objective of having a single system for the entire population. Key features include the role and gradual development of the compulsory health insurance fund as the single purchaser of health-care services for the entire population using output-based payment methods, the complete restructuring of pooling arrangements from the former decentralized budgetary structure to a single national pool, and the establishment of an explicit benefit package. Central to the process was the transformation of the role of general budget revenues - the main source of public funding for health - from directly subsidizing the supply of services to subsidizing the purchase of services on behalf of the entire population by redirecting them into the health insurance fund. Through their approach to health financing policy, and pooling in particular, the Kyrgyz health reformers demonstrated that different sources of funds can be used in an explicitly complementary manner to enable the creation of a unified, universal system.

  9. 5 CFR 890.1048 - Waiver of debarment for a provider that is the sole source of health care services in a community.

    Science.gov (United States)

    2010-01-01

    ... is the sole source of health care services in a community. 890.1048 Section 890.1048 Administrative... HEALTH BENEFITS PROGRAM Administrative Sanctions Imposed Against Health Care Providers Exceptions to the Effect of Debarments § 890.1048 Waiver of debarment for a provider that is the sole source of health care...

  10. Strawberry Achenes Are an Important Source of Bioactive Compounds for Human Health

    Directory of Open Access Journals (Sweden)

    María Teresa Ariza

    2016-07-01

    Full Text Available Strawberries are highly appreciated for their taste, nutritional value and antioxidant compounds, mainly phenolics. Fruit antioxidants derive from achenes and flesh, but achene contribution to the total fruit antioxidant capacity and to the bioaccessibility after intake is still unknown. In this work, the content of total phenolic compounds, flavonoids, anthocyanins and antioxidant capacity (TEAC, FRAP and DPPH of achenes and flesh were compared in non-digested as well as in gastric and intestinal extracts after in vitro digestion. Results showed that, despite strawberry achenes represent a small fraction of the fruit, their contribution to total fruit antioxidant content was more than 41% and accounted for 81% of antioxidant capacity (TEAC. Achenes have higher quantity and different quality of antioxidants in non-digested and digested extracts. Antioxidant release was higher in the in vitro gastric digested extracts, but digestion conditions did not only affect quantity but quality, resulting in differences in antioxidant capacity and highlighting the importance of simulating physiological-like extraction conditions for assessing fruit antioxidant properties on human health. These results give new insights into the use of strawberry achenes as a source of bioactive compounds to be considered in strawberry breeding programs for improving human health.

  11. Strawberry Achenes Are an Important Source of Bioactive Compounds for Human Health

    Science.gov (United States)

    Ariza, María Teresa; Reboredo-Rodríguez, Patricia; Mazzoni, Luca; Forbes-Hernández, Tamara Yuliett; Giampieri, Francesca; Afrin, Sadia; Gasparrini, Massimiliano; Soria, Carmen; Martínez-Ferri, Elsa; Battino, Maurizio; Mezzetti, Bruno

    2016-01-01

    Strawberries are highly appreciated for their taste, nutritional value and antioxidant compounds, mainly phenolics. Fruit antioxidants derive from achenes and flesh, but achene contribution to the total fruit antioxidant capacity and to the bioaccessibility after intake is still unknown. In this work, the content of total phenolic compounds, flavonoids, anthocyanins and antioxidant capacity (TEAC, FRAP and DPPH) of achenes and flesh were compared in non-digested as well as in gastric and intestinal extracts after in vitro digestion. Results showed that, despite strawberry achenes represent a small fraction of the fruit, their contribution to total fruit antioxidant content was more than 41% and accounted for 81% of antioxidant capacity (TEAC). Achenes have higher quantity and different quality of antioxidants in non-digested and digested extracts. Antioxidant release was higher in the in vitro gastric digested extracts, but digestion conditions did not only affect quantity but quality, resulting in differences in antioxidant capacity and highlighting the importance of simulating physiological-like extraction conditions for assessing fruit antioxidant properties on human health. These results give new insights into the use of strawberry achenes as a source of bioactive compounds to be considered in strawberry breeding programs for improving human health. PMID:27409612

  12. Sources of information about mental health and links to help seeking: findings from the 2007 Australian National Survey of Mental Health and Wellbeing.

    Science.gov (United States)

    Reavley, Nicola J; Cvetkovski, Stefan; Jorm, Anthony F

    2011-12-01

    The aim of this paper is to provide an analysis of data from the National Survey of Mental Health and Wellbeing (NSMHWB) on the factors associated with the use of sources of information on mental health. A further aim is to examine the associations between the use of information sources and professional help-seeking. Data from the 2007 NSMHWB were used. The survey sample comprised 8,841 residents of private dwellings across Australia aged 16-85 years. Television was the most common source of information about mental health issues in the previous 12 months (accessed by 20.5% of respondents) followed by pamphlets and brochures (accessed by 15.6% of respondents). Having an anxiety or affective disorder, female gender, higher levels of education and having a family member with a mental health problem was associated with the seeking of information on mental health issues from the internet, non-fiction books and brochures/pamphlets. Accessing information on the internet was associated with increased use of any mental health services, GPs and mental health professionals (MHPs). The results suggest that promotion of internet resources may offer the opportunity to increase help seeking for mental health problems and may offer the opportunity to engage those least likely to seek professional help, notably young males.

  13. Cyberbullying und Empathie : affektive, kognitive und medienbasierte Empathie im Kontext von Cyberbullying im Kindes- und Jugendalter

    OpenAIRE

    Pfetsch, Jan; Müller, Christin R.; Ittel, Angela

    2014-01-01

    "Bei medial vermittelter Kommunikation sinkt sowohl die Hemmschwelle für aggressive Verhaltensweisen wie Cyberbullying als auch die Wahrscheinlichkeit empathischer Reaktionen. Im Fokus der vorliegenden Studie mit 979 Schülerinnen und Schülern der 4.-8. Klassen (M=12.01, SD=1.68 Jahre, 55% weiblich) stand die Frage, ob Cyberbullies geringere Ausprägungen für affektive, kognitive und medienbasierte Empathie aufweisen als Unbeteiligte. Empathie wurde im Selbst- und Peerbericht erhoben. Hypothese...

  14. Trust in Health Information Sources: Survey Analysis of Variation by Sociodemographic and Tobacco Use Status in Oklahoma.

    Science.gov (United States)

    Brown-Johnson, Cati G; Boeckman, Lindsay M; White, Ashley H; Burbank, Andrea D; Paulson, Sjonna; Beebe, Laura A

    2018-02-12

    Modern technology (ie, websites and social media) has significantly changed social mores in health information access and delivery. Although mass media campaigns for health intervention have proven effective and cost-effective in changing health behavior at a population scale, this is best studied in traditional media sources (ie, radio and television). Digital health interventions are options that use short message service/text messaging, social media, and internet technology. Although exposure to these products is becoming ubiquitous, electronic health information is novel, incompletely disseminated, and frequently inaccurate, which decreases public trust. Previous research has shown that audience trust in health care providers significantly moderates health outcomes, demographics significantly influence audience trust in electronic media, and preexisting health behaviors such as smoking status significantly moderate audience receptivity to traditional mass media. Therefore, modern health educators must assess audience trust in all sources, both media (traditional and digital) and interpersonal, to balance pros and cons before structuring multicomponent community health interventions. We aimed to explore current trust and moderators of trust in health information sources given recent changes in digital health information access and delivery to inform design of future health interventions in Oklahoma. We conducted phone surveys of a cross-sectional sample of 1001 Oklahoma adults (age 18-65 years) in spring 2015 to assess trust in seven media sources: traditional (television and radio), electronic (online and social media), and interpersonal (providers, insurers, and family/friends). We also gathered information on known moderators of trust (sociodemographics and tobacco use status). We modeled log odds of a participant rating a source as "trustworthy" (SAS PROC SURVEYLOGISTIC), with subanalysis for confounders (sociodemographics and tobacco use). Oklahomans showed

  15. Engineering and development projects for the sustainment and enhancement of the IMS infrasound network

    Science.gov (United States)

    Marty, J.; Martysevich, P.; Kramer, A.; Haralabus, G.

    2012-04-01

    The Provisional Technical Secretariat (PTS) of the Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO) has a continuous interest in enhancing its capability in infrasound source localization and characterization. This capability is based on the processing of data recorded by the infrasound network of the International Monitoring System (IMS). This infrasound network consists of sixty stations, among which forty-five are already certified and continuously transmit data to the International Data Center (IDC) in Vienna, Austria. Each infrasound station is composed of an array of infrasound sensors capable of measuring micro-pressure changes produced at ground level by infrasonic waves. It is the responsibility of the Engineering and Development Section of the IMS Division to ensure the highest quality for IMS infrasound data. This includes the design of robust and reliable infrasound stations, the use of accurate and calibrated infrasound measuring chains, the installation of efficient wind noise reduction systems and the implementation of quality-control tools. The purpose of this paper is to present ongoing PTS infrasound engineering and development projects related to the testing and validation of wind noise reduction system models, the implementation of infrasound data QC tools, the definition of guidelines for the design of IMS power supply systems and the development of a portable infrasound calibrator and of field kits for site survey and certification.

  16. Illness Mapping: a time and cost effective method to estimate healthcare data needed to establish community-based health insurance

    Directory of Open Access Journals (Sweden)

    Binnendijk Erika

    2012-10-01

    Full Text Available Abstract Background Most healthcare spending in developing countries is private out-of-pocket. One explanation for low penetration of health insurance is that poorer individuals doubt their ability to enforce insurance contracts. Community-based health insurance schemes (CBHI are a solution, but launching CBHI requires obtaining accurate local data on morbidity, healthcare utilization and other details to inform package design and pricing. We developed the “Illness Mapping” method (IM for data collection (faster and cheaper than household surveys. Methods IM is a modification of two non-interactive consensus group methods (Delphi and Nominal Group Technique to operate as interactive methods. We elicited estimates from “Experts” in the target community on morbidity and healthcare utilization. Interaction between facilitator and experts became essential to bridge literacy constraints and to reach consensus. The study was conducted in Gaya District, Bihar (India during April-June 2010. The intervention included the IM and a household survey (HHS. IM included 18 women’s and 17 men’s groups. The HHS was conducted in 50 villages with1,000 randomly selected households (6,656 individuals. Results We found good agreement between the two methods on overall prevalence of illness (IM: 25.9% ±3.6; HHS: 31.4% and on prevalence of acute (IM: 76.9%; HHS: 69.2% and chronic illnesses (IM: 20.1%; HHS: 16.6%. We also found good agreement on incidence of deliveries (IM: 3.9% ±0.4; HHS: 3.9%, and on hospital deliveries (IM: 61.0%. ± 5.4; HHS: 51.4%. For hospitalizations, we obtained a lower estimate from the IM (1.1% than from the HHS (2.6%. The IM required less time and less person-power than a household survey, which translate into reduced costs. Conclusions We have shown that our Illness Mapping method can be carried out at lower financial and human cost for sourcing essential local data, at acceptably accurate levels. In view of the good fit of

  17. Illness Mapping: a time and cost effective method to estimate healthcare data needed to establish community-based health insurance.

    Science.gov (United States)

    Binnendijk, Erika; Gautham, Meenakshi; Koren, Ruth; Dror, David M

    2012-10-09

    Most healthcare spending in developing countries is private out-of-pocket. One explanation for low penetration of health insurance is that poorer individuals doubt their ability to enforce insurance contracts. Community-based health insurance schemes (CBHI) are a solution, but launching CBHI requires obtaining accurate local data on morbidity, healthcare utilization and other details to inform package design and pricing. We developed the "Illness Mapping" method (IM) for data collection (faster and cheaper than household surveys). IM is a modification of two non-interactive consensus group methods (Delphi and Nominal Group Technique) to operate as interactive methods. We elicited estimates from "Experts" in the target community on morbidity and healthcare utilization. Interaction between facilitator and experts became essential to bridge literacy constraints and to reach consensus.The study was conducted in Gaya District, Bihar (India) during April-June 2010. The intervention included the IM and a household survey (HHS). IM included 18 women's and 17 men's groups. The HHS was conducted in 50 villages with1,000 randomly selected households (6,656 individuals). We found good agreement between the two methods on overall prevalence of illness (IM: 25.9% ±3.6; HHS: 31.4%) and on prevalence of acute (IM: 76.9%; HHS: 69.2%) and chronic illnesses (IM: 20.1%; HHS: 16.6%). We also found good agreement on incidence of deliveries (IM: 3.9% ±0.4; HHS: 3.9%), and on hospital deliveries (IM: 61.0%. ± 5.4; HHS: 51.4%). For hospitalizations, we obtained a lower estimate from the IM (1.1%) than from the HHS (2.6%). The IM required less time and less person-power than a household survey, which translate into reduced costs. We have shown that our Illness Mapping method can be carried out at lower financial and human cost for sourcing essential local data, at acceptably accurate levels. In view of the good fit of results obtained, we assume that the method could work elsewhere

  18. Extending IM beyond the Reference Desk: A Case Study on the Integration of Chat Reference and Library-Wide Instant Messaging Network

    Directory of Open Access Journals (Sweden)

    Ian Chan

    2012-09-01

    Full Text Available Openfire is an open source IM network and a single unified application that meets the needs of chat reference and internal communications. In Fall 2009, the California State University San Marcos (CSUSM Library began use of Openfire and other Jive software instant messaging technologies, to simultaneously improve our existing IM-integrated chat reference software and implement an internal IM network. This case study describes the chat reference and internal communications environment at the CSUSM Library and the selection, implementation, and evaluation of Openfire. In addition, the authors discuss the benefits of deploying an integrated instant messaging and chat reference network.

  19. Source apportionment and health effect of NO_x over the Pearl River Delta region in southern China

    International Nuclear Information System (INIS)

    Lu, Xingcheng; Yao, Teng; Li, Ying; Fung, Jimmy C.H.; Lau, Alexis K.H.

    2016-01-01

    As one of the most notorious atmospheric pollutants, NO_x not only promotes the formation of ozone but also has adverse health effects on humans. It is therefore of great importance to study the sources of NO_x and its effects on human health. The Comprehensive Air Quality Model (CAMx) modeling system and ozone source apportionment technology (OSAT) were used to study the contribution of NO_x from different emission sources over southern China. The results indicate that heavy duty diesel vehicles (HDDVs) and industrial point sources are the two major local NO_x sources, accounting for 30.8% and 18.5% of local NO_x sources, respectively. In Hong Kong, marine emissions contributed around 43.4% of local NO_x in 2011. Regional transport is another important source of this pollutant, especially in February and November, and it can contribute over 30% of ambient NO_x on average. Power plant point emission is an significant regional source in Zhuhai, Zhongshan and Foshan. The total emission sources are estimated to cause 2119 (0–4405) respiratory deaths and 991 (0–2281) lung cancer deaths due to long-term exposure to NO_x in the Pearl River Delta region. Our results suggest that local governments should combine their efforts and vigorously promote further reduction of NO_x emissions, especially for those sources that make a substantial contribution to NO_x emissions and affect human health: HDDV, LDGV, industrial point sources and marine sources. - Highlights: • WRF-CAMx modeling system with OSAT was used to study the source of NO_x over Pearl River Delta region in China. • The results indicated that local emission and regional transportation are important contributors for NO_x in this region. • Heavy duty diesel vehicle, marine emission and industrial point source are three important contribution sectors. • Long-term exposure to NO_x is estimated to cause 2119 respiratory deaths and 991 lung cancer deaths in PRD during 2011. - Result indicated that heavy duty

  20. Assessing the Differences in Public Health Impact of Salmonella Subtypes Using a Bayesian Microbial Subtyping Approach for Source Attribution

    DEFF Research Database (Denmark)

    Pires, Sara Monteiro; Hald, Tine

    2010-01-01

    Salmonella is a major cause of human gastroenteritis worldwide. To prioritize interventions and assess the effectiveness of efforts to reduce illness, it is important to attribute salmonellosis to the responsible sources. Studies have suggested that some Salmonella subtypes have a higher health...... impact than others. Likewise, some food sources appear to have a higher impact than others. Knowledge of variability in the impact of subtypes and sources may provide valuable added information for research, risk management, and public health strategies. We developed a Bayesian model that attributes...... illness to specific sources and allows for a better estimation of the differences in the ability of Salmonella subtypes and food types to result in reported salmonellosis. The model accommodates data for multiple years and is based on the Danish Salmonella surveillance. The number of sporadic cases caused...

  1. Sources of Knowledge and Barriers of Implementing Evidence-Based Practice Among Mental Health Nurses in Saudi Arabia.

    Science.gov (United States)

    Hamaideh, Shaher H

    2017-07-01

    The purposes of this study were to identify the sources of knowledge for nursing practices and to identify the barriers of using "evidence-based practice" (EBP). Descriptive cross-sectional design was used to collect data from 164 Saudi mental health nurses by completing the Development of Evidence-Based Practice Questionnaire. The most frequently used sources of knowledge were relied on social interactions and the nurses' own experiences, while the least frequently used sources were external sources of knowledge and research evidences. Insufficient time to find research reports, difficulty in understanding research reports, and insufficient resources for evidences were the barriers of using EBP. The organizations should encourage using EBP by providing adequate time, resources, knowledge, and skills for mental health nurses through conducting workshops and mentoring. © 2016 Wiley Periodicals, Inc.

  2. Healthcare Databases in Thailand and Japan: Potential Sources for Health Technology Assessment Research.

    Directory of Open Access Journals (Sweden)

    Surasak Saokaew

    Full Text Available Health technology assessment (HTA has been continuously used for value-based healthcare decisions over the last decade. Healthcare databases represent an important source of information for HTA, which has seen a surge in use in Western countries. Although HTA agencies have been established in Asia-Pacific region, application and understanding of healthcare databases for HTA is rather limited. Thus, we reviewed existing databases to assess their potential for HTA in Thailand where HTA has been used officially and Japan where HTA is going to be officially introduced.Existing healthcare databases in Thailand and Japan were compiled and reviewed. Databases' characteristics e.g. name of database, host, scope/objective, time/sample size, design, data collection method, population/sample, and variables were described. Databases were assessed for its potential HTA use in terms of safety/efficacy/effectiveness, social/ethical, organization/professional, economic, and epidemiological domains. Request route for each database was also provided.Forty databases- 20 from Thailand and 20 from Japan-were included. These comprised of national censuses, surveys, registries, administrative data, and claimed databases. All databases were potentially used for epidemiological studies. In addition, data on mortality, morbidity, disability, adverse events, quality of life, service/technology utilization, length of stay, and economics were also found in some databases. However, access to patient-level data was limited since information about the databases was not available on public sources.Our findings have shown that existing databases provided valuable information for HTA research with limitation on accessibility. Mutual dialogue on healthcare database development and usage for HTA among Asia-Pacific region is needed.

  3. Healthcare Databases in Thailand and Japan: Potential Sources for Health Technology Assessment Research.

    Science.gov (United States)

    Saokaew, Surasak; Sugimoto, Takashi; Kamae, Isao; Pratoomsoot, Chayanin; Chaiyakunapruk, Nathorn

    2015-01-01

    Health technology assessment (HTA) has been continuously used for value-based healthcare decisions over the last decade. Healthcare databases represent an important source of information for HTA, which has seen a surge in use in Western countries. Although HTA agencies have been established in Asia-Pacific region, application and understanding of healthcare databases for HTA is rather limited. Thus, we reviewed existing databases to assess their potential for HTA in Thailand where HTA has been used officially and Japan where HTA is going to be officially introduced. Existing healthcare databases in Thailand and Japan were compiled and reviewed. Databases' characteristics e.g. name of database, host, scope/objective, time/sample size, design, data collection method, population/sample, and variables were described. Databases were assessed for its potential HTA use in terms of safety/efficacy/effectiveness, social/ethical, organization/professional, economic, and epidemiological domains. Request route for each database was also provided. Forty databases- 20 from Thailand and 20 from Japan-were included. These comprised of national censuses, surveys, registries, administrative data, and claimed databases. All databases were potentially used for epidemiological studies. In addition, data on mortality, morbidity, disability, adverse events, quality of life, service/technology utilization, length of stay, and economics were also found in some databases. However, access to patient-level data was limited since information about the databases was not available on public sources. Our findings have shown that existing databases provided valuable information for HTA research with limitation on accessibility. Mutual dialogue on healthcare database development and usage for HTA among Asia-Pacific region is needed.

  4. Open source electronic health record and patient data management system for intensive care.

    Science.gov (United States)

    Massaut, Jacques; Reper, Pascal

    2008-01-01

    In Intensive Care Units, the amount of data to be processed for patients care, the turn over of the patients, the necessity for reliability and for review processes indicate the use of Patient Data Management Systems (PDMS) and electronic health records (EHR). To respond to the needs of an Intensive Care Unit and not to be locked with proprietary software, we developed a PDMS and EHR based on open source software and components. The software was designed as a client-server architecture running on the Linux operating system and powered by the PostgreSQL data base system. The client software was developed in C using GTK interface library. The application offers to the users the following functions: medical notes captures, observations and treatments, nursing charts with administration of medications, scoring systems for classification, and possibilities to encode medical activities for billing processes. Since his deployment in February 2004, the PDMS was used to care more than three thousands patients with the expected software reliability and facilitated data management and review processes. Communications with other medical software were not developed from the start, and are realized by the use of the Mirth HL7 communication engine. Further upgrade of the system will include multi-platform support, use of typed language with static analysis, and configurable interface. The developed system based on open source software components was able to respond to the medical needs of the local ICU environment. The use of OSS for development allowed us to customize the software to the preexisting organization and contributed to the acceptability of the whole system.

  5. Trusting Social Media as a Source of Health Information: Online Surveys Comparing the United States, Korea, and Hong Kong.

    Science.gov (United States)

    Song, Hayeon; Omori, Kikuko; Kim, Jihyun; Tenzek, Kelly E; Morey Hawkins, Jennifer; Lin, Wan-Ying; Kim, Yong-Chan; Jung, Joo-Young

    2016-03-14

    The Internet has increasingly become a popular source of health information by connecting individuals with health content, experts, and support. More and more, individuals turn to social media and Internet sites to share health information and experiences. Although online health information seeking occurs worldwide, limited empirical studies exist examining cross-cultural differences in perceptions about user-generated, experience-based information compared to expertise-based information sources. To investigate if cultural variations exist in patterns of online health information seeking, specifically in perceptions of online health information sources. It was hypothesized that Koreans and Hongkongers, compared to Americans, would be more likely to trust and use experience-based knowledge shared in social Internet sites, such as social media and online support groups. Conversely, Americans, compared to Koreans and Hongkongers, would value expertise-based knowledge prepared and approved by doctors or professional health providers more. Survey questionnaires were developed in English first and then translated into Korean and Chinese. The back-translation method ensured the standardization of questions. Surveys were administered using a standardized recruitment strategy and data collection methods. A total of 826 participants living in metropolitan areas from the United States (n=301), Korea (n=179), and Hong Kong (n=337) participated in the study. We found significant cultural differences in information processing preferences for online health information. A planned contrast test revealed that Koreans and Hongkongers showed more trust in experience-based health information sources (blogs: t451.50=11.21, Psocial networking sites [SNS]: t466.75=11.36, P<.001) and also reported using blogs (t515.31=6.67, P<.001) and SNS (t529.22=4.51, P<.001) more frequently than Americans. Americans showed a stronger preference for using expertise-based information sources (eg, Web

  6. Parent and child usual source of care and children's receipt of health care services.

    Science.gov (United States)

    DeVoe, Jennifer E; Tillotson, Carrie J; Wallace, Lorraine S; Angier, Heather; Carlson, Matthew J; Gold, Rachel

    2011-01-01

    PURPOSE In the United States, children who have a usual source of care (USC) have better access to health care than those who do not, but little is known about how parental USC affects children's access. We examined the association between child and parent USC patterns and children's access to health care services. METHODS We undertook a secondary analysis of nationally representative, cross-sectional data from children participating in the 2002-2007 Medical Expenditure Panel Survey (n = 56,302). We assessed 10 outcome measures: insurance coverage gaps, no doctor visits in the past year, less than yearly dental visits, unmet medical and prescription needs, delayed care, problems getting care, and unmet preventive counseling needs regarding healthy eating, regular exercise, car safety devices, and bicycle helmets. RESULTS Among children, 78.6% had a USC and at least 1 parent with a USC, whereas 12.4% had a USC but no parent USC. Children with a USC but no parent USC had a higher likelihood of several unmet needs, including an insurance coverage gap (adjusted risk ratio [aRR] 1.33; 95% confidence interval [CI], 1.21-1.47), an unmet medical or prescription need (aRR 1.70; 95% CI 1.09-2.65), and no yearly dental visits (aRR 1.12; 95% CI 1.06-1.18), compared with children with a USC whose parent(s) had a USC. CONCLUSIONS Among children with a USC, having no parent USC was associated with a higher likelihood of reporting unmet needs when compared with children whose parent(s) had a USC. Policy reforms should ensure access to a USC for all family members.

  7. Ion Mobility Spectrometer / Mass Spectrometer (IMS-MS)

    Energy Technology Data Exchange (ETDEWEB)

    Hunka, Deborah E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Austin, Daniel [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2005-10-01

    The use of Ion Mobility Spectrometry (IMS)in the Detection of Contraband Sandia researchers use ion mobility spectrometers for trace chemical detection and analysis in a variety of projects and applications. Products developed in recent years based on IMS-technology include explosives detection personnel portals, the Material Area Access (MAA) checkpoint of the future, an explosives detection vehicle portal, hand-held detection systems such as the Hound and Hound II (all 6400), micro-IMS sensors (1700), ordnance detection (2500), and Fourier Transform IMS technology (8700). The emphasis to date has been on explosives detection, but the detection of chemical agents has also been pursued (8100 and 6400).

  8. [Bernt Ahrenholz : Verweise mit Demonstrativa im Gesprochenen Deutsch...] / Klaus Geyer

    Index Scriptorium Estoniae

    Geyer, Klaus

    2008-01-01

    Arvustus: Ahrenholz, Bernt. Verweise mit Demonstrativa im gesprochenen Deutsch : Grammatik, Zweitspracherwerb und Deutsch als Fremdsprache. Berlin ; New York : de Gruyter, 2007. (Linguistik - Impulse & Tendenzen ; 17)

  9. Kriminologie und Kriminalistik im Zugriff der Geschichtswissenschaft

    Directory of Open Access Journals (Sweden)

    Peter-Alexis Albrecht

    2007-01-01

    Full Text Available Rezensierte Werke:Silviana Galassi, Kriminologie im Deutschen Kaiserreich. Geschichte einer gebrochenen Verwissen­schaftlichung, Stuttgart: Franz Steiner Verlag 2004, 452 S., ISBN 3-515-08352-9; Peter Becker, Dem Täter auf der Spur. Eine Geschichte der Kriminalistik, Darmstadt: Primus Verlag 2005, 287 S., ISBN 3-89678-275-4; Peter Becker, Richard F. Wetzell (Hg., Criminals and their Scientists. The History of Criminology in International Perspective, Cambridge: Cambridge University Press 2006, 492 S., ISBN 0-521-81012-4

  10. Im Bild sprechen: Cixous Visual Instruction: Cixous

    OpenAIRE

    Jens E. Sennewald

    2006-01-01

    Gemeinsam von Künstlern und Wissenschaftlern/Philosophen erstellte Bücher sind selten und nicht immer erfolgreich. Eines der Fährnisse ist das Verhältnis zwischen bildlichen und schriftlichen Anteilen: Nicht selten wird der künstlerische Anteil zur Illustration der dominierenden Schrift. Eine Neupositionierung des Bildes im Buch ist nun der amerikanischen Künstlerin Roni Horn gelungen. Mehr als „sujet“ ihres Buches, ist die französische Philosophin Hélène Cixous gleichsam instruierende „Stimm...

  11. Corporate Venture Capital im Bankensektor: Eine Fallstudie

    OpenAIRE

    Maxin, Hannes

    2015-01-01

    Die Digitalisierung der Gesellschaft beeinflusst zunehmend das klassische Bankgeschäft, was durch die Erfolge vieler junger FinTech-Unternehmen verdeutlicht wird. Der damit verbundene Innovationsdruck führte dazu, dass die Commerzbank AG im Oktober 2013 die Main Incubator GmbH gründete. Mithilfe dieser Corporate Venture Capital-Gesellschaft (CVC-Gesellschaft) versucht die Frankfurter Großbank, eine Kooperation mit den neuen Wettbewerbern einzugehen, um mögliche Synergiepotenziale für das eige...

  12. The association between income source and met need among community mental health service users in Ontario, Canada.

    Science.gov (United States)

    Durbin, Anna; Bondy, Susan J; Durbin, Janet

    2012-10-01

    We examined income source and match between recommended and received care among users of community mental health services. We conducted a secondary analysis of needs-based planning data on adults in Ontario community mental health programs from 2000 to 2002. The outcome was whether clients were severely underserved (yes/no) based on the match between level of care recommended and received. A logistic regression model investigated if income source predicted this outcome. 13% of clients were severely underserved. Over 40% were on public assistance and they had a higher risk of being severely undeserved than the others. Men were at greater risk. One aim of mental health reform is to increase access to care for vulnerable individuals. The finding that among users of community mental health services, individuals with public assistance income support are most vulnerable to being severely underserved should be considered by service planners and providers.

  13. Health literacy, source of information and impact on adherence to therapy in people living with HIV

    Science.gov (United States)

    Ernst Dorner, Thomas; Schulte-Hermann, Kathrin; Zanini, Matteo; Leichsenring, Birgit; Stefanek, Wiltrut

    2014-01-01

    Introduction Adequate information and health literacy (HL) has a high impact on patients understanding on the causes and consequences of many chronic diseases, including HIV, and is a crucial prerequisite to ensure adherence to therapy regimens. Several Austrian patient organizations developed an online survey together with MSD (the so-called “PAB-test”) aimed to evaluate how people living with HIV perceive the level of care in Austria. Materials and Methods An online survey has been developed to assess HL in people living with HIV and to evaluate the impact of HL on therapy adherence. HL was assessed with seven items regarding the self-rated comprehension of HIV related information, which showed a high reliability (Cronbach's alpha=0.876). A low health literacy was defined by reaching a score below the median of 20 points in the related indicator. Results A total of 303 subjects completed the questionnaire. Women slightly had more often a low HL than men (57.1% vs 44.7%, p=0.335). Heterosexual subjects had more often a low HL compared to homosexual ones (58.3% vs 38.1%, p=0.007). Health literacy slightly increased with age (not significant). An increasing education level correlated with higher HL, (66.7%, 46.2%, and 38.9% of persons showed low HL with primary, secondary and tertiary education, respectively, p=0.037). The number of missed appointments with the HIV physician was significantly higher in the low HL population (30.0% vs 14.4%, p=0.002), which also showed to be more prone to interrupt the therapy without consulting a physician (22.4% vs 9.8%, p=0.006). The low HL population, however, did not report of having forgotten the medication intake more often than the one with high HL (33.1% vs 39.1%, p=0.305). The most important source of information is the treating physician, followed by NGOs/patient organizations and the internet (Figure 1). Conclusions There are significant differences in HL between different sub-groups in the HIV community. Low HL is

  14. Politische Inhalte im Internet: Angebot und Nachfrage politischer Inhalte im World Wide Web am Beispiel von Volksabstimmungen in der Schweiz

    OpenAIRE

    Rademacher, Patrick Horst Josef

    2010-01-01

    Welche Bedeutung kommt dem Internet in der Politikvermittlung zu? Dieser Frage geht Patrick Rademacher nach, indem er untersucht, welche Anbieter politische Inhalte im Internet zur Verfügung stellen, wie sie dabei vorgehen und wie die Struktur der Inhalte beschaffen ist. Darüber hinaus analysiert er, inwiefern die online angebotenen Inhalte auf eine Nachfrage durch die Bürger treffen. Im Untersuchungskontext von Volksabstimmungen in der Schweiz hat der Autor hierfür im Jahr 2008 umfangreiche ...

  15. Detection capability of the IMS seismic network based on ambient seismic noise measurements

    Science.gov (United States)

    Gaebler, Peter J.; Ceranna, Lars

    2016-04-01

    All nuclear explosions - on the Earth's surface, underground, underwater or in the atmosphere - are banned by the Comprehensive Nuclear-Test-Ban Treaty (CTBT). As part of this treaty, a verification regime was put into place to detect, locate and characterize nuclear explosion testings at any time, by anyone and everywhere on the Earth. The International Monitoring System (IMS) plays a key role in the verification regime of the CTBT. Out of the different monitoring techniques used in the IMS, the seismic waveform approach is the most effective technology for monitoring nuclear underground testing and to identify and characterize potential nuclear events. This study introduces a method of seismic threshold monitoring to assess an upper magnitude limit of a potential seismic event in a certain given geographical region. The method is based on ambient seismic background noise measurements at the individual IMS seismic stations as well as on global distance correction terms for body wave magnitudes, which are calculated using the seismic reflectivity method. From our investigations we conclude that a global detection threshold of around mb 4.0 can be achieved using only stations from the primary seismic network, a clear latitudinal dependence for the detection threshold can be observed between northern and southern hemisphere. Including the seismic stations being part of the auxiliary seismic IMS network results in a slight improvement of global detection capability. However, including wave arrivals from distances greater than 120 degrees, mainly PKP-wave arrivals, leads to a significant improvement in average global detection capability. In special this leads to an improvement of the detection threshold on the southern hemisphere. We further investigate the dependence of the detection capability on spatial (latitude and longitude) and temporal (time) parameters, as well as on parameters such as source type and percentage of operational IMS stations.

  16. Exploration of Deaf People's Health Information Sources and Techniques for Information Delivery in Cape Town: A Qualitative Study for the Design and Development of a Mobile Health App.

    Science.gov (United States)

    Chininthorn, Prangnat; Glaser, Meryl; Tucker, William David; Diehl, Jan Carel

    2016-11-11

    Many cultural and linguistic Deaf people in South Africa face disparity when accessing health information because of social and language barriers. The number of certified South African Sign Language interpreters (SASLIs) is also insufficient to meet the demand of the Deaf population in the country. Our research team, in collaboration with the Deaf communities in Cape Town, devised a mobile health app called SignSupport to bridge the communication gaps in health care contexts. We consequently plan to extend our work with a Health Knowledge Transfer System (HKTS) to provide Deaf people with accessible, understandable, and accurate health information. We conducted an explorative study to prepare the groundwork for the design and development of the system. To investigate the current modes of health information distributed to Deaf people in Cape Town, identify the health information sources Deaf people prefer and their reasons, and define effective techniques for delivering understandable information to generate the groundwork for the mobile health app development with and for Deaf people. A qualitative methodology using semistructured interviews with sensitizing tools was used in a community-based codesign setting. A total of 23 Deaf people and 10 health professionals participated in this study. Inductive and deductive coding was used for the analysis. Deaf people currently have access to 4 modes of health information distribution through: Deaf and other relevant organizations, hearing health professionals, personal interactions, and the mass media. Their preferred and accessible sources are those delivering information in signed language and with communication techniques that match Deaf people's communication needs. Accessible and accurate health information can be delivered to Deaf people by 3 effective techniques: using signed language including its dialects, through health drama with its combined techniques, and accompanying the information with pictures in

  17. bildbild – visuelle Kompetenz im Unterricht

    Directory of Open Access Journals (Sweden)

    Norbert Grube

    2013-05-01

    Full Text Available Der vorliegende Artikel stellt das Webseiten-Projekt bildbild vor. Der Webseite liegt die Motivation zugrunde, Schülerinnen und Schüler für ein Nachdenken über globale Themen zu sensibilisieren. Ein solches Nachdenken ist immer auch eines über bildlich vermittelte Wirklichkeit. Es ist mit bildbild ein Anliegen, angesichts einer allseits konstatierten «Bilderflut» ein didaktisches Medium zu entwickeln, das einen Fundus an historischen und aktuellen Fotografien zur Verfügung stellt und diese so aufbereitet, dass sie gerade nicht hinter ihrer illustrativen Funktion verschwinden. Dadurch sollen die Bilder für ein selbständiges Lernen auf dem Weg hin zu einer visuellen Kompetenz einsetzbar gemacht werden. Der Beitrag beleuchtet die Entwicklung der Webseite vor dem Hintergrund kulturkritischer Haltungen zum Bild seit der Moderne sowie im Rahmen dessen, was seit den 1970er Jahren im pädagogischen Kontext als Visual Literacy diskutiert und gefördert wird. Dabei wird auch auf die medialen Potenziale einer Webseite für die Bildlesekompetenz von Jugendlichen eingegangen.

  18. Perceived sources of work stress and satisfaction among hospital and community mental health staff, and their relation to mental health, burnout and job satisfaction.

    Science.gov (United States)

    Prosser, D; Johnson, S; Kuipers, E; Szmukler, G; Bebbington, P; Thornicroft, G

    1997-07-01

    This questionnaire study examined perceived sources of stress and satisfaction at work among 121 mental health staff members. Five factors were derived from principal component analysis of sources of work stress items (stress from: role, poor support, clients, future, and overload), and accounted for 70% of the total variance. Four factors were derived from the items related to sources of job satisfaction (satisfaction from: career, working with people, management, and money), accounting for 68% of the variance. The associations of these factors with sociodemographic and job characteristics were examined, and they were entered as explanatory variables into regression models predicting mental health, burnout, and job satisfaction. Stress from "overload" was associated with being based outside an in-patient ward, and with emotional exhaustion and worse mental health. Stress related to the "future" was associated with not being white. Stress from "clients" was associated with the "depersonalization" component of burnout. Higher job satisfaction was associated with "management" and "working with people" as sources of satisfaction, whereas emotional exhaustion and poorer mental health were associated with less "career" satisfaction.

  19. Bias analysis applied to Agricultural Health Study publications to estimate non-random sources of uncertainty.

    Science.gov (United States)

    Lash, Timothy L

    2007-11-26

    The associations of pesticide exposure with disease outcomes are estimated without the benefit of a randomized design. For this reason and others, these studies are susceptible to systematic errors. I analyzed studies of the associations between alachlor and glyphosate exposure and cancer incidence, both derived from the Agricultural Health Study cohort, to quantify the bias and uncertainty potentially attributable to systematic error. For each study, I identified the prominent result and important sources of systematic error that might affect it. I assigned probability distributions to the bias parameters that allow quantification of the bias, drew a value at random from each assigned distribution, and calculated the estimate of effect adjusted for the biases. By repeating the draw and adjustment process over multiple iterations, I generated a frequency distribution of adjusted results, from which I obtained a point estimate and simulation interval. These methods were applied without access to the primary record-level dataset. The conventional estimates of effect associating alachlor and glyphosate exposure with cancer incidence were likely biased away from the null and understated the uncertainty by quantifying only random error. For example, the conventional p-value for a test of trend in the alachlor study equaled 0.02, whereas fewer than 20% of the bias analysis iterations yielded a p-value of 0.02 or lower. Similarly, the conventional fully-adjusted result associating glyphosate exposure with multiple myleoma equaled 2.6 with 95% confidence interval of 0.7 to 9.4. The frequency distribution generated by the bias analysis yielded a median hazard ratio equal to 1.5 with 95% simulation interval of 0.4 to 8.9, which was 66% wider than the conventional interval. Bias analysis provides a more complete picture of true uncertainty than conventional frequentist statistical analysis accompanied by a qualitative description of study limitations. The latter approach is

  20. Bias analysis applied to Agricultural Health Study publications to estimate non-random sources of uncertainty

    Directory of Open Access Journals (Sweden)

    Lash Timothy L

    2007-11-01

    Full Text Available Abstract Background The associations of pesticide exposure with disease outcomes are estimated without the benefit of a randomized design. For this reason and others, these studies are susceptible to systematic errors. I analyzed studies of the associations between alachlor and glyphosate exposure and cancer incidence, both derived from the Agricultural Health Study cohort, to quantify the bias and uncertainty potentially attributable to systematic error. Methods For each study, I identified the prominent result and important sources of systematic error that might affect it. I assigned probability distributions to the bias parameters that allow quantification of the bias, drew a value at random from each assigned distribution, and calculated the estimate of effect adjusted for the biases. By repeating the draw and adjustment process over multiple iterations, I generated a frequency distribution of adjusted results, from which I obtained a point estimate and simulation interval. These methods were applied without access to the primary record-level dataset. Results The conventional estimates of effect associating alachlor and glyphosate exposure with cancer incidence were likely biased away from the null and understated the uncertainty by quantifying only random error. For example, the conventional p-value for a test of trend in the alachlor study equaled 0.02, whereas fewer than 20% of the bias analysis iterations yielded a p-value of 0.02 or lower. Similarly, the conventional fully-adjusted result associating glyphosate exposure with multiple myleoma equaled 2.6 with 95% confidence interval of 0.7 to 9.4. The frequency distribution generated by the bias analysis yielded a median hazard ratio equal to 1.5 with 95% simulation interval of 0.4 to 8.9, which was 66% wider than the conventional interval. Conclusion Bias analysis provides a more complete picture of true uncertainty than conventional frequentist statistical analysis accompanied by a

  1. Differences between Magnitudes and Health Impacts of BC Emissions Across the United States using 12 km Scale Seasonal Source Apportionment

    Czech Academy of Sciences Publication Activity Database

    Turner, M.D.; Henze, D.K.; Hakami, A.; Zhao, S.; Resler, Jaroslav; Carmichael, G.; Stanier, C.; Baek, J.; Sandu, A.; Russell, A.G.; Nenes, A.; Jeong, G.; Capps, S.; Percell, P.; Pinder, R.; Napelenok, S.; Bash, J.; Chai, T.

    2015-01-01

    Roč. 49, č. 7 (2015), s. 4362-4371 ISSN 0013-936X Institutional support: RVO:67985807 Keywords : air quality * health impact * source apportionment * adjoint * particulate matter * black carbon Subject RIV: DG - Athmosphere Sciences, Meteorology Impact factor: 5.393, year: 2015

  2. Indexed bibliography on tritium: its sources and projections, behavior, measurement and monitoring techniques, health physics aspects, and waste management

    International Nuclear Information System (INIS)

    Dixon, M.N.; Holoway, C.F.; Houser, B.L.; Jacobs, D.G.

    1975-08-01

    References are presented to the world literature on sources of tritium in the environment, the migration of tritium in the environment and uptake by biological materials, monitoring methods, health aspects, and radioactive waste management. Subject, author, and permuted title indexes are included. (U.S.)

  3. Assessing the population coverage of a health demographic surveillance system using satellite imagery and crowd-sourcing

    NARCIS (Netherlands)

    Pasquale, Di Aurelio; Mc Cann, Robert; Maire, Nicolas

    2017-01-01

    Remotely sensed data can serve as an independent source of information about the location of residential structures in areas under demographic and health surveillance. We report on results obtained combining satellite imagery, imported from Bing, with location data routinely collected using the

  4. [Study of self-reported health of people living near point sources of environmental pollution: a review. First part: health indicators].

    Science.gov (United States)

    Daniau, C; Dor, F; Eilstein, D; Lefranc, A; Empereur-Bissonnet, P; Dab, W

    2013-08-01

    Epidemiological studies have investigated the health impacts of local sources of environmental pollution using as an outcome variable self-reported health, reflecting the overall perception interviewed people have of their own health. This work aims at analyzing the advantages and the results of this approach. A first step focused on describing the indicators. The literature on indicators of self-reported health was reviewed, leading to a discussion on data collection, selection of health effects, data processing, and construction of indicators. The literature review concerned 51 articles. The use of self-reported health indicators allowed the studies to take into account the health concerns and complaints of populations exposed to environmental pollution. Various indicators of self-reported health were used in the studies. They measured physical, psychological and general dimensions of health. Standardized questionnaires were used less often than ad hoc questionnaires (78% of studies) developed to fit the needs of a given study. Three standardized questionnaires were used more frequently: the MOS Short-Form Health Survey (SF-36) to measure general health perceptions, the General Health Questionnaire (GHQ), and the Symptoms Checklist (SCL-90) to measure psychological distress. The choice of self-reported health indicators is a compromise between specificity of the studied health issues within a given environment and standardization of the questionnaires used to measure them. Such standardization is necessary to ensure the validity and the reliability of the information collected across time and situations. The psychometric properties of the measuring questionnaires are rarely estimated or verified when they are used. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  5. Locating People Diagnosed With HIV for Public Health Action: Utility of HIV Case Surveillance and Other Data Sources.

    Science.gov (United States)

    Padilla, Mabel; Mattson, Christine L; Scheer, Susan; Udeagu, Chi-Chi N; Buskin, Susan E; Hughes, Alison J; Jaenicke, Thomas; Wohl, Amy Rock; Prejean, Joseph; Wei, Stanley C

    Human immunodeficiency virus (HIV) case surveillance and other health care databases are increasingly being used for public health action, which has the potential to optimize the health outcomes of people living with HIV (PLWH). However, often PLWH cannot be located based on the contact information available in these data sources. We assessed the accuracy of contact information for PLWH in HIV case surveillance and additional data sources and whether time since diagnosis was associated with accurate contact information in HIV case surveillance and successful contact. The Case Surveillance-Based Sampling (CSBS) project was a pilot HIV surveillance system that selected a random population-based sample of people diagnosed with HIV from HIV case surveillance registries in 5 state and metropolitan areas. From November 2012 through June 2014, CSBS staff members attempted to locate and interview 1800 sampled people and used 22 data sources to search for contact information. Among 1063 contacted PLWH, HIV case surveillance data provided accurate telephone number, address, or HIV care facility information for 239 (22%), 412 (39%), and 827 (78%) sampled people, respectively. CSBS staff members used additional data sources, such as support services and commercial people-search databases, to locate and contact PLWH with insufficient contact information in HIV case surveillance. PLWH diagnosed surveillance than were PLWH diagnosed ≥1 year ago ( P = .002), and the benefit from using additional data sources was greater for PLWH with more longstanding HIV infection ( P surveillance cannot provide accurate contact information, health departments can prioritize searching additional data sources, especially for people with more longstanding HIV infection.

  6. Thermal Degradation Study of IM7/DMBZ-15 High Temperature Composite by TGA/FTIR

    National Research Council Canada - National Science Library

    Nadler, Melvin

    2003-01-01

    (U) High temperature graphite composites such as IM7/8552 epoxy, IM7/5250 BMI, and IM7/DMBZ-15 polyimide show blistering and/or "catastrophic" delamination when rapidly heated to temperatures above...

  7. The future of the IMS Learning Design specification: a critical look

    NARCIS (Netherlands)

    Sloep, Peter

    2009-01-01

    P. B. Sloep (2009). The future of the IMS Learning Design specification: a critical look. Presentation at the IMS Learning Design seminar 'The future of IMS Learning Design'. December, 10, 2009, Wollongong, Australia: University of Wollongong.

  8. Digitalisierung im Verteilnetz: Evolution oder Revolution anhand konkreter Beispiele

    Science.gov (United States)

    Krone, Oliver; Bachmann, Maurus

    Durch die Integration der neuen erneuerbaren Energien steht das Stromnetz vor großen Herausforderungen. Das Energiesystem als Gesamtes und die Verteilnetze im Speziellen werden smart. Anhand konkreter Beispiele wird aufgezeigt, wie die Digitalisierung im Elektrizitätsnetz voranschreitet. Diese Entwicklung ist eine Evolution, nicht aber eine Revolution.

  9. [Einheit und Vielfalt in der Rechtsgeschichte im Ostseeraum] / Marelle Leppik

    Index Scriptorium Estoniae

    Leppik, Marelle

    2013-01-01

    Arvustus: Einheit und Vielfalt in der Rechtsgeschichte im Ostseeraum. Unity and plurality in the legal history of the Baltic Sea area Sechster Rechtshistorikertag im Ostseeraum, 3.-5. Juni 2010 Tartu (Estland) / Riga (Lettland9. Hrsg. von Marju Luts-Sootak, Sanita Osipova und Frank L. Schäfer. (Rechtshistorische Reihe, Bd. 428.) Land. Frankfurt am Main u. a. 2012

  10. Information Management System (Ims) For Gender Mainstreaming In ...

    African Journals Online (AJOL)

    Information Management System (IMS) is an essential tool in supporting the provision of information needed for planning and decision making in any organization. Proper IMS facilitates the smooth flow of information both vertical and horizontal. This paper presents the findings of a survey on information needs of the Gender ...

  11. The Relationship of Health Beliefs with Information Sources and HPV Vaccine Acceptance among Young Adults in Korea.

    Science.gov (United States)

    Kim, Jarim

    2018-04-04

    Despite the HPV vaccine’s efficacy in preventing cervical cancer, its coverage rates among Asians are very low. To increase immunization coverage among these populations, understanding the psychological factors that affect HPV acceptability is critical. To this end, this study examined the relationships between multidimensional health beliefs and HPV vaccine acceptance, and what information sources effectively foster HPV vaccination-related health beliefs. Data were collected using a survey of 323 undergraduate students in Korea. Results showed that perceived susceptibility, perceived severity, perceived benefits, and perceived vaccine safety concerns predicted vaccine acceptance. Multiple dimensions of perceived barriers showed differing impacts on vaccine acceptance. In addition, interpersonal information sources were effective in boosting various health beliefs for HPV vaccination. The Internet also was effective in reducing social barriers, but the effects were opposite to those of social media. Theoretical and practical implications are discussed.

  12. The Relationship of Health Beliefs with Information Sources and HPV Vaccine Acceptance among Young Adults in Korea

    Directory of Open Access Journals (Sweden)

    Jarim Kim

    2018-04-01

    Full Text Available Despite the HPV vaccine’s efficacy in preventing cervical cancer, its coverage rates among Asians are very low. To increase immunization coverage among these populations, understanding the psychological factors that affect HPV acceptability is critical. To this end, this study examined the relationships between multidimensional health beliefs and HPV vaccine acceptance, and what information sources effectively foster HPV vaccination-related health beliefs. Data were collected using a survey of 323 undergraduate students in Korea. Results showed that perceived susceptibility, perceived severity, perceived benefits, and perceived vaccine safety concerns predicted vaccine acceptance. Multiple dimensions of perceived barriers showed differing impacts on vaccine acceptance. In addition, interpersonal information sources were effective in boosting various health beliefs for HPV vaccination. The Internet also was effective in reducing social barriers, but the effects were opposite to those of social media. Theoretical and practical implications are discussed.

  13. Health economics evaluation of magnetic resonance imaging for the staging of prostate cancer for Austria and Germany; Gesundheitsoekonomische Evaluation der Magnetresonanzbildgebung im Staging von Prostatakarzinomen fuer Oesterreich und Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Stadlbauer, A. [Landesklinikum St. Poelten (Germany). Zentrales Inst. fuer Radiologie, Diagnostik und Interventionelle Therapie; Erlangen-Nuernberg Univ., Erlangen (Germany). Neurochirurgische Klinik; Bernt, R. [Hanusch Krankenhaus, Vienna (Austria). Zentralroentgeninstitut; Salomonowitz, E. [Landesklinikum St. Poelten (Germany). Zentrales Inst. fuer Radiologie, Diagnostik und Interventionelle Therapie; Plas, E. [Hanusch Krankenhaus, Vienna (Austria). Abt. fuer Urologie; Strunk, G. [Technische Univ. Dortmund (Germany). Wirtschaftwissenschaft und Oekonomische Bildung; Eberhardt, K. [Krankenhaus Schloss Werneck (Germany). MRT-Kompetenzzentrum

    2012-06-15

    Purpose: The aim of this study was the health economics analysis of MR imaging in the preoperative staging of patients with prostate carcinoma (PCa). Materials and Methods: The health economics analysis consisted of the following steps: modeling, determination of probabilities and parameters based on a detailed literature search, evaluation using the averages of the parameters, and sensitivity analyses of the results over the ranges of values. We performed a cost-utility analysis from health insurance's perspective for Austria and Germany. The population under investigation included patients with confirmed PCa. The alternative was a decision for therapy with or without staging using MR imaging. A localized PCa was treated by prostatectomy and locally advanced PCa by radiation/hormone therapy. The result parameters were quality adjusted life years (QALYs) and costs per patient. Results: The evaluation showed that MR imaging is useful regarding costs and utilities prior to radical prostatectomy which is expensive and may be associated with serious clinical consequences. The costs per patient were lower by Euro 2635 and the utilities were higher by 0.099 QALYs. The strategy without MR imaging for staging was dominated by the strategy using MR imaging for staging in the evaluation using the base values and in almost all sensitivity analyses. Conclusion: For the parameters used and almost all scenarios of the sensitivity analysis, our decision-analytic model revealed a higher cost-utility ratio for the strategy using MR imaging for the staging of PCa. (orig.)

  14. Hot plasma and energetic particles in the earth's outer magnetosphere: new understandings during the IMS

    International Nuclear Information System (INIS)

    Baker, D.N.; Fritz, T.A.

    1984-01-01

    In this paper we review the major accomplishments made during the IMS period in clarifying magnetospheric particle variations in the region from roughly geostationary orbit altitudes into the deep magnetotail. We divide our review into three topic areas: (1) acceleration processes; (2) transport processes; and (3) loss processes. Many of the changes in hot plasmas and energetic particle populations are often found to be related intimately to geomagnetic storm and magnetospheric substorm effects and, therefore, substantial emphasis is given to these aspects of particle variations in this review. The IMS data, taken as a body, allow a reasonably unified view as one traces magnetospheric particles from their acceleration source through the plasma sheet and outer trapping regions and, finally, to their loss via ionospheric precipitation and ring current formation processes. It is this underlying, unifying theme which is pursued here. 52 references, 19 figures

  15. Electron attachment rate constant measurement by photoemission electron attachment ion mobility spectrometry (PE-EA-IMS)

    International Nuclear Information System (INIS)

    Su, Desheng; Niu, Wenqi; Liu, Sheng; Shen, Chengyin; Huang, Chaoqun; Wang, Hongmei; Jiang, Haihe; Chu, Yannan

    2012-01-01

    Photoemission electron attachment ion mobility spectrometry (PE-EA-IMS), with a source of photoelectrons induced by vacuum ultraviolet radiation on a metal surface, has been developed to study electron attachment reaction at atmospheric pressure using nitrogen as the buffer gas. Based on the negative ion mobility spectra, the rate constants for electron attachment to tetrachloromethane and chloroform were measured at ambient temperature as a function of the average electron energy in the range from 0.29 to 0.96 eV. The experimental results are in good agreement with the data reported in the literature. - Highlights: ► Photoemission electron attachment ion mobility spectrometry (PE-EA-IMS) was developed to study electron attachment reaction. ► The rate constants of electron attachment to CCl 4 and CHCl 3 were determined. ► The present experimental results are in good agreement with the previously reported data.

  16. [Television and Internet as sources of women knowledge of tobacco smoking, alcohol consumption and energy drinks impact on health].

    Science.gov (United States)

    Strycharz-Dudziak, Małgorzata; Nakonieczna-Rudnicka, Marta; Bachanek, Teresa; Kobyłecka, Elżbieta

    2014-01-01

    Accessibility of the Internet allows obtaining information on different areas of life, including the impact of smoking, alcohol consumption and energy drinks on health. Environmental exposure to tobacco smoke and active smoking are a serious risk for women's health, especially for women in reproductive age and children at any time in their lives. Alcohol is a risk factor for the development of general diseases, and consumed by pregnant women has a toxic effect on the body of women and a child in the prenatal period. Due to the increased consumption of energy drinks containing among others nervous system stimulants and carbohydrates, their consumption should be a conscious choice of the consumers. Knowledge of the health risks resulting from the lifestyle can be a decisive factor for the implementation of health behaviour. The aim of the study was to determine the sources from which men and women acquire information concerning the effects of cigarette smoking, alcohol consumption and energy drinks on health. The respondents interest in the above mentioned subjects was also evaluated. The survey study was carried out in a group of 160 persons (114 women and 46 men), aged 19-60 years, randomly selected from the patients presenting to the Department of Conservative Dentistry with Endodontics of the Medical University of Lublin. An author's questionnaire was prepared for this research. The data were analyzed statistically with the use of Pearson's X2 test. Statistically significant test values were those with psource of information about the impact of smoking cigarettes on health for 52.63% women and 56.52% men, about the alcohol effect on health for 57.02% women and 45.65% men, while about energy drinks for 61.40 % of women and 47.83% men. Differences between sex of the respondents and indicated source of information were not statistically significant. Obtaining information from television programmes on the impact of smoking on health reported 70.18% of women and 63

  17. Support interoperability and reusability of emerging forms of assessment: Some issues on integrating IMS LD with IMS QTI

    NARCIS (Netherlands)

    Miao, Yongwu; Boon, Jo; Van der Klink, Marcel; Sloep, Peter; Koper, Rob

    2009-01-01

    Miao, Y., Boon, J., Van der Klink, M., Sloep, P. B., & Koper, R. (2011). Support interoperability and reusability of emerging forms of assessment: Some issues on integrating IMS LD with IMS QTI. In F. Lazarinis, S. Green, & E. Pearson (Eds.), E-Learning Standards and Interoperability: Frameworks

  18. Misplaced Trust: Racial Differences in Use of Tobacco Products and Trust in Sources of Tobacco Health Information.

    Science.gov (United States)

    Alcalá, Héctor E; Sharif, Mienah Z; Morey, Brittany N

    2017-10-01

    Recently, the rates of utilization of alternative tobacco products have increased. Providing health information about tobacco products from trustworthy sources may help decrease the popularity of these products. Using a nationally representative study of adults, we fill the current gap in research on racial and ethnic disparities in utilization of alternative tobacco products as well as in trust of sources of health information about tobacco products. Data came from the Health Information National Trends Survey (N = 3738), which was collected in 2015. Logistic regression models were used to calculate odds of use of seven different tobacco product (eg, hookah, e-cigarettes, etc.), trust in seven different sources of e-cigarette health information (eg, family or friends, health care providers, etc.), and trust in six different sources of tobacco health information, adjusting for control variables. There were disparities in utilization of alternative tobacco products and in trust, in tobacco companies across racial and ethnic groups. Blacks and Asians were far more likely than whites to trust tobacco (adjusted odds ratios = 8.67 and 4.34) and e-cigarette companies (adjusted odds ratios = 6.97 and 3.13) with information about the health effects of e-cigarettes than whites. The popularity of alternative tobacco products appears to be high and may offset recent observed decreases in cigarette use. Blacks and Asians appear to trust tobacco companies as sources of information when compared to whites. Higher levels of trust in tobacco companies among Asians and blacks may translate to greater susceptibility to utilize tobacco products among these groups, thereby increasing disparities. There is a need for social marketing and education efforts focused on increasing awareness of adverse health effects of using alternative tobacco products as well as on the untrustworthiness of tobacco and e-cigarette companies, especially among racial and ethnic minorities. © The Author

  19. Die Rule of Law im Völker- und im Europarecht – aktuelle Probleme

    Directory of Open Access Journals (Sweden)

    Helmut Tichy

    2015-04-01

    Full Text Available Diese am 5. März 2015 in Graz gehaltene Antrittsvorlesung eines Praxisprofessors, der im Hauptberuf Leiter des Völkerrechtsbüros im österreichischen Außenministerium ist, beschäftigt sich mit dem Begriff der Herrschaft des Rechts in den internationalen Beziehungen (Rule of Law und mit den Möglichkeiten Österreichs, zur Stärkung der Rule of Law und zur Lösung aktueller Probleme beizutragen. Dabei werden insbesondere die Mitwirkung an Kodifikationsbemühungen und an der Verbesserung der Einhaltung des humanitären Völkerrechts, die Umsetzung der Menschenrechte (auch in Österreich und Fragen der internationalen Gerichtsbarkeit angesprochen.

  20. Chemical and Microbial Quality of Groundwater in Siloam Village, Implications to Human Health and Sources of Contamination

    Directory of Open Access Journals (Sweden)

    John Ogony Odiyo

    2018-02-01

    Full Text Available Due to inaccessibility of potable water, rural communities drill boreholes within their homesteads despite vulnerability to groundwater contamination and associated health risks. This study assessed the quality of groundwater, identified potential sources of contamination and potential human health risks in Siloam Village, South Africa. Statistical difference between similar water quality parameters at different sites was determined at a significance level (α of 0.05. Water quality parameters with serious potential health effects on human beings were correlated with selected water quality parameters to understand the nature of correlation and possible sources of contamination. Fluorides and nitrates had excessively high concentrations associated with tooth damage and pronounced skeletal fluorosis, and methaemoglobinaemia in infants and mucous membrane irritation in adults, respectively. There were statistically significant differences between means of most water quality parameters. Contrasting correlation of fluoride with calcium and pH indicated the need to further identify local sources and fluoride control mechanisms. Correlation of nitrate with chloride mostly indicated that faecal contamination is the potential source of high nitrates in groundwater. This requires further verification. Presence of total coliforms and E. coli in most boreholes indicated potential presence of faecal contamination. The need to educate borehole owners’ on possible strategies to minimise groundwater pollution was identified.

  1. Antarctic observations available for IMS correlative analyses

    International Nuclear Information System (INIS)

    Rycroft, M.J.

    1982-01-01

    A review is provided of the wide-ranging observational programs of 25 stations operating on and around the continent of Antarctica during the International Magnetospheric Study (IMS). Attention is given to observations of geomagnetism, short period fluctuations of the earth's electromagnetic field, observations of the ionosphere and of whistler mode signals, observational programs in ionospheric and magnetospheric physics, upper atmosphere physics observations, details of magnetospheric programs conducted at Kerguelen, H-component magnetograms, magnetic field line oscillations, dynamic spectra of whistlers, and the variation of plasmapause position derived from recorded whistlers. The considered studies suggest that, in principle, if the level of magnetic activity is known, predictions can be made concerning the time at which the trough occurs, and the shape and the movement of the main trough

  2. FUNKTIONSLOGIK TERRORISTISCHER PROPAGANDA IM BEWEGTEN BILD

    Directory of Open Access Journals (Sweden)

    Stefan Christoph

    2015-09-01

    Full Text Available Die Medienfront ist heute ein wichtiger Kriegsschauplatz, den viele neben Land, Wasser und Luft für gleich wichtig halten. Terroristen fühlen sich in sozialen Medien wohler als man denken könnte. Im Netz können sie die asymmetrische Kräfteverteilung überwinden, die sie in der offenen Feldschlacht unterlegen sein ließe. Terroristen machen sich das Bild zur Waffe und produzieren erst durch die Positionierung an der Medienfront Sinn in ihren Taten. Ohne ein Bekennerschreiben, ein Abschiedsvideo des Attentäters oder ein letztes Posting im sozialen Netzwerk wäre ein Bombenanschlag nichts als ein Kapitalverbrechen. Durch die terroristische Kommunikationsstrategie wird das Verbrechen erst zum terroristischen Akt. Das ist die theoretische Grundannahme dieses Aufsatzes. Ohne Medienberichterstattung könnten terroristische Organisationen nicht existieren. Durch die Entwicklung des Web 2.0 und insbesondere sozialer Medien kommen terroristische Organisationen heutzutage aber ganz ohne das Verschicken von Videotapes an Fernsehsender aus. Durch YouTube und andere Kanäle, können sie die Adressaten ihrer Botschaften direkt und ohne zwischengeschaltete Journalistinnen und Journalisten erreichen. So ist es nicht erstaunlich, dass terroristische Organisationen sich eine gewisse Expertise im Umgang mit sozialen Medien zugelegt haben. Al-Qaida hat seine eigene Medienabteilung, auch die kolumbianischen FARC arbeiten sehr professionell und welchen Einfluss der Islamische Staat im Internet ausübt ist inzwischen bereits Gegenstand einiger Reportagen und Untersuchungen geworden. Die diesem Aufsatz zugrundeliegende Arbeit hat sich mit neun verschiedenen Videos aus dem Umfeld von al-Qaida, der IRA und der FARC beschäftigt und versucht, aus dem analytischen Vergleich dieser Videos Rückschlüsse über terroristische Medienmacher und die terroristischen Organisationen selbst zu ziehen. Wie schnell und suggestiv die Videos arbeiten, ist etwa davon abh

  3. Source apportionment and health risk assessment of heavy metals in soil for a township in Jiangsu Province, China.

    Science.gov (United States)

    Jiang, Yanxue; Chao, Sihong; Liu, Jianwei; Yang, Yue; Chen, Yanjiao; Zhang, Aichen; Cao, Hongbin

    2017-02-01

    Human activities contribute greatly to heavy metal pollution in soils. Concentrations of 15 metal elements were detected in 105 soil samples collected from a typical rural-industrial town in southern Jiangsu, China. Among them, 7 heavy metals-lead, copper, zinc, arsenic, chromium, cadmium, and nickel-were considered in the health risk assessment for residents via soil inhalation, dermal contact, and/or direct/indirect ingestion. Their potential sources were quantitatively apportioned by positive matrix factorization using the data set of all metal elements, in combination with geostatistical analysis, land use investigation, and industrial composition analysis. Furthermore, the health risks imposed by sources of heavy metal in soil were estimated for the first time. The results indicated that Cr, Cu, Cd, Pb, Ni, and Co accumulated in the soil, attaining a mild pollution level. The total hazard index values were 3.62 and 6.11, and the total cancer risks were 9.78 × 10 -4 and 4.03 × 10 -4 for adults and children, respectively. That is, both non-carcinogenic and carcinogenic risks posed by soil metals were above acceptable levels. Cr and As require special attention because the health risks of Cr and As individually exceeded the acceptable levels. The ingestion of homegrown produce was predominantly responsible for the high risks. The potential sources were apportioned as: a) waste incineration and textile/dyeing industries (28.3%), b) natural sources (45.4%), c) traffic emissions (5.3%), and d) electroplating industries and livestock/poultry breeding (21.0%). Health risks of four sources accounted for 23.5%, 32.7%, 7.4%, and 36.4% of the total risk, respectively. Copyright © 2016. Published by Elsevier Ltd.

  4. The effect of source credibility on consumers' perceptions of the quality of health information on the Internet.

    Science.gov (United States)

    Bates, Benjamin R; Romina, Sharon; Ahmed, Rukhsana; Hopson, Danielle

    2006-03-01

    Recent use of the Internet as a source of health information has raised concerns about consumers' ability to tell 'good' information from 'bad' information. Although consumers report that they use source credibility to judge information quality, several observational studies suggest that consumers make little use of source credibility. This study examines consumer evaluations of web pages attributed to a credible source as compared to generic web pages on measures of message quality. In spring 2005, a community-wide convenience survey was distributed in a regional hub city in Ohio, USA. 519 participants were randomly assigned one of six messages discussing lung cancer prevention: three messages each attributed to a highly credible national organization and three identical messages each attributed to a generic web page. Independent sample t-tests were conducted to compare each attributed message to its counterpart attributed to a generic web page on measures of trustworthiness, truthfulness, readability, and completeness. The results demonstrated that differences in attribution to a source did not have a significant effect on consumers' evaluations of the quality of the information.Conclusions. The authors offer suggestions for national organizations to promote credibility to consumers as a heuristic for choosing better online health information through the use of media co-channels to emphasize credibility.

  5. How to improve the equity of health financial sources? - Simulation and analysis of total health expenditure of one Chinese province on system dynamics.

    Science.gov (United States)

    Wang, Xin; Sun, Yuanling; Mu, Xin; Guan, Li; Li, Jingjie

    2015-08-27

    We simulate and analyze Total Health Expenditure (THE) in financial sources and other economic indicators (such as THE per capita, GDP, etc.) in a province of China from 2002 to 2012 on System Dynamics. Based on actual data and certain mathematical methods, we use system dynamic software to construct a logic model for THE and changing proportions, and thus simulate the actual conditions of development and changes in THE. According to the simulation results, the government possess the largest investment in the average annual growth rate of THE, which was 25.16% in 2012. Social investment comprises the majority of the possession ratio, which was up to 41.20%. The personal investment growth rate decreased by almost 21%, but the total amount of personal investment increased by 28075 million yuan, which is far higher than the increase in government investment. Individuals are still the main carriers of health care expenses. The equity of health financial sources is still poor. The System Dynamics method used in this paper identifies a dynamic measurement process, provides a scientific basis for simulation and analysis of the changes in THE and its key constraining factors, as well as put forward suggestions for the improvement of equity of health financial sources.

  6. Mental health among older adults in Japan: do sources of social support and negative interaction make a difference?

    Science.gov (United States)

    Okabayashi, Hideki; Liang, Jersey; Krause, Neal; Akiyama, Hiroko; Sugisawa, Hidehiro

    2004-12-01

    This study addresses the question of whether social support and interpersonal strain from different sources (i.e., spouse, children, and other relatives and friends) have differential impact on mental health. Data for this research came from a national probability sample of 2200 persons aged 60 and over in Japan. Structural equation models were evaluated within the context of two types of social networks: (a) persons who had a spouse and children (n=1299), and (b) those with children only (n=677). Between these two networks, the links among social support, negative relations, and mental health were contrasted. The effects of various sources of social support and negative interactions on mental health vary depending on the specific dimension of mental health as well as the nature of social networks. Among older Japanese who are married with children, social support from spouse has a greater association with positive well-being than social support from children and others. However, cognitive functioning is uncorrelated with all sources of positive and negative social exchanges. In contrast, among those without a spouse, only greater support from children is significantly correlated with higher positive well-being, less distress, and less cognitive impairment.

  7. Advancing Health Marketing Research and Policy Recommendations by Incorporating Source Perspectives.

    Science.gov (United States)

    Mackert, Michael; Guadagno, Marie; Champlin, Sara

    2015-01-01

    Communication researchers, recognizing the message sent is not necessarily the same as the message received, have incorporated the perspective of advertising professionals into the study of advertising effects. Health marketing research could similarly benefit from incorporating this largely absent perspective into the academic and policy debate surrounding the impact of advertising on health issues ranging from obesity to alcohol use. This commentary serves as a call to action to stakeholders in this academic and policy debate: focus on the perspective of advertising professionals to enrich health marketing and public health research in which advertising is the delivery vehicle for health messages.

  8. Die Pluralbildung im Deutschen - ein Versuch im Rahmen der Optimalitätstheorie

    Directory of Open Access Journals (Sweden)

    Wegener, Heide

    1999-01-01

    Full Text Available Die Pluralbildung im Deutschen ist nicht chaotisch, aber komplex. Unabhängig davon, ob man für die Pluralbildung Regeln, Schemata oder die Wortstruktur als Erklärungsmodell benutzt, bleibt die Tatsache einer beachtlichen Zahl miteinander konkurrierender Formen zu erklären. Dies gilt schon deshalb, weil die Variation unter den Pluralformen wohl mit dazu beiträgt, dass trotz der Arbeiten von Mugdan 1977 und Köpcke 1987, 1993, der klaren Darstellung des Pluralsystems in vielen Grammatiken, z.B. Eisenberg 1986, 1989, 1998 noch immer bisweilen die Meinung besteht, die Pluralbildung im Deutschen sei arbiträr.Es soll gezeigt werden, dass das Pluralsystem des Deutschen nach Beschränkungen aufgebaut ist, die morphologischer und silbenphonologischer Natur sind und sich im Rahmen der Optimalitätstheorie (OT beschreiben lassen. Die OT nimmt an, dass Wortformen universalen Beschränkungen (Constraints unterliegen, und dass diese prinzipiell verletzbar sind. Ich werde zunächst die für die Pluralbildung relevanten Beschränkungen definieren, dann an heimischen Pluralformen und -varianten ihr Zusammenwirken zeigen und schließlich den Assimilationsprozess von Fremdwörtern mit Hilfe dieser Beschränkungen und der Beschränkungshierarchien zu erklären versuchen. Daran werden schließlich Überlegungen zu Verarbeitung und Lernbarkeit der Pluralformen geknüpft.

  9. Sources, behaviour, and environmental and human health risks of high-technology rare earth elements as emerging contaminants.

    Science.gov (United States)

    Gwenzi, Willis; Mangori, Lynda; Danha, Concilia; Chaukura, Nhamo; Dunjana, Nothando; Sanganyado, Edmond

    2018-04-26

    Recent studies show that high-technology rare earth elements (REEs) of anthropogenic origin occur in the environment including in aquatic systems, suggesting REEs are contaminants of emerging concern. However, compared to organic contaminants, there is a lack of comprehensive reviews on the anthropogenic sources, environmental behaviour, and public and ecological health risks of REEs. The current review aims to: (1) identify anthropogenic sources, transfer mechanisms, and environmental behaviour of REEs; (2) highlight the human and ecological health risks of REEs and propose mitigation measures; and (3) identify knowledge gaps and future research directions. Out of the 17 REEs, La, Gd, Ce and Eu are the most studied. The main sources of anthropogenic REE include; medical facilities, petroleum refining, mining and technology industries, fertilizers, livestock feeds, and electronic wastes and recycling plants. REEs are mobilized and transported in the environment by hydrological and wind-driven processes. Ecotoxicological effects include reduced plant growth, function and nutritional quality, genotoxicity and neurotoxicity in animals, trophic bioaccumulation, chronic and acute toxicities in soil organisms. Human exposure to REEs occurs via ingestion of contaminated water and food, inhalation, and direct intake during medical administration. REEs have been detected in human hair, nails, and biofluids. In humans, REEs cause nephrogenic systemic fibrosis and severe damage to nephrological systems associated with Gd-based contrast agents, dysfunctional neurological disorder, fibrotic tissue injury, oxidative stress, pneumoconiosis, cytotoxicity, anti-testicular effects, and male sterility. Barring REEs in medical devices, epidemiological evidence directly linking REEs in the environment to human health conditions remains weak. To minimize health risks, a conceptual framework and possible mitigation measures are highlighted. Future research is needed to better understand

  10. EXPERIENCE SANITARY-EPIDEMIOLOGICAL EXAMINATION PROJECT OF PLACING A SOURCE OF IONIZING RADIATION (GENERATING) IN HEALTH CARE INSTITUTIONS

    OpenAIRE

    I. A. Rakitin; A. L. Zel’din; V. B. Karpov

    2015-01-01

    The article reviews the results of long-term sanitary-epidemiological examination of projects of placing of ionizing radiation (generating) sources in health care institutions of Saint-Petersburg. The majority among the placed sources presented for examination was X-ray diagnostic units and sets – 35.7%, dentist X-rays – 39.4% and fluorography units – 10.8%. Mammography units and computer tomographs made 6.7% each, accelerants – 0.7%.The most frequent reasons of primary refusals to accept des...

  11. Health information sources for different types of information used by Chinese patients with cancer and their family caregivers.

    Science.gov (United States)

    Xie, Bo; Su, Zhaohui; Liu, Yihao; Wang, Mo; Zhang, Ming

    2017-08-01

    Little is known about the information sources of Chinese patients with cancer and their family caregivers, yet this knowledge is critical for providing patient-centred care. To assess and compare the information sources used by Chinese patients with cancer and their family caregivers. The validated Health Information Wants Questionnaire (HIWQ) was translated and administered in March 2014. The oncology department of a general hospital in south-west China. A convenience sample of 198 individuals, including 79 patients with cancer (mean age=55.24, SD=13.80) and 119 family caregivers (mean age=46.83, SD=14.61). Ratings on the HIWQ items assessing information sources for different types of information. The interaction between information source and group was significant (F 3,576 =6.32, Pinformation than patients from the Internet. Caregivers and patients did not differ in the amount of information they obtained from doctors/nurses, interpersonal contacts or mass media. The interaction between information type and information source was significant (F 18,3456 =6.38, Pinformation of all types from doctors/nurses than from the other three sources and obtained more information from interpersonal contacts than from mass media or the Internet. The information sources of Chinese patients with cancer and their family caregivers were similar, with an important difference that caregivers obtained more online information than patients. These findings have important implications for patient care and education in China where the family typically plays a major role in the care and decision making. © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd.

  12. Reexamining the risks of drinking-water nitrates on public health.

    Science.gov (United States)

    Richard, Alyce M; Diaz, James H; Kaye, Alan David

    2014-01-01

    Nitrates in drinking water are generally considered the sole source of nitrite poisoning with methemoglobinemia in infantile methomoglobinemia (IM). However, IM, which occurs during the first 4 months of life, is actually a constellation of cyanosis and hypoxia associated with methemoglobinemia that can result from several other causes. This review reexamines the role of nitrate levels in drinking water as a cause of IM and identifies other sources of nitrates that can affect public health and cause chronic diseases. Causes of IM include nitrites in foods, environmental chemical exposures, commonly prescribed pharmaceuticals, and the endogenous generation of oxides of nitrogen. Infants with congenital enzyme deficiencies in glucose-6-phosphate dehydrogenase and methemoglobin reductase are at greater risk of nitrite-induced methemoglobinemia from nitrates in water and food and from exposures to hemoglobin oxidizers. Early epidemiological studies demonstrated significant associations between high groundwater nitrate levels and elevated methemoglobin levels in infants fed drinking water-diluted formulas. However, more recent epidemiological investigations suggest other sources of nitrogenous substance exposures in infants, including protein-based formulas and foods and the production of nitrate precursors (nitric acid) by bacterial action in the infant gut in response to inflammation and infection.

  13. Pregnancy eHealth and mHealth: user proportions and characteristics of pregnant women using Web-based information sources-a cross-sectional study.

    Science.gov (United States)

    Wallwiener, Stephanie; Müller, Mitho; Doster, Anne; Laserer, Wolfgang; Reck, Corinna; Pauluschke-Fröhlich, Jan; Brucker, Sara Y; Wallwiener, Christian W; Wallwiener, Markus

    2016-11-01

    To analyze the current proportions and characteristics of women using Internet (eHealth) and smartphone (mHealth) based sources of information during pregnancy and to investigate the influence, this information-seeking behavior has on decision-making. A cross-sectional study was conducted at two major German university hospitals. Questionnaires covering socio-demographic data, medical data and details of Internet, and smartphone application use were administered to 220 pregnant women. Data analysis utilized descriptive statistics and multiple regression analysis. 50.7 % of pregnant women were online information seekers. 22.4 % used an mHealth pregnancy application. Women using eHealth information showed no specific profile, while women using mHealth applications proved to be younger, were more likely to be in their first pregnancy, felt less healthy, and were more likely to be influenced by the retrieved information. Stepwise backward regression analysis explained 25.8 % of the variance of mHealth use. 80.5 % of cases were classified correctly by the identified predictors. All types of Web-based information correlated significantly with decision-making during pregnancy. Pregnant women frequently use the Internet and smartphone applications as a source of information. While Web usage was a common phenomenon, this study revealed specific characteristics of mHealth users during pregnancy. Improved, medically accurate smartphone applications might provide a way to specifically target the mHealth user group. As user influenceability was of major relevance to all types of information, all medical content should be carefully reviewed by a multidisciplinary board of medical specialists.

  14. Knowledge and networks - key sources of power in global health: Comment on "Knowledge, moral claims and the exercise of power in global health".

    Science.gov (United States)

    Hanefeld, Johanna; Walt, Gill

    2015-02-01

    Shiffman rightly raises questions about who exercises power in global health, suggesting power is a complex concept, and the way it is exercised is often opaque. Power that is not based on financial strength but on knowledge or experience, is difficult to estimate, and yet it may provide the legitimacy to make moral claims on what is, or ought to be, on global health agendas. Twenty years ago power was exercised in a much less complex health environment. The World Health Organization (WHO) was able to exert its authority as world health leader. The landscape today is very different. Financial resources for global health are being competed for by diverse organisations, and power is diffused and somewhat hidden in such a climate, where each organization has to establish and make its own moral claims loudly and publicly. We observe two ways which allow actors to capture moral authority in global health. One, through power based on scientific knowledge and two, through procedures in the policy process, most commonly associated with the notion of broad consultation and participation. We discuss these drawing on one particular framework provided by Bourdieu, who analyses the source of actor power by focusing on different sorts of capital. Different approaches or theories to understanding power will go some way to answering the challenge Shiffman throws to health policy analysts. We need to explore much more fully where power lies in global health, and how it is exercised in order to understand underlying health agendas and claims to legitimacy made by global health actors today.

  15. Development of a clockwork light source to enable cervical inspection by village health workers

    Directory of Open Access Journals (Sweden)

    Steventon Richard

    2002-12-01

    Full Text Available Abstract Background Cervical cancer can often be prevented by screening and may be curable if identified and treated in its early stages. However, 80% of new cases occur in less-developed countries where cervical cancer screening programmes are small-scale or non-existent. This is a human tragedy of great proportion, with many of those affected being young mothers. There is some evidence that cancerous or precancerous lesions may be detected by visual inspection with acetic acid (VIA and field studies indicate that this technique is effective, safe and acceptable to women. However, the provision of a light source for inspection of the cervix presents a major problem in less-developed countries, where candles and torches often provide the only means of illumination. Our objective was to develop a light source based on clockwork technology, that required no batteries or external power source. Methods We adapted the design of a commercially available clockwork torch to provide a light source for cervical inspection. The light source was then tested under laboratory conditions in a comparison with other illumination methods typically used in this application. Results The light source gave illuminance levels greater than those produced by any other method tested, and also had considerable advantages in terms of ease of use and safety. Conclusion This design is small, compact, effective and safe to use and promises a better and more affordable means of visualising the cervix. Further field trials of VIA are now required which incorporate this light source.

  16. Worldviews and trust of sources for health information on electronic nicotine delivery systems: Effects on risk perceptions and use

    Directory of Open Access Journals (Sweden)

    Scott R. Weaver

    2017-12-01

    Full Text Available Public health agencies, the news media, and the tobacco/vapor industry have issued contradictory statements about the health effects of electronic nicotine delivery systems (ENDS. We investigated the levels of trust that consumers place in different information sources and how trust is associated with cultural worldviews, risk perceptions, ENDS use, and sociodemographic characteristics using a nationally representative sample of 6051 U.S. adults in 2015. Seventeen percent of adults were uncertain about their trust for one or more potential sources. Among the rest, the Centers for Disease Control and Prevention (CDC, health experts, and the Food & Drug Administration (FDA elicited the highest levels of trust. In contrast, tobacco and vapor manufacturers, vape shop employees, and, to a lesser extent, the news media were distrusted. Adults who had higher incomes and more education or espoused egalitarian and communitarian worldviews expressed more trust in health sources and the FDA, whereas those identifying as non-Hispanic Black or multiracial reported less trust. Current smokers, those who identified as non-Hispanic Black or other race, had lower incomes, and espoused hierarchy and individualism worldviews expressed less distrust toward the tobacco and vapor industry. Greater trust (or less distrust toward the tobacco and vapor industry and an individualism worldview were associated with perceptions of lower risk of premature death from daily ENDS use, greater uncertainty about those risks, and greater odds of using ENDS. Public health and the FDA should consider consumer trust and worldviews in the design and regulation of public education campaigns regarding the potential health risks and benefits of ENDS.

  17. Worldviews and trust of sources for health information on electronic nicotine delivery systems: Effects on risk perceptions and use.

    Science.gov (United States)

    Weaver, Scott R; Jazwa, Amelia; Popova, Lucy; Slovic, Paul; Rothenberg, Richard B; Eriksen, Michael P

    2017-12-01

    Public health agencies, the news media, and the tobacco/vapor industry have issued contradictory statements about the health effects of electronic nicotine delivery systems (ENDS). We investigated the levels of trust that consumers place in different information sources and how trust is associated with cultural worldviews, risk perceptions, ENDS use, and sociodemographic characteristics using a nationally representative sample of 6051 U.S. adults in 2015. Seventeen percent of adults were uncertain about their trust for one or more potential sources. Among the rest, the Centers for Disease Control and Prevention (CDC), health experts, and the Food & Drug Administration (FDA) elicited the highest levels of trust. In contrast, tobacco and vapor manufacturers, vape shop employees, and, to a lesser extent, the news media were distrusted. Adults who had higher incomes and more education or espoused egalitarian and communitarian worldviews expressed more trust in health sources and the FDA, whereas those identifying as non-Hispanic Black or multiracial reported less trust. Current smokers, those who identified as non-Hispanic Black or other race, had lower incomes, and espoused hierarchy and individualism worldviews expressed less distrust toward the tobacco and vapor industry. Greater trust (or less distrust) toward the tobacco and vapor industry and an individualism worldview were associated with perceptions of lower risk of premature death from daily ENDS use, greater uncertainty about those risks, and greater odds of using ENDS. Public health and the FDA should consider consumer trust and worldviews in the design and regulation of public education campaigns regarding the potential health risks and benefits of ENDS.

  18. Implantate im Mittelohrbereich - Teil 2 (Ergänzungen 2007)

    Science.gov (United States)

    Stieve, M.; Lenarz, Thomas

    In Deutschland leben ca. 12 Millionen Menschen, die an einer ein- oder beidseitigen Schwerhörigkeit leiden. Diese kann angeboren oder im Laufe des Lebens erworben sein. Klinisch und therapeutisch wichtig ist die Unterscheidung hinsichtlich des Schädigungsortes im Bereich des Mittelohres, d. h. eine Schalleitungsschwerhörigkeit, oder im Bereich des Innenohres, d. h. eine Schallempfindungsschwerhörigkeit, wobei hier der Schädigungsort auch am Hörnerven oder in den zentralen Hörabschnitten liegen kann. Therapeutisch lassen sich sowohl Schwerhörigkeiten im Bereich des Mittelohres als auch im Innenohr und sogar im Hirnstammbereich (Hirnstammimplantat) behandeln. 1,9 Millionen Schwerhörige haben eine Erkrankung im Mittelohrbereich, d. h. der Schall kann nur ungenügend auf das Innenohr übertragen werden. Die Ursache besteht meist in einer chronischen Mittelohrentzündung, die zu einer Zerstörung des Trommelfells und der Gehörknöchelchenkette geführt haben. Therapeutisch und damit als Prinzip der operativen Hörverbesserung steht primär der Verschluß des Trommelfells oder eine Rekonstruktion der Gehörknöchelchen. Mittelohroperationen werden mikrochirurgisch unter dem Operationsmikroskop durchgeführt, wobei zunächst durch eine sanierende Operation der Entzündungsprozeß entfernt wird und nach einer Ausheilungszeit die Gehörknöchelchenkette durch künstliche Prothesen rekonstruiert werden kann.

  19. A Synergistic Approach to Human Rights and Public Health Ethics: Effective or a Source of Conflict?

    Directory of Open Access Journals (Sweden)

    Steinmetz-Wood, Madeleine

    2014-12-01

    Full Text Available Concerns over the growing disparities in health and wealth between members of society incited Stephanie Nixon and Lisa Forman, in their 2008 article Exploring synergies between human rights and public health ethics: A whole greater than the sum of its parts, to propose that the principles of human rights and public health ethics should be used in combination to develop norms for health action. This commentary reflects on the benefits as well as the difficulties that could arise from taking such an approach.

  20. Dietary fibre in Europe: current state of knowledge on definitions, sources, recommendations, intakes and relationships to health.

    Science.gov (United States)

    Stephen, Alison M; Champ, Martine M-J; Cloran, Susan J; Fleith, Mathilde; van Lieshout, Lilou; Mejborn, Heddie; Burley, Victoria J

    2017-12-01

    Research into the analysis, physical properties and health effects of dietary fibre has continued steadily over the last 40-50 years. From the knowledge gained, countries have developed guidelines for their populations on the optimal amount of fibre to be consumed each day. Food composition tables from many countries now contain values for the dietary fibre content of foods, and, from these, combined with dietary surveys, population intakes have been determined. The present review assessed the uniformity of the analytical methods used, health claims permitted, recommendations and intakes, particularly from national surveys across Europe and around the world. It also assessed current knowledge on health effects of dietary fibre and related the impact of different fibre types on health. The overall intent was to be able to provide more detailed guidance on the types of fibre which should be consumed for good health, rather than simply a total intake figure, the current situation. Analysis of data indicated a fair degree of uniformity in the definition of dietary fibre, the method used for analysis, the recommended amount to be consumed and a growing literature on effects on digestive health and disease risk. However, national dietary survey data showed that intakes do not reach recommendations and very few countries provide guidance on the types of fibre that are preferable to achieve recommended intakes. Research gaps were identified and ideas suggested to provide information for more detailed advice to the public about specific food sources that should be consumed to achieve health benefits.

  1. The Internet as a source of reproductive health information among adolescent girls in an urban city in Nigeria.

    Science.gov (United States)

    Nwagwu, Williams E

    2007-12-20

    There exists some research evidence regarding how adolescents utilize the Internet for health information seeking purposes. The purpose of this study is to understand how in-school and out-of-school adolescent girls in Owerri, Nigeria use online resources to meet their reproductive health information needs. The result could be considered very crucial in assessing the potential role of the Internet in providing health information to adolescent girls in a typical Nigerian urban city. A questionnaire was used to collect data from 1011 adolescent girls in selected secondary schools in the communities, and also from 134 out-of-school girls selected from the same communities. More than 73% of the girls reported having ever used the Internet; more than 74% and 68% of them being in-school and out-of-school respectively. The in-school girls (43.9%) reported having home access more than the out-of-school (5.6%) although the out-of-school have used the Internet for finding reproductive and related information more than the in-school. While parents (66.22%) and teachers (56.15%) are the two sources most used to the in-school girls, friends (63.18%) and the Internet (55.19%) were reported by the out-of-school youth as the two most used sources of information to them. The Internet is not a first choice of source of reproductive health information for both the in-school and out-of-school adolescent girls in Owerri, Nigeria. The source is however, more commonly used by the out-of-school than the in-school, but the in-school have a more favorable assessment of the quality of information they obtain from the Internet.

  2. Population Health in Pediatric Speech and Language Disorders: Available Data Sources and a Research Agenda for the Field.

    Science.gov (United States)

    Raghavan, Ramesh; Camarata, Stephen; White, Karl; Barbaresi, William; Parish, Susan; Krahn, Gloria

    2018-05-17

    The aim of the study was to provide an overview of population science as applied to speech and language disorders, illustrate data sources, and advance a research agenda on the epidemiology of these conditions. Computer-aided database searches were performed to identify key national surveys and other sources of data necessary to establish the incidence, prevalence, and course and outcome of speech and language disorders. This article also summarizes a research agenda that could enhance our understanding of the epidemiology of these disorders. Although the data yielded estimates of prevalence and incidence for speech and language disorders, existing sources of data are inadequate to establish reliable rates of incidence, prevalence, and outcomes for speech and language disorders at the population level. Greater support for inclusion of speech and language disorder-relevant questions is necessary in national health surveys to build the population science in the field.

  3. Information Sources as Explanatory Variables for the Belgian Health-Related Risk Perception of the Fukushima Nuclear Accident.

    Science.gov (United States)

    Vyncke, Bart; Perko, Tanja; Van Gorp, Baldwin

    2017-03-01

    The media play an important role in risk communication, providing information about accidents, both nearby and far away. Each media source has its own presentation style, which could influence how the audience perceives the presented risk. This study investigates the explanatory power of 12 information sources (traditional media, new media, social media, and interpersonal communication) for the perceived risk posed by radiation released from the damaged Fukushima nuclear power plant on respondents' own health and that of the population in general. The analysis controlled for attitude toward nuclear energy, gender, education, satisfaction with the media coverage, and duration of attention paid to the coverage. The study uses a large empirical data set from a public opinion survey, which is representative for the Belgian population with respect to six sociodemographic variables. Results show that three information sources are significant regressors of perceived health-related risk of the nuclear accident: television, interpersonal communication, and the category of miscellaneous online sources. More favorable attitudes toward nuclear power, longer attention to the coverage, and higher satisfaction with the provided information lead to lower risk perception. Taken together, the results suggest that the media can indeed have a modest influence on how the audience perceives a risk. © 2016 Society for Risk Analysis.

  4. Sources of Information on HIV and Sexual and Reproductive Health for Couples Living with HIV in Rural Southern Malawi

    Directory of Open Access Journals (Sweden)

    Belinda Chimphamba Gombachika

    2013-01-01

    Full Text Available With wider access to antiretroviral therapy, people living with HIV are reconsidering their reproductive decisions: remarrying and having children. The purpose of the paper is to explore sources of information for reproductive decision used by couples living with HIV in patrilineal and matrilineal districts of Malawi. Data were collected from forty couples from July to December 2010. Our results illuminate five specific issues: some of the informants (1 remarry after divorce/death of a spouse, (2 establish new marriage relationship with spouses living with HIV, and (3 have children hence the need for information to base their decisions. There are (4 shared and interactive couple decisions, and (5 informal networks of people living with HIV are the main sources of information. In addition, in matrilineal community, cultural practices about remarriage set up structures that constrained information availability unlike in patrilineal community where information on sexual and reproductive health, HIV, and AIDS was disseminated during remarriage counselling. However, both sources are not able to provide comprehensive information due to complexity and lack of up to date information. Therefore, health workers should, offer people living with HIV comprehensive information that takes into consideration the cultural specificity of groups, and empower already existing and accepted local structures with sexual and reproductive health, HIV, and AIDS knowledge.

  5. The consequences of seniors seeking health information using the internet and other sources

    NARCIS (Netherlands)

    Medlock, Stephanie; Eslami, Saeid; Askari, Marjan; Sent, Danielle; de Rooij, Sophia E.; Abu-Hanna, Ameen

    2013-01-01

    The internet is viewed as an important channel for patient empowerment, enabling patients to feel more knowledgeable and take action to improve their own health. Internet use among seniors in the Netherlands is increasing, but it is not known if they also use it for health information, nor if

  6. 76 FR 52328 - Single Source Cooperative Agreement Award for the Gorgas Memorial Institute of Health Studies

    Science.gov (United States)

    2011-08-22

    ... Crawford Gorgas, the U.S. Army physician who managed control efforts of yellow fever, malaria and other... diseases like yellow fever, malaria, measles, tuberculosis, arbovirus febrile illness, viral... GMI is a public health institution within the Ministry of Health of Panama which provides research...

  7. 77 FR 57567 - Single Source Cooperative Agreement Award for World Health Organization

    Science.gov (United States)

    2012-09-18

    ... Organization AGENCY: Department of Health and Human Services (HHS), Assistant Secretary for Preparedness and... Organization for a grant titled: ``Smallpox Research Oversight Activities: WHO Advisory Committee on Variola... notification to World Health Organization (WHO) as soon as possible, and any confirmed smallpox case would...

  8. Communication as a Reflection of and a Source for Values in Health.

    Science.gov (United States)

    Smith, David H.

    1988-01-01

    Examines the institution of health from the communication perspective. Discusses the new emphasis on preventing illness through individuals'"proper" behavior. Advocates a communication-based approach to values in health care: a person-centered value base including both reason and emotion, contrary to the principle-based, rational mode of…

  9. Using barometric time series of the IMS infrasound network for a global analysis of thermally induced atmospheric tides

    Science.gov (United States)

    Hupe, Patrick; Ceranna, Lars; Pilger, Christoph

    2018-04-01

    The International Monitoring System (IMS) has been established to monitor compliance with the Comprehensive Nuclear-Test-Ban Treaty and comprises four technologies, one of which is infrasound. When fully established, the IMS infrasound network consists of 60 sites uniformly distributed around the globe. Besides its primary purpose of determining explosions in the atmosphere, the recorded data reveal information on other anthropogenic and natural infrasound sources. Furthermore, the almost continuous multi-year recordings of differential and absolute air pressure allow for analysing the atmospheric conditions. In this paper, spectral analysis tools are applied to derive atmospheric dynamics from barometric time series. Based on the solar atmospheric tides, a methodology for performing geographic and temporal variability analyses is presented, which is supposed to serve for upcoming studies related to atmospheric dynamics. The surplus value of using the IMS infrasound network data for such purposes is demonstrated by comparing the findings on the thermal tides with previous studies and the Modern-Era Retrospective analysis for Research and Applications Version 2 (MERRA-2), which represents the solar tides well in its surface pressure fields. Absolute air pressure recordings reveal geographical characteristics of atmospheric tides related to the solar day and even to the lunar day. We therefore claim the chosen methodology of using the IMS infrasound network to be applicable for global and temporal studies on specific atmospheric dynamics. Given the accuracy and high temporal resolution of the barometric data from the IMS infrasound network, interactions with gravity waves and planetary waves can be examined in future for refining the knowledge of atmospheric dynamics, e.g. the origin of tidal harmonics up to 9 cycles per day as found in the barometric data sets. Data assimilation in empirical models of solar tides would be a valuable application of the IMS infrasound

  10. Exemplary subsurface geothermal projects in the western part of Germany; Beispiele zur Nutzung oberflaechennaher Geothermie im Westen Deutschlands

    Energy Technology Data Exchange (ETDEWEB)

    Sanner, B.; Mands, E. [UbeG GbR, Wetzlar (Germany); Kohlsch, O. [EWS Erdwaerme-Systemtechnik GmbH, Delbrueck (Germany)

    2004-12-01

    During the past few years, several projects involving ground source heat pumps were carried out in western Germany, especially in the Rhine-Main and Rhine-Ruhr-Sieg region including the cities of Frankfurt and Cologne. Some of the project partners are big names in industry, e.g. an office building of PhilipsSparte APD at Wetzlar and the museum building of chocolate producer Ritter Sport. Other projects are sited in rural regions, from the Black Forest to the Weserbergland hills. The contribution presents several interesting projects, e.g. the police headquarters building at Bonn (right bank, groundwater use) and the office building of the Federal Office of Environmental protection, also at Bonn (left bank, geothermal probles), and three school buildings in the Frankfurt/Main region at Glashuetten, Bad Homburg-Oberstedten and Usingen-Eschbach. (orig.) [German] In den letzten Jahren wurden im Westen Deutschlands eine ganze Reihe groesserer Projekte mit erdgekoppelten Waermepumpen verwirklicht, besonders im Rhein-Main-Gebiet und im Rhein-Ruhr-Sieg-Gebiet einschliesslich der Grossstaedte Frankfurt und Koeln. Zu den Bauherren zaehlen inzwischen auch bekannte Namen der deutschen Industrie. So wird in Wetzlar ein Buerogbaeude der PhilipsSparte APD mit Erdwaermesonden ausgeruestet, und das Museum des Schokoladenherstellers Ritter Sport wird auf Energiepfaehlen stehen. Abe auch im laendlichen Raum sind interessante Anlagen entstanden, vom Schwarzwald bis ins Weserbergland. Im Folgenden werden einige interessante Beispiele vorgestellt. Dabei sind Projekte in der Ausfuehrungsphase wie z.B. das Polizeipraesidium in Bonn (rechts des Rheins mit Grundwassernutzung), oder das Bundesamt fuer Naturschutz in Bonn, diesmal auf der linken Rheinseite und mit Erdwaermesonden. In Ausfuehrungn bzw. fertiggestellt sind auch Erdwaermesonden fuer 3 Schulen im Raum Frankfurt:/Main, in Glashuetten, Bad Homburg-Oberstedten und Usingen-Eschbach. (orig.)

  11. An Innovative Approach to the Integrated Management System Development: SIMPRO-IMS Web Based Environment

    Directory of Open Access Journals (Sweden)

    Kristina Zgodavova

    2012-12-01

    Full Text Available The purpose of this paper is to contribute to learning, knowledge creation and knowledge transfer for building organization innovability by integrating the management systems in the SIMPRO-IMS web based environment. The paper content consists of the interpretation of role-play simulation, role-play simulation process description, methodology, and the employment of role-play simulation outcomes, as well as the discussion of the knowledge thus obtained. Primary the model of the SIMPRO-Q education environment has been developed and tested during a period of 15 years in several industrial organizations as well as service organizations such as Higher Education Institution (HEI and Healthcare Organization (HCO. The newest version SIMPRO-IMS has recently been developed to support a need of integration of management systems and information archiving. With the last development, SIMPRO-IMS web based environment, processes of five ISO systems are integrated for parallel development, implementation, auditing, maintaining and leading. SIMPRO-IMS provides management with the apparatus necessary to realize a systematic and verifiable approach to the creation and control of IMS documentation. At the same time contributes to the preservation of organization memory in response to the growing challenges of globalization and digitalization. The research is limited by the complexity of a real system and possible empiric results verification. The results achieved are verified when people really overcome the resistance to change. This can be assessed thoughtfully only after some period of time. Another limitation is presented by measurability of real enhancement achieved in quality, safety and environmentality of production, and business continuity and social responsibility of an organization. Development and progress in the methodology of SIMPRO-IMS web based environment is encoded in upgrading the SIMPRO database by processes of the environmental management

  12. Getting sports injury prevention on to public health agendas - addressing the shortfalls in current information sources.

    Science.gov (United States)

    Finch, Caroline F

    2012-01-01

    Public health policy is a successful population-level strategy for injury prevention but it is yet to be widely applied to the sports sector. Such policy is generally coordinated by government health departments concerned with the allocation of limited resources to health service delivery and preventive programs for addressing large community health issues. Prioritisation of sports injury prevention (SIP) requires high-quality evidence about the size of the problem and its public health burden; identification of at-risk vulnerable groups; confirmed effective prevention solutions; evidence of intervention cost-effectiveness; and quantification of both financial and policy implications of inaction. This paper argues that the major reason for a lack of sports injury policy by government departments for health or sport to date is a lack of relevant information available for policy makers to make their decisions. Key information gaps evident in Australia are used to highlight this problem. SIP policy does not yet rank highly because, relative to other health/injury issues, there is very little hard evidence to support: claims for its priority ranking, the existence of solutions that can be implemented and which will work, and potential cost-savings to government agencies. Moreover, policy action needs to be integrated across government portfolios, including sport, health and others. Until sports medicine research generates high-quality population-level information of direct relevance and importance to policy makers, especially intervention costing and implementation cost-benefit estimates, and fully engage in policy-informing partnerships, SIP will continue to be left off the public health agenda.

  13. The Internet as a source of health information: experiences of cancer survivors and caregivers with healthcare providers.

    Science.gov (United States)

    Dolce, Maria C

    2011-05-01

    To describe the experiences of cancer survivors and caregivers with healthcare providers in the context of the Internet as a source of health information. Qualitative description. Online cancer communities hosted by the Association of Cancer Online Resources. Purposive sample of 488 cancer survivors, with varying cancer types and survivorship stages, and caregivers. Secondary data analysis using Krippendorff's thematic clustering technique of qualitative content analysis. Survivorship, healthcare relationships, and the Internet. Disenchantment with healthcare relationships was associated with failed expectations related to evidence-based practice, clinical expertise, informational support, and therapeutic interpersonal communication. Survivors and caregivers exercised power in healthcare relationships through collaboration, direct confrontation, becoming expert, and endorsement to influence and control care decisions. Disenchantment propelled cancer survivors and caregivers to search the Internet for health information and resources. Conversely, Internet information-seeking precipitated the experience of disenchantment. Through online health information and resources, concealed failures in healthcare relationships were revealed and cancer survivors and caregivers were empowered to influence and control care decisions. The findings highlight failures in cancer survivorship care and underscore the importance of novel interdisciplinary programs and models of care that support evidence-informed decision making, self-management, and improved quality of life. Healthcare professionals need to receive education on survivors' use of the Internet as a source of health information and its impact on healthcare relationships. Future research should include studies examining the relationship between disenchantment and survivorship outcomes.

  14. An Invitation to Collaborate: The SPIRIT Open Source Health Care Portal

    Science.gov (United States)

    Bray, Brian; Molin, Joseph Dal

    2001-01-01

    The SPIRIT portal is a web site resulting from a joint project of the European Commission 5th Framework Research Programme for Information Society Technologies, Minoru Development (France), Conecta srl (Italy), and Sistema Information Systems (Italy). The portal indexes and disseminates free software, serves as a meeting point for health care informatics researchers, and provides collaboration services to health care innovators. This poster session describes the services of the portal and invites researchers to join a worldwide collaborative community developing evidence based health care solutions.

  15. Phenolic compounds and biological effects of edible Rumex scutatus and Pseudosempervivum sempervivum: potential sources of natural agents with health benefits.

    Science.gov (United States)

    Savran, Ahmet; Zengin, Gokhan; Aktumsek, Abdurrahman; Mocan, Andrei; Glamoćlija, Jasmina; Ćirić, Ana; Soković, Marina

    2016-07-13

    The present study outlines a chemical characterization and further effects beneficial to health of edible Rumex scutatus and Pseudosempervivum sempervivum, in addition to presenting the antioxidant, enzyme inhibitory effects and antimicrobial properties of different extracts. The phenolic compounds composition of the extracts was assessed by RP-HPLC-DAD, outlining benzoic acid and rutin as major constituents in P. sempervivum and rutin and hesperidin in R. scutatus. Moreover, further biological effects were tested on key enzymes involved in diabetes mellitus, Alzheimer's disease and skin melanogenesis revealing an important tyrosinase inhibitory effect of Pseudosempervivum water extract. Moreover, both species possessed antimicrobial properties towards bacteria and fungi relevant to public health. Accordingly, we find that R. scutatus and P. sempervivum can be considered as novel functional foods because they are rich sources of biologically active compounds that provide health benefits.

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

    Science.gov (United States)

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

    2013-12-01

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

  17. Medienerziehung im Vorschulbereich - Zum Projekt Mediengarten der Wiener Medienpädagogik

    Directory of Open Access Journals (Sweden)

    Gudrun Kern

    2010-09-01

    Full Text Available Im Zuge des Projekts Mediengarten der Wiener Medienpädagogik wurde in Kooperation mit angehenden KindergartenpädagogInnen eine Medienerziehung im Sinne einer Auseinandersetzung über Medien im Vorschulbereich anhand konkreter Angebote in Kindergärten konzipiert. Im folgenden Artikel werden die Schwerpunktsetzungen dieses Konzepts vorgestellt und durch praktische Beispiele verdeutlicht.

  18. A GIS-BASED ENVIRONMENTAL HEALTH INFORMATION SOURCE FOR MALAYSIAN CONTEXT

    OpenAIRE

    Lau Tiu Chung; Lau Bee Theng; Henry Lee Seldon

    2013-01-01

    In this paper, we propose a GIS-based system for collection and targeted distribution of latest alerts and real-time environmental factors to the Malaysian population. We call it the Environmental Health Management System (EHMS). This GIS-based system is designed to facilitate and encourage research into environmental health quality issues by providing a comprehensive tracking and monitoring tool. This GIS-based system is embedded with Google Maps API and Geocoding API services to visualize t...

  19. A Management Tool for Improvement (Improving) IMS Stations Performance

    International Nuclear Information System (INIS)

    Mohammad, D.; Pantin, A.; Quintana, E.

    2011-01-01

    IMS-Maintenance is a software under development by the personnel of ARN-CTBT office, intended for the technical management of IMS stations under ARN's responsibility. This software integrates the whole control of the equipment in an IMS station, including the management of consumables used in daily or periodic operation. It permits an easy retrieval (access) of the technical features, suppliers, etc. of each item of the equipment, as well as its maintenance history and scheduled task. Although this project is still in a starting phase, a preliminary version of this software is being used in radionuclide station RN01 (Buenos Aires), having already demonstrated its usefulness and potential for the improvement of IMS station management. (authors)

  20. Implementing Adaptive Educational Methods with IMS Learning Design

    NARCIS (Netherlands)

    Specht, Marcus; Burgos, Daniel

    2006-01-01

    Please, cite this publication as: Specht, M. & Burgos, D. (2006). Implementing Adaptive Educational Methods with IMS Learning Design. Proceedings of Adaptive Hypermedia. June, Dublin, Ireland. Retrieved June 30th, 2006, from http://dspace.learningnetworks.org

  1. [Preussen und Livland im Zeichen der Reformation] / Anti Selart

    Index Scriptorium Estoniae

    Selart, Anti, 1973-

    2015-01-01

    Arvustus: Preussen und Livland im Zeichen der Reformation. Hrsg. von Arno Mentzel-Reuters und Klaus Neitmann. (Tagungsberichte der Historischen Kommission für ost- und westpreussische Landesforschung, 28). Fibre Verlag. Osnabrück 2014

  2. Young people's comfort receiving sexual health information via social media and other sources.

    Science.gov (United States)

    Lim, Megan Sc; Vella, Alyce; Sacks-Davis, Rachel; Hellard, Margaret E

    2014-12-01

    Social media are growing in popularity and will play a key role in future sexual health promotion initiatives. We asked 620 survey participants aged 16 to 29 years about their time spent using social media and their comfort in receiving information about sexual health via different channels. Median hours per day spent using social network sites was two; 36% spent more than 2 hours per day using social network sites. In multivariable logistic regression, being aged less than 20 years and living in a major city (compared to rural/regional Australia) were associated with use of social media more than 2 hours per day. Most participants reported being comfortable or very comfortable accessing sexual health information from websites (85%), followed by a doctor (81%), school (73%), and the mainstream media (67%). Fewer reported being comfortable getting information from social media; Facebook (52%), apps (51%), SMS (44%), and Twitter (36%). Several health promotion programmes via social media have demonstrated efficacy; however, we have shown that many young people are not comfortable with accessing sexual health information through these channels. Further research is needed to determine how to best take advantage of these novel opportunities for health promotion. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  3. Quantensprung Digitalisierung - Energiewirtschaft im 21. Jahrhundert

    Science.gov (United States)

    Thyen, Elmar

    Die Energiewende wird ohne eine umfassende Digitalisierung der Energiewirtschaft Stückwerk bleiben. Die historisch gewachsene, aus hunderten fossilen Großkraftwerken getriebene Energieversorgung hat sich durch den Zubau von mehr als einer Millionen dezentraler Erzeugungseinheiten innerhalb der vergangenen 15 Jahren radikal verändert. Zum Ausgleich von Last und Erzeugung, aber auch zum Aufbau neuer Geschäftsfelder ist die digitale Technik unverzichtbar. Ihre Möglichkeiten scheinen nahezu unbegrenzt, ihre Rolle wird in einer zukünftig nahezu vollständig elektrifizierten Gesellschaft zunehmend wichtiger werden. Neue Anbieter drängen auf den Markt und setzen die traditionelle Energiewirtschaft unter Druck. Energieversorger, die sich dem Wandel nicht stellen, drohen den Anschluss zu verpassen. Noch werden Verbundunternehmen und Stadtwerke von weitreichenden regulatorischen Vorgaben geschützt. Beispiele aus anderen Branchen zeigen aber, dass die Digitalisierung im Stande ist, regulatorische Mechanismen außer Kraft zu setzen. Zugleich verhindert die enge Regulierung und ein falsch verstandener Datenschutzbegriff in Deutschland die Entwicklung neuer Geschäftsmodelle, die energie- und volkswirtschaftlich sinnvoll wären.

  4. Travestie im alten Ägypten

    Directory of Open Access Journals (Sweden)

    prof.Magda Abdalla

    2011-01-01

    Full Text Available Der Artikel möchte versuchen zu beweisen, dass den alten Ägyptern Travestie bekannt war. In verschiedenen Texten wie Märchen, Fabeln und Liebesgedichten auf Papyri und Ostraka, finden sich Belege von Travestie. Zuerst muss jedoch betont werden, dass es einen Unterschied zwischen dem Begriff der Travestie, mit anderen Worten der Verkleidung,[1] und dem der Metamorphose, dem Verwandeln der Gestalt,[2] gibt. [1] Tra.ve´stie: f. satirisch, Verspottung eines Literaturwerkes, bei der (im Unterschied zur Parodie der Inhalt beibehalten und die Form verändert wird (frz. travestie „Verkleidung“; zu lat. trans „hinüber“+vestire, „kleiden“. G. Wahrig,. Deutsches Wörterbuch, mit einem „Lexikon der deutschen Sprachlehre“( München, 1987, 1292. Es gibt auch eine moderne Definition des Begriffes Travestie aus dem 17. Jahrhundert. Hier beinhaltet diese ein Verfahren oder eine kritische Zielsetzung.w.Karrer.,Parodie Travestie, Pastiche (München, 1977, 19, 46. [2] Me.ta.mor´pho.se Umwandlung eines Gesteins in ein anderes; Wandlung des jungen Tieres durch verschiedene äußere Stadien; Verwandlung von Menschen in Tiere, Pflanzen, Quellen usw. (Deutsches Wörterbuch, 883. الإحصائيات

  5. Das Problem der Ethnogenese im antiken Griechenland

    Directory of Open Access Journals (Sweden)

    Welwei Karl-Wilhelm

    2011-01-01

    Full Text Available Sprachwissenschaftliche Untersuchungen lassen darauf schließen, dass die historischen Dialekte der alten Hellenen erst auf griechischem Boden um und nach 1000 v. Chr. entstanden sind. Bei den frühen Zuwanderern kann es sich nur um kleinere Verbände gehandelt haben, so daß zweifelllos keine großen „Stämme“ nach Griechenland vorgedrungen sind, wie man in der älteren Forschung angenommen hat. In Griechenland haben die Zuwanderer die Suffixe -ss und -nth oder -nd nicht erst kennengelernt, sondern zumindest zum Teil schon mitgebracht und vermutlich im 3. Jahrtausend v. Chr. die allmähliche Entwicklung des späteren Griechischen eingeleitet. Impulse für die Entwicklung der materiellen Kultur gingen um 1700 v. Chr. von Kreta aus und beeinflussten in starkem Maße die mykenische Zeit mit ihren Palastsystemen, deren Zusammenbruch um 1200 v. Chr. aber nicht schon zum Ende der mykenischen Kultur führte, wenn auch die Linear B-Schrift nicht mehr benutzt wurde und die Infrastrukturen der Machtzentren zusammenbrachen. Dies war zugleich die Voraussetzung für die Bildung kleinerer Siedlungen mit neuen Führungssystemen und Sozialstrukturen sowie mit einem jeweils eigenen Identitätsbewußtsein.

  6. Common basis of establishing safety standards and other safety decision-making levels for different sources of health risk

    International Nuclear Information System (INIS)

    Demin, V.F.

    2002-01-01

    Current approaches in establishing safety standards and other decision-making levels for different sources of health risk are critically analysed. To have a common basis for this decision-making a specific risk index R is recommended. In the common sense R is quantitatively defined as LLE caused by the annual exposure to the risk source considered: R = annual exposure, damage (LLE) from the exposure unit. This common definition is also rewritten in specific forms for a set of different risk sources (ionising radiation, chemical pollutants, etc): for different risk sources the exposure can be measured with different quantities (the probability of death, the exposure dose, etc.). R is relative LLE: LLE in years referred to 1 year under the risk. The dimension of this value is [year/year]. In the statistical sense R is conditionally the share of the year, which is lost due to exposure to a risk source during this year. In this sense R can be called as the relative damage. Really lifetime years are lost after the exposure. R can be in some conditional sense considered as a dimensionless quantity. General safety standards R n for the public and occupational workers have been suggested in terms of this index: R n = 0.0007 and 0.01 accordingly. Secondary safety standards are derived for a number of risk sources (ionising radiation, environmental chemical pollutants, etc). Values of R n are chosen in such a way that to have the secondary radiation BSS being equivalent to the current one's. Other general and derived levels for safety decision-making are also proposed including the de-minimus levels. Their possible dependence on the national or regional health-demographic data (HDD) is considered. Such issues as the ways of the integration and averaging of risk indices considered through the national or regional HDD for different risk sources and the use of non-threshold linear exposure - response relationships for ionising radiation and chemical pollutants are analysed

  7. What do we really know about the health effects of natural sources of trans fatty acids?

    Science.gov (United States)

    While the food industry remains actively engaged in the development of alternatives for partially hydrogenated vegetable oils in order to reduce intake of trans fatty acids, intake of these fatty acids from natural sources remains as a small part of our diet. The question remains, are there differ...

  8. Sources of Malaria Information among Pregnant Women in Ebonyi State and Implications for Malaria Health Education

    Science.gov (United States)

    Amari-Omaka, Lois Nnenna; Obande-Ogbuinya, Nkiru Edith

    2016-01-01

    The purpose of this study was to determine sources of malaria information among pregnant women in Ebonyi state and implications for malaria education. The cross sectional research design was adopted and stratified sampling technique was used to select a total of five hundred and four (504) pregnant women from 12 hospitals in the state. A self…

  9. Gruppenbezogene Menschenfeindlichkeit im Sport in Sachsen-Anhalt

    OpenAIRE

    Delto, Hannes; Tzschoppe, Petra

    2016-01-01

    Mit der Querschnittsstudie „Wir und die Anderen – Gruppenbezogene Menschenfeindlichkeit im organisierten Sport in Sachsen-Anhalt“ wurde das Syndrom Gruppenbezogener Menschenfeindlichkeit im organisierten Sport untersucht. Das Konzept der Gruppenbezogenen Menschenfeindlichkeit – ausgehend von einer Ideologie der Ungleichwertigkeit – wurde von Prof. Wilhelm Heitmeyer (Universität Bielefeld) entwickelt. Die Ergebnisse ermöglichen explizite Aussagen über Ausmaß und Ursachen Gruppenbezogener Mensc...

  10. Ein Ausblick auf Supply-Chain-Management im Jahr 2016

    DEFF Research Database (Denmark)

    Wieland, Andreas

    2016-01-01

    Wie sieht Supply-Chain-Management im Jahr 2016 aus? Was erwartet uns? Vieles deutet darauf hin, dass SCM in Zukunft sogar noch mehr auf den Kunden gerichtet sein könnte als bisher.......Wie sieht Supply-Chain-Management im Jahr 2016 aus? Was erwartet uns? Vieles deutet darauf hin, dass SCM in Zukunft sogar noch mehr auf den Kunden gerichtet sein könnte als bisher....

  11. Wir und die Anderen: Gruppenbezogene Menschenfeindlichkeit im Sport in Sachsen

    OpenAIRE

    Delto, Hannes; Tzschoppe, Petra

    2015-01-01

    Mit der Querschnittsstudie "Wir und die Anderen – Gruppenbezogene Menschenfeindlichkeit im organisierten Sport in Sachsen" wurde erstmals das Syndrom Gruppenbezogener Menschenfeindlichkeit im organisierten Sport untersucht. Das Konzept der Gruppenbezogenen Menschenfeindlichkeit – ausgehend von einer Ideologie der Ungleichwertigkeit – wurde von Prof. Wilhelm Heitmeyer (Universität Bielefeld) entwickelt. Die Ergebnisse ermöglichen explizite Aussagen über Ausmaß und Ursachen Gruppenbezogener Men...

  12. Eisengehalt von Fleisch - Ermittlung des Eisengehalts im Fleisch verschiedener Tierarten

    OpenAIRE

    Westphal, Karsten; Klose, Ralf; Golze, Manfred

    2009-01-01

    Der Bericht beinhaltet Ergebnisse von Fleischuntersuchungen auf den Eisengehalt. Untersucht wurden 308 Schweinefleischproben und etwa 300 Fleischproben der Tierarten Rind, Bison, Auerochse, Büffel, Schaf, Ziege, Kaninchen, Wildschwein, Rehwild, Rotwild und Fasan. Die sächsischen Ergebnisse bestätigen Untersuchungen anderer Bundesländer und belegen den starken Rückgang des Eisengehaltes im Schweinefleisch. Er lag im Mittel bei 4,1 mg/kg Frischmasse (FM). Vor 30 Jahren lag der Eisengehalt...

  13. Die Raumdarstellung im erzählenden Werk um 1900

    OpenAIRE

    Lu, Xiaoli

    2011-01-01

    In der Literatur existiert eine eigene Welt, die mit Raum und Zeit verbunden ist. Im 19. Jahrhundert gewinnen beide, Raum und Zeit, an Bedeutung als bewusst eingesetzte Gestaltungselemente. Es bilden sich zwei Grundrichtungen heraus, eine mit dem Erzählgeschehen verknüpfte Semantisierung in der Klassik und in der Romantik und eine betonte Fixierung des Geschehens in der realen Welt durch genaue Zeit- und Ortsangaben im Realismus. Die Semantisierung von Raum und Zeit führt zu einer Bedeutungss...

  14. ifo Konjunkturprognose 2015/2016: Deutsche Wirtschaft im Aufschwung

    OpenAIRE

    Wollmershäuser, Timo; Nierhaus, Wolfgang; Berg, Tim Oliver; Breuer, Christian; Garnitz, Johanna; Grimme, Christian; Henzel, Steffen; Hristov, Atanas; Hristov, Nikolay; Meister, Wolfgang; Schröter, Felix; Steiner, Andreas; Wieland, Elisabeth; Wohlrabe, Klaus; Wolf, Anna

    2015-01-01

    Die deutsche Wirtschaft befindet sich derzeit in einem kräftigen Aufschwung. Das reale Bruttoinlandsprodukt wird in diesem Jahr voraussichtlich um 1,9% expandieren und im kommenden Jahr um 1,8%. Der private Konsum bleibt die Stütze des Aufschwungs, da die Einkommensperspektiven der privaten Haushalte aufgrund der sich weiter verbessernden Arbeitsmarktlage gut sind. Allerdings entfallen allmählich die Kaufkraftgewinne durch den Ölpreisrückgang, so dass sich die Konsumdynamik im Prognosezeitrau...

  15. Investigation of exhaust gases at blends of fuels/biofuels at the Helmholtz Virtual Institute for Complex Molecular Systems in Environmental Health; Abgasuntersuchungen an Kraftstoffen/Biokraftstoff-Blends im Rahmen des Helmholtz Virtual Institute for Complex Molecular Systems in Environmental Health

    Energy Technology Data Exchange (ETDEWEB)

    Streibel, Thorsten [Rostock Univ. (Germany). Inst. fuer Chemie, Analytische Chemie; Adam, Thomas; Grabowsky, Jana; Sklorz, Martin; Zimmermann, Ralf

    2012-07-01

    The objective of the ''Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health'' (HICE) is the establishment of a long-term scientific research initiative for the investigation of the causes and mechanisms of environmentally influenced diseases. In the initial phase (INF funding period) the HICE focuses on a deeper understanding of the impact of anthropogenic aerosols on human health. Based on current hypotheses, reactive organic compounds in particle as well as in gas phase of aerosols are particularly relevant. Innovative in-vitro human lung tissue models and selected susceptible animal models are exposed to aerosols, and separated gas and particle phases from relevant sources. The response of the biological systems is investigated by state-of-the-art analytical techniques on different biological levels (transcriptome, proteome, metabolome, toxicological parameters). The second central topic is the real-time characterization of emissions (gas- and particulate phase) from internal combustion engines with a special focus on the influence of the biodiesel content. For this, mass spectrometry with photo ionization will be applied for the detection of organic compounds. Preliminary studies dealt with the online investigation of the gas phase of truck diesel exhaust as well as the offline particulate phase characterization after thermal desorption. Both studies detected primarily (poly)aromatic hydrocarbons. (orig.)

  16. Prävention und Gesundheitsförderung im Medizinstudium: Querschnittstudie zu Präferenzen, Haltungen und Vorkenntnissen von Studierenden [Prevention and health promotion in undergraduate medical education: Preferences, attitudes and previous knowledge of medical students - a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Klement, Andreas

    2011-02-01

    Full Text Available [english] Objective: The interdisciplinary topic "prevention and health promotion" (Q10 was introduced into the medical training in Germany by the new medical licensing regulations in 2004. For the conception of an effective curriculum, it is helpful to know student preferences concerning teaching-formats, attitudes and self-estimated previous knowledge. Little is known concerning student perception of “prevention and health promotion” in Germany. Thus, this explorative cross-sectional study aims to provide a first step for closing this gap.Methods: Medical students (n=220 in the fifth academic year were asked to fill in a standardized questionnaire prior to the Q10 curriculum. Questions focused on preferences for teaching and testing formats and self-estimated previous knowledge as well as on rating the importance of prevention topics and health risks. The questions were multiple choice, five-point Likert scales and open-ended questions. Results: A total of 94 students filled questionnaires (42% response rate. Prevention and health promotion was rated as “important” or “very important” for their “own medical professionalism” by 68% of students. Ratings showed preferences for self-directed teaching and learning strategies, including case-based learning, and 78% wished for predominantly oral examinations. The self-estimated knowledge about prevention and health promotion is rated as “rather poor”. The most favored training aim was “decision making within the physician-patient-relationship”. Regarding medical health consultation, students frequently estimate “lifestyle factors” and “psychological disease” as being "very important". Conclusion: Students’ self-estimated poor previous knowledge of prevention and health promotion creates special challenges for curriculum development. High ratings of relevance assigned to prevention-related topics point to a motivational potential which should be utilized through

  17. Coherent ambient infrasound recorded by the global IMS network

    Science.gov (United States)

    Matoza, R. S.; Landes, M.; Le Pichon, A.; Ceranna, L.; Brown, D.

    2011-12-01

    The International Monitoring System (IMS) includes a global network of infrasound arrays, which is designed to detect atmospheric nuclear explosions anywhere on the planet. The infrasound network also has potential application in detection of natural hazards such as large volcanic explosions and severe weather. Ambient noise recorded by the network includes incoherent wind noise and coherent infrasound. We present a statistical analysis of coherent infrasound recorded by the IMS network. We have applied broadband (0.01 to 5 Hz) array processing systematically to the multi-year IMS historical dataset (2005-present) using an implementation of the Progressive Multi-Channel Correlation (PMCC) algorithm in log-frequency space. We show that IMS arrays consistently record coherent ambient infrasound across the broad frequency range from 0.01 to 5 Hz when wind-noise levels permit. Multi-year averaging of PMCC detection bulletins emphasizes continuous signals such as oceanic microbaroms, as well as persistent transient signals such as repetitive volcanic, surf, or anthropogenic activity (e.g., mining or industrial activity). While many of these continuous or repetitive signals are of interest in their own right, they may dominate IMS array detection bulletins and obscure or complicate detection of specific signals of interest. The new PMCC detection bulletins have numerous further applications, including in volcano and microbarom studies, and in IMS data quality assessment.

  18. Assessing the population coverage of a health demographic surveillance system using satellite imagery and crowd-sourcing.

    Directory of Open Access Journals (Sweden)

    Aurelio Di Pasquale

    Full Text Available Remotely sensed data can serve as an independent source of information about the location of residential structures in areas under demographic and health surveillance. We report on results obtained combining satellite imagery, imported from Bing, with location data routinely collected using the built-in GPS sensors of tablet computers, to assess completeness of population coverage in a Health and Demographic Surveillance System in Malawi. The Majete Malaria Project Health and Demographic Surveillance System, in Malawi, started in 2014 to support a project with the aim of studying the reduction of malaria using an integrated control approach by rolling out insecticide treated nets and improved case management supplemented with house improvement and larval source management. In order to support the monitoring of the trial a Health and Demographic Surveillance System was established in the area that surrounds the Majete Wildlife Reserve (1600 km2, using the OpenHDS data system. We compared house locations obtained using GPS recordings on mobile devices during the demographic surveillance census round with those acquired from satellite imagery. Volunteers were recruited through the crowdcrafting.org platform to identify building structures on the images, which enabled the compilation of a database with coordinates of potential residences. For every building identified on these satellite images by the volunteers (11,046 buildings identified of which 3424 (ca. 30% were part of the censused area, we calculated the distance to the nearest house enumerated on the ground by fieldworkers during the census round of the HDSS. A random sample of buildings (85 structures identified on satellite images without a nearby location enrolled in the census were visited by a fieldworker to determine how many were missed during the baseline census survey, if any were missed. The findings from this ground-truthing effort suggest that a high population coverage was

  19. A GIS-BASED ENVIRONMENTAL HEALTH INFORMATION SOURCE FOR MALAYSIAN CONTEXT

    Directory of Open Access Journals (Sweden)

    Lau Tiu Chung

    2013-04-01

    Full Text Available In this paper, we propose a GIS-based system for collection and targeted distribution of latest alerts and real-time environmental factors to the Malaysian population. We call it the Environmental Health Management System (EHMS. This GIS-based system is designed to facilitate and encourage research into environmental health quality issues by providing a comprehensive tracking and monitoring tool. This GIS-based system is embedded with Google Maps API and Geocoding API services to visualize the location and environmental health reports from the aggregated online newspaper and social media news feeds. We introduce the design and implementation of EHMS, including the web frontend, backend, ontology, database, data acquisition, classification engine, and the standard news feeds.

  20. Consumer exposure. Basic considerations for regulatory exposure estimations; Exposition des Verbrauchers. Grundlegende Ueberlegungen fuer die Expositionsabschaetzung im regulatorischen Bereich

    Energy Technology Data Exchange (ETDEWEB)

    Heinemeyer, G. [Bundesinstitut fuer Risikobewertung, Berlin (Germany)

    2003-05-01

    ) or LOAEL (low observed adverse effect level). A small hazard/exposure ratio can be attributed to a probability of high risk, whereas a large ratio indicates a small risk of health hazards. The following article discusses the main principles of exposure estimation. (orig.) [German] Die Bewertung von Verbraucherexpositionen umschliesst alle Quellen und Pfade, ueber die Personen im privaten und haeuslichen Umfeld mit Chemikalien in Kontakt kommen. Dabei sind Verbraucher nicht nur diejenigen, die selbst Verbraucherprodukte anwenden, sondern auch alle weiteren Personen, die sekundaer (indirekt) mit dem Produkt Kontakt haben, z.B. Familienangehoerige. Eine Verbraucherexposition kann gemessen oder geschaetzt werden. Beide Verfahren haben Vor- und Nachteile. Waehrend sich Messungen meistens auf individuelle Expositionssituationen beziehen, beschreiben Modelle eher eine verallgemeinerte Expositionssituation (Szenario). Messungen haben daher ihren Platz, wo Quellen von Schadstoffen aufgespuert werden muessen, Modelle eher dort, wo systematisierte Betrachtungen von Risiken durchgefuehrt werden. Zur Expositionsschaetzung gehoeren 3 Abschnitte, erstens die Charakterisierung der Expositionsquelle (z.B. eine Haushaltschemikalie) mit Beschreibung der Anwendungsmodalitaeten (Haeufigkeit, Dauer); zweitens die Beschreibung des zeitlichen Verlaufes der Konzentration des Stoffes im Kontaktmedium, vor allem in der Luft und auf der Haut. Die Exposition wird darueber hinaus durch das Verhalten der exponierten Person selbst bestimmt. Hier ist die Kontaktdauer, auch Zeitbudget genannt, von grosser Bedeutung. Besondere Verhaltensmuster koennen auch fuer bestimmte Populationen von Bedeutung sein. Man nimmt an, dass z.B. im Kindesalter die orale Aufnahme durch das sog. Mouthing (Hand-in-den-Mund-Stecken) eine besondere Rolle spielt. Die Risikocharakterisierung erfolgt durch einen Vergleich der Exposition, ausgedrueckt als Konzentration oder Dosis, mit dem NOAEL (No Observed Adverse Effect Level

  1. An innovative expression model of human health risk based on the quantitative analysis of soil metals sources contribution in different spatial scales.

    Science.gov (United States)

    Zhang, Yimei; Li, Shuai; Wang, Fei; Chen, Zhuang; Chen, Jie; Wang, Liqun

    2018-09-01

    Toxicity of heavy metals from industrialization poses critical concern, and analysis of sources associated with potential human health risks is of unique significance. Assessing human health risk of pollution sources (factored health risk) concurrently in the whole and the sub region can provide more instructive information to protect specific potential victims. In this research, we establish a new expression model of human health risk based on quantitative analysis of sources contribution in different spatial scales. The larger scale grids and their spatial codes are used to initially identify the level of pollution risk, the type of pollution source and the sensitive population at high risk. The smaller scale grids and their spatial codes are used to identify the contribution of various sources of pollution to each sub region (larger grid) and to assess the health risks posed by each source for each sub region. The results of case study show that, for children (sensitive populations, taking school and residential area as major region of activity), the major pollution source is from the abandoned lead-acid battery plant (ALP), traffic emission and agricultural activity. The new models and results of this research present effective spatial information and useful model for quantifying the hazards of source categories and human health a t complex industrial system in the future. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. Indigenous edible plants as sources of nutrients and health benefitting components (nutraceuticals)

    CSIR Research Space (South Africa)

    Dlamini, N

    2010-08-31

    Full Text Available Africa, not only to address health problems and malnutrition, but also to create employment through establishment of industries © CSIR 2010 Slide 21 The Team at CSIR Tshidi Moroka Nomusa Dlamini Gerda Botha Judy Reddy Lauraine Mlotshwa Middah...

  3. Completed Research in Health, Physical Education, Recreation & Dance; Including International Sources. Volume 27. 1985 Edition.

    Science.gov (United States)

    Freedson, Patty S., Ed.

    This compilation lists research completed in the areas of health, physical education, recreation, dance, and allied areas during 1984. The document is arranged in two parts. In the index, references are arranged under the subject headings in alphabetical order. Abstracts of master's and doctor's theses from institutions offering graduate programs…

  4. Farmer’s seed sources and seed quality: 2. seed health

    NARCIS (Netherlands)

    Bishaw, Z.; Struik, P.C.; Gastel, van A.J.G.

    2013-01-01

    The study assessed the health quality of wheat (Triticum aestivum L.) and barley (Hordeum vulgare L.) seed samples collected from formal and informal sector in Ethiopia and Syria. In Ethiopia, several seed-borne fungi were found on wheat samples: Cochliobolus sativum, Fusarium avenaceum, F.

  5. [Internet as an information source for health in primary care patients and its influence on the physician-patient relationship].

    Science.gov (United States)

    Marin-Torres, Viviana; Valverde Aliaga, Justo; Sánchez Miró, Ignacio; Sáenz Del Castillo Vicente, María Isabel; Polentinos-Castro, Elena; Garrido Barral, Araceli

    2013-01-01

    To describe the use of the Internet by primary care patients to seek health related information, understand how they are influenced by this information, and evaluate its impact on the doctor-patient relationship. Cross sectional study, through self-administered survey. One urban health center in Madrid. A total of 323 questionnaires were collected from patients between 14 and 75 years old who attended a physician's office for any reason, excluding illiterate patients and those with neurological or psychiatric problems preventing them from completing the survey. Internet usage, ability of the internet to clarify doubts regarding health issues, patient lifestyle changes, socio-demographic variables, and physician's receptivity to the use of internet by patients. 61% (CI95%: 56%-67%) of patients used the Internet as a source of health information: Internet queries were able to address health doubts in 92.4% of users, 53.5% reported that the Internet changed their thinking about their health in at least one instance, 30% made behavioral changes (of which 60.1% discussed these changes with their physician), 44.3% had more questions at the physician's office, and 80.8% believe that the doctor would be willing to talk about the information found on the internet. Using the Internet to find information about health is very common, with positive influence on physician-patient relationship. This may be useful for achieving behavioral changes in patients and can be used as a tool in medical practice. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  6. Grundlegende Steuerungsverfahren im heterogenen Logistiknetz mit Kanban

    Science.gov (United States)

    Dickmann, Eva; Dickmann, Philipp; Lödding, Hermann; Möller, Niklas; Rücker, Thomas; Schneider, Herfried M.; Zäh, Michael F.

    In vielen Unternehmen werden heterogene (verschiedene) Steuerungen in einem abgestimmten Konzept kombiniert. Je nach Anwendungsfall und Rahmenbedingungen werden Kombinationen allgemein bekannter Steuerungen oder Steuerungsvarianten gemischt eingesetzt, um eine optimale Steuerung für unterschiedliche Fälle zu erreichen. Hierbei stehen neben den bekannten und weit verbreiteten Methoden, wie Material Requirements Planning (MRP) oder Kanban, auch weniger bekannte oder neue Methoden zur Auswahl, wie die Produktionssteuerung mit dezentraler, bestandsorientierter Fertigungsregelung (DBF). Kanban ist ein simples und effizientes Steuerungskonzept, das in der klassischen Form für spezifische einfache Anwendungsfälle umsetzbar ist. Hochentwickelte Steuerungsalgorithmen können helfen, komplexe Abläufe optimal abzubilden. Mit einer grundlegenden Vereinfachung der Abläufe kann allerdings in vielen Fällen ein wesentlich stärkerer und umfassender Verbesserungseffekt erzielt werden. Die wesentliche Fragestellung sollte folglich lauten: Warum ist der Ablauf nicht mit einer einfachen Steuerung wie Kanban abzubilden? Um die Vorteile des Konzepts auch in untypischen Bereichen anwenden zu können, sind jedoch verschiedene Varianten oder Kanban-ähnliche Steuerungsmethoden entstanden. Darüber hinaus sind in der Praxis hybride Steuerungen im Einsatz, welche so kombiniert werden, dass die Zusammensetzung anspruchsvolle Eigenschaftsbilder noch exakt abbildet. In der Praxis basieren die Steuerungsentscheidungen nur zu einem kleinen Teil auf den eigentlichen Steuerungsalgorithmen, wie sie uns das MRP-System zur Verfügung stellt. Moderne Steuerungswelten" schließen alle relevanten Informationsquellen in eine heterogene Entscheidungsmatrix mit ein. Letztlich zählt nicht, ob die Entscheidung auf den Informationen aus dem MRP-System oder auf Softfacts basierend getroffen wurde, sondern nur, ob die Entscheidung erfolgreich war.

  7. Premarital sexual experience and preferred sources of reproductive health information among young men in Kumbotso, northern Nigeria.

    Science.gov (United States)

    Iliyasu, Z; Zubairu, I; Abubakar, I S; Isa, S A; Galadanci, H S; Hadiza, S G; Babam Maryam, A; Babam-Maryam, A; Aliyu, M H; Muktar, H A

    2012-01-01

    Despite well known risks associated with unprotected premarital sex, this phenomenon has not been well explored among young men in rural northern Nigeria. We studied the predictors of premarital sex and preferred sources of sexual and reproductive health information among young unmarried men in Kumbotso, northern Nigeria. A cross section of 400 young men were interviewed using structured questionnaires with mostly closed ended questions. Of the 385 respondents, 39 (10.1%) were sexually experienced. Less than half of respondents (48.7%) used a condom at sexual debut, and an equal proportion reported having multiple sex partners. Only 41.0% of sexually experienced respondents reported subsequent consistent condom use Age (adjusted odds ratio [AOR] = 4.12; 95% confidence interval (CI): 2.24-5.20 and educational attainment [AOR = 3.57; 95% CI (1.49-9.10)] were significant predictors of sexual experience. The current versus preferred sources of sexual and reproductive health information included friends (51.3% vs. 93.3%), Islamic school teachers (41.0% vs. 72.7%) and school teachers (8.8% vs. 15.1%). Although the prevalence of premarital sex among young men in this community in northern Nigeria as low, those that did engage in such activity were likely to not use condoms and to have multiple partners. Preferred and trusted sources of information included peers and religious leaders. The findings in this study could be used to develop innovative strategies for reaching young men with accurate sexual and reproductive health information.

  8. Sources of exposure to and public health implications of organophosphate pesticides

    Directory of Open Access Journals (Sweden)

    Kushik Jaga

    2003-09-01

    Full Text Available OBJECTIVE: To review the public health significance of organophosphate pesticide exposure in the United States of America. Since the situation of high organophosphate pesticide exposure and the concomitant health risks in the developing countries of the world is well known, this article seeks to highlight the public health significance of organophosphate exposure in the United States, where it is less common than in many other nations. Looking at the situation in the United States would serve to further emphasize the seriousness of organophosphate pesticide-related health issues in developing countries. METHODS: A search for journal articles on organophosphate pesticides and organophosphate exposure was done on the PubMed electronic bibliographic database system of the National Library of Medicine of the United States. To supplement that search, information on organophosphate toxicity, biological monitoring, and regulation of pesticides was obtained from other published articles, textbooks, and relevant Internet sites. RESULTS: Organophosphate pesticides are a group of chemicals that are mainly used in agriculture. Organophosphates inhibit the activity of both the cholinesterase (ChE enzymes-red blood cell (RBC ChE and serum ChE-resulting in the cholinergic features of organophosphate toxicity. A 50% reduction in serum ChE activity from the baseline is an indication of acute organophosphate toxicity. The RBC ChE activity, which is less rapidly depressed than the serum ChE activity, is a measure of chronic exposure to organophosphates. Exposures to organophosphates are broadly classified into two categories: occupational and environmental. Occupational exposures occur among agricultural workers (including migrant farmworkers, industrial workers, pest control exterminators, and other workers. Nonoccupational exposure affects a large segment of the general population in the United States. Residential exposures come from organophosphate pesticide

  9. [Electrosmog as a health risk factor: sources of artificial electromagnetic fields, evaluation of health risk, prevention methods].

    Science.gov (United States)

    Fedorowski, A; Steciwko, A

    1997-01-01

    In recent years we have observed how electromagnetic (EM) radiation enters our daily life. The strength of man-made EM field is often far above the natural level and this finding has encouraged a large group of researchers to investigate its possible health effect. Non-ionizing radiation and extremely low-frequency electric and magnetic fields have been the subject of intensive theoretical and experimental works since Adey published his observations concerning non-linear and non-thermal biological effects. At the same time an epidemiological material appeared suggesting that EM field generates various diseases including leukemia and brain tumors. Possible mechanisms of EM field interactions with living matter remain unknown although theoretical models have been proposed by many authors. In vitro and in vivo studies as well as epidemiological data have not provided the ground for decisive conclusions. Nevertheless, the relationship between EM fields and biological effects seems to be most likely. Any international standards for safety limits have not as yet been established and regulations in this regard vary in different countries. However, occupational and residential exposure to EM field can be efficiently measured using an appropriate equipment and such measurements should become a standard procedure wherever electrosmog is suspected to be a pathogenic factor.

  10. Bisphenol A (BPA) in China: a review of sources, environmental levels, and potential human health impacts.

    Science.gov (United States)

    Huang, Y Q; Wong, C K C; Zheng, J S; Bouwman, H; Barra, R; Wahlström, B; Neretin, L; Wong, M H

    2012-07-01

    Bisphenol A (BPA), identified as an endocrine disruptor, is an industrially important chemical that is used as a raw material in the manufacture of many products such as engineering plastics (e.g., epoxy resins/polycarbonate plastics), food cans (i.e., lacquer coatings), and dental composites/sealants. The demand and production capacity of BPA in China have grown rapidly. This trend will lead to much more BPA contamination in the environmental media and in the general population in China. This paper reviews the current literature concerning the pollution status of BPA in China (the mainland, Hong Kong, and Taiwan) and its potential impact on human health. Due to potential human health risks from long-term exposure to BPA, body burden of the contaminant should be monitored. Copyright © 2011 Elsevier Ltd. All rights reserved.

  11. The Danish National Health Service Register (NHSR) as a Source for Research on Primary Care

    DEFF Research Database (Denmark)

    Andersen, John Sahl; Olivarius, Niels de Fine; Krasnik, Allan

    . The data is easy accessible from the Danish National Board of Health. Conclusion: The register's strengths include completeness, size and long follow-up period. It is useful for research purposes especially when linked with other registers. However, grave reservations must be made regarding the validity...... of the register as no studies of this point have been made. Knowledge of the working conditions in general practice is necessary in order to use the NHSR for research purposes.......Aim: To describe NHSR in relation to research. Content: The data in the register from general practice is generated through the GPs’ electronic invoices to the Regional Health Administration. Data from 1990 onwards is available covering more than 600 million patient contacts. For each service...

  12. The Sources of Chemical Contaminants in Food and Their Health Implications

    Science.gov (United States)

    Rather, Irfan A.; Koh, Wee Yin; Paek, Woon K.; Lim, Jeongheui

    2017-01-01

    Food contamination is a matter of serious concern, as the high concentration of chemicals present in the edibles poses serious health risks. Protecting the public from the degrees of the harmfulness of contaminated foods has become a daunting task. This article highlights the causes, types, and health implications of chemical contamination in food. The food contamination could be due to naturally occurring contaminants in the environment or artificially introduced by the human. The phases of food processing, packaging, transportation, and storage are also significant contributors to food contamination. The implications of these chemical contaminants on human health are grave, ranging from mild gastroenteritis to fatal cases of hepatic, renal, and neurological syndromes. Although, the government regulates such chemicals in the eatables by prescribing minimum limits that are safe for human consumption yet measures still need to be taken to curb food contamination entirely. Therefore, a variety of food needs to be inspected and measured for the presence of chemical contaminants. The preventative measures pertaining about the food contaminants problems are pointed out and discussed. PMID:29204118

  13. The Sources of Chemical Contaminants in Food and Their Health Implications

    Directory of Open Access Journals (Sweden)

    Irfan A. Rather

    2017-11-01

    Full Text Available Food contamination is a matter of serious concern, as the high concentration of chemicals present in the edibles poses serious health risks. Protecting the public from the degrees of the harmfulness of contaminated foods has become a daunting task. This article highlights the causes, types, and health implications of chemical contamination in food. The food contamination could be due to naturally occurring contaminants in the environment or artificially introduced by the human. The phases of food processing, packaging, transportation, and storage are also significant contributors to food contamination. The implications of these chemical contaminants on human health are grave, ranging from mild gastroenteritis to fatal cases of hepatic, renal, and neurological syndromes. Although, the government regulates such chemicals in the eatables by prescribing minimum limits that are safe for human consumption yet measures still need to be taken to curb food contamination entirely. Therefore, a variety of food needs to be inspected and measured for the presence of chemical contaminants. The preventative measures pertaining about the food contaminants problems are pointed out and discussed.

  14. Working conditions and health of personnel dealing with ionizing radiation sources

    International Nuclear Information System (INIS)

    Gus'kova, A.K.

    1978-01-01

    Analyzed are the results of investigations dedicated to evaluation of working and health conditions of personnel engaged at powerful charged-particle accelerators, in the production of radionuclides, different stages of mining and enrichment of pyrochlore ore, maintenance of radio engineering and radio-physical equipment, those engaged on geological and geophysical research, operators of control desks and apparatuses at nuclear reactors. Observation of separate people has been carried out in control groups numbering 200-250 people. It has been found that the annual levels of irradiation doses are not in excess of maximum permissible doses (MPD), however in cases of long work service the total dose amounts to 150 rem (for 15-20 years). Changes in personnel health conditions are analyzed as dependent on the total irradiation dose. Apart from irradiation, the personnel health is also affected by other factors, specifically: unfavorable meteofactors, working regime etc. Specialized medical control was found to be inexpedient for people whose irradiation level was 1/3 of MPD. However for people whose irradiation level ranges from 1/3 to 1 MPD it is advisable to keep the current volume of oriented medical observation. A special attention in this case should be given to control systems, bronchopulmonary system and the state of cutaneous covering depending on the character of irradiation effects. Problems requiring further comprehensive studies are enumerated

  15. A New IMS Based Inter-working Solution

    Science.gov (United States)

    Zhu, Zhongwen; Brunner, Richard

    With the evolution of third generation network, more and more multimedia services are developed and deployed. Any new service to be deployed in IMS network is required to inter-work with existing Internet communities or legacy terminal users in order to appreciate the end users, who are the main drivers for the service to succeed. The challenge for Inter-working between IMS (IP Multimedia Subsystem) and non-IMS network is “how to handle recipient’s address”. This is because each network has its own routable address schema. For instance, the address for Google Talk user is xmpp:xyz@google.com, which is un-routable in IMS network. Hereafter a new Inter-working (IW) solution between IMS and non-IMS network is proposed for multimedia services that include Instant Messaging, Chat, and File transfer, etc. It is an end-to-end solution built on IMS infrastructure. The Public Service Identity (PSI) defined in 3GPP standard (3rd Generation Partnership Project) is used to allow terminal clients to allocate this IW service. When sending the SIP (Session Initial Protocol) request out for multimedia services, the terminal includes the recipient’s address in the payload instead of the “Request-URI” header. In the network, the proposed solution provides the mapping rules between different networks in MM-IW (Multimedia IW). The detailed technical description and the corresponding use cases are present. The comparison with other alternatives is made. The benefits of the proposed solution are highlighted.

  16. Ion mobility spectrometer / mass spectrometer (IMS-MS).

    Energy Technology Data Exchange (ETDEWEB)

    Hunka Deborah Elaine; Austin, Daniel E.

    2005-07-01

    The use of Ion Mobility Spectrometry (IMS) in the Detection of Contraband Sandia researchers use ion mobility spectrometers for trace chemical detection and analysis in a variety of projects and applications. Products developed in recent years based on IMS-technology include explosives detection personnel portals, the Material Area Access (MAA) checkpoint of the future, an explosives detection vehicle portal, hand-held detection systems such as the Hound and Hound II (all 6400), micro-IMS sensors (1700), ordnance detection (2500), and Fourier Transform IMS technology (8700). The emphasis to date has been on explosives detection, but the detection of chemical agents has also been pursued (8100 and 6400). Combining Ion Mobility Spectrometry (IMS) with Mass Spectrometry (MS) is described. The IMS-MS combination overcomes several limitations present in simple IMS systems. Ion mobility alone is insufficient to identify an unknown chemical agent. Collision cross section, upon which mobility is based, is not sufficiently unique or predictable a priori to be able to make a confident peak assignment unless the compounds present are already identified. Molecular mass, on the other hand, is much more readily interpreted and related to compounds. For a given compound, the molecular mass can be determined using a pocket calculator (or in one's head) while a reasonable value of the cross-section might require hours of computation time. Thus a mass spectrum provides chemical specificity and identity not accessible in the mobility spectrum alone. In addition, several advanced mass spectrometric methods, such as tandem MS, have been extensively developed for the purpose of molecular identification. With an appropriate mass spectrometer connected to an ion mobility spectrometer, these advanced identification methods become available, providing greater characterization capability.

  17. Instrumentale Spielformeln und Vokale Verzierungen im 16.Jahrhundert

    Directory of Open Access Journals (Sweden)

    Göllner, Theodor

    2001-12-01

    Full Text Available In the music of the 16th century, stereotype four-note formulas are found in the instrumental as well as in the vocal idiom. Although frequently identical in appearance, their functions are very different. While indispensable in the instrumental idiom, particularly in keyboard music, where they represent the very essence of instruction in 15th-century organ treatises and fundamenta, they appear in vocal music only as additions to finished compositions or existing practices. What amounts to an absolute necessity in one case is merely an ornamental supplement in the other. In vocal music it is treated as a matter of performance carried out by a qualified soloist and limited to the musical centers of Italy. The present article raises the question as to how the genuinely instrumental and widely spread keyboard practice made its impact on the vocal ornaments of the singer, whose primary concern is the musical communication of language.

    [de] Die in der Musik des 16. Jahrhunderts im Instrumentalen wie im Vokalen vorkommenden, meist viertönigen, stereotypen Formeln sind zwar in beiden Bereichen weitgehend identisch, doch von höchst unterschiedlicher Funktion. Während sie im Instrumentalen, besonders in der Tastenmusik, unverzichtbar sind und schon im 15. Jahrhundert den Kern der Orgeltraktate und Fundamenta bilden, treten sie im Vokalen zu einer fertigen Komposition oder bestehenden Praxis hinzu. Was im einen Fall eine unbedingte Notwendigkeit ist, wird im anderen zu einem nachträglichen Ornament, das sich oft erst bei der Aufftührung einstellt, den qualifizierten Solosänger voraussetzt und auf die musikalischen Zentren Italiens konzentriert war. Der Artikel versucht zu klären, wie sich das genuin instrumentale, allgemein verbreitete Tastenspiel auf die spezielle Verzierungskunst des Sängers auswirkt, dessen primäre Aufgabe es ist, Sprache musikalisch zu vermitteln.

  18. A new method to quantify the health risks from sources of perfluoroalkyl substances, combined with positive matrix factorization and risk assessment models.

    Science.gov (United States)

    Xu, Jiao; Shi, Guo-Liang; Guo, Chang-Sheng; Wang, Hai-Ting; Tian, Ying-Ze; Huangfu, Yan-Qi; Zhang, Yuan; Feng, Yin-Chang; Xu, Jian

    2018-01-01

    A hybrid model based on the positive matrix factorization (PMF) model and the health risk assessment model for assessing risks associated with sources of perfluoroalkyl substances (PFASs) in water was established and applied at Dianchi Lake to test its applicability. The new method contains 2 stages: 1) the sources of PFASs were apportioned by the PMF model and 2) the contribution of health risks from each source was calculated by the new hybrid model. Two factors were extracted by PMF, with factor 1 identified as aqueous fire-fighting foams source and factor 2 as fluoropolymer manufacturing and processing and perfluorooctanoic acid production source. The health risk of PFASs in the water assessed by the health risk assessment model was 9.54 × 10 -7  a -1 on average, showing no obvious adverse effects to human health. The 2 sources' risks estimated by the new hybrid model ranged from 2.95 × 10 -10 to 6.60 × 10 -6  a -1 and from 1.64 × 10 -7 to 1.62 × 10 -6  a -1 , respectively. The new hybrid model can provide useful information on the health risks of PFAS sources, which is helpful for pollution control and environmental management. Environ Toxicol Chem 2018;37:107-115. © 2017 SETAC. © 2017 SETAC.

  19. Multiple disparities in adult mortality in relation to social and health care perspective: results from different data sources.

    Science.gov (United States)

    Ranabhat, Chhabi Lal; Kim, Chun-Bae; Park, Myung-Bae; Acharaya, Sambhu

    2017-08-08

    Disparity in adult mortality (AM) with reference to social dynamics and health care has not been sufficiently examined. This study aimed to identify the gap in the understanding of AM in relation to religion, political stability, economic level, and universal health coverage (UHC). A cross-national study was performed with different sources of data, using the administrative record linkage theory. Data was created from the 2013 World Bank data catalogue by region, The Economist (Political instability index 2013), Stuckler David et al. (Universal health coverage, 2010), and religious categories of all UN country members. Descriptive statistics, a t-test, an ANOVA followed by a post hoc test, and a linear regression were used where applicable. The average AM rate for males and females was 0.20 ± 0.10 and 0.14 ± 0.10, respectively. There was high disparity of AM between countries with and without UHC and between groups with low and high income. UHC and political stability would significantly reduce AMR by >0.41 in both sexes and high economic status would reduce male AMR by 0.44, and female AMR by 0.70. It can be concluded that effective health care; UHC and political stability significantly reduce AM.

  20. Contaminant screening of wastewater with HPLC-IM-qTOF-MS and LC+LC-IM-qTOF-MS using a CCS database.

    Science.gov (United States)

    Stephan, Susanne; Hippler, Joerg; Köhler, Timo; Deeb, Ahmad A; Schmidt, Torsten C; Schmitz, Oliver J

    2016-09-01

    Non-target analysis has become an important tool in the field of water analysis since a broad variety of pollutants from different sources are released to the water cycle. For identification of compounds in such complex samples, liquid chromatography coupled to high resolution mass spectrometry are often used. The introduction of ion mobility spectrometry provides an additional separation dimension and allows determining collision cross sections (CCS) of the analytes as a further physicochemical constant supporting the identification. A CCS database with more than 500 standard substances including drug-like compounds and pesticides was used for CCS data base search in this work. A non-target analysis of a wastewater sample was initially performed with high performance liquid chromatography (HPLC) coupled to an ion mobility-quadrupole-time of flight mass spectrometer (IM-qTOF-MS). A database search including exact mass (±5 ppm) and CCS (±1 %) delivered 22 different compounds. Furthermore, the same sample was analyzed with a two-dimensional LC method, called LC+LC, developed in our group for the coupling to IM-qTOF-MS. This four dimensional separation platform revealed 53 different compounds, identified over exact mass and CCS, in the examined wastewater sample. It is demonstrated that the CCS database can also help to distinguish between isobaric structures exemplified for cyclophosphamide and ifosfamide. Graphical Abstract Scheme of sample analysis and database screening.

  1. Older Adults' Use of Online and Offline Sources of Health Information and Constructs of Reliance and Self-Efficacy for Medical Decision Making.

    Science.gov (United States)

    Hall, Amanda K; Bernhardt, Jay M; Dodd, Virginia

    2015-01-01

    We know little about older adults' use of online and offline health information sources for medical decision making despite increasing numbers of older adults who report using the Internet for health information to aid in patient-provider communication and medical decision making. Therefore we investigated older adult users and nonusers of online and offline sources of health information and factors related to medical decision making. Survey research was conducted using random digit dialing of Florida residents' landline telephones. The Decision Self-Efficacy Scale and the Reliance Scale were used to measure relationships between users and nonusers of online health information. Study respondents were 225 older adults (age range = 50-92 years, M = 68.9, SD = 10.4), which included users (n = 105) and nonusers (n = 119) of online health information. Users and nonusers differed in frequency and types of health sources sought. Users of online health information preferred a self-reliant approach and nonusers of online health information preferred a physician-reliant approach to involvement in medical decisions on the Reliance Scale. This study found significant differences between older adult users and nonusers of online and offline sources of health information and examined factors related to online health information engagement for medical decision making.

  2. Human health risk assessment screening approach for evaluating contaminants at source control and integrator operable units

    International Nuclear Information System (INIS)

    Blaylock, B.G.; Frank, M.L.; Hoffman, F.O.; Miller, P.D.; White, R.K.; Purucker, S.T.; Redfearn, A.

    1992-10-01

    A more streamlined approach is proposed for executing the Remedial Investigation/Feasibility Study Process. This approach recognizes the uncertainties associated with the process, particularly regarding the derivation of human health risk estimates. The approach is tailored for early identification of sites and contaminants of immediate concern, early remediation of such sites, and early identification of low-risk sites that can be eliminated from further investigations. The purpose is to hasten the clean-up process and do so in a cost-effective manner

  3. Study in environmental medicine in the areas of Bitterfeld and Hettstedt and a comparison area, 1995 - 1996. Data Book; Umweltmedizinische Untersuchungen im Raum Bitterfeld, im Raum Hettstedt und einem Vergleichsgebiet 1995-1996. Data Book

    Energy Technology Data Exchange (ETDEWEB)

    Heinrich, J.; Jacob, B.; Hoelscher, B.; Wilde, B.; Wolff, H.; Wjst, M.; Cyrys, J.; Wichmann, H.E. [GSF - Forschungszentrum fuer Umwelt und Gesundheit Neuherberg GmbH, Oberschleissheim (Germany). Inst. fuer Epidemiologie

    1998-10-01

    In the past, the environmental situation in the industrial agglomeration of Bitterfeld/Wolfen was characterized by extremely high pollution of the atmosphere, for instance with fly ash, sulfur dioxide, nitrogen monoxide and chlorinated hydrocarbons, by water pollution and soil pollution. In the Hettstest area, by contrast, heavy-metal pollution from decades of mining activities and emissions from the nonferrous heavy metals industry was most prominent.- The study, which was sponsored by the Federal Environmental Agency, aimed to establish possible health hazards to the public in these two centres of pollution in comparison with the little polluted control territory of Zerbst. These hazards are quantified in terms of the long-term effect of high atmospheric pollution in the Bitterfeld and Hettstedt regions. In addition, changes in health parameters as a function of time are recorded for a six-year period concomitantly to ongoing redevelopment measures. This will permit necessary policy adjustments.- As during the first survey in 1992/93, the health checks were done by physicians and nurses at schools, nursery-schools, Public Health offices and, in part, in special vehicles equipped with pulmonary function test units. All health checks were done according to the same standardized specifications, using the same devices, and by the same investigators.- Information was requested from the children`s parents regarding illnesses and symptoms, especially respiratory tract diseases and allergies, and regarding sociodemographic aspects and characteristics of the children`s domestic environment that might bear on the results. Their pulmonary function was measured in body plethysmographs and their respiratory tract sensitivity was measured prior to and after cold air provocation. Skin prick tests to determine major inhalative and food allergens and blood tests for specific antibodies complemented the information on possible allergic diseases.- Further, hematological parameters

  4. Handover Based IMS Registration Scheme for Next Generation Mobile Networks

    Directory of Open Access Journals (Sweden)

    Shireen Tahira

    2017-01-01

    Full Text Available Next generation mobile networks aim to provide faster speed and more capacity along with energy efficiency to support video streaming and massive data sharing in social and communication networks. In these networks, user equipment has to register with IP Multimedia Subsystem (IMS which promises quality of service to the mobile users that frequently move across different access networks. After each handover caused due to mobility, IMS provides IPSec Security Association establishment and authentication phases. The main issue is that unnecessary reregistration after every handover results in latency and communication overhead. To tackle these issues, this paper presents a lightweight Fast IMS Mobility (FIM registration scheme that avoids unnecessary conventional registration phases such as security associations, authentication, and authorization. FIM maintains a flag to avoid deregistration and sends a subsequent message to provide necessary parameters to IMS servers after mobility. It also handles the change of IP address for user equipment and transferring the security associations from old to new servers. We have validated the performance of FIM by developing a testbed consisting of IMS servers and user equipment. The experimental results demonstrate the performance supremacy of FIM. It reduces media disruption time, number of messages, and packet loss up to 67%, 100%, and 61%, respectively, as compared to preliminaries.

  5. A SURVEY ON INDIAN EXPERIENCE ON INTEGRATED MANAGEMENT STANDARDS (IMS

    Directory of Open Access Journals (Sweden)

    H. Khanna

    2009-09-01

    Full Text Available Adoption of management systems standards is a key issue in manufacturing industry in India. Following the global trend quality and environmental issues are gaining importance. However the number of ISO 14001 certified companies are much less in India as compared to ISO 9001. The integration of ISO 14001 with ISO 9001 may help companies to sustain competitive advantage and overcome disappointments with quality standards and in turn encourage companies to adopt good environmental practices. The aim of this research is to study the implementation of integrated management standards (IMS by the manufacturing organizations in India. The different aspects of integration and benefits of IMS implementation are analyzed. This r esearch is based on empirical study carried out in Indian manufacturing firms, involving the application of a questionnaire. This questionnaire was tested on 50 manufacturing companies in India. The study reveals that focus on stakeholders; top management commitment and training are critical success factors for implementation of IMS. The main benefits of integration are discussed. The small sample size is one of the major limitations of this study. The paper informs the managers in manufacturing organizations and practitioners of management system standards especially in developing countries about IMS and will enable them to adopt IMS in future so that those organizations may not implement multiple and overlapping MSS(Management System Standards.

  6. Transplantate und Implantate im Mittelohrbereich - Teil 1 (Stand 2002)

    Science.gov (United States)

    Kempf, Hans-Georg; Lenarz, Thomas; Eckert, Karl-Ludwig

    In Deutschland leben ungefähr 12 Millionen Menschen, die an einer ein- oder beidseitigen Schwerhörigkeit leiden. Diese kann angeboren oder im Laufe des Lebens erworben sein. Klinisch und therapeutisch wichtig ist die Unterscheidung, ob die Ursache der Schwerhörigkeit im Bereich des Mittelohres, d. h. der Schallübertragung, oder im Bereich des Innenohres, der Hörnerven und der zentralen Hörbahnabschnitte, d. h. der Schallempfindung, liegt. 2,5 Millionen Schwerhörige haben dabei das Problem der Schallübertragung, d.h. die Störung liegt im Mittelohrbereich, und hier kann man in der Regel mit operativen, mikrochirurgisch durchgeführten Massnahmen helfen [1, 2]. Im Vordergrund steht als Ursache hier die chronische Mittelohrentzündung, die sich als Perforation des Trommelfells, als Defekt oder Unterbrechung der Gehörknöchelchen oder auch als Cholesteatom, einer sogenannte Knocheneiterung äussern kann [3]. Therapeutisch und damit als Prinzip der operativen Hörverbesserung steht primär der Verschluss des Trommelfells oder eine Rekonstruktion der Gehörknöchelchen an.

  7. Heavy metal pollution in reservoirs in the hilly area of southern China: Distribution, source apportionment and health risk assessment.

    Science.gov (United States)

    Wang, Xiaolong; Zhang, Lu; Zhao, Zhonghua; Cai, Yongjiu

    2018-09-01

    Reservoirs play more and more important role in providing potable water in many developing countries, including the China. In the present study, pollution characteristics, source and health risk of dissolved heavy metals in 19 representative reservoirs in the hilly area of southern China were investigated. The results presented great spatial heterogeneity in heavy metal concentrations among the studied reservoirs due to the disturbances by different anthropogenic activities. Several reservoirs had significantly higher concentrations of heavy metals compared with others, FengTan (FT) reservoir (0.34μg/L in dry season), Cr in reservoirs of HuangShi (HS) and ZheLin (ZL) with values of 4.16μg/L and 3.45μg/L in dry season respectively, and Al in reservoirs of JiaoKou (JK), GuTian (GT) and DouShui (DS) with values of 1011μg/L, 1036μg/L and 1001μg/L in wet season, respectively. Furthermore, there was a great difference in the seasonal variation of heavy metals, especially for Al and Pb in wet season characterized with relatively high values of 643μg/L and 0.67μg/L, respectively. Accordingly, Al was identified with a great health risk to living beings in view of its mean value in wet season, which greatly exceeded the criteria for drinking water of China, WHO and US EPA. Furthermore, As might be the greatest concern of health risk in this region considering its high carcinogenic risk to the local residents around the reservoirs of OuYangHai (OYH), DS, ZhiXi (ZX) and HS. Multivariate statistical analysis suggested that there was great heterogeneity in the sources of these heavy metals in the hilly area of southern China. Therefore, specific measures, such as controls on point source pollution control and tailings, should be taken for maintaining drinking water safety and aquatic ecosystem health. Copyright © 2018 Elsevier B.V. All rights reserved.

  8. Personalized reminiscence therapy M-health application for patients living with dementia: Innovating using open source code repository.

    Science.gov (United States)

    Zhang, Melvyn W B; Ho, Roger C M

    2017-01-01

    Dementia is known to be an illness which brings forth marked disability amongst the elderly individuals. At times, patients living with dementia do also experience non-cognitive symptoms, and these symptoms include that of hallucinations, delusional beliefs as well as emotional liability, sexualized behaviours and aggression. According to the National Institute of Clinical Excellence (NICE) guidelines, non-pharmacological techniques are typically the first-line option prior to the consideration of adjuvant pharmacological options. Reminiscence and music therapy are thus viable options. Lazar et al. [3] previously performed a systematic review with regards to the utilization of technology to delivery reminiscence based therapy to individuals who are living with dementia and has highlighted that technology does have benefits in the delivery of reminiscence therapy. However, to date, there has been a paucity of M-health innovations in this area. In addition, most of the current innovations are not personalized for each of the person living with Dementia. Prior research has highlighted the utility for open source repository in bioinformatics study. The authors hoped to explain how they managed to tap upon and make use of open source repository in the development of a personalized M-health reminiscence therapy innovation for patients living with dementia. The availability of open source code repository has changed the way healthcare professionals and developers develop smartphone applications today. Conventionally, a long iterative process is needed in the development of native application, mainly because of the need for native programming and coding, especially so if the application needs to have interactive features or features that could be personalized. Such repository enables the rapid and cost effective development of application. Moreover, developers are also able to further innovate, as less time is spend in the iterative process.

  9. Vitamin D Intake among Premenopausal Women Living in Jeddah: Food Sources and Relationship to Demographic Factors and Bone Health

    Directory of Open Access Journals (Sweden)

    Tahani A. Zareef

    2018-01-01

    Full Text Available Background. Saudi women depend on food sources to maintain their serum 25(OH D concentrations because covering by traditional clothing and time spent indoors limit their sun exposure. Little is known about vitamin D intake and its main food sources in Saudi Arabia. In addition, the association between vitamin D and calcium intake and bone mineral density (BMD in young women is not well researched. Objectives. To assess the adequacy of vitamin D intake among Saudi women as compared to the estimated average requirements (EARs, to identify dietary vitamin D sources, to examine potential determinants of vitamin D intake, and to assess bone health and the association of calcium and vitamin D intake with BMD. Methods. This cross-sectional study was conducted in 257 premenopausal women aged 20–50 years in Jeddah, Saudi Arabia. Dietary vitamin D and calcium were assessed by the Semiquantitative Food Frequency Questionnaire. BMD was measured using dual-energy X-ray absorptiometry (DXA in a subset of women n=102 at the lumbar spine and femur neck. Results. Sixty-five percent of women were below the EAR for vitamin D, and 61% fell below the EAR for calcium. Dairy products, supplements, and fish contributed most to vitamin D intake. Increased age was an independent determinant of sufficient vitamin D intake p<0.001. The prevalence of osteopenia was 33% in the lumbar spine and 30% in the femur neck. There was a significant positive association between calcium intake and BMD at the lumbar spine p=0.043 after controlling for body mass index and energy intake. Vitamin D intake was not significantly different between women with low and normal bone mass. Conclusion. Premenopausal women in Jeddah have insufficient vitamin D and calcium intakes. Public health strategies to improve nutrition in young women are needed, and expanding fortification programs to include all dairy products would be useful.

  10. Phthalate esters in main source water and drinking water of Zhejiang Province (China): Distribution and health risks.

    Science.gov (United States)

    Wang, Xiaofeng; Lou, Xiaoming; Zhang, Nianhua; Ding, Gangqiang; Chen, Zhijian; Xu, Peiwei; Wu, Lizhi; Cai, Jianmin; Han, Jianlong; Qiu, Xueting

    2015-10-01

    To evaluate the distributions and health risks of phthalate esters in the main source water and corresponding drinking water of Zhejiang Province, the concentrations of 16 phthalate esters in water samples from 19 sites were measured from samples taken in the dry season and wet season. The concentration of the total phthalate ester congeners in source water ranged from 1.07 μg/L to 7.12 μg/L in the wet season, from 0.01 μg/L to 1.58 μg/L in the dry season, from 1.18 μg/L to 15.28 μg/L from drinking water in the wet season, and from 0.16 μg/L to 1.86 μg/L from drinking water in the dry season. Of the 16 phthalate esters, dimethyl phthalate, dibutyl phthalate, di-(2-ethyl-hexyl) phthalate, di-iso-butyl phthalate, bis-2-n-butoxyethyl phthalate, and dicyclohexyl phthalate were present in the samples analyzed, dominated by di-iso-butyl phthalate and di-(2-ethyl-hexyl) phthalate. The concentrations of phthalate esters in the wet season were all relatively higher than those in the dry season, and the drinking water had higher concentrations of phthalate esters than source water. The phthalate ester congeners studied pose little health risk to nearby citizens. Environ Toxicol Chem 2015;34:2205-2212. © 2015 SETAC. © 2015 SETAC.

  11. High-resolution sampling and analysis of ambient particulate matter in the Pearl River Delta region of southern China: source apportionment and health risk implications

    Science.gov (United States)

    Zhou, Shengzhen; Davy, Perry K.; Huang, Minjuan; Duan, Jingbo; Wang, Xuemei; Fan, Qi; Chang, Ming; Liu, Yiming; Chen, Weihua; Xie, Shanju; Ancelet, Travis; Trompetter, William J.

    2018-02-01

    Hazardous air pollutants, such as trace elements in particulate matter (PM), are known or highly suspected to cause detrimental effects on human health. To understand the sources and associated risks of PM to human health, hourly time-integrated major trace elements in size-segregated coarse (PM2.5-10) and fine (PM2.5) particulate matter were collected at the industrial city of Foshan in the Pearl River Delta region, China. Receptor modeling of the data set by positive matrix factorization (PMF) was used to identify six sources contributing to PM2.5 and PM10 concentrations at the site. Dominant sources included industrial coal combustion, secondary inorganic aerosol, motor vehicles and construction dust along with two intermittent sources (biomass combustion and marine aerosol). The biomass combustion source was found to be a significant contributor to peak PM2.5 episodes along with motor vehicles and industrial coal combustion. Conditional probability function (CPF) analysis was applied to estimate the source locations using the PMF-resolved source contribution coupled with the surface wind direction data. Health exposure risk of hazardous trace elements (Pb, As, Si, Cr, Mn and Ni) and source-specific values were estimated. The total hazard quotient (HQ) of PM2.5 was 2.09, higher than the acceptable limit (HQ = 1). The total carcinogenic risk (CR) was 3.37 × 10-3 for PM2.5, which was 3 times higher than the least stringent limit (1.0 × 10-4). Among the selected trace elements, As and Pb posed the highest non-carcinogenic and carcinogenic risks to human health, respectively. In addition, our results show that the industrial coal combustion source is the dominant non-carcinogenic and carcinogenic risk contributor, highlighting the need for stringent control of this source. This study provides new insight for policy makers to prioritize sources in air quality management and health risk reduction.

  12. Heavy metal pollution assessment, source identification, and health risk evaluation in Aibi Lake of northwest China.

    Science.gov (United States)

    Zhaoyong, Zhang; Xiaodong, Yang; Shengtian, Yang

    2018-01-08

    This study sought to analyze heavy metal (Pb, Zn, Cu, Ni, Mn, and Fe) pollution status in the waters of Aibi Lake in northwest China through the use of an applied comprehensive pollution index, health risk model, and multivariate statistical analyses in combination with the lake's land use types. Results showed that (1) the maximum (average) values of the heavy metals Pb, Zn, Cu, Ni, Mn, and Fe were 0.0644 (0.0123), 0.0006 (0.0002), 0.0009 (0.0032), 0.1235 (0.0242), 0.0061 (0.0025), and 0.0222 (0.0080) μg/L, respectively. Among these, in all the samples, Pb and Ni exceeded the standard and acceptable values put forth by the World Health Organization by 21.13 and 25.67%, respectively. Ni also exceeded (30.16%) the third grade of the Environmental Quality Standards for Surface Water of China. The levels of the six heavy metals were all within the fishery and irrigation water quality standard ranges in China. (2) The average values for single pollution index of heavy metals Pb, Zn, Cu, Ni, Mn, and Fe were 1.000, 0.0006, 0.0009, 3.000, 0.060, and 0.070, respectively, among which Ni levels indicated moderate to significant pollution, while others indicated healthy levels. (3) Health risk evaluation showed that the R n values for Pb, Zn, Cu, Mn, and Fe were 1.8 × 10 -4 , 5.33 × 10 -9 , 4.80 × 10 -7 , 1.08 × 10 -6 , and 2.51 × 10 -7  a -1 , respectively, of which, in all samples, Pb and Ni contents all exceeded the maximum acceptable risk levels according to the International Commission on Radiological Protection (ICRP) as well as the U.S. Environment Protection Agency. (4) Combining with multivariate statistical analyses along with the land use distribution within the lake basin, Pb, Zn, Cu, Ni, and Mn were mainly influenced by the agriculture production and emission from urban lives and traffics, and Fe mainly originated from the natural environment. The results of this research can provide reference values for heavy metal pollution

  13. Opuntia ficus-indica (L.) Miller as a source of bioactivity compounds for health and nutrition.

    Science.gov (United States)

    Aragona, M; Lauriano, E R; Pergolizzi, S; Faggio, C

    2017-08-14

    Plants with beneficial properties are known in traditional medicine. Nowadays, in spite of widespread availability of synthetic compounds, the search goes towards natural compounds to lower cost and few side effects. The increasing interest in preventive medicine encourages use of nutraceuticals, bioactive compounds of vegetable origin with important nutritional values. Among the medicinal plants, Opuntia ficus-indica (L.) Miller (Family Cactaceae, subfamily Opuntiodeae, Genus Opuntia, subgenus Platyopuntia, species Opuntia ficus-indica (L.) Miller) is widely known for its beneficial properties. The aim of the present review is to stress the major classes of Opuntia components and their medical interest through emphasis on some of their biological effects, particularly those having the most promising expected health benefits and therapeutic impacts on fish and mammals.

  14. City air pollution of polycyclic aromatic hydrocarbons and other mutagens: occurrence, sources and health effects

    DEFF Research Database (Denmark)

    Nielsen, T.; Ejsing Jørgensen, Hans; Larsen, J.C.

    1996-01-01

    The presence of polycyclic aromatic hydrocarbons (PAH), mutagens and other air pollutants was investigated in a busy street in central Copenhagen and in a park area adjacent to the street. The winter concentration of benzo(a)pyrene was 4.4+/-1.2 ng/m(3) in the street air and 1.4+/-0.6 ng/m(3......) in the city park. The atmospheric concentrations of PAH decreased in the order of: street > city background air similar to suburbs > village > open land. The traffic contribution of PAH to street air was estimated to be 90% on working days and 60% during weekends and its contribution to city background air...... was estimated to be 40%. Four different approaches to evaluate the health effects are discussed. The direct effect of PAH air pollution, and other mutagens, is considered to be a maximum of five lung cancer cases each year out of one million people....

  15. Health risk for workers who work with different ionizing radiation sources

    International Nuclear Information System (INIS)

    Spasojevic-Tisma, V.; Pavlovic, S.; Milacic, S.; Radisavljevic, B.; Tisma, J.; Celeketic, D.

    2009-01-01

    This is retrospective study in which laboratory parameters are monitored and compared within subjects occupationally exposed to ionizing radiation and in comparison with control group. Data are collected from files for periodical exams for 2005 year. The average annual absorbed dose, measured by TDL dosimeters, for all groups did not exceed 2mSv. Collected results show changes in number of erythrocytes, white blood cells and lymphocytes in peripheral blood in some groups. Soil decontamination of poor uranium did not have influence in relative radiation risk. The highest occupational risk appears to be for the subjects who work in radioisotope production. Found changes pointing out the need for continued health control of subjects who are professionally exposed to ionizing radiation in the same time dynamic. (author) [sr

  16. Occurrence and human health risk of wastewater-derived pharmaceuticals in a drinking water source for Shanghai, East China.

    Science.gov (United States)

    Wen, Zhi-Hao; Chen, Ling; Meng, Xiang-Zhou; Duan, Yan-Ping; Zhang, Zeng-Sheng; Zeng, Eddy Y

    2014-08-15

    Pharmaceuticals are heavily used to improve human and animal health, resulting in the frequent contamination of aquatic environments with pharmaceutical residues, which has raised considerable concern in recent years. When inadequately removed from drinking water in water treatment plants, pharmaceuticals can have potential toxic effects on human health. This study investigated the spatial distributions and seasonal variations of five pharmaceuticals, including ibuprofen (IBP), ketoprofen (KEP), naproxen (NPX), diclofenac (DFC), and clofibric acid (CA), in the Huangpu River system (a drinking water source for Shanghai) over a period of almost two years as well as the associated risk to human health for different age groups. All of the targets were ubiquitous in the river water, with levels decreasing in the following order: KEP (mean: 28.6 ng/L)≈IBP (23.3 ng/L)>DFC (13.6 ng/L)≈NPX (12.3 ng/L)>CA (1.6ng/L). The concentrations of all of the investigated compounds were at the low or medium end of the global range. The upstream tributaries contained lower IBP but higher NPX than did the mainstream and downstream tributaries. However, no significant variations were found in the levels of KEP, DFC, or CA at the different sampling sites. Except for CA in the mainstream, significantly higher pharmaceutical levels were observed in the dry season than in the wet season. Overall, a very low risk of the selected pharmaceuticals for human health via drinking water was observed, but future studies are needed to examine the fate and chronic effects of all pharmaceuticals in aquatic environments. To our knowledge, this is the first report to investigate the human health risk of pharmaceuticals in raw drinking water in China. Copyright © 2014 Elsevier B.V. All rights reserved.

  17. Pollution, ecological-health risks, and sources of heavy metals in soil of the northeastern Qinghai-Tibet Plateau.

    Science.gov (United States)

    Wu, Jun; Lu, Jian; Li, Leiming; Min, Xiuyun; Luo, Yongming

    2018-06-01

    The Qinghai-Tibet Plateau, especially the northeastern region, is not a pure land any more due to recently increasing anthropogenic activities. This study collected soil samples from 70 sites of the northeastern Qinghai-Tibet Plateau to evaluate pollution, ecological-health risks, and possible pollution sources of heavy metals. The concentrations of heavy metals in soil were relatively high. Values of geo-accumulation index exhibited that Hg pollution was the most serious meanwhile Hg possessed the strongest enrichment feature based on enrichment factor values. The modified degrees of contamination showed that about 54.3% and 17.1% of sampling sites were at moderate and high contamination degree while pollution load indexes illustrated that 72.9% and 27.1% of sampling sites possessed moderate and high contamination level, respectively. Ecological risk indexes of heavy metals in soil ranged from 234.6 to 3759.0, suggesting that most of sites were under considerable/very high risks. Cancer risks for adults and children were determined as high and high-very high levels while non-cancer risks for children were high although those for adults were low. Industrial source contributed to the main fraction of ecological and health risks. Summarily speaking, heavy metals in soil of the study area has caused significantly serious pollution and exerted high potential ecological and health risks, especially for children who are more susceptible to hurt from pollutants. Therefore, more efficient and strict pollution control and management in study area should be put out as soon as possible. Copyright © 2018 Elsevier Ltd. All rights reserved.

  18. Elucidating the urban levels, sources and health risks of polycyclic aromatic hydrocarbons (PAHs) in Pakistan: Implications for changing energy demand.

    Science.gov (United States)

    Hamid, Naima; Syed, Jabir Hussain; Junaid, Muhammad; Mahmood, Adeel; Li, Jun; Zhang, Gan; Malik, Riffat Naseem

    2018-04-01

    Due to the severe fuel crisis in terms of natural gas, a paradigm shift in fuel combustion (diesel, gasoline, and biomass) may increase the atmospheric emissions and associated health risks in Pakistan. Present study was aimed to investigate the concentration of fugitive PAHs in the environment (outdoor and indoor settings), associated probabilistic health risk assessment in the exposed population, and possible linkage between fuel consumption patterns and PAHs emissions in twin cities (Rawalpindi and Islamabad) of Pakistan. Results showed that the mean PAHs concentrations (air: 2390pgm -3 ; dust: 167ngg -1 ) in the indoor environment were higher than that of the outdoor environment (air: 2132pgm -3 ; dust: 90.0ngg -1 ). Further, the source apportionment PCA-MLR receptor model identified diesel and gasoline combustion as the primary PAHs sources in the urban and sub-urban settings. Estimated life cancer risk (LCR) potential via inhalation to indoor PAHs was higher with a probability of 2.0 cases per 10,000 inhabitants as compared to outdoor exposure. Incremental lifetime cancer risk (ILCR) model from exposure to dust bound PAHs showed risk in the order of ingestion>dermal>inhalation for various exposure pathways. Likewise, estimated daily intake (EDI) model reflects that PAHs in surface dust enter into the human body mainly through the respiratory system because EDI for breathing was reported higher than that of oral intake. Therefore, adoption of sustainable fuels is recommended to meet the energy requirements and to reduce PAHs emissions and related health risks in the twin cities of Pakistan. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. [Study of self-reported health of people living near point sources of environmental pollution: a review. Second part: analysis of results and perspectives].

    Science.gov (United States)

    Daniau, C; Dor, F; Eilstein, D; Lefranc, A; Empereur-Bissonnet, P; Dab, W

    2013-08-01

    Epidemiological studies have investigated the health impacts of local sources of environmental pollution using as an outcome variable self-reported health, reflecting the overall perception interviewed people have of their own health. This work aims at analyzing the advantages and the results of this approach. This second part presents the results of the studies. Based on a literature review (51 papers), this article presents an analysis of the contribution of self-reported health to epidemiological studies investigating local sources of environmental pollution. It discusses the associations between self-reported health and exposure variables, and other risk factors that can influence health reporting. Studies using self-reported health showed that local sources can be associated with a wide range of health outcomes, including an impact on mental health and well-being. The perception of pollution, especially sensory information such as odors, affects self-reported health. Attitudes referring to beliefs, worries and personal behaviors concerning the source of pollution have a striking influence on reported health. Attitudes can be used to estimate the reporting bias in a biomedical approach, and also constitute the main explanatory factors in biopsychosocial studies taking into account not only the biological, physical, and chemical factors but also the psychological and social factors at stake in a situation of environmental exposure. Studying self-reported health enables a multifactorial approach to health in a context of environmental exposure. This approach is most relevant when conducted within a multidisciplinary framework involving human and social sciences to better understand psychosocial factors. The relevance of this type of approach used as an epidemiological surveillance tool to monitor local situations should be assessed with regard to needs for public health management of these situations. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  20. The Global Detection Capability of the IMS Seismic Network in 2013 Inferred from Ambient Seismic Noise Measurements

    Science.gov (United States)

    Gaebler, P. J.; Ceranna, L.

    2016-12-01

    All nuclear explosions - on the Earth's surface, underground, underwater or in the atmosphere - are banned by the Comprehensive Nuclear-Test-Ban Treaty (CTBT). As part of this treaty, a verification regime was put into place to detect, locate and characterize nuclear explosion testings at any time, by anyone and everywhere on the Earth. The International Monitoring System (IMS) plays a key role in the verification regime of the CTBT. Out of the different monitoring techniques used in the IMS, the seismic waveform approach is the most effective technology for monitoring nuclear underground testing and to identify and characterize potential nuclear events. This study introduces a method of seismic threshold monitoring to assess an upper magnitude limit of a potential seismic event in a certain given geographical region. The method is based on ambient seismic background noise measurements at the individual IMS seismic stations as well as on global distance correction terms for body wave magnitudes, which are calculated using the seismic reflectivity method. From our investigations we conclude that a global detection threshold of around mb 4.0 can be achieved using only stations from the primary seismic network, a clear latitudinal dependence for the detection thresholdcan be observed between northern and southern hemisphere. Including the seismic stations being part of the auxiliary seismic IMS network results in a slight improvement of global detection capability. However, including wave arrivals from distances greater than 120 degrees, mainly PKP-wave arrivals, leads to a significant improvement in average global detection capability. In special this leads to an improvement of the detection threshold on the southern hemisphere. We further investigate the dependence of the detection capability on spatial (latitude and longitude) and temporal (time) parameters, as well as on parameters such as source type and percentage of operational IMS stations.

  1. Health physics evaluation of an acute overexposure to a radiography source

    International Nuclear Information System (INIS)

    Basson, J.K.; Hanekom, A.P.; Coetzee, F.C.; Lloyd, D.C.

    1980-01-01

    A 6.7 Ci iridium-192 source fell out of its radiographic container at a construction site. It was picked up off the ground by a construction worker who gave it to his colleagues to handle and then took it home in his shirt pocket. After a few hours he felt hot and nauseous, and removed his shirt. Subsequently, estimates of the exposure of various parts of his body (hands, chest, gonads) were made by reconstruction of the incident. The exposures of several other persons, including members of his family, were estimated to be clinically insignificant -as confirmed by chromosome aberration determinations for six individuals, and which indicated his equivalent whole-body dose as 116 rads. Whereas the resulting effects were initially underestimated by clinical examination, biophysical dosimetry assisted in keeping the patient under close medical observation. This was justified by the localised symptoms which eventually appeared, leading to surgical treatment of the left hand and chest over two years. It is shown, by comparison between biophysical and medical estimates of dose-equivalent, how subsequent effects may be predicted. Remedial regulatory measures are discussed. (H.K.)

  2. Developing a model of source-specific interpersonal conflict in health care.

    Science.gov (United States)

    Guidroz, Ashley M; Wang, Mo; Perez, Lisa M

    2012-02-01

    Nurses work in complex social environments, and conflict may arise with fellow coworkers, their supervisor, physicians or the patients and family they care for. Although much research has documented the negative effects of conflict on nurses, no research to date has examined the comparative effect that conflict from all four sources can have on nurses. The purpose of this study is to test a model of workplace conflict where the negative effect of conflict on nurses will be experienced via emotional exhaustion. We test the mediator model by analysing the cross-sectional data collected within one hospital (N1=182) and cross-validating those results in a second hospital (N2=161). The pattern of results was largely consistent across the two samples indicating support for a mediated model of workplace conflict for physician, supervisor and patient. Conflict with other nurses, however, did not have a relationship with either emotional exhaustion or other personal and organizational outcomes. The theoretical and practical implications of the current findings, as well as the limitations and future research directions, are discussed. Copyright © 2011 John Wiley & Sons, Ltd.

  3. Potentials of raw and cooked walnuts (Tetracapidium conophorum) as sources of valuable nutrients for good health.

    Science.gov (United States)

    Moyib, O K; Falegbe, O; Moyib, F R

    2015-12-01

    The present study estimated nutrient composition of walnuts before and after cooking with respect to its potential as valuable source of nutrients for daily intake. Walnut fruits were purchased from five different markets in Ijebu-Ode local government area and its environs. The fruits samples were divided into two portions, labelled R (for raw) and C (cooked). The C samples were cooked at 100 degrees C for 1 hr and allowed to cool to room temperature. The seeds of both C and R samples were ground and analyzed for proximate, macro and micro minerals using methods of Association of Official Chemists. The results obtained showed that both raw and cooked walnuts are rich in fat, iron (Fe), manganese (Mn), and copper (Cu) in amounts that are within daily recommended intake per 100 g of walnut seeds. They also contained appreciable levels of protein, phosphorus (P), calcium (Ca), and magnesium (Mg) but with low content of moisture (MC), carbohydrate, fiber, sodium (Na) and potassium (K). Boiling significantly affected the levels of protein, carbohydrate, ash, moisture content, fat, nitrogen, calcium, sodium, copper, zinc, phosphorus, potassium, manganese and iron The study reveals that walnut is nutritious due to its appreciable level of protein and presence of various essential and macro minerals. Its low content of sodium and potassium is beneficiary in hypertensive condition as snack. The study suggests future bio-fortification of walnut with zinc, which may bring about a co-increase in Ca and protein content.

  4. Aggregation und Management von Metadaten im Kontext von Europeana

    Directory of Open Access Journals (Sweden)

    Gerda Koch

    2017-09-01

    Full Text Available Mit dem In-Beziehung-Setzen und Verlinken von Daten im Internet wird der Weg zur Umsetzung des semantischen Webs geebnet. Erst die semantische Verbindung von heterogenen Datenbeständen ermöglicht übergreifende Suchvorgänge und späteres „Machine Learning“. Im Artikel werden die Aktivitäten der Europäischen Digitalen Bibliothek im Bereich des Metadatenmanagements und der semantischen Verlinkung von Daten skizziert. Dabei wird einerseits ein kurzer Überblick zu aktuellen Forschungsschwerpunkten und Umsetzungsstrategien gegeben, und darüber hinaus werden einzelne Projekte und maßgeschneiderte Serviceangebote für naturhistorische Daten, regionale Kultureinrichtungen und Audiosammlungen beschrieben.

  5. Information management system study results. Volume 1: IMS study results

    Science.gov (United States)

    1971-01-01

    The information management system (IMS) special emphasis task was performed as an adjunct to the modular space station study, with the objective of providing extended depth of analysis and design in selected key areas of the information management system. Specific objectives included: (1) in-depth studies of IMS requirements and design approaches; (2) design and fabricate breadboard hardware for demonstration and verification of design concepts; (3) provide a technological base to identify potential design problems and influence long range planning (4) develop hardware and techniques to permit long duration, low cost, manned space operations; (5) support SR&T areas where techniques or equipment are considered inadequate; and (6) permit an overall understanding of the IMS as an integrated component of the space station.

  6. Minería de imágenes

    OpenAIRE

    Fernández, Jacqueline; Miranda, Natalia Carolina; Guerrero, Roberto A.; Piccoli, María Fabiana

    2006-01-01

    Durante los últimos años, la proliferación de los medios digitales ha creado la necesidad del desarrollo de herramientas para la eficiente representación, acceso y recuperación de información visual. La minería de imágenes se ha convertido en una importante rama de investigación a causa del potencial que posee en descubrir patrones característicos a partir de un importante conjunto de imágenes. No obstante, la minería de imágenes es más que una simple extensión de la minería de datos al domin...

  7. Effects of Kefir as a Probiotic Source on the Performance and Health of Young Dairy Calves

    Directory of Open Access Journals (Sweden)

    Sema Satık

    2017-02-01

    Full Text Available The aim of this study was to investigate the effect of kefir as a probiotic on the performance and health status of calves. Thirty Holstein female calves with 3-day-old were randomly allocated to three treatment groups: Control (without any probiotic, probiotic (a commercial probiotic mixture-3 g/d/calf bacteria-based and 2 g/d/calf yeast-based and kefir (20 ml/d/calf. The calves were weaned at 56 days of age. The experiment was performed in 70 days. Treatment had no effect (P>0.05 on weaning and final body weight and starter intake. Although differences in weight gain were not significant (P>0.05, there were trend to increase by probiotic treatments during 0-14 days. Probiotic treatments tended to have a positive effect on the population of the fecal lactic acid bacteria at 14 days. The results of the study indicated that kefir as a natural probiotic in calf nutrition may be beneficial during the first weeks of life.

  8. Antibiotic Use in Agriculture and Its Consequential Resistance in Environmental Sources: Potential Public Health Implications

    Directory of Open Access Journals (Sweden)

    Christy Manyi-Loh

    2018-03-01

    Full Text Available Due to the increased demand of animal protein in developing countries, intensive farming is instigated, which results in antibiotic residues in animal-derived products, and eventually, antibiotic resistance. Antibiotic resistance is of great public health concern because the antibiotic-resistant bacteria associated with the animals may be pathogenic to humans, easily transmitted to humans via food chains, and widely disseminated in the environment via animal wastes. These may cause complicated, untreatable, and prolonged infections in humans, leading to higher healthcare cost and sometimes death. In the said countries, antibiotic resistance is so complex and difficult, due to irrational use of antibiotics both in the clinical and agriculture settings, low socioeconomic status, poor sanitation and hygienic status, as well as that zoonotic bacterial pathogens are not regularly cultured, and their resistance to commonly used antibiotics are scarcely investigated (poor surveillance systems. The challenges that follow are of local, national, regional, and international dimensions, as there are no geographic boundaries to impede the spread of antibiotic resistance. In addition, the information assembled in this study through a thorough review of published findings, emphasized the presence of antibiotics in animal-derived products and the phenomenon of multidrug resistance in environmental samples. This therefore calls for strengthening of regulations that direct antibiotic manufacture, distribution, dispensing, and prescription, hence fostering antibiotic stewardship. Joint collaboration across the world with international bodies is needed to assist the developing countries to implement good surveillance of antibiotic use and antibiotic resistance.

  9. Antibiotic Use in Agriculture and Its Consequential Resistance in Environmental Sources: Potential Public Health Implications.

    Science.gov (United States)

    Manyi-Loh, Christy; Mamphweli, Sampson; Meyer, Edson; Okoh, Anthony

    2018-03-30

    Due to the increased demand of animal protein in developing countries, intensive farming is instigated, which results in antibiotic residues in animal-derived products, and eventually, antibiotic resistance. Antibiotic resistance is of great public health concern because the antibiotic-resistant bacteria associated with the animals may be pathogenic to humans, easily transmitted to humans via food chains, and widely disseminated in the environment via animal wastes. These may cause complicated, untreatable, and prolonged infections in humans, leading to higher healthcare cost and sometimes death. In the said countries, antibiotic resistance is so complex and difficult, due to irrational use of antibiotics both in the clinical and agriculture settings, low socioeconomic status, poor sanitation and hygienic status, as well as that zoonotic bacterial pathogens are not regularly cultured, and their resistance to commonly used antibiotics are scarcely investigated (poor surveillance systems). The challenges that follow are of local, national, regional, and international dimensions, as there are no geographic boundaries to impede the spread of antibiotic resistance. In addition, the information assembled in this study through a thorough review of published findings, emphasized the presence of antibiotics in animal-derived products and the phenomenon of multidrug resistance in environmental samples. This therefore calls for strengthening of regulations that direct antibiotic manufacture, distribution, dispensing, and prescription, hence fostering antibiotic stewardship. Joint collaboration across the world with international bodies is needed to assist the developing countries to implement good surveillance of antibiotic use and antibiotic resistance.

  10. Concentration, Source, and Potential Human Health Risk of Heavy Metals in the Commonly Consumed Medicinal Plants.

    Science.gov (United States)

    Kohzadi, Shadi; Shahmoradi, Behzad; Ghaderi, Ebrahim; Loqmani, Hozan; Maleki, Afshin

    2018-04-26

    A trend toward the use of traditional and herbal medicines has developed nowadays, and there is a growing concern regarding them being polluted with heavy metals. This study measured the heavy metal concentrations in eight different types of medicinal herbs and eight different types of herbal distillates sold in the markets in Sanandaj, Kurdistan, Iran. The concentration of some metals (Cd, Cu, Mn, Fe, Zn, Al, Co, Ni, Cr, Pb, and Mg) was quantified by inductively coupled plasma mass spectrometry, and the associated health risk for adults and children was estimated. The mean concentration of all the metals was within the permissible limits set by the WHO. The medicinal herbs contained significantly more Al, As, Cd, Cr, Fe, Mn, Ni, Pb, and Zn (p distillates. However, the concentrations of Cu and Hg were higher in the herbal distillates. The non-carcinogenic risks of consumption of traditional medicines in adults and children were assessed based on the target hazard quotients (THQs). The THQs for individual metals (except Al and Cr) from individual herbs were less than 1, which is considered as safe for human consumption.

  11. Antibiotics in Serbian Households: a Source of Potential Health and Environmental Threats?

    Science.gov (United States)

    Kusturica, Milica Paut; Tomić, Zdenko; Bukumirić, Zoran; Horvat, Olga; Pavlović, Nebojša; Mikov, Momir; Sabo, Ana

    2015-06-01

    Worldwide data indicate that antibiotics are frequently used inappropriately. The objective of this study was to investigate the extent of storage and wastage of antibacterial agents in households in Novi Sad, Serbia. The study was performed in 8 months period (December 2011-July 2012) in households in Novi Sad, Serbia. The households were randomly selected from the telephone directory. The interviewer performed the survey visiting each household. The total number of antibacterial agents in the 383 surveyed households was 318, constituting 7.3% of the total stored medications. From 383 families included in the study antibiotics were found in 178 (46.5%). In 13 (7.3%) families were found more than one pack of the same antibiotics. The median number of antibacterial agents per household was 1 (range 1-5). The most common antibacterial agents that were not in current use were cephalexin (22.1%) and amoxicillin (16.6%), followed by doxycycline (11.4%), sulfamethoxazole/trimethoprim (11.4%) and amoxicillin/clavulanic acid (9.2%). The percentage of expired antibacterial agents was 20.8%, while 85.2% were not currently in use. Antibacterial agents were commonly encountered in Serbian households, and a relatively large percentage was wasted. Informational and educational activities aimed at improving the public knowledge about antimicrobials play the leading role in reducing imprudent use of antibiotics. Copyright© by the National Institute of Public Health, Prague 2015.

  12. Health information needs of pregnant women: information sources, motives and barriers.

    Science.gov (United States)

    Kamali, Sudabeh; Ahmadian, Leila; Khajouei, Reza; Bahaadinbeigy, Kambiz

    2018-03-01

    Pregnant women should be provided with relevant and useful information to manage this specific period of their lives. Assessing information needs of this group is a prerequisite for providing this information. The aim of this study was to assess the information needs of pregnant women during their pregnancy and childbirth. This descriptive study was conducted on the pregnant women who attended antenatal clinics and obstetricians/gynaecologists' offices in Kerman, Iran, in 2015. Data were collected using a self-administered, valid and reliable questionnaire. A total of 400 women participated in the study. Most pregnant women needed information about care of the foetus (n = 344, 86%), physical and psychological complications after delivery (n = 333, 83%), development and growth of the foetus (n = 330, 82.5%), pregnancy nutrition (n = 327, 82%) and special tests during pregnancy (n = 326, 81.5%). They mostly (n = 195, 49%) looked for information when they were suffering from a disease or pregnancy complications. As pregnant women need extensive information to be able to take care of themselves and their babies, their information needs should be identified and taken into consideration when planning educational programmes for this group of women. © 2017 Health Libraries Group.

  13. Facebook Ethnography: The Poststructural Ontology of Transnational (Im Migration Research

    Directory of Open Access Journals (Sweden)

    David Joseph Piacenti PhD

    2014-02-01

    Full Text Available This theoretical article discusses the creative utility of Facebook as a new ethnographic tool in which to study transnational (im migration. Facebook ethnography allows the (im migration researcher to transcend the four structural dualities that constrain transnational ethnographic research: (a geographic constraints, (b travel funding constraints, (c travel time constraints, and (d the logistical constraints of entrée into new ethnographic contexts. Facebook ethnography also allows the qualitative researcher to temporarily transcend the ontological structuralist dualities of traditional research methods, producing a new poststructural epistemological and ontological methodology.

  14. IMS IN SMES - REASONS, ADVANTAGES AND BARRIERS ON IMPLEMENTATION

    Directory of Open Access Journals (Sweden)

    Dragan Rajković

    2008-09-01

    Full Text Available Appearance of a number of management systems with various and sometimes divergent demands, demands for revise of optimal strategy on implementation of these standards in small and medium-sized enterprises (SMEs and the attempt on their integration into integrated management system are suggested even more. Firstly question on choice and reasons for implementation of standards is raised. Management and employees expect benefits on the implementation and they pass and minimize the implementation barriers. Basic concept on integrated management system (IMS into SMEs and analyse on reasons, advantages and barriers at IMS implementation are presented in this paper.

  15. Reconocimiento de imágenes utilizando redes neuronales artificiales

    OpenAIRE

    García García, Pedro Pablo

    2013-01-01

    Este trabajo describe el proceso de extracción de patrones característicos de imágenes,mediante la ayuda de Redes Neuronales Artificiales. La información de la Red Neuronal junto con datos adicionales de las imágenes, serán almacenados en una base de datos y consumidos por un servicio web. Un teléfono móvil con sistema operativo Android consumirá la información almacenada en el servicio web. Posteriormente al realizar una captura de imagen con la cámara del teléfono, este procesará la imag...

  16. Frauen im Netz weltweit – ausgegrenzt und mittendrin

    Directory of Open Access Journals (Sweden)

    Sigrid Peuker

    2003-03-01

    Full Text Available Mit dem Global Center for Women’s Studies and Politics (GLOW ist das Feministische Institut der Heinrich-Böll-Stiftung 1998 online gegangen. Mit diesem Schritt wurden Fragen nach den Möglichkeiten und Grenzen sowie nach den Gestaltungsräumen virtueller Kommunikation für Frauen zentral. Mit feminist_spaces. Frauen im Netz. Diskurse – Communities – Visionen, legt die Heinrich-Böll-Stiftung zusammen mit dem Feministischen Institut Antworten aus internationaler Perspektive vor. Das Buch geht auf die gleichnamige zweitätige Konferenz in Berlin im November 2001 zurück.

  17. Hinderniserkennung und -verfolgung mit einer PMD-kamera im automobil

    Science.gov (United States)

    Schamm, Thomas; Vacek, Stefan; Natroshvilli, Koba; Marius Zöllner, J.; Dillmann, Rüdiger

    Die Detektion von Hindernissen vor dem Automobil ist eine Hauptanforderung an moderne Fahrerassistenzsysteme (FAS). In dieser Arbeit wird ein System vorgestellt, das mit Hilfe einer PMDKamera (Photomischdetektor) Hindernisse auf der Fahrspur erkennt und deren relevante Parameter bestimmt. Durch die PMD-Kamera werden zunächst 3D-Tiefenbilder der Fahrzeugumwelt generiert. Nach einem initialen Filterprozess werden im Tiefenbild mit Hilfe eines Bereichswachstumsverfahrens Hindernisse gesucht. Zur Stabilisierung des Verfahrens und zur Parameterberechnung wird ein Kaiman Filter eingesetzt. Das Ergebnis ist eine Liste aller Hindernisse im Fahrbereich des Automobils.

  18. Study of short time effect on health of a local air pollution source. Epidemiological approach; Etude des effets a court terme sur la sante d'une source locale de pollution atmospherique. Approche epidemiologique

    Energy Technology Data Exchange (ETDEWEB)

    Guzzo, J.Ch. [Institut National de Veille Sanitaire, Reseau National de Sante Publique, 94 - Saint-Maurice (France)

    2000-07-01

    This document applies to health professionals who are facing with a problem of risks evaluation relative to a local source of air pollution and envisage to realize an epidemiological study. In this document, only the short term effects are considered and the situations of accidental pollution are not treated. Without being a methodological treatise it can be a tool to better understand the constraints and the limits of epidemiology to answer the difficult question of the impact evaluation on health of populations living near a local source of air pollution. (N.C.)

  19. Assessment of potential health impacts on surface water sources in Northern Nigeria

    Directory of Open Access Journals (Sweden)

    ZD Umar

    2014-05-01

    Full Text Available Northern Nigeria represents the most populous region in Nigeria and adequate water supply and sanitation typically leaves a lot to be desired in the region in order to prevent water related diseases to the vulnerable communities of the region. This research work was carried out in Kano state with specific emphasis on Tomas dam which is one of the largest dams established for multipurpose use in Nigeria. The research was aimed at evaluating Physico-chemical and Bacteriological quality of Tomas Dam in Kano State. 240 water samples from 5 sampling stations within eight months were analyzed for bacteriological and physico-chemical quality. The physico-chemical parameters indicated Biochemical Oxygen Demand (BOD and Water Current Speed results were not significantly different (P>0.05, while other physico-chemical parameters analyzed varied significantly (P<0.05. The study also revealed that Dissolved Oxygen (DO, BOD, Turbidity, and Nitrates recorded higher values than WHO and Federal Environmental Protection Agency, Nigeria (FEPA limits. Total aerobic bacterial counts (TBC and total coliform counts (TCC were determined using pour plate and Most Probable Number (MPN techniques. TBC and TCC were high and exceeded acceptable limits. Faecal coliforms, faecal Streptococciand Klebsiella species constituted 25% of the indicator organisms identified.The observed parameters indicated the Dam was contaminated with pathogenic bacteria. Variations in the weather conditions, animal and anthropogenic interferences were all directly or indirectly related to faecal contamination in the dam. Preventing indiscriminate faecal discharge close to the Dam and sufficient water treatment before consumption are of prime importance to public health as the dam was established for agricultural purposes. DOI: http://dx.doi.org/10.3126/ije.v3i2.10523 International Journal of the Environment Vol.3(2 2014: 125-136

  20. The Hidden Health and Economic Burden of Rotavirus Gastroenteritis in Malaysia: An Estimation Using Multiple Data Sources.

    Science.gov (United States)

    Loganathan, Tharani; Ng, Chiu-Wan; Lee, Way-Seah; Jit, Mark

    2016-06-01

    Rotavirus gastroenteritis (RVGE) results in substantial mortality and morbidity worldwide. However, an accurate estimation of the health and economic burden of RVGE in Malaysia covering public, private and home treatment is lacking. Data from multiple sources were used to estimate diarrheal mortality and morbidity according to health service utilization. The proportion of this burden attributable to rotavirus was estimated from a community-based study and a meta-analysis we conducted of primary hospital-based studies. Rotavirus incidence was determined by multiplying acute gastroenteritis incidence with estimates of the proportion of gastroenteritis attributable to rotavirus. The economic burden of rotavirus disease was estimated from the health systems and societal perspective. Annually, rotavirus results in 27 deaths, 31,000 hospitalizations, 41,000 outpatient visits and 145,000 episodes of home-treated gastroenteritis in Malaysia. We estimate an annual rotavirus incidence of 1 death per 100,000 children and 12 hospitalizations, 16 outpatient clinic visits and 57 home-treated episodes per 1000 children under-5 years. Annually, RVGE is estimated to cost US$ 34 million to the healthcare provider and US$ 50 million to society. Productivity loss contributes almost a third of costs to society. Publicly, privately and home-treated episodes consist of 52%, 27% and 21%, respectively, of the total societal costs. RVGE represents a considerable health and economic burden in Malaysia. Much of the burden lies in privately or home-treated episodes and is poorly captured in previous studies. This study provides vital information for future evaluation of cost-effectiveness, which are necessary for policy-making regarding universal vaccination.

  1. Health injuries by noise; Gesundheitsgefahren durch Laerm

    Energy Technology Data Exchange (ETDEWEB)

    Plath, P [Klinik fuer Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Bochum Univ., Prosper-Hospital, Recklinghausen (Germany)

    1995-07-01

    Within the civilized world, noise is a common danger for health. There is not only the well known hearing loss by occupational noise, but there are also a lot of noise induced hearing losses by noise injuries in private life which are comparable to the occupational ones. The sources of these injuries within private life mostly are unknown and can be found in household goods as well as from listening to loud music. Also the danger from loud cracks mostly is underestimated, so as the cracks from children toys often reach more than 150 dB(Al). Alladay`s noise levels, e.g. in public trafic, also reach dangerous levels, and the sum of all these noise injuries results in a lesion of the cilias of the outer hair cells in the Corti`s organ. The resulting hearing loss is called `sociacusis` and increases the effect of physiological presbyacusis to an amount that results in the fact, that more than 10% of all adults in civilized countries have a severe, handicapping deafness. The immediate effect of noise in this regard is intensified by the effects of disturbing noise onto the psychovegetative and hormonal regulations by chronical stress. So people in civilized countries are going to become a society of hard hearing subjects, and deafness will become a common peoples` disease. (orig.) [Deutsch] Laerm ist in der zivilisierten Welt ein allgemeines Gesundheitsproblem. Es gibt nicht nur die berufliche Laermschwerhoerigkeit, die gut erforscht ist, sondern schaedlicher Laerm tritt sehr oft auch im Privatleben auf und verursacht Gehoerschaeden, die der beruflich bedingten Laermschwerhoerigkeit vergleichbar sind. Die Gehoergefaehrdung im Privatleben ist oft unbekannt und betrifft neben lauten Geraeten im Haushalt und dem Hoeren zu lauter Musik auch die oft in ihrer Gefaehrlichkeit unterschaetzten Knalle, die selbst bei Kinderspielzeug Spitzenwerte der Pegel von ueber 150 dB(Al) erreichen. Die allgemeine zivilisatorische Laermbelastung, z.B. im oeffentlichen Verkehr, die oft

  2. Consumer exposure to biocides - identification of relevant sources and evaluation of possible health effects

    Directory of Open Access Journals (Sweden)

    Heger Wolfgang

    2010-02-01

    Full Text Available Abstract Background Products containing biocides are used for a variety of purposes in the home environment. To assess potential health risks, data on products containing biocides were gathered by means of a market survey, exposures were estimated using a worst case scenario approach (screening, the hazard of the active components were evaluated, and a preliminary risk assessment was conducted. Methods Information on biocide-containing products was collected by on-site research, by an internet inquiry as well as research into databases and lists of active substances. Twenty active substances were selected for detailed investigation. The products containing these substances were subsequently classified by range of application; typical concentrations were derived. Potential exposures were then estimated using a worst case scenario approach according to the European Commission's Technical Guidance Document on Risk Assessment. Relevant combinations of scenarios and active substances were identified. The toxicological data for these substances were compiled in substance dossiers. For estimating risks, the margins of exposure (MOEs were determined. Results Numerous consumer products were found to contain biocides. However, it appeared that only a limited number of biocidal active substances or groups of biocidal active substances were being used. The lowest MOEs for dermal exposure or exposure by inhalation were obtained for the following scenarios and biocides: indoor pest control using sprays, stickers or evaporators (chlorpyrifos, dichlorvos and spraying of disinfectants as well as cleaning of surfaces with concentrates (hydrogen peroxide, formaldehyde, glutardialdehyde. The risk from aggregate exposure to individual biocides via different exposure scenarios was higher than the highest single exposure on average by a factor of three. From the 20 biocides assessed 10 had skin-sensitizing properties. The biocides isothiazolinone (mixture of 5-chloro

  3. The Small Area Health Statistics Unit: a national facility for investigating health around point sources of environmental pollution in the United Kingdom.

    Science.gov (United States)

    Elliott, P; Westlake, A J; Hills, M; Kleinschmidt, I; Rodrigues, L; McGale, P; Marshall, K; Rose, G

    1992-01-01

    STUDY OBJECTIVE--The Small Area Health Statistics Unit (SAHSU) was established at the London School of Hygiene and Tropical Medicine in response to a recommendation of the enquiry into the increased incidence of childhood leukaemia near Sellafield, the nuclear reprocessing plant in West Cumbria. The aim of this paper was to describe the Unit's methods for the investigation of health around point sources of environmental pollution in the United Kingdom. DESIGN--Routine data currently including deaths and cancer registrations are held in a large national database which uses a post code based retrieval system to locate cases geographically and link them to the underlying census enumeration districts, and hence to their populations at risk. Main outcome measures were comparison of observed/expected ratios (based on national rates) within bands delineated by concentric circles around point sources of environmental pollution located anywhere in Britain. MAIN RESULTS--The system is illustrated by a study of mortality from mesothelioma and asbestosis near the Plymouth naval dockyards during 1981-87. Within a 3 km radius of the docks the mortality rate for mesothelioma was higher than the national rate by a factor of 8.4, and that for asbestosis was higher by a factor of 13.6. CONCLUSIONS--SAHSU is a new national facility which is rapidly able to provide rates of mortality and cancer incidence for arbitrary circles drawn around any point in Britain. The example around Plymouth of mesothelioma and asbestosis demonstrates the ability of the system to detect an unusual excess of disease in a small locality, although in this case the findings are likely to be related to occupational rather than environmental exposure. PMID:1431704

  4. Tracing source, distribution and health risk of potentially harmful elements (PHEs) in street dust of Durgapur, India.

    Science.gov (United States)

    Gope, Manash; Masto, Reginald Ebhin; George, Joshy; Balachandran, Srinivasan

    2018-06-15

    Street dust samples from Durgapur, the steel city of eastern India, were collected from five different land use patterns, i.e., national highways, urban residential area, sensitive area, industrial area and busy traffic zone during summer, monsoon, and winter to analyze the pollution characteristics, chemical fractionation, source apportionment and health risk of heavy metals (HMs). The samples were fractionated into ≤ 53 µm and analyzed for potentially harmful elements (PHEs) viz. Cd, Cr, Cu, Fe, Mn, Ni, Pb, and Zn. Summer season indicated higher concentrations of PHEs when compared to the other two seasons. Mean enrichment factor (EF), geo-accumulation index (Igeo), and contamination factor (CF) were high for Cd followed by Pb during all the three season in Durgapur. Chemical fractionation was executed in order to obtain distribution patterns of PHEs and to evaluate their bioavailable fractions in street dust samples. Mn was found to be highly bioavailable and bioavailability of the PHEs were in the order of Mn > Zn > Pb > Ni > Cd > Cu > Fe > Cr. Principal Component Analysis (PCA), cluster analysis, correlation analysis indicated the main sources of PHEs could be industrial, especially coal powered thermal plant, iron and steel industries and cement industries and vehicular. Multivariate analysis of variance (MANOVA) indicated that sites, seasons and their interaction were significantly affected by different PHEs as a whole. The health risk was calculated with total metal as well as mobile fraction of PHEs, which indicated that the actual non-carcinogenic risk due to bioavailable PHEs was less (HI < 1) when compared to total concentrations of PHEs. Carcinogenic risk was observed for total Cr in street dust (Child: 4.6E-06; Adult: 3.6E-06). Copyright © 2018 Elsevier Inc. All rights reserved.

  5. Evaluation of Levels, Sources and Health Hazards of Road-Dust Associated Toxic Metals in Jalalabad and Kabul Cities, Afghanistan.

    Science.gov (United States)

    Jadoon, Waqar Azeem; Khpalwak, Wahdatullah; Chidya, Russel Chrispine Garven; Abdel-Dayem, Sherif Mohamed Mohamed Ali; Takeda, Kazuhiko; Makhdoom, Masood Arshad; Sakugawa, Hiroshi

    2018-01-01

    This study was designed to investigate selected road-dust associated heavy metals, their relations with natural and anthropogenic sources, and potential human and environmental health risks. For this purpose, 42 and 36 road-dusts samples were collected from Jalalabad and Kabul cities (Afghanistan), respectively. The following elements were found in descending concentrations: Mn, Zn, Pb, Ni, Cu, Cr, Co, and Cd in Jalalabad; and Mn, Zn, Ni, Cu, Cr, Pb, Co, and Cd in Kabul. Except for Ni, all the elemental contents were less than the Canadian permissible limits in residential/parkland soils. Principle Component Analysis and enrichment of Cd, Cu, Ni, Pb, and Zn pointed to anthropogenic sources, whereas Co, Cr, and Mn indicated crustal inputs. Broadly, Cd monomial risk index ([Formula: see text]) was considerable; however, one site each in both cities showed high risk ([Formula: see text] ≥ 350). The potential ecological risk (RI) is mostly low; however, at some sites, the risk was considerable. Ingestion appeared to be the main exposure route (99%) for heavy metals and contributed > 90% to noncancerous (all residents), as well as 92% (children) and 75-89% (adults) cancerous risks. The noncancerous risks of all metals and their integrated risks for all residents were within acceptable levels. Moreover, potential cancer risks in children from Ni and Cr were slightly higher than the US-EPA safe levels but were within acceptable levels for adults. This study found higher risks to children and therefore recommends proper management and ways to control metals pollution load in these areas to decrease human health and RIs.

  6. Interference immunity of blasting circuits in underground coal mining; Zur Stoerfestigkeit von Sprengzuendsystemen im untertaegigen Steinkohlenbergbau

    Energy Technology Data Exchange (ETDEWEB)

    Pfeiler, C.

    1995-02-14

    Blasting technique with electric detonators is a standard instrument e.g. for drift heading in underground coal mining. The simultaneous increase of compactness and efficiency of electrical devices especially in underground mining calls for a careful consideration of susceptibility problems. As an interference of an inadmissible high level might cause a hazardous ignition limiting values and technical parameters of interference to electrical blasting circuits are evaluated. The sources of interference are classified into communication and power technique devices. Typical interference field strengths are determined by exemplary measurements and a model of wave propagation in underground galleries. An equivalent circuit of the impedance of typical electro-explosive devices used in German coal mining is evaluated and extended by an electro-thermal part based on the `Rosenthal equation`. By this means it is possible to determine a feasible ignition during a simulation using the calculated bridge wire temperature. (orig.) [Deutsch] Fuer den untertaegigen Steinkohlenbergbau ist die Sprengtechnik sowohl im Bereich der Streckenauffahrung als auch beim Schachtabteufen heute noch ein wichtiges Arbeitsinstrument. Dabei wird ausschliesslich die elektrische Zuendung eingesetzt. Durch den Trend zu kompakteren elektrischen Systemen bei gleichzeitiger Leistungssteigerung in Verbindung mit den geringen raeumlichen Abstaenden unter Tage gewinnen Phaenomene der elektromagnetischen Beeinflussung auch im Steinkohlenbergbau an Bedeutung. Eine unzulaessig hohe Beeinflussung des elektrischen Zuendsystems kann eine unerwuenschte Fruehzuendung verursachen. Dieses Gefahrenpotential erfordert eine gesonderte Untersuchung der Stoerfestigkeit elektrischer Zuendsysteme, zumal die Normen fuer den uebertaegigen Sprengbetrieb unter Tage aufgrund der unterschiedlichen Randbedingungen der Ausbreitung elektromagnetischer Wellen nicht uneingeschraenkt angewendet werden koennen. Die Stoerquellen der

  7. Air toxics concentrations, source identification, and health risks: An air pollution hot spot in southwest Memphis, TN

    Science.gov (United States)

    Jia, Chunrong; Foran, Jeffery

    2013-12-01

    Southwest Memphis is a residential region surrounded by fossil fuel burning, steel, refining, and food processing industries, and considerable mobile sources whose emissions may pose adverse health risks to local residents. This study characterizes cancer and non-cancer risks resulting from exposure to ambient air toxics in southwest Memphis. Air toxics samples were collected at a central location every 6 days from June 5, 2008 to January 8, 2010. Volatile organic compounds (VOCs) were collected in evacuated stainless-steel canisters and aldehydes by DNPH cartridges, and samples were analyzed for 73 target compounds. A total of 60 compounds were detected and 39 were found in over 86% of the samples. Mean concentrations of many compounds were higher than those measured in many industrial communities throughout the U.S. The cumulative cancer risk associated with exposure to 13 carcinogens found in southwest Memphis air was 2.3 × 10-4, four times higher than the national average of 5.0 × 10-5. Three risk drivers were identified: benzene, formaldehyde, and acrylonitrile, which contributed 43%, 19%, and 14% to the cumulative risk, respectively. This is the first field study to confirm acrylonitrile as a potential risk driver. Mobile, secondary, industrial, and background sources contributed 57%, 24%, 14%, and 5% of the risk, respectively. The results of this study indicate that southwest Memphis, a region of significant income, racial, and social disparities, is also a region under significant environmental stress compared with surrounding areas and communities.

  8. Human Health Risk Assessment Applied to Rural Populations Dependent on Unregulated Drinking Water Sources: A Scoping Review.

    Science.gov (United States)

    Ford, Lorelei; Bharadwaj, Lalita; McLeod, Lianne; Waldner, Cheryl

    2017-07-28

    Safe drinking water is a global challenge for rural populations dependent on unregulated water. A scoping review of research on human health risk assessments (HHRA) applied to this vulnerable population may be used to improve assessments applied by government and researchers. This review aims to summarize and describe the characteristics of HHRA methods, publications, and current literature gaps of HHRA studies on rural populations dependent on unregulated or unspecified drinking water. Peer-reviewed literature was systematically searched (January 2000 to May 2014) and identified at least one drinking water source as unregulated (21%) or unspecified (79%) in 100 studies. Only 7% of reviewed studies identified a rural community dependent on unregulated drinking water. Source water and hazards most frequently cited included groundwater (67%) and chemical water hazards (82%). Most HHRAs (86%) applied deterministic methods with 14% reporting probabilistic and stochastic methods. Publications increased over time with 57% set in Asia, and 47% of studies identified at least one literature gap in the areas of research, risk management, and community exposure. HHRAs applied to rural populations dependent on unregulated water are poorly represented in the literature even though almost half of the global population is rural.

  9. Distribution, source identification and health risk assessment of soil heavy metals in urban areas of Isfahan province, Iran

    Science.gov (United States)

    Rastegari Mehr, Meisam; Keshavarzi, Behnam; Moore, Farid; Sharifi, Reza; Lahijanzadeh, Ahmadreza; Kermani, Maryam

    2017-08-01

    The present study examines some heavy metals (As, Cd, Co, Cr, Cu, Ni, Pb and Zn) contents in urban soils of 23 cities in Isfahan province, central Iran. For this purpose, 83 topsoil samples were collected and analyzed by ICP-MS. Results showed that the concentrations of As, Cd, Cu, Pb and Zn are higher than background values, while Co, Cr and Ni concentrations are close to the background. Compared with heavy metal concentrations in selected cities around the world, As, Cd, Cu, Pb and Zn concentrations in urban soils of Isfahan are relatively enriched. Moreover, natural background concentrations of Co, Cr and Ni in Isfahan province soil are high and the apparent enrichment relative to other major cities of the world is due to this high background contents. Calculated contamination factor (CF) confirmed that As, Cd, Cu, Pb and Zn are extremely enriched in the urban soils. Furthermore, pollution load index (PLI) and Geoaccumulation index (Igeo) highlighted that highly contaminated cities are mostly affected by pollution from traffic, industries and Sh